Transcripts For SFGTV Board Of Appeals 3817 20170311

Please be advised the ringing of and use of cell phones and other Electronic Devices are prohibited. Out in the hallway. Permit holders and others have up to 7 minutes to present their case and 3 minutes for rebuttal. People affiliated with these parties must conclude their comments within 7 minutes, participants not affiliated have up to 3 minutes no rebuttal. To assist the board in the accurate preparation of the minutes, members of the public are asked, not required to submit a speaker card or Business Card to the clerk. Speaker cards and pens are available on the left side of the podium. The board welcomes your comments. There are Customer Satisfaction forms available. If you have a question about the schedule, speak to the staff after the meeting or call the board office tomorrow we are located at 1650 mission street, suite 304. This meeting is broadcast live on sfgovtv cable channel 78. Dvds are available to purchase directly from sfgovtv. Thank you for your attention. Well conduct our swearing in process. Thank you for your attention. Well conduct our swearing in process. If you intend to testify and wish to have the board give your testimony evidentiary weight, please stand and say i raise your hand say i do after youve been sworn in please stand do you solemnly swear or affirm the testimony youre about to give will be the whole truth and nothing but the truth . I do. Thank you item general Public Comment this is an opportunity to address the jurisdiction but not on tonight calendars any general Public Comment seeing none, item 2 is commission comments and questions. Nothing commissioners no. Like to mention and acknowledge my wonderful female comrades National Womens day thank you any Public Comment on item 2 okay. Seeing none then call item 3 the dodgers and unless easing to those minutes may i have a motion the last line needs to be corrected. Oh, are you sure i wasnt there. I was here in spirit would i. With that correction move to adopt. Any Public Comment on item is minutes. Seeing none, we have a motion from the Vice President to adopt the minutes as corrected on that motions commissioner lazarus commissioner president honda commissioner wilson commissioner swig thank you that item passes move on to item number 4, which is a you rehearing request. Subject property at 37513753 20th street. Appellants are requesting a rehearing for raisner versus dbi decided in 2017 the board voted to one something with an a little bit that the comply with the codes and provide a Monitoring System at no cost to the joining neighbors and any fencing no higher than the window sidelines that the project so code compliant and it is a new 3 story rear new living level and below grade garage and have aluminum windows and woolths windows with sashes were indicated new living room and bedroom and bath and please note after the public hearings of this request on february 2015 the board and commissioner lazarus and commissioner wilson absent to allow the missing Board Members to participate at the time of the last hearing commissioner Vice President fung moved to grant the request with no new evidences it failed with commissioner swig dissenting and commissioner wilson and commissioner president honda was missing so they continued the matters before you if i can have the two commissioners so say theyve viewed the materials and video. So commissioners unless additional questions or other information you want from the parties we can return to deliberation and see if there is a motion to be had but any questions for the parties this is the time to ask. So we can entertain another motion than for further deliberations. You want to ask allow them any discussion at all . I mean everyone has read the briefs prior we should go into the deliberations. I had brought forth that i felt there was new information therefore i asked we consider granting the rehearsing the issue was recommended to the measurement of height that was being challenged and therefore i felt that we should grant the rehearing request. You guess my question not was that raised at the first hearing. Why does it come under information. I guess in my opinion was that that wasnt quite clear and therefore i thought that we should allow a full discussion on that particular item. I think as as you recall commissioner the project sponsor didnt have plans present at the time of the original hearing although that was discussed lighting i honestly we didnt delve into it and the rehearing request. Was based on that. And i felt that it was under fully discuss and accurately i mean and the project was discussed thats basically the reason for todays. I think i summarized it the position yeah. Ill make a motion im going to move to grant the rehearing request. On the basis that new information has been provided. Do you want to wait and see if the motion passes before a new date to grant the request on new information commissioner lazarus marry no commissioner president honda commissioner wilson commissioner swig no, that motion does fail bargain any other motion well move on to the next motion the request is denied we default and move to item 5 tian yi ahao dba Paradise Health center vs. The department of Public Health at 242 balboa street. The subject property at 37513753 20th street appealing a 60 day suspension of a massage establishment permit so well start with the appellant. 7 minutes to present your case good evening and welcome. Good afternoon Christopher Hall and paul the two of us are appearing on behalf of the paradis Health Center on 242 balboa street in San Francisco im sure all Board Members have read the brief by the appellant nicole and what id like to briefly directing your attention to the timeline the timeline nicole is the following on may 10, 2016, before 9 oclock in the evening at the massage establishment there was a male customer that came into the front door and he walked down a hallway and met with the manager teresa the clean up lady 9 oclock and he asked for an hour massage the manager told him we cant that long we close the doors other 9 30 she told him thank you want a massage it is thirty minutes he said okay she quoted him 50 he endeavor 50 and took the customer to room number one, and took the customer inside and told him wait your your massage sole practitioner at this point teresa the manager left the room went back to the front desk she was working and logged in the money put the time down on the log sheet within three or four minutes later the police entered the establishment the sole practitioner sobered room one and closed the door that it was the police calm with the department of Health Inspectors and went to room number one, opened the door and they found the male customer naked and they found the female sole practitioner gao naked the police interviewed both of them the male customer told the police randy lee that neither he nor her engaged in any Sexual Activity was interviewed by the attorneys be nicole and he is specifically said he overcame himself and disrobed to the female sole practitioner i bring up this timeline ways the police had entered one maybe 3 minutes of the customer going into room number one, and the question is what could the management have done at this point should they have known what was going on behind closed doors the young lady had been working for the establishment for 6 months and was serviced by the state of california with a massage california therapy counsel since the permit in the 4 plus years never had an arrest incision or never had her cpmc permit suspended the management the owner of the establishment her back in january or december 2015 and went on her reputation as a legitimate licensed massages without a criminal record and the practitioner had worked theyre up until the time of the incident without problems i ask each of the Board Members because the aspire seems to have a car sharing case like this under the code section 2933 of the Apartment Health code it puts a duty that on the owner and when i say duty no one should have known about the improper activity within the male consumer in room number one, with the sole practitioner that is laid auto what could the management teresa who was there acting as the midnight or the evening manager can e what could she have dunk short of opening the door and watching the two of them engaging in a massage she took the customer to the room the door as shut teresa logged in the money and within 3 minutes the police automate with the Public Health department to do their inspection i submit with Due Diligence the owner hired a certified practitioner with an unblemished record so, i say what could the young lady and manager done to known and realized that that Something Like that improper activities improper attire they were interviewed by the police and the two of them told the police not engaged in any type of Sexual Activity but the male customer disrobed this young lady youre here to make a decision whether you wouldnt days is warranted the matter was hardly never inquired about the issue of Due Diligence should the management have known what was going to happen in that room ahead of time and that was never discuses it was never decided upon by the hearing officer he made the discussion a blanket decision because two adults and that they were improperly dressed therefore the owner should have common or known what was going on were asking you to make a fair adequately decision and not impose the 60 days suspension that never had the license permit every suspended in the past since opened in the last 4 years . The first time theyve had an incident of this nature thank you. Counselor i have a question counselor. Yes. So the timeline that you given us is three to four minutes and a disrobing of the comply and the sole practitioner. I say two to three minutes from the time that the male customer came into the establishment and entered at 9 oclock in you look at the exhibit it is 905 the police entered. According to what was turned in as the statement says the inspector kim accompanied on inspection by randy selfconfident San Francisco Police Department according to the incident report upon entering we saw the maurj stranding a customer in an apparent sex act. In an parent so straddling someone separately are two Different Things in my opinion. She was not charged with engaging in any type of Sexual Activity and thats what we he surmised in you look at the photograph it didnt show that activity occurring she searched im sure the Due Diligence officers at the time they searched the room for any condoms and light bulb canned that was absent in the case thank you counselor thank you. You any other questions. No. Good evening, commissioners this is one of the cases i know that a picture speaks about one thousand words the picture is attached to exhibit a to the inspectors im not going to put it on the picture it was shown at the public at large but ask i what occurred in the paradis in 2016 and depicts a maurj and client entirely in the indoor if this picture werent enough it is but have the Police Incident are right that was sworn in the penalty of perjury by sergeant lee the inspection and walked into the room immediately before that photo was taken according to his report he found them indoor with the sole practitioner engaging in a sexual act and from the photo and the Police Report were not enough some of the neighbors from the community have submitted letters of concern they represent people from a preschool that is on the same block and expressed genuine concern about the neighborhood and the children they serve and is women that work there their letters attest that the door remains locked except for the men that get therapy they share with you, you photos screen shots of website for the paradis is that a i look at this morning this is the excludes u includes lawn beautiful sexy aimg women to pla flu you with table showers and other things stloursz simply no question that the violations with the health code it was clearing a violation of law that prohibit people from improper attire no attire is improper attire and clearly evidence there was a lewd act that occurred based on the photograph evidence and the scorn testimony of sergeant lee ill remind you not hearsay so in contrast of the oh, my godly evidence to impose the 60 day suspension and one remark that the notion that the noosht moosht the owner is absolutely responsible for the conduction of sole practitioners and read from the code the massage establishment shall be responsible for the conduct of individual for compensation on their Business Premises and shall insure they dont wear exposure attire it is a strict liability theyre responsible for making sure that happens in training whether through screening whatever it takes theyre absolutely responsible and it didnt xoornt how much time between the time they walked into the massage room and the inspectors no excuse for this in one of the establishments thank you i have a question. Yeah. So in the past how many times has this establishment been inspected. I dont know in total. How often does your dph make those inspections. I cant speak to that there be inspectors i previously found improper attire but inspections. Maybe after one question look that up or call someone on the staff et seq. Question what is the standard for dph so for this type of violation anyone else out of massage place that you inspector that have violation whats the general practice Felt Department far as discipline. Well the department follows the procedures that are set out in the health code which require the notice of violation and sets forth the personality that are appropriate under the circumstances and 60 days is thats not the question. Im sorry, i miss united on the first violation is it standard for dph to ask for this type of penalty. This is the penalty that so forth for the first time violation under the act. So thats the stated standard a i can ask the department this is the code i can confirm with them. Thank you. Can you read us that that section on the penalty. Sure. I didnt see the specific visitation on the code theyre in 2945 generally, the department has the authority to suspect or revoke permits they think that appropriate section 2945 is the penalties for violations that are guidelines and their violations that issued here for penalty for two violations for the improper attire and for the lewd act so improper attire is 2945 a8 and for a permit penalty for the finance instance this is have not the first instance in the declaration repeat violations have a 60 days permit suspension per person the massage permit are so for repeat it is a 60 day violations for a lewd act that is 29. 45 a12 the first violation 68 suspension for a massage establishment permit. You consider this a repeat act that the owner is not necessarily the same my understanding this is the first violation of a lewd act provision. Im talking about the clothing. Yes. This is a repeat act. Yes. The names of the owners were a little bit different okay. I will point out the only 60 days have been so you get thats the penalty if we were only seeking a penalty. In my question is the owner is the same. I dont know if the ownership has changed any other questions. Sure let me make it clear for myself so im understanding that as a big in the food and beverage in if a banter services a minor no discussion i lose my license if you put it out there you lose our license is this somewhat of that motion. It is. Any other questions. Thank you you will look up that information. I will well take Public Comment first now before we rebuttal any Public Comment on this item . Please step forward. My name is a eric can a member of the board of directors on balboa park street addressed a parent of children attending the school i ask you to revoke this permit due to the finding of lewd activity at the premises im alarmed by paradise ervin darment advertised a ifp tolerant theyve done this in close prompt i didnt including the nurse school and athletic practice and a childrens scientific Education Program in the nearby block their disregard for the business permit is cause for serious concern about ability it may have to provide legal Massage Services that is well known theyre associated with increased risk for Human Trafficking for minors and dulls San Francisco is already one of 5 with the great number of Human Trafficking paradise engagement in loyalty lewd activity is not welcome i urge the board of appeals to revoke the massage establishment permit. Any other Public Comment please step forward. Other people that plan to speak if you can step forward and speak that would be helpful. I lived in the neighborhood for the past 13 years and what id like to say that despite the fact this is stated and a one time situation where someone was unrobed i have personally been in the neighborhood with the establishment across the street ive seen men come to the door and a female massage therapist answer the door to luingerie this is something that the neighborhood is very aware of im sorry this is not better port here today and think that what id like to say if you saw that establishment it 3w4r5kd out the donor is intended black a huge Security Camera and a doorbell if i understand recently an article written about a massage parlor downtown that was cited and closed because of a violation of a code not allowed to have a demolish bell and not allowed to have the door locked during Business Hours and a Security Camera id like to point that out. Thank you. Next speaker, please. Good evening. Hello, im mary the board of directors with the nurse school peters place had not been at 27 balboa park street since 2000 a neighborhood preschool serve families from the richmond i live in the neighborhood and outraged at that behavior concurring across the street this is a neighborhood for that families we have our children that come to the school and provide them with a safe environmentalist this is not appropriated that behavior happening across the street we support at a minimum the 60 day suspension and interested in figuring out how to address perhaps more severe sanctions. Thank you good evening. My name is noel im the correct of peter place. Speak sweet spot microphone. Im the director of peters place nurse school directly across the street we serve close to 55 between 050 and 60 at in time but 55 families and we are Part Time School so families are coming and going and from 8 oclock well loser to 8 30 in the morning until as late as 4 oclock 5 oclock those these families we have many families coming and going throughout the day next door we have an organization t your sidewalks are chockfull of children running back and forth and their families it is like a family neighborhood and it is very obvious what is going on across the street and just as recently as 3 a days ago we went to the website just to see if if since theyre under suspension if it is helping the situation at all and we saw the website which shows girls depressed in scant i didnt lingerie saying beautiful staff asian girls here to ive been there. Advertised 33d they know and to answer some of your questions this the first time it is a lewd allegation this maurj was screened and the owner relied on that that is something you should remain and no history before or after with lewd conduct and in response to commissioner Vice President fungs comment a change of opener and a change in the law and did tough up the penalty and to District Attorney George Gascon to respond to commissioner swig the abc analog but ive done abc case in the first offense they dont revoke probably a fine or 10 day suspension that is suspend the second and third offense they ranch up and another allegation about Human Trafficking what quite offense in kraergs to the Police Reporting page 4 and 5 the police said no Human Trafficking yes, it is good i said pointed out in the brief not punish the innocent theyre on notice now, of course, if it happens again, they should be suspended but a one time thing and the law she didnt mention ones in her brief by the way, the law is on the does the owner 2933 only page 2 of my brief thank you. I have a question yes. Im missing something i read 2933 as saying massage establishment shall be responsible for the conduct of all individuals that is there. How does that then not impact the owner and i mean, if you dont interpret that as meaning responsible than anything can go on and no one that responsibility. Thats a point. Speak into the mike, sir. How do you work this gary the director may not shall the director may revoke or suspend massage establishment or alcohol permit after a hearing if the director finds any employer or permit has engaged in the violation of state or local laws in a place of business and in the exercise of Due Diligence should have had knowledge of prohibited conduct that tempers it is pretty well well written in the health code youre right and again, the health code say wait a minute they didnt know sort of like an ad active law every dog gets one free bit if you didnt know how about Due Diligence didnt know. Thank you thank you. Im going to put the text of 2933 own the screen if it is helpful with all due respect the gentleman has misrepresented what was said. 2933 sets forth the grounds under which the department may revoke a permit 6 separate grounds in the alternative so theyre all let me show you this. This is the top so the director my revoke or suspend a massage Establishment Service permit after hearing in the director or director finds 6 onyx that have or between them in the alternative in subdivision 3 theyve engaged in conduct with the operation of business and violate the operating requirement so forth in the code thats the section he quoted previously that makes the establishment absolutely responsible for conduct for lewd acts and attire they preceded under here and no requirement they show. Massage establishment have known or should have known not part of this section to answer the questions that was raised earlier i did my best you ask how many inspections at the establishment capital hill does one or two inspections a year this was in 2012 thats 4 to 8 but no reference to how many have occurred during that time this is under the same ownership since 2012 and the application the same as the appellants today and that dph tells me the penalty they sought is consistent with their practice as request the code that is what they seek under similar circumstances in other cases any other questions for me so someone said someone mentions a different ownership the same overflow room how many violations has this ownership had since 2012. So this the inspector that shows me the massage establishment has been sited for improper attire and consistent with 2945 not a Penalty Associated with that violation so one previous certification for a improper attire violation. So did i hear they were accredited. And no penalty violation im sorry counselor the other question i think so the guidelines in the department maybe ms. Kim would like to take the podium i have a few questions so. Good evening and welcome. Good evening, commissioners so the question i had is i understand the guidelines for the penalty phase im interested in what the general practice is and could you give me some works of people that have violated this code recently and what the penalty was you can move the mike. Generally sure as it the patrick the Program Manager who supervisors ms. Kim ill defer to my manager. Okay. You can move the mike up now. Good evening. Im patrick as mentioned the Program Manager for the Massage Program dont have a didnt bring a list of all the ones we cited last year but i can tell you that permit suspension days last year was around 6 hundred and 50 i think permits suspension days for the city we imposed 71,000 in penalties because generally i mean, the permits are appeal able to this board and prior ive been on it for four weve not heard any in recent times. That was pointed out one was article 29 when was significantly amend in 2015 that went into effect prior to that there was a provision at the state that loud massage establishments that is o had hired all California Massage Therapy Council permits for the local requirements we saw during the years a whole lot of massage establishments going busy in the city the 2015 amendments sought to address that and bring it back in local control and had retirements in the manual programs i myself didnt became a Program Manager of the massage until january or february of 2016 so ive only been there a year. It explains it thank you. Any other questions. No, thank you. Commissioners, the matter is submitted. I have a question for the City Attorney not knowing federal and state this is the way people are headed or not but options that we have with regards to the suspension never mind i know im pretty sure we cant increase it we may be cant increase that. You couldnt or revoke the permit on the current posture of the rent i dont think so the guidelines the codes in this situation for the violation of the lewd conduct the permit penalties is 60 day suspension with the massage establishment permit doesnt specify whether it comes from us or not. It is in the discretions in the code then really, really. I believe we have in the past same as is tobacco. Yeah. Probably not. In terms of that i agree i dont know from the department has a position on that. Come to the podium please. Thank you open my trusty code the board of appeals have board and so when you first asked me how this penalties are typically giving out i received you to the coincide because dph uses the code to base its penalty they do that because the 60 day suspension it the penalty for this particular violation and to assure fairness quality they did code requirements requires it and insure the same penalty that is needed out across the massage establishment i will for our council if you have authority to go higher or low but dph sees is go as the code to be enforced when this particular event that happens. I have an opinion on this i agree with the department of health about quality and have a feeling that we 200 undermined the department if we start meg with the penalty which they find violations there will be an Immediate Reaction to appeal and were going to have every case like this or even worse that will appeal because why not the precedence was set and im not picking on this case i will speak generically of new case. No need for the board of appeals. Thats not exactly true i think that we will be undermining the department of health if we start messaging and taking the penalties to 25 or 10 or whatever or 59 for that matter i think outside the box that is dangerous territory or else well hear for appeals because they want a reduction in their penalties as i continue just to let everyone else chat my feeling is the same at the department of health when you have when you have a license like a Liquor License arrest a massage license as is other than your responsibility to make that very clear and to your sole practitioners that will be a bartender or maurj this is the law and the law must be protected and fundamental training and owners owners thats the risk they take and so if the bartender serves a minor not the owners fault or some will say but the owners responsibility as the owner of the license to train that individual to make sure that behavior p is unacceptable i take that position and make a motion to deny the appeal. Ill disagree with what my fellow commissioner indicated how the board can act or not act i think the intent is whether or not we have equity and their actions that didnt nestle apply to this particular case i think we should focus on that rather than a philanthropy discussion of the intent of this board the i dont find that the appellants had presented a compelling case respect to the legal argument. I concur. Someone care to make a motion. The motion was made. Im sorry, i was probably reading raw to deny the appeal on the on the grounds that the Police Department and the department of health were appropriate in their actions. This is a motion making machine now. So the motion by commissioner swig to deny its appeal and uphold the suspension 60 days on the basis that was properly issued is that; correct . Yes. On that motion commissioner Vice President fung commissioner lazarus commissioner president hondas commissioner wilson and that motion carries with a vote of 5 to zero. We are going a call item 6 Courtenay Brown vs. The department of building inspection. The subject property at 22 harper street, llc of open transformation at the deck at first level and expansion to approve the Building Permit new roof deck and second floor above the expansion at the ground level and hear from the appellant first. Come on up. Welcome. Thank you very much good evening can you all hear me happy womens day thank you for the board to take the time to protect homeowners and taxpayers and the citizens of San Francisco to give you a brief history ive lived in noah valley on and off for the past 20 years bought our house in 2008, we remodeled to stay in the city with our two girls and make that work for the family during the entire remodel process we had a birds eye view behind harper and discussed my concerns with the architect no objections did i have despite some concerns about the connects and the roof line and dormers we live in a city we have to be cool neighbors push and pull today, im going to present a simple straighter 22 harper street deceived the neighbors and city by having a incomplete set of plans and consisting you see the list any of complaint responses back and forth and reads like an enclosedcaption consisting breaching the building codes and making a mockery of the system in their codes in september 4th months after putting a completed house on the market did they file a 311 without posting an actual 311 notice see the picture of outside of the house from october 9, 2016, smackdab in the middle of the 311 process filed a 311 more or less for the entire project including a roof deck and hatch on top the latter is my main issue as you can see from 22 harper street response theyve tried to confuse the issue and discussions of their irrelevant issues like rats and timely approved process and financing and tonights to pretty much the house and so on and so forth the retirement board on the top of the peeked roof victorian is my primary complaint according to the plan the roof decks on the third floor and the relayed interior staircase war outside the scope and not on the original plans in fact, they were not submitted until the 311 on september 19, 2016, with the other decks the lower south side and the roof decks and honestly im not sure how the permit were granted we shared many of the concerns throughout the project the deck blocks views it is out of character in relation to the victorian design and in fact, there are not roof decks onpeak victorian houses in noah valley and on harper street we know theyre important if you lit one skydive on one in noah valley there be all over the place the main complaint are twofold the owner and contractor and architect on 22 harper street bent and broke the city laws make a mockery of the system and built a roof deck which is out of character from the neighborhood and style of the house in order to achieve their profit goals a big house multiple decks and big Square Footage you know trying to get as much as. And flip the house for the integrity i respectfully ask the board to be simply remove on the top roof deck even though i question how 22 harper street received many of the key permits for this job without neighborhood consent with objections from the Planning Commission with objections from myself, and i also ask they plant beautiful trees throughout noah valley for the benefit of the neighborhood for cutting down any tree and trespassing on my property thank you very much. Mr. Brown. Yes. Approximately how far your building at the rear yard to this. The face of my house or the face of my yard. The face of our yard on the rear yard side. The face of this building. Thats a good question i dont know what their setback to their lot because is smaller lot it is short if you look at the pictures ive taken and theyve taken the back deck this is i dont have a problem i did but didnt obsess looking over our backyard. I guess we have 50 feet a deep lot with the proper setback for our house. Okay. Thank you. Thank you, mr. Brown. Well hear from the permit holder now. Welcome. Members of the Commission Im not here to be as an attorney but rather as a friend long term friend first of all, i just like to say that no question that the project sponsor and the permit at the acted in excess of permit he is stepping wrong and the second thing this is also one of the cases where a serial permitting that is what one of the things the neighbor, however, unfortunately unless a clear roof by both the Planning Department and the Building Department that you cant come and do a project peace by peace unfortunately, it is a sort of a practice of most people because of the lengthy permit process especially with the Planning Department to have something that takes 3 to 6 months to do a foundation to rebuild it and theyll try to get it done and the next permit for the building and move on first of all, the first permit is for the foundation the second permit is for the renovation of interior and exterior of the existing building but the third permit which is a 311 duplication that is involving expanding the existing building envelope is actually filed in 2016 october 27th thats when it was filed however, and however the Planning Department did not sent out the notification 311 notification until july 18, 2016, and the notice expired on october 19, 2016, so the neighbor who is complaining actually has a 311 notification which is a company i understand that with plans and i dont on the department will send them out without a set of plans identifying the expansion envelope the envelope in this case is taking on existing roof on the second floor make it into a deck for the third floor by the way, this is a two unit building they change and clearing the basement by expanding it to the size thismo below grade to make a second unit with one bedroom. Because of the process the 311 permit actually was approved by the Building Department on november 22, 2016, and the mechanical section of that dependent on 11, 2016 and the rest of time all the way through until december 7th what going through the puc to review something that had already been reviewed on the previous permit and didnt have to so at this point my understanding that the permittee has contacted and ran to the department of building inspection to ask for and offer to pay the fine for the permit and waiting to find out what the fine is no question he is going to pay that fine. As to the things that is being asked for by the neighbor this an extra permit the last permit was actually for the deck and that was issued in november in november and that permit was not appealed and thats the permit that was approved that the deck was constructed under and the appeal period for that deck is over as far as planting trees is concerned street trees in the neighborhood the permittee is willing to contribute a sum of money to the urban excuse me im having a coughing fit contribute to plant trees and up to this board to determine how many trees should be planned for removing one tree illegally on the neighbors yard appears to be dying. Are you finished. This is to the best of my ability. What the 311 no dr was filed. No dr filed and that dr period had left no october. By the way, do you have afghan answer to any question the distance between the two buildings no site plan with them. Well, thats a question you have to ask the occupant. Thiekts okay. But ill agree with you after a quick look at the plans that is pretty sloppy. The permittee said based on his calculation this is the distance between the two rear facades is 90 feet. Any Public Comment on this item . Oh, sorry we have. My apologies. Speak under the public if you want inspector duffy. Joe duffy dbi at the lower level to approve on the references the first permit the one on 963 new roof deck as second floor and the expansion of lirment and dining room of the ground level and the value of the permit was put down as 20,000 this was in october of 2015 and gone through the mechanical plan check and puc and then eventually got issued on the eight of december, 2016 the dproiment was finally on the ninth of december 2016 and suspend on the twitter of december so obviously whenever he read the brief it is really unusual for us to see a permit on one day and signed off on the next day but given the fact 4 total of four Building Permits i believe the work was skensz in a way that they did permit they filed in didnt catch up so i spoke to the builder inspector and he acknowledged that he didnt use his best judgment there was a complaint and typically had happens people get ahead of them and put in two or three permit the dormer is overthecounter and mention the 311 notifications thats the way it is done and well, it i see full permits so the builder inspector probably should have given a stop work notice he didnt do that the permit was in place we did speak to him this morning and tell him that in those cases had a permit is filed even though it is a it takes time it is not an issued permit and the project should have been stopped so he gets that and that would be our opinion some fees are due for to reason the scope of the issued permits had been sfeetd we can calculate the presents penalties and two f cs need to be issued for the third and fourth permits at one under appeal if so not denied and the fourth permit is actually for a roof deck and the appellant seems to be referencing that deck but because i prernl or personally personally dont think this is the roof deck is connected to the appeal it is a roof deck on the peak of roof and i think hes referring to that one and not the roof deck on the appeal permit the other things i want to point out weve done a total of 10 building inspectors and the fees are paid the totally of 18 plus 66 theres im im available to answer any questions. Police chief whats the most number of permits youve seen. Ive seen up to 15. Yeah. It is done it is seems to be the Legal Foundation and do the inside and come and did an expansion theyre still working on parts of it but if it those permits dont go well to the like the review stage they get to a point theyre not capturing with the project and thats what happened so. What type of penalties what will be the calculation to whats the difference here. For the penalty for doing that it is studying the scope so are the evaluation to be determined weve not discussed that yet. So in the region of two or 3,000 ill imagine. A senior builder inspector. It was inspector and get what he was doing we dont probably he probably didnt use his best judgment loon or like on this case otherwise hes very, very good his district is known for a lot of complaints. Thank you we dont can you remember this type of permitting in any way i wish one permit the whole project was done and signed off on one permit that is hard for an inspector dealing with multiple firms. I dont know whether this is a question for yourself or mr. Sanchez but when their multiple permit and the project of it gets going and their change orders or changes of direction or honey lets add a deck ive heard that before. Last month. And you know real life happens; right . And im not going to be into the method of serial imprisonment but in real life a deck here and there how will the neighbor sort of this out nicole im hearing that what the neighbor is addressing and the appellant is a completely different deck not under appeal; right . And thats where the problem lies but clearly he wasnt clear when that permit was filed and that was the deck were talking about right now how does the poor neighborhood sort this out with multiple permits a lot of people nowadays look at it on sfgovtv. Org and like mr. Sanchez a block notification a permit that is reviewed by mr. Larkin you automatically get notified even if if so to the innovative again, im speaking for planning but mr. Sanchez will be speak on that more but you really have to keep an eye on it is know sometimes dbi puts a block on that we can review the permit but that wouldnt notify the neighbor if theres construction related to the land dbi says a structural notification at the time of the permit issuance so thats what we get you know. Thank you for the 82 to recall for those who are for the public that is viewing and hopefully getting educate and the appellant i precedes himself as the victim. The department and the board has real complex cases required a consolidated set of documents that shows everything at one time. Yes. We do that with a lot of demolition and this one didnt center a lot of demolition you taking down walls and 15 and 12 and thirty permits. Im not saying but that cleans it you up it is the process of getting the permit and they piecemeal that rather than one project. Thank you mr. Sanchez. Thank you Scott Sanchez Planning Department. So been noted 4 permits for the the subject property first permit by records goes back to july of 2030 overthecounter followed by a tenant improvement in august of that year the the subject property has an expansion building envelope was submitted in october like staff was assigned to that out of backlog in december i dont know all the details why to take until september to get the notification stage but and the permitted toilet block there are revisions im assuming notices of comments and responses and dont care until august to get the plans for the neighborhood notification now the fourth permit that is at issue it is directly related to the concern is again roof deck that seems in july of last year there were a permit that was so you get overthecounter to rehabilitate the work that was done typed that included the roof deck and the changes i believe your staff was reviewing this permit overthecounter and one the Preservation Planners noticed they were not complying with the requirement the staff had an enforcement do enforce this to address the concerns that included the roof deck was approved in september and right before the neighborhood notification went out tonight is the first ive heard and my staff heard about the poster not being up for the 311 notifications thats a serious problem. Im sorry you have time in rebuttal. I discussed with staff and i did review the appellants brief and sounded likes he informed the staff but the planner she had not horde from anyone stating the poster was not up the planner was in communication with the appellate shouldnt have a recognition or notice about the notification poster not being up and see, yes so the permit that has most of the concerns was issued probably two weeks before the permit was issued by otherwise that permit was down by the Building Department they built the project and once the permit was issued they got the entitlement the next day gone ahead and built the project as they wanted thats where we or are the planning code process. Thank you for explaining that i mean in the brief and i dont know if this is a question the appellant stated that the Planning Department it was under investigation under historic but you cleared that up for me okay. Thank you. So it was i lost you about hallway through the story the story doesnt end the story. It ended here. But your story didnt end and i get confused the permit which the appellant is most concerned about didnt seem what he is appealing that permit was issued in then was subject to a violation a historic whatever some concern by the Planning Department. Enforcement. Yes. Yet thats where i lost the story yet the permit was issued. They made changes to address the preservation concerns staff give them directions to change to comply they made the changes there was about i think a month unlawful between when we first reviewed the permit and signed off on that that was on overthecounter permit that was again, it seems like staff kind of found the violations by reviewing the permit they came to the permit because of the work they did and staff knows this is what you want to do but you cant some changes what were made part of scope of that was the roof deck which didnt require a neighborhood notification. But how does other than sure i did that that way how is your department secure that indeed the changes that they requested postmortem or post building of the deck were made. If they dont complete the work under the permit theyve now done and i can confirm with our enforcement staff theyve gone out and the facade meets their qualification of the permit but thats what it would be. Thank you mr. Sanchez. Thanks. Now ill ask for Public Comment any Public Comment on this item . I have nothing to do with the case. Welcome. I want to point out ive been doing this for 38 years the harder job is the builder inspector hindsight is easy to say i couldnt do the job im not sure one of us could lets take into consideration about the inspector they dont a really good job. Thank you any other Public Comment. Okay. Seeing none rebuttal starting with the appellant 3 minutes. So i guess im not really sure where to start i mean, i think that everyone outlines it is a mess the city acknowledges it is a mess the point how does a neighbor who isnt familiar with the process supposed to even manage this i tried to track the permits you know ill look to make sure theyre doing according to the plaintiffs response no permit was for the roof deck that was added to angle existing permit that permit was there was no 311 for the permit that was the 311 that was added but no 311 necessary for a like a sort of gross roof deck on the top of the house i dont get it first of all, in terms of question about the 311 i called and complained to the Planning Department that there was no sign posted for the entire month ive gotten a remodel they were in the middle of selling their house theyre not going to put a big fat orange sign in front of their house a huge conflict of interest i think a clear pattern by the contractor or the builder or owner trying to skirt the laws of city they make you and me look like fools and apologize for the sloppy be working and pay a couple of thousand dollars and thats it it is reprehensible as far as im concerned, so i also on the question about think overthecounter roof deck i spoke with the Planning Department and don about it the reason that was not processed at the time, no plans were submitted with the overthecounter and the plastic bags were not submitted until 311 was triggered four months later no september they were required to go through all the decking theyve put on the house the house was completed four months prior on the market since may and didnt go to the 311 that was completed he at the end of october and permits signed the reason why i didnt obtain was the Planning Department said theyll conduct a discretionary review they never did the one reason were here otherwise in the Planning Department did their job credible and the discretionary review like they said the city would have done the work they were supposed to do thats all i have to say. Thank you, sir. Sir, the reason are you saying the reason you didnt file for discretionary review was because of department told you. Alexander curby the house was a mess historic issues and all issues the earliest theyll hear it would be february or march of this year i said okay. I dont need to do anything the city will work it through and all of a sudden the permit is approved that is nuts like i mean, i did everything he can all i want is the top roof deck removed. Thank you thank you. We can take rebuttal from the permit holder now. I just like to pass a copy of 311 certification so you, look at it first of all, i think i work with ms. Curby on other projects shes very strict and didnt tell anyone they does not have to file a discretionary review because of the department will do that important rarely does the Planning Department initiate a mandatory discretionary review especially on the project of this size that is basically a 3 different elements overhead please. On the dr. The 3 side like the yellow area is thats the roof deck this is the other deck on the second floor and this is the area where it was expanded im sorry yeah. This is the area that was expanded in the basement and then there is a deck on in the front of the street that is basically this area is roof of the deck so he has at the discretionary review mrald to him it tells us exactly when you have to foil that and that that has to be filed between thirty days of expiration of october 19th he didnt exercise his right to do that unfortunately, i would agree with everyone i think the serial permitting tends to be messy and im not sure that i have the solution for that without some requirement that a certain power point or types of permit you have to summit a new one that is something that the department has to address. Are you finished ms. Barkley. Yes. So the appellants one of the concerns many concerns was that there was and you mentioned it lightly but depending on how this hearing goes regarding the trespassing and the illegal removal of the appellants tree what would your clients offer be what is consideration is your client thinking at this point. I have to consultant with him but wanted to say that the poster was on the building the entire required period of time. You want to check with our client. He said he saw 3 street trees. Okay. Thank you and you know that is agreed it is up to you. Anything further from the departmen departments. Commissioners, i would have encouraged the appellant to probably which he was dealing with dbi and not getting proper action would have elevated that we might not have been here tonight this is fine but if you think something is wrong and should be dealt with go higher and protest that im not sure why that didnt happen this whole appeal thing we have had given a stop work order the complaint is still open im not sure if he take advantage of this rod with the dbi. Thank you Scott Sanchez Planning Department. Just to aid a few points megan and i discussed that we had someone that address the redecorate and others handled the permit that was up to the 311 notification there was no complaint through anyone about the poster not installed if this is the complaint is we take that seriously and start the notification process that happens before we do so when we get complaint thats how we respond and this is nov application that of subject to that notification add to that and in regards to the staff eir i mean it is a ms. Barkley said that is unusual but a significant step for us to add as the department initiate a staff dr if this is something that staff would not have said that was a policy made the director i cant see that staff is saying h that that requires the director to initiate that a staff dr the 311 plans do show the roof deck that is the concern of the appellant it actually has an existing condition which at this point, i think everything is in existing condition unfortunately and no 311 is required for a roof deck period. Period. There are certain circumstances if there is a new if you stair penthouse a physical addition a thought building about trigger a 311 notification in the deck is on the portion of building noncomplying with the rear yard well do a 10 day notice but inform notification for the roof deck and i did review the plans and the roof deck they have on the upper level didnt require notification and staff approved the permit it didnt require a neighborhood notification im available to answer any questions. Can you look at the sanborn map and should it to us. Yeah. Can i have the overhead, please . So the highlighted property is the the subject property at i also have a aerial photo if you like to maybe more recent. No, that the other one has the remeltdown yes. The appellants property. This is an aerial photo from 2015 may not show all the work there we go in back of this. So the area in questioning as part of project added dormers at the rear of the building but the roof deck in question there was an existing dormer they have placed a roof deck it is a small roof deck but a roof deck nonetheless and most of work. 90 square feet or something; right . Most of work there the permit they added the roof deck on the rear portion of building and did a horizontal expansion of the side that is pretty low not much of an upgrade. Putdown your finger where you think the rear wall is for the appellant. It is. Right there. Could be here maybe go to another photo that would be more clear. Thats when the appellants property what under construction i mean. No addition that was there in the rear. Yeah. I dont know if it is 90 feet buses thirty feet from the building wall of the the subject property to the rear Property Line it at least has to be thirty feet to 60 to 90 feet to the appellants property i think the appellant better able to be engaged with how much their setback is so this is from the permit holder can i have the overhead, please . This is showing from the back of the the subject property at to the. Ive seen both photographs from the back of rear. Can i ask a question did you so the deck which the appellant is upset about is built without a permit. Yeah. And in then they filed a permit. Im sorry, i honestly dont want to stir this up someone said they built the house they wanted to build and filed for the permit did you say that. I think i said that that seems to be what they did. Which if i were the da i would be upset regardless of how this turned out for now edification this house was built for profit no doubt about it weve seen hearing where people came in and say im going to live in the house this is clearing for 0 profit when a developer like this come back for future projects you remember that developer. Loaded question. Weve reviewed all projects fairly and independently so, yes i mean thank you thank you mr. Sanchez. I dont know what to see to that. Commissioners, the matter is submitted. We need a bull with backbone. Who want to start. Ill make one contempt not the jermaine peas of this im not inclined to get into the topic of trees this is a matter not part of this appeal i dont feel equipped to say how. I was going to say the stank if they have an issue with sidelines can discuss with the trees in the rear that may help their situation a little bit i dont know but i will discuss what is before us and probably expand a little bit beyond the actual permit because the question that has always been either appeal of a dr or especially before appeals of roof decks is the impact it has on the one that probably is not so loving of roof decks or large roof decks ill pose the following position nicole that is that the deck not part of this permit but is observable i find the to be relatively modest i find that distance between them is a fair amount of distance for some level of privacy you know obviously the question of having people make noise on decks or partying on decks is something that nobody particularly enjoys but in terms of the appellants position on whether this roof deck satisfies the code and whether it creates such an unusual or problem for him i dont find that the case. Therefore i would vote to deny the appeal. I concur. I also concur. So no other options. Are we sort of looking this in a narrow thing before us. Because what you guys have seen this stuff more than i have i hate awarding bad behavior and it seems im sorry, i hate to reward bad behavior and some unfairness our hands are somewhat tied not knowing the board to be this circumstance speck. I was going to Say Something of the trees theyre not involved so ill not go there. Ill be the third. Not going to go there. The other behavior. Are you finished commissioner. The behavior im kind of and commissioner wilson position why do you mr. Sanchez comment well, they built the house they wanted to and got the permit flies in the face of everything that did Planning Department tries to prohibit and just exempt fizz improper behavior and although i see commissioner Vice President fungs point very clearly i also see commissioner wilson im sympathetic more sympathetic to commissioner wilsons and dont know how to deal with that may i ask a question of the City Attorney maybe thought chief inspector duffy you stated several thousands of fees that seem to be owing because someone didnt tell Small Business about certain things going on the site it if confirmed. Thats correct. I guess the City Attorney if we deny the appeal does the city get paid overseeing fees and the at least. Up to the department and this is separate. Some housekeeping on this project. There is cf c and fees i think we should be collecting from the notice of violation that we should have issued we didnt and, go after that so you guys could a decide on the amount in you want to but 23 wants an amount maybe you cant need to be you know. No under challenged it is. From the penalty was piloted to the board the board can consider the amount but at this point we cant. You want it is a the fees must be paid to gli. It automatically calculated. It is automatically calculated. Is there a discretion of fees. In what way. Can you decide lower or heir. Yes. We can. Is that how much one pays bad conduct is that what is one pays. From the work is exceeded without the issuance of permit we do an evaluation of the work that was done and in this case we could do an evaluation on the full 4 permits so whatever that value was which is probably it is could rise up to four or 5,000 i mingle not a 9 times but 2 times penalty thats the way the code is written 9 times with no work permit and 2 studying did beyond the scope but they did out permits i assume. Just not for the actual work. I wanted to add as well youre right commissioners this is not the way to do permits anyone you dont want to get into this situation 99 percent of times the project stopped your fined and most of all your project is stopped and youre dead in the water this one didnt get stopped should have been and here we are most of time a stop worked e work order and wait until the permit are issued we didnt issue it i said that earlier and the inspector will not do that again. W can we agree or madam director, can we achieve the same intent that Community College has by denying the appeal and upholding the appeal with the contingency with the assurance that the fees at the discretion of the Building Department are paid so basically everything reremains status quo but were assured that fees were assured the fees will be paid for the Building Department can we flipflop that is that appropriate. Only the permit before you one permit before you my understanding from the department there are more maybe more than one issue with the portent of penalties is there a concern whether the fee for this permit not the penalty because this is a separate action the actual fee for the permit what we paid for the scope of work they proposed is appropriate or not i havent heard that at issue but there is a penalty possibly for doing work and studying the scope of the permit. You can the permit will not be finally listed until the fee situation is addressed whether if so appealed here. Again, i think that commissioner wilson and i are in the same place clearly a miss have you ever gone by the lack of permit holder they built the house they wanted to and filed for the permit im quoting the da not mom and pop but his statement were troubled that that miss venture is not being recognized i dont know 0 how to deal with that. Someone have a motion. Ms. Barkley unless the board has a question it is better to step dune ill move to deny the appeal on the basis that the permit was properly issued. Okay. A motion in the Vice President to deny the appeal and issue the permit on the basis that was properly issued on that motion commissioner lazarus commissioner president honda commissioner wilson no commissioner swig no with a vote of 3 to that item passes and the permit is issued theres no further business. Welcome to the epic center did you know that many buildings in San Francisco are not bolted to the foundation on todays episode well learn how the option to bolt our foundation in an earthquake. Hi, everybody welcome to another episode of stay safe im the director of earthquake safety in the city and county of San Francisco im joined by a friend matt. Thank you thanks for being with us were in a garage but at the el cap center south of market in San Francisco what weve done a simulated the garage to show you what it is like to make the improvements and reduce the reflexes of earthquake were looking at Foundation Bolts what do they do. The Foundation Bolts are one of the strengthening system they hold the lowest piece of wood onto the foundation that prevents the allows from sliding during an earthquake that is a bolt over the original construction and these are typically put in along the foundation to secure the house to the Foundation One of the things well show you many types of bolts lets go outside and show the vufrdz were outside the epic center in downtown San Francisco well show 3 different types of bolts we have a e poxy anchor. It is a type of anchor that is adhesive and this is a rod well embed both the awe hey that embeds it into the foundation that will flip over a big square washer so it secured the mud sell to the foundation well need to big drill luckily we have peter from the company that will help us drill the first hole. So, now we have the hole drilled ill stick the bolt in and e postoffice box it. That wouldnt be a bad idea but the dust will prevent the e postoffice box from bonding we need to clean the hole out first. So, now we have properly cleaned hole whats the next step. The next step to use e postoffice box 2 consultants that mixes this together and get them into tubes and put a notice he will into the hole and put the e postoffice box slowly and have a hole with e postoffice box. Now it is important to worm or remember when you bolt our own foundation you have to go to 9 department of building inspection and get a permit before you start what should we look at next what i did next bolt. A couple of anchors that expand and we can try to next that will take a hole that hole is drilled slightly larger marathon the anchor size for the e postoffice box to flow around the anchor and at expansion is going into the hole the same dinning room well switch tamet so, now we have the second hole drilled what next. This is the anchor and this one has hard and Steel Threads that cuts their way into the concrete it is a ti ton anchor with the same large square so similar this didnt require e postoffice box. Thats correct you dont needed for the e postoffice box to adhere overnight it will stick more easily. And so, now it is good to go is that it. Thats it. The third anchor is a universal Foundation Plate when you dont have room above our foundation to drill from the top. So, now we have our Foundation Plate and the tightened screw a couple of ways to take care of a foundation whats the best. The best one depends on what your house is like and our contractors experience theyre sometimes considered the cadillac anchor and triplely instead of not witting for the e postoffice box this is essentially to use when you dont have the overhead for the foundation it really depends on the contractor and engineering what they prefer. Talking to a qualified professional and see what the office of controllers Whistle Blower Program is how City Employees and recipient sound the alarm an fraud address wait in City Government charitable complaints results in investigation that improves the efficiency of City Government that. You can below the what if anything, by assess though the club Program Website arrest call 4147 or 311 and stating you wishing to file and complaint point Controllers Office the Charitable Program also accepts complaints by email or 0 folk you can file a complaint or provide Contact Information seen by whistle blower investigates some examples of issues to be recorded to the Whistle Blower Program face of misuse of City Government money equipment supplies or materials exposure activities by city clez deficiencies the quality and delivery of City Government Services Waste and inefficient government practices when you submit a complaint to the charitable online complaint form youll receive a unique tracking number that inturgz to detector or determine in investigators need Additional Information by law the City Employee that provide information to the Whistle Blower Program are protected and an employer may not retaliate against an employee that is a whistle blower any employee that retaliates against another that employee is subjected up to including submittal employees that retaliate will personal be liable please visit the sf ethics. Org and information on reporting retaliation that when fraud is loudly to continue it jeopardizes the level of service that City Government can provide in you hear or see any dishelicopter behavior boy an employee please report it to say Whistle Blower Program more information and the whistle blower protections please seek www. February 21, 2017. Motion to approve. Second. Heard a motion to approve and second for the minutes of february 21. Any corrections to the minutes at this point . If not we are prepare frd the vote. All in favor of the minute say aye. Aye. Opposed . The minutes are approved. Item 3 is directors report. Good afternoon commissioners. You have drethers report in front of you but because it is so timely we would have director of policy and planning come up and talk about details of the aca repeal and replaced legislation called the American Healthcare act. So, colleen. Please. And any items that you have questions on the directors report happy to answer. Good afternoon commissioners. As you may have heard yesterday the House Republicans introduced the American Healthcare act. It is two bills that will be taken up sime ultaneously in committee tomorrow or not sime ultaneously but currently in two committees tomorrow. It is on quite a fast track. It looks like it might get to the floor the house by the week the 20th and perhaps ovto the senate by the week of the 27th. I have in your directors report a summary oof the key elements of the proposed legislation and can go through a few of them. There are many elements and it is all still under analysis, but some key ones related to department of Public Health. Both of the mandates would be eliminatedpenalties for both mandates, individual and employer mandate will be eliminated under the bill. On the replacement side, there would be a Continuous Health Insurance Coverage innocentive for individuals. It is more of a disincentive. There is 30 percent surcharge allowed for people who didnt keep continuous coverage. On the employer side it also delays implementitation of the cadillac tax, so trying to show the table that you have tries to show the aca component repealed and replacement aftered as the plan. Medicaid expansion, it as you recall the Medicaid Expansion expanded health inshurn to single dultess up to 138 percent the fram poverty level. The bill would resend that expansion. The effective 2020 and eliminate enhanced federal match. After that states would be able to include them in their own plan given additional flexibility by the federal government, but the enhance match in federal funding will not follow suit. The next item on the table is not an item that had a aca component but a major change that being recommended by the legislation and that is the transition of the medicaid financing system frafrom a federal matching where the state spend a certain amount of money and get a matching percentage from the government for Eligible Service and population. Changing to a per capita cap so it would be calculation based on the the spinge type of enrolly and cost incured by the state for those types of enrollees in 2016 multiplied by the numberf oenrolleeess in the state and that is the amount of money that is allocated to state for medicaid. The others are income based tax credits so right now on coved california there are credits that make helt 234 shurns more affordable for low income people. Those tax cradts would no longer be calculated on income but calculated based on age. The cost sharing subsidies, there are also on covered california cost sharing suxdies to individuals who are low income. Instead the proposed bill will create a patient and state Stability Fund that would give states flexibility to use this money for high risk pools, payments to insurers or providers or other affordability measures. Under the disproportionate Share Hospital program, commissioners may remember that program is scjed to sunset. It provides funding for hospitals that provide disproportionate share of care to uninsured and medical beneficiaries so in this scenario the dish funding is restored. That sun set date would be eliminated and our state restored in 2020. The other key element i have is essential Health Benefits. Commissioners may remember there is a standard set of Health Benefits that are included in the Affordable Care ac. This would eliminate the minimum coverage requirement effective twept 2020 and increase flexibility for states. It should be noted too that it would retain protection for preexisting conditions and allowing young adults to be coved on the parent helths insurance until age 26. There are many more provisions, it is all still being analyzed but wanted to give you the top line points for your consideration today. While we keep tracking the change and have a executive conversations how 2450es impact and this is a changing environment so how these impact the department and city as a whole so as we learn more we will bring as much information to the commission as possible. Yes. Commissioner pating and also want to thank colleen whiching quickly because this was just released yesterday to come with quick analysis. I would assume also director that we would be kept up to date on whatever chaichcks occurred as the debate continued or as you are now escalating the timeframe that i had heard and it sound like they are trying to get this done before the end of the month . It sound like it can go to the senate for consideration before the april recess. Before the april recess, but potentially then whatever were to occur would probably occur after the april recess with the senate, right . I believe thats true but not certain. Just looking at a timeframe if it get through the house fairly rapidly has you were projecting looking at what might be a final product and what we might be able to see, that might not be until like the end of april . I dont know whether it is able to take it before the april recess but i know that the current intention is get it. They are not sure they can get it there before recess. Just looking at a time frame if they were able to move on the fast track is about near the end of april probably . I would imagine and alsop to say the medicaid provision which are the most significant provisions for it Health Department are not scheduled to take place until 2020 so there is passage date and implementation date. The Effective Date wouldnt be until 2020 for many provisions. Now i take comments from the commissioners and start with commissioner pating. Ish oo as that may effect the county. The 34ed cade expansion going from 90 to 50 percent in 2020, i would assume this is essentially Cost Shifting to the state since the states have to pick up the gap if the Services Continue at that level chblt. Is that the way you read that reducing the medicaid federal match . I think there is that but also the per capita cap conversation so the way the per capita cap is calculated would not include Medicaid Expansion so the previously eligible enrollees and not include the Medicaid Expansion and that is also a cost saving measure for the bill at the federal level all together so it would be reduction because that is the intention of the capita cap shift. The change in methodd for the states so estimateds much as 10 billion reduction in federalfunding. Okay. For california, which may be less monies or the county would be responsible. That would be a negotiation that would happen between the states and counties i would say. Just like counties dont necessarily have the funding to absorb what is otherwise the cost, the state doesnt have enough fund toog absorb the cost so something that will happen in the california legislature. The implementitation with dish funding would the hospitals gain funding for uninsured care . The scheduled reductions will be eliminated. Lastly, essential benefits, do you know the status of mental helths and substance abruce and prepregnancy planning and essential benefits . Jerk , i have seen summaries it eliminated requirement for essential service including melthsal helths. Just every Commission Meeting as much information as we receive well continue to update you like this. Yes. Thank you. Commissioner chung. I dont think this is something to have a answer now, but with the Medicaid Expansion they also have changed the eligibility guidelines also. Correct me if i was wrong, if somebody actually drop out of Medicaid Expansion they cannot reenroll, is that correct . So, my understanding is that they cant reenroll at the enhanced rate. Between now and 2020, betweeni dont know the start date would be from now to 2020 say, if a person was enrolled in a medication expansion we currently receivebe receiving 90 percent federal fund, 10 percent local fund. If a person loses coverage between now and then it drops to 50 50 rate. So thats one of my big concerns also setting the eligibility kind of people in anxiety most of the time and worry about the income go over the Eligibility Criteria and i knoe people would actually try to stay under employed to not lose services and dont think that is innocentsive at all so something maybe we should have a conversation about like what other ways we can do to help people who have to decide to transition out of like the Public Benefit system. Related to that, the bill also include a provision for sem iannual redetermination for medical. Versus anual. How exciting. Sorry. Commissioner sanchez. Y i want to thank you very much for bringing this up to date on the latestbasically want tosay we are trying right now, the house input and what they are presenting between the two committees. The environmental and congress and from there as you said, there is a whole different protocol they are trying to expedite but still need to gothe next step is budget, after that it is rules committee and then the full house and then they will probably take the recess or whatever because the senate has a significant theory, some [inaudible] this is ryans he is holdingi dont know what they have been doing 7 years but it certainlyanyway, all im saying is i think that there will be i think really pronounced changes i hope. I think that some people in the staffers in the senate side and those looking forward to a joint Conference Committee which will take a great deal of time between both sides when it gets to there, i think we may see changes but i was surprised to stee the projected dates that i think they were talking short term, now 2020, 2024. Before that wasnt on the radar when they were initially discussing what in fact they may do because he wanted things snapped to. It does chbt work that way. With the dance of legislation there is a lot of things that will be coming up and i really think that the senate staff and our senators have some really hopefully unique contributions where we could sort of at least present this to the best interest of all people rather than what they are trying to do through here. Again, i just think this was a excellent summation. As i said it is like the first draft proceeding within the Clinical Trials and both side meet and again and again and well have whatever comes out if it passes. Thank you very much. Thank you. Commissioner loyce. Thank you for your report and agree with my colleagues. What we see today and what will be the final bill are distinthly Different Things but there are core issues the things paul ryan and voltmorted they wanted to do after they got elected so very interested to see what the final piece of legislation looks like. Thank you for updating this and keeping us updated in term s of the changes that will occur. The value of the Medicaid Expansion for california is about 15 billion and the amount of the reduction that would occur because och the per capita cap is not yet known because the rates are not clear how they will calculate it is not clear so likely on top of the loss to california would likely lee addition for per capita cap and Medicaid Expansion. Thank you. Thank you. Well, we cant say too much more beyond that at this point as commissioner sanchez sayatize will probably continue to be modified as it goes through. We will be updated as the changes occur. Yes, commissioner chung. I think we should also track the single payer bill going through sacramento also. I think what we will do is incorporate in the discussion what is happening at the state level in the response. The legislature as i understand it had said it wasnt going to take up anything until a bill came out. The bill has now come up. Meanwhile a single payer bill is put into the coffer. Does that make sense that we can also see what californias response is to this new bill as the possible solutions to keep us up to date . Okay. Thank you. Was there any Public Comment on this . No Public Comment request for that item. Okay, then we will move to the next item general Public Comment and there is one. Mr. Knight, please and you have three minutes, please sir. Mr. Wrightile rur ill say 30 seconds when it is time to wind down. Im here 250 talk about a major problem going on year after year afteryear for the past 25 to 30 years. It is pertaining to continue homelessness of people who are economically disadvantaged and got accomodation of mental and physical disabilities. By the same response also applies to our veterans. Jest yesterday [inaudible] is proposing and requests 200 million for programs engineered and targeted for homeless peachal. The point i want to expose to you is that the city has been responding millions and millions of dollars on shelter services, programs, shelters and homeless programs, when the truth of the matter is, the people navigate for need permanent housing just like you do. Now, the below market rate housing opportunities that comes from the Mayors Office on Housing Starts to requirement eligibility for people to be eligible to apply at income level where the target of people who are homeless or not even qualified to apply. Thats why you keep having the major problem of homelessness in the streets and as a result, this repeatedly wasted millions of dollars on these programs such as Navigation Centers is not going to be a solution to the homeless problem. That money should be spent on renovating several sets of vacant buildings that is owned by the city and converted into low Income Housing for the people who you trying to help. Now, here to speaking about this to the Health Department because it ties into the Health Department because the Health Department is spending millions of dollars as well on people who are using substance abuse, alcohol abuse and being picked up for the ambulance i taking to San Francisco General Hospital and additional millions of dollars is being spent at General Hospital by the medical staff. So, i urge you to try to unit with the Mayors Office and board of supervaseers and spend the money building permanent housing for people in the income bracket like you do fl the people in the higher income brackets. Any questions . Thank you rks mr. Wright. There are no other requests. Okay. Thank you very much. We can move to the next item which is rart back from finance and Planning Committee. Commissioner chung, please. Good afternoon commissioners. The finance and Planning Committee met before the Commission Meeting today and we had approved a set of contracts and also contract reports that are added to the consent calendar for commissioners to consider and approve. But on those consent calendar items i like to draw your attention to item number 2 ichb the consental calendar which the contract that needs to be approved. That item we are going to move ahead and approve two of the five contracts that total 2 million and it is for the low Voltage Services and not the general contracting which belong tooz the other three businesses. That part of the contract is wurkt 4 million drz but we are differing that to maybe the next finance meeting to reconsider those contracts. Ologist, also, we heard a presentation from mr. Wagner on the revenue and expenditure for the Second Quarter and the committee has decide that we are going to continue to have presentations quarterly on the revenue and expenditure report, but also that would come to the commission twice a year and that way we are hoping to improve on the budget and also like and Running Commission businesses and so it will come to the commission on the Second Quarter as well as the Fourth Quarter and if commissioners are interested in participating in any discussion like every three months, please join us and you are always welcome because it is a Public Meeting at the finance and Planning Committee. Commissioner, any questions on that and to reemphasize in the past the quarterly reports have been brought to the commission directly. It was felt by the finance committee they like to see the quarterly reports at the meetjug today was the first time we brought that to the finance committee. The finance committee is recommending it is appropriate that thesemiannually on the second and 4th quarter the department would also formally report to the commission but each quarter it submitathize report to the finance committee for its comments. Thats a recommendation that we would follow unless there are questions and a concern from commission members. Having to sit on the finance Planning Committee i support the motion and allows a nice balance between the finance committee doing indepth rerue and full commission seeing the larger picture on a semiannual basis so a good compromise. Any other comments . If not we will agenda the Second Quarter report for this year to the full commission at our next meeting. Thank you. There are no Public Comment requests for this item. Thank you. Then well proceed on to the consent calendar. Ill remeend you that commissioner chung noted that the request for approval of 5 new contracts for as needed Facility Maintenance services has been changed and you are differing 3 of the contracts and considering approving 2. Otherwise the remaindser othf contracts are before you. Any abstraction frz the commission to discuss . If not we are prepare frd the vote on the consent calendar. All in favor of the consent calendar say aye. Aye. Opposed . The consent calendar is adopted. Thank you very much. Item 7 is Health Commission elections. Yes. Commissioners, the Health Commission is normally scheduled on the second meeting of march following march 15 to hold Commission Officer elections, however, because of a issue of either new or reaopponentment of commissioners has not actually occurred and several commissioners will be away during that day. Im proposing that we move the elections to the first meeting of april. We would need a motion for that. So moved. Is there a second . Second. Is there further discussion . If not all in favor say aye. Aye. Opposed . The election of officers will occur the fist meeting of april. The date is prl 4. April 4. Iletm 8 is update from it. Mr. Kim. Good afternoon commissioners, bill kim recollect chief information officer. Today ill presenting to you our it update. Todays update largely will focus on our effort at Electronic Health record. I like to go over the following items on the agenda. We will go over forward approach, timelines, what our approach is, as well as key Critical Paths that we are working on today. As well as cover some of thecover a question brought up by commissioner regarding the impact of meaningful use due to the 6 month delay to the new timeline. At the end we will also present to you the 10 year total cost estimate broken down by year. It should be noted that the total cost is a estimate at this time because we have not selected a ehr and continuing to do Due Diligence on the efforts required. Most of you have seen this slide before. As you recall, this is the high level strategic approach to obtaining the meeting the goals and mission of dph which is at the top the roof. You notice that the foundation which is in gray, which is the infrastructure is circled and two pillars that support our erft. Currently, we are in the green box, we have been working very hard on the purple and the gray and we are in schedule doing all those. As you can imagine, some of those items such as right solutions equate to rfp and other related work efforts. The purpose of this slide here is to just give you a frame of reference as to the continuity of our approach. Commissioners, this slide is the overall dph timeline. You notice that the lanes that represent various tracks have three different colored bars. That is to show you the original timeline, the previous timeline and the current timeline of the work effort. This is the overallone thing you note if you go back to the previous presentation is drh, rfp and contracting is consulidated into one swim lane to show a continuous effort opposed to two different efforts. This is actually athis timeline shows just the two primary timelines that we are engaged in today. They are the improving the it and preparing the organization for the ehr as well as the ehr, rfp and contracting. This is the current work effort that we are largely engaged in. As you can see, the timeline has shifted a little bit because of the rfp effort we are undertaking that i shared with you at the beginning of the year. Please note that the legend i also added couple of notations, so instead of saying preebious timeline now it says previous timeline with rpf, baseline timeline withu csf and current timeline with rfp because it shows why the timeline changed. Theu csf timeline changed about 6 months due to the current timeline of the rfp. Please note all the timelines will show go live date or go live 1 and go live 2. These are the ehr implementation and go live schedule. We anticipate we will be done with the contracting by end of 2017 and we will build the ehr in parallel for phase 1 and phase 2, however, phase 1 will go live 6 months prior to phase 2. Phase 3 which are all the other layering technologies, will continue on and the reason why that is important is we would like to make sure that we focus on the fact that once we have invested in erh and purchased it wewill continue to optimize and get the value for our investment. Now, regarding the current effort, this is the very busy slide, but i would like to go over the three major aspect of this. The team are the actual teams engaged in the work effort. As you can see, not only is all dph involved but we have other agencies including the legal as well as dpw engaged in helping us meeting the readiness of the ehr. I wont go through every 1 of the colorful boxes but you can see what the are. The current effort are Critical Path. In order for us to successfully select contracts and implement the ehr we must have these three key tactical objectives accomplished. Number 1 is timely procurement of best fit ehr. As you could imagine, we will need to have a very competitive process which is very lets say it take as lot of effort on a lot of peoples part but we are commit today a competitive Selection Process and the way we accomplish this is erh rfp out in the market place and we are already getting responses from vendors. The next item is readily available for as needed assistance and by the way, i will go over in detail what they mean because they do require some clarification. Namely, this is a Critical Path because we as a city agency as many other city agencies doeswe do have to gowe have a long lead time in procuring resource squz want to make sure that when a resource is required, that we will have them. We will be doing this through a rfq recently released. We will also practice budget governance and governance of the scope. The third track is the implementation and adoption readiness. We do have gaps. We have gaps in governance and process and process structures and we actually have identified 14 specific go for initiatives that we are engaged in today to actively insure that we are ready to implement, adopt and get the most value ue out of our ehr investment. Okay, so Critical Path to success number 1. Timely procurement. Please note the timeline for the specifics of the effort related to the rfp. This is here it give a level of transparency as to the work effort involved and timeline involved in the rfp. It should be noted we have a more detailed version of this with much more items, however i feel this is a good level for you to understand in terms of the key dates that are associated with the rfp. The Critical Path 2, readily available as needed assistance. This is really about having the right resources that we will need to implement and be ready and implement the ehr. Not all resources will come from dph internal staff and not all resources will come from dhr vendsers. There will be need for implementitation that involves change management, project management. Consulting for niche products, temporary backfill as we send employees to train or engage in the build. Additionally we need additional technologies that allow us to integrate and migrate information to our new ehr. We know the city process to procure resources could take a long time, therefore, we are working with the Contracting Office and legal as well as other agencies to insure that we could utilize the process that is in place to hire the resources as they are ready and as you can see, we are work ing with contracting, civil service, labor union and business leaders. To manage the work effort around this we have put in place a governance to manage the scope, the budget as well as the approval and the performance of these go forward initiatives. Now, for the Critical Path to success number 3, the 14 goal for initiatives i like to introduce you albert eu, our chief health nrfgz officer to go over the e effort as he is largely leading this effortism thank you. Good afternoon. Albert eu. This initiative is actually not just about successful idoption of the ehr but our ability to maximize value and return from the very long expensive investment comes from not just solution we will contract with, but how ready our organization is and how enabled our employees are. They fall into three big buckets. One is about the ehr program. That is fundamental to insuring the project is on time, on budget and within the scope. There is also operational areas we know we need to integrate, standardize and optimize in terms of efficiency. Medical records is a example. Now we have 4 across our various structural towers and can only be one in a enterprise solution. The third area is infrastructure related mostly in the it deparm but also in the facilities and make sure they have the connectivity to adopt the solution. This is primarily for this coming year. Bring your attention to the areas we target for resources. Some come from internal resources and some from external contracts and consultant in the budget and you will see this in the finance committee for the Health Commissioners for approval over the coming year or so. So, this last slide is here because the Commission Asks us to go back and investigate what the 6 months delay from going from theu csf a pex path to the own path will have a impact on meaningful use dollars. The 3w5u9m line is there is very little impact of the 6 month delay because it is on a calendar year so it wont be a dramatic impact. The meaningful use we collected [inaudible] incentive payment and on the ep, eligible professional part which is physicians side we are on year 3 and 4 of the collection, so the impact is very minimum in terms of meaningful use. The biggest drirfb of the 4 of the collection, so the impact is very minimum in terms of meaningful use. The biggest drirfb of the one million is penalties and goes up from 1, 2, 3, 4 percent to. The delaying the 6 months wont have much impact on the penalty because we are not delaying the ability to report and meet those requirements. There is the big change that we dont know yet is called mac ra, the structure the federal government is imposing on the panealties and there is a lot of unknown and will bring forward once we have a deeper understanding the specificity from the federal government. This is a very high level summary slide of over the next 10 years of what we are projecting as the cost model for this ehr adoption journey broken into two rows. The expenditure is at the moment our best guest until we have a final contract hopefully by there enof the year and second row built in as contingency revenue to allow to address unanticipated gaps or risks as we prepare for the long journey, just bring your attention we do have 70 million in the buck td that gives confidence we have a bit of wiggle room of unanticipated risk. Commissioner happy to answer questions you may have. Commissioner chung. Thank you for the presentation. I have a question, so we just approved a pcd contract last time at the finance Planning Committee so what functionim trying to do some application here. What functions do they play . Which role are they currently in right now . Actually are you roughering referring to this slide . Yes, because it is helpful for me for instance to know like since we approved all the contracts that is working on the dhr it is helpful to know the contractors that we approved how they are performance which function. The pcg is related to the security and privacy aspect of the go for initiative. It should be noted our governance started but the bumic bulk of the contract and resource Senate Estimate has rnt gone through the Steering Committee however there are things happening first as a adhoc because we really need to start the effort because of lead time involved. Thality that is great question how to connect the dots and so as we go in front of the committee with our contracts and why we set this up like this to use the sheet as the mapping for the commissioners to know in which category the contracts are meeting. It is a great question and tried to time it in a way that any contract that came forward from now on you see which pieces it is meeting and the requirements it is meeting. Thank you for the question because it helps us in the process of making it clear as to how we use outside of the vendor. Just for remind the commissioners we spent a lot of time on sole source withu csf and couldnt go forward with multiple reasons, primarily financial so now you see where we are in the rfp process and we are awaiting for theveneders to complete their process and as you can see, the initial proposed review is happening april 15th so not many weeks from now. And also just to note that the staff is really working hard on Going Forward making sure that the Mayors Office and when they touch the contract is ready for the contract and trying to build the pathway to get through that in a timely way. Thank you. Commissioner pating. Thank you very much for the helpful report. Could you turn to the last slide, please, the dollar one. J yes this is the most important. There are two that i mr. Kim. One is the delay and understand a lot of that has been really unavoidable because our negotiations withu c did notwe were not able to come to a workable solution there for no ones particular fault, the alignment want quite right. So, trooiing to assess the impact of delay. When i hear a lot of the preptory process and dont have a contract yet, it is frustrating. I feel to some extent presented by a start up tech firm no product there that we actually can grasp but know you are preparing. My question is what is the impact with the delay with regards to our cost structure . As we delay more say we dont get a good rfp or it takes longer, do costs go up anymore if by pushing this out and or maybe does thatmaybe it gives more time to collect more revenue to apply against the costs. Is there any thought . That is a great question. So, the way i experienced it typically the delay in starting implementation actually saves us money. Thats only this year because we actually have 6 months more while we do the rfp to prepare, which means we have that much more time to get to where we need to in order to implement and means we will be ready. From that perspective it will save us money and will allow us to actually be ready so we dont fail the implementitation. However, having said that, where most people experience increased cost or expenditure is in the year 2 and 3 if we run into delays and typically the delays are because one, we are not ready, which i believe we be redding and two, we are ready we dont make timely decisions and with the current governance process in place and the leadership engagement i do not believe zee a problem in those areas at this time. In realty, it worked out fairly well for us in turchls terms of where we need to be. Related to that, thank your report the penalties are not that great. 1 million verses the 70 million we put into the project i think if it sabes us and have quality at the end i think thats beariable cost. Y it should be noted 1 Million Dollar was the original estimate that we had regardless whether we wnt live in late 2018, which was what the u csf a pesh pex or deit ourselves in mid2019. Dr. Albert you pointed out because it is in the same calendar year for the reporting period it has no Material Impact to the meaningful use, but however, unless the law changes which it can, we are estimating approximately 1 million in fines. Thank you. Page is the timeline. Yes rather than showing all the multiple streamsi forgot what you called it, the lean streams, if you could show one particular timeline with critical incidence. I understand we are between march and april so you should have received vepders letters by now . We received letters of intent from the vendors. At this time i do notd not have the approval to release the names. It should be noted that we have gotten approximately 5 and that theveneders that we expected to respond did respond. I guess for me for future report rather than hearing all about the different capacity buildings you are doing, which are really important, what i really want to hear is know we are on time with the key critical steps and so i am looking at this and not sure which is a key critical step so might ask if you could when you you started to comment by saying you dont know what the product is that we are getting and the biggest pieceremember any ehr Electronic Health record isnt the end, it is the equipment we will be using but and have to get all the staff involved and ready for it. The biggest failures of the ehr is staff isnt ready to take it only so that is quhie it is so important for all the work we do from this. I think you are right, i think this Electronic Health record and the process of getting that on contract i would say is one of my important things im looking at and then i think because these are quarterly reports to you so good footoo know your sense of what you like so we can do this and touch upon one othernow you have a big picture and refer back to this and we can basically focus in on the contract process. More worried about that because some of the processes we dont control so go across the street to city hall so we have to really watch those carefully. I would like your assistance doing that. I think that is important and maybe at the next meeting we bring one of the areas we like to highlight to get a focus on i think the issue you started with today. I was thinking when we saw the San Francisco general timeline we got a sense of there are critical structures that needed to fall into place, the audits, the wiring and so type of timelines i think are helpful here and would trust you build up the whole capacity of the system. And then i say update on finance is a part of the other. Lastly, the smaller question on implementitation go live, this is fine. So the ehr phase one is that going to include inpatient and outpatient at the same time . Acute independent services in my experience going you know multiple kind of clinics, i had been through this before and it is much more chaotic than you imagine and wonner how complicated is phase 1 roll out. Are you doing outpatient and inpatient and Behavioral Health all at once . That is a great question for potential risk. Current go live schedule, the first phase will include all bill sites. That includes csfg, primary care and laguna honda. The reason we group them that way is because of the contract ending june 2020. We want to make sure we have about a year to sort of manage that transition process. Phase 2 will include the non envision building sites, mcah, Population Health clinics, jail Health Service will be then wave 2 because they are not depend on billing. Behavioral health is the third. With that said, the wave 1 is a very intense go live with two hospitals and primary care ambulatory clinics is not a small undertaking as a go live schedule but that is the schedule we have to work with in the one year timeframe. This general timeline we are looking at but if we get to the next few perhaps after the contracting or focus on the key critical events that is what i feel like i need to know we are moving forward. Commissioner pating, you bring up important points. This is indeed a high level picture. We could drill down into all the little pieces. We have a lot of working people putting together a lotf of effort and more than happy to share it. The contract sound like is the most important. We will focus on the contract at the next report. I like to add one more thing that tying back to questions you brought up about go live 1, 2 and 3. Currently Behavioral Health module, the current Behavioral Healthyou want to talk about that . The reason why we pulled the Behavioral Health clinics to wave 3 is because all the ehr solution in the market place do not have great Behavioral Health clinical documentation as you know. They also dopet do great bill toog the state level yet, so we want to make sure when we are red a to go live with Behavioral Health there is a workable solution to the state level as well as sufficient or reasonable clinical documentation and communication rirem requirements of behavioral community. That is quhie that is wave 3 at the moment. Right now we planned that for july 2020. I been working in behavioral heblth and used to be at the back of the bus for a while. Exactly. [laughter]. I would have comments with that as well. It is really difficult because we have a integrated model as you know commissioners and it doesnt help us to know that the medical mainstream does not still accept Behavioral Health as a Mainstream Services so it is important component but just note we still have Behavioral Health system and providers will be able to access the other system that will be there bill toog the state and until they catch tupe the market place we are stuck in the third phase process. Commissioners i think you are happy to know behavioral helths is at every single discussion topic. It is very important to us and that is not something that we lose focus on. If i may i would like to acknowledge both of these individuals who have both bill and dr. Eu with great teams under them and working non stop even before we started the u c process and learned a lot through that process and want to acknowledge all the knowledge that we gained from that u c experience helped to get where we are today. That process did not go to waste at all because we were able to really do a lot of preparation we are ready for today. This is one of our Largest Investments and want to make sure the commissioners have full understanding where we are and so we are open to any how deep you want to go to the details you would like. I know bill and albert are available for continuing to provide you updates like this but do want to acknowledge their hard work and teams here today in the audience. J thank you. Just to echo director garcias comment that is the green box. Requirements assessment. A pex Due Diligence really helped us understand much of that and we are at the right solutions phase. Thank you. So, i think it is clear mr. Kim that what we will need then is sort of such a huge project and this is all most more complicated than the building of zuckerberg, which was all most simple compared to this because of all the different moving parts and all the segments that you have. Yes i think the commissioners are pleased that you put them all together on your slides, but somehow we are going to need to look at some of those critical points that you are looking for, watching timelines. Now we have three different timelines floating around here and that could be fine for the overall and as you do this maybe focus on several of them just like here is the contract timeline and what we are doing. Then what is the next timeline we need to fuelo and the critical points commissioner pating said to see how far we are geing going and where the roadblocks may come and successs will come. Understood. I believe you will be reporting quarterly sph yes. So, as obviously you need the rfp completion to do a lot of that more concretely. The idea of starting to get into some of the focuses on some of the areas such as we just wnt into with the go live 1 and 2 which helped a great deal understanding your vision would be where i think we appreciate being able to see how this is going because you got pieces everywhere throughout the whole department and have a whole house that you are building and we know that you have shown us what the whole picture is we just need to get a little more into the detail for the confidence and somehow a Financial Report related to this would be just as we do with the bond issues and all. Obviously in a different way. Now we are following two different very major projects. The whole bond issue and the ehr as a part the Due Diligence. Thank you very much for all the work your team is doing. Thank you. There is not Public Comment requests for that item. We can move to item 9 which is San Francisco climate and Health Adaptation framework and this is just discussion item and no vote. Good afternoon commissioners. My name is cindy pemerferred and work in the office of policy and planning and also direct our climate and Health Program. For those who are nolt familiar with the climate and Health Program, it was started in late 2010. We received competitive Grant Funding from the cdc. We are one of two cities in the United States both San Francisco and new york city and there is a additional 16 states nationally that have climate and Health Programs. Um, the climate and Health Program is a partnership between the office of policy and planning and the Public Health preparedness and Emergency Response. I want to acknowledge the work of my colleagues that made all the materials that i present to you today possible from ourPublic Health Emergency Response trail daling and tera connor and office of policy and planning, max gara, josh olenjure and max wells. Today i will present on 4 main objectives. I will provide information about the San Francisco department of Public Health climate and Health Program and some of the city wide nish tbs that pertain to Climate Change. I will explain why it is important for Public Health professionals it know about climatechange and projected hemth impacts of Climate Change. Im going toprint past initiatives and highlighted some of our materials from our climate and Health Program and lastly, i will present on our climate and Health Adaptation framework and present on the upcoming strategic activities. See, just to start off withilateal about Climate Change 101. I know you are all probably familiar with this information but just to set the stage, Climate Change is any change in the climate that lasts for a long time. Right now we are experiencing Global Warming. Global warming is from the Carbon Dioxide from burning of fossil fuels including oil, coal and gas. Now Global Warming increasing temperature jz we have been seeing a rise in the average surface temperatures on earth. As these temperatures rise, the gases trap heat and the temperature goes up and this causes vairbiable weather, heat wavers, heavy precipitation, fleding, drought, Sea Level Rise and pollution and all these impacts have significant and cascadeing effects. Just to put what i said into context, globalally we emit 110 million tons of global manmade pollution on earth a day and the heat energy trapped thip atmosphere is compareable to 400 hiroshima atomic bombs a day. Whats important about Climate Change is that it is happening now and not something far off into the future. The last 17 hottest years on record, 16 occurred in the last 2 thousand wreers and for the last 3 years have set record for the hottest temperatures on earth. This next picture here shows a glacier in northernwestern alaska. The picture on the lelft shows the dplashier from 1940 and the picture to the right shows 2005. As Climate Change unfolds, Public Health has a special role addressing it. Typically when we talk Climate Change we you hear two word recollect adaptation and mitigation. Adaptation is sometimes referred to as intervention is how to adapt or prepare for Climate Change. So, right now even if weef stopped emitting Green House Gases into the at mosphere there is enough manplaid pollution trapped in the at fus sphere we see impacts of Climate Change regardless if we slow Green House Gases. So, a lot of what Public Health is doing is preparing for the changes in the climate. Sorry about that. As many know, the San Francisco department of pub health is the largest City Department and has a large footprint. It would be the worlds 13th largest emitter of Green House Gases. We also need to establish best practices within the Public Health infrastructure and that is what we call mitigation. Mitigation is efforts to reduce the use of fossil fuels and effort to slow down Climate Change. This is definitely a challenge. We are tasked trying to provide adequate services to the public and grow and also redouse our Carbon Footprint at the same time. We work with the department of environment one of our sister city agencies that oversee the citys Climate Action plan to help each City Department establish goals and reducing Green House Gases and then there is other city taskforces like municipal Green Building task force and department of health sits on that helps us establish best practices within our infrastructure. This slide gibs a very high level summary of the climate projections that we are expected to see in San Francisco. So, for extrome heat we are expected to see up to 40 extreme heat days by the year 2050 and 90 extreme heat days by 2100. Extreme sheet day in San Francisco is classified as the 98 percentile of temperature over a 10 year span which is 85 degrees for San Francisco and ill talk more about that later in the presentation. Right now we are expected to see Sea Level Rise up to 24 inches boy 2050 and up to 66 inches by 2100. If woe take those increase in Sea Level Rise and look at Sea Level Rise with a big storm or storm surge together, we can see up to 66 inches of flooding by 2050 and 106 inches by 2100. Air pollution is also a copollutant with Carbon Dioxide which is the Major Driving with Climate Change and has the potential to increase harmful exposure to elevate contrations of ozone and pm 2. 5. Through changes in the regional weather pattern and increase in heat. However, there is some uncertainty about exactly how much the air quality will decline. Lastly, we expect to see more weather extremes so more extreme storms. This means more heavy scenarios of heavy downfalloffs precipitation and also more extreme droughts. All these changes in the climate have impablths on health. Sorry about that, i keep going the wrong way here. The next slide looks at the helt impacts of Climate Change and within your packet you should have gotten a handout because i know the slide is a little difficult to see. But this goes over some of the most salient Health Impacts, the effect on exposure and Health Outcomes from these changes and exposuresism. I wone go through all the Health Impacts but will go through a couple examples. When we see Health Impacts from Climate Change we see direct impact and indirect impact. Direct impact would be extreme heat day where we see someone who experiences heat related illness or heat stroke or we can see kind of a meadating impact, where we see temperatures rise we see a warmer winters and warmer springs so changes in vector born diseases. And also see things such as indirect impacts. Indirect impact is Something Like a area experiencing an extreme drought and from that drought we seafood insecurity from the reduction in food output. Also on the slide you i kind of see there is melthal Health Impacts and a lot of kind of inconsequences impact from Climate Change and environmental degidation. There is a lot of compelling evidence Global Warming has exacerbated the drought experienced in serbia and because the drought in syria 1. 5 Million People that lived in rural areas moved to cities and this created a big impact on scars water supply and also sky rocketing food prices so the Climate Change on top of this political rest really had a significant influence to had wars going on now. The next couple slides i will show examples of Health Impact from Climate Change. This first slide shows how rising Ocean Temperatures are making us sick. This slide shows toxic algae bloom from alaska to the gump glf of mix co. This was back in 2015 and actually closed down the fisheries off the coast of San Francisco for 5 months. There was demowic acid fond in fish and shell fish and if humans eat that there could bow severe impacts to health and also because of the neuro toxin fond in the shell fish, the closure of the fisheries can also have a indirect impact to the fisherman who depend on these fisheries for their livelyhood. Extreme heat events cause more death annually in the u. S. Than all other extreme weather events combined and most people in San Francisco dont really think about extreme heat events. Typically we have a very temperate climate but in 2006 there was a study that said San Francisco was especially susceptible to extreme for two main reasons. One, because we have such a temperate climate, people have a difficult time thermo regulating to increase in temperature and second, becausewy have a very old housing stock. Most the housing does not have hvac system or air condition. While we are looking at extreme heat event we activate the heat protocol at 85 degrows is the outdoor temp erature and because the Building Conditions it could be 10 to 15 Degrees Higher in the older unit in the city. Poor air quality leads to both respiratory disease, also including asthma and allergies and cardio vascular disease. World wide there is a health cause from air pollution expected to get worse from Climate Change and this slide shows the world wide air pollution crisis as a Economic Analysis which was released by theu n and shows the global cost of air pollution as a proxy of health costs. In 2015, the u n said the cost of air pollution was approximately 2015, the u n said the cost of air pollution was approximately 3. Trillion and by 2060 that is expected it be 18 to 25 trillion. One important and overlooked impact of Climate Change is the mental Health Impacts. This could be because of disaster or a loss of a very cultural significant habitat or because of chronic stressors. People exposed to climate related disaster may suffer from post traumatic stress, depression and or anxiety. A sig kunt proportion of the individuals will develop chronic psychological dysfunction. While we are all impacted by Climate Change, we will not all be impacted at the same. There are certain subsets of the population that are most vulnerable to Climate Change. This include the poor, elderly, infants rsh children, people with preexisting medical condition squz also the minuteally ill. Reducing Health Disparities is a big part of the Climate Justice ajena and equity is a mornt component of the program and try to address vulnerable populations in all our work. So, this conclude the doom and gloom part the presentation. The good news is there is Many Solutions out there to combat Climate Change and about 2 years ago the lan set which is a medical journal came out with a report an article calling Climate Change one the most pressing helt issues and glaitest opportunity too. Many acs and strategies that product from Climate Change and reduce Green House Gas are good for pub lg health. The next part the presentation i will highlight the climate and Health Program past initiatives. So the first thing i want to talk about is our climate and Health Profile and this is one of the most successful projects to date. This tool kit received several important distunkzsism winner of national snoout of Health Climate change and environmental exposure challenge and also selected for the global publication citys one00printed at the u n Climate Change conference in paris two years ago. Additionally the programs work is recognized by the white house and incorporated into u. S. Climate resilience tool kit dissiminated to communities and policy makers nation wide. The climate and Health Profile links climt projection to Health Outcomes and identifies the populations and locations most susceptible to Climate Change and Health Impacts and it was a standard 40 page government report and what we did is took it and made it into a interactive website. We took all the Climate Science and simplified it so peepical understand it, thury wnt through the Health Impacts and tried to make it place based so put all the neighborhood information in for San Francisco and had a series of 20 to 30 maps so people can understand the localize impact of Climate Change. We also done two detailed assessments. We have done one on vulnerable heat where we created a vulnerable heat index. Also done a similar analysis for flooding looking at the vulnerability to flooding and [no audio] i want to not a lot of work we do is in partnership with different city agencies within the climate and Health Framework on page 7 it listalize the city agencies we work with and work with a lot of Different Community base td organizations where we go and do presentations about the Health Impacts of Climate Change, climate awareness and provide Technical Support and this picture shows maps in the background we created for Community Resilience process. This brings me to the last item i like to discuss today and this is our new report, the climate and Health Adaptation framework that you should have received a copy of. I lelft the part for last because this report is really a continuum of all the work we have done for the last 5 years. The first portion of the report reviewed all the vulnerability assessments i talked about and hemth impacts and climate projections. In the second part of the report, it outlines 8 climate rests identified by the white house under the Obama Administration and for each climate summarize baseline conditions for San Francisco we proposed strategies for consideration which are potential adaptations and interventions to address the climate risk and also proposed indicators to measure the heth heblth impablth for eemp ringe. Last looks at to asays the degree the Health Department is prepared and how to better support climate preparedness activities. I done have time to go through the whole report so will quickly talk about two of the sections. The first section i want to talk about is the proposed strategies for consideration. Our climate and helt team developed a data driven process to identify and prioritize potential adaptation most appropriate for our city. What we started off kooing is a comprehensive literature review to identify the adaptations for 24clusion in the framework and this focus on strategies implemented by department of ubphook health or in par R Partnership and this identified 80 different strategies and talking with specific focus areas within department of pubhook health and this included vector control, food safety, healthy housing and Emergency Preparedness and response. To better understand the information that we retrieved doing the literature review and our key interviews we developed a climate and Health Screening matrix to evaluate the Health Impacts and analyze effectiveness of each adaptation. And so within the report you can see from the slide there is the list of all the different adaptations and interventions but also have a report that documents how we came up with all those and for each bullet point there there is actually a whole page report about the intervention and so as we go back and work with the community, we have all the underlying nrfgz information to help explain the process and solution where work with partners. The last part that i want to highlight from the report is surveys we administered to Public Health division and also San Francisco Health Network directors to better understand management perspective on Climate Change and how they expect Climate Change to not only impact the city but programs they work on and concluded from the survey there is multiple opportunity for the program to assist leadership preparing for climate preparedness within our division. There is also a link to the full survey report. Um, so i have two more slides to finish up. This slide here shows a timeline of next steps for climate and helt adaptation framework so we dont see this framework as a final plan, but it is a starting point to have conversations with communities and city stakeholders of how to best adapt to Climate Change. Now we are in the process of finalizing Community Outreach strategy to get feedback from communities and community organizations. Once we finalize the outreach strategy we will begin conducting stakeholder outreach. During the time period we plan to form a Advisory Team and develop process to select different intervention jz adaptations. Towards the end of the process after we develop get a Advisory Team and develop the process and have Community Input we have adaptations to go forward and develop implementitation maintering strategy which includes implementitation plan, communication and evaluation plan. As i talked about in the beginning of the presentation we received funding from the cdc and received our last round offunding in september of 2016 and that is for 5 years so the process will continue throughout that 5 year period. And so, this was the last slide here what next for the program mpt i just talked about funding. This program is federallyfunded and a line item in the budget which is subject to congressional approval so we will monitor the federal budget based on some of the new administrations viewpoints on Climate Change, there is a possibility there will be funding changes. We will work on process of activity for framework. We will finish our education and outreach curriculum and we will try to find ways to expand that curriculum to have people within our Health Department go out and give those presentation and also work with Community Based organizations to train the model. Lastly we continue to work with range of stakeholders which include people within the department of Public Health, city eejss and regional and National Partners to bridge awareness to Health Impact of Climate Change scr look for solutions. Thank you. Thank you. Commissioner pating. Thank you very much for the great report. And saw this when it wasprinted at the Committee Meeting and even better a second time. I was wonder there are two items one is if you can brag about winning the national grant. We are one of two cities. A east coast city has one. We are the west coast. When we originally applied for the funding it was a competitive grant award and like commissioner pating said, two cities received that award so new york and San Francisco and additionally there is 16 states Health Departments that receive that funding too. So, we are one of 18 cities across the nation that have the programs in their Health Department. Yfs in new york, it was 17 degree jz the rats were running in the subways because it was see so cold. The second question i want to ask but see you address it, i wanted to askthis is such wonderful information how can we share this with citizens . I think there is no worse thing to drive people apart that perhaps talking about rowligion and politics but no better thing to bring people together than talking about the weather good and bad so this is something i think you can unit both citizens of San Francisco around common cause in a positive way that the Health Department is lead toog get climate ready. The idea you do Community Intervention and outreach sounds great so interesting hearing how to share this with citizens. Thinking is this theup there with the bike and food safety. Some sort of brand that would put whether and climate readiness led my by the health duapartment assuming we have fund toog do the efts. I wonner your thoughts on the opportunity take advantage of this report putting the Health Department first and sharing it with citizens across the city. Pending your approval on the report we will issue a press release thursday and release to all our National Partners and to the media, but also right now we are in discussion with the City Partners which include the Planning Department, department of environment, the office of recovery and resilience how to best communicate Climate Change. The risk and Health Impact and Long Term Solutions we will need. We are working doing polling and different surveying to better understand the messaging that will resinate most with the public so we well do the outreach and try to do it in a systematic way and citywide way we have one voice using the same language and the same messages. Actionable is planlting a tree or putting sand bagss. Now department of environment hascalled the 50 50100 roots and that is about reducing the contribution to Green House Gas so taking 50 percent of your trips by bus, bike or public transportation. Looking at zero waste and also abouti dont remember all but they have a outline about reduce thg Carbon Footprint. In addition we also know there will be changes to Climate Change. For example the Planning Department is looking how to deal with Sea Level Rise, the port is looking at resiliency of the sea wall. Longer term we may need a big city wide bond to protect from Climate Change, so we are looking at trying to be strategic about this and the best way and we have been meeting since i think september in trying to come up with the communication strategy and still trying to finalize that but think that is important and doing the work and not communicating it well is disservice. Thipg about the schools. I imagine kid in schools are receptable to the science of Global Warming and wealth waechter change and the message as they share it with their parents. Im sure cindy will dethat with the school district. The one thing to note if we know in advance we will be hotter we have protocols in place but Important Information to prepare ourselves for the future particularly for vulnerable population jz how to respond to those knowing they will continue and increase. The information and work that sinda puts as you can see it is i think incredible and also not many departments have this Incredible Team that is looking at this. As you know , this is a very today in the environment that we are in there is not as much support for the Climate Conversation so think as the helts department wehave to continue to be leaders. I know you implementing schooling stations and had a past heat wave. I imagine we will need more interventions like that. Commissioner sanchez. I just think it is a excellent report both in reference how i identify the areas of concern and translate them into what we are doing based on the data and also show projections where you shared a linking the information with agencies involved in some part of the equation so the fact that we have sort of like a integrated collaborative integration system is helpful. Sometimes they do planning and this and that they may not know the effects on seniors or children especially in these old areas where there are things that would trigger increase in respiratory disease and asthma and with the dta we have and data they project pertaining to new housing or modules with gives a valid base there arechanges that could effect a cohort of people that are more vulnerable than anybody elseism slnt report. Thank you very much. Jrsh thank you for your comments. Commissioner chung . Was going to say that i really appreciate the conversation and curious how additional like Public Education could take place because i think that a lot of us if it is not because of the current Climate Change and how it actually effect our food sources, we wouldnt think about that and Nutritional Program and really food scarsty i believe should be part of whault the preparedness needs to include. Part the report that i didnt mention is that we wnt through all the strategic documents the department of Public Health completed such as Health Network plan, looking at the [inaudible] we identified areas within the report that could include climate preparedness language so trying to figure how to work within the Health Department to expand the message which is important. Thank you for mentioning that. I also think as we were discussing Public Education that it would be important not just for children but parents and all who are interested because they are making sure children are in the proper climate being appropriately cared for. It is clear that we have seen these storms come through just recently and has with dramatic effect to various landscapes. So, it would seem that you have got a plan for the coming year. You have potential funding probably funding if that line item doesnt get too looked at by ourcurrent administration in washington. I would think that you are trying to integrate into Department Programs but there are outside agencies that i think im sure your edge koegel programs are probably going reach those, right . Which could include for example the medical and dental societies and hospital consult and things like that in terms of health because after all those are other Health Agencies that would have very similar needs in their own environment that would be just like they are part of Emergency Services and emergency systems and response, this might be something they may be interested in at least hearing and bringing to their attention. I would suggest that you look at our various medical and Health Agencies in the area. I think the healthcare sector is a area that has a lot of opportunity to utilize this information and pass to the patients and practitioners mpt i think it isgood to see how the year has come and get follow up on the progress has been for the areas that youre hoping to intervene in. I love to come back and present on that. Thank you very much and thank your staff. Such a comprehensive report. I know that fsh a lot of information and appreciate your attention. Im glad im sitting higher on the hill. [laughter. I did note to the medical society last night in that if they couldnt come and of course they couldnt come they should look at this presentation on the website that we have. We are happy to send out the press release or report if you have any suggestions or organizations that you like to share with. Thank you. There are no Public Comment requests for that item. We can move to item 10, which is other business. So, do we have any other business from the commissioners or directors that you wish tobring to our attention . We have taken up Current Business today and changes that we will all face in the next few years. Seeing none, we move to the next item. Item 11 is joint Conference Committee report and dr. Chow you will report on february 28 meeting. February 21 the joint committee met with dr. Shan sanchez in attendance with myself and reviewed the new intercycle Monitoring Survey results which were very positive and we were looking also at the score board and quality measures and how well our hospitals is doing in many measures and where they had challenges and several othersment we will continue to monitor that on a quarterly basis and as dr. Eric had reset the parameters for monitors for 2017 so we will follow that. We also were following the standard reports on quality minutes in which the hospital is now going to combine its quality consal with its patient improvement activity committees to maximize time and effort in a joint meeting of both administration and medical staff personnel. We also received the Regulatory Affairs status report. There were in fact recent surveys to which the hospital performed outstaning. Recent was the Long Term Care survey and also received a 32 e year relicense from the state so those were again just the last months reviews that we had at the hospital. We also rb reviewed the Patient Care Services report. We are monitoring the diversion rates and looking for solutions to the historic highs that have been occurring at the general. We received the rn hiring vacancy report online and foin to fill the vacancies and received the staff report for credentialally Clinical Service rules and regulations, policy procedures and Reference Lab tores that were required to approve yearly. In closed session we also approved the credentials report from the medical staff and the pips minutes. Dont know that dr. Sanchez had any other comments. Otherwise xhauments comments from the commission and if not moouv to the next item. Item 12 is Committee Agenda setting. I believe you have gautd gotten the most updated calendar we have. Post ponement of election to april 4. Okay. I believe we are at item 13, which is a motion for adjournment is in order. So moved. Okay. All in favor say of adjournment please say aye. Aye. Opposed . The meetic is now adjourned. Thank you. [meeting adjourned]. San francisco recreation and Parks Department offers classes for the whole family. Rec and parks has a class for everyone. Discover what is available now and get ready to get out and play. Henri matisse. Frida kahlo. Andy warhol. Discover the next great artist. Get out and play and get inspired with toddler classes. Experience art where making a mess is part of the process. Classes and the size the artistic process rather than the product. Children have the freedom to explore materials at their own pace and in their own way. Talks love art, especially when they died into the Creative Process dive into the Creative Process. At the end of the classes, they have cleaned and washup. Of. Com great way to get out and play. For more information, visit sfrecpark. Org. That out and play and get into the groove. Rec and parks offers dance classes for seniors. Firsttime beginners or lifetime enthusiasts all are welcome. Enjoy all types of music. Latins also, country and western. It is a great way to exercise while having lots of fun. Seniors learn basic moves and practice a variety of routines. Improve your posture, balance, and flexibility. It is easy. Get up on your feet and step to the beat. Senior dance class is from sf rec and park. A great way to get out and play. For more information, if you are interested in our local City Government and would like to work with 18 other enthusiastic citizens committed to improving its operations, i encouramuch. Well, everyone well i present to you the mayor the city and county of San Francisco mr. Edwin m lee. clapping. thank you theo well, everyone well peoples palace our city hall kids how you doing junior 49ers in the house. clapping. well, im really glad youre here i know when young people are here they dont want to hear speech we will have action even though findings i pen thank you to the supervisor president breed who is working closely with me on this legislation along with board member supervisor peskin green from district 3 and ahsha safai district 11 thank you and supervisor Cowen Malia Cohen is on her way and will be here in a minute and, of course, i need do board of supervisors im signing legislation thats what they had had good we do better when we Work Together with sheryl and others you allow us to a or as a city to Work Together with the most important people are the residents of potrero and sunnydale thank you for being here. clapping. i get to say that you know as a someone who started out in Public Housing this is personal to me that i Pay Attention to those that are living in housing to not allow you to fear in youre living live in fear and isolation we had many, many discussions at city hall about how to do better and do justice by our low income residents and in communities that often have been labeled as solicited and not paid attention to were changing that weve been changing it for quite sometime particularly with our board of supervisors and particularly with supervisor president london breed and also with malia cohen that they work soibdz along with the Philanthropic Community that is part of our hope sf our Justice Community i know with that allen and you juvenile justice and rec and park and see the chief of Police William scott our subject hyde are their working together increase in large umbrella called hope sf hope sf yes. clapping. thats exactly what it is kids. Everybody say hope sf thats a word we truly believe in this people dont center hope all theyve got is misery we have put that hope in that term hope sf with the collaborative partners those that are in the funding streams working in banks and working in the private sector of housing like rick rich and mercy housing those are the organizations we help with the positive and the annexation and sunnydale in order to rehabilitate every units of housing in that neighborhood in our neighborhoods why are we are doing this one is because everyone who lives in San Francisco should be san franciscans they should never be referred to as residents of Public Housing everyone is a San Francisco resident and when were here in San Francisco with our equity calls and calls that people be treated equally good housing this should be at basis thats why working with the Housing Authority with hud making sure that were changing the entire way we manage those projects those developments the housing that you live in i got to a point i got tieftd excited people werent talking about broken glass and water system didnt work but how many bedrooms will i live in how many kids are were going to have open space so for our kids and the playgrounds we want it is a new conversation with you talking about the Housing Needs of all our residents so im very proud of all the residents that are coming together with the collaborative partners as part of hope sf the entire board of supervisors thank you for preserving in everything youre doing those dreams were thought of maybe over 10 or 15 years ago people stuck by the dream so those kids what have hope amount how many of you what a brand new bedroom yeah. Yeah all the trophies youll be winning yeah, you need more room laughter so as i promised lets look at the action and morgan hill to the building of this housing you have a place to called home forever this is San Francisco we do what is right but all the residents with that, supervisor president breed. Thank you. clapping. thank you, thank you everybody well, im really excited to be here today some of you know i grew up in plaza east how many know where plaza east and obamacare i grew up no obamacare over 20 years born and raised on eddy and laguna through difficult times through the drama the violation the hope less in this and despair why didnt my communities have battery playground and why are we left out in the water of our city with everything thats why i ran to the board of supervisors because i wanted to see a difference when i became a member of the board i made it clear to the mayor and my colleagues what were my 34 Top Priorities mr. Mayor. Housing housing and more housing. laughter pursue exactly but more importantly rehabilitation the conditions that existed in plaza east when i grew up there no showers and busted pipes had to use other peoples bathrooms on a regular basis and laundromat was always messed up why, why in a waeshth i didnt city would we allow to continue to happen thats why this historic day this historic position were able to pass with any colleagues here with supervisor cohen leading that effort and supervisor peskin and supervisor safai on board that legislation is going to make a Better Community it is going to change lives im excited about the future of San Francisco because we are finally doing with we should have done even i was growing up Pay Attention to what was going on in the community and make sure that everyone can will in the city with dignity thank you for being here im excited and lets goat hope on the map for ever san franciscan. clapping. and now the supervisor the district 10 supervisor cohen. Thank you. clapping. thank you good afternoon, everyone how are you this is an exciting time you guys need to lien up you have no idea how long it took maybe some of us know resident 10 like, yeah that is incredible this is like changing exactly why i feel i was put in elected office to serve this is an incredible journey ive been the the board seven years thank you, mayor ed lee hes been here and talking the talk and congressional legislation and leader pelosi getting the federal dollars to reach on the shore thats how we get Hunters Point and the olsen in the dream team olsen lee. clapping. Barbara Smith. clapping. Barbara Smith clapping. i want to recognize theo miller an incredible champion theo has been the inside guy that has been silently pushing the mayor and we have a host of the Community Nonprofit organizations our partners i want to recognize mercy bridge helping us to troofrm all of this. clapping. thank you very much and to the Housing Authority commissioners grateful for your time and commitment when times were tough and more importantly recognition the residents that have been living in Public Housing for generations that haves endured the roaches and rats and now this is our gift to i got that drama a trip to department of housing and urban Development Executive said people have suffered through the rats and roaches and today is about standing at all and strong. clapping. so it feels good to stand up here we have the junior 49ers thank you and a ton of residents leaders im looking at to see the Jackson Family is here thank you, larry everyone at forefront prior to my election on the board of supervisors now there is one woman that has been leading the charge keeping everyone honest from the beginning of time and this is mother ruth jackson i dont see her where is she, she will be speaking the next voice this is an incredible fearless leader feeds the homeless and takes care of the cited, bringing pride into the southeast neighborhood raising a family and raising grandkids this is a Small Business owner a model san franciscan right here please help me welcome mother jackson. clapping. i would like to thank everyone for coming today and my name is ruth jackson ive lived in the Visitacion Valley sunnydale for over 50 years i ran a family daycare over thirty, ive had generations and generations of children and i want you to know i love my neighborhood clapping. ive had people that called me at night and say ms. Jackson my waters is a gray coming out of the pipes i would get on the phone and call someone i want you know to weve been fighting and struggling with that a long time and i dont add too much long but were happy today and we want to thank the mayor and throwing and all the people that have worked hard who have serviced our community and this way we give our families and children hope because were there is no hope there is no light. And most of our young people in our area they dont feel they will live to get through high school so today, this gives us hope we want everybody just like you are today, we want to join hands and make sure this works. For all our families in our neighborhoods because im going to be around to see it laughter . clapping. thank you thank you. Thank you, ms. Jackson now well get to action mr. Mayor. There is pizza in room 201 let the children and elderly eat first thank you. All right. Oh, very good, yes everyone the beginning the black History Month you invaded it invaded it, huh . clapping. lets Start Building everyone. All right. All right. Thank youtest. Good afternoon and welcome to the San Francisco Planning Commission regular id like to remind the members of the audience that the commission does not tolerate disruptions of any kind. Proceedings. And when speaking before the commission, if you care to, do state your name for the record. Id like to call roll at this time. Commissioner president hillis commissioner Vice President richards commissioner fong is present and just left commissioner koppel and commissioner moore we do expect commissioner johnson and commissioner melgar to arrive shortly consideration of items proposed for continuance. Items one a and b inclusionary Affordable Housing fee and requirements proposed for continuance to march 23,