Approval of the minutes from our regular meetings of april 12th. Thank you Vice President i have to read for moving. Oh, with that, pips from regular meetings of april 12th and september 29th a move acceptance of the minutes picture roll call vote. Thank you ms. Chin mr. Totiano mr. Duffy ms. Mendozamcdonnell dr. Murase commissioner mendozamcdonnell mr. Walton thank you ms. Wynns and president haney thats 4 is. Thank you ms. Casco annoy from our superintendant. Thank you Vice President walton and good evening to etch that is here and lonsz abroad before you share my thoughts were wraulg did superintendents proposal board policy sexual assaults bullying of students and one six 4 sp four for the permit for the academy of San Francisco at math tier heard at a future meeting were withdrawing this evening in support of inclusion of history of comfort women both the curriculum resolution this will be heard in a special meeting following this meeting so with that, what id like to do share the opportunities thoughts for the evening thank you all for listening at home the 6 frisco day is coming up i know were not referring San Francisco as frisco, however, our students choose this title which means friday is a Successful College opportunities it is a daylong hosted meeting in the San FranciscoUnified School District in association with city college of San Francisco the conference is attended and usgf seniors to enter the workforce or military or undecided students many attend the workshops learn about city college and career this year over one thousand seniors plan to attend students can sign up by speaking to the School Council or inviting their college and Career Center that is open from the to 2 00 p. M. And located at ocean campus this is free of charge to our seniors and like to encourage all to attend on monday may section if 5 30 to 8 00 p. M. The African College welcoming the 12 graders annex for an evening to honor the Post High School plans the research hire is part of Michelle Obama to inspire every students to complete their Educational High School excited that apac has lead the design in collaboration with 100 percent from the Mayors Office that led this is a reality to celebrate our africanamerican students that work hard and plan on attend a 2 or 4 year or professional Training Program catered food and Live Performance and guest speakers and raffles im proud ill attend this event to, however, our students the San FranciscoSan FranciscoUnified School District can be assessed from lake merced boulevard and congratulations to the students in addition in celebration we have a special treat this evening in celebration of april as National Poetry month i want to welcome two poets from the bayview organization and invite and talk about them before they come up in front and share their poems but innovative sha in a so is a fifth grader from an Elementary School theyll be performing a poem we wrote individually sha in a has poetry in different events and the gentleman traveled to new york city to represent San Francisco in the poetry slam i think they did very well as part of Civic Program theyre part of the soccer team and it practice twice a week in the Civic Center Plaza their teams are working on the Spring Service project and american barriers in over thirty sites and inspires our urban youth to live healthy lives and have the character to make a difference in the world with that, i will id like to please welcome with a remembered our two students to please come forward clapping. so whatever youre ready hits the button when the red light couples or comes own our own. Im from redding Elementary School and the title is i am from i am from the sunday after church with my friends when stealing my moms lunches and ending up with a stomachache because of the shrug but my photo is inside that im from the real me and writing in my journal im from my older sisters making that he feel better your perfect the way you are and i love god with all my heart im from nepal and when they first memories were given im from miami and showing you what i want my future to be im from the singer from hip hop dancing im from the insecurities stopping me from doing time i want thank you. clapping . Hi, im from dunn Elementary School and my poem is called motions ii ii said it 3 times 3 times 3 like i make rhymes and you shall memorize im gone tonight im not trying to make everything better but i feel and use my mitigate and what can when im under a test on a bike rack a fact i know that it has to live in the shadows dont talk smack you dont have that lack of opportunities in any community and not get beaten down rap is right and the so why should i rap to the streets im trying to make it right back trying to echo bad teens the only one needs to say the weak are life crushing im reading books with one hundred books with a passion for rap and people are tapping so hard it makes me think my family loves we rapidly and get away from my enemies trying to gain my ability i have a array of kindness now my new communities is in thank you clapping. thank you very much can i have the folks stand up and take another bow towards the audience grmz. Thank you paulette and the board of education this is our third or fourth year performing in front of you to keep on coming back were featured an k l a w with the radio and performances on air we have a couple of more days left this week last but not least just want to reiterate if you had not heard americans course is about transforming not only the lives of our kids but the playgrounds at the schools where we are at were having this mission called field of dreams he know that superintendant carranza was able to see cleveland and mr. Walton for helping us and others efforts youll hear more about us and our efforts for supporting us thank you clapping. i just want to number one thank american scores for the work youre doing with the young people the beautification of our fields and open space for our schools and communities and want to thank the young people for sharing their stories and passion and our encourage with us its not easy to perform in front of a crowd and youre also on tv thank you for coming out and before we move forward i want to remind the public if you wish to address the board of education an individual speaker card needs to be submitted and also understand that cards will not be accepted for an item already before the board well move forward with the recognized of accommodations superintendant. Thank you Vice President walton a brief note i was impressed with our students thank you very much ill notice they especially\use one note they memorized their poems. clapping. just like true mary which he sees so the first award presented by vaunt stunt david wong to the principal at labor day our Matthew Hartford so vaunt wong come to the mike and read the conformations. Good evening superintendent and deputy superintendent our wonderful students it is an esteemed honor to present mr. Matthew principal of lakeshore that gets the diminished award i had the pleasure of working with him and i have to say when i first met matthew he became principal at the caught my eyes with the phone i didnt tail and motorist helmet and you, you know, how cool is that i was thinking of myself dont be fooled to when it comes to work he is serious and takes no stuff he is passionate and dedicated in the structural leadership in the centers learning and takes pride in working in one of the most diverse schools and meeting the School Community to build a strong climate there the leadership lakeshore is a demonstration and Good Behavior game and amongst the colleagues he nathaniel shares the thinking on how to serve the under choufrz and matthew knows every student by name and cares deeply id like to read you a quote for the nomination principal hart forward knows outline students when talking to parents or students or teachers hes able to identify and explain the diversity points of view what is said and bonnie and i enjoy working with had him and wish him the best as he grows so principal please come forward clapping. 1, 2, 3. Say a few words. Superintendent, Vice President and commissioners student delegates and board and audience at home and here im overwhelmed with gratitude two years and 20 days ago i arrived in San Francisco to work for the San FranciscoUnified School District i want to effect the lives of children in the greatest city in the world i hadnt been here not knowing a soul and 20 years and 80 days later it is a pinch me moment im here because of you will all of you given me the opportunity to pursue my dreams im eternal eternally grateful and to have my colleague at the end of the phone when things are good and bad and otherwise reinsuring to do all the things we even though get through in the course of a year and thank you thank you to bonnie i could stabbed here and go on i want to say thank you for the opportunity to serve the children in San Francisco everyday. Yeah. clapping. Vice President walton want to Say Something and i wanted to say that we never let go of the things that are important in our childrens lives i was a make shore parents for 11 years i was the principal at the lakeshore and pushed me into doing that i want to thank you for taking care of my school and everybodys school school. I want to say im a lori went to lakeshore so thank you for taking care of my conditional i love lakeshore if i could go back i would laughter thank you. So this evening we have a rave Service Award and this is going to be presented by principal tom soon to be executive director for cca and this is presented to our senior chinese emerges school janice and principal tom. Yeah. It is my definition pleasure to announce that Service Award in 2009 jan is was the Founding School secretary and set up the entire office and put systems in place our school will run smoothly and runs an office for school of over 4 hundred students an Outstanding Office manager janice leads by example everyday she exemplifies a sfrongz work ethic and being respectful and kind she is giving of herself in youll aspects of her work whether with parents a or teachers or students effective efficient and so, so caring she really cares with here whole heart an honor to work with you janice congratulations on your work clapping. yeah clapping. congratulations. Thank you, thank you. Thank you okay. Everybody come on in. clapping . Okay. I didnt prepare but actually honor to receive this award and a pressure to two or three people in c i s with the support of patent and 8 amazing principals together we had a unique School Culture fun and caliberic and most importantly we also you know serve with a good heart and to us the same goal i like working here he love c i f thank you for giving me the opportunity to work here and staff its really good thank you. Yeah. clapping. once again we want to acknowledge our dedication and now our school board ms. Chin and mr. Totiano. Thank you Vice President walton and superintendant as for the student advisors report having the el cap survey as well as the ssdz representatives slash School District elections and vote can take the survey by and vote by paper in addition this year were including all Community High schools to participate in our el cap survey threeway the feedback will be helpful as we will be getting a better prospective of School Climate and thanks to the director of Community High schools ms. Alyssa for the student el cap for helping us get this to our community and High School Wed like to a evaluate the data. In addition we want to commend acknowledge last weekend i had the opportunity to attend the cherry bloom festival and part of japanese cultural with rosa parks elementary i was invited by the secretary over at rosa parks a great opportunity and asked ms. Silicon valley and want to thank commissioner ross for letting me join one of the best experiences and 10 thousand people occurring a parade so thank you dr. Murase and thank you invite you to the Asian Heritage street festival it is also led by mr. Cus the heritage asian festival will have loves entertainment and athletic tournament the event will be may 21st from 10 00 a. M. To 5 and hosted by the Service Center at city hall i hope to see you all there lastly i want to announce our next meeting monday may 9 at 5 00 p. M. That is a Public Council as an incentive to come dinner is provided. If you would like to attend and make a presentation or would like a copy contact mr. Salvador lopez. Thank you. Vice president walton thank you student delegates were now to item e Advisory Committee and appointments by the Board Members superintendent. Thank you Vice President walton ami id like to ask chris to come forward with several individuals to present the annual report at the q t e a Oversight Committee. Thank you superintendant carranza im the director of planning im joined with the q t e a our cochairs murphy as well as our secretary kathy we have other have other members of the committee ms. Angle and listened and others and also from our audit from b t d mr. Inaugurating is here to speak to the audience at this point well hand the mike to mr. Across the city wright and also well be having a power point presentation as well as if i could ask superintendant carranza and mr. Walton to move to the side were going to project yes. Good evening, commissioners im across the city writhing one of the members of the Oversight Committee thank you for your time for linking a short presentation a short briefing a company that reports youve already received well look at what is currently happening and just ask you to look forward but going back awards the pta in june of 2008 a parcel tax and it started off were youre going 30 million annually and now up to 40 million annually and increasing slowly San Francisco paid 200 plus dollars for each parcels 71 is earmarked for future conception e compensation and that compensation in part actually, the pta provides the 35 percent in future salaries, however, what was been going if over this year and last year and over next few years not enough that is coming in that will pay for the full amount what it is happening to pay for that 1. 5 percent raise we are relying on unspent q ta funds 25 percent of the revenue goes to nonparticipation support that helps our schools so far, however, weve only sorry 68 percent of compensation of the noncompensation funds are unspent and chris mentioned well have at auditor to speak on what they found but the audit did pass as far as the expenditures go for the funds im going to turn it over to kathy. Okay. So im present a previous of the 2015, 2016 achievement 80 want 6. 02, 3, 4 future raise were paid and 37 million in future compensation and block for educators and laptops are issued for construction teachers now have laptops in the classroom and impact and innovation it shifted in vision 2025 and schools presented an equity challenge within an engagement plan the i lapse supported the process and the bye lap boat camp coaching sessions this is something we advocated for the last two years and were really happy this resource has been added to the Program Professional Development the teacher residency the project sponsor between usf and stanford and will expand and serve 50 teachers in 20162017 this program is a model that the School Districts around the state are users and the 5 year employment retention rate is 80 percent and compared to 38 percent retention overall and so im just going to go through the report we have recommendations for the board of education because were an Oversight Committee we dont make policy only ask you guys do look at the gaps we find one of that is review the alignments with the budget to the proposition language the prop a was built for teacher incentives and retention some of those budget items may or may not my own so well have the board of education take a look at it and make sure their aligned with the intention to promote teacher salaries and their benefit and then we would like to see so we have because of the reliance of unspent funds for the Critical Care in the audit because of the reliance to pay for that we dont recommend the board of education figure out how youre going to keep on funding that because it is not sustainable we recommend that maybe you look at how youll pay for it without using the budget not being spent and then, of course, you know looking at outcome for the budget the budget spending plan and shows it so that again funds with gone and spent to where they were intended to go so those are the recommendations to you. One moment thank you for being our chair this is her last meeting and happily unfortunately for us a significant outoftowner and weve been around inform sometime we had a vacuum of knowledge but she brought challenging issues to you and we want to thank her the committee and, of course, like you to the time and so thank you, peggy and children and family thanks for the wine and a this certificate for you. clapping. thank you for your report go ahead before we entertain any questions or comments from our colleagues we have one Public Comment on this item ms. Blunt. Good evening commissioner public, members the School District i wanted to make a few comments ahead of comments of the commissioners first of all, we are proud of work done through pta over the years and thanks to all the members of the Respective Committee ive been able to sit in on some members of the committee your diligent and thoughtful and bringing your best and detailed work of the budget that is been brought to us by the voter of San Francisco and the taxpayers of San Francisco ive applaud the recommendations of aligning the budget with the proposition language i did when i got into the board room i noticed in the packet that is public was given appendixes are not there with the procedures report and the budget Analyst Report i think this is difficult for two fully grasp the recommendations of the Committee Without having the numbers in front of you and i would request the awe of r the appendix and a couple of things over the course of the last few months want to brought to your attention to one part of the budget the there raise that was the fact of the mattered it needs to be looked at the question was raised about whether the Grant Program which is we applaud the impact and the innovation but we are questioning whether m that money should be dutifully coming out of the grants and going to teacher compensation whole grant virtually the entire grant goes to extra at the schools or outside consultants or books for the library and coming out of teacher compensation. Thank you ms. Blunt. Thank you. I believe we have information about the audit we want. Yes. Nathan is here. Hello commissioners my name is nathan. Is there a document. Okay. Well, i, i am not ill describe the document it can be forwarded but okay ill give you my part im nathan were the dependent external auditors two documents a set of statement for the pta and the other one of the agreed on report they tell you the financial significance information where the money came from and how much and where it went and what is left at the june 2016 payments it is about the 9 million the other document i think is more relevant to the commissioners is our opinion regarding the use of funding has it been used appropriately we have access to reported for every single penny of the dollars that run through the pta we ask questions to the folks involved and folks involved in the management to consolidate the numbers and evaluate the dollars are spent appropriately were satisfied and it was a clean audit and route it should be given those are for every single year we had inform adjustment to the Financial Statement and none in the report so with that said, kind of the point to if me being here if anyone has questions this is the chance if you dont have the documents in front of you but inaudible . Okay. Okay. If you have any questions ill be happy to answer any questions you may have. Or, however, you guys prefer. Thank you so much typically we would have the audit in front of you this is past practices well make sure we get these and commissioner wynns. I want to ask we typically have the audit in front of us this is important in the audit but im age i need more information about explain why it the appropriate to have the carry over money not for compensation for compensation im not to ask our staff about why it is worked out this way but i think that is appropriate to ask the auditor why you on that is okay. On the Financial Statements we have an ending balance it is distributed to be used for q ta within the district management breakdown it they have more budgets with the effect how the district determines the use of funds and the audits to insure. So basically your you telling you all q ta money was used for thats something that okay. Thank you. I still want the answer to that question hes not obviously going to answer that. Commissioner fewer. Im not sure but on those fundamentals it says that over 68 percent of noncompensation funds is unspent primarily in technology so that part of the 9 million carry over. In the questions of the california packet theyre not using some in the back, yes so thats i think what the auditor said this is r there is a 9 million carry over; is that correct. The actual number is 9 million plus as of june within the q ta fund for q ta purposes it is up to the district we dont question the district regarding where we think theyre using it for things one the q ta but something envisioned one of the bullet points this direction the district wants to go with the money. So the chair over is because of the compensation that technology. Okay. The chair over is primarily generated from thinking spent noncompensation with the technology all funds carried forward are not spent but reprogrammed for the allocation primarily following the guidelines of will 71 and 29 percent with the breakdown of the funds but really is happening your funds that are noncompensation based; right . Have primarily creating their unspent balance it is redistributed out of 71 and 29 back into compensation. Commissioner mendozamcdonnell. Thank you before i want to start i want to say thank you for this work it prop a was an Important Initiative we worked hard to get passed and having you as is oversight is an important piece to the voter for this work i have a couple of questions mostly how the planning on spending the 9 million so 9 million that are currently in the pot what is the plan for that. Commissioner mendozamcdonnell right now 9 million roughly pilot between the teacher compensation and the nonrestricted teacher compensation that portion is in 78 spent down in order to cover the negotiating rates it is supporting one and a half percent rates for that was negotiated. So what is 1. 5 percent total what is that equal. It is about 3 want 8 or 5. 1 million so thats a little bit different so 5. One Million Dollars is the 5. One percent but were splitting out the 9 million how much of the 9 million is targeted teacher compensation 71 percent right what is that number what is 71 percent of 9 million. Okay. Of 9. One Million Dollars 4. 6 is nonteacher compensation generated out of it positions projects being moved into the following year and the piece that is going towards the teacher compensation is 4 want 46 million that is supporting the one and a half percent Salary Increase is 5. 1 million in total. Not covering the entire piece hell take as much as we can to cover the 1. 5 and then the 4 want 6 is the how will we spend that. There are projects with the it including the upgrades and integrations and supporting the laptop for educators. This will think decompleted this year, the 9 million we not have over range for this plan. I think this plans for carry over for one more year and so i think you start to get into red into about 4 years i think we projected the grant numbers were 2 to see where we are heading were not theyre not official numbers were project by project and so 4 years is what we said well kind of not carry over will not be sufficient okay. But we wont have any additional funds to go towards the 1. 5 presuming for spending the dollars or will we still have money based on next years thirty plus Million Dollars. If i can speak to that the Revenue Growth and slowing creeping up for the 1. 5 percent Salary Increases in that time were relying on carry over for that to bolster support and hoping that Revenue Growth catches up and sustains the one and a half salaries increases not relying on over spending in the prior year. I think one of the concerns you mentioned was not relying on carry er for the 1. 5 but instead the growth will have sufficient funds to carry the 1. 5 my understanding. And then the so 5. 9 million is the 1. 5 and the teacher those are all my questions thank you very much. Dr. Murase i really want to thank the Oversight Committee i know many, many hours and in a room together comp through lots of data we appreciate all the efforts and leadership it is critically for the job you do in terms of the circuit of entire he organization i have a couple of questions i noticed in terms of the impacts Award Winners and the notation Award Winners im confident the promotions wear very deserving of the entrants i want to raise the quality issues with the factors of the schools so the impact of Award Winners there were 8 not a single one in the southeast segment and a Award Winners charles seize money and whether theyre thinking how to change the criteria for allocating those awards so some of our most underserved have a shot. Thank you dr. Murase. Yes. The issue of quality has been brought to us the Oversight Committee in terms of the panel that works on this this is quite a board cookies of strrmdz representing walk sf and u a sf are involved we have feedback from the quality issues stakeholders looking at the geographyic and the tier 1, 2, 3 schools to be considered i can telling you weve actually begun the discussions i personally had a meeting with president anita wong and brought the issue of quality i think that need to be a consideration in our talks but the impact innovation awards are between aussie other communities as we sort to that were positive this is very much on everyones mind and moving with the cooperation. Gas stations to all part of teachers Residents Program the collaboration we need to attack teachers to our School District and address the Teacher Shortage so glad to see retention rates that higher than the average so want to acknowledge the work that goes into that particular plan thank you. Commissioner mendozamcdonnell. I wanted to say one last thing of the impact innovation awards this is exist i want to thank the partners weve been recognizing and gala for spark sf we look forward to having the opportunities to showcase some of the work they put into their applications to receive the award so we want to be able to congratulate them and for those lineups a ticket to the gallop go to the website it is exciting to celebrate our educators. Thank you, colleagues just a couple of things on my end one i want to thank the q ta Oversight Committee it is important by the definitely appreciate our service i actually am excited about the impact and innovation awarded and have a expiration that played a role in providing overseeing opportunities available for students ill not say the names but been excited about the opportunity to we appreciate the work and also excited about the opportunity for carry over to play a role in percentage the raise for the educators i think one, if it puts us in a good position to do that and have the ability but shows a commitment for educators weve of well find a way for them to get adequate and due compensation i think i have a little bit of a different thought processes of the sustainability of the thought process and maybe my colleagues ive been around q ta for at least 4 plus years and the chair over continues to happen so we we talk about the sustainability and projection verse the alley we cant continue to say that something will not happen if it becomes the practice of the district and the resources and our auditor tells us even though we have Resources Available for teacher compensation or Resources Available for nonteacher compensation and the reality we decide how to use that carry over resources and not in trouble necessarily from a fiscal year managed prospective then i think there is room for creativity in terms how we award our educators and do with carry over year after year again, if we continue to have the carry over we need a different conversation about our focus will be because we cant paint a bleak picture if it is port part of reality i want to be fair with the entire communities including the educators with that said, again, we appreciate the presentation and appreciate all of your work i believe superintendant guerrero wants to Say Something. I appreciate very much the language in this ballot measure around the awards every year this process continues to evolve and provides money for practices they have promised and will continue to support them through the i lab and process but the tint of the impact award we are cognizant this round from the schools geographically award identified an achievement gap they feel is a challenge so the big part of the objective to make sure the students were seeing comforted opportunities for outcomes and want to appreciate those schools will be showcasing their with regards at the gala and look forward to the school communities. Commissioner wynns. Thank you i just my earlier comments were for the auditor i want to turning to express my thanks to the committee i know that work is taking a commitment and time and expertise to develop we dont loss the continuity at the thank you all for many times i want to say that i think we having gotten this knowing more than we do and heard from the auditor were not seeing the budget i ask we need a discussion about q ta with the budget highlighted im not a member he attend the Budget Committee and the folks are not here i think ask the Board Leadership to find out and involve looking at the language and the agreement and all kinds of things how about how the money is divided and i appreciate that i think you know this makes me think good we know this but i want to know more and discuss some of these things i want to say that i was pleased you know my main question was everybodys question wait if we are paying Salary Increases not enough revenue i was happy to hear were anticipating i know you used the word hoping im trying to be positive the Revenue Growth will cover that eventually from my point of view it is appropriate to use carry over for a transmissional period not rely on it to pay something not enough revenue and have a problem to talk about i think we have to discuss some of the old it is time to have a review not just this this is great from the auditor and the committees point of view but bans this to ask you q t after the accident how it is doing i wanted to say and ive been happy to talk to a lot of people about the awards thankful gotten and how for the money is for them i want to say that is a really good Capacity Building exercise for our schools we really want to learn a lot more before how to write grant proposals and raise money and not only the mechanics but the thinking that goes we need them to think definitely about not just getting revenue but like this but about pursuing things Like Initiative projects not left for a start of a program but the schematic of how they change their school i wanted to highlight that and wanted to say that i think those innovations Award Winners are that depends on how to define the southeast i think a lot of the schools are in the mission; right . And happy about that so but i think that would be good to have a review of the winners over the years what are the projects i dont know we have some of that grandfathered somewhere we get is it in a choppy way last i want to say echo what dr. Murase said im pleased to hear about the success of the residentscy program we all love but the retention rate is staggering higher than any other program so this is something that deserves a kudos for that thank you all for this. Superintendent carranza to close. Ill bring it on home he appreciate did comments made this evening i want to thank in addition to the Oversight Committee i also want to thank the voters and residents of San Francisco for a trusting to us this precious resources which is incredible to us keeping our teachers and paraprofessionals in the city we know that is not sufficient at this time it is something well engage the community with a broader conversation that was critical in 2008, and i think you can live tell by the seriousness of that committee what they do with their work and the questions that the board is asking we take our fiduciary responsibility very, very seriously so i want to thank the voters of San Francisco for the trust and support of the Public Schools and the hard working men and women that teach our children everyday. Thank you and now well entertain a motion and second for consent calendar approval. Second. Second on consent. Thank you. Any items withdrawn or corrected by the superintendent. Yes. Vice president walton id like to ask mr. Steel to list those items. Thank you superintendent carranza we have one correction in the last line the requested addition for the requested 20162017 not 20152016 were also withdrawing if the consent calendar one six 4 plus on page one hundred 15 and 16. Thank you, mr. Stole any items reformed if First Reading by the board. Any items severed by the board or superintendant for discussion and vote if no. Well entertain a roll call vote under section o superintendents proposals. Moved and seconded on april 12th can we get a report if rules Committee Community rigs the rules Committee Gave a positive recommendation recommended the board passes well do never mind the second item was withdrawn but also recommend the board as part of rules committee this the assault and bullying policy was forward with a positive recommendation but amendments were made and forth coming with the amendments thats why this is not on the agenda this evening. Thank you commissioner wynns superintendent someone read the resolution. Into the record. Like to ask the General Council to read that go the record. To adopt the board policy to more accurately reflect the california federal lieu to insure the board of education is in compliance with the law. Any questions or comments from colleagues sounds good roll call vote ms. Casco. Ms. Chin mr. Totiano mr. Duffy cummings moreno mr. Walton ms. Wynns pr president haney that is 4 is. Thats 5 is thank you. Thank you ms. Casco. And now we will entertain a report if rules committee on one six 4 dash a for the 2016. The Committee Recommends that the board send a positive recommendation and adopt this resolution. Thank you dr. Murase are you reading the resolution into the record. Yes. In support of safeties for all act of 2016 authored by myself and commissioner mendozamcdonnell and Vice President walton whereas more than a one hundred and 17 thousand americans were killed or injured by guns in 2013 including 7 thousand plus children and 8 thousand plus californian and whereas theyve been one hundred and 60 School Shootings in the United States since the sandy hook Elementary School attack in 2012 whereas a california is a leader in adapting effective and common sense gun safety laws to improve Public Safety but the state has polls in the law that allow too many dangerous individuals to commitment acts of violence and whereas Jackie Newsom introduced a ballot measure a package ever commons reforms to protect our families and communities from gun violence and whereas this Initiative Keeps guns from falling into dangerous hands by requiring people problem licensed and conduct license background checks for Law Enforcement and whereas this initiative will strike a firearm dealer by requiring them to have employee backward checks and report lost or shone ammunition and helps to protect our city from Mass Shootings by making it illegal to have ammunition that allows mass killing and the legal disposal of those magazines and the commission has the existing gun laws by having a clear process of those convicted of a felon for those to relinquish your firearms and breakdown gun trafficking rings and return the guns to their legal owns if their firearms are lost and stolen and whereas the vast majorities of californians support all the proposals to close loopholes and strengthen our gun safety laws with the Public Opinion and essential to the families of San Francisco to support resemble 0 reforms to protect our communities from gun violation tlond the board of education supports this Ballot Initiative in the 2016 election. Any questions or comments or statements from colleagues commissioner wynns. I just want to if everyones name can be added to the resolution i guess it just the people that are here thank you. Commissioner mendozamcdonnell. Thank you i just want to thank dr. Murase for pulling this together weve attended an Information Section with regards to this when it was laundry and it is very daunting to share this statistics around the tragedies we had over the many years and you know, i think this will be one piece of a much larger pulses we try to solve the problems around gun safety im grateful to my former boss Lieutenant Governor newsom and one of many measures that makes our schools safer. Thanks i think the one thing that is missing from the resolution is really on education piece about firearms and anyway he did, he support is it i think that is having my husband being a Police Officer for 35 years and hes gone to any accidental discharges and from scorn personal to firearms are dangerous and disastrous weapons and i think that there is needed to have further education about the use of them and also how dangerous they are and further have more laws i think that require responsible gun owners to have keep them in a responsible way in their homes and also to responsible use of them thanks. Thank you. I want to say again, i that the key to this resolution is common sense common sense common sense we have a good number of folks in this country and city that believe that firearms are something they must own and possess we know they use the constitution to push on agendas in reality makes it unsafe for citizens not only of the country but commons measures to make sure that people are not Walking Around with clips and making sure there are consequences to dealers that sell to individuals and people that shouldnt have dependence in their hands i want to commend dr. Murase for bringing this forward and commissioner mendozamcdonnell and i do agree with commissioner fewer in terms of the education and gun safety piece but on the less firearms we have at home and the less firearms we have available to people is really what will help us all of eliminating and e rating gun violation so thank you dr. Murase. Two typos i want to correct before before a third paragraph and it is not going to be a slam dunk on the November Ballot a lot of opposition to it california is preserved as a leading state so were going to need all of the community to support this get behind it but it really is about ending gun violation and promoting gun safety and 80 happy to include all of these other of my colleagues on the resolution. Thank you we would like to welcome commissioner norton hero this evening and roll call vote ms. Casco. Thank you ms. Chin real quick im sorry do we have any comments from our student delegates. Mr. Chin mr. Totiano ms. Fewer ms. Mendozamcdonnell pr dr. Murase ms. Norton and mr. Walton ms. Wynns president haney thats 6 is. Thank you ms. Casco. Resolution passes now we have Public Comment on jane kim general matters one speaker card. Mr. Carl and you have 2 minutes. Im carl free san franciscans and ive spoken before about your supportive of s q77 youre going to implement in a few months and discriminate against the students im coming down to help you im notifying you to a movie a movie called vaks placing at the opera plaza beginning on friday an important movie is exposes Research Fraud at the cdc on the that showed autism in the cdc covered it up and screened away the documents ive come down to here ive bought you tickets to see the movie next wednesday and 7 oclock at opera plaza their 8 ticket one for the superintendent and one for each of the commissioners i think you really need to see it if you seen this movie before you debited 0 support sp 78 ak47 and the new vaccination i believe you wouldnt have voted and realized where we are coming from fraud these vaccines are not safe and effective for everyone this is what this research at the cdc showed and you need to see this it is virtual you need to see that movie i beg you and implore you to learn about exactly was going on and see where we are coming from i found a way for any kids to come down hero it is not for my own health and gratification this is a serious issue if you demand it children have those into the weeds to go to school and every single one you, you need the information and need the knowledge and know why were oppose it and why. Thank you sir, you i want to publicly say i cant accept our enlist. Please pass it on to our staff please i beg i paid outofpocket you need to know why. Thank you as promised we will going to have a very interesting meeting tonight and now move forward there is no special order of business no discussion for educational issues this evening we have a Progress Report my apologies yes sonya. Thank you Vice President walton id like to ask jennifer to come forward who is a selfinterest in fact, in the Mayors Office of mayor ed lee in the office of San Francisco and a director of our children and families in the san franciscan Unified School District to give us a report on the families and Families Council. Great thank you superintendent commissioners drptd and Vice President walton and student delegates and colleagues and members of the public we are here this evening duo to give you an update and highlevel overview with the Families Council i believe the power point is warming up so basically, we wanted to just many of you were involved that the process of helping to make this happen and as you recall the campaign during 2014 the our children, our City Campaign and the voters of San Francisco unanimously agreed to support children and families and youth across the city so we have a counselor that is working to align efforts across the city and the communities overview to the goal a improve the outcome for all childrens and families and youth kiss across the city with the emphasis with the greatest need cochaired by mayor ed lee and 13 departmental headings heads and 13 leaders from the School District that are on the council and rep and students and parents and also over one hundred individuals that serve on workshops and members of the public who have been actively participating in moving forward and well talk about that so the our children Families Council has 40 deliverables the first is written to the legislation the first so create a citywide outcome frame franklin is to stash the priorities to align and to track our process at the city the second be delight is to create a 5 year plan we have the outcome framework and then create a 5 year plan plan that carotids with that framework and that 5 year plan is focused on the strategies and the process by which well reach the okay outcome the third data sharing between the city and the School Districts and the fourth area to create an online onestop shop for all statewide e citywide through an inventory and so what well do giving you a brief update in four of those areas so first, the framework versus a 77 page document and this document oils all the goals and milestones we want all children and families and youth to reach this framework was unanimously approved by the council in january avenue this year and it was created through an extensive Engagement Process and again this is serving as a foundation for the 5 year plan and so we wanted to have you take a look at the framework itself the framework is in this document and it is on page 17 and you can see we have outlined the 5 major goals ill state the goals if i can take a look at the 19 measures that coincide with those measures their children and youth and families especially in need meet the following goals to live and to attain the housing sustainability and file number and Motor Vehicle healthy and thrive in a 21st century learning and post secondary or career path those are the 19 measures that rose to the top of a process, however, we should mention will be several trunt measures that also fit within those goals and outlines in more detailed in the framework documents you have i wanted to mention a lot of framework around the city and frameworks through a different collaboration with the different about the framework the goal is all the frameworks that existed are a coalition should fit within the larger citywide framework were asking the coalition we can say as a city we do have one citywide alcoholic framework by which were all working under if you can Pay Attention to the bottom portions the framework those are critical aspects of the framework and also make them different the equity lens kind of from the prospective of race and ethnicity we heard there are other characters we need to look at the legal and gender and is all orientation just as involved and exposed to trauma, etc. Etc. So the goal is to look at all the goals look at the 19 measures where the context of all the combishth lens and also the strategies the strategies at the bottom are really about systems change so what were asking folks to think about is how to look at the different measures within the context of these system change efforts from the prospective how are we holy ourselves audible and corroborating the are we looking at how were cooperating and take into account our rows and who to look at data and improve practice and share the resources when it comes to training a lot of great 0 pockets of staff training around trauma and different pockets around the city and silos we are encouraging folks how to have a citywide training around trauma and in all the different measures thats the basic overview the first deliciously we want to give an update and the next area is the 5 year plan ill let my colleague here jennifer trend give that update thank you as laura mentioned 4 dlieblz and two to deliver one within the first year and the second a 5 year plan so since it is approved at the end of january weve drafted a plan the first one as mentioned it focused on process strategies the collective impact youve seen at the bottom of the framework and so what we are proposing in the plan to have a workshop for each the 5 goal areas in the framework and those groups will convene over the course of a year to have a road map to achieve the framework goals. So the plan is currently drafted with guidance if from the 5 Year Working Group from folks were in the middle of gathering the feedback from partners and stakeholders partners and one remaining on may 5th and opening up on Online Survey between may 9 and 19 that is a living document between now and the vote on may 26th the last draft is on the website we welcome the feedback our deliberately is data sharing mandated in the charter legislation but no, definitely timeline we wanted to have a working group that met at the end of march and chaired by martin and enjoyed by the excessive officer they meet every two to four weeks includes 23 members from the district and community and while your long term objective to establish sharing within the city and the School District theyll be helping us figure out what the benchmarks for the measures and the framework. And our final deliverable is the Services Inventory and again, this is charter mandated without a specific timeline that specifics we should have a inventory of pubically supported services to create something that a resource for families that be timely and comprehensive to build something useful for protecting and underserved families in the city we want to build something Service Providers and people working within the system for example, we envisioned that a inventory would be a useful tool for the social workers that help students identify activities and Resources Available to them and so we know this is a huge and ambitious endeavor well developed a pilot for a proof of concept and want to start small to have trust data for technical glitches for the longterm strategy we decided to focus on an online Digital Guide weve been working with the district and k c w f and library the mosque mo magic we encourage you to visit the site in may wrap up we want this timeline as an overview the activities for the council while the council only meets 3 times a year youll see in the first floor 4 working group with a 5 Plan Working Group and the working Group Meeting start next year we envision the inventory and data groups will continue to meet but launch 5 additional groups focused on the outcome of the framework and so that summarizes us to date well to open up for your questions. Thank you very much for the presentation and update colleagues, any questions or comments. Commissioner wynns. Thank you i want to thank you for the presentation and for all the work being done and interested in this i know you know, i have expressed any concerns many times maybe not to you but the staff so im interested in seeing what ive had my concerns pretty much addressed i mean, im not worried about that but interested in the gut about academic achievement from city departments and when this council gets around to talking about that because im interested in what i mean, my concerns were everybodys concerns we dont want people who are not experts, you know, sort of saying oh, we control the council and it is clear im pretty clear that will not happen im not worried about that i think this framework youve developed give us a good way to articulate that in such a way it is clear he appreciate that but im interested in as we get around you get around to those discussions what might come out of them and how valuable to us the hearing other peoples points of view so i just wanted to you know ask that our own staff that are there we get a way to actually have kind of detailed reports about how those conversations im hoping theyll be insight full we modesty want to go to some of those meetings ill be interested. Thank you, again, for that report. Wed like if you are interested in joining us there are quite a few of the but we have begun that work around the execution of academic achievements we are want to make sure that individuals understand the impacts of health what is happening in a childs height so everything we know but make sure it is clear were looking at the whole child. It is 36 there are a lot of work in the School District i i mean even though this is not our means the connection is something we worked on the Historic Services and getting the full model the things were doing now with the multi tiered systems and other systems we have in place that are interesting for the city departments whos Main Business those outcomes are to hear about because i know when i talk to people anecdotal people i dont know. Ive talked to in the peoples city departments oh, this is interesting so im hopefully, this is going to be a forum for valuable give and take discussion that helps us all to do better thank you. Commissioner norton. Thank you. I thought dr. Murase was ahead of me okay. Thank you. I want to thank you for the presentation ive not seen that framework it is some reading and rereading im interested in the 5 year plan is sounds like you having all are in the final process and the council will vote in late may could we get once that is adopted by the council ill be interested in seeing that not a need for an additional preservation presentation but see the plan how it aligns with the framework it is exciting see to see the plans i will monitor the work with interest thank you. Commissioner murase. Thank you for the comprehensive information it is going to take a bit to absorb it all but clearing good work and very broad outreach we want to commend ask my colleagues on the board weve always been very interested in this aggregated data i see most of data by ethnicity but ask for data that is aggregated by gender and race there was some Alarm National statistics about suicide rates amongst girls and other demographics were going down and also girls of color get lost i notice the male female but not breakdown by race id like to ask you include that level of data as well as gender gender is a deep issue amongst the young people and make sure that wither capture as much available there are challenges in capturing that data but until were counting folks were not asserting there i ask for that Additional Information as we move forward. Commissioner fewer. Thanks i think this framework is really impressive you know when we were voting on it i think designing it i know we had this goal of you know at this Unified School District we serve the same children and how can we combine the resources to make sure i think this is impressive the measures is you scanned it but even looking at the ot the current yours our schools and that kind of stuff with housing and physical health and Mental Health and other health all the things it is yeah go back it is interesting this whole document i think so i feel liquor all those the influences like the criminal Justice System and incarcerated parents ross are all effecting the neighborhoods all the components actually, we talk in the School District about we know that it impacts a childs academic performance but unable to make sure or m measure it around what we do about it i think this is our first step that is really go back and thank you for sharing and commissioner norton that is really interesting so thanks so much. Commissioner mendozamcdonnell. I want to pubically thank you wench been working closely and want to thank you for your incredible work we remember not sure it out how to get it off the ground the efforts you all have made have betreermgs that incredible and both of the meetings this far we may have been missing one or two departmental heads but everyone was engaged and the discusses that have curiosity that between the departments have been interesting particularly those who dont realize they impact childrens lives and so, now theyre starting to understand what this means in terms of the way theyre doing theyre planning and budgets the city embarked on the mayor has asked all departments to provide a 5 year plan for all the work Going Forward and in each of those plans you know the review are part of oc i f theyll working closely with oc i f to make sure the goals are mets the same question will be asked by the budget director where are your budgets will this work lie and how are you looking at this so this is an incredible opportunities for us to really set an agendas for children and not working into two different spaces because things that happen in the 6 hour day for our children under the roof of a school you know there is a lot of time that happens before and time that happens after all of that is impacting that 6 hour day under our roof so im grateful with the voters of San Francisco are giving us this great opportunities and really, really grateful for the departmental heads that participated in that you know it opens doors for all School Districts to know were looking at the whole child and this is going 0 you know something we have to do and do it for the next 25 years and looking to codify the relationship and looking to institutionalize the way we serve our children i couldnt urban design more grateful to have this opportunity and the last thing with the mayor and the superintendents to show up side by side and this actually has been you know taking the lead on facilitating several of the meetings it is the heads of our Public Education institution and the head of our city are saying your children are incredibly important and doing everything we can to layer the services to insure they get the best outcome so im grateful for the work you two have done and grateful for sandy and karen work the tremendous number of folks not have all who are staff necessarily and a lot of people put in a lot of extra time they care and building in this process and were talking to people once or twice or 3 timesal month with big cities hearing we have this big council and want to know more. Thank you for work. Thank you for your work and the work of the desire team i want to mention i think this is a unique opportunities unlike more cities the one thing that concerns me a little bit is that if we look at the timeline for with the oc i f for the 5 year plan and the Children Services at b c w from the time is off when we get the plan in the bigger body that could be problematic didnt have to, of course, my hope were talking to each other our intent not to make sure the processes were articulatey to each other but wanting to make sure they compliment each other and not the easiest thing because of the big body but make sure we are all paying attention to that and as was moved forward but again, thank you so much for all of your work it is not easy bringing all the departmental Heads Together and like sxhelgz e commissioner mendosamcdonnell that is available to see the superintendent and mayor working together to drive this intent so thank you. Thank you. Moving forward no consent calendar resolutions vote on consent calendar was under f and no items severed for medicine action well vote on consent calendar. Thank you, commissioners ms. Chin mr. Totiano ms. Fewer ms. Mendozamcdonnell dr. Murase ms. Norton mr. Walton ms. Wynns and mr. Haney 7 is. Thank you ms. Casco and at this time, of course, i want to recognize and welcome paecht and now read into the record the proposals for fvrdz they are one six 4 plus in supportive of naming the George Washington high school to be alfred jes pan and adopting the food standards for sfusd being introduced by commissioner fewer and matt haney and mr. Walton may have a motion. Second. To building and grounds and Services Committee and the good Food Purchasing standards to the budget and services competent that means no action for the Curriculum Committee introduction of proposals for immediate action for notice of suspension of board rules can i have a motion . To hear at First Reading approval of Title One School level for the involvement and parents contract to the Top High Schools. Roll call vote for suspension. Ms. Fewer ms. Chin mr. Totiano dr. Murase ms. Mendozamcdonnell mr. Monroe and mr. Walton ms. Wynns and commissioner president haney 7 is. Thank you now a there is a motion and a second for formally introduction of resolution. Move second. We have someone to read the resolution into the record. Yes. Vice president walton id like to ask at that point to have our director the state and federal program and our lead director please come forward no relation. laughter . Hi good evening so this item pertains to the current federal and state we were selected for the county and district this particular hem has to do with withheld Top High School we originally got the direction from tdepartment of education didnt need an impact all of the schools have a policy Stakeholder Engagement this is a document that receives titles one upon review though, however, the reviewerer did say they want this written out so approved by the School Council and substantial by the board of education and thats from page 25 a or 25 to 25 e very similar if not the same in the policy in impact for the rest of the schools. So the requested action to approve the parents involvement impact for the held high school to have the requirements of title one. Thank you, colleagues and commissioner fewer. A clarification this is has been approved. Title 15. Thank you very much. Any other commissioner wynns. Im stumbled about this you look like you are too weve not done this it is because this is the schools their auditing or saying you have to so dont care is the inclines supposed to be about every school not just in the district. What they give us direction the individuals at cdc understand the high schools are different so their recommendation was to centralize the funds the interviewer said well be more comfortable even though it didnt get looked at the title one funds but the formalized policy. And impact as any other school so it is simply we agree. Okay. It seems to me an example judge compliance driven in sections that are unrelated to reality and actually improvement are you concur. Thank you for the explanation. Additional comments. Mrifrn mr. Totiano commissioner fewer dr. Murase ms. Norton mr. Walton ms. Wynns mr. Haney 7 is. Thank you board member reports. Standing committees report from the ad hoc on Student Assignments from april 2016. So we heard maine the issue of middle feeders to have spots for the feeders but looking at language pathways and special education and the staff has a working committee theyre trying to resolve a lot of the issues and present the process of their work and had a good dialogue and other Committee Meeting in may well discuss the annual report so the annual report had not come out but part of that is focused on the conversation about some of the outcomes of this years Student Assignment process and some of continuing the questions issues that commissioners have. Thank you president haney the committee as a whole we address to informational items one the school of the arts and task force presentation what the goals and wiener we what well doing do moving forward and the comprehensive School CounselingProgram Framework in 3 year Implementation Plan presentation and that summons up the committee as a whole april 21st rules policy and Legislation Committee report commissioner wynns. We had most of report from the committee we had 3 informational items related to the board policies one of which we adopted tonight and one amended it is coming back and the third one was the item on the Boards Committee we asked to write different language about the select joint committee with the board of supervisors since this is not operating now based on the kind of decisions of the board of supervisors not to participate we need that explained in the rules that was that we report also on the stacey act the other main thing the which is what we do at this time of year the activity of the rules committee to look at go legislation and so the board for the committee took a number of positions and we followed all of you have a copy of the documents we got from our lobbyist and if you would like to discuss any of those with them or Michael Davis the loan or with me well interested but also there are a number of pending things everything last friday we met wednesday evening and thursday evening e evening i think that is not our normal Meeting Night but the next day what the bull deadline so their some things might be submitted but most importantly things are amended so forth coming to us none of the positions were controversial or will be anything that the members of the board will object so and also youve gotten the bill list before so you can compare those the big bill list you got last month actually so all of those positions are available to you and so well be completing this and interested in input always into the members of the board or the staff has input into the if they have opinions or experience with the things before the legislator we have a group of bills not the teacher evaluation bills was a tape priority and the primes moving forward into this year it is suspected nobody is moving on that because of what is happening with our decisions so it is kind of a wait and see things thank you very much. Thank you commissioner wynns budget and Services Committee. We have a meeting on may 4th i dont think there is any other report. Thank you scomploern building and grounds and Services Committee. Thank you our meeting last night and two items on the agendas one was the process timeline for the preparation of the thought bond proposal that we talked about a little bit of the timing of that so the staff is going to be doing Ongoing Development for april and may the staff will have a final bond measure to the board on june 6th for the First Reading of the bond measure schedule for the june 14th meeting it will come back to building and grounds and vote on it and have a second reading on the june 28th this last date to speed limit is august 12th and this is for the november 8th police the Second Amendment on the ballot an update on what what is happening on the c annexation with the planning to parks to the pavement to parks project think 42 avenue and so we have to see some of the pictures of the great temporary installations at the site some of the community deja vu been going on theyve been planting some of them other Community Days to put murals on the grounds and putting in addition you know building the skateboard elements and have theyre opening on may 7th i believe it is saturday may 7 and then from there starting introduce may 8 through the next two months of july the test period so see how everything is holding up and goes it is an exciting project and was moving along quite nicely our our next regularly scheduled meeting on may 23rd i believe monday. Rem double check that, yes monday may 23 thank you commissioner mendozamcdonnell and once again action packed curriculum meeting this upcoming monday at 6 00 p. M. Ad hoc on pencil matters relations date to be determined as well as the ad hoc School District and city college joint committee no other informational items no memorial adjournment oh, sorry. I have a couple of things to announce april 28th is at the opening of sfusd Arts Festival celebration 5 to 8 00 p. M. At the Asian Art Museum it is free students exhibits we welcome you to the opening of the Arts Festival on the next date april 29th friday at 7 30 the San Francisco school of arts annual staffing show may 12th to 15 will be the school of arts the dance performance at the theatre in the center and then finally may is market heritage month there will be an events on may 14, 201610 to leveling e 12 30 at the San Francisco main library in the lower level to celebrate olympian shooting for the goals for the Asian Pacific islanders offsite athletes thank you. On april 28th theyll been hosting theyre after dark party if you have not been to one it is fun and the bayview and dog patch i want to congratulate you for turning 20 years old they and their grand slam finals were last friday and two of the students were in this they didnt win by were fantastic i want to thank mr. Walton and partners that came out on saturday for youth park it was fast to see young people playing in the park once again and to honor all the work at the park there was a tremors amount of history we dont 0 realize i went to school at youth park in the 60s it wnice to have a grea barbecue for ecology and love the Community Partners came out thank you for coming out and celebrating was is a great space we are looking forward to doing temporary development for the benefit of the Community Next door to malcolm x and once again were going a followup celebration at malcolm x a health fair and the reimagining pieced so we hope youll all come out and thank you for your leadership on this Commission Commissioner mendosamcdonnell and student delegate i believe you have an announcement. The vote 16 is up for climaxed on tuesday mayor third at 4 00 p. M. Id like to invite anyone who would echo our efforts into city hall as well. Thank you a point of notice post in the agenda the staff report on acceptance of gives for the month of moss march 2016 no memorial adjournment tonight do you want to do that. We should our president. We dont have the words to do this we wanted to adjourn our meeting and honor prince hes influenced so many of our lives over the many years and several of us went to watch purple rain in the castro theatre he was an amazing icon and vision and just world talent so president haney you wanted to say a few things too. One thing ill say which is related to the report that is, i was able to go to the elementary musk festival we hold every year and my comments to the students there were hundreds were there and hundreds and hundreds of parents as well i told them about one thing their probably wondering why their parents were wearing purple but the power of music and what multiplications mean to us and art you know our students and entitled we him or dont know who he is or love music i think we will remember and appreciate how he not just inspired people to love music but be themselves what we are a School District we say love who you are and be who you are and inspire and pursue your passions thats who prince what it is appropriate we adjourn in his memory. And on that not i want to apologize i know some of you are here for the special order of business we need to recess the regular meeting and go into closed session and convene immediately after our closed session were hoping to get through that that in a timely matter to move forward with the special meeting thank you. Well take minutes. Thank you. Well resume our session the report of closed session actions from the special meeting of april 19, 2016, the board by a vote of 5 is and to absent commissioner fewer and mr. Walton mandated the contract and to absence for one vaunt principal by the vote of 5 commissioner fewer. Mr. Walton approved the program for one program administer and commissioner fewer. Mr. Walton absent with the probation and the status of an employee and the particularity of the d g versus sfusd by a vote have to is absent commissioner fewer and mr. Walton to the School District to pay up to the stipulated amount and by a vote of two is commissioner fewer and mr. Walton give the horticulture of district to pay up to the stipulated amount in the matter of marla versus sfusd the board by a vote of 5 is absent commissioner fewer and mr. Walton gives of authority of the district to pay up to the stipulated amount and that excludes the report of the action and the closed session on april 19th this regular meeting of the board of education is adjourned and now scott wiener we ha have special cott wiener we have a special ott wiener we have a speciawiener we have a speciaer we have a specialr ww good afternoon and well call our meeting to order and the commissioner clerk will call the roll. Clerk rrk roll call. I put the minutes in front of you. Commissioner chow requested a make a slight change on the top 6 page seven. Ill see text crossed out and other text that has been alded. Commissioners, the revised or edited minutes are before us. For acceptance. So we need a motion. Okay. I think this is minor and i can give it to you but go ahead. So on page 5, 5 of the ones that were in our packet. Sure. Up i number 7. Okay. Just to add precision to the language there because i asked how the stock would be dealt with regarding taxes at the end of the year. What i actually think i said was how the stock would be valg valued for tax purpose. Yes, i will make that change. Okay. While we are making small corrections, page 6. Previous page stated San Francisco doesnt have a present coherent strategy. I would like to amend that that he would like to say commissioner repeat that. Stated he would like p San Francisco to have a coherent transportation strategy. Yes. Im happy with that. Those are good changes that unless there is objection, we would add to the changes for the motion. Any further clarifications if not all those in favor say aye. All those opposed. They are approved. Item three is general Public Comment. I see no one from the public here. We can move on to item four which is the report back to the planning Committee Meeting. So commissioner chung was unable to be with us today. Did i chair the meeting and the meeting took up several items that the commission that the committee is recommending to commissions approval. And ill go through that so that we can then act on the consent calendar following. First is a contract for the Comtel Technology that replaces the old button that is available in most hospital beds and will become stateoftheart in terms of being able to have immediate access to nurses if needed and does a number of other things telling the system what happening to the patient. So, its a completely new system that is going to have a need for Software Maintenance and that is what this contract is for over the next five years. And that has been built into the anticipated budget for the general and so this is the contractor who will be the company that will be maintaining the software. So, that was the first item that we took up. We took up a second item from roma consulting and they will be helping to facilitate our Planning Session this afternoon. But has been awarded a contract for working with the department over the next four years to create a lean process throughout all the department add you remember, it began at general. And they are now proposing that this it began in general in the year 2012. And there have been over 55 workshops already held under this process. And youve heard some of the work that has come out on this lean process and as i said, later this afternoon, well also then be getting a more throw briefing on the lean process and how it will assist our work. But right here, this is a proposal for the entire department for over a fouryear period to be involved with and be taught and be able to carry out the lean process on their own. They have proposed their proposal was forwarded to us at Committee Level in terms of the various subjects that they will take up on items and director garcia has assured us this is what they will need in order to make the department a lean department. And she will be providing updates twice a year on progress of contract and the progress of the department in terms of adopting the lean program and how it has been helpful to us. The committee does recommend approval of this contract. If we are unhappy this afternoon, i guess we could review that later. Hold it until after . Well, we thought we would ask for a approval and we can always ask for reconsideration. I would like to add commissioner to tell president chow that the importance of this also is to try to build the capacity within the department so that we can lean our way away from our consultants as well. I think that is a goal for us then we have already an off of general tha that well build upon for that need to hold on to the services if it should become institutionalized into the department for the future. Very good. In our conversations with the company, company has been involved with a number of organizations in terms of health care, not just at hospital levels but Health Systems and pertinent to us is that they were working with [inaudible] Health System and the hospital and the c. E. O. There who will soon be our c. E. O. At s. F. General. This is a tool that would be one in which the department would then be able to move forward if their planning processes. The committee does recommend approval at the Commission Level of this contract. The remaining contract actually has to deal with working to understand all of the assets that we have real estatewise on the s. F. General and laguna honda campuses. As you have read, the contracts themselves, they actually have describe the number of buildlings if we just stick with s. F. General, its almost inclusive of all the buildings that have not either been studied recently or have been filled and that includes the ones that are enumerated. The buildings are being looked at for four different purposes. That is whether administratively or either biomedically or for housing as far as uses and so, the four contracts are needed for the with the different architects who have different expertise in particular, the two contracts that sound like they are working on the same buildings. M. E. I. Architects and l. D. A. Architects each have different expertise. And so, they will then be concentrating on those expertises in either housing or in terms of looking at the clinical or biomedical use or administrative use. That report will be combined as an s. F. General report. As laguna honda wha theyll look at the back builds that are currently vacant and to whoo availability, how can they be used in these areas also that weve just spoke ton. This is in preparation for the potential of another capital bond issue in 2022. But this would then give us a reasonable inventory of what this department does have available in terms of Available Space that they are going to be needing in order to carry out all the duties they have and you will recall also that were going to have to one day do something with our building here and therefore vacate those services from here also. So this will be an important aspect of looking at how, then, and what Capital Needs well have in the future. So it gives us that background so we know where were coming from. So the committee is also recommending the approval of these four contracts for this purpose. That ends my report. Dr. [inaudible] was kind enough to join. Do you have anything to add . No i would endorse all the contracts as prudent and reasonable. If anyone has any other questions regarding this, if not, we can move on to the next eye testimony. Next item is the dleand contains all the consent challenged review. The calendar is before you. If anyone wishes to extract any items, otherwise were prepared for the vote. Seeing no extractions, were prepared for the vote. All those in favor of the consent and her calendar say aye, that is passed unanimously. Item six is a resolution recommending that the board of supervisors accept a gift of 2,625,000 from the San FranciscoGeneral Hospital foundation for equipment, procurement, for the Priscilla Chan and Mark ZuckerbergGeneral Hospital and trauma center. Mr. Martin sorry. That still happens. Boy, was that sometime ago craig wagner chief financial officer. The resolution before you is the latest request to recommend to the board of supervisors to accept and expend funds from the San FranciscoGeneral Hospital foundation for fixtures, equipment and high tea he new zuckerberg general. Its been engaged in Fund Raising Campaign to bring in private philanthropy to support the effort. Its been very successful. The commission has a proofed today 58. 4 million of accepted gifts as associated with that effort. This weve been doing them roughly twice a year. This is latest installment. We try to september gifts on a relatively regular calendar without coming to you constantly. The program is going very well. Were on track and spending the money and managing within the projected budget so were happy with how things are going, thp help us keep the dollars going out the door. And finish up with expenditures and also carry into the early months of operating the new hospital. The resolution before you, if you approve it, would be a recommendation to the board of supervisors who would actually pass a resolution accepting the gifts so were asking for your support for this resolution today. Can happy to answer any questions. Thank you. Commissioners, the resolution is there any Public Comment . I have not receive ned requests for this item. Were prepared for a resolution that is before you. If we can have a motion. So moved. Approval of the resolution. A second. Any further discussion . What are we doing to celebrate the people at the foundation who are continually generating funds for hospital . Its unbelievable to have these kind of people in our community. Absolutely. Its been an incredible effort. Weve done a couple of things. We did have at the board of supervisors and at the Health Commission particularly at the first installment, we gave acknowledgment to the board that has been active in raise being the funds. There was an event at the new building. It was in november. There was a thank you and honoring of the donors at the actual Ribbon Cutting ceremony for the new hospital that donors were and the board of the foundation were acknowledged extensively. So we really have been trying to make a point of what its not just great for the hospital but great example of how private philanthropy with can work for public hospitals. Were trying do as much as we can. There cant be enough. And to let you know commissioner singer that dr. Chow and i took them to lunch and presented them with awards, the exiting chair and to amanda heras the executive for the commission. Anything else we can think of, we would take into consideration for that. We need them. We need them and we well have further projects. We sat with home to in their Strategic Plan as well and were meeting with them on a monthly basis, greg and i. Keep them ingrained in what were doing. Exactly. Id like to thank our own commissioner sanchez for representing the commission. Im sure thats no small thing. I would add that again, this is separate pertaining to these materials and supplies that would not be in the budget under the city contract were picked up on the radar a couple of years ago. And as we know, many of the donors wished to be confidential at that point in time. In order to move forward on this. But as stated, there are now numerous public thank yous pertaining to the unique leadership. Bear family and you name it. All have been within their own zones been honored. There was another event which was sponsored by the Art Commission to thank many of the donors who had been in the arts and served and donated to this where the artist and the community were invited to look at all the Different Levels of arts and whatever. It was well attended and there was much thanks given to the donors and the artists and it was really extremely well done within the context of how, in fact, they wanted to be thanked in that context. So there is on going events. But in essence, the whole purpose is how do we support i mean how does the foundation support to provide these resources to maintain the excellence and training of San Francisco general and young, old, two and three generation foundations. Its astounding to see commitment there. I just want to say i concur. Its an ongoing communication and dialogue and something that will be there and it was a safety net when many, many years ago, we were worried about if the seawall was going to collapse and they came to our aid and have continued to come to our aid. We want to make sure that that is a continuum of support for us. Sfghs. I found the leadership extremely dedicated and was pleased to be able to work with them and well continue to have opportunities to work with them. Them. So at the resolution, weve had discussion. Are we prepared for the vote . All in favor, say aye. All those posed, resolution has been passed unanimously. Thank you very much. Thank you commissioners. Item seven is creating Healing Organizations in a regional system of care. Good afternoon. My name is lynn dolce. Im the directer ffer for foster care Mental Health. One of the trauma inform Care Initiative which is what were going to talk about right knew. Get my glasses on. Its right in the middle of the screen. This one. Thank you. Youre welcome. There are my notes. Can you get them. Thank you. So on behalf of director garcia and our team, with the Trauma Initiative system of care. Im grateful for the opportunity to be before you today. As you know, or may not know, but i probably do know, the trauma is the number one Public Health concerns we face today in the county. Trauma and toxic stress have been linked to Many Adverse Health outcomes including diabetes, heart disease. Lung ailments. Cirrhosis of the liver and suicide. Trauma impacts more than the individual. It has a Ripple Effect on our communities. As such, at the department of Public Health has steen that a need for a preventive, collective, collaborative approach was needed to address trauma. Were used to thinking of trauma as a Behavioral Health incident. We think about ptsd and trauma in young children. What we know is that trauma impacts entire communities mostly disproportionately to communities of color, particular lit Africanamerican Community and Latino Community here in this county. And when you add racism, bigotry, poverty to the issue of trauma, you get a toxic brew. Thats what our clients and patients are coping with on a daily basis when they come through our doors in the department of health. Thats what our staff is coping with. I think the reason why this paradigm shift is happening now is because we realize that we can spend and we have spent lots and lots of money on evidencebased practices to address trauma on an intervention level, one o to one intervention level and even family level, until we have a system thats a Healing Organization, its just a practice that we do. I could be the best welltrained therapist in the county, as long as my patients are experiencing trauma and stress,. My hour with them isnt going to hit the mark for our patients. Were looking at organizational change in addition to practice improvement in our offices. The ideology of the project was really in conversation with director garcia. Realizing that we had a lot of work do that our staff was suffering. That we werent really hitting the outcomes we wanted to hit. As we began to take a deeper look into why that was and is. It became clear that address trauma on an organizational level was something we needed to do. So we developed the curriculum, we call it trauma 101. This is a curriculum where every employee in the department of health, all 9,000 of us will be trained in a basic, fundamental training around what is trauma and how it impacts us. In addition we developed traumainformed principles that we can begin to look at how to integrate organizationally throughout our department and developed competencies around the principles so we could measure weather our organizations are making the change and how is that is impacting our staff and patients and outcomes. Really, our method is to teach, to sustain and support and study how this is impacting our organization. Sorry. Just hitting next. Thanks. Okay. So relationships matter. They rule the world. Big business, corporate america, and even in the department Public Health. How we feel about each other makes it a difference in how we do our work. In order to become a Healing Organization, we needed to talk about three things in an open way. Talk about the centrality of relationships and healing. The way in which trauma can destroy relationships and how intentional leadership can combat the trauma on our Delivery System. The problem is when our Delivery System is siloed and fractured. When our organization is reactive, when our leaders become numb, the service delivered reflects that system. Relational leadership is something that in the trauma 10 is training that we deliver to all the staff is a key message were trying to impart to our staff. So instead of having a reactive, numb, fragmented isolated system, we teach our workforce basic information that has the potential to dhaipg change the way they think about their work and interact with each other. The shared knowledge and language of trauma within our workplace is a place to start these conversations to really lead the change. A core message of our work with our staff is unifying our system. We cant make meaningful lasting change in our silos. We have to come together and learn how to collaborate. Weve developed a local approach and now we have a regional and National Approach for what we use this in this county. As you know, we get hurt in relationships. It happens all time. Its the nature of relationships. But we also heal in relationships. If the symptoms of trauma live in us as individuals and i would argue as well as in our workforce, many of our workforce have grown up and lived in San Francisco and have been exposed to chronic stress and trauma throughout our lives. Theyre now our employees and ask them to serve the community which they grew up in. Its a wonderful thing. I think sometimes it impacts the way we can deliver our services. We understand trauma not only now from the individual level, weve got good neuroscience behind what we understand how to help people. We understand our staff is made up of people. We understand also that our job as providers in the department of Public Health our tool is ourselves. If as people, were not in tune with ourselves and people around us, were into the going do our job well, how we relate to each other does make a difference. Our administration is really important hererc1 because witht supportive and intentional leadership as a mentioned, we cant sustain this Going Forward. We have a model which well talk about in a little bit which includes Leadership Development. Even as far as our funders go, when were vying for funding many of us do the same work in this very small county. Were competing against each other. Were competing against people we should be collaborating with. So even when we talk on that level of how do you collaborate. How could you make one door the door rather than having our community go true different doors. Our funders have something to do with that as well. We think the principles of the system can be seen as a patd into this kind of Healing Organization. So we know where we are, were in this traumaorganized looking system. You can see that chart is really kind of chaotic. Trauma impacts our organization in ways in which we get confused about our roles, the hierarchy gets confused sometimes. People get isolated and fragmented. Where are we going . Were going to the traumainformed place where we can begin to have a shared conversation around what is fundamental to the shift. And i think what we know is that a traumainformed system is the first step. Whawe want do is be a Healing Organization because thats our job in Public Health. To help people heal. Help families heal. We want good communication and collaboration. There is not one way to make a traumainformed system. This is one way. If nothing else, one of the core messages of the threehour training that we with our staff 100 people at a team is asked them to shift their perspectives. Were very, very used to asking what is wrong with people. What is wrong with you if youre upset . What is wrong with you if you have an ailment if and youre in primary care . When you ask that question, you locate the problem inside the individual. Wie teach our staff that trauma is an external event that happens. We have our reaction to it which has a physician logical reaction to our brain. If ee stick with what is wrong with you, we dont get to this idea that we can be curious with each other. Really, shift the question to what has happened to you. When you shift the question to what happened, you create less judgment and create more openness. Then the person can tell you their story. Providing context fosters compassion and helps us see our strengths as a community. The evidencebased practices i referenced to begin with are part of this model on your left which is that our system sometimes functions like a machine. And really, were not a machine. Were made up of people. Were not really doing output. Were not its not about output. Its about outcome and relationships. In our mission is to ultimately serve and protect people by working with people. If we know that people are unpredictable by nature, how do we account for that . Slowing down to see and understand the humanity of people we work with and acknowledge that people are doing the best they can with the deck of cards theyre dealt and deal with that in the department of health. We want to understand our system and department as a living organism where it gets nurtured where leadership like the soil and rain and rest of us, the branches spill out and do the work we need to do to have our communities flourish. Were working on this picture here. We think that building a Healing Organization is included the foundation, obviously. You need a roof and you need the structure. Bear with me while he work on this. Here is our foundation. We have six principles i sent to you last week or that mark did. Thank you mark. Two are trauma understanding and culture humility and responsiveness. Those are foundational to any organization looking at trauma. The other four principles that you see rl the pillars that hold the walls up and the foundation stable. So a whats inside the house is all of our traumainformed care practices, all the interventions that we spent money training people on. If ear training people and theyre doing their job well with our complients and patients, if they go out in the haulway and have a terrible event with an assistant, people cant continue to function that way. The furniture i be side is protected. Our evidencebased practices need to be protected by the overall structure which teaches each of us how to hold it so healing can take place. We think our t. I. S. Curriculum aligns with other initiatives that the department is pursuing at this time. Racial humility and traumainformed system are almost mirror images of oach each other. Theyre both looking at who we are as human beings and what we bring to the work is valuable and how we can sometimes get in our own way and each other as way. I think that when we apply both the lens of the frawminformed lens and racial humility lens to collective impact and lean, well have an environment that is conducive to the healing and growth were looking to achieve in the department. Here is our slide on how were doing all of this. So teaching, weve taught over 3,00 3,000 employees so far. How did we do it . We started out with two master trainers myself included and trained two other master trainers who have trained a new cohort of trainers. The idea is to build sustainability from within so we can do it within and we want this embedded in everything we do. Queer teaching each other how to do the work. Were training people who have interest in in this work. Theyre not necessarily teachers or leaders. As we define them, but maybe theyre clerks and maybe theyre people who really have lived experience who work within our department and just want to spread this word. So, this cohort of next master trainers or trainers are a varied group of people within our department who come to this for very different reasons. We wanted the message to come from all levels of leadership and staff for this training. So, that kind of speaks to our sustainability plan. We are embedding the knowledge within. We are on goingly training people to train and we have champions in each area of the department that are looking at how to embed these principles into organizations. We have a leadership cohort that includes the director of maternal child health. Our Population Health director. Director of c. Y. F. Director of laguna honda and pleaders from first five and j. P. D. These leaders get together and through a grant are creating a leadership tool box create leaders to embed these principles into their organizations. We are meeting with the people who are involved with lean racial humility and collective impact to make sure our curriculum jives with what is taught within the initiatives so staff is not confused with what theyre hearing so it all fits together for people. In our evaluation at the end of each training, every person who takes the training fills out a twopage form and let us know how they think and doing and making the commitment to change. We evaluate how well people are in taking what theyve learned and make the small change weve asked them to make. We tell them to tell us what the changes they want to make and we follow up with a phone call and email two months later to find out how theyre doing with their change. And i think i sent you some of the outcome data. We can look at it. I wont spend too much time on that right now. This is just another way to show you how were rolling it out and what the multilayer approach is while we val ute principles, we think it can be difficult at that transform the concepts into specific behaviors that meet the needs of the clients. Selfassessments. When the staff are done with the survey, selfassessments can serve two or three purposes. They help to identify and evaluate are the program needs. But they also raise consciousness for people b about what they need to do to create growth in their own organization if theyre reflecting on what they want to look at for themselves. Every component of the evaluation is about transitioning the knowledge into action. And i dont want to repeat that. Okay. Okay. So this will is a little bit of what we learned. That while most people approve and agree that this will is a really important toopic for them and think it will change their Work Experience and the way they work with clients and patients, they are worried its not going to be easy to apply and theyre really worried our leadership is going toe abandon this initiative that it wont get the support it needs and will be poorly implemented. Were taking the information to heart and focusing a lot on our Leadership Development around these concepts and how to really embed this and provide support for our workforce. Ill end with letting you know that weve now been recognized nationally by sampsa in order to take our model and make it a regional model. Were the lead department in six countyeffort to create a regional approach. Why does a regional approach matter you might ask. Why not just know cuss on San Francisco . It matters because one out of five of our kids in Child Welfare are placed out of the county. Placed in the sister counties. Theyre mostly impacted by trauma and theyre the least likely to get traumainformed care when they walk through the doors of other clinics in other counties. 65 of our kids in San Francisco are placed out of the county. There are fault lines in between our counties and kids and families fall through the cracks all the time. There are so many barriers to care. By bringing all of these concepts and people together, including funding streams and Leadership Development, evaluation and research, marketing by really taking this lens of a traumainformed regional approach, we are really creating a shift in the way we can do business across county lines and the ways our families can seam leslie move. They dont stay in one place. They might live here and go to school somewhere else. We need to serve them as one. We are disseminating the trauma 101 curriculum in different counties. Theyre training their own trainers. Theyll have their own master trainers based on our model and well work with them over the next few years. Were looking at all the initiatives through the traumainform lens with our partners and counties. If you have any questions, identify a be happy to answer. Any Public Comment . Clerk i did not receive a request for this item. Commissioner singer. Thanks for coming. Hi commissioner singer. At least im coming to this fresh. I had two questions, one is, if we were in a training session, what would we experience . Like trying to make the concepts which you live and breathe every day more tangible . Good question. So you would experience a threehour training with a couple of breaks. Maybe some coffee. And we would go through these principles that i sent to you, the six principles and we would help you understand why this understanding of stress and trauma matters to you individually and why it matters to the patients we care for. Wed go through neurobiology. This a training for every Single Person in the department of Public Health. We worked on the curriculum to make it really user friendly so that everybody in the department could understand what we say when we mean neurobiology, what the heck are we talking about. Youd see simple pictures of brain. Wed explain Brain Development and explain the stress response in human beings. We explain things in a simple way and ask people to reflect on that. We move through that in cultural humility and difficult examples, talk about racism and poverty. Can you give us an example . One of the things you might talk about . Yes. Im trying to think of the one that maybe is pertinent at this point. So until the shift your perspective slield i showed you, that comes in when we talk about relationships and when we talk about how important it is to stay regulated at work by this time in the training, they understand what regulation what it means to be selfregulated. We talk about how an example would be that will i am really, really functional in the morning. I get up, i maybe go for a run. I have an appropriate level of stress. Im very good in the morning. I get my emails done. If you work with me, youll get phone calls from me in the morning. By 12 00 or 1 00, i taper off. If you give me a deadline within 24 hours but i have two on my plate, youll see in moo a market dedplees my ability in the afternoon. I will have gone over the peak of my stress level and i will be become slightly dysfunctional at that moment because im confused. I have a stress reaction physiologically happening. I can either stand in front of my computer and think its going to happen somehow or i can take a break or i can go to a coworker and i can say i need some help. My boss sent me an email, i have a deadline, i dont know what to do, i need help can you help me. The coworker can say lets think this through together. Thats how relationships matter. Thats how i need to stay in tune with myself and know when to ask for help and how to get help in the context of my day at work without calling in sick the next day. We want to look at what keeps people coming to work and what keeps them productive and work no coming to work and being at work but actually working at work. Another example around the cultural humility piece is we take a look at the very high instance of Health Outcomes in our residence in the southeast sector of the the city. We understand that for various environmental reasons people are suffering with asthma many times more than other people in the county. In bayview and how do we understand that from a cultural not a cultural pe perspective but racial perspective. How do we have the discussions on whoo is contributing to this . How can we help this community. We can provide inhome visitation. Asthma treatment but how do we have the conversation that racism matters. Cultural responsiveness matters and when im stressed out, i kind of go to my Cultural Center versus being able to stay intuned with the person in front of me. If you Say Something to me that triggers something, you might not get the best response from me in the moment unless i can see wow, im triggered. Give me a minute, let me come back to you. You might get more of my east coast italian Girl Attitude versus what youre saying youre hurt, what can i do to repair that. Were teaching them tools of how to commune cailt. A great example is called pearls, it comes out communication excellence which came out of the American Medical Association created for surgeons. Mostly because surge pes had a hard time connecting with patients. They were excellent in surgery but followup questionnaire was difficult. Pearls is a communication technique we teach and what the feedback we get is that a lot of the clerks and people at the front desks have now laminated it and put it on their phone so when they get phone calls from people upset, they can refer to it way of communicating with people that keeps them engaged and in the conversation versus triggering the person who is already upset on line. The feedback about that one piece for people who answer the phones has been phenomenal. Its been lifechanging for us at work. That any now how to field a call from awn set client or patient in a way that feels professional and that they have their integrity still. Thanks. When youre finished with the department, if you can do it for the u. S. Airline industry, that would be helpful p. Anyone in particular . The whole thing. Its beginning to sound like they all need it. This is part of your description here sounded more like within the employees a stress management process. So where does the word trauma fit if as versus why this wouldnt be sort of considered more a stress management to your environment. Because our Staff Experience a lot of secondary and vicarious trauma throughout the course of their day by serving the patients we serve. At sfgh, in 2005, we knew that every kid coming into our department of psychiatry by 6 had several exposurers. Theyre 16 now. Four traumatics exposures by the age of six. Those are our patients. When we treat them and when we provide services to them, there is a level of secondary trauma that we experience when we hear their stories over and over and over again. This is true for primary care. This is true for i. C. U. And true for anybody working in the department of Public Health that has patient interaction. That level of stress gets translated back to the client. It may get translated back to, you know, i cant hear this any more or i cant return your phone call today, it has to wait until tomorrow. There are various ways we see secondary trauma and vi vicarious trauma showing up in staff. There is a stressrelated response that not only our patients and clients experience but we experience. By teaching the staff, really teaching them about why this happens, that it actually makes stens that theyre feeling the feelings and the behaviors make sense, we believe that we can just like we do with our patients when we teach them cognitive behavioral skills we believe we can help them change their behaviors by understanding the nature of them. Theyre not bad or wrong. They dont need to quit. This is a normal response to a stressful situation. So in your survey, it appeared that one of a problems here is that theyre saying it may not be easy to apply in their work. So the concept i think the only other patient i understand. We should become aware there may be trauma in their history and like we are supposed to be doing, we should be aware that there is trauma that is really important to understand how somebody is responding to us. Im trying to understand your Employee Program to say and also then how do we get around it because it sounds like they agreed this is good and i need to try to do what you just said in the mid afternoon, that it sounds like it nay not be very easy to do. How do we then work on what were those problems to allow them then to get back on line so to speak. Be willing to take the phone call and so forth . I think part of it is the way we construct our policies and procedures from the top down. We have a topdown way of doing things which is fine, it works. Biew we need a bottomup feedback loop for people to participate. A lot of people who take the training say i love this, but i director would never let me do this. Can i couldnt do this at work. How is it that some people can, you know, take time and do this and others cant . So i think if we think about there is a how do i explain this, ill just say it. People are afraid. People are afraid to peek up, speak out, have hard conversations can theyre afraid theyll have a negative performance evaluation. I think its up to us as threersd think about how we can make people feel safe. There is a concept, the key principle state of and stability in training which we talked about how to create a safe Work Environment that goes for physical safety as well as emotional and relationship safety. It means you can go to your supervisor and say, wow when you said that i got angry. Is it okay for us to talk about that. We learn about this in racial humility that people in power have to make sphais for people on the downside of power to have the hard conversations. Im not sure im answering your question exactly. So help me if im not. Keep ask asking because i want to clarify it for you. Maybe ill ask director garcia. If thats the feedback that is needed, do we have mechanisms or is it your vision of this process that there would be that bottomup without consequence in terms of im really afraid of my boss or whatever is the impredments withi impediments for making it work . Part of the work that we have to do is we trained our first 3,000 people so we have data to look at. It will be our responsibility and this is part of why we are looking at how we train trainers so we get deep into the organization. Then probably well have to look at how once you have trained everybody, everybody understands they have permission to do this. Then it becomes is there a policy that we can develope develop for that . Is there a practice we can may go sure our executives in leadership, we have an integrated steering committee. We have to keep working at it. This a new process and i want to remind the commissioners that who we serve rl the most traumatic people in the city. In fact, we have run the trauma center. Go all the way down to outreach workers. Our Homeless Outreach workers who went through a traumatic event. This last couple of weeks. This will is such an important tool for our staff. And for us to understand how to support them in supporting those who are traumatic. What ive watched is those that do the most trauma work become difficult employees. And i have an experience where i brought many of those employees together and quite frankly, our Human Resources said theyre problematic employees. Did we create them . Or did we hire 20 problematic employees. I would say latter is true. Because of the trauma theyre dealing with and were not dealing with them, this is one of the reasons in all of our work were doing, we are rae trying to provide people support like debriefing those who do some of our Emergency Response pieces. Were learning as were doing and thats a great question because we have this set up a mechanism on how to enforce this. Thats why were doing the inspire department and not just half of the department, not just a third of the department, not just the hospital, every single employee. As they come through the employment process with us, this will be one of the required training theyll have to go through. We train the entire department of Human Resources in october as a whole. They came which was amazing. That they had an entire fle hours together to sit and hear this together. And now they can take it back into their various meeting structures and begin to imcomplemen implement some of the concepts they learned about. We serve a a large proportion of the Africanamerican Community as well as the Latino Community in our services. If you stretch that out to our communitybased organizations, we serve a lot majority of the population in the city who are facing traumatic events in their life river day. I thought if you can give us part of your background because were so lucky to have you on staff. We started this in foster care. If you look at foster care children, 50 of them become homeless as they become adults. To think about how were serving our foster care children is a reflection of how well we are doing in nie opinion as a department and how well we can help the families of them. And one of the biggest goals that weve had in our foster care system is to try to get them back to their families. If you can tell us a little bit of your background. I finished 16 years at San FranciscoGeneral Hospital in the cant of psychiatry for children, need and families in partnership with pied tricks. And have long been committed to serving our population that we serve at the county level. From i taught i teach at u. C. Im on faculty there. A few years ago i had the opportunity to become the director for foster care Mental Health. I came to d. P. H. Prior to coming to d. P. H. I was talking to director garcia and colleagues and how hopeless i felt like as a provider because all the hours i spend with the families and they go out and report another exposure to a trauma, i really began my colleagues at the hospital to think about what was needed to help our families in this preventive approach became more and more appealing and this way of looking at it organizationally because i knew how i was feeling wasnt because im not a good clinician or dpoant know my job, its a problem with secondary time advertisation. We need a Public Health perspective. How do we do this . You know, director garcia and the director of children, youth and families reached out and asks my colleagues and i to take curriculum we wrote for San FranciscoUnified School District which is called healthy environments in response to trauma in schools. And adapt it for Public Health. Thats what we did. We had been in San FranciscoUnified School District since 2008 doing very similar work with teachers, nurses, social workers and leaders. At that district level. We were able to take that curriculum and adapt to a Public Health perspective. In foster compare Mental Health right now, the work with Child Welfare has grown to include a deep and robust partnership. Its really an example across the straight about how its the only its like a hybrid we share funding 50 50. Its 50 funded Behavioral Health and 50 from Child Welfare. There is a cla collaboration there. Bringing the Children Home and bringing them to their family is our mission. And making their families ready for them is also our mission and those are the families those adults we serve them in all our clinics. Those are the adults we serve. Car commissioner karshmer. I applaud you doing everybody not just a few people. Findinfinding that 2. 82 are corps yid this isnt going to happen. Do you have thoughts on what contributes to that and because this is hopefully truly a cultural change. Yes, definitely. Horizontal work across the drpt department. What kind of things are you envisioning to help, you know, address that and is this indicative of the lack of trust . It is. I think the people who are reporting that they we have initiatives to teach here in this county. We see things come and go for 30 years. Ive worked for 25 years in this county and so many initiatives and great ideas. Creative ideas that we have invested in, worked on, train on. And they come and go. Sometimes that depend on leadership. We can get a new director of Public Health and this could be gone unless you think its so important it doesnt matter who the director is next. Part of it is that that things come and go an people are fatigued by that. You can see them sitting in their chairs like prove it to