the supervisors on this and all the things going on in mid market. we support the advisory committee nominees and once again thank you, supervisor and rules committee members, for moving forward with the advisory committee. >> thank you. >> hello, my name is the rain and good men and i wanted to show my support for lj for the seat. i have seen her grow as a member of the coalition on homelessness. we have seen great strengths in overcoming diversity. it would be very good to have someone who has experienced homelessness. i'm here to support -- who is applying for the senior citizens seat. i know her through my work. she has shown great strength and at reaching to the community. >> good afternoon, supervisors. i'm here to express support for robert marquez, and all the other applicants. we feel that this pool of people, they have real experience in district 6. there also experts in the seats they are representing so we truly hope that you will support them. we are here to ensure transparency and they will ensure the different interests that will be at the table and we hope that you will consider all of them. >> >> good afternoon, supervisors. my name is the rinceau and i am part of the community association. i am here to support the nominees. i have been working with her for the past year. she is a tireless worker. she really advocates for seniors. i hope that the supervisors will approve her application. thank you. >> is there any other public comment on this item? >> i will say that we to have a problem with lj bei appointed. she is already on the -- committee. the other idea is i am wondering if she is even doing it well. the problem is that i am questioning if she is in violation or not of the 23312 -- her behavior has triggered a sunshine ordinance hearing. she might be ready for that position later but not now. >> thank you. is any other public comment? >> my name is -- and i am homeless and lj has helped me. mr. pitts might be correct with the technical stuff. a very open heart can change a situation. i have no doubt that lj cares about the situation. >> is in any other public comment? >> seeing none, public comment is closed. just to quickly address one of the comments that was made, it is true, we frequently to have only one applicant for each seat for many of the committees that we hold and i think that we could probably increase our outreach efforts. the mayor's office has finally put together a website where it is easy to find all the seats that are available as they come forward. we encourage members of the public to look at the website and to make sure that if there are seats, you want to make sure that the board is getting out there. i also want to thank the many applicants that have applied. we need to get the advisory committee. and within 60 days of this passing and that is part of the rush and putting this at this month, at this time and we passed this legislation in april. are there any comments? >> just a question for the colors, are there any that came in late that could not give notice for this agenda? >> there are other applications that will be received. >> i would like to move forward with the seats. we can do that without opposition. thank you to the members for applying and coming together so quickly. we really appreciate it and we look forward to working with you, also to great really strong partnerships with businesses coming into our district. thank you very much. >> item number5, hearing to consider the quarterly report for the shelter monetary committee. >> thank you. we have members of the shelter monitoring committee here today. the chair has just move forward recommendations for the mid market legislation. >> i have paperwork for you, the third quarterly report. i think a need some assistance. >> what i am presenting on today are a key quarterly reports. the first one covers october, november, december. the sheltering monetary committee is an independent committee to review the help, say, and treatments of clients, staff, and the homeless community. we undertake the work of recognizing individual human rights and promoting a universal standard of care in the city and county of san francisco. during the second and third quarters, the inspection teams conducted 17 of the 30 visits which is 56% in the second quarter from october to december. the inspection teams conducted 32 of the 36 a signed visits or 88% in the third quarter for january and march. >> can you tell us who is in the team? i soon as some of these visits are repeats. >> yes. so, we had a minimum requirement of inspecting the shelters. there was approximately seven to 8 members during that time. one of the reasons why these were so low. >> members of the committee go on the inspection team. if we had a full committee, there are -- members. there broken up into teams that are typically two to three people. we go into the shelters and the resource centers and inspect them. i have attached the methodology that we use and i did not included in the power point because this is pretty long. if you have questions on a specific standard of care and the methodology that we use, i would be happy to answer those questions. the shelter sites are conducted during the second and third quarter. the standards of care. in the second quarter, there was 32 standards of care and complaints filed. the committee conducted five investigations and for them to the department of public health with recommendations on the violations. in the third quarter, there was 57 complaints filed. the committee also investigated those complaints and then we've lowered our findings to the departments of public health. the inspection findings for october through december. 76% of the sides inspected either did not have an emergency disaster plan or did not conduct the emergency fill -- emergency bill. 37% did not have access to tokens. what i wanted to do just to have a visual is a breakdown of the site inspection violations for the second quarter. when we to our inspections, there are four categories of the standards of care fall into. the first is that i have the facility and access and this represents 53% of the violations in that category. the second category, 33% of the violations were in that category followed by american disability act category. 8% were not categoric and than 6% were in staff and that has to do with treating clients with dignity and respect and the overall safety of the clients. because i am covering two quarters, i thought it would be important to present a comparison between the complaints and then for the rest of the presentation focus on the most current quarterly report because as you can see here on the chart, the percentage of complaints is very similar with facility and access being 37 and 35 respectively. the staff, 33%. that just gives a good idea of what categories the complaints are falling into and that has been consistent for the past two quarters. the standard care complaints by category, now this again for the most recent quarter. there was 58 separate complaints. standard one, treating clients with dignity and respect, standard to, a safe environment. stand at 31, completing all required training. these complaints included allegations of staff being disrespectful to clients by speaking in a demeaning and disparaging manner and non responsiveness by management to require assistance. the americans with disabilities act category which is just one standard, standard 8. that is in the methodology. you can review that. provide shelter services with the ada act. the provision of accessible sweeping, bathing facilities. reasonable modifications and shelter facilities and providing information to new clients which includes rules, how to access case management services, and made available to clients through the use of large print or asl services. this is focused on the lack of the nile or access through the auspices focus on the lack of the nile are accessed through this is -- this is focused on the lack of access or denial. not accommodating the client's request for special meals. >> can you talk about the last one? >> this requires someone who is disabled and they require a tray of food brought to their table. the health and hygiene category, this refers to 11 standards of care which focus on meals, access to toiletries, and stock first aid kits. in this category, there was 39 separate complaints including allegations of mold. a lack of protective equipment for staff. the facility and access category, this is probably the largest category that involved the most standards of care. there are 16 standards of care which makes up thoughts which make up these categories. these are in the methodology. there were 64 separate complaints and included allegations of lack of access to laundry's services on site for a referral for such. there was a lack of notices posted in english and spanish and a lack of notices that posted maleness problems. during the third quarter, the committee invested -- investigate the allegations including the sites hamilton and -- next door to a sanctuary. each found a minimum of one standard of care. all did supply documentation for the violations. i wanted to go briefly through that investigation process. once we make that, we for our findings to the department of public health for the standard of care legislation. the department of health can levy fines and develop -- for the meeting compliance. the sheltering monetary committee has come up with four basic categories of policy recommendations. the first category represents case management. we feel that case management is needed for the committee. i just wanted to find case management. -- to define case management. we would like to see the ratio of client case manager for one in every 25 single adults. this was a recommendation that was put out in the in richmond report which was co-authored by the board and the shelter monetary committee. the committee has determined that the city and county of san francisco does not have a universal definition of case management. what the committee is suggesting that each site provides information on site services and access to case management as required by standard 8. all of the courts track the number of requests for case management at each site and how those needs were met. the state can provide the city and county of data. of course, they cannot meet the need if they need is not fully known. we are in the process of revising this side forms to make these specific. i will be presenting on that the next quarter. the next recommendation we have focuses on the need for more tokens. the committee continues to note a lack of token for clients. 43% of the sites inspected and the inspection teams were unable to visually verify the presence of tokens. the tokens particularly for reservations sites and the neighborhood research center and the knighted council -- and the council. the providence shelter is approximately 4 miles away from the changes. it is very challenging for a client to get to where they need the reservation if the bed is located in the bayview. msc south, this is more than 1 mile away. with the exception of the in the changes and a reservations center, the delores' shelters are one to 2 miles away from the reservation. in the most recent homeless count, there was also stated that reflected the lack of tokens. some people are not provided the token at the time of the reservation. 27.5% stated that they sometimes receive tokens while only 12.3% stated that they were providing one at the time of reservation. >> can you talk a little bit about why that is? did you say access to tokens? that implies that maybe they are in sight but for whatever reasons staff cannot -- >> absolutely. that is one issue that the shelters to report that when we are actually there, the supervisor does not have access to the tokens which means that they don't have access to the tokens for the client during that time. that is definitely one of the reasons. the other reason is the lack of tokens. we have 1154 beds. i believe that hsa receives 1200. the ratio is just not there. if every client was to -- that would mean that every client would have a token. that does not mean that everyone would need a token. they can get them elsewhere. we need a bigger budget foretokens to solve this problem. >> this is an availability issue? >> yes, this is an availability issue. >> -- and they don't give them out. would that be an issue? >> whatever the shelters, the policies or procedures, if the supervisor, let's say for example that they are locked in the door for office. there is not enough took this to go around. they might not be sensible to the staff member at that time. >> the third recommendation follows and having a way to measure the vacancies that may not be reflect and may not be accurate to better determine the shelter need and is vacant and the first bed and cash. and it became vacant where the majority of reservations are made for clients and at what times the reservations were made. in this quarter there was an average of 68 vacancies in the shelter system per night with a high of 78 vacancies in february and a low of 59 in march. it would be helpful if changes had a tool that allows them to document when each sleeping in the system is available for reservations and at what are useed. ed. the fourth recommendation is more training for shelter staff and they have a damaging job to look in the shelters. and i think that beneficial tool for everybody in any field is to have more training and have it ongoing and shelter and staff do need support. there are 10 areas in which 100% of staff, including on call and part-time are required to receive training per the standards of care. this focuses on the standard of care legislation and i wanted to point that out. and these are categories that per the standard of care, shelter staff are required to have, this is in no way an exhaustive list of all the types of trainings that h.s.a. provides. and they provide more training than in the categories but for the purposes of the shelter monitoring committee, we focus on these 10 categories. which include prevention precaution training, hand washing, and communicable disease prevention, proper food handling, emergency procedures, including but not limited to c.p.r., intervention and harm reduction training, interaction with clients who suffer from mental illness, requirements under the a.d.a., the shelter training manual and culture community. and those are the areas that we focus on. >> so currently the department of -- currently the department of public health will deal with the shelter programs developing training modules that focus on the fire trainings and we're working with half to identify and to make it helpful for shelters to access the information and to utilize the trainings. we're also advocating for funding to meet the training requirements within the standard of care within 2011 and 2012 fiscal budget including maintaining funding for nutritionist, material cost and the trainer. and the standard of care were never a fully funded mandate and to trainers do struggle with budgeting the standards of care.