Transcripts For SFGTV BOS Budget And Finance Committee 20230113

who is substituteingly for member chan hol not be here today. we are going to be joined for items 1 by supervisor dorse. thank you for being here and i believe supervisor preston will be joining us as well and supervisor engardio will tag team out with supervisor dorsey at some point in the hearing. thank all the supervisors for joining hearing one will be important. i like to thank sfgovtv for broadcasting this meeting. >> mr. clerk? >> happy new year. a reminder in attendance in the chamber. make sure to silence cell phones we are convening hybrid meeting for in person attendance and providing remote access and public comment via phone. board recognizes equal access is serb. first public comment taken on each item on the agenda. those in personal be allowed speak first then those who are waiting on the phone line for those watching either channels 26, 28, 78 or 99, and goff goff call in number is streaming that is 415-655-0001. be enter access code: 2499 104 6355#. you will hear the discussions but muted and in listening mode. bh your item come up and public comment is called for those in person lineup and on the phone should dial star 3 to be added to the line. if you are on your phone, remember to turn down your tv and listening device. each speaker be allowed up to 2 minutes. alternateively submit comment in writing. e mail them on the budget clerk at brent. jal ip a at sfgov.org. if you submit comment via e mail it will be forwarded to the supervisors and part of the file sends written comments to our office at city hall 1 dr. carlton b. goodlett place room 244, san francisco, california items will appear after the martin luther king holiday on the board agenda of january 24th unless otherwise stated. madam chair >> item 1. >> i'm sorry madam chair, can we have a motion to excuse. >> thank you. i make a motion to excuse supervisor dmran this meeting. vice chair safai. >> aye. >> member melgar. >> aye. >> chair ronen. >> we vo 3. >> that passes unanimously. >> mr. clerk read item one. >> yes. item one a hear to determine whether the department of public health opening wellness hubs with the gubbio project and sf aids foundation and implement the over dose prevention planful open air drug use and improve conditions without wellness hubs and other organizations to open and operate wellness hubs and asking d ph to report. members joining remote and wish to comment on this hearing call 415-655-0001. access code: 2499 104 6355#. once connected press star 3 to enter the speaker line. and when the system indicates you have been unmuted, begin your comments >> thank you very much. before we begin this hearing i wanted play a snippet of a minidocumentary called, america avenue first drug consumption sight on point new york city. after that i will have comments turn it over to supervisor opening comments and we will hear from our 2 invited guests. sam and alex. if we can start the video. >> unique to new york but folks use parks that's where they hideout and get privacy. we heard in the moment they collect thousands of syringes month low and a huge drop the parks department reached out and said what is going on? wha we are shocked you have more people in the parks. we have a team that goes in the parks. they thought we increased that team. they are not seeing the syringes like before. and pulled the data and see when the number changed it changed when we opened the o pc. all of those syringes when we found we had 13,000 syringes we have them. [music] [laughter] its amazing. that we are making that impact. you know. um it was a big deal to make sure not only that we provide services to our people but also impact the community we agree with the community. to know that we collected 13,000 syringes that could have been in a park. we have them. we will dispose of them safely. is beautiful. i'm homeless more times i count the last year it sucked i'm a knower in harm reduction. it saved me. i would be in the street and using dirty needles. and so that is healthy, safe and that is not [inaudible] lead me in the hospital multiple times the left time i was there for 80 days. [inaudible]. i see hait is is loishg to not get the help and be who you are in a way it hurts and divides families and creates pin for people that lasts for a long time and harm reduction is a remedy to so much of that. >> a bless to talk to people about what is happening. what do they self medicating. what is the pin they are dealing w. where did this come from? when happened in your life mental illness what is it. driving you to self medicate all of us. many of us we self medicate in different ways through food, family, number of shopping. . that is self medicating pain a lot of deep pain. we than most of the people we work with have been abused. there are elements of pain that people often times can't recognize. i talked to participate and like, i can't remember anything major. and as we talk it is not like my mom. there it is. there it is. at the core of your drug use is this trauma you are self medicating. of >> thank you and again, if you like to watch the whole 13 minute video it is you tube, america avenue first super vised drug consumption site on point nyc i call third degree hear to learn from leaders in new york and the academic community about how safe consumption cites save lives. improve street conditions and help useers access treatment and services. this hearing is different. thannior typical board of supervisor's hearing. we have asked our staff to sit down and listen to outside experts newscasted present themselves. frank low, new york is ahead of san francisco in addressing the over dose epidemic. who i we move back new york and other cities in rhode island are forging ahead. and saving hundreds of lives in the process. i want top welcome and thank the director of the behavioral health from dpw. command are fong and diana from sfpd. assistant deputy chief simon penning from the san francisco fire department and the city attorney's office and tom palisteno andan dunning from the mayor's office for being here to listen. i want to welcome city staff and ask sam and alex to ask sam and alec questions they might have during the hearing similar to the board of supervisors. if you want to ask a question get my attention and i will note it and this is an opportunity for the whole city family to learn from what is happen nothing new york city. as we know the tenderloin lincoln center reversed 333 over doses during 11 months of operation closed last month. d ph told me and supervisors other supervisors that it planned to open hubs that would provide over dose prevention services. services to improve health and linkages to treatment. however, for reasons not entirely clear we learned from several community partners that the plan to open centers came to a halt with no plans to address the crisis. our mayor said the reason she is not opening wellness centers with save consumption because of legal occurrence by city attorney the city attorney said he supports san francisco following the new york model. so, why are we not working to open up centersal at new york moss to save 2 san francisco people a day we lose to over dose and simultaneously improve the street condition in neighborhoods including the mission and my district where open air drug use is common. people of san francisco deserve better and i'm grateful and excited hear from sam and alex about the success that on points in new york had in harlem and washington height in new york city. since our mayor and city attorney have openly supported the new york model we thought it would make sense to bring architectses of the new york model here to san francisco and talk to us about that model and teach us how to open the new york model in san francisco. >> new york was the first in the nation to open and operate safe consumption cites by sam riverat executive director of on point. on point nyc harm reduction organization that provides services to populations drug use and unhoused individuals. sam has been kind to come to share his experience and expertise in operating the cites with us, answer question and encourage san francisco to opening statement centerses. sam has 31 years of social service experience. primary focus of expertise loyal in criminal justice and reentry. aids, harm reduction, addiction, recovery and mental health. brings his decades of cutting edge experience and commitment to social justice. dedicated career to the harms associated with the war on drug and impacted by the criminal justice system racism, inequality come mass incarceration. we are joined by alec crawl an epidemioiologist with expertise in research with urban poor populations and drug policy. 20 plus years of experience in researching save consumption sites around the world and most authored by him. of i would like to thank supervisor preston and dorsey for leading the effort with mow to open and operate save consumption site in our 3 neighborhoods we represent in san francisco and i want to thank spierzs safai, i will see who else cosponsored this. supervisors safai, preston, dorsey, walton and chan for cosponsoring this hearing. >> with that i want to offer the opportunity to my colleagues to make opening remarks before we then hand it over to sam rivera and alec crawl. supervisor safai. >> thank you, chair. i want to thank supervisor ronen for being bold and introduce thanksgiving item here today. and the resolution to move forward with safe consumption site in san francisco. that we come to supporting this from slightly different perspectives. i have been and remain a proponentent of abstill thens based recovery. but -- repeat has not been offer in the san francisco. until recently. and it is mainly done through our reent row in our criminal justice and adult probation system in the through department of public health. we were able to, though, with adult probation, bring a model that was a joint partnership i want to thank the doctor and adult probation and others for coming together on that >> this is something it works for many people. and so does harm reduction. we need a true continuum of care harm reduction all the way to true abstance based refer we don't vice president this now in san francisco. we are trying to work on both ends this . is that the hearing is about. we are fortunate in this district 11 we don't have the same level of open air drug dealing and use as other parts of the city that does not mean we don't need to be part of the solution. neighborhoods in thes city have this as well. and there needs to be a city wide solution to this problem. when many people come to san francisco, they go in downtown core who families come off of bart and they are first thing theys see in san francisco is the despair on the streets. is our inability to effectively deliver a true system of recovery in our city. and that is manage that we all see daily. we see that crisis. and in the worse form we see what happened yesterday when people lose control and treat people inhumanely that are in crisis on streets. that really need some recovery. i believe we need an all of the above approach. that is why i support wellness hubs. well run wellness hubs as we have seen in new york, save live and prevent over dose. they reduce open air drug dealing on streets. we need this mayor and the departments in our city under her control, to communicate effectively a clear strategy on how to deliver the service and how we are going to proceed as a city. we can't have a stop and start approach that leaves everyone including the vulnerable in the lurch. during the early days of the aids crisis we took on that challenge through supporting needle exchange and bold and a model for the country. and we saved lives. we can do it again. we mead to be bold and need our city and mayor to be brave and the city attorney and we need to take this crisis head on. thank you. thank you. supervisor melgar >> thank you chair ronen for your stick toness and courage. i told you about this issue, i very much support this effort. and you know i represent the west side like supervisor safai we don't have a lot of open air drug use or drug sale in my district. i will say though that i have devoted a lot of my work as supervisor 2 issue around children. in trauma. and i spends a lot of my career in your district working with kids. i think that something that is our presenter who will come up during the vo that really struck me, is about the community. and you know i think that the harm reduction approach extends to reducing the will harm newscast community. to having kids exposed to folks inflicting violence on themselves they have no way of dealing with trauma and that does affect the development of our kids. it is traumaticic. it is violet. we need to be able to get a hold of it. in an address it in an effective way. we need to protect folks in the communities from the constant inflikz of harm. wlchl it is self medication or addressing trauma. it is still violence. and i think that we need to be courageous and i understand there are risks but i think if new york t can figure it out surely we can, too. so, i am really grateful for your approach. i think we can be creative. we don't have i never heard you advocate for one model or one approach. there are many ways to get this don minimize the harms. but i do believe that we have to do this. we have v to tax teleand pursue things that are evidence base exclude that work. so thank you again chair ronen for this hearing and i am irrelevant looking forward to hearing from the experts and the community. supervisor dorsey. >> thank you. i want to express my gratitude to my colleagues supervisor robe sxen supervisor safai, preston, walton and chan cosponsors in this effort. you know this is something that would be important to me as public policy. there is a personal aspect of this for me. i am a person who is in recovery. i'm an addict and alcoholic and beneficiary of strong believer in abstill thens based recovery it only works for people who are given the drugs like fentanyl that are fuelling our drug over dose crisis. there it is real need and urgency to pursue harm reduction strategies this provide a step to the promise of real recovery. i am convince third degree the wellness hub model offers us a way to assure safer use and safer neighborhoodses. affirming a prince fell is about the quality of life and well being for individuals as well as for the community. you know i pulled the original health commission resolution on our harm reduction policy and made a reference to drug over doings deaths under 200 tell likely now be over 600. it did mention that the promise of hrm reduction is people helping people who use and also the wellness and the safety and the well being of the community. as well. i think that will be what i'm asking anxious to hear about and will ask about. i want to appreciate the people presenting today and my colleagues. >> thank you and supervisor preston. >> thank you chair ronen and i want to thank you for your leadership on this and for creating this space for the conversation that is important for our city. of of appreciate so many city departments being here and the support of our colleagues. i will say this it is an area despite often many disagreement in city gentleman we see a consensus. i was encouraged and want top should really thank the d. public health and doctor countryins for all hear work as well as the mayor for her volved on the over dose prevention plan our office worked with d ph on and advocates that was a step forward in fulling together the thinking on how we address public health crisis with the public health response. and i think that was a significant step forward. i think this i want to make sure that the really the promise that were laid out i think had that consensus and or discuss in the prior hearings and the over dose prevention plan around opening safe consumption site in 2022 we missed that window. hop hopeful willly will get back on track and opening site in 2023. i foal they were promises made to the public and that we should being delivering on those with urgency. i think that your package and the hearing are a part of moving us forward toward that. i think others said it well around learning from the new york model and recognizing something i doment to name, which is people talk about the federal laws here. as being a barrier. and to be blunt new york city is under the same federal lus that city and county of san francisco. the sea and county can correct me but i think the federal law applied equal low in new york. i know mr. riveral tell us how they are doing it and in new york as well as doctor corilo. i -- last thing i want to say i than a lot of folks to hear from and i want to echo supervisor safai's add voice we be bold and a model here. and i would add to tithink we need to be really transparent about when we are doing and want to emphasize that. there is no shame in what we are doing here. we should be open and clear. we are emplacing safe consumption cites as part of the answer. to the over dpoes crisis in san francisco. and before the chair turns it over i want to give a final extra thank you to mr. rivera. doctor crawl all of the folks advocate for the meaningful public health responses to this public health crisis and who are often subject to an amount of personal attack when is they carry this message around how we -- need to respond. to this crisis i want to thank all of the advocates for what they have to endpur. to work with us and to help educate the public about had the cites are about. and what they can do to actually lead us in a positive direction. thank you. why thank you. and with this we are going to call up alex crawl to present first. i have my sliced up there, too. asking the clerk if we can show the slides. >> thank you very much. thank you for inviting mow to come to this hearing today. nice to be back. have been here many times the last 3 decades as i have been conducting research on drug use in san francisco since 1993. this americas the 30th year of me doing that. i am an infection epidemioiologist the nonprofit health research institute rti international and you know -- i'm also -- you know, a resident of san francisco. and have been for the 30 years as well and -- and -- so it is a pleasure to be here at the hear and copresenting here with sam rivera who is program has i'm also part of evaluating i'm one of the people helping to evaluate that program as well. so, i will be today talking specifically giving and providing you all summary of the existing peer review literature on over dose prevention sites that is the workil do here and sam will talk about the new york model and the work they are doing there. if we can move to the next slide. basically as you know hillary mentioned the cites are places where people can use drugs under the supervision of a health professional with people who can reverse the over dose that is the basic what they are. they are also and i know i heard several calling these. they are called safe consumption cites or supervisored injection facilities. but when they can be is a stand alone site that does that. which is watch the people who are using drugs in front of them and able to -- intervene in case of over dose. most are part of large are sites that provide a broad set of services that it is that is more in line with from my understanding what the wellness hub model would be here in san francisco and the model that they have at the 2 site in new york. both which i visited and quite impressive model they have there. and so, what i will talk about here is that there is a large -- there is a large body of work on this. you know legalally sanctions over dose cites existed for over 35 years global they'll is not new temperature is new here but not a new thing in the world. there are 35 year system a long time you go back to the 80s. they operate in well over 150 cities in 15 countries in europe, canada, australia and now the united states. and first gentleman sanctioned site in the u.s. opened last november 30's on point. in new york city and you will hear more later. but the scope of the signs begin 35 years of the operating around the world the scope of the science is strong. and there is well over 100 articles published in the medical and literature and ops this is in the some inter~ vention that is showing and up don't know much about it this it is a very thorough researched topic. scientists from europe. canada, australia, united states. and really representing the academic disciplines diversity of disciplines epidemiology. sociology, criminology, anthropology, criminology. law, public health. there is papers written in every discipline you can think of related this topic. and the it is methods have been quantitiestative. qualitative studies. cost benefit analysis. case studies. there are lotings of different methodings that have been used. and the articles are not, they are publish in the the top medical journals new england journal of medicine. these are reviewed medical journals that upon lai folks heard of they are most important and impressive the science suspect broad. it is impressive and rigorous. so if you move on to the next one move on to the next one after that. i will first give you an idea when the global evidence is of over dose prevention sites andil speak to what we know from the literature in the u.s. after that. and really when we are interested in looking at what we are trying to assess the impact of over dose sights the impact on the wellness of the people who are going to use the cites. that is important and the impact on the neighborhoods which they are placed. both are important in think burglar the work. the global evidence on the impact of the people who use ops it is clear. there is a lot of articling on this they reduce over dose deaths and hiv and hepatitis. and risk behaviors, reduced frequency of drug use. improve access to health and social service. increase access to treatment and they are cond help team in illness and death and help to get people to go to the health care and social service as well. the data is clear. every where in europe. australia, canada that is what they found. so then move to the global evidence on these regarding impact on the communities themselves. outside of that. first of all, there are studies that have shown they reduce public injection i think is the issues that is big here. public drug use and improper disposal of needles we saw that in the video clip shown earlier. the signs supports that as well that is something that it does. they have shown where you place the cites to reduce drug crime and violence in the neighborhoods. and some may think that is counter intuitive but it is the other way it reduces drug crime and violence in the neighborhoodses. and finally it it reduce dpanldz for ambulance service for opioid over doses that is a big one here in san francisco. if you have a site and people with reverse the over doses at the site, obvious the need for ambulance to come. the ambulances can be used for other things other than that moment for that over dose. those other ways the science shown globalally to impact people and the communities that they are policed. the united states. and this is again where most of my resxaefrp as supervisor ronen mentioned i have been evaluating the cites in the united states for the last 8 years now. and will i'm part of the team in new york city but you know they have a paper they publish in network opened this year on the first two months of the operations for the new york site. and in the 2 months they saw nearly 6,000 drug consumption everyones 54 interventions and no fatal ities during the two months i'm sure sam will talk about updated number this is is in the literature at this point. >> furthermore, we have conducted a series of studies looking and assessing unsanctioned sited in the united states that opened the cites 7-8 years ago. and in doing that, we published a paper in new england journal a couple years ago. there was at that point over 10,000 injections they supervisored. 3 over dose. no fatalities. and not only none but never needed to call 911 to that site. they would have if they needed to than i did not to because they need whatted they needed to take care of the issue then and there. >> a study around that of people in that city of people who were -- using drugs and some were using the site and others were not. compared what does it electric like for people who use drugs go to the site versus don't go. you know what we found was, 54% few are department visits and 50% few are night in a hospital among people who go to the cites that is a great thing them and the city itself that you are not using resources for over doses and these things. >> we looked at the syringe sharing a way you can get hiv or hepatitis. 83% lower rates of sharing. you go to the cites and you get stirrile syringes and when you are done using them you deposit them. they are not coming in the community. they are taking care of that aspect as well. that it is in the a surprise we found as well. move on to the next slide. we have looked at different things we publish papers on. that have locked at the impact on the community and were 2 studies we d. one showed that again had statute study of comparing people who use the site to those who don't. 58% lower rates of the number of improperly dispose the syringes among people going to the site. it makes sense but nice to have the data show they are not discarding the needles in the community baz they use them at the site and dispose of them there. >> other study i think is of critical importance as well we looked at crime. people are concerned about the points that may be thereby is a honey pot affect if you open a site now you will bring a bunch of crime if have you that site. that thing. so what we did a study in the city and locked at the crime data drug related crime and nondrug related data and we basically drew a 500 meter circle around the site and the 2 other neighborhoods similar neighborhoods and drew around 2 other sites that did not have them but they were drop in centers they were similar in nature but not a prevention site. and compared what happened to crime enemy the neighborhood the 5 years before it opened and the 5 years after it opened. we found was the crime had been going up in the neighborhood really until the very year these opened and the slope was down after that. . and we saw a decrease in crime around the site. . and that was not something we saw in the controlled areas. q they were not coming down that way. and it was clear that this site. >> this was unsanctioned site. had limitations to it. what they could do. if you do this more it can have better. i think it it is/khrer from the data we have seen and the publish literature that it does not increase but helps decrease crime having one of the cites. okay. last piece if we can move on to the next slide. cost and cost effectiveness that statute things that as a city i'm sure you are interested in. and they have a point 4 different studies that have been conductd and published in the literature on cost effectiveness and what would look like in 4 different ecstasy. i was part of of the fwhon san francisco and publishing that paper. now i think 6 ownership 7 years ago we need to update that. the data is getting old. at this point what is shown we looked at we took a site like the main site in vancouver and put it in san francisco. what would it cost to have a site? what would this savings be? and what we found throughout analysis was for each dollar spent generate 2.33 in savings at the time that locked like -- the time that indicated a net savings of 3 and a half million dollars for one single ops at that point 13 booths similar to the one they had in vancouver. similar analysis have been since done in baltimore and their number was close to 8 million dollars annually. providence it was 1 million dollars annually they were comparing to if you opened a syringe site versus ops. above and beyond what you get savings from a syringe service site 1.1 million above and beyond that. and finally in new york city also apt to today and think about the new york model. they estimated that having one site would save annually between 800,000 and 1.6 million dollars if 4 cites estimated 3 and almost 6 million dollars a year. we have decades of data on this from around the world. and i think it important to see that where as we don't have a lot of data yet in the u.s. buzz we don't have enough cites yet the data does exist showing the same things we count in canada and europe and australia. indications are it it is in the operating different low here than it would in those accomplices. that's the first, upon point. out of all of the studies done, all this time. every one found positive impact of over dose prevention cites from the people who use them and the communities in which they are placed. that it is i tell you as a researcher. we don't see that in other things. you would not see that on drug treatment you don't see that in drug treatment or on most things. this it is an intervention that is -- solid ground to any intervention. and lastly like no peer review study found negative impacts. not only they show positive things but nothing negativism can't report to you data that shows negative did the cites. again that is rable for intervention as a social staff and epidemioiologist. thank you i'm will happy top answer questions. hello and thank you. in new york we say how you doing. [laughter]. means hello. don't responded. female get confused and answering and causes problems. [laughter]. thank you for having me here a pleasure to be here to support what people keep accusing you of doing. il told member earlier that every time we talked about opening having the first 2o pc safrn fran did it, right. no, they didn't. but you know so it speaks to a lot of why i'm here and what i need to say and share with you. about when we have done this last year the impact we had and the -- the -- we'll happen and what actually happened. an important conversation to have. so on november 30 we opened the first centers save consumption cites in the country. everyone who lost anybody to an over dose or used drugs the home reduction is here it was important for us to look at this opening as a victory for anyone who used and those of us fight nothing harm reduction. years to open one of these. we celebrated that with everyone. when we opened before we opened we did put a candle at every booth. to be with us and when we know if you use o pc you don't have to die temperature is a facture can have opinion and feelings butt fact is you don't vice president to die if you use an o pc that is 37 years old. i have been doing a number. different you heard my bioi hear it and wonder who you are talking b. i have been doo this work for 3 decades. and harm rerekz is love the epitome of meeting people where they are at. that became a cliche for many providers in the work in the community. meet them where they are. they have to can't use that much or do this or show up like that. you are not meet being people. harm reduction is epitome of meeting people and loving on them until they are red to love on themselves. being there when they need you more than ever. the most crucial time in their lives. is when harm reduction shows up. we than safe consumption site system a health intervention this . is why language matters. i love the fact you guys are talking about hubs and health hub and putting positivity to it. they don't have to be drug use issue something. drug use is one part of a person not who they are. we should not identifying people in that way every time we talk about them. what i say to people is if you think of the worse thing you have done and that's how we address you every time we see you what would that feel like. calling people by name and not when we think of them. when you experience this and have the relationships with people who are literally in the best of struggle, it is a beautiful thing to watch. i'm blessed to have the most amazing staff on the planet show up every day to love on people because. and in any way possible and not judge them and not to experience them in the way that others do. one of the big things i alex talked it reduces use. people don't it truly does. i will talk briefly what happened in the room. il back up. when you come in utilize the o pc many think when you open to the site you organism and people using drugs. not the case. you open the door come in a drop in center. people having coffee. mote with a professional. doing a variety of things appropriating to go see a medical provider. not what it it is it is one part of a large are organization and services people need. when you in in if you use the site we ask you a set of questions and it is important. where would you use if we were not open. have you had police contact. family, children. and that it is gather exclude important when we know is if you don't have a safe consumption site you have open air use you have people using quickly and dangerous low in an al and he bathroom. gathering that information is important. someone enters the room to use we know how many they use and how they use t. what we see and our director of programs says, the drug use in the room is the least interesting thing that happens. as a community that happen in this room. there are conversations going of when we first opens we allowed people to use screens because they said, they were embarrassed use in front of us it was gross and did in the want to and got comfort. and we have the mirrors at every booth and women did not want to look at themselves they were barred. today when i walk in the same women are putting make up on using that mirror having a rep with themselves they never had before. watching that change is amazing. i hope i get an excuse. a few months i thanked will smith for smacking chris rock that was the conversation that went on in that room and people arguing their point and like i came in to use 2 bags i will use one i gotta get my point across and then from there the conversation about i want to talk to tonight night staff about temperature and less use. having communities in this environment feeling of i have a place to go. i remembered minutes ago that before i came here, i went to the office and a guy sitting there one of the most difficult over doses since we opened. and i was there and sat down waiting for him to come out. felt long for us the way we respond now is so fast when we came out i was there and on the floor with him. and locked and said what are you doing here? i said you know you over dozed i'm holding space for you. and he was he went through feelings and he is a person relapsed during covid and said, i want to do it different low and i want to change. i'm not going to change yet i will come back exit will change. and i did not see them for a bit and then he was gone and he is sitting in the front sitting there. you know inside but by the coffee spot. and i said hello and said how are you. i'm sitting here. everything all right. he said yea i sit here and not use the o pc it is coli want to sit here and he does it for him to feel proud he can be in our space know when he needs to do. but not use the o pc. and what is it you want to do i will work for you. i'm waiting for his residence me and hopefully i will hire him. those other moments. those other moments of these relationships we have with people that it is beautiful and as i go through this i want you to remember who i'm talking about. and when i go through numbers. when i think of data i see the beautiful kindhearted people who want to be different. want an opportunity to live. you said it users don't recover. 100% some detox and treatment. 100% participates fwon detox and treatment multiple times does not mean typeset does not work but it does not work the first time for middle east and many the sixth time if they are not alive they don't get the eighth time. we offer an opportunity top go back again. offer an opportunity top go back without mandated and go on their own when they are ready and willing to what we see with participates is the shift when we say. why do you use? i'm a loser and a bum i'm lazy. no talk about this. get to the core why you use. a mental health condition. i dealt with trauma. i don't know how to handle it. i have many friends my brother is 30 year in recovery. and one thing he and i have the nice battles sometimes i tell him my concern with your group when you mote you tell people you bring up bob and bob says i stopped using and i own a house and kids and a dog and whatever. if you stop using can you get it too much bob stops using and in his living room shaking where is my dog and kids and house i was supposed to get. no one talks about what else happened. bob did not stop using and life changed it takes more work then and there that. and some people will self medicate as long as it takes and some will manage their recovery the way they manage it. and so we have people who used to use heroin or what have you or crack cocaine now drink at a bar and it it is okay. there is judgment within that. quickly the crack house statute. it is simple in many ways the minute you take cocaine and call it crack you are talking about black and brown and poor white people. why not the cocaine statute. we look that impact within that. i want to talk about relationships. i like to stay, it feels good to say this miami own experience in life. our number one relationship is with the nypd. and it is important the truth is truth. i will give you quick combachls. when we were opening a site we wanted the commissioner to police department to put a public statement and they laughed at us we try. because you know they say you are in 2 neighborhoods and precincts stick to those 2. okay. got 4 knife da's stein the police were to go ahead and make arrests the way they were before for someone using the d atold you they are not going to prosecute. let's not waste our time. figure out a way to work with folkless. initially the police department was confused we had a decent relationship this is different. we talked to them about the difference being -- actually went to the book and read had they say they do for the community and we view today with them. here is the piece you serve people. and here sorry when we like you to do. go to them and offer an opportunity to come to the site. and they started to do it and started to work and had a problem when they would go up to them sometimes they take off and run thinking they'll will be arrested the police came back and asked it create a cord to use and say listen i'm here to take you tell you don't use in public. go on point and use there. gsz it worked many of my staff and i poke to them employed get information and updated and check in on each other when the team went to speak both precincts and offered an opportunity to look we were shocked. every officer came. at different times. and it is important to see the site. and i hope you watch the video. taking a look what happens instead is different. when the police officers came and visited it changed their minds. and saw the need for the cites. they spent time outside and see people leaving and get figure a van to go to detox. it is our responsibility to respond to the needs. harm reductionists we don't talk about treatment can detox. our participates talk about temperature down their threat is in the the answer loving on them in a compassionate and beautiful fluid way works. that's when we see the change. and them asking for more. our relationship with nypd is, mazing pimet with 7 to talk about the community. one big changes we had was lead by the nypd an issue in a p they found out and in the past i got a call from the captain ain't would send a team in and arrest everybody in this encampment. instead they asked us to go. we are having over dose you guys g. we met with the tome and switch friday 9 a.m. to sick a.m. opening over night. out reach and public safety team changed the schedule and went to the p at 6 a.m. and over doze center opened at sick a.m. lead by the captain and the precinct not us. i did not know if it was not for commanding officer we would not notice an issue this is i partnership thap is had can happen. what is different. does in the have to be we know that. and quickly with parks you heard on the video 13,000 syringes in one park every among. a machining after we opened 1,000. where is the other 12,000. they are with us. this quickly that park cross the street from the washington project site there is a small park for children closed for years. simultaneously 8 months after we opened that park opened for the first time and children were playing. when the participates were going to the park to use the bathroom the park call to say your guys are here not come over. not call the police that it is a relationship. we have a test. 5-9% getting 23%. 23. that means that when people and -- of all the tests we did one person said i will not use. when they seat high rates i'm going to use but go in and work with the staff and use it different low. take test shots. we know is getting more dangerous is because it was happening with the drug supply. you will need o pc's. because if you are not there the moment someone over doses we had a number of over dose fist not in front of us they would have died. and 2 weeks ago lost 2 of daily participates who over dosed during times we were closed who did not have to die. we are not open 2 hours a day yet. my fate data point is zero. no one died. zero. 2300 participates registered. 54,000 utilizations. 54,000 times people use drugs in our space not in the community. the way the community asked for. we want less use in the street and public parks, 54,000 times. over 700 over dose interventions and the earrings are molook own to reverse an over dose. and -- yea. who are the people. mothers other brothers. kinds hearted folks who want a chance. many friends and use harm reduction to get lives together and you talk about the no, model i hear when you mean by the new york model. every where say the new york model they talk about how we do it and the structure. when i hear in san francisco i have the new york jewish moment. i get t. [laughter]. when you guys talk about the new york model you are talking about safety for your staff and city and for the health department staff. and there is an opportunity to maintain that here is the thing about the new york model. yes, currently we, i, the staff the team i, mainly. will risk if something were to happen. the [inaudible]. right. nothing all of the things will help did not happen we had the visitors the visitors who will come and shut us down and they said you guys are amazing off the record. this is amazing. when you are doing i have nothing to say but can we have guard rails. sure from a bowling alley when do we do to do it correctly. you said it was great. right. all of this00 autothings that people said would happen and what would happen and how i would guest arrestd and shut down it it is a different time. the president and head of [inaudible] is not talking about enough about what they are going to do to get it right they are not talking about shutting it down. we need to focus on that. the new york model offers that opportunity and now we are negotiating the mccormick model to say use your opioid dollars they are not tax levy money can not put your jurisdiction at risk they are part of a lawsuit for to you use at your direction. has nothing to do i had a city official say to me if we use this money to fund you illegal activity and we could be defunded. yea, legal low you can the gentleman will not defunds a city like san francisco or new york. here we go. opioid settlement dollars have nothing to do with that pot. they the safest money to use and they were created for us. for our people who are dying. unnecessarily. you have the opportunity to do that. i say one more thing, 2 more and i will get out of your way. in aaddition to that 1 penalty 7 million units of waste collected boy us. again. not in the streets. and new york city, when the city respondeds to an over doze it costs 30 thousand dollars. between the amount nar can they used and keeping them in the hospital for the day. other source providing who shows up to the over dose. fire department, police department, ems, et cetera. and if we look at that number we called an ambulance 10 times that's temperature nothing to do with the owner doze other conscience we were concerned b. roughly 690 times 30 thousand dollars. that it is how much we save in the 2 neighborhood in one year. cost us 4.3 million to run them both for 24 hours a day. the money is there sitting there. this is the reality of the work we do. this is the reality of the out come we can have in this work and so -- last thing i will say is this i was asked what advice would you give san francisco? it was funny i said be san francisco. and -- i tell you what i mean. i money this. like -- this it is why i story people thought san francisco did it first. i can't curse you guys are bad. you have been that is where you have been known as taking that rescue and being out there a little extra and being and going for things different low. and taking out there and representing your community. the way no other city has, irrelevant. so -- when people get confused i thought san francisco opened first it it is almost a compliment when they say that. be san francisco. step up and do what you know is right come in your hearts represent your people and love on them the way they want to be and be san francisco, man. thank you. >> thank you so, so, so much. gosh. you know, sam, coming from outside, i wish san francisco what it used to be and sometimes i worry it it is not. and it statute stats thing that i feel like i'm watching being an elected official in the city. because we used to be that way and used to have that thing and we used to treat people that were suffering or coming from places where they were not accepted in a welcoming way with love and acceptance we are not the like that in the same way anymore we are not it is a changed city. no one if you saw the viral video yesterday with a woman experiencing homelessness hosed down by a business owner. we have crisis in streets and don't have a clear plan for how we'll dweel that. it it is a shame. just be san francisco i wish i wish we could be san francisco about a decade ago that's what i wish. i'm not sure we other same place and it breaks my heart. having said this, there it is a few things i want to say before i turn it over to colleagues and the city staff that want to ask questions. you know as a supervisor who has been working in district 9 office as an aid or now the supervisor for the past 13 years, i usually create creative solutions to problem come try to jam them down the though the i'm saying why are you not implementing the own model your department created. the mayor was the first people to visit new york to visit you and meet you and was first she of visits the vancouver and was not prosave consumption sites and visited. and her entire mind changed and she came back the letting advocates to opening statement site in san francisco and her department of public health under the direction of -- doctor hillary countryins we stole from you in new york city and luck low brought to san francisco. her team created a plan to open the 12 wellness centers that were shared with all of us on the board of supervisors i was like fantastic i'm for it do it i want one in mine i will take on constituents against it and change their minds let's do this and all of the sudden, they pulled the brakes no explanation. can't get much information from anyone. and no plans no alternative plans we will seat drug use continue in the streets. we will see the oozed needles. a baby over dozed in i park from fence nal in san francisco no plans no plans how to dole with it. here have you 3 supervisors dorsey, supervisor prston and myself don't always agree we will take on our own neighborhoodses. we will find you the money. we will back you up 25,000%. just open these like your own department of department public health says. we hear the city attorney days no , i go to the city attorney and say, sam has not been indicted he is saying electric what i'm doing president biden look what i'm doing attorney general of new york i'm not sure who that it is. you know and he is operating what are we so afraid of here in san francisco? the biden stragsz and newsome registration are not going to 3 san francisco people in jail or cut off federal funding because we are saving lives and stopping open air drug use they will not do it. and instead we are cowering in fear and refusing to dottedion that we know all the scientific lit wra ratour that alex went through that has been done over 35 years shows. reduced crime. reduces drug use. you know uncontested evidence over 35 years. it makes no sense. >> so what we heard from our city attorney is that he is okay with the new york model. yet? as far as i know there it is no evidence that we are doing anything now. to open up the new york model. feel free city staff who know otherwise to chime in if tell me i'm wrong if i'm wrong i will never be so thrilled to be wrong. doctor countryin. commander fong. and our city attorney. tom palisteno if we are actively trying to open wellness centers please tell me i'm wrong but as far as i tell we are not doing anything. anyone the to prove me wrong here? anyone from our city attorney? any departments? good afternoon my understanding yes. the mayor is in support of the new york modeler next step is to work with the city attorney's office to understands how the city attorney defines that model. figure out the structure and to make it help. we need to get in the specifics of the definition that will allow us to move forward this needs to be on going discussion with the city attorneyy office. >> one question. we operated a site that allowed consumption on the site, i don't know if it was officially a wellness center for 11 month in the tenderloin and saved hillary and her staff saved 333 lives. with this model. open for 11 months you say that entire time you have not talked to the city attorney's office to figure out how to keep going? this is not my area i mae may turn it over to the city attorney. but my understanding when we opened that center we were not it was not initial low proposed and planned necessarily to be a save consumption site and the model we are talking about now with wellness hub system a more proactively defined as a safe consumption site there are nuance there is that i refer to the city attorney's office. about what that different. but that is my understanding. >> okay. >> i'm going to be honest here it it is my h america o who i amming and what i do i don't know how to be arlington way i would love to work with you on open them. i want to work holding hands all of us everyone there plus this board of supervisors holding hand and working and opening up these together. instead hai have been get being is the run around. and this is not new. on point has been open for over a year the tenderloin navigation drop in center which was a wellness hub was open for 11 months the legal terrain has not changed i read the case luand memos i'm a lawyer, nothing changed in the legal terrain and yet you put slamming brakes on d ph opening the cites. you have been giving us the run around the reason we are having this public hear and we will not stop we will go to new york and bring the press and you know be opening the cites finding a site in the tenderloin. the supervisors are having to dot work of the executive branch since the executive branch is not doing this they are supposed to be we will not stop until the centers are open because there is no other way to save the lives and to improve street conscience there is in the you can't rest your way out of this situation just like sam said and owen with our new you know happy to prosecute district attorney we don't have room in our jails to rest our way out. so -- we love to hold hands with you and do this we are so sick of given the run around that's what you have been doing. that's why i did not ask to you speak today and i brought sam and alec in from outside. because you speak and you say nothing and you say the same things over and over and over again. and nothing happens you slam the brakes on the communities. we are talking about this openly and publicly. the city attorney said he is for the new york model then opening statement new york model have you the architect here ask him questions you need to ask and open it. this it is in the rocket science we can do it tomorrow we have a site we can literally do it tomorrow in the mission. with that, [applause], thank you. >> i have questions near of a matter of your operations. >> say that again. i have questions about operations in the new york moss. >> fantastic. what level of care is your staff trained to. >> great. >> got me in trouble my staff is watching. than i are trained to respond at the level of an rn. are they nurse. not all some are. >> what point does your staff activate 911 for an over dose. >> never. >> that is their guide. the guidance to use it if needed we have not had to do it once. i think we need to come to recognize what you are doing. because. the tl centers was the number one user of 911 service in 2022. and -- and -- we are the fire department we are the responders we don't set the policy. right and we understand that it has been safe nobody died there or die in the new york and this gentlemen says no one died in any. site in the world. so -- seem indisputable we activated and may be we need instruction on how to set our policies. i have some data i prepared for other reasons. >> let me make clear you asked when do we call 911 to support an over dose the answer is never. i want to be clear we call 911. >> carcongressman reversal. >> never we don't use narcan nasal narcan we usin ramuscular 15% of the time. people have been trained wrong. if you responded like a fire department do an over doze they go to nasal and injection for us we are there the moment on the on set of over dose. so we responded immediately and enough to take enough of the opioid off the brain to bring enough oxygen and they are fine. we call the ambulance 10 times but not to do with the over dose other factors may be low breath we needed more support. >> that sounds fantastic. my occurrence are do you have a medical director that over sees your staff. >> yes. >> the medical director is a physician. >> yes. >> that person inherits the liability anything should go wrong. and every person who come in utilize the site signs a waiver for you to responds if there is an emergency y. we are the responders we don't set the policy. at the san francisco ems agency. so some data i had prepared. was that -- the over all 911 call volume 2021 and 2022 went up um 8.4%. now -- our -- dispatch for over doses -- from 20 ton to 22 went up 26.5%. and um -- that's an 1100 increase. right. >> and 530 of the calls were the tenderloin center this is a concern for the fire department we are -- do ems response. if we find a way to mitt ghait and fix that i think that would go a long way. >> yea. thank you for that. because what we know is the fire department by us who we have a failed to talk about them i have a family member will yell at me about that. having a rough day. the fire department around us is grateful that 700 less few are calls they receive we responded 700 over doses in their stead. so that impact of police department, fire department, are very grateful that we have the services we have especially the difference when we responds to over dose like i said we are using it 15%. they will not be hospitalized they are not helpful a day in the hospital all of those factors the fire department needs to stop fires that's the way we see it. and do other emergencies. we have the ability folks in this room have the ability to be train exclude independent and keep people alive. yea, a great realm to have and i see that number dropping tremendous low when you open. >> to be surety san francisco fire department also collaborates with the health department and homeless and supportive housing and have the street crisis response and over dose team we take people and were taking them to the tenderloin center we are supporters of it. we want to make sure it does not adversely affect our call volume. >> thank you. the reason item 911 at the tlc called it is a policy of dem opened the center. and so it is in the because of the need this was needed by the tlc to call that will they -- they were not in favor of that thing. and as we hear from new york it it is in the necessary. and as we hear from the scientific did thea from peer review data across the world this is not necessary. i'm aware of that. i said it it is a policy issue and we are the responders we don't make the policy. >> i add that is yet cost of the centers was so -- extreme and outrageous and will not be the cost of the center. i know we had questions about the cost of all that. i wanted give a chance i will turn it over to supervisor safai and dorsey. ip wanted give a chance to anyone else on the city side to make comments or ask questions i don't know if the doctor wants to mention. i don't know why we had that policy to call the fire department are especially when you know you were at the site and you are an md. thank you, supervisor ronen. i think that it it is not d ph policy. i think it highlights and thank you, sam rivera for your speak about that. i think that these are some of the procedural issues that jurisdictions including our own need to work through and think through carefully. safety of people using the site is paramount and the safety for participates was a top of mind for all of us and i think this we collectively learned a lot there. >> okay. thank you. >> i don't see more questions. i want to thank director rivera and crawl for their presentation. obviously the evidence they stated are overwhelming positive in saving lives one question sam how do you work with the upon department to message the community for concerned of the community about placement of the location and how potential low what impact have on the community. i know clearly you indicated that they were you know persuade after napositive impact in the community and reduction of public use and syringes and in the community. how did you work with nypd? so -- yea. the way our two cites were selected. we did not build them after we the organization ready as far as structure and retch with land lord, et cetera. we were already it a religion with the police department. but it was a tough battle. because they have when they need to domment to serve the community. people using drug wes go back and forth this created an opportunity for you to meet in the middle and talk about sxaft what it is safety for a community. and you know new york has been exposed many times the police department. having that realm going on roll call approximate talking to them, you know so -- it was something pout them. we dp not do at this time commissioner is their boss figure it out in a way. we met and talked about it and i think rit from the start of the first day we opened a lot of police were there, this is terrible. but we spoke to them they said we are here but we are worried about protest and media. people use in front of them if than i walk in. this will happen example so -- that relationship now has changed for the participates for me which is most important. there were times when like weeks after we opened i would pull up to the office and a police car with lights on and i would call my contact. turn their lightsum. people don't want to come in and they would turn the lights off. that realm grew police seat benefit. i'm sure there are within-2 think this when we doing they are in the fans but impacted their work tremendously. the fire department, police department they are not getting all the calls from before could be stressful. there is the reduction and i better interaction with them and the communities. >> >> we really. ed have one of the captains of the stations where sam in the 2 place on point is talk to you himself today. there is a very huge strike going on of health care workers on the border of the 2. they are overwhelmed and worried. i'm sure i guess i want to ask if we could set up the meetings with the captains and sfpd and i know supervisor dorsey and i were interested. >> when we were opening. the 2 presifrnthss poke to canadian police. they had this conversation than i want to do the same for anyone else to talk about their experience in working with us. that's a great way. they will set up a zoom call. when you visit they will come and be there. why great. thank you. >> good afternoon supervisors and thank you mr. rivera and doctor crew for the presentation. i appreciate it i'm dana [inaudible] policy director for the chief of police exit work with acting deputy chief fong. i want to say hello. and thank you very much for the work you are doing. i do think and appreciate how you highlighted this is about love and this it is about second chances and at the ends making our we keep our city and streets and families safe. whether you are on the street or in a home. i do appreciate that. and i want to acknowledge everybody in the audience who works daily per ins with the sudden front police department and other this is have been doing this work individual low for a long time. thank you. i do have a couple of questions for you first i want to acknowledge and under score we will pick up invite to new york any time. baudz i think it is important for our officers to see and witness what the model looks like we are happy to work with city part merdps see if we see a hand's on experience it is important for officers in order on put a picture in reatity. the second question is asking first doctor crawl if you could sighting articles or evidence around the law enforcement impact you referenced articles and krurs if the literature documents how law enforcement cease the impact of the searchs. and if there is anything you can e will beerate and a couple of others for mr. rivera. that's a good question and don't believe it has been a study specific low of law enforcement. officials to does them about the perceptions of it. i know this from graphic studies where they have shown that i know for the unsanctioned site which was a secret site for a few years they had law enforcement that people show up on the door step and i was young i'm -- i am told i can use drugs here. i don't know. a police officer 2 blocks away told me that. which was interesting to the program. they were under ground and thought the police did not know and in the only than i knew but referred people like i think sam talked about new york. i'm not aware of studies of police officers or -- specific low about their perceptions and i thank you it is a good idea >> thank you. look forward. mr. rivera couple questions. you mentioned and i think this is important that the number one partnership was patrol can you talk we asked you. but curious hathat means someone lead thanksgiving work how does become the first partnership look like? how did that happen. we knew it would be crucial for that relationship to be healthy. but we did not expect the reaction and the real partnership asking us do we know about an issue happening here. we do a batch alert if we see people over doze to a bag of heroin as an example. we alert the community. and started to alert the police, too because of how they dealt with temperature not arrests but lead to them talking to people. where you know what? here other options now you have an accomplice to go. i had a meeting 2 weeks ago with a few mco's. who are having issues and wanted to talk about it there might be change and they wanted make sure we were okay in the realm. when does this ever help in my 30 years. it was fine and we monitor and talk to each other how to do it. they had a large recruitment and rookies come inform told us you come and talk to them again. they are coming in from train and they have ideas. so greatest for thome talk right away. for me it grew because they saw what it did for them. that's what police officers told us it is easier now i can talk to people of and it tough work on the ground. we are in east harm and he will washington heights. you know the things that i will tell people before you open i know you will. it is important to capture what the fronts of whatever pace it is looks like. and then electric at it after you open. and i push this hard before we opened because 126th street in east harlem. beautiful, loving area naone block is a hot block and been like this for years i knew after we opened look what you did. all right. important to capture that before we opened look at the site 180th and amsterdam it is quiet. we don't bring the theory more dealers come. it is not true if that was the case why do we have 2 sites that look very different temperature is where you are located and when it brings. you are wloking at a new site to look at what impacts it has in this community and i think what you will learn it does in the bring more negativity. the police saw that it mattered to them. wait a minute. we don't have more drug dealers or the stuff we were told to be prepared for and then it grew out relationship. and communication was key. spoke all the time and still do. you know like for mow to be able to e mail a chief and say can you present today. can i text you if you can present today and apologize buzz they are in the visible that it is a healthy partnership. thank you we are looking pardon to partner and moving forward chief scott, thank you and share that we are in on something like this. >> amazing to hear. thank you. >> budget chair denning. >> hi. thank you for being here i work on the city budget you touchod this briefly. could you say when is the funding source for center and how much did it cost to feel operate annually. >> i didn't talk enough about this. we have having to use our own money we fund raise and the city has not paid a dime for when we are doing. so we were able to get foundations and other people who lost family members to over dozes to donate an amount of money. we are at risk for closing pretty soon. because we are out of money. and as the opioid settlement fund come through we are conversation in new york go how to fund the dollars. the dollars were a part of a lawsuit that were for our people and that's where it needs to g. and so that is where we are heading if we operated both programs 2 hours a day 4.3 million to operate. now the schedule we use is 1.4 million but it it is in the enough when we close we lose people because they don't have access. that is what it costs. one more for am sam. inner experience with street response if befound machine in this small winnow of opportunity where they want to try treatment. i understand when you are saying. takes more than one at a time through treatment we would not take them to the tl center we would take them somewhere else. at your site do you have treatment on demand. if in the what are hours where someone can refer for intake. i will say i have not in nile 30 years have not found treatment on demand. new york i know similar here someone goes to detox and then treatment. right. so that's what i mean. so -- for us i will give you 2 examples. we had people at the booth use and saying this is it i'm done and tired i want to go to detox. this is my favorite calls. case manager to the o pc detox. and what that means the case manager calls the deto being van. van on the way. come down and spend time with the person if they are living somewhere contact anyone? hai will say that hen interesting is harm reduction we had this for years, with detox programs and treatment program. they are well, you guys again. the person has been there so many times or used to being attitudes. we don't have that anymore. they are w with us different low. no upon only we get detox to show up. a provide are come in the van to pick up a participate and the participate wanted use before they leave n. that process they are in a sense let them have the last use before they leave. and it took 3 hours and the person sat there for 3 hours waiting and when the person was done now i'm ready i'm ready and almost ready. 3 hours got in the van and went to treatment. detox. and yes it is important to respond right away and having those relationships matter. because when someonement its they have have the opportunities. i said before as harm reductionists we don't talk about it and i mean this we don't have to. our participates are always talk anything had that looks like for them and what it would money for them if they had a chance and many had time. you know you understand. dorsey time they had time they had time they were in the using and they will say that. i have time i have 5 or 2 years. we are keeping you alive now that is next. when you are telling the users using drug what is is it for you and when do you want you see that shift and they own their journey. it is different. supervisor dorsey. >> thank you. i have a question about probably on point operations. was it ever asked to develop or work with the nypd in developing good neighbor policy or security plan. i will tell you in san francisco several years ago when we were in the process of permitting cannabis dispensaries the provisions adopt in the the police code around that was a good neighbor policy and security plan one thing interesting to me instead district i represent the last 7-8 months was how often i hear from people given concern about public safety that you know when we got a cannabis dispensary across the street they keep an eye on the block. it was a successful model they are good neighbors. there was a time in this will building cannabis dispensaries were viewed with suspension as overwhelm doze prevention cites is there a thing you put in place a policy, mou or neighborhood thing where you meet with neighbors. >> yes. we have that and it is interesting. it it is a constant aulgsz adapting and wing it is interesting i don't think of it this way. it is interesting to do it. especially as other cities or within new york city other areas want to open an o pc should we create a model with the pd how you work with them you in it is conversation i can tell you as it changes every week. it would be grit to have it on paper. for us the unwritten relationships we have we take care the front of our building don't let anybody hang out and traffic move o. they know we are open. i have police call and say sam there are people on the corner not responding to us we sense that right away. we have we have it not formalizes. there is a grade school across the street from our site and people try to spread rumors they don't know i know the person in charge. is there a problem. not at all. she would tell me and member med up a rumor. of it is important to maintain the relationship. it was not intentional we were opening a new one we would not open from a school it happened that way. they called us. they used to call the police. now they call us sometimeless in the back of their building someone may be using or early in the morning. out reach and public safety team gets out there. and that is something with our model you know we don't call new york the on point model out roach and public safety and service we offer. opening a pharmacy and offer vaccines to the community and hepatitis vaccines and treatment. a variety of other services holistic health bringing in, lot of community members. when peep enter the building they are not only ewe likewising the o pc they could come in for other things. the model on a large are scale and the block you are talking about we have a responsibility to the neighborhood and the block. and it is like an unwritten thing. it exists for sure. >> that settle ways to my next and final question. has it been your observation there is drug dealing or street level dealing that has come in because of this or was it there before is it something you are seeing? >> so i want to -- i will tell you quickly about drug deals in the street. you don't need to know how i know this. it does not work that way. i'm not trying to be wise or anything. so -- it is something i said early on to the community. like we near new york city. where we are 126th street and 180th whensoever there has been there for yers this is no way tell increase by bring nothing other dealers impossible before this would help what we will find and work with the police is a war. you will find a turf war before manage lect that happened. so -- the way and i have not been it in the way i imagine it is if wherever we go and people -- we are drug use exist in 2 neighborhoods that have had extremely high rates of drug use for years there is no one selling more we address the issue that exists there is in the an increase. but exit money it if that were to help it would lead to they would be bad and ugly. there is no increase. it is is something people trying to talk about but we know and in fact, i will say if there were that would be a hot topic all overnight news. something we see all the people dealing drugs around i look at the block it looks the same. same people you talk to the police about it yea. it is not an impact. you are welcome. >> thank you very much. >> supervisor safai. >> great. i will ask you a bunch questions but some you touched on i wanted to thank you for taking the time. i know that while you are here you are not there. and if you are not there you are not able to over see it sounds like you are doing amazing work. we appreciate your time. >> thank you. >> how many staff do you have. >> 1 hundred. >> and how many are physically on site on a daily base i. . so -- dependses we have a large organization. so -- at the actual. the o pc. that's what i how many people staff the o pc. so we are about -- 12. and what is the capacity of that. >> 1 to 4. when people utilizing the space. no more than 48-50 people in their at a time in the so -- the way it is structured is if you going to enter the op crushing you can be in the drop in center or organization waiting to use the o pc once you enter the o pc in the heights we have 12 opportunity to use. and then in harlem there are 16. we have a motor vehicle room and booths. now that i heard you say is your drop in center connected to our adjacent to the o pc. they work together. why don't you tell us how that works together. >> yea. yea. >> i hope to come out and see it but i just for the record. >> great question. when you walk in you walk in a drop in center and the front we have our drug testing. tests drugs if you want to test after. test and next door is our mental health provider or staff and you have an area for coffee and lunch and serve 3-4 meals a day sometimes 5 and a big television and bathroom and have showers and we wash clothes. got it. someone gets early drop it off and doing a number of thing in the organization while there. and in the back adjacent to the drop in center is the o pc y. got it. how much square footage the affordability of all of that what you described of that. about -- 2500 square feet. the whole thing the bottom. not the o pc the coffee and drug testing and the it is 2500 square feet. >> yea >> wow. >> okay. >> and so what would you say is the amount of your fwhaj is dedicated to the o pc. sounds like that is the not the question. it work together. what is the budget to operate. i look at it is the o pc operations now with the current schedule harlem open 5 days a week. in that schedule it is 1.4 million dollars to run operations. and anybody who was not a nonprofit knows there is work thoornd grant gives me more. i got it. one.4. the o pc combined. >> good correction. both combines 1.4 million. 24 hours where we are heading is 4.3 million. >> wow. >> okay. >> and okay you talked about the informality of the protocols with the police department. one of the things we did not similar in the impact butt debate and conversation was we saw implosion of people living in vehicles. and will there was a debate putting signs up over night camping and all it did was move one block to another. we did safe park negligent city. and we did that first in my district and one thing that we did is reached out to neighborhood leaders and the folks and built support for this first. and then rolled it out in i community meeting and -- third a third. approximate and you am bring our community down. um bull the pd the fire department, health. public works was a design level of communication from the beginning. do you have du on that or has that developed? do you have your neighborhood leaders and folks that work in part you can go and say if someone were to try to pull down or be the once not in favor of or may be that way and evolved to your big supporters. why no. we don't. we were the city opens were 2 we have 700. and -- and it did not help they did not pull it off. the city met with community members we talked about pitch footworks a higher rate. but also a very challenging time we are coming out of covid and in covid and talking about opening this. communication was all over the place and i think that fewer showing up to the meetings m. we were not in involved. we offered butt city wanted take care of this and from the health department approach and talk about what you know and meet with the communities and what it it is they were planning on doing. i will say after we opened the community felt wait a minute you talk and did it. we were not at the meeting we had to do clone up. with the community. was not easy and still difficult. there are people that no matter what they have their vision and view. it it is heard to sthift and sad to experience. we can give them the data and show the impact we are having and some upon still say no it is still the same. we manage that. we know from our work that it it is not. so yea it it is always a challenge. >> you referenced a drug deal and drug use and the doctor referenced it -- documentable indisputable decrease in crime. you documenting do you track their road or journey from that point forward not to recovery i don't want to misuse terms i hope they are on a path to recovery once than i come in your site. and have you been able to measure some success. >> yea a report in february i will share with you guys. we were blessed by our staff created an app the upon send sxaem what that allows you to do when a participate come in they get a bar code and everything they do when they are with us gets tracked. you put it on and tape it on anything they want. and so they come in and tell us when than i want to do and wave it on the machine the phone. and they take a shower gets electroniced had they mote with the case manager the manager says you are doing this and going here and that. how is this going? all television ends with the case management and their ability to navigate with the participate. our participates who come in are not focussed on the o pc 87% of every person utilizing it utilized other service. active drug user this is is wild. 8587 is just and it it is because of the relationship and we tell them this is your space. this is built for you. when are you going to do. >> and we find them using more and more. you know look at money saved we are looking at only over dose. but imagine this. when i first started at on point 2-1/2 year ago i talked to participate and they tuck body doctor li. where is he located the er of >> that's not wonder actively is expensive. they see doctor li in the er they are receiving followmedical care and navigate and negotiate with the doctor so now they are getting a pc p at a local hospital it is huge savings and taking on their journal and he feeling positive and saying i have i doctor now. some that is a normal thing you do. for many of our people that is a win having a rep with a doctor you see a couple times a year and have annual that is a victory and change in life. >> decrease the emergency room visits and over dose what about measuring decrease in drug use and or how people are approaching that. we want to help them on their road to recovery. do you measure that like you mentioned the gentlemen that said i the work for you now and say that and you said he measured in time and that might number many, many years of being sober. are you measuring that. i guess this is when. >> um will i am you think the person leading the evaluation in new york. [inaudible] i am part of this team. you know the -- best way studies of people in the neighborhood and are not using it not just following the people who go to the site you want the cernel point that is help nothing the community if you don't go to the stye. they are planning. that is part of the planning there and in fact the will evaluation there is planning on comparing people who go to the syringe programs there are few there, too. and comparing those to the people who go to on point and follow it see what happens with them. >> that is helping now >> yes. it would make sense. it opened good to see you were. >> funded by the new york health department of they can funds the studies. thank you. >> this it is a guy reese when working for us doing this new thing we keep every piece of paper that come in to the room every time a participate fills out when they will use. a couple of times i walk immediate and see him going through paperwork and showing someone when they were using sick months ago and the amount and how and it it is i am like, i started to do that thing. they can reflect. they are using less or different low. those are what happens this are amazing. >> i would ask one other thing you said the calls you like to get is the twhoon says o pc the detox do you track the people after that point? unlike i will say this. unlike providers we do. unlike treatment providers. many if not all treatment providers base success the person while in the program. harm reduction we work with people for as long as they are alive temperature is different. that data is also helpful. if they are. >> yea. >> electronic behavior. one thing we see they something like show off. look i have been in detox and doing well and that is wonderful we celebrate with them. one of the other things is that so many staff members and friends and people in the work if you hear the story tell blow your mind. and i don't get in the personal story dope low our manager of our holistic health program who is like the e pit me of health, black bechlt you name tell he does it and because he is in the holistic health program and people come in and healthy. he gets questiond and here we go in the tool belt. we are you we got here buffer. you saw me when what i was dog what i was doing why do you think i brag to mom i'm doing this work because it it is real. change is role and change is you know -- the ability to change and become a better person exists. >> we goat do that. >> thank you, chair. why thank you. supervisor preston. thank you chair robe extent thank you everyone for this conversation which i think has been a positive one and informative and thank you for all your work. i did. to follow up on a couple things one is -- i think you referenced having an agreement i don't know a formal agreement or informal with the da. at the time that you were startingum around. the nightmare no one criminal to a site if the police are waiting to arrest people for using. am i wonder if you can e will beerate on what kind of agreements are in place formal or informal with police and with the da. around not prosecuting for possession use on site, possession of paraphernalia, not just on site but in transit to and from the site as well as not shutting down the site. >> sure. the police informal. they are like it is hard. it it is tough for police because it it is hard to separate new york police are presifrnths its is a city thing it is informal it is know agreement. we have 5da's in new york 4 of the 5 signed off officially with the city that they will not prosecute the folks coming, folks moves in the neighborhoods and moving throughout neighborhood with their paraphernalia coming to our site. low levelful drug possession. public drug use instead an opportunity for them to come to us to the points the manhattan da said even if it was machine come to us than i have an id and information he would say we are not going to drug court. none of that return to on point and contact my staff and i will drop everything here. that it is community work. . and so you know we have 4 out of 5 the fifth i will not get intro there it is a place called staten island in new york. we will not talk about this accomplice the other 4 -- signed off. >> thank you. and you were talking to the district supervisor district 5 my home town is new york city i know the dynamic. born and raised and know the dinapeck which you speak. i wanted to ask if doctor crawl could comeum. i'm curious whether in terms arrangements with police in the other sites that vehicle studied does it tends to be informal. these can't function if there it is not some understanding. i don't know if you can address that. so. the only government sanctioned sooirt in the united states the history of it is new york site and if we count the tenderloin center provided that. there are not other cites where we can talk about when the da may have done or police the country you know things run different low in the united states in the parts. i can speak the first on government sanctioned safe consumption site in north america was in vancouver that is now -- 20 years ago. that was per of the mayor effort that was part of an everybody signed off on that and it they signed off at the time by the canadian federal government as well. of as one of the things they did there. at this pin this was all signed off inform europe things work different low and australia as well. i can't comment on that. i assume they are all part of it in those accomplices. i have not heard from the europe an cites the police are not very involved than i seat healing innervention and not their jurisdiction. >> thank you very much. and i will guess the comments that it it is important for us boths with the da and the police department encouraged by comments from sfpd about the general desire to partner and support. the effort that is a good sign. obviously we have a police department that is urn control of the mayor. and we have a da inspectly elected and so not here today but i hope be grit to get a signal and statement and commitment around similar partnering. and along the lines of what mr. rivera described as the informal arrangement in new york that it is essential in terms of as we get something off the ground. making sure. i did want to add back to mr. rivera. i want to get back to -- chair ronen referenced the -- what is our barrier here. like get in the heart of it. there is consensus and we are not room. so -- how on point is navigating the nvm these issues. i money i hear about the risks to the city and concerns and legal issues i hear the major's office. but you are a nonpoverty. board of directors they have duties. you have legal rep representation and we know operates there is a gray area. right? practices and laws e merging on this point. how big is your budget >> 17 mission. you are a 17 million dollars organization. i'm supervisor city with a 14 billion dollars budget. i am imagine if the doj or attorney general and state of new york or someone else came after your organization your board members are in say don't have the resources and probably are putting at risk. the existence of the organization and live lihood of folks not to minimize the risks city jurisdiction might be under. i appreciate you taking that risk and encourage you to dot samism heard you reference on the public money where i understands it no public money is used is this for the over doze reflexionth vention and you as an organization. minimize risk to open and federal legal is to may be change titles they are not officers of an organization. i'm an officer to keep people alive when i meet attorneys i become friendses with them in case. i met 2 today. guy fist i need you come help. and but it is real. right. it can happen. the city now is in risk in new york because what we are doing is reflect the federal law and the stele is not funding when we do the question is perfect and my colleagues asked. what the city did well for us i have to acknowledge it is they could not funds the o pc the organization group all the services around the o pc grew. and we were able to offer more. so had i think of the model in new york i think about all of the services attached the o pc. we grew in the last 2 years by over 10 million dollars. in nagrowth of able to offer more services and more to our people. so it is important to that were if you fund an oshg pc had else are you funding in addition so those individuals many want to see do well and move on and not use o pc for a long time they have access to other services that are key. health and prevention and case management. documentation. depending on where you are located. new york and san francisco are similar participates have similar needs. city funds everything outside of the operation of the o pc. and we fund raise the rest. >> thank you. i want to clarify back to the mayor's office representatives i seen we lost one. but when the mayor's office said the support for the new york model i want to clarify if that is what is being said that we would the mayor's office ready to move forward now tomorrow with if not public money directly funding the over dose prevention services. right. and you had a private provider. this, that green light. i don't think there is a bear wherever to that is had they are doing in new york. and i want to echo that my concerns as chair ronen said is this i think the offices the supervisor offices have felt a bit like we are chasing our tail here in terms of finding sites and red and having it not move forward. i think it it is important to come out of the hearing knowing are we on the same page that when we work all of us that want eagerliment the cites opening in the neighborhoods. thap that moss as described with public monetch i'm not saying this the model we do that model with private nonprofit operated public money not being used for over dose service that is privately fund raised and up to that provider how they deal with that. is there any barrier to getting a strong commitment here and now from the mayor's office we are ready to identify the sites and mruf forward. we all read the media and talk to the provider we know what happened in the last weeks, right. and that's not the message. can you gives that message today? >> thank you. on that again i defer to the city attorney's office to help us understand if what has been propose exclude what you all are describing is what i understand how we set up the funding for this. familiar what has been proposed we are ready to operate is what is legal. and again you would defer to the city attorney00 that question specifically. >> can the city attorney answer. i don't want to see the ground you can't use public finneds i don't agree with that necessarily i think it is clear that if you don't and you don't use we just what we operated the tenderloin center for most of a year. like i'm like who are we kidding you can't involve public contracts. it seems the clear path that we could open one immediately. is through this model. i mean unless the city attorney -- yea. -- i don't know. not addressing the more complicated, about public funds for over doze prevention service at a site. can you address publicly and understand some of the issues? can you address some can and in can'ts. but address the moss as described? we are trying to finds the barrier here holding us upch >> ann pierson i will echo the thank and remarks made how wonderful this experience has been. thank you very much. and as you know the role as the city attorney office to provide legal add voice to all departments we do that confidentially and so i cannot disclose advice here that said the city attorney has expressed his support for the new york model which is what you heard today. he expressed support for an organization that like this twhon does this work. so well and with love and weapon a city partnerships you heard about from mr. rivera with the police, health department and parks department. he has expressed support for this model. >> so thank you, for not only comments i know you have a bit of knowledge personal low on the issues and appreciate your council. i guess i want to get back to if you are a member of public watching this you would ask why don't we have 5 cites open now? everyone is saying the right thing. right? so >> nothing changed upon since -- department of public healing produced a plan calling for wellness centers the mayor blogged about desire to open them and adopting this plan. the law has not changed since assessment. we are hearing from the city attorney we are not hearing a public, no we can't agree related this. we are hearing the general support of for this model. back to the mayor's office. who frank low pulled the plug on this model in the district 9 supervisor's district. i like -- are we ready. is there anything else stand nothing our way are we ready to move forward? what is the time line? it sounds like we mead to get in specific discussions with the da that cannot help in this public forum about how to make this happen what are the specific legal barriers and i cannot speak to exactly what those are but i can say on behalf of the major's office we are communisted to figuring those out working through those with you and as soon as possible. >> i will not belabor point. we are all judged by our actions now words. everyone of our offices and all of you and we there are no barriers here. there is funding we know from our d. public health from our prior hearing there was funding to open a replacement for the tenderloin and miles an hour funding pursuant to appropriations that chair ronen. >> settle am machiney >> and seth am money. there are actually no barriers the conversations with city attorney's office. i will not get into conversations except to say they have been going on for among this is is not new. we know what we can do and can't do. what the city attorney office will sign off on what they will not. we know the risks. we know what how to minimize those. we are ready to do this. either in hopeful low the mayor and chair robe sxen supervisor dorse and he myself and all the other cosponsors and folks involved are announcing the first site promised for 20 upon 22 and announce nothing early 2023. before i turn it over to the new colleagues i'm excited here i have one question a follow up from supervisor preston's question. that is -- what action did former mayor de blasio take to opening statement cites did you work with him closely? did he was he a supporter? >> he wrote a letter. >> a public letter in support. and then you so -- he -- sanctioned the cites. >> okay. >> and he did not put in barriers >> great and one last question. on point has a 17 million dollars budget. the budget for currently for the o pc is bont 4 million. the 15 penalty sick million dollars that on point respected does this come from the city. >> most but in the all. >> grants, and this is vast majority from the city? >> yea. approximate again i want to acknowledge that the city to stp step and up fund us knows we can't fund the o pc but gift organization life. and be able to provide those other service the key service. including nutrition thing catharsis important. it was huge for them to step and up do this. >> mayoral change in new york was there like you have been operating but -- now over 2 administrations and the city supportive under both. >> i was worried we opened 2 months before the new mayor was starting. we were trying to reach him and partners got him to tweet. tweeting t is good tweeted his support of the when he dmam we met with him he visited us. >> visited us and shown support and i'm working with him now figuring out how to get that opioid fund money our program. >> fantastic. has the city attorney of new york, at any point. >> no. i want to offer my >> busy chasing trump not messing with us. >> true. >> i want to offer my thank to the city attorney and the 2 mayors of the city of new york for stepping up and supporting your organization. to save how many lives. 700 lives that serves applause. i will allow a rounds of applause. okay. mr. engardio and open for public comment. thanks for waiting, everyone. >> thank you supervisor robe sxen thank you for inviting mow to learn about your proposal and the hubs and the new york model. i have questions for the folks from new york. i want to learn more about the metrics of success you have you might have had before you started we our department of public helling produced over dose prevenning plan on page 8 it states goals. one goal is to tame to the reduce fatal over dose by 15% city wide by 2025 i'm curious du have a goal to for percentage of rusing fatal over doses do you remember. iot only thing we moved on was the de blasio before he left tried open 4 cites 3 years before we opened ours and wants 130 over dose inner vention in 4 cites the first year with 2 cites 633. we saw earliol that the amount of folks they wanted to register and utilize the cites we purpassed that in 3 months everything written for 3 years prior we surpassed within 3 months. did you have? because 2 sites and 2 neighborhoods and we did not combhup the rate like that. i think we were worried about staying open and not getting arrested. >> we keep operating. and it kept growing. >> there are 2 things going of one is the amount of saves over dose at the site. i think your questions city wide >> how much to reduce the fatalities. the difficult piece is in there is a lot of factors to drive where there are over doze death in the city. snowboard dying at the psy that is an important piece >> more cites being help reduce the number of death over all. but not e eliminate the deaths people will die from over doses outside of the cites. exactly. other circumstances >> and you know our estimate outside in the community in san francisco about 7% of over dose are leading to deaths in the community at this point. >> and i want to mention i'm a believer in the full men useful options. because human condition is complex. addiction is complex. not everything will work for everyone. i like the today of a wellness hub tell save one person life, great. i'm curious about those who are not in the wellness hub who lives are not saved a matter of having more wellness hubs or different ways to proib to address the issues. i thank you it is a great question. because than i got, lot of things going on here. i think that you know mayor breed had a safe injection site task force i think 2018 there was 12 of us on that including the police department on that and the recommendations that came through from that this is now 5 years ago were for there to be several of the cites and i think the thing they heard from sam and i know from visiting new york, you talked about not a line outside and that thing is that you know, in order for this to impact significant cannot low in the city, you need to have demand and supply meet hire. if you have one small site that is not going to take care of the problem for the city. i do think from the recommendations of the task force that the mayor breed had. you know you will need several of these. the more you have, but this it is not enough to take care of the over dose problem. there are other things per of the prevention plan that the doctor had and there is a lot of other thing this is happen exclude narcan and drug treatment is person. increase that. there are thing this is need to happen to decrease you know from when we see now 700 deaths a year and again. i said earlier by -- you know 5-6 years ago that number was 200 back when we started track thanksgiving and i was here doing research in the late 90's. you know we were below hundred. so there are other factors at play >> did you have like a percentage of where you wanted to enroll people in receiving medications for treatment. did you have a goal? we our goal is 30% to enroll in medicaid treatment. du have goal sns >> this would be doctor would have to speak i'm a researcher and you hear talking about the science. doctor countryin can speak better to that. are we allowed ask. >> absolutely. i know we need to we also have 8 other items on the agenda. so -- i'm -- my questions are specific for the general public are just when you electric at numbers where our goal is 15%rous over dose and 30% enroll am people wonder why only 30. i are asking important questions we have certainly thought about and aim to set ambitious but when we thought would be realizable goals. i want to to repeat when doctor crawl highlighted important low not top willic of this hearing is safer consumption hub system one component of care and services. taylored meet the needs of the individual person. aiming to save their life. support them to enter recovery. and to do that using schools and tactics this the person is interested in and red for and -- to reiterate, done with love and dignity and he respect. so we would be delighted myself and team to come talk to you more and consider and think and appreciate the opportunity to grapple with questions you raise. >> i appreciate that and the sake of time i will stop but i want to point out i think helpful to complain to san francisco the value of this program. because any life saved is you can't put a dollar on. people ask or want to know if our goal is 15% reduction are there other programs that can save more lives that we can also fund. had is the balance. yea, look forward to learning more y. thank you very much and i will reiterate that when i went to visit the tenderloin center in the early operating it is sounds so similar to on point. and love and dignity that he the staff and everyone at the tenderloin center provided was the palpable you feel it and see it and it was -- extraordinary in that way. . and we were at the time 11 monthses open i know the doctor was contanly experimenting and changing things to make it work better. we were on our way to new york model and then you know the it was cut off short and that's what this hearing is about today. we not only want to restart what was starting tom happen in san francisco. we want more of them. we need more of them. there is in the alternative solutions unfortunately will. for this crisis. deputy chief pane from the fire department operates street crisis units that operate 24 hers a day 7 days a week and deal with people using drug and mental health crisis on the streets the problem is there are not accomplices to take them. and so one of the place was was the tenderloin center. weep don't vice president that anymore. having for people that are not ready top enters treatment yet a place for people to go where they will be treated with love, they are off the street. they are make relationships with people and getting medical others had medical care. this it is part of it. and we don't have that anymore in san francisco. that's what this hearing is about. we want -- the says past is the past am look forward when we want to do looking forward is being inspired as we have been. by mr. rivera and new york. sam and the community some of whom you will hear from a huge shout out to the san francisco aids foundation and gubbio project and health right 360 who helped put this together as well. and with that i thanks everyone so much for patience. i do want to mention another thing. i love this. we never done this before where we had city staff all sit there brought outside expert in and had the outside experts teach us not only on board of supervisors but for other city staff and give city staff the opportunity to ask questions like we have. i think it works really well. put thanksgiving out there. you know well is a lot of thirst. a lot of first in this hear and this crowd. i will open up this item for public comment. we invite the public who wish to peek and join nothing fortunate start lining up. for those remote call 415-655-0001. access code: 2499 104 6355#, press star 3 to enter the speakers's queue. good afternoon. will my gratitude to you. thank you doctor crawl and director rivera. in 2018 glide hosted the safe site in a year before the city safe injection task force doctor crawl mentioned delivered over all recommendation to impelement surprised consumption service. every year since the over dose crisis intensified. stigma. criminalization and misinformation some continues by city leaders discredit article and deing bunk studies. result in the over dose figures we see today and the reason we see the figures fall is because of reversals and the efforts of under funded harm reductionists and volunteer. delays term nigz of services without care and policy violence and ignorse the daily deaths and evidence in support of consumption and safe supply. vulnerable neighbors and loved ones and those at homelessness and substance use experiencing the bruvenlt consequence. supervisored consumption saves lives. saves lives people who would die alone and the science is emphatic cost effective. the programs work. i urge to you implement wellness hubs city wide and scale. thousands voluntarily access the services at the tenderloin center and the hundreds over dose reversels a need in san francisco and just how powerful the proven public health interventions can be this included people experiencing homelessness and housed who safer [inaudible] and instead of using isolation. there has been community consultation on prevention centerses and mull pull commissions and task force concluded they are necessary. san francisco has drop in center this is provide respite. bathrooms, showers and hundred dollars row and benefit navigation and connections toions and housing. the city support is rivered make centers happen including the mayor, the board and the city attorney's office and the departments. e sfol meet the level of need that exists in the city. as we heard during this is possible to accomplish this new york has done special already done at the tenderloin center. the city can use settle am dollars and splice. san francisco face a crisis of over dose deaths. we have expertise to confront this if the city acts with speed required. thank you. >> hello i'm shebum a public policy manager home rise spicht how doing in the staechl i'm here as a member of the treatment [inaudible] coalition urging to move forward of the wellness hub. it it is urgent and intervention this meets the need to get pep in treatment. we have seen the impact of the tenderloin center. to save the lives of people who mattered to someone else. safe consumption cites are engaging people who use drugs in many ways whether to get access to health care or get them in the right treatment program that supports them and where they are. the key part is engagement first. building trust facing homelessness and those struggling with diagnose does not help over night temperature can happen and a setting open to all who need it a place with people who are there to work with individuals, case manage and educate them. shirr resources to get close to making the right decision about the treatment options that work for them >> there it is no data to say increase the amount of drug use itself or that they flult high rates of local drug related crime. we are luck tow have policy experts and programs who help people reduce use. all we need for the board to be brave. the mir to be bold and push this forward. we need to be bold enough to take this chance and open wellness hubs to honest or lives of people lost waiting for the state and federal agency to intervene our focus should be on knowing the need for treatment what is visible and missing when we need to work on as a community. thank you. >> thank you for sharing your comments. next speaker, please. good afternoon supervisor thank you for this hear and thank you supervisor ronen this was great. now we need decisions. please. from everyone -- not just talking. i justment to say before i lose my 2 minutes the people who are missing here and have to be in this partnership is housing. going to treatment. and then you are stable. and you have your goal and then what happens. that component has to be in the daily problem solving and has to be in the future. and that is what is missing in san francisco. the other thing that new york offered and was mentioned earlier by director rivera is that they changed the narrative on what is safety. don't forget that. this is when we are doing in the room today. i represent taxpayers for public safety and that was the first thing we worked on. that's when we had to work on for lbgtq+. stop resting us. that's not public safety. all right. so that is what we mead to do. and i want to say to honor director cunnings when she came here on her own. she said engagement first. director rivera said partnerships. they are innertwined. the upon person who wants services and a lifestyle they respect for themselves means engage am first to participate in choices whether it is [inaudible]. advocate for say consumption accomplice in the united states. [inaudible] keeps near low happening -- an election of something and he wills the back burny [inaudible] in the procrastinations. and a favor and another move am of procrastination in spite of [inaudible] around the [inaudible] everybody knows they work. the evidence is overwhelming. and for people who -- have not read i recommend you read doctor vocal who the head of the national institute of drug abuchls wrote, making addiction treatment realistic. >> quite a short read but punchy read this will make you feel more educated on the subject. a person came late to embracing harm reduction there is new [inaudible] the false notion are going to disservice to the health of everybody in the city. can we move from the talk i hear that song coming on. we will run in [inaudible]. this is not intervention -- get it on. thank you very much. next speaker, please. >> good afternoon supervisors sarah short i'm speaking on behalf treatment on demand. i remment to thank supervisor robe then was an informative and powerful hearing and having sam here to speak up how this can happen suspect when we needed thank you. so you have been a lot come to public comment and there are sayings we hear things like no time to waste and we can't ford to wait and a matter of life and death. i was thinking what i would say and thinking you know it is important to say this is a case where that are literally true. not. whatever but it it is a matter of life or death in this case. we have to issue very, very clear about that. save consumption centers save lives and reduce deaths. like it it is not more complicated then and there that as we heard today. auchls today we have seen we can do it. again. it is clear i think we had a sense of it. now we know a lot on how this can be done. and then there is evidence -- and we have a mentor now a model we can draw on them. and so -- shows us is this this point all this standing in the way of make thanksgiving happen and saving the lives is politics. politics is standing in the way that is it. i want again be clear. we have a choice to make, is this you know the choice i think is are we going to choose life? or politics? and i ask you to think about this. you know heavy low. i think it it is what is boils down to thank you. thank you. next speaker, please. >> good afternoon jennifer. thank you supervisors for this hearing and supervisor ronen for the alternative format appreciated that. not sure i have a lot to add from what folks are saying already but just to note that -- for the on on coalition homelessness perspective we are correspond around that intersection of homelessness and substance use. we are concerned about the rising proportions of people who are homeless and self identifying as issues. and it is irrelevant a situation where -- people are experiencing moment in their lives. and different moments they will need different things. went homeless community the need is diverse. and so having, lot of different kindses of interventions reaching people at different moments is effective. there has been this -- really for me just strange i my mouth dropped open the debate around harm reduction to me is saying we are debating whether we value people human dignity is that up for debate in but apparently it it is. and so i think for us f we seen a loss in drop in capacity. in our homeless system. we seen it more difficult to engage folk in services especially suffering from high acueities and that this -- this modality the you'veed wrapping our city arms around machine and get them to the accomplice they are trying to get to thank you. thank you. next speaker, please. i'm lydia. i'm the executive director at gubbio project and here to say we are ready to open a site. so we are able to take on the responsibility. we have a staff that all have learned experience who have been here and willing to take on the risk because we love our people. one thing that i heard today in this chamber you don't hear is the word. love. we heard it many times. and i think that is one thing that sam brought to the table is that is about loving people. you know. and supervisor ronen you talked about this whether this is the same san francisco. every day in the work i do with people in deep crisis, who have been abandond and in dmrekted i see love. i see love. and this is about love. you know when people get angry and say horrible things the anger is expression of deep pain they don't know how to cure the ails when you walk by someone on the street who is suffering it makes you mad you can't fix that. this is an opportunity for us to fix a bit of that. rights? saving a life, being present and a part of people's lives. welcoming hem in our services and giving them the life that and respect this tha their dignity inahern to them as an individual deserves. thank you. thank you for sharing your comments next speaker, please. thank you lydia. >> good afternoon, everyone. i'm also on the board of directorless at the gubbio project and involved in things and including the tenderloin we got an officer in the put. you know we can't over use the phrase you can't make this stuff up. you can't make this stuff up. 100 block of turk an hour ago. we lost an over dose victim. left night monday night on the way home from bart in the old pay legals at market and fifth over dose death. we can't make this up. well is a new drug on the way out here that is going make it a joke. we have to be ready for t. we have to be clinicians and provide a safe issue clean, clinical pot that is mimicking the one in new york i flown to new york twice to visit on point it is amaze manage. we in california silicon valley we think we are the best we got it going on. but we can't do this. why not? we can. and i want don't want to go in on sarah short but is it politics. i know it it is rough but the politicians going in mechanic shop saying mechanics. but there are good politics ooze the good politics to get this done and not talk i know this is budget of finance it cost a million dollars a patient to deal with stage 3 cancer what is the difference we spend a million dollars on getting someone. walking down the street earlier today i saw my clients in tenderloin longer and whistled and said you know an ain't seen you where you been? am i'm clean. i don't do that no more. i just -- it was i wanted hug her. >> opportunity to hear that more in the tenderloin. thank you. >> next speaker, please. before i story your time this last call for any in person speakers to lineup if you want to provide public comment on this hearing. we will not open it again after this speaker. >> thank you. hi. i'm curtis bradford long time tenderloin residence sxent and community organizer. i have been doing this w for a decade. lived in the tenderloin for this time. and you know what bothered me we talking about safe consumption cites the entire time. this conversation was in the tenderloin over 10 years ago. i have been working on this issue. i begin testimony dozens of types. 5 year ago mayor's task force gave recommendation and the new plan. this is why i say you can't make this stuff up. what happened in 10 years thousands more people died. and now i'm sorry i'm not doing this to mean and say we need to talk to the city attorney office. like what have you been doing the last 10 years the rule and lus have not changed. before we can't because trump made trumps. trump is in the there. i'm tired of excuses! we know how to do this and know it is doable and know it saves lives sent people to vancouver and new york and people are still dieing and hearing excuses. so it does not make any sense to me. i watched my friends die. i revived people on the walk and i failed to revive people on the walk and i'm done hearing excuses. thank you. thank you for sharing your comments. seeing no other speaker in thes chamber we have 8 callers in the queue listening and 3 in the queue. >> this is eva from harp em. can you hear me? yes, continue. >> so i was the greater harlem coalition a grass-roots organization base in the harlem. comprised of 150 local organizations including churches, associations and business associations. and we like to give you very different picture than what on point has painted. all of our organizations are not a game harm reduction but [inaudible]. we need advocate for responsible harm reduction that is not when we seen in new york city. and -- i think you know if you proceed with the hearing when we urge you to think about is how much [inaudible] residence denials and businesses not heard we call newspaper and they are too afraid what is happening on the ground. the safe injection site was the magnet to attract more drug users in an area over burdened with [inaudible]. think about it. in san francisco, i are you opening a safe injection site where mark zuckerberg want to live. no. they will be open in neighborhoods of color. low are income neighborhoodses people like in greater harlem coalition we don't have a voice and all dito sit her and give hear nothing every hearing you hold. we are not professionals we are here to tell you when we talk to the police, police are not happy. fire department not happy. local businesses represented by our business improve am district look it up. 125th street district. and -- they are not happy. i apologize for cutting anybody off everybody gets 2 minutes. next speaker, please. [inaudible]. >> supervisors, first and foremost, listen to the comment was speaker from harlem. number 2, i see all the presenters including those who are representing the san francisco police department have left the chambers. i want to tell you supervisors, and the city attorney and the mayor that they are not doing a need's assessment a cartel that has over 500 places or units in the east bay. 200 in san francisco. [inaudible]. flooding our streets with drugs. and not once have y'all given the statistics to anyone because y'all are not fit to do a need's assess am. you supervisors have wasted over 30 million dollars on the tenderloin center. you supervisors screwed up thing in laguna honda killing 9 seniors. thousands of people died and thousands of people will die because y'all have no idea that drugs coming in now. you are thousand times more powerful than fentanyl. thank you very much. thanks thanks. next speaker, please. hello we hear you. we hear you with00 autobroadcast delay in the background. perhaps we can come back to the caller. good afternoon board of supervisors and other guests. this is ellen grant my mothers against drug addiction and death. we share off the goals and there are many wonderful aspects of these consumption cites what is tough for us who have kids on the street in addiction is that you are doing this before the infrastructure is built around treatment. for the last decade or more there hen a decline in treatment people in treatment. be even as the homeless crisis has gone up. of the whole budget 600 million dollars we spent 75 million dollars on treatment. few people get treatment and that it is why so many people are getting sicker every day. there are an example in a board of supervisors meeting from the -- criminal justice department. they said that there are 850 people wait nothing jail because our treatment beds if we are trying to be a taking up criminal justice hero what is that about? come on. we have 500 besd sanctioned and we have thousands of people with addiction crisis. so our focus got to be on treatment. and the other problem that has been completely you know not -- clearly reported is the affect the cites always have in vancouver the first in north america to open a consumption site the share of deaths from 2% to 4%. in 18 years they had nothing to do with fentanyl. because people dobb congregate don't use it. thank you for sharing your comments. next speaker, please. hi. can you hear me. please, begin. >> i'm seth cats a commune mfbt tenderloin and i think that it is interesting and i'm grateful that folks are talking about how harm reduction and treatment are innersectional. i'm somebody who was a person who used injection drugs for a long time. you know since a teenager and it was harm reduction that you know and does in the bring everybody to sobriety to live a successful life. and -- it was through -- the unconditional love of harm reductionists and justice. that i was able to -- get to where i am and then be able to -- you know serve my community in this way. i think that there is misinformation there is no acstoesz treatment if people don't want it in harm reduction because that it is aloment of what we do. >> thank you. >> thank you for sharing your comments. next speaker, please. >> this is reverend deyoung a priest in san francisco st. johns the situation on the street it is far worse for people to use drugs people are dying at rates we have not seen in our history. and seems likely next year will be worse with fentanyl and heroin and other opioids. this is a cliche but it it is true. only through meeting each other where we are and know thanksgiving we are beloved that we can change one another for the better. that is true of me and each one of you in the chamber and people using drugs and wanting to choose healingy options and don't know where to turn. people who use drugs need options to be met where they are and save skuchlgz a lowent row to making choices for health and connected to different options for greater health in jobs and communities. the mayor take courage to open i know you are not here i know you can do this. please. mayor and all the supervisors work with us to make it happen to improve our city and to save lives. thank you. >> thank you firefighter your comments reverend. that concludes our queue. item before us the prevailing wage for category in support 21 of the admin code i want to thank you officers enforce am for appropriating the survey considered and adopted at the civil service commission. setting the rate system cristical they provide for each city contract. clear clear garages by the security firms and local 87 and uhw. or excuse me -- i can't remember. united service workers west. and mosconi signing display and moving services. done by teamsters as well and more are covered. generally speaking collective bargaining agreements negotiated by labor represent the wage rate of wages in the jurisdiction in sector organized. you can see this analysis in all the report. and there is one minor error i wanted note. that i believe we were able to fix in the health and welfare level should be 7. . 22 an hour rather than 7. . 01 i wanted to read this in the record that was fixed. and with that i will ask clothes to support this item. if there is anything from the bla. hear from the bla >> thank you chair ronen. nick from budget analyst office. as state third degree resolution fixes the prevailing wages employee in classifications note instead resolution. we detail the changes on page 7 of overhaul report we consider it to be a policy matter under the code the board with consider other information beyond the survey provided by the commission. >> thank you and you will pat mulligan is here i don't know if there are questions if you want to (anything? >> thank you. again, therapy annual approvals it includes the 60 almost 60 class ifkdzs for the recognized the california department of industrial relations and 3 times as many subclassifications. policy -- uses the same processes at the california department of industrial relations and the united states department of labor and putting together our submit at for the rates for classifications unique to san francisco. can you open. did you finish? >> i'm available for questions. >> thank you. >> wonderful. >> no questions. open this up for public comment >> member when is wish to speak in person lineup iffure cal nothing call 415-655-0001, access code: 2499 104 6355# and press star 3 to enter the queue. public comment is closed. i wanted to i got a question for the city attorney for the record. the -- the document referring to was the administrative code section 21 janitorial services when prepare today had the health and welfare at the incorrect rate. so i read that the new rate in the record. is this in the report or -- >> handed out by the clerk. i want to make sure we knew. not the resolution amended but the documents. >> correct. >> and okay. >> that correct. >> yes >> nodding head. >> okay. >> we have a copy. >> thank you i like to make a motion to sends this amended item. do we make ail motion. >> motion to amend as read in the record. >> no amendment made to the resolution itself i think the referred can reflect we correct third degree and the include in the file. >> great. >> mikhail motion to sends this to the full board with positive recommendation. >> yes. on that motion to forward this to the full board positive recommend az voice chair safai. >> aye yooch member melgar. >> aye >> chair ronen >> aye. >> that motion passes unanimously. read item 3. >> item 3 a regulation lose human service agency to apply and accept the county allocation award from the california development of housing under the transitional housing program for amount up to 4 million and housing navigation and maintenance program approximately sick 07,000 it help young adults min tain housing. member joining remote and wish it comment call 415-655-0001 access code: 2499 104 6355#, press star 3 to enter the speaker's queue. >> madam chair >> thank you and i read i believe motorbike online. yes. >> hi. >> good afternoon. >> good afternoon. thank you for having me. i'm from the san finish human services agency and presents item 3. to, ploy for accept funds from the california d. housing community development for the transificational housing program. and housing navigation and maintenance program. the california development and community development issued 2 funding opportunity to help young adults and child welfare secure and maintain housing. left year awarded funds for grants to help the young adults and child welfare system secure housing and the state allocated monies for the programs which is why we are coming back for this. as i stated the first grant is over 4 million dollars. current and form are foster care ages youth 18 to 25 and the second is about 600 thousand dollars to fund housing navigation services to help child welfare young adults 18 to 21. and -- the young adults are child welfare face challenges with homelessness in san francisco high cost market the goal is to reduce homelessness and foster youth work with the department of homelessness and supportive housing and the san francisco housing authority. service this will be provided include the following. support funding and applying for -- housing. in prehousing direct service. move in deposits and housing subsidies. housing support and and a halvinggation. retention services and linkages to the youth homeless system services. the resources will be available to support up to 75 foster care youth. and -- to reiterate they are reauthorizations we tends to the board last year and had acceptance and -- resolution for the allocations and they are increased amounts. thank you and i'm happy to take questions. >> thank you. i don't believe there are questions open this up for public comment. >> clear clear administrative ar members of the public who are ar joining us remotely and wish to comment. please call 415655000 enter the meeting. i d 24991046355 and press pound twice once connected press star 32 entrance speaker line assistant probably indicate that you have raised your hand when the system indicates you have been in muted. there will be your signal to begin your comments. madam chair. hmm. all is jennifer hands here. thank you. see if my massive laptop fits on this podium, alright? alright great. thank you so much to the board for allowing the opportunity to present on the community economic resilience fund surf program today. my name is john han. i'm the workforce alignment manager at in the project manager for surf. so today, i'll briefly overview the state program, the purpose and membership of the bay area, high road transition collaborative and our role at dubbed as the fiscal lead on behalf of all bay area counties. as a response to covid 19 economic distress a couple of years ago, the state agencies established surf to invest $600 million in community led economic plans and programs prioritizing policies for racial equity, carbon neutral economy, job quality and, most importantly, high road training partnerships with labor. to that effect. i would be remiss without acknowledging our partners at san francisco labor council who had joined us earlier today. many things to executive director kim tabac leoni in the central labor councils who have been essential and critical partners and bringing these resources home to the bay area. the state is established that regions and the bay area nine county region has been awarded $5 million in phase one planning funds. this will allow us to establish our bay area high road transition collaborative, um, also known as the hrt. see the h r. t. c will be responsible for competing for the 500 million available in phase two funds. as well as endorsing other phase two applications, which are consistent with the plans that will develop in phase one. r h r. t c includes nearly 60 partners across all bay area counties, all of which are listed in our acceptance expend legislation. our convener will be all home, which was a housing focused, um organizing organizing, community based organization and the fiscal agent is the very good jobs, partnership for equity and association of all bay area workforce development boards. with the fiscal lead the h r t c already has a 21 member steering committee, which includes community labor, business, environmental, government, workforce and educational representatives. this group will oversee all planning and program development as well as the activities of the research table and various subregional planning tables. um in the bay area. we wanted to prioritize the community and when we wanted the community to be able to focus on doing the good work of planning and organizing stakeholders, instead of managing a large state grant with numerous partners across nine counties, all local workforce development boards in the bag jp have experience doing this kind of work and relationships with the grand tour. which is the employment development division . we collectively raised our hands to serve as the fiscal agent for this opportunity. with sfor leading. the full budget for the phase one funds is $5 million, including funding for new wd 18 23 contracts analyst over two years who will provide technical assistance to community based organizations. for this reason, overdubbed submitted this except and expand as an ordinance to amend that annual salary ordinance. the remainder of funds will be contracting or granted out to all home as the regional convener to community members for participation. and to organizations that serve and the research committee and sub regional tables and who are listed in the acceptance expand legislation. um this legislation is retroactive because the state legislation required this two year program to conclude by september. 30th 2024. therefore our program start date will be retroactively. october 1st. we are expecting to receive our first draft contract from the state this week. we understand it will be back dated to october. 1st though all project deliverable deadlines will be amended. this concludes my presentation and thank you so much the board for allowing us the opportunity to present today. thanks thank you so much . any questions seeing none will open this item up for public comment. members of the public who wish to speak on this item, and joining us in person should line up now. how for those listening remotely. please call 4156550001 with the meeting. i d 24991046355 pound twice. once connected press star 32 entrance speaker line for those already in the queue. police continue to wait until the system indicates that happened and muted and that will begin your cue or that will be your cue the beginning of comments uh, signal in person speakers here in the chamber, mr lamb, kindly and metal color. hi this is kim to abalone from the francisco labor council. i just wanted first off. i wanna thank chair ronin and remember. to he and the animals are for all your work over the past simple years . thank you for your leadership on this committee, um secondly, we fully support this all the labor councils in the bay area fully supportive of it. hmm and ah, large number of nonprofits as well. um we're looking forward to bringing some great projects and doing some great work on the environment as well as bringing a real worker perspective. two workforce development and we thank you for your support. thank you. thank you, kim topical learning for your comments. madam chair that completes our cute thank you. public comment is now closed. i would like to make a motion to send this item to the footboard with positive recommendation on that motion before this ordinance to the full board with positive recommendation by stress suffer. suffer. remember melgar? malgor i chair running and i we have three eyes. that motion passes unanimously. thank you, miss han for the great presentation. appreciate it. mr clark, can you please read item number five? yes item number five is a resolution delegated limited authority to execute and deliver certificates, declaring the city's official intent to reimburse original expenditures for the costs have multifamily rental housing projects in the city with proceeds of residual mortgage revenue bonds or notes of the city. for purposes of section 1.1 50-2 of title 26 of the code of federal regulations delegating limited authority to execute and deliver certificates granting public approval have residential mortgage revenue bonds to finance multi family rental housing projects in the city and approving certain related matters how members of the public her joining us remotely and wish to comment. please call 415. 6550001 enter the meeting. i d 24991046355, then press pound twice, once connected breast are three to enter the speaker line system prompt will indicate that you have raised your hand when the system indicates you have been admitted as your signal to begin their comments. madam chair. thank you so much. and william wilcox this year 2. thank you so much chair ronin and, uh, supervisor male guardian supervisor saffy. my name is william wilcox. i am the bond program manager for the mayor's office of housing and community development. i believe the chair has my presentation. and. okay, that's coming up. what. and so today, i'm just presenting on a resolution we've submitted to streamline our inducement process and they can go to the next slide. um they goals of this process are to speed up our affordable housing production processes maintain the same level of review and oversight that the board of supervisors currently has and avoid cost increases for affordable housing from administrative delays related to this process, and also focused staff time on moving projects forward. instead of circling more red tape. and following industry, best practices and implementing a recommendation from the housing element. so these bonds. um next slide. i and these are conduit tax exempt bonds, so they are just, um us sort of giving the tax exempt authority to mortgages that are affordable housing projects otherwise take out there's no obligation that the city incurs the city justice involved to create the tax exemption. which then leads to qualifying for the 4% low income housing tax credits that pay for about 50% of the cost of our projects. so. next slide, please . um and inducement is just a resolution that sets the earliest date that the bond proceeds. so in this case, the construction loan, um can be spent. um and in some cases, when other funding in other types of funding and it matters more, but because of these affordable housing projects have a lot of different sources. it doesn't really matter this date as much for our projects, but we do this before applying because it's required by the california debt limit allocation committee. in order to apply for the tax credits and the tax exempt bonds. so it doesn't create any obligation to the city at that stage and often in many cases, projects induced but never move forward. we had a number of projects that went through this process that then didn't get an allocation or the funding didn't come together later. so it's just this procedural thing that's required for our applications. and then can we go to the next actually, two slides ahead. so currently projects come to most cd four months before they even apply for the, um they bands at sedlak and then that then there's three months after that, and some years, there are only two rounds. so if you missed the four months before the sedlak application, you could be delayed by seven months in closing your transaction, which can result in 3 to $4 million of extra costs pretty easily between interest rates and increased construction costs. because we have to process the initial application . i read over it. we go to the city attorney. they draft these resolutions and then they come to budget and finance. and then they come to the full board. but this item is so procedural that i went through and i checked everyone we've submit for the last 2 to 3 years and there have been no substantive questions on any of these items. there has been no substantive of community concern voiced at this and these items still go come back, even they come back for the issuance resolution when the project is actually going to close on its financing, and we've gotten the award, and it's real, so that level of voter oversight would still exist either way, and that's really when we discuss these projects. that's when they're really fully baked, and we know what we're doing. so we're proposing an improvement to this process in line with what a number of other places do if we could move to the next slide, um, and this resolution. if the board approved it would allow the mayor. i know the slide, says the most director. but the actual resolution is just that the mayor would be able to sign the inducement certificate. so you do one resolution now and then we would have a certificate that we submit to sedlak instead. and then the board will still approved the issuance resolutions when they actually come through after we've gotten the allocation but this would speed up the process and we can go to the next slide, actually. and so the anticipated outcomes of this or that we have a faster application process for affordable housing projects would reduce the chance of administrative delays that increase affordable housing and per unit costs, and we'll be able to focus more staff time on handling more projects. we have a pretty wide pipeline, and we want to focus staff time on that, instead of i filling out paperwork related to inducements , and the board still has the same level of oversight on these projects and will be able to input on them at a more critical juncture. i thank you so much for your time. and i'm happy to answer any questions about this. thank you, supervisor saffet. thank you. thanks for coming here today. we appreciate the idea of streamlining the process for application. i'm 100% in support of that. the thing that i think that's being lost here. and yes, you're correct. we might not have done or asked any questions? it is a public record of what actual applications are being submitted for what projects and so if we remove that from public review at the board, then potentially, we're not finding out about the projects. to as you said, until it's fully baked, and then we're going through the actual process of putting together the financing, but the actual process of applying in advance allows us to know which projects the city is prioritizing for. seed, lack funding and i've been very fortunate. we have had two that weren't just applied for but approved and that is a process in and of itself. with our straight our state controller and other individuals at the state level, so i would be fine with moving. having thii still would like there to be some record of documentation or some noticing to the board of what project and maybe you have a response for that. i see you raising your hand. um to the board of which projects are being submitted for seed. lack financing. thank you, supervisor self i absolutely so we do issue quarterly reports on our affordable housing pipelines. that includes, um any project that is in a pre development stage that might be applying for these, um, we do submit those through the clerk of the board and they are posted on our website. as well as related back to the file number for the ordinance that requires mostly due to submit that report. um so there is already kind of a public record that exists and we would be really happy we still share with each of the clerks and each of the board aids. also when we do submit those quarterly reports as well, thank you. no supervisor malcolm. i was going to say just that great that there's a way you know that you can get the information without holding up the calendar , you know for the for the project sponsors believe that was my legislation requiring that report, so i'm glad it has another purpose. now we have come full circle. thank you, tastic. thank you. uh thank you so much for the presentation. mr clark, can you please open this item up for public comment? yes members of the public who wish to speak on site, um, rejoining us in preston should line up now for those listening remotely. please call for 156550001 for the meeting. idea of 24991046355 press pound twice. once connected, you'll need to press start 32 entered speaker lion. for those already in the queue. police continue to wait until the system indicates you have and then made it and as their signal to begin your comments, saying no in person speakers here in the chamber. uh, mr lamb, kenley and mirror color. we hear you. nope. what i want to say is that if you look at our housing element you were supervisors haven't done a good work out good job on it. i want to know. if the gentleman who gave this presentation ah! writing about in circles running around the mulberry bush. what do you have? for people who make under $80,000. affordable to whom. oh, you know, this is just like a process that you have to follow, who follows it? what incentive is given those who really need housing. what incentive is given. to san francisco and who for the last 40 years haven't been able to, uh, got affordable housing. what does the city attorney that mayor the controller? uh i didn't allude the treasurer that matter. what do you say when thousands of families have left on francisco? and what do you say that there are over 68 2000 units reckoned. and all the. 43 million square feet of commercial wakened. because it's related very good together income from so, yeah, we have our supervisors laughing. you know, i put in that thing than i did this. but how you helping the poor give us the empirical data. i wonder that site to show how many of the four people making under 100,000 have been housed again. sorry to cut anybody off, but we are timing each speaker at two minutes. ha, mr. landy, everything more speakers in the queue. madam chair to complete sort of rq. thank you so much. public comment is now closed and like to make a motion to send this item to the footboard with positive recommendation on that motion for this resolution to the full board with a positive recommendation, vice chair saffy suffer. remember melgar? all right, turn around, and we have three passes unanimously. thank you, mr clerk. can you please read mm. number six. item number six is a resolution authorizing the department of homelessness and supportive housing to execute a standard agreement with the california department of housing and community development for the for a total amount not to exceed approximately 16.8 million of project home key grant funds. to accept and expand those funds for the acquisition of the property. located at 56 30 mission street for permanent supportive housing for transitional aged youth and to support its operations upon execution have the standard agreement through june 30th 20 26th approving and authorizing hsh to commit approximately 13 million in required matching funds. for acquisition and rehabilitation of the property and a minimum of five years of operating subsidy, affirming the planning department's determination under the california environmental quality act, adopting the planning department's findings of consistency with the general plan and planning code and authorizing hsh to enter into any additions, amendments or other modifications to the senate agreement. in the home key documents that do not materially increase the obligations or liabilities of the city or materially decreased the benefits to the city. members of the public are joining us remotely and wish to comment. please call 4156550001 with the meeting idea of 2499104635. then press pound twice, once connected press star three to enter the speaker line system promptly and the kids, you have raised your hand when the system indicates you have been and muted. that is your signal to begin your comments. madam chair. thank you. and we have dylan schneider from hsh to preside. wonderful good afternoon. honorable members of the budget and finance committee. my name is dylan schneider, the manager of legislative affairs with the department of homelessness and supportive housing, and i use she her pronouns. i am before you today with a resolution that would authorize h s h to accept and expand our final round to home key award for the property at 56 30 mission street. i just want to pause and make sure our slides are coming up. there we go. wonderful. alright so this resolution would authorize h s h to execute a standard agreement with the state except and expand up to $16.8 million in home key grant funds and commit up to an estimated 13 million for acquisition and rehabilitation and an estimated 2.1 million of operating matching funds for a minimum of five years of operating costs for the program. and then i know we have been in front of you many times about 56 30 mission street but is a quick refresher. the board approved acquisition on this site and authorized the city to apply for home key funds in april of 2022 . the site is affordable housing with on site services for young adults exiting homelessness. there are 51 units available to clients. and the units have private bathrooms and some have kitchenettes. um and i just want to end by saying thank you all for all of your support for the home key grant awards we have had underground to this is our sixth overall home key award that we have brought for accepting expend over the last two years. that brings us to a total of about $212 million from the state in home key dollars, so we just can't overstate how impactful this program has been to the city for our efforts in acquiring more housing. and really want to thank you all for your continued support to the b l. a partners for all of their support on many, many reports on this and for our providers and everyone across the city, so thank you all for your consideration. thank you so much , and we will hear from the b l. a thank you. um six is a resolution that stated approves a home care ward of $16.8 million further property at 56 30 mission street. um this will offset the cost and rehabilitation of the site. um lea, leaving about $8.9 million to be funded locally, which hsh is going to use proposition c funds for, um, the home care. ward also provides $2.9 million. for operating subsidies for the first couple of years, with the project, leaving about $7 million for the first five years of the project to be funded locally, which will also be fronted by homeless gross receipts. tax um, we do recommend approval. thank you so much. any comments or questions ? i would just like to be added as a co sponsor to this item, and please open this item up for public comment. thank you, madam chair members of the public who wish to comment on this item and are joining us in person. please line up now. how for those listening remotely, please call 4156550001 enter the meeting idea of 24991046355, then press pound twice once connected press star 32 entrance speaker line for those right into. q. please continue to wait until the system indicates you have in the muted. and that will be your signal the beginning of comments. mr seymour, please step up. i'll start your time. i'll see you all again. my name is dale seymour. i have been a man of many hats today. i got my hat on as one of the chairman of the local homeless coordinating board. we've been very excited for this building for many, many years. it's been a great opportunity. i'm also directed source supplies here is we have used that building to house our homeless vets and its great location. transportation is away from all devices and the nonsense that goes on in other parts of our city, so you know, we are looking at that new state deficit that we're not gonna be able to get around. who knows what might happen as far as allocations next year or the year later, so it's impaired that we do move on this because sacramental changes mind at any time and read direct funds. we never know because they have to stay solvent no matter what, so i was just hopefully that we can get this concluded and make it a done deal. because again once you can once you can teach uh, ownership. when i say ownership doesn't mean you have to own it, but at least living in a place that you have a have a stake in when you're 19 and 20 years old 21. those folks will not be on our streets when they're 30. and that's where it's got to start. of getting people used to paying whatever the little bit, they have to pay paying that landlord prioritizing it. you know, at co tenderloin. i kind of deal with my ex students and i get for example, i'll get a young lady a job. and in the apartment. and she don't understand that your nails are number two. why haven't you paid your rent? this month? i had to get my nails done so getting people into these units and teaching them how to live and how to make paying the rent. a priority will make a big difference when they're 30 and 40 and 50 years old, because that's where it has to start, so i'll thank you ahead of time for moving this this bill alone. thank you. thank you so much. del seymour for your comments. mr lamb. do you have any colors in the queue? okay. land metal color. hello. hello. um that danger, johnston. you may know me from the fire and the castro you look up l a times. it's uh, no home. bad rap. uh, big heart is his name the story anyway. i had a housing for a while and 30 years. i haven't had house you don't have housing now. they didn't house me for christmas, and it housed me for new year's. and it housed me for this storm . okay but i want to talk about at the time. i did have housing. and, um what they did. is they one day i went in, they said writing pay my rent well. i had the receipt. i paid the rent the people in the building that paid the rent to they were witnesses . they paid my rent, and everyone agreed that paid. moran had two receipts and i had the money order, but they were going to take me to court because somewhere got lost between there and the main office and it did take me court six months later, but in six months time i called all these organizations trying to get them to do something saying i have all this evidence. i did nothing wrong. and none of them could do anything. they just kept passing me off the other agencies. it was the rent board. it was the legal aid. it was three other organizations and if they can't help somebody who's as all the damages that they pay rent, and i couldn't help me from going to court. then who can i help? by the time i went to court, i had to save all my money and i ended up losing some of the money losing my rent as getting kicked out. okay and so after five years, you're trying to live inside at all together. 30 years homeless. um, it did no good. and now now they got these things where they're going to try to come up in house me by giving me a room in the shelter. you do the other people. why don't you give me a room? you know, i think, 30 years i didn't get here yesterday offered me a broom, not a bed in a shelter. if you wouldn't have a business shelter. you don't even have that talk when you come and take my tent and that's all you do. you don't have to me that and that's how you treat your heroes here. they're homeless for 30 years. watch you come and give me a decent place. thank you. thanks so much for your comments. and madam chair to complete turkey. public comment is now closed. supervisor staff, i just wanted to say really quickly. um it has been phenomenal to see how quickly we've been able to move. with the dollars that we had from prop c initially and now being replaced by the home key program. the cost per unit is far less than half of what it would take to construct. this type of transitional housing affordable housing for youth. and because we have one of the highest concentrations of children under the age of 18 that are one of the highest risk groups of becoming permanently homeless or becoming homeless. we chose this site it is directly across from a school. it is in a residential neighborhood, and it has already been a phenomenal success. wanna thank department of homelessness? and supportive housing. um and also dolores street services. larkin street. um for all their phenomenal work already, and so we're looking to have a community celebration. but this has been a phenomenal thing for our community and the city. because of course, it's accessible to all city residents , so i just wanted to say that on the record and thank you, thank you for coming out in support of it today. do you want to do the honors? sure. like to make a motion to send this item to the full board with positive recommendation. on that motion by vice yourself aid for this resolution to the full board with a positive recommendation. advice herself. i remember mel gar gar, a chair, ronan and i we have three s that motion passes unanimously. thank you, mr clerk . can you please read him? read items seven and eight. together yes, item numbers seven and eight are resolutions retroactively authorizing the police department to accept and expend the following items seventies and in kind gift of two utility vehicles, with an estimated market value of approximately 38,000 from the union square alliance to support officers working in the union square alliance area for a high visibility patrol. the utility vehicles will be an outright gift to the police department. effective september 1st 2022 item number eight is a grant in the amount of approximately 70,000 from the california governor's office of emergency services for the paul coverdell forensic science improvement program to train and procure equipment for the criminology laboratory. with the project period beginning april 1st 2022 through june 30th 2023 members of the public who are joining us from model in which the comment please call 4156550001 enter the meeting idea of 24991046 35 5, then press pound twice what's connected to the meeting? you will need to press start 32 entered speaker line. a system prompt will indicate that you have raised your hand when the system indicates you have been in muted that is your signal to begin your comments. madam chair. thank you. and we have patrick leong, um, to who i think is online to present these items. thank you. chair ronan. uh, beauty afternoon. patrick leon, chief financial officer for the staff, francisco police department. the departments requesting the committee's recommendation. to accept the gift from the unit square alliance for two utility vehicles to help our officers. uh patrol the area for high visibility control. patrol. excuse me. it would help us fulfill and operational need in using a smaller vehicle with a smaller footprint to help improve responsiveness. this asset would also be able to use in other events that may help improve operational ingress and egress. if there's any questions on this item, i think i would try my best to answer them. i don't believe there's any questions. thank you so much. we will now open these items up for public comment. yes, members of the public who wish to speak on both these resolutions and are joining us in person should line up to speak now for those listening remotely. please call for 156550001 for the meeting idea of 24991046355, then press pound twice once connected press star three to enter the speaker line. please continue to wait until the system indicates you have been a muted and that is your signal to begin your comments. saying no in person speakers here in the queue and madam chair. we have no speakers on the telephone. public comment is now closed to make a motion to send items eight and seven and eight to the full board with positive recommendation on that motion to send both the resolutions to the full board with the positive recommendation, vice chair saffet suffering. i remember melgar malgor, i run it. run it. we have three eyes passed unanimously. and last, but not least, can you please read items nine and 10 together? yes items number nine and 10 item number nine is a motion authorizing the clerk of the board of supervisors to take all administrative steps to amend the budget and legislative analyst's services contract with harvey m. rose associates llc for additional work 100 the existing scope of services to the extent that funds are appropriated for that purpose. and item number. 10 is a hearing to consider the review and approval of the budget guidelines for the board of supervisors. clerk of the board annual budget for fiscal years 2023 to 2024 2024 2025 members of the public who are joining us from oddly in which the comment please call 415655000. for the meeting idea of 2499104635. then press pound twice. once connected, you'll need to press start three to enter the speaker line. hey, system, probably educated. you have raised her hand and when that system indicates, you have been admitted. that is your signal to begin your comments. madam chair. thank you. and we have our steam clerk angela calvario and edward day assists is here to present. thank you. kindly chair ronin. members of the committee angela calvillo here today. this this hearing does kick off the board of supervisors in the office of the clerk of the board's budget. ah for the fiscal years, i'll say the budget year in the out year to save time. um too, so that we can obtain your budget instructions pursuant to the board's rules of order. today i have just five slides to present to you highlight of the few of the department's projects to describe the department's request that we feel will better draw residents to the board's public space. its policy discussions and helpful information, and then we'll learn if there are any additional committee suggested initiatives not already covered or captured in this presentation. and continue to meet with all of the other members to integrate their initiatives. i am here today with edward de assis. doctor de assis does manage our department's financial data and will collect the information if there are any suggested changes here. we will then finally submit this to the controller and the mayor for their review and then return to you in june. uh for a review of any of the changes that have occurred between now and june. just to take a quick glance at our current year budget. it is 22.1 million for the department's needs. we are serving the residents of the city and the offices of the board of supervisors and conducting the legislative management of the legislative system for the entire city. our staff received and processed about 1300. introduced legislative items and all the pre and post prep work associated we approved 1270 legislative items we conducted about 218 total board and committee meetings that doesn't count. the lafco sunshine are back in 136 appointments that we processed. we are grateful for the resources. we do commit to you and to the public to utilize judgment whenever we are spending the general fund money , one visible outcome i would like to point out is the savings of hundreds of thousands of dollars in general fund dollars in employee overtime and double time by the decision to host the inaugural meeting on a monday rather than over a weekend. um the savings is significant and should not go unnoticed as part of the board's contribution to the precarious economic conditions in the city. i want to just quickly draw your attention to the pivot table on slide to this shows the largest cost share at 76% of our budget are the salaries and benefits for our positions. we have 93 full time employees and we process and we have 61 board appointed commissioners for the abe for sunshine youth commission and the lafco. the next largest category is the non personnel services at 21% or 4.6 million. the budget and legislative analyst's services contract is the largest cost share in this category at 2.9 million, and next is for the what is formerly known as the kaffir. it is now known as the annual financial report. these funds are part of the city wide costs to audit the general fund departments. other percentages such as m and s materials and supplies and services of other departments. remain relatively the same over from the last 25 years. uh just briefly point out on the third slide or current year projects. we don't have time for us to go into every single one of these. although i do i will be available to you to talk about them. um i do want to talk very quickly about our deep gratitude for director and rico panic. the director of real estate and rob writer are building hall manager. they have committed to funding and procuring new chairs because our chairs are breaking, uh and our some of the furnishings in the department needs to be changed out in addition to our hvac system across the hallway, which cools our, uh, our servers, which runs our legislative management system and the assessment appeals board system , so we are very appreciative of them taking on those costs for us. additionally linda harrell has provided a space for our to host our digital, um. excuse me . our my voice is failing on me. our, um. our data center. thank you, doctor. the assets are data center, which will host all of our legislative management, information and digital record keeping. um we also as you know, item nine was read. this is the budget and legislative analyst expansion. um i did have a conversation with the sponsor. uh, supervisor preston. the um board of supervisors is asking the clerk of the board to add $400,000 to the existing contract. and in speaking with the sponsor. it was his intention that that be annualized in the contract. i think that it was my mistake. i used the word in perpetuity in the motion. it should have said, annualized in the contract, and so after having a conversation with the comptroller's office, resa and an pearson it isn't really clear with that language and that needs to be changed. so it is uncertain to me if supervisor president was going to return to the chamber. and make the amendment to clarify the language about, uh annual izing the amount in the department's budget. it is currently already in the base budget for next year. and, um. dr de assis. is there anything further to say about that? 24 2e budget. uh edward has checked and it is there so the budget is there so we would just be following through an annual izing that i'm happy to make that amendment after you finished? um and then just to skip to the executive officer for lafco. i was okay is here he is here. jeremy pollock is here. if you do have any questions on the work that's occurring at the lafco with the public bank reinvestment working group and the municipal housing feasibility study. so in to, uh , move through to slide four, which is our proposed budget request. um the again director of real estate and linda daryl have removed some of the funds that we were going to ask for because they were going to, uh, handle those items for us. but the one thing that we are going to need a placeholder for is the legislative management system. this is a citywide system. we are going to ask quite to be supportive of this project and we'll try to obtain the funding. from quite for this project, but wanted to just pointed out here to the committee that we would come back. it says tbd right now in our proposed budget request, but without that, we are asking for $410,000 in the next budget. and you can see how those items are laid out. we're asking for a little bit of funding in employee morale. we are asking for a 7000 there and a couple of substitution um one for the assessment appeals board so that we have a current temporary position. we'd like to make that a permanent civil service position because we know we'll be using it. for the next five years. we have a transfer of function from the assessor's office. we're working very closely with assessor joaquin torres on this particular position. he is not asking for this 10 63 in his budget any longer and has, in fact, loaned it to us currently so that we can utilize it with our assessment appeals board, smart system management and integration. we also currently have a substitution. we're asking for a 12 44. h r analyst , and we're just trying to align the actual level with the duties of that position. given that we have 40 44 legislative aides now , um and there is the cola for the budget and legislative analyst and in case this body continues to allow for a pathway for covid related or a d, a related remote system needs. we are asking to fund 11 position that we linda darryl has provided to us and is providing us some financial support. um, to annualized this position in our budget as well. other than that, lafco. you're familiar with the fact that they approved their budget in may. we have a placeholder in our budget for them currently at $341,240 wrapped into the base. they will bring you the actual amount in may. and they are also substituting a temporary policy analyst to go to permanent civil service. which we've included in this request at about $23,000. that concludes the proposed budget there is one more question for you is expanding language access. if that is something this body would like to do, um, we have it at $25,000 . i could say a lot more which i will not. i realize you've been here all day, and the final slide is just sort of asking you those those questions. um if you had any further instruction from the committee for us in crafting our budget. if you wanted to make those amendments to item nine so that there is clarity on what the committee would actually like to do. with that $400,000 and if the committee would approve the budget request in the amount of 410,000 as i've described it. and if you would like to add 25,000 in the language access thank you. so much supervisor munger. thank you, uh, chair around, madam clerk. you and i have spoken a lot about language access. um and it is something that i'm very interested in. i'm wondering what 25,000 buys us and how it like. i don't know what the budget line item miss for this year. um to me, like the most interesting part is for committee meetings because we often have a lot of public comment. goes late into the night, especially in land use and at lots of folks who don't speak english. and then you know, just kind of after seven o'clock it seems to be the magic hours. so what would this by us in terms of an expansion so we have had a $5000 line item. for about seven years now. only recently have we actually gone over that amount, and particularly with the redistricting committee. we went to about, um 35,000 about 30,000. and so we are trying to then say, well, what if we what if we at least added that much? um i have had some members of the board, not a majority. i haven't spoken to all members, but i think it's a good idea. that the department of the board of supervisors does have its own. um approved. language access ordinance approved language speakers. so that we don't they don't have to sign off at seven o'clock. so that we don't have to wait for another department to free up the use of the individuals. what we've been doing is we've been going to a contractor for this work. um because usually oh, cia when we can use their employees. they don't charge us to use their employees. but when they're not available, excuse me. we have to go to a contractor. and so it is. yep. the mechanism that they use is 20 minutes. then they need a break. so we always have to receive, uh, two interpreters , and i think it's like 100 and $50 an hour. so it's very expensive, and we want to at least provide you the level of service in the coming year that we've provided you in the current year. thank you. um i don't there's no further questions. let's open this up for public comment, and then we'll work out all the issues. thank you, madam chair members of the public, which to speak on the motion and this hearing. and are joining us in person should line up now for those listening remotely. please call 415655000f 2499104635. then press pound twice once connected press star three to enter to speaker line for those already in the queue. police continue to wait until this system indicates you have been in muted and that'll be your signal to begin your comments. saying no in person speakers here in the chamber and madam chair. we have no speakers on the line. sorry. public comment is now closed. so let's deal with item 11th. i'd like to amend item 10 to change any reference to from in perpetuity to annualized or annual izing or the proper attendance of annualized madam share the motion. the site of nine it would be amending nine. i thought it was item 10. i don't know. yeah, it is. item. nine. this is the motion to authorize the $400,000 to be annualized is item nine. i thought it was items, okay, i would like to make that amendment to item nine. on the motion to amend item nine as stated by charoen investor asafa stuffy. i remember melgar. alec ri chair, ronan. i have three eyes. that motion passes unanimously and then the guidance is so any comments about adding $25,000 for additional language access. you don't think we should do that? okay we should have any comments. we should. okay so our direction is yes. let's add that 25,000 for additional language access. the other questions that you have for us. the proposed budget, as it's described on page five. will the committee approved that when i come back in february that it will be comprised of these items? the answer is yes. okay? yes. thank you. thank you. thank you so much. so with that, um, we would like to make a motion to send item nine as amended an item 10 to the full board with positive recommendation. madam chair item . 10 is a hearing, so we should , uh, here in the file that or continuing, but we're hearing in filing should be fine. i asked you to call adam. yes we did call them together, but i'm sorry. it's a hearing. got it? sorry it's a long day. i like to make a motion to end to send item nine as amended to the full board with positive recommendation and to file item test. okay on that motion to forward item nine to the full board with positive recommendation as amended and that the hearing and hide them 10 be heard and filed. if i start stuff i sophie. i remember melgar, belgorod, karenin have three eyes motion. thank you. unanimously thank you so much, mr clerk. is there any other items on the agenda that concludes our business before you before you conclude i want to say one thing. um this potentially might be chair ronan's last day as the chair of the committee. hmm and i have served on this committee for two years. i've been on this board for 6.5. and i just want to say, i think ah, thank you to say thank you to her and her staff. for doing such a tremendous job . last year's budget process was one of the best that i or the best that i participated in. and we were able to, i think, deliver. uh a wonderful budget for the entire city. so i want to thank her really enjoyed working with her as chair. i think you've done a tremendous job, and i think your staff has done a tremendous job. so thank you. i just wanted to get that on the record before we concluded. that was so kind, thank you, and because of supervisor saffet is kindness. i would be remiss if i didn't think my incredible staff, which includes nikki, sanae and santiago, let mama who did the heavy lifting last year. and then jen ferrigno, who did the heavy heavy lifting this year. all three of you were amazing. and thank you so much. and with that, mr clerk, the meeting is adjourned. thank you. that was so nice. be business commission meeting january 9 of 23. this meeting is called to order at 4. . 32 p.m. held in person and city hall room 400 and broadcast live on sfgovtv and available on line ownership listen by calling 415-655-0001. authorized by california government code and mayor breed's 45th supplement to february 25 of 2020 proclamation it possible this some members of the small business commission may attend remote. those members will participate in vote boy video. the small business commission thanks modia services and sfgovtv terror telesunrising the meeting vowed on sfgovtv 2 or live streamed at sfgov.org. we welcome the public's participation during comment period. there will be an opportunity for general know comment at the end of the meeting and an opportunity to comment on each discussion or action item on the agenda. for each item the commission will take first from people attends nothing person then remote. members of public who will be call nothing the number is 415-655-0001. access code: 2497 220 9345 ##. followed by 7221. press pound and pounds again you will be in listening mode only. when your item come up dial star 3 to be added to the speaker line if you mean dial star 3 before comment is called you will be added to the queue. when you are called for public comment mute the device you are upon listening. when it is your time you will be prompted to do so. public comment during the meeting limped to 3 minutes and an alarm will sound once the time finished. specious requests to state name it is. sfgovtv showed office of small business slide. >> today we will begin with remindser the small business commission is the official public forum to voice concerns about policy that affect the vitality of small business in san francisco. the office of small business is the best place to get answers about doing business in san francisco during the local emergency. if you need assistance with small business matters at this time finds us online or phone and our serviceers free of charge. before item 1 is called like to start by thanking modia services and sfgovtv for coordinate thanksgiving virtual hearing and helping to run the meeting call item one. >> roll call. >> commissioner carter. >> present. >> commissioner dickerson. >> present. >> commissioner herbert is absent. commissioner huie. >> here. >> president laguna honda. >> here. >> vice president zouzounis. >> present the small business commission acknowledges we are on the unceded home land of the recommend ram who are the original inhabitants of the san francisco peninsula as stewards and in accordance with their traditions the ramaytush ohlone have never ceded, lost nor forgotten their responsibilitiesa care takers and for all who reside in their territory. as guests we recognize we benefit from living and working on their traditional home land we wish to pay respects acknowledging then sesterce and relatives of the recommend ram community and by affirming their rights as first peoples. >> approval of legacy business registry application and resolution this is is a discussion and action item. the commission will discuss and possibly approve legacy applications and presenting we have richard carrillo from the office of small business. >> good afternoon. city staff and the partial i'm richard. i like to acknowledge michelle reynolds. sfgovtv i have a power point presentation. before you today are 3 applications for the legacy registry. each application includes a staff report. a draft resolution the application itself and documents from the planning d. the applications were submitted on november 9 and heard by historic preservation commission on december 7. item 2a is bloomers the business is a full service floral artistic crafted with flours of quality. bloomers founded in snaen 77 in pacific heights, features plant and flower arrangements accessories, ornaments, baskets table top items and antiques. in addition the business is providing gallery space to display local artists and opportunity to promote and merchandise books about growing flowers and interior design. bloomers contributes to a variety of nonprofits and involved in san francisco city college floral program. the core feature tradition the business must maintain is florist. item 2b cafe greco establish in the 1988 a cafe known for coffee drinks homemade deserveses and italian interior. it is a part of the community and the last remaining cafe pioneer that define north beach and celebrate italian heritage it is a culinary and community hub. it is deeply involved in north beach community donating to community events, schools and charities and participating in neighborhood groups and events. the core feelure the accident must maintain is coffee shop. >> item 2c developing environments the business is an artist live/work faigz spagz in the michlgz found in the 1972 and incorporated a nonprofit in 76, the organization emerged when artists identified a vacant 3 story warehouse and turned it to a space for artists. today developing environment features 46 live/work and provided safe studio space to 375 artists since inception. artists members work in media and forms including performance, writhe, photography, jewelry. textile. sculptor and digital art. and the organization operates with consensus based nonhierarchy governing structure. in a city that losing artists, developing environments has served a model for how san francisco can support artists and cultivate a creative community. the core feature tradition the business must maintain is housing and work space for artists. all 3 met the criteria required for legacy registry and all 3 received a positive recommendation from the historic preservation commission. legacy business staff recommends aciding them to the registry and drafted 3 resolutions. a motion in support of the businesses framed a motion in favor of the resolutions. thank you. this concludes our presentation we are happy to answer questions there are representatives in the room withhold like to speak on behalf of applications during public comment. >> commissioners are there questions? seeing none. open up to public comment. >> if public commentersment to form a line here. you are welcome to speak. [inaudible]. figood afternoon, commissioners and i want to thank you in advance for your consideration. i want to thank rick and michelle for guiding us through the process and supervisor stefani for having nominated bloomers and also having spent my professional life in this building, working for other people i want to thank secretary birnbach i know how much responsibility the person running the show has. and -- any case, this is a really wonderful thing that the government does to recognize small business. in the pandemic patrick saw 43 years of his life going down the drain. and no one denies the impact of the ppp money or all of the other challenges that we all know exist in san francisco. butt fact that the community was so embracing. at that very difficult time. when someone made the commitment to the community and the investment of the community in investment in the community, it was just so meaningful. and the community reciprocated. so, againful thank you so much for your consideration. and i justment you to know thouch is appreciated by patrick and me. thank you. next speaker, please. good afternoon. i'm carlo and i representing developing environments. so on behalf of the 40 plus artists there in the hundred this is have been there, i want it thank you for allowing you to apply for this. i just 2 quick pointses, first, i we appreciate the fact since we are not a retail business that am all of you recognize nonprofits as an important part of the business communities in san francisco. so we appreciate that and the other point is just again as an art's organization. i think it is wonderful that you are considering this considering the problems that the artists world had in san francisco and the past with problems with money and suriving the environment. san francisco a great place and known for arts. and we are thrilled that we are still here and surviving and hope to continue. thank you all. thank you. next speaker, please. >> good afternoon, commissioners i'm sascha sullivan and i'm the second generation owner of cafe greco my parents started it in 1988 i was 9 at the time. it it is has been something that has been in my life sxf i have been a part of and feel luck tow be taking over the business now. and -- we operated for the last 33 years. and

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