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Propriations committee. And i am sandra lee fewer and im joined by supervisor walton and supervisor mandelman and by supervisor ronen and president yee is with us today. Our clerk is miss linda wong. I would like to thank sfgovtv for this meeting. Clerk due to the covid19 Health Emergency and to protect members, and the public, the board of supervisors and the chamber and the Committee Room are closed and so all members will be participating in the meeting remotely. indiscernible and the comments will be available for each item on this agenda. At sfgov. Sorry, sfgov. Tv org, and the number is across the screen. Each speaker is allowed two minutes to speak. And the comments to speak during the Comment Period are available via phone, by calling 8882045984 and, again, 888 8882045984, access code, 350018. And press pound and press pound again. When you are connected, dial 1, and then 0, to be added to the queue to speak. You will be lunch lined up in the order that you dialed 1 and 0. While waiting the system will be silent and the system will notify when you are in line and waiting. All callers remain on the line until their line opens and everyone must allow the discrepancy between livestreaming and speaking. Call from a quiet location and speak clearly and slowly and turn down your television or radio. And you may make Public Comment in either of the ways, email me at linda. Wong sfgov. Org. If you are submitting Public Comment via email its included in the legislative file as part of the matter. Written comments may be sent via u. S. Postal service to city ha hall, 1 dr. Carleton b goodlett place, San Francisco, california, 94102. Supervisor fewer thank you very much, madam clerk. Call item 1. Clerk its a resolution approving a second modification of the grant between the city and the lowincome Investment Fund for the provision of child care facilities and Technical Assistance to support the citys implementation of the San Francisco citywide plan for early care and education to extend the term up to two years and to increase the grant amount by 37. 2 million. And in the amount of 66 66. 3 million with board approval. Supervisor fewer we have a request to continue this item to the call of the chair. And so we will not hear a presentation, but we will call for Public Comment. So lets open this up for Public Comment. Clerk yes,. Vicepresidenyes madam chairn the queue. Let us know if there are any callers that are ready. Madam chair, allow me a moment to check the queue. Supervisor fewer yes. There are no callers wishing to speak. Supervisor fewer thank you, Public Comment is closed. And to make a motion to continue this item to the call of the chair. Could i please have a roll call vote. Clerk supervisor walton . Walton aye. And supervisor mandelman. Mandelman aye. And chair fewer. Fewer, aye. Supervisor fewer call 2, and 3 and 4 together. Clerk two, emergency ordinance amending the admin straightive code to establish the covid19 disaster Family Relief Fund. And item 3, ordinance amending the administrative code to establish the covid19 disaster Family Relief Fund. And item 4, ordinance appropriating 10 million for the general reserve to provide support through the creation of a Family Relief Fund that will serve undocumented and extremely lowincome families with children 018 years old and who do not qualify for stimulus relief. Those who want to speak, press 1 to speak. Supervisor fewer thank you very much, supervisor walton. Supervisor walton we continued these items from last week because were in conversations with the Mayors Office to work out the details to provide this relief without going through the legislative process and making sure that relief gets to families quicker. Were still having those negotiations and we should finalize everything by friday and i wish to continue items 2, 3, and 4 to next weeks budget and finance Committee Meeting on april 22nd. Supervisor fewer thank you very much, so we have a motion on the table to continue items 2, 3, and 4 to the next budget and finance committee. So can we have a roll call vote. Clerk would you like to have Public Comment on these items . Supervisor fewer im sorry, yes, Public Comments on items 2, 3, and 4, please. Clerk let us know if there are any callers that are ready. Madam chair, please allow me a moment to check the queue. Madam chair, there are no callers wishing to speak. Supervisor fewer thank you very much, Public Comment is closed. Madam clerk, supervisor walton has made a motion, can we have a roll call vote, please. Clerk on the motion to continue items 2, 3, and 4, to the next budget and finance Committee Meeting, supervisor walton. Walton, aye. Supervisor mandelman. Mandelman, aye. Chair fewer . Three ayes. Supervisor fewer can you read items 5 and 6 together. Clerk yes, resolution retroactively authorizing the office of the District Attorney to accept and expand a grant in the amount of 1663,000 for the california Governors Office of Emergency Services for the innovative response to the marginalized Victims Program for the grant period of january 1, 2020, through december 31, 2020. And item number 6, resolution retroactively authorizing the office of the District Attorney to accept and expend a grant in the amount of 200,000 for the california Governors Office of Emergency Services for the Elder Abuse Program for the grant period of january 1, 2020, through december 31, 2020. And members who wish to have Public Comment should call the number on the screen and press 1 and 0 to line up to speak. Supervisor fewer thank you very much. So i see that we have supervisor preston or no, we actually have Gina Rodriguez to join us today. Yes, good morning, can you hear me . Supervisor fewer yes, we can, thank you. Thank you very much. I have a very spor short presentation. Im with the San Francisco District Attorneys office and my name is dr. Gina castarodriguez and im here to just ask for the approval for the two grants retroactively. And these two grants support november the work of the District Attorneys Office Services division. Supervisor fewer sorry, im trying to sorry, im trying to advance the slide. The work that we do at the Victims Services provision is to support every victim of Violent Crime in San Francisco that we make contact with. Weve been doing this for 40 years. We are in the city charter as the organization that responds to victims of crime. In 2019, we served 8,500 victims of Violent Crime. We paid out 1. 3 million in victims of crime compensation. We provided more than 500 hours of outreach presentations and training. And we had our staff participate in almost 2,500 hours of professional development. The grants that were talking about today, both come from the California Office of Emergency Services. The first is the k. I. Grant. Its an innovative response to working with marginalized victims. For San Francisco we targeted young men of color and those infected by Community Violence in 94100, 94112, and 94114, and 94114. And the reason that we chose those zip code says that our data for the last five years show that we have high incidences of violence and Community Violence in those neighborhoods but lower engagement compared to other districts in San Francisco. So for the last three years we have had advocates that focus primarily on those zip codes and respond and work in the community and partner with the communitybased agencies. In 2019, this grant served 415 victims of crime. The second grant also is a grant for elder abuse. This grant is in the amount of 200,000. We were allowed to target a population of elders that we thought that needed extra services and resources. So we chose to look at elders and independent adults who are a victim of pedestrian accidents and fatalities. And also financial fraud. These are areas that we were underserved in San Francisco prior to this grant. We partner with walk s. F. And vision zero in order to provide these services. It allows us to respond immediately when a person is a victim of a pedestrian accident or a fatality and to begin working with their family immediately. And it also allows us to provide a lot of outreach and education around financial fraud. If you go to our website right now we just released a whole series of videos on covid19 fraud, translated in five different languages. And we are distributing that to agencies that work with elders throughout San Francisco to make them aware of some of the unique financial frauds and scams that are coming out right now due to the covid19 health crisis. In 2019, we served 479 victims of crime through this program and did 22 presentations on both fraud and pedestrian safety. Supervisor fewer is that the end of your presentation . Thats the end, thank you. Supervisor fewer okay. Any comments or questions. Supervisor walton . Superviso . No, im sorry. I thought that your name was in the queue. Im sorry. And i have a question are you doing around any work with blessing scams and in the Chinese Community this is very prevalent. So are you giving any services to these scams and doing any education about it in language and culturally sensitive . Yes, absolutely. So a third of our presentations were done in cantonese and mandarin last year. We do heavy outreach to asianlanguage speaking communities, and in the bayview and, of course, in chinatown. We have created thousands of bags that are translated into four languages that is information about scams and frauds, including the blessing scam. Theres the grocery bags that we hand out when we provide information. And my staff generally target agencies that serve elders with resources like food and, you know, day treatment or day services and they provide their presentations during the lunch hour or during the social hour so they can engage with the Community Members and talk about their specific questions or their specific needs. We also do a lot of outreach events, including all of the street events and a lot of the Community Community fairs that happen throughout the city. And right now that were not able to do those things we have created the videos and those videos are in english, spanish, punjabi, cantonese and tagolig, and currently translating into more languages. Supervisor fewer are you doing it around elder abuse in nursing home facilities . We have not done that. We do partner are partner with the elder Forensic Center and i know that the ombudsman and the Forensic Center do a little work in that but we have not done that. Supervisor fewer do you have plans to expand that . This grant, the grant focuses specifically on these two crime parts but i absolutely would be open to exploring more resources to do that. Right now its just a capacity issue. We serve 9,500 victims of crime last year and i have 20 advocates. So we need many, many more staff and, unfortunately, this is a bad time for that so were trying to prioritize the area where is there are not other resources. Supervisor fewer okay, thank you very much. Theres no daily report on this. Lets open this up for Public Comment. Any members of the public that would like to comment on items 5 and 6 . And if you are in the queue press 1, and 0. Madam clerk. Clerk the operation is checking to see if theres any callers in the queue. Please let us know if there are callers that are ready. Yes, i have one caller ready to speak. I will start the queue. Supervisor fewer welcome caller. You have one question remaining. This is Linda Chapman. Again, i dont really have access to agendas, but since this came up, you know, this is something with which i have very direct experience recently. I have already come to the supervisors two or three times well, three times at least in writing and in present about the elder abuse in the jewish home where i was sent for physical therapy. And where the registered nurse in charge of the night shift arrived at 5 30 in the morning and ripped off my clothes and put her hand on my pubic area and rubbed back and forth several times while talking to herself without donning gloves or turning on the light. So apart from the fact that this is elder abuse, you know, lets think about the health practice, you know, that were concerned about hygiene. And i have very good supports morally from the victims advocate, the d. A. , as well as adult protective services. But neither one of them was able to crack this detective in the special units and to give me practical advice as to what to do. You know, to make him to conduct an investigation. Im a retired federal investigator of civil rights complaints which included, you know, even rape and, you know, Sexual Assault and things of that kind. So i know what the elements of an investigation are. Not only did he not do any of them, but it turned out more recently that when i contacted the unit in the d. A. s office after going to Police Commission and after the Police Commission tried unsuccessfully to get the police chief to investigate this, i learned that the detective had actually eliminated the entire report and all of the evidence and so forth. So i would say that they definitely need to have resources and money in order to help people in Nursing Homes. I am not your typical person to be in a nursing home. Most of them would be unable, you know, to make a complaint or their families, let alone to pursue this matter as i have done. You have zero questions remaining. Supervisor fewer thank you very much. Now Public Comment is now closed. And ill make a motion to move these two items to the board with a positive recommendation that. We have a roll call vote. Clerk on the motion, supervisor fewer to recommend these two items 5 and 6 to the board. Supervisor walton, walton, aye. Supervisor mandelman. Mandelman, aye. Chair fewer. Fewer, aye. There are three ayes. Supervisor fewer thank you very much. And madam clerk, call item number 7. Clerk item 7, resolution retroactively authorizing the office of the treasurer and Tax Collector to accept and expend a grant in the amount of 250,000 from policylink for the purpose of designing and implementing a National Initiative to reform fines and fees from december 1, 2019, through july 31, 2021. Members to provide Public Comments should call and press 1 and 020 line up to speak. Supervisor fewer thank you very much. We have krista brown. Yes, good morning, supervisors. My name is krista brown and i manage the financial Justice Project in the office of the treasurer. And im here to present for your approval a resolution authorizing the office of the treasurer and Tax Collector to accept and expend a grant in the amount of 250 for policylink. The funding supports the financial Justice Project as we work collaboratively with the National Partners to create a new National Network called the city and counties for fines and fees justice. And since launching the project in 2016, the goal of assessing and reforming fines and fees that have a disproportionate impact on lowincome people and on communities of color, and in the three years since we have been really proud to work with our fellow City Departments, with many of you, and with the courts to push forward reforms to more than a dozen fines and fees across our city, and to lift tens of millions of debt off lowincome families in our community. We worked with the San Francisco Public Library to relieve overdue fines, and the debts stemming from these fines. And with sfmta to have discounts on fees for lowincome people. And we worked with the sheriff and the mayor to make phone calls free from our county jail. And we worked with many of you and the board and our fellow departments to eliminate many of the administrative fees that are charged to people exiting the criminal justice system, like fees to be fingerprinted, booked into jail or to rent an ankle monitor. Over the course of three years we have found that these fines and fees are often very high paying for lowincome people and causing them a lot of financial distress and very low gain for government, resulting in very few collections or an additional collection cost. And you have worked with the departments to ensure that the reforms that we have advanced are meaningful to the people who need them and are feasible for the departments to implement. And over the last few years we have found that the fines and the fees are really important to work on and weve heard from the cities and counties across the country at least once a week that are hoping to learn from our work and to advance similar reforms. So this grant would support our participation to create a new National Network, the cities and counties for fines and fees justice. That would bring together localities across country to pursue similar reforms. We know that in this crisis that this work is even more important and even more challenging. And the last economic recession we know that many localities turned to fines and fees to balance their budgets, further burdening lowincome residents that were already struggling financially. Through this National Network we hope to provide advice, based on our own experience, to show our San Francisco lessons and to learn from other cities and counties pushing forward similar reforms. Id be happy to answer any questions. Thank you. Supervisor fewer seeing no questions on the queue, lets open this up for Public Comment. Theremadam clerk, lets start c comments. Clerk yes, madam chair. Operation is checking to see if theres an callers in the queue. Let us know if there are any callers that are ready. Madam chair, there are no callers wishing to speak. Supervisor fewer thank you very much. Id like to make a motion indiscernible i dont need to add my motion. Excuse me. So, madam clerk, there i make a motion to move this to the board with a positive recommendation. There is no daily report on this. Could we have a roll call vote on item number 7. Clerk on the motion, supervisor walton. Walton, aye. Supervisor mandelman. Mandelman, aye. Chair fewer. Fewer, aye. There are three ayes. Supervisor fewer thank you very much. Item 8 was noticed at the session and i want to say for the record that will committee will not be convening in closed session for this item. Madam clerk, call number 8. Clerk item 8 to approve and authorizing the execution of a limited payment guaranteee for the benefit of the Silicon Valley bank in the amount equal to 43 million plus accrued interest and any other costs and a limited Payment Guaranty for the benefit of Raymond James tax credit investment, inc, in an amount equal to 3. 2 million, if the construction of the 100 affordable, if it cannot be completed and for other similar notice issued by a court as a result of the current lawsuit. Members of the public who wish to speak or who wish to provide Public Comment on the item should call the number across the screen and press 1 and 0 to line up to speak. Supervisor fewer thank you very much. So today we have with us miss Courtney Macdonald from supervisor haneys office and jane adam, and bob deck from the treasurtreasurer island authori. Excuse me, chair chair fewer. Were having issues with the conference line at the moment so were trying to reestablish that line right now. Should i go ahead . Supervisor fewer madam clerk, should we should miss macdonald go ahead and start . Yes, please, and well reestablish the line and let you know. Supervisor fewer thank you. Miss macdonald, please start. Thank you. And good morning members of the budget committee. Courtney macdonald from supervisor haneys office. I just wanted to make a brief statement on behalf of the supervisor in support of this item. As the first project of the new development on Treasure Island, maceo may is a really exciting and we think a critical and Affordable Housing project that will not only serve as a replacement units for formerly Homeless Veterans on the island but also provide additional and desperately needed Affordable Housing units and serving formerly homeless and lowincome veterans. I also wanted to take a moment to really thank the Creative Team behind maceo may. We know that its been a really long time coming, especially the folks at ccdc and the one Treasure Island, tida, and our office has been really been proud to partner with you all for the past year and a half or so in helping to identify Building Support for this project and moving it forward. So i think that with that, theres some presenters with a lot more detail but, again, i wanted to just offer support on behalf of our office. Thank you. Supervisor fewer thank you, miss macdonald. And now we have i believe don adams. Thank you, chair fewer. I wanted to make sure that everyone can hear me, im on my phone. Great. So im going to echo miss macdonalds enthusiasm and kitement for this project. We are thrilled to be on the cusp of initiating construction and even more thrilled given the current shifting environment economic landscape that were in and a desire to bring affordable units on board as soon as possible. And to provide economic stimulus through the construction itself. I have a very brief powerpoint and i will endeavor to share my screen. And to initiate that powerpoint. Okay, can everyone see the powerpoint on the screen . Supervisor fewer no. Lets see here. How about flow . Supervisor fewer no. Okay. And i wonder if you are able to share the powerpoint . Supervisor fewer indiscernible . Perfect. Great. Ill just keep it in this view. So we are here to request your approval for a limited Payment Guaranty. And this is prompted by litigation brought earlier in the year requesting an injunction on work across the island. As being able to report and as our City Attorney can attest to, we believe that the risk to this project from the lawsuit is imminent. But the lender and investors are requiring a guaranty that is limited to any injunction that might happen due to this particular lawsuit. And so thats the request that we have before you today. Just a little bit of background and context and, again, bob beck from tida is on as well for questions should any arise. This is part of the Treasure Island redevelopment, 8,000 units to be developed in multiple phases and over 2,000 units that will be below market. And over 1,800 of those units are affordable rental housing and maceo may is the first of those projects. Its located on parcel c32, and its part of the initial pink represented first major save. And the source are the team partners. As mentioned its 105 units and for formerly Homeless Veterans and lowincome veterans who live on the island and these would be replacement units for those current households. Also very exciting about this project is that part of our modular pilot program, so its one of three Supportive Housing developments that the city is sponsoring, along with ociii to support the modular housing as a viable methodology that can deliver units faster and more efficiently. It did, however, add to the acuity of the need to close off construction and initiate initie Construction Activity because were in a queue for these modular units and any delay would potentially disrupt our ability to get those units in the very near term. Finally, the other critical issue here is that were under a very closing deadline. So the bond market in california, were now under competitive framework. This project was awarded prior to that competitive framework so we do not want to lose this bond allocation and have to go in under a future competitive round. Finally, in addition to our subsidy, we have vhppp funding along with vouchers and indiscernible contracts. As i mentioned this guaranty request would be a guarantee to provide payment to investor and construction lenders under default, triggered by a work stoppage that would result from a lawsuit and court orders. This triggered event would be a default under the construction loan. That loan has a term of 32 months with a fourmonth extension. So the triggering of that event would be a default that would happen worst case 36 months from now. Again, guarantee is limited to default under the lawsuit. And just for reference, the subject area for the lawsuit is primarily this green hatch area. So our site, c32, sits outside of the area in which the lawsuit is claiming there to be environmental issues. And this further affirms our sense that the risk to maceo may is extremely low. Finally, obtaining of the first guarantee first coming from tida housing subsidy. And these are market rate obligations to pay into a subsidy pool. So we would first use those funds that would be accruing to tida and then o. C. D. Would use its own Funding Sources to make up the difference. Again, we feel that the risk is low and we have sufficient sources that we can draw from should a payment be required. So with that, i will hand my presentation and i will be open for comments and questions. Supervisor fewer thank you very much. I wanted to mention, colleagues, that codevelopers from chinatown and are also available by phone if you should have questions. Are there any questions or comments at this time . Seeing none on the roster, can we please have the daily report. Good morning, chair, members of the committee, the budget analyst office. And this is the board is being asked to guarantee to put through limited payment guarantees with the Silicon Valley bank and Raymond James investments for 43 million and 3. 2 million respectively. These guarantees are in the case that the partner project on Treasure Island would be delayed or stopped because of the litigation. The source of the funds ordinarily the city would not be responsible for repayment of these loans so its specific to the litigation that the city is now asked to take some responsibility for repayment of the loans if necessary. The sources of the funds mr. Adams has already spoken about is 24 million in the housing subsidy and the balance is the responsibility of the Mayors Office of housing. Our discussions with the Mayors Office as mr. Adam stated is that the loan repayment would be low risk. However, there is some risk to this limited payment guarantee. We do consider approval of the resolution to be a positive matter for the board of supervisors. Supervisor fewer thank you very much, miss campbell. And opening this up for Public Comment. Any members of the public that would like to comment on item number 8 . Clerk madam chair, operation is checking to see if there are any callers in the queue. Please let us know if there are any callers that are ready. Madam chair, maybe in the meantime i should mention that theres two very minor edits to the resolution that we want to present at this time. Those changes, im happy to read those changes into the record. Supervisor fewer one moment, please. I think that were checking for comments. But quite possibly there could be no speakers on the line, is that correct . Please let us know if there are any callers that are ready. Madam chair, theres no callers at this time. Supervisor fewer thank you very much, Public Comment is now closed. Yes, mr. Adam . I just wanted to call out for the committee that there are a couple minor edits to the resolution before you for consideration. The first is an added resolution at the request of the controller that we add language to the effect that the controller is authorized to transfer legally available appropriations with the guarantees are triggered and became payable. This just makes clear that we would draw any kind of payment obligations from most appropriations that would be authorized by the controller. So thats added in your red line. And were clarifying that the amounts of the guarantees are consistent with the previous approvals that this committee provided and are listed as up to amounts. These amounts will fluctuate to a very minor degree as we move towards closing. So these are just to make clear that its consistent with the previous approvals that is being provided. Supervisor fewer thank you very much. And City Attorney, im imagining that these are not substantive . I have not seen the red line myself, but as described they do not sound substantive. Supervisor fewer thank you very much, lets have a roll call vote on the amendments, please. I make a motion to approve these amendments and if we could have a roll call vote, that would be great. Clerk supervisor mandelman, mandelman aye. Supervisor walt on, walton, aye. Chair fewer . Fewer, aye. Three ayes. Supervisor fewer i move this with a positive recommendation to the full board as amended. Give us a roll call vot again. Clerk on the motion, supervisor walton, walton, aye. And supervisor mandelman. Mandelman, aye. Chair fewer. Fewer, aye. There are three ayes. Supervisor fewer thank you very much, madam clerk, call item 1 for the budget appropriation committee. Madam chair, for your information the conference line is back up. Clerk item 1 to review the budget process and related updates for 20202021, and 20212022, and the budget analysts to report. Members of the public who wish to provide Public Comment on this item call the item across the screen and press 1 and 0 to line up to speak. Supervisor fewer thank you very much. So i believe today that we have the mayors Budget Office and ben rosenfield, the controller. Hi, chair fewer, this is kelly fitzpatrick. I have a very brief update. I am just using this time to provide you weekly kind of just new information as it becomes available related to what has been focused on as direct city spending versus the operations. You know, city staffing and supplies needed to meet the direct Covid Response. As well as any Additional Information that we have on state or federal resources to help us with covidrelated expenses. So i have a very short presentation. Im going to attempt to share my screen. I did practice, so hopefully this is working. Can you see it now . Supervisor fewer yes. Excellent. Okay. So the city anticipates over the next month or two to expend about 500 millio 500,000 to r staffing and operational needs for departments. This doesnt include the large initiatives that we have all been talking about related to alternative housing or largests. This is really the staffing for our d. O. C. , sorry, Department Operation centers and e. O. C. S as well as equipment and supplies largely at the department of Public Health. So to date, the departments have expended about 27 million. Thats money out the door. And of which about 16 million of the majority is for staffing and salary and benefits, and almost 70 of that is for our large responding departments, a. P. H. , and s. H. A. And the m. T. A. For the costs for their staff to respond to covid. A lot of this accounting is such that we can claim through fema for staff time related to covid direct responses for running our e. O. C. S and d. O. C. And d. P. H. Has expended about 6. 1 million and, of course, theres largely they have kind of queued up their ability to spend significantly more as the need arises to meet the Health Equipment and the Safety Supplies for p. P. E. And this is about 4 million more than last week when i updated you on this. And then some marginal changes for additional workforce working from home. As well as other kind of transportation, homeless support services, that we have been discussing over the last couple of weeks. And when i last talked to you last week, the Governors Office has outlined a highlevel detail for an additional 500 million of state emergency relief funding. So the state has been the governor has been given about 1 billion worth of appropriation capacity from the legislature and so as we discussed last week, the governor outlined a plan for 150 million of that and 100 million for homeless aid which San Francisco will receive 6 million and 50 million for the procurement of housing and the allocations to be determined across the state for that. And in the last week theyve outlined a plan for another 500 million which includes 50 million for child care for essential workers, and 50 moil yen for projective gear and cleaning supplies and including at child care facilities and these are all statewide numbers for Small Business and about 50 million for foster and enhanced services for i. H. S. Service clients. Its only been a week and we do not know the direct allocations that San Francisco will receive and as a result our departments are looking very closely to understand if there are formulas or allocation models that we will receive. But i wanted to share this with you. However, at the same time, the state senate and assembly who have been on recess have convened and will be holding their first subcommittee on the oversight of that total 1 billion, of which the governor has outlined about at least 650 million for the emergency spending. So there will be hearings tomorrow over that. And also the governor at his Weekly Briefing no, Daily Briefing i apologize on monday, did also discuss that potentially tomorrow or at least in the next week that the Governors Office will be discussing the raw budget and the financial picture. So hopefully more to come on that. So we have a sense of where our states finances are at. He did reiterate that the governors may revise its constitutionally mandated sort of the interesting shape that will take given everything that is going on. So these are the updates that have passed in the last week. Im happy to try to answer any questions or just to hear requests for Additional Information that you would like in subsequent meetings from either my office or the Controllers Office. And with that i will pass it back. Supervisor fewer supervisor ronen . Supervisor ronen i have a quick question. So the 27 million that is expended or the 16. 5 in staffing, that is above and beyond the normal payroll . It likely is inclusive of normal payroll, it is people who are dedicated to the d. O. C. And e. O. C. Theres a lot of existing city staff and were counting for their costs as covid related so that we can try to receive reimbursement from fema for that. In our report that were working on with the Controllers Office and the b. L. A. For the joint report update, we will we will work to try to disaggregate our costs of existing staffing and any additional staffing that may result from covid. But right now this is my understanding is that the majority of just our existing staff who have been deployed due to covid but well work to tease out for both you and our reporting purposes, um, any additional staff. Okay, thats good news, i was getting a little worried. I thought in addition to regular payroll. No, likely a combination but mostly making sure that we can capture as much fema money as possible. Okay, great, thank you so much. Supervisor fewer supervisor ronen . Supervisor ronen thats it. Supervisor fewer supervisor walton. Supervisor walton thank you, chair fewer. Miss kirkpatrick and this might be for you or the controller, but my understanding from checking in with our state representatives that there was a 1. 1 billion, i believe, allocated to our services, 150 million and the governor allowed and have made available to cities and counties. If we could get a report in the future just as were talking about reimbursement in terms of where the Additional Resources from the 1. 1 billion can go and what is reimbursable for us as a city and county here in regards to our Homeless Population. Particularly as it pertains to tracing individuals in hotels, that would be great. You bet. indiscernible i think that theres a 50 million allocation for hoteling and alternative housing. And as i shared last week, our understanding from the state is that theyre going to take in what jurisdictions across the state have spent and then figure out an allocation model. So as we learn hopefully in the coming weeks, our potential direct allocation of that 50 million, well certainly share that. Of the 100 million dedicated for homelessness, we know that were getting 6 million for that. I think that we may have already received it and it will help for the variety of costs of the department of homelessness, with additional meals and handwashing stations, you know, a variety of needs, and well work to report out exactly what its spent on over the coming months or two. Thank you. Supervisor fewer any more comments or questions from my colleagues . So we dont have a daily report on this. I would like to should we call for Public Comment on this, madam clerk. Clerk yes, madam chair. Supervisor fewer well call for Public Comment on this on item number 1. If the members of the public would like to speak on this item call the number and press 1, 0, to get in the queue. Thank you. Clerk madam chair, operation is checking to see if there are any callers in the queue. Let us know if there are any callers that are ready. Madam chair, i have one caller waiting to speak and i will start the queue now. Supervisor fewer thank you. Hello, caller. You have one question remaining. Supervisor fewer welcome, caller. Gentlemen, this is indiscernible and i wanted to bring to your attention that theres indiscernible and i think that because it doesnt work that some of what you have on the agenda and rethinking that everything is in play so that we can ask a question, we are left out. So if you look at the act, theres agenda items that need public input and were not given that opportunity and theres items that have to be read again. Because its illegal. Now im not faulting the supervisors and i dont know who is going to fine tune this system, but in a year 2020, we should have a better system if you say that you want input from the community. I know that the item on Treasure Island, i wanted to give input on that and i was told that indiscernible and messages and i even spoke to the gentleman from i. T. And he said theyre trying to work on that thing. Thats fine. But if we dont follow the requirements, if we dont meet the standards, then whatever were trying to decide is illegal. I dont want to put you all down. This item is very important to us advocates because we do due diligence. And i have to give my input because i have to represent the people. You have to represent the people by doing thank you very much. Supervisor fewer thank you. Other callers . This is Linda Chapman and i have to raise the same issue on behalf of cara. Actually, im attempting to attend this meeting in order to make sure that our point of view regarding the, you know, the hotel issue etc. , would be represented should that come up on the agenda. Theres no way of seeing what the agenda is unless you have internet. You know, and then this is not the first time this is the second or the third time that i have been cut off. Now this time i wasnt cut out of almost the entire hearing, but what mr. De costa is saying is true. You know, cove cada previously e the statement from our state chair that you cannot assume that youre getting input from the public 138,000 households in San Francisco that dont have computer access. This is just really in spades now. And the announcements in the examiner which is really the only thing that we have access to now does not say anything how you do a call in and finally there was one that Say Something about that. They dont say anything about what the agendas are, so i dont know if theres anything coming up on this agenda that i should be listening for or am i wasting hours of my time. And when i do put in hours of my time ive been cut off more than twice. I mean, the phone goes dead. The meeting goes dead. And i cant get back in and i have no idea what the issue is that youre asking Public Comment on and the issues that im supposed to be representing cara on is on your agenda or not. But for sure we have, you know, followed up, both of us about this problem with the brown act and the sunshine act that you have a system that just isnt working. And also publication is only on the internet. Even right now during the hearings were told to look at the screen. You have zero questions remaining. Supervisor fewer thank you very much. Public comment is now closed. I have a question for you, when the conference line was not in operation, were there people in the queue waiting to give Public Comment on item number 8 . There were people on the line and we were not sure if they had queued up or not but at the time item 8 was being heard, we were trying to reestablish the conference line and when we did reestablish the conference line i believe that you guys had already passed on item 8. Supervisor fewer okay. Before the before it went dead there was no one in the queue, but they were listening in. Supervisor fewer there was no speaker in the queue . Correct. Supervisor fewer okay. So let us hear this item on the budget and appropriations committee, item number 1. And we will finish this item and then if it is at the pleasure of my colleagues, i will rescind items to vote on item 8 and open it up for Public Comment again since we had a glitch in our conference line. And then listen to the Public Comment and then revote on item number 8. So lets finish this item. Are there any comments or questions about the report from our mayors Budget Office . Seeing none, i would like today, colleagues, to announce that im releasing budget principles that i hope that will guide the next few months of our Work Together as Budget Appropriations Committee prior to the boards package process in august. I felt a responsibility as budget chair to balance the necessary investments in Public Health measures and support for our most vulnerable communities to meet their basic needs. indiscernible over the next two years. Im worried about the cuts to Critical Services and city staff that we could be seeing on the backend of this crisis that is not to say that we shouldnt be deciding to make critical investments, but as much as possible they want those to be informed and careful decisions. I realize that my role and feeling of responsibility for the budget naturally positions me to be in an oppositional role from many of my colleagues. And that is very difficult. But i have been working with the Public Sector neighbors and nonprofit organizations on these subject principles to ensure that the impact of our Critical Response efforts right now as much as possible does not contribute to our deficit and possible indiscernible and i hope that this resonates with the budget committees and am open to further discussions about Budget Priorities moving forward. These are the Budget Priorities that i am releasing which will be shared on the budget information website. Information website. As well as departments specific hearings as needed. Leverage external resources. We are committed to leveraging new revenues as much as possible to state and federal relief and private donations to sf fund. We are committed to transparency regarded the funds raised or received. Realizing our values. The board is committed to protecting the San Francisco vulnerable residents and assistants to meet needs to address gaps. We are committed to the preservation of existing services that San Francisco residents include on including those provided by the city annan Profit Community organization. Way are committed to Public Employment and job security for city and county including insurance. We are committed to Economic Equity as it relates to services. We are looking at an Equity Analysis of any Service Reductions or staffing changes. Reevaluation of priorities. As the city considers critical investments and choices the Budget Priorities in the coming weeks and months, the board is open to direct discussions with the mayor Office Office about identified one Budget Priorities. Possible allocations to meet the most urgent needs. Considering the significant current year deficit andrewing upon the reserves for the fiscal years 20202021 and 2021 and 2022, legislation impacting the general fund or reserves should be considered as part of the 2020 budget process unless all other options have been exhausted. That means for any urgent need that must be addressed i am asking all Board Members to begin by working with departments and the Mayors Office and asking that members of the board work with the Controllers Office to identify funds that do not come from the general reserve. Having said that, i hope that we will engage in further discussion and feel free to reach out to me or my aid if you have any questions or comments. I see no comments on th on the. I would like to move this to the call of the chair. Could i have a roll call please. I mead a second. Second. Roll call vote, please. On the motion. Supervisor walton. Aye. Mandelman. Aye. Yee. Aye. Fewer. Aye. Lets go back to item 8, i would like to open up the possibility for public motion. I make a motion to rescind the vote of item 8 of the budget and finance committee. On the motion to rescind the vote for item 8 8 for the budget and finance committee. Walton. Aye mandelman. Aye. Fewer. Aye. We will hear Public Comment on item 8. Any members of the public . Please get into the queue and press 10 to be heard. I have two callers to speak. I will start the queue now. Thank you. Chair, fewer, i thank you for taking charge in the proper manner by explaining about transparency and accountability. We advocate, as i said, madam chair. Yes, i can hear you. I thank you for explaining so that we advocates know exactly what is happening. On item number 8, we are concerned about how the issues link to contamination. Our apologies, but we can hear you very clearly so please continue. Okay. Really what i am saying. We advocates are here to address quality of life issues, and we appreciate the work that you are doing. Supervisor mandelman, i tried to keep in touch because i know you are i know your heart is in the right place. I know it is confusing to speak. So what i want to do is for the supervisors and the mayor to Pay Attention to the contamination on Treasure Island. We have gone to Treasure Island to protest. They want to build Affordable Housing here, there and everywhere. We need to address contamination. Thank you very much. Our apologies. Next speaker, please. I am going to say i appreciate your efforts to have transparency, and, you know, the problem is when you dont have a computer item 8 could be about astronauts to the moon, how would i know . Watch channel 26. That is cable. I have no reason to pay for cable because i dont watch it. A lot of households that would be an extravagance. I have access to the technology i need ordinarily. A lot of households dont have access. I appreciate your efforts here, you know, i have called repeatedly to my supervisor in the office and our legislative director called on this issue. You have to find a way other than relying on the computer. Looking at the screen to see the number to call, you know . The way i would get the number is from my supervisor or the clerk and they didnt give the instructions to get in. Time after time the best thing i can suggest is public notices. You could publish the agenda of the meeting in this time in the examiner and the instructions. Finally, after numerous requests they did publish the number to call in. I dont recall if they published instructions of dialing one zero. It is breaking down and not working. I have been successfully using these with my hoh with car and senior disability action. The city of San Francisco has a problem here. That is all i have to say. Thank you very much. Next speaker, please. Public comment on item 8 is closed. I make a motion to send item 8 to the full board with a positive recommendation as amended. May we have a roll call vote, please. Could we please vote on the amendment, madam chair . I make a motion to approve the amendment. Could we have a roll call vote please. On the motion. Supervisor walton. Aye. Mandelman. Aye. Fewer. Aye. Three ayes. I would like to move item 8 as amended with a positive recommendation to the full board. Could i have a roll call vote, please. On the motion, supervisor walton. Aye. Mandelman. Aye. Chair fewer. Aye. Three ayes. We are adjourned. It. Shop dine in the 49 promotes local businesses and challenges resident to do their shop dine in the 49 within the 49 square miles of San Francisco by supporting local services in the neighborhood we help San Francisco remain unique successful and vibrant so were will you shop dine in the 49 chinatown has to be one the best unique shopping areas in San Francisco that is color fulfill and safe each vegetation and seafood and find everything in chinatown the walk shop in chinatown welcome to jason dessert im the fifth generation of candy in San Francisco still that serves 2000 district in the chinatown in the past it was the tradition and my family was the royal chef in the pot pals thats why we learned this stuff and moved from here to have dragon candy i want people to know that is art we will explain a walk and they cant walk in and out it is different techniques from stir frying to smoking to steaming and they do show of. Beer a royalty for the age berry up to now not people know that especially the toughest they think this is i really appreciate they love this art. From the cantonese to the hypomania and we have hot pots we have all of the cuisines of china in our chinatown you dont have to go far. Small business is important to our neighborhood because if we really make a lot of people lives better more people get a job here not just a big firm. You dont have to go anywhere else we have pocketed of great neighborhoods haul have all have their own uniqueness. San francisco has to all department of Public Health, dr. Grant colfax, the director of the department of homelessness and housing, abigail khan, the police chief, bill scott. The director of department of Emergency Management, mary ellen carroll. The director of the department of Human Services, trent ror and were here to provide an update on covid19, where we are as it relates to the Public Health challenges and other resources that could be made available to the people of San Francisco. First, i want to start by really thanking everyone for complying this weekend. I know especially with our religious community it was good friday, Easter Sunday, passover, the very, very holy celebration that takes place, involving bringing congregations and families together. I want to thank you so much for what you did to post your services online, to reach out to your congregations and comply with the stayathome order, it was noticeable and made a real difference. Thank you very much for your continuous leadership. We know there are still people who need help, they need support, they need guidance, they need prayers and we hope that the work you continue to do will reach out to those communities that especially need it the most. We are now at 957 cases to report. We have 93 people that are hospitalized. And, unfortunately, 15 people have lost their lives due to covid19. My heart goes out to the family members of those folks who we have sadly lost because of this. The whole point of why we have implemented a stayathome order has everything to do with preventing as many loss of life as possible. And as a reminder, if youre interested in seeing any of the data were able to provide, you can go to data s. F. , where we have a tracker that is updated every day. We also know that as this pandemic continues, people are struggling. They are struggling to get the resources that they need and, more importantly, many people who typically depend on various locations to access food are not getting access to that food, whether its people who are picking up food from a food pantry, the seniors that we feed at locations all over San Francisco, the kids that rely on the food that is served every single day at our schools, unfortunately, because of this pandemic, access to food has been challenging. Not to mention the people who have lost their jobs and dont qualify for the kinds of services that other families qualify for. So we know Food Security has been a real challenge, not just in the city, but all over the country. I want to just express to the School District appreciation for the work they have done to get locations identified all over San Francisco so that families have access to meals and families are still picking up those meals from schools and recognizing that so many of the kids in our School System may not get access to food. We also know that one of the other challenges we face, although cal fresh is available to a significant portion of our lowincome residents, its not necessarily always easily available to people who may be just a little bit above the qualifications and also folks in our immigrant communities. There have been some changes to provide Additional Support in cal fresh, but in recognizing that there are people who will not qualify, again, including some of our lowincome families and some of our families who are part of our immigrant population, we started a program called give to sf where we have been seeking to get private dollars to help in these efforts and weve also been able to identify resources through the city to provide funding so that we can support those families that may not traditionally qualify for the state benefits that are provided. We also, as a result, because we know there are a lot of Different Things. There are senior programs, there are delivery programs, there are neighbors helping neighbors. The food bank, and the work that they have done to set up pantries in fact, i visited a pantry in the Bayview Hunter point, where so many were practicing social distancing along with the people picking up the food. They were available, but there again, there are people who are not always able to pick up food, so we have to think about how do we connect all of these resources to the people that we know may not get access to those resources . And so we realize there was a real important need to centralize how food is available to residents of San Francisco. And so we put together a system. You can find it on our website at sf. Org. There is a tracker where it can help you to identify where you can get access to food, whether its food that you may need to be delivered or you can pick up. The fact is, we also realize not everyone has access to the internet. And if you have any questions and you need access to food, please call 311. And the people who are working at the call centers will be able to direct you to the appropriate resource based on what your need is. I mean when you think about it, there are kids who are in our School System that need food and parents or grandparents may be part of the vulnerable population and so they may not necessarily have the ability to pick up that food. And make arrangements to have food delivered to those vulnerable populations. Those people who we are asking to remain in their homes under all circumstances, the need to provide deliveries and pickups and resources in general to our vulnerable population so that everyone is served is so critical to getting us through this process. So, again, we have a tracker at sf. Org and the goal of the tracker is to provide the resources that people may need to access food. This includes all residents of San Francisco. If you think, for whatever reason, you need help or you need support or you need food in any capacity, please call or check the website online. I also want to i want to thank the off the grid, which has partnered with us in this effort, to help with those deliveries, because, again, we have people who may be in our hotels, who are in quarantine, those asking to stay at home in quarantine, but not everyone has the means in order to access food and we want to make sure that is not a barrier to someones ability to be able to survive through this pandemic. Especially when so many people rely on places where folks go every day to get a meal because they may not have the facility in their home, or they may not have the ability to cook themselves because of a physical condition. So just being mindful that there are a lot of folks out there with these challenges and we want to be of service. So any questions, again, call 311, because there are a lot of great resources out there and we want to make sure we get folks connected to them. I also want to talk about the challenges that we continue to face with our Homeless Population. I really want to start by thanking Abigail Stuart khan for all of the work that this department, along with the hot team, the Homeless Outreach team and the folks working in shelters, the people on the front line, working with this population of folks in order to help keep them safe. But i will say that it continues to be a challenge. And although we have access to a number of hotel rooms and we have moved hundreds of people out of the shelter system, including every person who was msc cell out of the shelter system, there continue to be challenges. The bigger issue here is we have to make sure that we have aroundtheclock staffing because this is like nothing weve ever experienced before. So we are not always able to get access to staffing as quickly as we can. Yes, every city and county of San Francisco employee is technically a Disaster Service worker, but what is also happening is when we reach out to them, there are some challenges that some of them may be face. They may be part of the vulnerable population themselves. They may have kids at home that need to be cared for. Or in some instances, they may be fearful. They may be concerned about their own health if they decide to show up to work every single day in an environment where they think possibly they could be exposed. So any other time like an earthquake or other situations where something is transmitted like what were seeing with covid19, it would be a lot easier to staff the hotel rooms, to get people moved in, to have the 24hour support, meal delivery, cleaning service, social service and all the things that we need in order to manage the hotel rooms that we are providing for our Homeless Population, but it has not been easy. It has not been easy to provide adequate staff. Its been very challenging to get even some of the residents who are part of our shelter system in our hotels to comply with the orders to even wear masks. So its not as simple as what people would like to think. If i could open up every hotel room in this city and allow every Single Person to have a place to stay, knowing that will make a difference and keep everyone safe, its not even a question whether or not we would do it. But the reality is the problems that existed in this city with people who struggle with Substance Use disorder and who struggle with Mental Illness have not gone away because of this pandemic. In fact, its been so much harder to really care for this population, especially when they wont comply with simple directions or orders that were implementing. And we have no means in some cases to force them to comply, because Public Health is in jeopardy. So i just ask for understanding. I ask for patience. We know that sadly, sometimes leaders in our city put out information that is not entirely accurate. Its not as simple as we can do one thing versus another, because ultimately, when you think about what were trying to accomplish in San Francisco, we have the bus service, its still running, but we also have a number of bus drivers that have tested positive for covid19. And, therefore, the people who are showing up to drive muni, theyre fearful. And they want to know that were protecting them. We think about the Police Officers and the firefighters and the other folks who are trying to keep us safe. When firefighters answer a call, when our paramedics answer a call where someone has been physically injured, theyre putting their lives on the line to help care for that person. And so there is a lot that goes into making sure that our workforce is protected. That when they call in sick, we have a substitute for them to take their place. That were able to ensure that they will be safe. That they have the appropriate training, because we have people who work for the city, for example, either in the department of elections or another department now they, as Disaster Service workers, are the ones working at these hotels with the population that theyre not completely familiar with. Doing jobs they never have done before which requires training. And now, with social distancing, and now with this epidemic and what it is doing and the fear sometimes because of people and their health, its so important that we train people, that we make sure they have the p. P. E. That they need, which is whole other conversation, but ultimately, we in the city, all the departments, all the people who are continuing to show up for work every single day and put their lives on the line, we are doing everything we can to implement the right policies that will keep people safe. We see what happened at m. S. C. South with 70 people who were infected with the virus. And the sad reality is, you know, we have said from the very, very beginning, it is going to be very challenging to manage the congregate setting, places where there are singleroom occupancy hotels, where we have shelters systems, laguna hondaa rks thaeeyre but this is this is going to be challenging and we want to be realistic with the public. Not just about the systems we put in place, but also about the behavior of the population were trying to serve. It is not as simple as people would like to express that it is, but it doesnt mean that we arent trying every single day, that we dont have the tools and resources to try and make sure were complying with the order ourselves, and doing everything we can to protect Public Health and Public Safety. That is our number one goal. And every decision we make is toward that goal. So i want to talk a little bit about a couple of other items and a few other departments will be up shortly to go into more detail on some of the things that ive highlighted, including some of the challenges we continue to face, but also some of the things that weve put into place, including, again, we have hotel rooms for the Homeless Population, but we also have hotel rooms available to our workforce, the Health Care Professionals that are out there that may not want to go home because of their concern about their loved ones, Public Safety officials, including our muni drivers and other folks. So we are setting up a system for the most part that has been effectively serving people and we will continue to move in that direction. And as i said earlier, i was really grateful to folks who complied with the order. In fact, in just really Walking Around the city and examining some of the things myself, i really got to say that seeing people comply and also seeing folks out and about and social distancing and being responsible and Walking Around folks just so theyre not getting close, people are really getting the message. We do still have challenging areas, but for the most part, thank you to San Francisco for what youve done to help us get to a place that continues to be a model for the rest of the country. But i know that even though Easter Sunday was a challenge, we have another unsanctioned holiday coming up. 420. As many folks in the former district that i represented, district 5 and haight, this has been really a challenge for us for so many years. And last year or maybe even the year before last, we finally got it to a place where it was a lot more manageable. The fencing and the other things that we put into play has made it, i guess, tolerable for the community. But i want to be clear with people who come to San Francisco on 420 to Robin Williams meadow to celebrate 420, do not come to San Francisco on 420 to Robin Williams meadows. We will not allow this unsanctioned event to occur this year. Especially in the height of a pandemic. The area will be fenced off. There will be Police Officers patrolling the area. We will cite and if necessary arrest. We will not tolerate anyone coming to San Francisco for 420 this year. We have absorbed the cost and we have worked with the community to provide to allow this unsanctioned event to continue to occur despite a lot of the rules and regulations that are, you know, challenging to abide by when, for example, no smoking in a park, but it is what it is. And we have been very welcoming to people who have come here, but this year, we will be very, very strict with our policies. We will not allow it. So we want to just take this moment to put this message out there that we will be prepared if people start to show up to make sure that it doesnt happen. The area will be completely fenced off. There will be road blocks and other things that will make it difficult to get in the area. And so i just want to say, for your own health and safety, please do not come. Please do not try and identify another location. It is not safe for us to gather in large groups of people, especially during a pandemic, because the consequences could be deadly. Maybe not for you directly, but maybe for your mother, your grandmother, or any other relative. So just keep that in mind if youre having any thoughts about potentially pushing for a gathering or celebration. Not just in San Francisco, but anywhere else throughout the bay area. So i want to take this opportunity to really thank the police chief and to thank our City Attorney for working with us to pull this together. And we will continue all week to promote and make it clear that this, along with any other large gathering in San Francisco, is not possible at this time. And so please continue to comply with our order. All right. With that, you know, i know it feels like its been a long haul for each and every one of us, but, again, i cant thank the people of San Francisco enough, especially those who continue to comply with the order as difficult as it is. Because i know its difficult. I know its especially difficult for kids to not be able to hang out or see their friends. And yesterday when i was on the phone with a friend of mine, they talked about how they finally got their internet set up and they were able to get access to zoom, so they can go online and their friend they can basically talk to one another. I just you know, it really changed that kids attitude who happens to be a teenager and was being a bit difficult and challenging already, but i just think that if there are really small ways in which we can support young people knowing this is difficult for them, knowing that especially if youre a senior in high school, its almost like a rite of passage with the prom, graduation, and everything else, getting ready to go to college. Just be mindful of the challenges that our young people are facing and try to do more to be as supportive as we possibly can. And with that, i just want to say this has been hard and we know that there are still a number of weeks that we will be experiencing this. And as time goes on, its definitely going to be harder and harder to keep your spirits up, to not get frustrated, to want to do something different. And i just want to remind everyone how critical this is. It is life or death. We are doing okay, but, again, as you can see, especially with our shelters, the numbers can increase significantly and they can spread and this can be problematic overnight. People are talking about San Francisco because we shut down early, but ultimately, that can all change if this thing gets completely out of control. And what you have done to make it possible to get us to this place has been really absolutely incredible. We applaud your efforts. We applaud your kindness and many of you who are out there doing things to support and uplift one another, we appreciate those folks who are taking the opportunity, just coming outside and clapping and supporting the Health Care Workers at a certain time, social distancing. The extra things that you do while following the order to be kind and nice to one another is really what is going to get us through all of this. Remember, were all in this together. We all have to comply. It doesnt matter how much money you have, or how much money you dont have. Doesnt matter if youre celebrity or not. The fact is we all are experiencing this. We all are in the same boat. And so its important that we remember that with our actions and how we treat one another as we deal with something im sure many of us have never seen in our lifetime. But as i continue to say, im hopeful that there is a light at the end of the tunnel. Im hopeful that we will get through this and we will look back on our time and just realize how incredible and how resilient this city truly is. So thank you, all, so much. And at this time id like to ask dr. Grant colfax to come up and provide an update from the department of Public Health. Thank you, mayor breed. Good afternoon. Im grant colfax, director of health for the city and county of San Francisco. Its been about a month since we all began staying at home across the bay area to slow down the spread of the coronavirus. Now that weve been at it for a while, i want to start today with reflection. This past weekend was particularly difficult for many of us and challenging for the people of our city. Easter and passover celebrations could not take place in normal ways. Frontline workers and First Responders continued to care for people and address the concerns of an anxious community. More than 100 people experiencing homelessness were moved into hotels which was a major undertaking for them and for the staff who supported them in this transition. Children remained out of school and family schedules continue to be disrupted in both large and small ways. We are truly in unique circumstances that we have never seen in our lifetimes. I acknowledge the stress and discomfort that we see as a community and are feeling across our families and our neighborhoods. We are social beings and it is difficult to be isolated. And it is hard for all of us to deal with uncertainty. But i assure you that the steps that you, we, all of us, are taking are literally saving lives. Together, we are reducing the spread of the coronavirus in the community, in San Francisco, in the bay area. I know that it is not easy and i am grateful for every san franciscan for doing everything they can for the health and safety of our families and our community. When you stay home, when you wash your hands, when you resist unnecessary activity, and when you wear a facial covering, you are literally saving lives. As i have said from the start, we are most concerned about vulnerable populations at high risk for dying from coronavirus. This includes people in longterm care facilities. People who are 60 and over or have Underlying Health conditions. Congregate living situations are also at risk because of how easily it is for the virus to spread under these circumstances. We have been preparing for this. And we have seen it at laguna honda and msb south shelter and well see it in other places as well. Outbreaks like these were bound to happen. This is how coronavirus spreads. Our goal is to slow the spread down and to mitigate the bad outcomes that we see with this virus. As we reported last week, there was an outbreak of coronavirus at m. S. C. South, the citys largest homeless shelter. A total of 182 people there have been tested with 91 positive test results and 91 negative test results. The testing included 57 staff with 10 testing positive and 47 testing negative. This is unfortunate, but again, this is what this is the scenario that we have been preparing for. We have done and we will continue to do everything we can do to respond and protect health. This includes aggressive contact investigation, screening and testing people who are symptomatic, exposed or otherwise at high risk for coronavirus. Cleaning and heightened infectioncontrol practices across the city. Assistants from state and federal advisors and from San Franciscos top Infectious Disease and Public Health experts. Working together with city partners, we have developed a portfolio of options so that we can respond quickly and with flexibility as the situation changes and challenges us. For example, over the weekend the department of homelessness and Supportive Housing and the department of Public Health worked together to move all guests at m. S. C. South into hotels. Isolation, guarantee, or shelter in place sites, depending on guests needs. This was a monumental effort, moving about 100 people and im grateful for all the staff across the city and our partners who accomplished it and all the shelter guests who participated. The next step will be to clean the shelter and prepare it to serve as a Recovery Center for people experiencing homelessness who have coronavirus. A Recovery Center is designated to be a supportive environment staffed by Health Workers and other support workers for covidpositive patients who do not need hospital care, but for whom a hotel is not appropriate due to their health or other condition. I anticipate the possible need for more Recovery Centers as part of a portfolio of alternatives that include field care clinics and isolation and quarantine sites like the hotels. Were drawing on expertise of our Health Care Professionals who serve highneed patients in medical respite and permanent Supportive Housing and on covid19 recovery models developed in other locales. At the same time as we make these significant steps toward health and safety, i want to be clear. The population of people experiencing homelessness face many barriers to health and wellness in normal times and this pandemic will only exploit and amplify those problems. Other cities such as boston, los angeles and seattle are grappling with large numbers of cases of covid19 in Homeless Populations. And we expect to see the same. Unfortunately, not every person experiencing homelessness just like not every person in our Broader Community will be able or willing to follow the instructions that save lives. We know there are Behavioral Health issues, in particular, that can make it difficult to abide by the rules. I think of patients that ive cared for in shelter and Navigation Centers across the city. I think of joe not his real name a man in his 60s. A heavy drinker, an opiate user, who needs eight beers a day to keep from going into withdrawal. I think of all the work we are doing at the department of Public Health with our partners to keep people like joe safe. And yet i know due to multiple factors people like joe are not only particularly vulnerable to covid19, but maybe unable to fully adhere to physical distancing and Hotel Protocols implemented to keep people as safe as possible. Again, adhering to medical advice for joe was hard during normal times. Sometimes he would show up for his appointment, sometimes he wouldnt. Sometimes hed come in being able to respond appropriately, other times he came in drunk. These are not normal times. These are even harder times for joe. And it will be even harder to get him to provide to provide him with the care he needs to keep himself safe. While we are using Harm Reduction approaches and we have the best people on the front lines in our street medicine team, incredible people, like dr. Barry zevin, kate shouten. Incredible people like deb borne, who has done so much, for not only this epidemic but taking the learns from the h. I. V. Epidemic and applying it today to our response. People like liz enbert from ucsf who was up all night friday night at m. F. C. South helping people find a safe place. Overdose prevention and counseling for Substance Use and Mental Health disorders, we know that even during normal times people will still refuse care or cant adhere to all of our care recommendations. These times are different. They are even harder to manage for people suffering from these disorders. Some Vulnerable People will continue to take risk and, unfortunately, these people will be more likely to get sick, require hospitalization and are more likely to die. Were doing all we can to mitigate the delay to mitigate and delay what is likely to be a surge of serious covid19 cases in this population. In addition to hoteling the most vulnerable and sick from shelters and Navigation Centers, our Public Health priorities include moving as many people as we can quickly and efficiently who are elderly or with chronic conditions to hotel rooms or other sites to monitor their symptoms to keep them free from covid19 whenever possible. Our medical, Behavioral Health and Harm Reduction teams are offering supplies and support in the field. Outreach teams continue to go where people are, to provide information, resources and support. We are there every day. We are working lock step with our partners at h. S. A. And h. S. H. To ensure our efforts are optimized and were addressing the needs of as many people as possible, as quickly as possible. Now i would like to update san franciscan s on the data. Todays data shows there are 957 San Francisco residents with confirmed cases of coronavirus. And, unfortunately, i expect to see our numbers in San Francisco climb to above 1,000 soon. Todays numbers are significantly higher than friday. And this is in large part due to the large numbers of testing we have done in the Homeless Community and the positive cases we have found. We are up to nearly 8,000 tests across the city. Sadly, 15 san franciscans to date have died from covid19related illness. And, again, i send my condolences to their families, loved ones and friends. There are currently 93 patients with coronavirus hospitalized across the city and about 30 of them are in the intensive care unit. Our hospitalization numbers have been holding relatively steady fort past few days which is welcome news and a success. But this success could change rapidly at any time, especially as we see expected outbreaks in vulnerable populations. In order to give a fuller picture of the impact on hospitals, we have added some new elements to our data tracker. Starting today we have included new data about hospitalizations and hospital capacity. On the tracker, you can now see hospitalized patients who may have covid19 and are awaiting test results. This allows us to have a more complete picture of the potential spread of the virus and the amounts of people impacted and how our Hospital Systems are being impacted on a daily basis. On saturday, in addition to the 93 patients with confirmed coronavirus in hospitals, there were also 44 hospital patients who were awaiting test results. These numbers will be updated on a regular basis on the data tracker. Were also sharing new data that helps us better understand the availability of San Francisco hospital beds for patients with covid19. We regularly monitor this information as it indicates our systems ability to care for a suspected surge. On saturday, we had a total of 1229 acute care beds and 441 i. C. U. Beds available to meet the demands of the surge. So as you can tell, at this time, our San Francisco Hospital Systems have enough beds to care for all current coronavirus patients and people who may have coronavirus as well as patients who are hospitalized for other reasons. We will continue to make progress expanding hospital bed capacity for an expected surge. Now i would like to provide a brief update on the outbreak at laguna hospital and the steps we are taking to protect the health of residents and staff. We continue to have 17 confirmed cases of coronavirus. That number has remained the same since april 7, which was the last time we had a new case confirmed. 13 of the confirmed cases are among staff and 4 are among residents. Of the staff, 10 have been in patient care positions and three have not. All four positive resident cases are in the south 5 neighborhood. Overall, to date, 303 laguna honda hospital staff have been tested either by d. P. H. Or their own provider. As part of the ongoing outbreak response we continue to assess staff and patients throughout the hospital that have been identified as being exposed from contact investigation or have other risk factors like showing symptoms of the virus. While i do expect more positive cases, we continue to take actions informed by facts and evidence to protect health and mitigate the further spread of the viruses at the facility, both among staff and among residents. I am thankful that laguna honda continues to receive support from cdc, centers for Disease Control experts, who remain on site and continue to help advise and guide our efforts. These recommendations are also informing efforts to be applied to protect staff and residents at other nursing home facilities across the city. As we continue to fight the coronavirus pandemic together, i would like to remind you that our priorities continue to be reducing the spread of the virus in the community, protecting vulnerable populations, Health Care Workers and First Responders, preparing our system for an expected surge in hospital patients, and expanding testing capability. In all of this work, we must continue to follow science, data and fact. We seek to continually do better as we incorporate this information into our actions and recommendations. We are working quickly to integrate new information all the time and adjust our recommendations accordingly, so that we are providing the very best most uptodate advice to you, the public, that we can. Thank you. Next up is director stuart khan, the director of homelessness and Supportive Housing to provide an update. Thank you, dr. Colfax, and mayor breed for your leadership during this crisis. The city and our nonprofit partners are battling two simultaneous Public Health emergencies, homelessness and all of its complexity and the compounding issue of the covid pandemic. We know that everyones health is intertwined and when people do not have homes to reside in, it is more challenging for them to take care of themselves. And for some, as the mayor noted and dr. Colfax talked about joe, their lives are complex and that makes it harder, even harder for them to accept help. As a clinical social worker we all know people like joe. And myself and all of my colleagues have dedicated our lives to their care and empowerment. We know they need to say yes before help can come. Today i wanted to provide an update on m. S. C. South which dr. Colfax already touched on. Division circle and hamilton shelter, our progress is thinning and information on the hotels which director will share more information on after me. As dr. Colfax noted, we, through a heroic effort of the department of Public Health and our own organization, have moved everybody out of m. S. C. South. It is in the process of being cleaned and repurposed for future need. This was a massive, massive task. Scott walton from our department and st. Vincent de paul, our partner, worked through the night with the department of Public Health and all of our colleagues working at hotels to receive individuals from m. S. C. South. We have two other positives which weve already provided updates on at press conferences, but i want to provide a continuing update here. As you know, Division Circle was our first site that had a positive covid test that is a navigation center. That remains with one positive test. Vulnerable individuals have been moved offsite and were already in the process when that positive test occurred. All steps toward shelterthinning and distancing, allowing for physical distancing, even within a congregate setting, have been completed in that site. Hamilton shelter that has families in one room had one positive test. That family was already offsite and vulnerable individuals are moving off site. Hamilton family is a longtime provider of family care in our city. Theyve gone above and beyond just like st. Vincent de paul to implement guidance from our department and the department of Public Health long before these positive cases occurred. And theyve gone even further since positives have been reported. At a system level, we have been working tirelessly to create what is called shelterthinning or shelter equilibrium. Shelter thinning, shelters are dense places, places that we know people should not reside for long periods of time, but they do. Equilibrium to me means that the vulnerable individuals have been moved out as part of thinning so we know they can be taken care of in hotel rooms. As of yesterday, approximately 750 people experiencing homelessness are in isolation, quarantine and shelter in place Hotels Across our city. This is a massive, massive task and accomplishment. As the mayor noted, we cannot simply open the doors of hotel rooms and invite people in. Where that is happening, we have care. We have to we have to care for every single step in the process. Ill talk about that next. In order to accomplish full shelter equilibrium with the vulnerable populations moving out, we estimate we have somewhere between 100 and 200 more who are in motion today. This will allow us to know that the vulnerable individuals who have accepted our offer of a hotel room have moved from those rooms. Not all are accepting. It is scary to move into an isolation, quarantine or shelter in place room for some individuals with complex lives. For joe, it is a near impossibility. Without significant care and help. Those are all the things that our system of care is standing up now. We will keep working. We will keep working to support people like joe and the clients we all dedicated our lives to serving. Director ror will provide an update on the big picture where we are in hotel rooms, but i wanted to provide additional context on what it takes to open a single hotel and move vulnerable, or nonvulnerable individuals in. Securing leases is only the first step and is managed by h. S. A. At great speed. There are several additional factors that must come together, including staffing. We have to conduct wellness checks multiple times a day. We have to enforce social distancing and shelter in place tt orders without significant Legal Recourse because we dont want to cite people at these locations. We must deliver three meals a day. We must manage crisis. Our staff and partners manage crisis every day in all of our places and they manage it beautifully without incident. When people are picked up and moved away from their environments, we expect that crisis will only become exacerbated. We have to plan for that with our staffing, yet the staff were asking to do this, many of whom have never done this before. We want to thank the Disaster Service workers, the nonprofit partners, h. S. A. Staff, and all of the partners, sheriffs, police, everyone turning up at these hotels around the clock to make it possible. We have to conduct screening for ability to selfcare. And when someone is not able to selfcare, we have to put additional staffing in place beyond wellness checks and feeding. We need to work on transportation and we want to thank our colleagues at ems, private ambulances and mta who are making this possible. If you think about physical distancing in a bus, you can imagine how many buses it takes to move 750 people over the course of a few days. This is a slow process. We are also working hard on Harm Reduction in each of these locations to ensure people can have their needs met and they can say where they are. Then we focus on discharge planning and reinstatement to shelter. These are some of the steps required and were working tirelessly to open more in the coming days. Director rohr is the director of the Human Services agency and will speak now. Thank you. Good afternoon. Director of Human Services agency. Thank you, mayor breed, thank you dr. Colfax, thank you director khan. What i want to do today is update everyone on the status of our hotel, securing hotels and activation and deployment and give you data on the numbers we have both secured, under contract as well as individuals in the rooms. I know im going to repeat myself from the last press conferences, but there might be individuals from the press who are new. I wanted to start with an overview. One important part of the Human Services agency role in citywide disaster planning includes mass care shelter for our most vulnerable residents. We continue to follow the latest guidance from local and national Public Health experts to minimize exposure to those who dont have adequate housing. And to ensure there are enough hospital beds available in San Francisco to treat patients with covid19. To this end, we started on march 9 when we activated our Operation Center. We began securing housing for persons who have tested positive for covid19, or who are considered a person under investigation meaning theyve been tested and theyre unable to safely selfquarantine or isolate due to their homeless status or living situation, such as being in a singleroom occupancy hotel. In addition, were securing housing for sheltered people who are experiencing homelessness, either to reduce the capacity in shelters but more importantly, moving the vulnerable from a congregated environment to hotels. Lastly, our frontline city workers who are vital, of course, to our ability to handle the pandemic. And were securing rooms to limit their exposure to the covid19 virus as well as to prevent them from exposing their family members. Our current plan is based upon the most recent guidance from federal and state authorities and city partners, both with Public Health and the department of homelessness and Supportive Housing. And our goal based on the populations noted above is to secure over 7,000 hotel rooms. Thanks to the leadership of mayor breed and ive mentioned this before we recognized early on the need for rooms. We met with the hotel council. We released requests to get bids from hotels, received an overwhelming response, dozens and dozens of hotels, totalling over 11,000 rooms. As of today, we have secured 2082 rooms. These are currently under contract and theyre at 13 Different Hotel locations. We will continue to negotiate leases, identify sites and assess them and bring Hotel Rooms Online on a rolling basis to continue to meet the needs of the population i noted earlier. Our number one priority is to ensure that Hotel Operations are equipped to handle individuals that provide the resources and services they need to shelter safely in place. This is not a small undertaking. We need to provide people with everything they need to stay put, to stay safe and we need to face these challenges head on. Every Hotel Facility requires a unique plan and individual negotiation with Hotel Management to provide the necessary security, support staffing, Hotel Operation staffing, clinicians and case managers, cleaning and cleaning supplies, and meals. Also at each hotel we need to set up secure it infrastructure because were transmitting confidential medical information about patients. I want to thank the tremendous efforts of our citys Disaster Service workers for their actions, their coordination and their stepping up out of their traditional roles to help us but make no mistake, this is massive deployment of personnel. We anticipate needing as many as 600 hotel site monitors from city staff working 247, three different shifts, from again city staff as well as our communitybased provider agencies. And this is in addition to the people we need to bring on board to help make sure people that we place in these hotels are safe and have their needs met. This includes case managers, clinicians, Harm Reduction experts, all on hand with vital Safety Measures such as overdose protections. The system that we have in place now and that will continue to grow is working. Hotels weve secured by the city to ensure that people exposed to covid19 who do not need to be hospitalized have safe places for medical respite and were saving our critical hospital beds, as dr. Colfax noted, saving our critical hospital beds for those most in need. When people are experiencing homelessness and need a safe place to go after recovering or being exposed, our hotels are meeting their needs. When vulnerable adults need to move from shelter or congregate settings in hotels, were meeting their needs. The most recent example when we faced on outbreak at our largest city shelter, we had hotel rooms available to place them and isolate them as quickly as we could. No one is being discharged from the hospitals to create space for others. People are being transported from the hospitals to safe spaces, not to the streets. Now for a recap on the data. I mentioned earlier we have under contract 2082 hotel rooms across 13 hotels. Two sites are for First Responders totalling 880 rooms. The rest of the rooms, 1202, are for the vulnerable populations i noted above. The vast majority of them being Homeless Individuals from homeless shelters or discharged from hospitals. Of those 1202 rooms we have under contract, 751 of them are currently filled. 447 of that number are directly from our shelter system. Ill be on hand to answer questions after this. At this point ill turn it over to chief scott, San Francisco police chief. Thank you. Good afternoon, everyone. First i want to thank again our mayor, mayor breed, for her outstanding leadership during this pandemic. As we work to all flatten the curve and stop the spread of covid19, its important that we hold each other accountable. From the beginning of this pandemic, ive talked about our first and foremost job was to educate the public rather than go straight to enforcement. I think weve done and continue do a good job of that. Ive also made it clear we will not hesitate to move against those who knowingly flaunt the Public Health order in order to hold these people accountable. It should be abundantly clear to everyone by now this is matter of life and death. And were seeing, for the majority of people, really good compliance in our city. Unfortunately, there are a few people who continue to act in a careless disregard for the health and safety of both themselves and others. So it is in this context that over the weekend in collaboration with the San Francisco city Attorneys Office we were able to shut down an illegally operating underground nightclub on shafter avenue in the bayview district. We were able to make this actually to shut this illegal club down following investigation initiated by the city Attorneys Office. And after the city Attorneys Office secured a warrant that allowed us to shut down the business. Just to give a little detail. On friday night we were alerted that this club was intending to open friday night. And what we have learned is that it has been opening in the wee hours of the morning in the weeks after the social distancing and stayathome order was put in place. We posted officers at this location on friday. And lo and behold, wouldbe party goers started to show up. They were turned around at the door and this business was not able to operate on friday night. We effectively shut it down on friday night. On saturday, our officers from our bayview station and our Tactical Unit officers armed with civil search warrant executed that warrant and seized the following materials from this location. D. J. Equipment, fog machines, nine gambling machines with approximately 670 in cash inside of those gambling machines, two pool tables, cases of liquor and other items that indicated evidence of an illegal nightclub. There were individuals detained and those individuals are still under investigation. In terms of us getting to the bottom of who is actually operating the club. As a reminder, under the Public Health order issued in march, march 16, bars and night clubs are not allowed to operate in the city and county of San Francisco. Nor are they allowed to operate in the state of california. This illegal club has been operating out of an industrial business and were told that it lacked proper sprinklers, fire alarms and exits for a building that is open to the public for the purposes of nightclub. None of these things existed. Evidence gathered during the investigation has shown previous incidents of dozens of people entering and exiting the building during the Early Morning hours with loud music being played and security guards posted out front, frisks people as they entered the illegal nightclub. Were also investigating an incident in which shots were fired in the vicinity of the location a few weeks ago. And we are determining or attempting to determine whether that activity is connected to this club. This activity indicates a willful and reckless disregard of the health order. And for those who are operating this illegal club, they need to be held accountable. All the people that have ended this club entered this club prior it to it shutting down have put us and others that theyve come into contact with at risk. That is unacceptable. The investigation into this activity is ongoing and may result in possible civil sanctions and or criminal sanctions and that is yet to be determined. But just to recap where we are so far. Illegal and dangerous operation has been shut down. All the property inside has been seized. The landlord has moved to evict the tenant according to our city Attorneys Office. And we hope that this is a lesson to anybody that plans to do this type of activity while were trying to save peoples lives by social distancing and shutting these type of businesses down. Again, we believe that the majority of people in our city are compliant with the health order and were seeing that with our own eyes, however, there are a few who must be held accountable for their disregard to the health and safety of themselves and others. Now id like talk about this past weekend. It was said by our mayor, this weekend we had challenges with people out, really just trying to enjoy the Easter Holiday and the weather. And for the most part, we saw more people in our parks, saw more people out trying to get exercise and fresh air. We anticipated this and the San Francisco Police Department along with our rec and parks and our park rangers were deployed at several parks around the city where we thought wed see an increase in activity. Our cadets were teamed up with officers and worked in conjunction with our park rangers and we were able to spread the message and education. There were 67 warnings given on sunday, just sunday alone, in our parks. Id like to say, by and large, after warnings were given, people complied. Thats what were after. Were after compliance and after, in the bigger context, of people separating and staying six feet apart. How we get there is really not important. Whats more important is that we get compliance. We know how difficult this pandemic is on the public and we know how difficult it is on all of us, but we ask for the public to stay the course. We need your compliance. And the bestcase scenario is if that compliance is voluntary. In terms of enforcement, there are two additional citations since our last press conference that id like to inform you about. They were both businesses. One was a salon that was cited. Its a nonessential business that was operating and we closed it down and we cited the management owners. The other was a liquor store that was opened after the hours of 8 00 p. M. And this store had been warned already. As i have said over and over again, were not going to warn you more than once. Particularly if youre a business doing operations. Thats a bigger risk and bigger exposure and its much different than people just going out trying to get air and get out of the house. So were not going to warn you twice. This business had been warned. We had to go back. They were cited. As far as crime, this past this week over the week prior, Violent Crime was flat. There was a 0 change in Violent Crime. Our property crime, there was 29 decrease over the past week which equates to 130 fewer crimes. Overall, there was 25 decrease in overall serious crime. We know that all crimes are not reported. We encourage the public to report crimes as they occur, particularly Violent Crimes. We talked about our 911 for those particularly those people suffering Domestic Violence and cant get to the phone to make a call, you can text 911 as well. We encourage you to do so. As stated, if you need to report a crime and its a nonviolent or nonemergency situation, please call 415 5530123. And again, you can call 311 to utilize services or the San Francisco Police Department website. And we can take reports that way as well. Again, id like to close by thanking our mayor and the city leadership for getting us through this pandemic. And we ask that you comply. Just one more thing before i close. I want to reemphasize about what mayor breed said about 420. We are working with the city agencies and we will be there in full force to make sure that we dont have gatherings of people on april 20th, who are trying to celebrate 420. We encourage you to zoom or whatever conference teleconference that you use to do this the privacy of our own home. Please do not come to San Francisco and gather to celebrate 420. Do it responsibly if youre going to do it at all. Do it safely and in a manner that is consistent with the Public Health orders of our state and city. Thank you. Chief, if you can stay. Well ask the first questions for you. With the warmer weather, weve been hearing complaints of people not doing enough social distancing. Has s. F. P. D. Noticed increase in citations issued and can you discuss the circumstances . What we noticed this weekend, there were a lot of people out and by and large most people were doing what they have been asked to do. What is difficult with this is and ive been out there almost every day making my own observations when you have two or three people walking down the street and you dont know whether theyre in the same household or not, many officers are engaging and trying to determine that. If you have a large gathering at a park, thats a different story. When we see that, were warning. By and large, when we warn, people comply. As i stated earlier, the spirit and intent of this is to get people to comply so i dont have these issues to begin with. By and large that is happening. For those individuals, particularly the businesses like i just mentioned, we warn. But if we have to come back, were going to cite. We did that over the weekend and will continue to do that. For the wouldbe nightclub, that is unacceptable. Luckily, some person actually alerted the city Attorneys Office to that and the investigation proved true and we were able to shut that down. But there are different situations for different occasions, but the bottom line is, were trying to get to compliant. That will be a combination of warnings, cites when reasonable and appropriate, and continuing to engage and educate the public as much as we can. Reporter the next question are for mayor breed. This question is from melanie. Does the moratorium on eviction apply to commercial businesses that are on a monthtomonth lease. Mayor breed yes, it applies to all on a monthtomonth lease. If youre a business and experiencing challenges with your landlord, please reach out to us at oewd. Org or call 311 to be directed to the office of economic and workforce development. Reporter thank you, mayor breed. The next questions are for dr. Grant colfax. Public health. The followup is sorry. Okay. Apologize. The next questions are from dr. Grant colfax. Reporter doctor, this is from abc7, the institute of Health Metrics and evaluation predicts a peak resource use will in april 13 in california. Today . Its april 13th, correct . Correct. As i talked about in my remarks, we are currently able to manage the burden of covid19 patients in our hospital system. I think its very important, though, to realize that we may not be near our peak and as i talked about in the remarks, were particularly concerned about increasing numbers of hospitalizations in our vulnerable populations. So we are continuing to work to prepare for a surge and we are also looking we are also looking at other models that suggest a surge could happen much later. Reporter next question is from fax news. Dr. Golly says by this summer, 30 of the population there will be infected. At what point does delaying the peak get without weighed by the outweighed by the economic devastation were seeing, especially with hospitals with unused beds . Our focus is on Public Health and ensuring we slow the spread of the coronavirus, particularly so it delays the spread into the vulnerable population who are most likely to have bad outcomes and die from the virus. Its been just over a month since weve been engaging in the shelter in place orders. Those will go through may 3rd at this time. Well continue to follow the data, science and facts. I think if you look at the experience in other countries. You look at the evidence. These sorts of orders, if theyre lifted too early, you rebound and start back you can rebound and things can get very bad very quickly. So right now with regard to shelter in place orders, we need to stay the course. Reporter followup question. Do you see shelter orders being relaxed or opened up fort relatively young and healthy who seem to be coping well with the virus . As i stated in a prior answer, we need to stay our course at this time. The data that we have show that our curve on the number of hospitalizations is thankfully relative flat. That number will likely increase in the coming weeks and possibly months. We need to stay our course. Reporter next question, cnn. Please clarify the status of m. S. C. . How many have tested positive . And where are the people now . So as i stated in my remarks, we have tested 182 people in the shelter. 91 people tested positive. M. S. C. South is closed. And the residents, the guests have been moved to hotels where theyre being monitored by a support staff and Health Care Workers. Reporter followup question. When will the Medical Center be open and who will take it who will it take . So, we are in a rapidly evolving situation. And looking to determine as we grow our Surge Capacity what the role for m. S. C. South will be. The current plan is for it to be a medical Recovery Center for People Living with covid19. I dont have a time line to share with you at this time. Reporter next questions are from vivian at the guardian. Why wont the city track and publish data on the Housing Status of positive cases . Im sorry, could you repeat is this why dont the city track and publish data on the Housing Status of positive cases . I very much want to be able to provide those data. Heres the situation, though. Our testing information, when a test is done, does not require people, organizations, companies who are doing the testing to report Housing Status. So when a test result comes in, we do not necessarily know that the test result is from a person who is experiencing homelessness. Generally, we know the age. Sometimes we know the race and ethnicity, although you can seen 0 the data tracker that some of those are missing. We are working hard to get a comprehensive perspective on how many people are experiencing homelessness have tested positive for covid19. We are using our data teams at the Health Department to adapt our h. I. V. Data system tracking which has the number of People Living with homelessness who are h. I. V. Were adapting that to more fully monitor the impact of the covid19 on the Homeless Population. I do i will say that currently within our zuckerberg San Francisco hospital, the safety net hospital for the city, we have which takes care of a large number of people experiences homelessness, of our hospitalized patients, approximately 20 of those hospitalized with covid19 are people who report being homeless. Reporter the followup is, does the city know how many unhoused individuals, not just shelter residents, but all unhoused individuals have tested positive . So as i said, i have the numbers for zuckerberg San Francisco general. We shared the numbers about the numbers testing positive at m. F. C. South and weve had other cases in other shelters and Navigation Centers. And were moving toward a system and i hope to be able to share more comprehensive data sometime soon. Reporter next question. S. F. Chronicle. Does San Francisco track covid19 cases by neighborhood . If so, why hasnt it released the data to the public . So we are working on analyzing the covidpositive data, testing data by neighborhood and we hope to be able to release that information very soon. Reporter okay. Next question is for trisha, s. F. Chronicle. How many s. R. O. S have been inspected and cited in regard to the march 10 health order regarding cleaning . Im sorry. Could you repeat. How many s. R. O. S have been inspected and cited in accordance with the march 10th health order regarding cleaning . So there are 504s. R. O. S throughout the city. And pursuant to the health order weve inspected to date, 494 of those. And there have been 284 violations reported. And those are being corrected and debated as we speak. Next followup. How many of the 32 people in s. R. O. S who have tested positive for covid19 have been quarantined . We work to ensure that people who test positive or people under investigation have adequate resources to quarantine and isolate per Public Health recommendations. If they do not, we support them and their families in transitioning to an alternative, which could potentially be a hotel room or another alternative for that individual so that they are safe in quarantine or isolation. Reporter next question. How many total have been tested and how many more need to be tested in connection with m. S. C. South . So, again, we offer testing to all residents of m. S. C. South. And the 182 people have been tested, including residents and staff. We are conducting contacttracing and depending on the exposure of people through that contacttracing, those people will potentially be tested as well. Reporter what about calls to test all those in shelters . Is that impossible because of lack of testing equipment . So, we are testing based on aggressive contact investigations. And also based on symptoms. And were testing based on those contact investigations, were testing people who have had close contact with someone who is covid19, those showing symptoms and those most at risk. We continue to be faced with a lack of testing supplies. I just want to emphasize that this testing supply issue is not only in San Francisco. Its across the bay area. Its across the state as i think everybody has read in the news. Its across the nation. Due to the lack of a centralized system by which we have clear understanding of what supplies will be available and when, we have a supply system that is, unfortunately, not dependable and we have a shortage of testing supplies at this time. We are working at the Health Department, were working with other incredible City Departments, were, working with other partners to ensure we expand our supply. But some of these circumstances are beyond our local, regional and from my understanding state control. The next letter. Nbc. Now that there has been outbreak at m. S. C. South, do you wish you would have moved the homeless sooner or done things differently . From day one, i talked about the need to focus on people in the vulnerable population. The Homeless Population, those must be our focus because those are the people most likely to die from covid19. In collaboration with h. S. A. And h. S. H. , we have moved many, many of these people into hotel rooms where they can be monitored, tested if they have symptoms and well continue aggressive contact investigations in the population experiencing homelessness as well. Reporter followup question. Can you tell us whether the city has accepted u. C. S. F. Offer to test residents in homeless shelters . Theyve been an incredible partner during our response to the pandemic. Weve ive been on daily calls with leaders at u. C. S. F. Ensuring that were responding to the best information that we have. There are world leaders, many of whom i talk to on a regular basis to better understand how we can improve our response at the local level. As part of our response, u. C. S. F. Has been very generous in providing additional p. P. E. And additional Testing Capacity. I think there is confusion with regard to Testing Capacity, which is basically offering capacity in the machines that run the test. Unfortunately, that is not the same thing as getting swabs that you need to collect specimens please. And both continue to struggle with the shortage of the swabs. It is true that u. C. S. F. Has generously through the Zuckerberg Institute and other bio hub, excuse me, have been generous in ways to scale up to what it takes to run the test in the machine. Its different than getting the swabs to collect the test. Thats our limit across the city and the region. Reporter this is the last question to dr. Colfax. N. P. R. How many of the positive cases from m. S. C. Have been underlying conditions or older than 60 . I dont have that exact information to share. I can tell you that most of the residents who tested positive are in good condition. But were monitoring them carefully for any symptoms that would require additional care. And then a followup, how many have been hospitalized and what is their condition . As of friday, we had one person in that group that was hospitalized and were getting Additional Information on the status of the remaining people. Thank you, doctor. Next questions are for director abigail stewartkhan, director of homelessness and Supportive Housing. Reporter the first question. Huffington post. How many people in total in the city have been moved to the hotel rooms . As i said in my earlier remarks, as of yesterday it was 750 and we know were moving people actively today. Its important to note that people experiencing homelessness are coming to hotels through many different means. Some are coming from hospitals. Some are coming from shelters. And theyre going into Different Levels of hotel rooms in terms of the needs of their care. Reporter what is the citys current criteria and plan to move homeless into hotels . And by when . Thats a great question. So as dr. Colfax and director rohr have shared, were prioritizing vulnerable individuals because of their risk of mortality. It is not that other people may not contract covid or were not concerned about that, were deeply concerned about it. At this stage in the epidemic, we need to, according to the department of Public Health, work towards preventing mortality among the most vulnerable. So were working towards the most Vulnerable People who are sheltered. We should have completed most of that by the end of the day today for those who are accepting our offer of hoteling. And then we will be moving to the most vulnerable unsheltered in the coming days. Reporter next question. Associated press. How are you making sure that hotels having Vulnerable People remain covidfree . Thats a great question because it is very difficult to do. So i think what we all need to understand, what im learning from colleagues at the department of Public Health, during an epidemic, its not possible to guarantee that any location any of us go to is covidfree this is the impetus behind the shelter in place. Every location you or i go to m may be covid positive. Were taking temperatures. Were screening upon arrival. We cannot guarantee that. Reporter next question. N. P. R. You described the challenges that behavioral and Substance Abuse issues pose putting Homeless People into hotels. Are you actively working toward preventative hotel rooms for nonVulnerable People . Thats a great question and one that has been carefully considered by the leaders in the city. I think what is important to note, while were talking about the behavioral and Substance Use individuals into hotel rooms, people who have these complexities in their lives also often have medical vulnerabilities. So were not prioritizing people with behavioral or Substance Use needs. Its important to slow down on that point. Were prioritizing people based on age of 60 and over, or medical preexisting conditions. The reality is that trauma compounds illness, illness compounds trauma, and all of these things can have an effect on behavioral and Substance Use issues. So the individuals who are coming into our hotels have very complicated lives. Reporter next question. This is the last question. From noah from San Francisco public press. Considering that u. C. S. F. And the study of San Francisco said they lack adequate resources to test all occupants and staff in homeless shelters, who will you approve for tested on why . Thank you, noah. Questions about prioritization for testing are best directed to the department of Public Health, but as you heard from dr. Colfax, the focus is around contact investigation. So when we have a positive case, the department of Public Health speaking for them since dr. Colfax just explained this, they do a deep contact investigation. For example, at Division Circle we had a positive case. That individual was already at a quarantine site. Immediately contact investigation had begun. We learned who that individual talked to, worked with, what case managers they worked with, who they slept near in Division Circle. Those individuals were considered exposed and recommended for testing. So it goes from there. Once you have more positives, it became important to look at a different strategy. How many people have had contact with those who tested positive at m. S. C. South . Thank you for the opportunity to clarify the status at moscone west. It is not being used for shelterthinning. Shelter thinning is being moved into hotel rooms. Moscone west is in the process of being developed for medical stepdown, people who are post covid and still require shelter but are safer to be in a congregate setting due to their medical status. Thank you. Those are your questions. The next questions are for director trent rohr, Human Services agency. Reporter first question, from San Francisco examiner. Of the 15 who died, could you tell us how many were homeless, how many were in Nursing Homes and if so, how many City Employees and how many died in hospitals . That question is most appropriately directed to the director of Public Health. Okay, so why dont we go ahead and go to john sing, San Francisco chronicle. Mayor breed stated it is not easy to ensure staffing. What is done to ensure there are enough case monitors . Similar to the Human Services agency, we have a department of Operations Center here. The Citys Department of Human Resources also has an Operations Center located here. Theyre charged with activating what is called the citys Disaster Service worker deployment. And what happens, they receive from the Human Services agencies operations, the number of staff that we need, including job descriptions and qualifications were looking for and recruit from the Disaster Service worker program, which is basically any city employee. The process is lengthy. Each of them have to be trained. Each of them have to be provided with personal protective equipment, deployed to particular hotels where they have to be retrained by the particular site manager. We have a system of flow in place working with our partners at department of Human Resources so ensure we have the individuals to be the monitors or case workers. In addition with our nonprofit partners, many of whom have employees who actually provide this work, conduct this work in permanent housing sites, were appealing to them as well to provide support. As director khan mentioned before, these agencies are stretched dealing with their own programs and services under this pandemic, but were appealing to them as well. Final question. Does the city still aim for 7,000 hotel rooms or are Hotel Operators having second thoughts . So our goal is not dependent on the hotel owners and what they have to offer. Our goal, numerical goal is informed by the need. The need among the 19,000s. R. O. Residents who may need to be quarantined. The shelter residents who need to be moved out and the general Homeless Population and others who cant selfquarantine. I walked through the populations were targeting earlier and among those populations we feel that 7,000 rooms is what we need to provide the appropriate quarantine and isolation for those individuals. Reporter okay. Thank you. That is our final question. This concludes our press conference. Good afternoon, everyone. Im San Francisco mayor london breed. Im joined today by the director of Public Health, dr. Grant colfax, as well as the director of the department of Emergency Management mary ellen carroll, the police chief bill scott. The director of the department of Human Services, trent rhorer. And the department of homelessness and housing, abigail stewartkhan. I want to thank you for tuning in today and joining us to talk about a few updates we have related to covid19 here in San Francisco. As of today, we have 1,013 total cases of those who have been diagnosed with covid19. And sadly, we have lost 17 people. There are 17 people who died as a result of this virus as of today. As a reminder, you can visit data sf. Org for the full tracker with information on what who has been diagnosed, the number of tests and other resources that are available or any questions you may have. And i want to just start today by reminding us really how far weve come from the very beginning. Weve made it our mission to slow the spread of this virus, to help those vulnerable populations, to keep people safe and were continuing to do all we can to do just that. Were still dealing with the number of cases in San Francisco and we also know that there will continue to be challenges and we will continue to see increases in the number of cases of the coronavirus as we continue to do testing. You know, it may seem like this will never end, but it will come to an end. And i want to be clear that although you may hear about San Francisco and how well were doing, that we are flattening the curve, now is definitely not the time to let up. I read a really great article in the San Francisco chronicle this weekend that talked about the spanish flu in 1918. Almost 100 years ago in september of 1918, the flu, the spanish flu hit San Francisco real hard and the city that we know and love, the resilient San Francisco, stepped up, reacted, closed schools, closed churches, required people to wear masks as this particular virus killed millions of people throughout the world and in the united states. Over 500,000 americans and 50 Million People worldwide. And so as San Francisco started to see based on its quick action, there were changes and we started to basically they probably didnt call it flattening the curve at that time, but thats exactly what they did. As the number of cases and deaths declined in november of 1918, they declared victory and went out in the streets, they party, they celebrated. Everyone was happy. They threw off their masks and moved on with their lives. And two days later, almost 2000 people died. And in addition to that, they dealt with this real challenge all the way into 1919 when people continued to be infected. The virus came back with a vengeance. And, unfortunately, it did take some time to get people back into a place of complying with the orders in order to try to protect Public Health. The gains they had made on the front end were all basically lost because they moved too quickly. And i tell that story about history to remind us that we need to look at what has happened in history to make sure that were not repeating the same mistakes. We are not asking you to shelter indoors, to stay at home and also expect that, you know, this is something that is comfortable for all of you. We know this is very challenging. That it has a Significant Impact on not only our physical health but our Mental Health. And yesterday i, with a doctor, we hosted a webinar to talk about our Mental Health and the challenges with family, with children, with isolation and with a number of things. And we wanted to make sure we had a resource available to the public to deal with that. Anyone can log on or call 311. If there is any information that you may need or someone to talk to during this very challenging time because the fact is its not over. There is a light at the end of the tunnel. We will get through this, but it is going to require time and its going to require patience like never before. I dont believe anyone on this earth has ever experienced anything like this before. As i said, the spanish flu was over a century ago. And here we are dealing with a pandemic of the same proportion. And i know that you would think that, especially in a place like San Francisco where we have cpmc and kaiser and ucsf and San Francisco general and all of these incredible hospitals and Research Labs and doctors and all of this great science and technology that 100 years later we should not be in a situation we are in where were requiring people to stay at home. But the fact is we are. Public health is in jeopardy. And because of your work and your compliance with this order, we have done a great job and maintaining even as we see the number of cases increase every day, even as we see the number of, sadly, deaths continue to increase. Were still in a better place and it has everything to do with the people of San Francisco for the most part complying with the orders. Now is not the time to let up and get comfortable. Especially as we see the weather has gotten a lot better. Everyone probably wants to go outside and hang out. They want to see friends, family. Unfortunately, this is not the time to let up. And were still in this. We still need to get through this. And we still need your cooperation to do just that. I want to express again my appreciation. Of course, do what you can to get your fresh air and take your walks. Make sure youre taking care of our Mental Health as well, because that is also a critical thing that we will need do in order to get through this together. So thank you again for cooperating and i want to talk a little bit today about the future. And what you know San Francisco looks like as we begin to reopen our city. I want to be clear, we dont know when that is going to be, but what we do know, its going to be different than what it was before. The governor talked about in his press conference yesterday that there will be changes and we need to prepare for those changes, because we wont be completely out of the woods as it relates to this virus even as we gradually may reopen the city. There is still a twoyear time period almost before we could even maybe have a vaccine. And so we just have to be mindful that its important that we live in reality, we live in reality with what we have in terms of our capacity, in terms of our equipment, in terms of what we can do around testing and the kinds of things that are going to help support our communities. And also we marry that reality with science, with data, and we make good decisions in order to protect Public Health. And as we come out of this, what does that really look like . What are some of the things that were going to need to do to continue to protect the public . As i mentioned before, we have Incredible Health institutions here in San Francisco and many of you are familiar with ucsf and amazing doctors and clinicians and researchers, the work they do is world renowned in terms breakthrough science data. In fact, one of the things weve been talking about, is contacttracing. Because part of what we want to be able to do once someone is diagnosed, its easy to, of course, check in on their family and the people that are immediately around them and to test them. That has been happening already here in the city. We reach out to the folks that theyve connected with or may have been in touch with. And the way that our contracttracing contacttracing system has been set up will provide us another tool to expand our capacity so that we can do more outreach to not only find out exactly who that patient has been in contact with, but we can also check on them, check on their symptoms and with increasing our Testing Capacity because they go handinhand we can have people tested. We can have people tested that may have been in contact with someone who has been infected. Because our goal is to chase down all of those people and to either help them if they are covid and get them into quarantine, or to basically give them the relief that they are not infected. And, of course, to continue the social distancing and other things necessary to keep people safe and to keep themselves safe. So contacttracing is something were launching and what is amazing about this work, a lot of students at ucsf, some of our Disaster Service workers with San Francisco, some of our librarians and other city workers will be trained to do this work. And there will be an app to help facilitate this. The app will allow people to keep track of their symptoms and to check in with people who are monitoring their condition. And also determine whether or not they should or should not be tested. And i want to take this opportunity to really thank again ucsf and there is a couple of other folks. I think dr. Colfax will talk a little bit about the partners that we have in this particular effort, but i really would like to thank the folks who have come together with us to prepare this contacttracing system and the apps and the work necessary in order to ensure that we are really getting to the bottom of those who are infected and helping to support them. And we have done some level of that in our shelter at msc south. This is how we were able to discover so many cases. The department of Public Health set up a system there and they were able to test people quickly and based on the two initial individuals who were tested positive, we were able to trace their steps back to this particular shelter and do the work necessary in order to identify the people who they had been in contact with, which led to what we have seen as it relates to m. S. C. South. Again, thank you to the department of Public Health. Thank you to our city team. Thank you to ucsf and your medical staff. I want to also just talk a little bit about our plans to expand testing, because, again, contacttracing as well as testing go handinhand. Increasing our Testing Capacity. We talked about that on monday. We do want to appreciate ucsf for their willingness to run the tests, but the biggest challenge they and so many other folks throughout the country have had are access to the appropriate swabs in order to initiate the test in the first place. And we want to appreciate just so many incredible public and private partners that weve been working with to try and make Testing Available as much as possible. Many of you know that we provided city test s. F. On our peers with the partnership with the port to help get City Employees tested as quickly as possible. The feedback from City Employees is incredible. The response and the ability, you get your time, you go in, you get tested and you get your results back quickly. People are so appreciative of that. So i just want to, again, appreciate and thank the department of Public Health and the work theyre doing with the private sector as well to get these tests up and running. Today, we want to announce in addition to pier 30 and 32, we want to announce another site. Theyre working with the office and the department of Public Health to create city test s. F. In soma. So the goal is to increase our capacity, although i want to be clear this is not someplace you can walk up to. You have to meet the criteria in order to be tested. We just want to able to test people more quickly, get the results back quickly, so that we can make sure that people are prepared to do what is necessary to, of course, quarantine or give back to some sort of plan with their lives as they know it. So, for example, if there is a person who works here at the Emergency Operation center, or there is a person who works at the San Francisco general and they all of a sudden wake up, maybe with a fever and a cough, even though theyre essential city workers, they cant go to work once they exhibit symptoms. So instead of waiting days or weeks to either get tested or to get a response, our goal is to test them almost immediately and to get the tests back as quickly as possible, because if they are not covid19positive, we want them to be able to go back to work as quickly as possible because theyre essential city workers. So that is the whole point of why were expanding Testing Capacity for our city workforce, because we need them in our hospitals, our hotels, on the streets, driving our buses and all of the things that we see so many of them doing. Again, i just want to continue to take the opportunity when possible to thank the incredible workforce in San Francisco. The fact is when i say these people are putting their lives on the line, that is not an understatement. They are putting their lives on the line when they step on the buses and hundreds of thousands of people get on the buses every single day. Theyre putting their lives on the line when, for example, our paramedics have to go out and be physical with someone with someone whose life theyre trying to safe. Theyre putting their lives on the line when they walk in the door to serve patients. They truly are the folks who are showing up in the hotels and working with the vulnerable Homeless Population. The people who are showing up to laguna honda and continuing to make sure those patients are clean and fed and well taken care of every single day. And i just want to express again my appreciation for the work that so many incredible City Employees continue to do. We want to make sure that were taking care of them. That they have the p. P. E. That they need. That if necessary and they think theyre covid positive, theyre able to get testing immediately. Thats what this is about. Making sure our workforce is prioritized in a way that they are not necessarily put in a situation where they have to choose to just stay home rather than be an important part of our workforce. I also want to express that this Testing Capacity will be made available to people who may not have insurance. People who basically think theyre positive and they dont know what they should do, especially if they dont have insurance. They can call 311 and we will make sure that we connect them with someone who can talk to them about their symptoms and refer them to a testing site. I want to also be clear that with our contacttracing and testing for people who are part of our immigrant community, that this data, this information and what we do here will in no way be shared with anyone. So i dont want you to have any fear about ice or any other federal resource coming in and trying to obtain this personal information and data because we have got to do everything we can to make sure that access to testing, that contacttracing and what were trying to do in order to save lives and get to the bottom of this and treat people and help them determine if theyre covidpositive or not, we have to make sure people feel safe in revealing whatever information were asking for in doing this work. So i just wanted to assure you that this is for this purpose only. You dont have to be afraid if you think that you exhibit symptoms to call 311 and get referred so you can be tested. The other thing i wanted to talk about today finally is our economic recovery. This has been, i know for so many people, really, really very challenging. So today i was on the phone with the 13 mayors total who represent the largest cities in the state of california, with our u. S. Senator Kamala Harris talking about some of the federal stimulus packets and the new packets and the changes they need to make in order to make sure that were actually providing relief to people. So, for example, people who have filed taxes and have direct deposit have probably already received, today, their stimulus checks. But, unfortunately, the people who may not have a bank account wont get their check for maybe even another few weeks. And those are the kinds of things that are completely unacceptable. We know that people need money now. We know that people need groceries now. We know that people concerned about paying the rent, even though we have a moratorium on evictions, we know people are living in fear, people are scared, people dont know what to do when they dont have access to resources. And even though there are some people that are fortunate enough to be in a situation where they are financially going to be okay, there are so many san franciscans and people throughout this country who will not be okay. So give to s. F. Was what we started as a resource to provide support for food, for groceries in particular, through gift cards and through other resources to those who may not necessarily qualify for other services. And also subsidies and support around rent for people that we can provide support for. So weve raised private dollars into this fund. We have public money going into this fund. It also includes support for our Small Businesses. And we know that there are a number of state and federal initiatives that we hope will have an impact on supporting our communities and making sure that the combination of food banks, of our outreach teams, of the work were doing will actually get to people. If you have any questions or you need any assistance, call 311 so that we can direct you to the right resource. We have a number of programs and information online. I know sometimes going online can be confusing. And some people dont have access to online tools, so if you have any questions, youre a senior and you live alone and you cant get out to get food, you are an immigrant and you dont qualify for food stamps or for benefits in that way, you are someone who basically doesnt know what to do and you need help, i want people in the city to use 311 as a resource to ask for what you need. Dont wait. If there is something that you need, help or support, please contact 311. And also look at sf gov. Org on our website for assistance. That is what were dealing with currently. After we gradually come out of this, there are still going to be challenges. For example, the governor talked about new guidelines for restaurants. Restaurants potentially needing to go to half capacity and what does that mean for their staff . What does that mean for their rent . What does that mean for the food that they need to purchase and what have you . How are we going to make sure that as we try and get back to a level of what we saw before this virus, what are we going to do about tourism . What are we going to do about the hotels and people who work in the hotels. How are we going to make sure that hair salons and nail places, who basically only make enough to cover rent, how do we make sure were taking care of their back rent . How do we ensure were supporting our Small Businesses and people who basically cant look back and meet the needs of the past because theyre focusing on making sure they have resources and money for the future. How are we going to get these businesses back online . How are we going to recover . It is not going to be easy. The city faces a 1. 1 to 1. 7 billion budget deficit. What that means is were going to have to make serious changes. Well have to reprioritize how we spend money. Every dollar matters. Every dollar matters anyway regardless of this situation, but it matters even more than ever before. And so were going to have to make major changes and i talked about last week the Economic Recovery Task force. Supervisor norman yee and i and the board of supervisors president , we put together a task force that will be cochaired by a number of folks, including the assessor recorder. The executive director of the labor council, Rudy Gonzalez and others to begin that process. To begin that process with our restaurants, with our Small Businesses, with our hotels. How are we, as a city, going to change our policies, make our Financial Investments . How are we going to start now so that when we begin to gradually open the doors to the city that our businesses can get back to work . Our people can get back to work. We can get our economy back going. Thats going to be critical to the success of our future. This is a challenge, yes. This is a challenge going on a lot longer than i know many of you had hoped, but i want to also be clear that were working on all of these issues. And we are focused on making sure that were making good decisions so that we can protect both the physical health and the Mental Health and the Financial Health of our city for the longterm. So thank you, all, again, for your cooperation and all that you continue to do to support these efforts. I want to, again, express my appreciation to how amazing people have been. The positivity, the love, the support from one another. It has been truly amazing. I want to be clear. We have our challenges yet. We have our challenges as a city. But i am so proud of the workforce and the people in the city who are working hard for all of you every single day. They are doing the best they can. And following social distancing, which is very, very difficult to do when youre trying to work in some cases, so i want to express my appreciation to them. And so many other folks who are out there trying to make sure that when we say were in this together, were not only in this together, were supporting one another together, were uplifting one another together, were doing everything we can to get each other through this because we will get through this and we will emerge stronger than ever. Thank you. At this time id like to introduce the director of the department of Public Health, dr. Grant colfax. Good afternoon. I am dr. Grant colfax, director of health for San Francisco. And thank you, mayor breed. Today there are 1,013 san franciscans diagnosed with covid19. 9,000 people in San Francisco have been tested. Sadly, 17 people have died of the disease. I send my condolences to their families, their loved ones, their friends and their community. There are 88 patients with coronavirus hospitalized across the city. And about 30 of them are in the intensive care unit. Another 53 people are in the hospital who may have coronavirus and they are awaiting test results. Our hospitalization numbers have been holding relatively steady for the past few days which is welcome news. But again, that could change at any time. Especially as we begin to see expected outbreaks in the city, including potentially in vulnerable populations. As we reported last week, there was an outbreak of coronavirus at m. S. C. South, the citys largest homeless shelter. As of today, 92 guests and 10 staff there have tested positive for the coronavirus. At laguna honda hospital there are now 18 confirmed cases of coronavirus. 14 of the confirmed cases are among staff and four are among residents. All of the residents are in good condition. Of the staff who tested positive, 11 have been in patient care and three have not. All four positive resident cases who are in the south 5 neighborhood. And to date, 329 laguna honda hospital staff have been tested. And 272 residents have been tested. The centers for Disease Control, cdc, remain on site advising us with regard to our response. Across San Franciscos entire hospital care system today, there are 1262 acute care beds and 436 intensive care beds available across the city to meet the demands of a surge. And we are continuing to build capacity in our hospital system. Today i am very happy to announce that Chinese Hospital has opened up 23 new beds to serve patients being discharged from zuckerberg General Hospital and who no longer require an acute level of care, but still have medical needs. Partnerships like these are helping to decompress hospitals so theyre ready for an expected surge of coronavirus patients. My gratitude for the ongoing collaboration with Chinese Hospital. As you can see, we remain laser focused on the Health Emergency in our city, in our region, in our country. We are doing everything we can to reduce the spread of the virus in our community, protect vulnerable population, Health Care Workers, and First Responders. We are implementing strategies and developing further Workforce Needs developing further workforce capacity to meet our needs both today and into the future. Programs like the city tests s. F. Are expanding your Testing Capacity. Not only for our First Responders, health care providers, but the for the public who meet the screening criteria. Looking ahead, were expanding our contacttracing capacity. Contacttracing has always been a fundamental Public Health tool. From the beginning of this pandemic, we have emphasized contacttracing. But we need to be even doing more today and preparing for when we need more capacity in our workforce to do this in the future. We are looking ahead. We are building a fastmoving comprehensive system to track cases and support people to prevent the spread as much as possible. This is essential today and it is also essential as we ultimately move out of restricted shelter in place orders into a new phase of fighting the pandemic. As the mayor emphasized, we will need a framework Going Forward that includes strong infrastructure for testing, data tracking, caring for vulnerable populations, and further reinforcing and preparing our health care system. The Health Department will continue to align with these objectives along with other departments across the city. Key private stakeholders and Community Members. Thats why im happy to announce today a Major Development to help us reach our goals. San francisco, as the mayor mentioned, is creating a first of its kind program to identify the bay area residents who have been exposed to coronavirus and give them access to the testing and resources they need to keep themselves and their families and communities as safe as possible. This expanded contacttracing program will use technology to dramatically expand our ability to find and connect with individuals who may be close contacts of a person with a confirmed case of coronavirus. This capability will greatly strengthen our citys response to the pandemic. It will allow for swifter more efficient communication. Better datatracking and stronger interventions to reduce spread. This Innovative Program is a Partnership Among the department of Public Health, ucsf, and demonctony. They have been working with the cdc on improving contacttracing and monitoring of people who are potentially infected with covid19. Im pleased that San Francisco is helping lead that way. San franciscos Innovative New program will engage with individuals who test positive for covid19 to identify their recent close contacts. Specially trained outreach workers will then follow up remotely by phone or text with any individuals who may have been in contact with the covidpositive patient. These conversations will be voluntary, confidential and culturally and linguistically appropriate. And immigration status will have no bearing on these conversations. Case contacts will receive daily messages or phone calls checking in on their health and symptoms throughout the 14damon tering 14day monitoring period. They can alert Public Health workers that follow up for testing may be required. People who are contacted will need to have confidence that their participation is again confidential, voluntary and based in science and on their families best interests. There have been instances in San Francisco when people may have been unwilling to work with contact investigators. This may be because they do not trust them, do not understand the purpose, or do not have all the information they need to feel comfortable. I want to ensure that all san franciscans have equitable access to this new program to address those challenges. The Health Department will conduct outreach to ensure the public is aware of the program and knows what they should expect if contacted. This new contacttracing program will amass an unprecedented number of key personnel to staff and respond immediately whenever there is a newly confirmed case. They will take action to prevent the spread among contacts as much as possible. This capability, this capacity will enable us to move forward as a city now and after the shelter in place tt order is lifted. We have already begun training a cadre of people to do this work, including as the mayor referred to, san franciscan librarians, the department of Public Health staff, City Attorney staff, and ucsf medical students. Additional trainings are ongoing with the ultimate goal of filling up a citywide and regional workforce. More than 50 people have been trained to date and we anticipate by the end of two weeks that nearly 150 people will be trained to execute this program. Regionally and we hope this is a regional approach we hope that as many as thousands of people can be in this workforce to get the people the help they need who may have been exposed to coronavirus. This new program is currently in a testing phase and it has already contributed to our efforts by contacting people who are close contacts and providing them with the information about how to prevent further exposure. And, again, the new program will augment our current investigation and contacttracing work, which is as i said at the beginning the bedrock of good Public Health. I want to emphasize that contacttracing is just one part of an Effective Response infrastructure. Other components include expanding testing, adherence to isolation and quarantine orders, and continued prevention. The continued prevention that all of you can help with and must help with, including social distancing and wearing facial covering. All of these will be critical in the future to maintaining any gains we make due to our current effort which appear for now to be flattening that curve. I am proud of San Francisco and grateful to the Health Department team, our City Department partners and our other partners across the city, including those at ucsf for creating this ambitious contacttracing project. Together, we are making a difference and saving lives. We will keep going. We must keep going so that we can continue to protect our community as our Coronavirus Response evolves. We are making progress, but there is still a long way to go. As ive said from the start, we are most concerned about vulnerable population. This includes people in longterm care facilities, people experiencing homelessness with chronic conditions who are greater than the age of 60, and others who are over 60 and have Underlying Health conditions. So, please, continue to do your part. Stay home, wash your hands, cover your nose and mouth when you go out with a facial covering, take care of yourself. Call and engage with your friends and family remotely. We will get through this together. Thank you. Director of Human Services agency, trent rhorer, will be making remarks. Good afternoon, trent rhorer, director of Human Services agency. I want to provide you today with an update on the progress were making for housing in the citys Covid Response. As you know, h. S. A. Is directed to provide these Housing Options and under this Covid Response its for individuals who are covidpositive or persons under investigation for having covid who have been tested and dont have a place to isolate or quarantine. These are typically, as you know, Homeless Individuals and individuals living in congregate settings such as single room occupancy hotels. In addition were prioritizing vulnerable individuals who are in the homeless shelter system and on the street. These are individuals age 60 and above or individuals who have Underlying Health conditions that make them especially vulnerable to the virus. In addition, as mayor breed said, we as a city so value the work of our not only Front Line Health Care responders, but all City Employees and nonprofit employees working with the public every day during this pandemic. We know that their exposure is higher because they are out interacting with the public and we want to make sure that they are safe. We want to make sure their families are safe, that they dont potentially spread infection while going back home. And to this end, we have set up a vast number of rooms for, not only our health care frontline responders, doctors, nurses and other Health Care Professionals, but many categories of City Employees who are reaching the public every day. These include workers in child protective services, workers in adult protective services, our inhome supportive services, home care providers who are providing services to help our seniors and disabled populations stay at home and isolate and make sure theyre safe. M. T. A. , bus drivers, operators. Animal control workers. And then even our Disaster Service workers who are City Employees who are offering to work in our hotels and shelters and our c. B. O. Staff on the front line. This is by far the broadest application of First Responder housing that we know of across the country and really demonstrates the citys care for this population, the importance of their work, and the importance of making sure theyre safe and their families and communities are safe. In terms of progress, an update report on the numbers. First of all in terms of the vulnerable individuals in our homeless shelters, we have completed the process of identifying and offering hotel rooms for our vulnerable persons in our homeless shelter system. These are single adult, age 60 or above who are vulnerable. I can say not all of them have accepted our offer to move to a hotel room. In those cases well continue to reinforce the social distancing in the shelters, the handwashing protocols and all the other Safety Measures that our staff and shelter residents have been trained in. We now have 2100 say it a better way, 2,151 hotel rooms across 14 hotels in San Francisco. 1,271 of them for the vulnerable population i described. And 8 the rest for First Responders and City Employees working with the public every day. We have 874 individuals placed in the 1271 rooms for vulnerable. And continue to see a constant flow of our frontline responders as well as other City Employees into the hotel rooms for them. Our estimated need is still around 7,000 rooms and again i use the word need, and not goal. These rooms and the estimated need is based on the best Public Health information we have. The best information we have from the department of homelessness and Supportive Housing on the population of vulnerable on the streets and in shelters. And we continue to reevaluate those numbers on an ongoing basis and adjust our need accordingly. As ive said many times, the response to our request for quotes and interest in the Hotel Program has been overwhelming. We are now up to 81 hotels who have submitted interest in renting rooms to the city, representing over 12,000 rooms. This gives us the flexibility to increase the number of rooms should we need. It also gives us the flexibility to choose the type of hotels suitable for certain populations. Weve been segmenting populations. One example, for individuals who struggle with Mental Illness or addiction, we have a hotel specifically staffed for them with a size that makes it a more effective and appropriate location for those individuals. As i said, well continue to evaluate the need, continue to be fluid as a public system in response to an environment that is, of course, very fluid and changing daily. Ill conclude with those remarks and open it up to questions . No, im actually turning it over to San Franciscos police chief, chief william scott. Good afternoon. Im bill scott, chief of police, San Francisco Police Department. First of all, id like to start again by thanking our mayor, mayor london breed, for her leadership during is this pandemic. I want to thank our Public Health director dr. Grant colfax for his leadership during this pandemic. I want to update you all on our enforcement efforts on the Public Health order as well as what were seeing in the streets and around the communities of San Francisco today. Weve seen some very nice weather in the past couple of days and with that it has brought more people outdoors to get exercise and probably take care of their Mental Health needs, but with that more people means more instances where people are not engaging in social distancing. As a result, we have stepped up our deployment at our parks, along with park rangers at parks and rec. You will see officers, cadets and rangers at parks we believe people will go to get outdoors today. With that, we havent changed our position on how we are approaching this. For those people that are just out enjoying the fresh air, we ask that they social distance. We ask that they follow the Public Health orders and we continue to stress voluntary compliance. For those folks that have been in this position and been warned by officers and if thats on record, you will be cited. But again, we want to go back to where we started from day one is education. If we engage you, we will make sure that you understand what the seriousness of this pandemic is. And also what needs to be done in order to keep you and your loved ones, your friends and family safe. We have increased the number of sites over the last few days. We now have nine sites that have been issued by San Francisco Police Officers, the breakdown is four businesses im sorry, five businesses and four individuals. Some of those businesses are businesses that officers had warned previous to citing them. And again as i said several times in these press conferences for businesses, were not going to warn you twice. If we have to go back, we will cite you. For the individuals, again, dr. Colfax has laid out the best advice that anybody can give right now in terms of what needs to be done to keep yourself safe and healthy. Stay six feet apart. If you have to go outside for essential business or if you want to get exercise or fresh air, its recommended that you cover your face. If you have to go to the Grocery Store or any other type of essential business, practice social distancing. A lot of the businesses now have marked outside the businesses to indicate where those sixfeet markers are. And we advise everybody and encourage everybody to Pay Attention to the sidewalks and the locations if you do go Grocery Shopping or to the bank or post office, wherever you go, because it makes it easier for people. And we have had situations where officers have shut down businesses for not engaging in social distancing practices. This pandemic is hard enough as this is on everyone. If you are an essential business, we need your help, we need you to encourage your customers to social distance and if that is not occurring, our officers will close your business as mandated by the health order. If you are out with your friends and family, just a reminder, if you live in the same household, youre not expected to have to separate six feet. If you do not live in the same household, please maintain that physical distance of six feet. Thats what the order says and thats what we remind everybody to do. Its for everyones best interests. This week were seeing a slight uptick in calls for service. We believe that is because more people are out enjoying the good weather and the fresh air. Again, we want to remind everybody, if you must go out, please cover your face and please maintain that social distancing of six feet. If you are a victim of a crime or if you see a crime in progress, if its a Violent Crime, remind everybody i remind everybody to call 911. If its a crime that has occurred or a property crime that is not of a significant immediate importance, call our nonemergency line 415 5530123. You can also call 311 or utilize the San Francisco Police Department website to report crime. I want to speak a little bit about 420. Our mayor has made it perfectly clear that 420 is cancelled for this year. But i want to reiterate what the mayor has spoken to the public about 420. There is absolutely no doubt that 420 will not occur this year. The San Francisco Police Department along with other city entities will make sure that is carried forward. The area will be fenced off. We will have officers out in full force. If you plan to show up, the consequences probably wont be favorable to you. It includes citations, it includes street closures. Simply said, we want to make it difficult for anybody that is thinking about attending a 420 event. We want to make it difficult in the best interests of our Public Health and that is what with eintend to do what we intend to do. If we have to cite, we ill. If we have to arrest, we will. 420 is off this year. Its cancelled. Please think of the health of if not yourself the people you care about, if youre thinking about engaging in a 420 event in the city of San Francisco. Well be out in full force and well work through the weekend as well to make sure that the health order is being complied with as best we can to stay safe and healthy. With that, thank you. And i think its time to open for questions. The first question is for director abigail stewartkhan, homelessness and Supportive Housing. Director stewartkhan. Are you concerned about the crowding of tents and people in general in the tenderloin . And what measures are you taking to address it . We are extremely concerned about the crowding of tents and the unsheltered population during this pandemic in the tenderloin and across our city. When people are anxious, which many of us are now, we seek connection. This is a natural human instinct and that connection is putting everybody in danger now. I want to thank the healthy streets Operation Center partnership, which is led by jeff cositski because the moment this was declared, they pivoted and starting providing education and ceased any encampment resolutions. What this means is theyre out there every day, the hot team, the Police Department, the department of Public Health, department of public works, rec and park, and many, many others working together to provide information to our unsheltered neighbors, first on the epidemic and their vulnerability, then on physical distancing guidance while being unsheltered and so on. We need people to adhere to the guidance. Were working with a group of individuals on a certain block and tents are moved apart and the next day we come back and another tent has been inserted into the space between the tents. We need folks to stay six feet apart even when unsheltered and to listen to the individuals out there trying to provide information. We care deeply about the unsheltered population and as director rhorer and dr. Colfax have shared, those who are vulnerable over the age of 60 or with underlying conditions are high priority for the city. Soon well be able to begin a very small pilot which will allows us to bring unsheltered individuals inside. We have not gone that yet. And it will be a small resource before we can get to scale. In the meantime, we need everybody sheltered, unsheltered, housed, unhoused to adhere to physical distancing guidance, especially if youre unsheltered and have vulnerabilities. We want to thank you. We know this is a challenging time and we look forward to better days ahead. Thank you. The next set of questions are for mayor london breed. Mayor, the first question is from joyce cutler, bloomberg law. Mayor breed, you and president yee were planning on a rewrite of the citys gross tax receipt and what is the status of that and how will the deficit influence what appears before voters . The fact is when we were planning for a revamp, the gross receipts tax here in San Francisco, we were living in a different reality. And, unfortunately, the focus is going to be on our economic recovery, some changes that we need to make as it relates to how were spending our money currently, but more importantly, there could be changes or revamp of business taxes in general. But, unfortunately, what we had planned before is something that we cant continue to move forward with, especially now in light of our new reality with the economy. Reporter the next question is from sara grossman, huffington post. The San Francisco board of supervisors voted to open thousands of hotel rooms to homeless residents. Will the city do so . I want to be clear with the public. From day one, as we started to talk to people about this pandemic, what we wanted to make sure people understood is how critical it was to provide facts. How critical it is to make it clear to the public what we can and cant do as a city. Just this past weekend there was a rumor on the internet by, sadly, one of our city leaders that said that ucsf had agreed to test everyone in our shelters and the city had not taken them up on the offer. And that was absolutely false. And it was so irresponsible in light of a pandemic when we are dealing with a matter of life or death, to spread false information as a city leader on the internet, is really irresponsible and very tragic at this time especially. The fact is we work handinhand with ucsf. And a statement by the a joint statement between the directors of the department of Public Health and the chancellor at ucsf was put out clarifying what ucsf could do and that was run the test. But ucsf and the city and county of San Francisco and the Health Systems throughout the country are short on the swabs that are required to actually initiate the test in the first place. What we have done, time and time again as it relates to the hotel rooms, is really try and explain to the public the challenges, especially in light of social distancing. Would we like to open the doors of every hotel room and give everybody a place to stay . Of course we would. But its not that easy. The challenges as ive continued to say with the population that we are serving, people who are unfortunately unhoused, some who suffer from Substance Use disorder and Mental Illness, those challenges that these people are dealing with, they dont just go away because there is a pandemic. And so when we look at hotels, we have to make sure as dr. Colfax talked about and trent rhorer talked about, that people struggling with Mental Illness, we need to make sure that the clinicians and the city staff who have never worked with this population before, that they are trained, that they are prepared and theyre able to provide them with the resources and the support that they need. That were not basically opening up and putting 100 people with Mental Illness in the same hotel. Were looking at smaller hotels. We have aroundtheclock, 247, service whether its our staff, whether its nurses. There are three meals a day. There is cleaning. There is management. There are people who call in sick and arent available but we need them for the shifts. There is training that goes into all of this. The work were doing here at the Emergency Operation center has everything to do with making sure that were working with staff in the city and various departments to get them prepared and trained to do this work. But its not easy. And if it were that easy we would have done it a long time ago and other major cities in this country would have done the same thing. We have moved faster and further along than almost any other major city in the country as it relates to housing our unhoused population. Over 700 people have been housed out of our shelters and counting. So im really proud of the work they continue to do. Would i like to do more . Of course. Who wouldnt. But that is not the reality of what we as a city can do. And what ive made clear time and time again, that every decision we make, everything we do, is going to be based in what is reality. Because its not fair to the people of this city to pretend that we can do something we know we cant. Reporter next question the Santa Cruz Health officer says shes working with counties to craft less restrictive stay in place orders for as early as may 4th. I want to be clear in every decision we make, it has everything to do with facts. It has everything to do with the science and the data. We have relied heavily on the Public Health officials to guide us through this process. And we have done this in a collaborative approach. Weve not just focused on San Francisco. We looked at the entire region and what that means for us to Work Together to make these decisions together because if San Francisco makes a decision and oakland and other surrounding cities choose a different direction, its not going to be good for any of us. The people who work in San Francisco, the people who come to San Francisco for various reasons, they dont all live here. And so keep in mind that its important that as quickly as we want to get back to opening our cities, which i so desperately do as well, we want to make sure that were collaborating with our Public Health officials, thats were focusing on the data, that were strategic and clear about the direction were going in. As i said earlier in my remarks, the worst thing that we can do is move too quickly and then go back to an even worse situation of the number of cases that are diagnosed as a result of it. And so that is really what we want to focus on. We still have a long way to go. I am hopeful about the future and im hopeful well get there, but we want to Work Together in doing that. Thank you. The next set of questions are for dr. Grant colfax with the San Francisco department of Public Health. Dr. Colfax, the first question, abc7. What comes after the testing phase of this contacttracing project . What is the time line and details of the next phase . So with regard to this contacttracing effort, this is happening. We have trained a number of people already on this. So it will continue to iterate as we learn from the early period in terms of how to improve the responses were getting. Well expand our languages. Right now its english and spanish. Were working rapidly to implement a cantonese, mandarin version of this. So its not as though there is a series of discreet phases, its a scaleup. As i said, we hope to have 150 people trained on using this app, in the next few weeks. And it will be an integral part of our efforts Going Forward. Were exploring with regional partners so potentially we could have hundreds if not thousands of workers across the region for us to collectively do better with our pandemic response. Thank you. The next question from s. F. Chronicle. Will San Francisco be mandating face conversation similar to sonoma, riverside and los angeles counties . We know that along with physical distancing, social distancing, that wearing a facial covering helps protect others. So i like to think of it as my mask protects you, your mask protects me. And were looking right now to ensure as much as possible that there is compliance with our face masking recommendations and looking to see whether additional measures are needed to protect people. The next question is from crystal sky link tv. In regards to Contact Tracing program how will the close contact resident be contacted . What kind of information will be asked so they can determine whether or not it is a scam . So working with the app, well be executing ensuring that there is a feedback so that people can use technology to get comfort its not a scam, like you do when you get other notificationings. In terms of the information gathered, its going to be focused on ensuring that the person knows there has been a close contact with somebody who has been diagnosed with covid19. Some very General Information that will be collected, but that will be confidential. And were certainly not going to be asking for sensitive information, personal information such as Social Security numbers, other factors like citizenship status. That will not be asked. What were asking for is the information that we need to ensure that that person is as safe as possible and importantly get the help that they need to manage their exposure and if symptoms develop, they get the care they need. And to keep their family and community fully informed and as safe as possible. That is why well be asking people about their symptoms. We will be asking them about how theyre doing. And again i want to emphasize, this is a bedrock of Public Health and we also know in order to use this tool and for this tool to be effective, we must do this in a culturally appropriate way that is sensitive to the needs of our most vulnerable population. This work will be done through an equity lens as has our entire approach to addressing this pandemic. The next question is from joshua, s. F. Examiner. Does the city have a goal for the number of people they want to test this month across all testing sites, both public and private . And what is the biggest barrier at this time to increasing the number of tests . So the biggest barrier right now to increasing our number of tests is instability of the supply chain. That is a lot of words, but basically, instability of the supply chain, were not able to get swabs. The appropriate swabs for test collection. These are special swabs. You cant use Something Like a q tip. These are swabs that must be approved and media medium which is basically the gunk that you put the swab in to keep the sample stabilized as you transport it to the machine. With our partners, including the partners that were announced today in terms of expanding our Testing Capacity, we have enough machines in the city to do this. What is our rate limiting step are getting the swabs, getting the media. Im hoping that well be stabilizing that in the next couple of weeks. I have to say that one of the Biggest Challenges in our local regional and i believe National Response is a lack of a reliable source from the federal side. I do not know on a regular basis how many swabs we can expect the. The supply chain is extremely unstable. It makes it incredibly difficult to plan Going Forward. But we do have our swabs today to test the people who need it most. Our people who are exhibiting symptoms, our frontline First Responders and Health Care Workers and city workers who are exhibiting symptoms. And other highrisk contact. That will continue. Im hopefulses the supply chain as the supply chain stabilizes well be able to expand the criteria for testing Going Forward. We need to ensure that as we expand our Testing Capacity and testing ability, that that does not become a substitute. Testing is an additional tool and does not replace the vital tools of social distancing and wearing face covering. Does the city have a goal for the number of people they want to test this month across all testing sites . So, right now, my focus is on getting hundreds and thousands of the swabs and media so i can establish a Clear Pathway for expanding our testing. The next question is from s. F. Chronicle. When will the city release neighborhood level covid19 data on cases and deaths . So im working we are working at the Health Department with our data team to develop those maps and ensure that the maps are accurate. And i hope to have this data presented on our data tracker very soon. Thank you. Next question is from aaron, San Francisco chronicle. Regarding the contacttracing program, does this need to be fully staffed before the city can begin to lift shelterinplace restrictions and how many staff people will be needed at that time . So, again, contacttracing is a vital Public Health tool. Were scaling it up. Were working to iterate the contacttracing program so that it optimizes our ability to do this work in a culturally appropriate way. I think as we move forward its a tool that were using now and it will be a tool that we will be using as in the future shelter in place orders are eased, but i cant speculate. We just reached a thousand cases in San Francisco. Community transmission is prevalent right now. So we need to ensure that we expand our Testing Capacity, that we expand our contacttracing capacity, that we maintain our ability to take care of the most vulnerable, including in the hospitals before i can speculate on how much we need of each thing. But right now what im focussing on is using this innovation and this partnership to strengthen our contacttracing effort now and for the future. As i said, we are hopeful that our people trained in San Francisco this effort will not just be limited to San Francisco, that we can train hundreds and perhaps even thousands of workers across the region for a collaborative effort that will help us address the pandemic for the medium and perhaps even long term. As well as what were doing right now. For people who must go into quarantine or isolation, is the city arranging places for them if home is not an option . Yes. I think partners, weve focused on this from the beginning. As weve said, if people are covidpositive and do not have ability to quarantine or isolate at home, we provide them with rooms in which theyre able to do that. I want to emphasize, this is often done with a lot of wraparound services. We do not just put people in a hotel room and say, do what you can. We wraparound support services. We mentioned the food. We mentioned the Behavioral Support Services that are needed in many of the spaces. This is not just the Health Department doing it. This is, again, with our partners at h. S. A. , h. S. H. , d. P. W. Its taking a citywide effort to make sure were supporting people successfully. Not only in their health, but in their daily needs. The next question is from s. F. Bay. How many people in the city have recovered so far . And will the city add this information to the online data tracker . So you can see that our data tracker supplies a lot of information. We are not tracking recovered cases. We are focusing on the people who are the most vulnerable, the people who have unfortunately died from covid19. Were focuses on hospital capacity. I think its important to remember that 80 at least 80 of people who contact covid19 do recover. It can be a rocky course for some people and, unfortunately, some people require hospitalization and hospitalization sometimes in the intensive care unit. You can see about a third of the people require that right now. Unfortunately, some people do die, but most people do recover from this disease. The next question is from wired. In regards to contacttracing, it sounds like youre rolling your own technology here, are you taking advantage of the Tech Industry . We are taking in this case, were using a tool developed in collaboration with the centers for Disease Control and a company. Were using the technology that we need now to do even better. Again in collaboration with the company, the experts, dr. George rutherford and others known in the field. Were using the Technology Tool to meet the community needs. So im very excited about this innovation. Well certain iterate and learn and use other available Technology Tools Going Forward im sure. Contacttracing is essential to reopening the economy. Its also next to impossible to do perfectly or close to perfectly. What about your past experience tells you it will be effective at the scale were talking about . Again, i think we have some of the best people in the country, if not in the world, in the Health Department working on this contacttracing work. Dr. Susan phillip and her team have been leaders in this before the pandemic where we tracked other diseases including h. I. V. Weve learned a number of lessons over decades of doing this work. And, again, i cant emphasize how very important it is to have Community Support to do this a culturally appropriate way, to do it in multiple languages, and to ensure that people who are doing the contact investigation are open to feedback and iterate the importance of this to the people that were reaching. If you look at where contacttracing is needed, the history of Infectious Disease shows this is a key tool. That it needs to be scaled up appropriately. Yes, there are a lot of challenges and times when tracing may not be as effective as each case may not be as responsive as we would like people to be, but if you can gain the trust, if you earn the trust i should say, if you earn the trust of the communitys most impacted by diseases, including covid19, if you provide the feedback necessary, if people feel and see the value of this work, it will succeed. And im confident with the team on the ground and the support of ucsf and the company and others that this program will be a key corner stone of the response. Thank you, dr. Colfax. This concludes our press conference for today. Roughly five years, i was working as a high school teacher, and i decided to take my students on a surfing field trip. The light bulb went off in my head, and i realized i could do much more for my students taking them surfing than i could as their classroom teacher, and that is when the idea for the city surf project was born. Working with kids in the ocean that arent familiar with this space is really special because youre dealing with a lot of fear and apprehension but at the same time, a lot of excitement. When i first did it, i was, like, really scared, but then, i did it again, and i liked it. Well get a group of kids who have just never been to the beach, are terrified of the idea, who dont like the beach. Its too cold out, and its those kid that are impossible to get back out of the water at the end of the day. Over the last few years, i think weve had at least 40 of our students participate in the city surf project. Surfing helped me with, like, how to swim. Weve start off with about two to four sessions in the pool before actually going out and surfing. Swimming at the pool just helps us with, like, being, like, comfortable in the water and being calm and not being all not being anxious. So when we started the city surf project, one of the things we did was to say hey, this is the way to earn your p. E. Credits. Just getting kids to go try it was one of our initial challenges for the first year or two. But now that weve been doing it three or four years, we have a group of kids thats consistent, and the word has spread, that its super fun, that you learn about the ocean. Starting in the morning, you know, i get the vehicles ready, and then, i get all the gear together, and then, i drive and go get the kids, and we take them to a local beach. We usually go to linda mar, and then occasionally ocean beach. We once did a special trip. We were in capitola last year, and it was really fun. We get in a circle and group stretch, and we talk about specific safety for the day, and then, we go down to the water. Once we go to the beach, i dont want to go home. I cant change my circumstances at home, but i can change the way i approach them. Our program has definitely been a way for our students to find community and build friends. I dont really talk to friends, so i guess when i started doing city surf, i started to, like, get to know people more than i did before, and people that i didnt think id like, like, ended up being my best friends. Its a group sport the way we do it, and with, like, close camaraderie, but everybodys doing it for themselves. Its great, surfing around, finding new people and making new friendships with people throughout surfing. It can be highly developmental for students to have this time where they can learn a lot about themselves while negotiating the waves. I feel significantly, like, calmer. It definitely helps if im, like, feeling really stressed or, like, feeling really anxious about surfing, and i go surfing, and then, i just feel, like, im going to be okay. It gives them resiliency skills and helps them build selfconfidence. And with that, they can use that in other parts of their lives. I went to bring amy family o the beach and tell them what i did. I saw kids open up in the ocean, and i got to see them connect with other students, and i got to see them fail, you know, and get up and get back on the board and experience success, and really enjoy themselves and make a connection to nature at the same time. For some kids that are, like, resistant to, like, being in a Mentorship Program like this, its they want to surf, and then later, theyll find out that theyve, like, made this community connection. I think they provided level playing fields for kids to be themselves in an open environment. For kids to feel like i can go for it and take a chance that i might not have been willing to do on my own is really special. We go on 150 surf outings a year. Thats yearround programming. Weve seen a tremendous amount of youth face their fears through surfing, and that has translated to growth in other facets of their lives. I just think the biggest thing is, like, that they feel like that they have something that is really cool, that theyre engaged in, and that we, like, care about them and how theyre doing, like, in general. What i like best is they really care about me, like, im not alone, and i have a group of people that i can go to, and, also, surfing is fun. Were creating surfers, and were changing the face of surfing. The feeling is definitely akin to being on a roller coaster. Its definitely faster than i think you expect it to be, but its definitely fun. It leaves you feeling really, really positive about what that kids going to go out and do. I think its really magical almost. At least it was for me. It was really exciting when i caught my first wave. I felt like i was, like it was, like, magical, really. When they catch that first wave, and their first lights up, you know their face lights up, you know you have them hooked. I was on top of the world. Its amazing. I felt like i was on top of the world even though i was probably going two miles an hour. It was, like, the scariest thing id ever done, and i think it was when i got hooked on surfing after hi. My name is carmen chiu, San Franciscos elected assessor. Buying your first home is a big deal. For many of us, its the single largest asset that well own. Thats why its really important to plan ahead for property taxes so that there are no surprises. A typical question new homeowners ask is what is a supplemental tax. So understand supplemental tax, we need to start with proposition 13. Under californias prop 13 law, the value we use to calculate your property tax is limited to a 2 growth peryear, but when ownership changes, prop 13 requires that we set a properties assessed value to market value. The difference in value between the previous owners value and the new value is the supplemental assessment. How does the supplemental assessment translate to the tax you need to pay . Supplemental tax is calculated by applying the tax rate to the value and then prorating it for the amount of time that you owned it in that tax year. In generale, the tax rate is roughly 1 . Lets walkthrough an example together. Here dan is the original owner of a home with a prop 13 protected value of 400,000. With a tax rate of 1 , he pays 4,000. Dan sells his home to jennie at a market rate of 700,000. In this case, jennies home will be reassessed to 700,000, and jennie is responsible for paying property taxes at that level from the time she first owns it. Many times, people might have already paid their property taxes in full by the time they sell their home. In that case, dan has paid 4,000 in taxes already for the full year. Jennie would likely payback dan through escrow for her share of the 4,000, depending on the proportion of the tax year she owns the home. However, shes also responsible for paying taxes at the higher market value from when she begins to own the home. How does that work . Lets say jennie owns the property for nine months of the first tax year, which is approximately 75 of the year. During the escrow process, shed pay dan back 75 of the 4,000 he already paid, which is 3,000. On top of that, she would owe taxes at the higher rate for the proportion of the year she owned the house. In this case, she owes the amount not already billed through dan or 700,000 minus 400,000, multiplied by a tax rate of 1 , and multiplied again by 75 to reflect the time she owned the home in that tax year. Here, jennies supplemental tax is roughly 2,250. Going forward, jennie will be billed at her new reset prop 13 value. Are you still with us . If this isnt complicated enough, some new owners might receive two supplemental tax bills, and this has to do with the date that you transfer property. But before we get to that, you first need to understand two concepts. First, what is a fiscal year . In california, local government runs on a fiscal year. Unlike the calendar year, where the year begins on january 1, a fiscal year begins in the middle of the year, on july 1. Property tax follows the fiscal year cycle. Second, state law requires property be valued as of january 1 every year, in other words, new years day. The value as of january 1 is used to calculate property taxes for the upcoming fiscal year. This means Property Value as of january 1, 2018 will be usedtor fiscal year 18 used for fiscal year 1819 covering july 2018 through june 2019. Similarly, the value of january 1, 2019 will be used for the fiscal year covering july 2019 through june 2020. Now back to whether you should expect to receive one or two supplemental tax bills. The rule of thumb is that if the property transfers happens in the first half of the fiscal year, in other words between july and december, then you should expect only one supplemental tax fill. If the transfer happens in the second half of the fiscal year or between january and june, you should expect two supplemental tax bills. Heres the reason why. Using dan and jennies example again, dans 400,000 value as of january 1 is used to set the tax bill for the following fiscal year beginning july through june of the next year. Jennie buys the property from dan in october. The taxable value is reset to 700,000 as of october, but the bill issued still reflects dans lower value. In this case, jennie would expect to receive one supplemental or catchup bill to capture the difference between her assessed value and begans fr begans dans from october through june. Because of january 1 we already know of the sale, we would have used the following year to set jennies property taxes and no other supplemental bill should be received. However, if dan sells the property to jennie in march, instead, jennie should expect two supplemental bills. Like before, jennie would receive one supplemental bill to cover the time in which she owned the home in the current tax year from march to june. But because as of the next january used to set the tax base for the following tax year, dan still owned the home, the following years entire bill still reflects the values not updated for jennie. In this instance, jennie receives a second supplemental for the following year covering july through june. After the supplemental tax bills, new owners should receive only one regular tax bill peryear Going Forward. Remember our office values the properties, but billing and collections are handled by another Organization Called the treasurer and Tax Collectors office. If youd like to learn more, please visit our website at sfassessor. Org. Thank you for watching. It did take a village. I was really lucky when i was 14 years old to get an internship. The difference that it made for me is i had a job, but there were other people who didnt have a job, who, unfortunately, needed money. And they were shown to commit illegal acts to get money. That is what i want to prevent. [ ] today we are here to officially kick off the first class of opportunities for all. [applause]. Opportunities for all is a program that mayor breed launched in october of 2018. It really was a vision of mayor breed to get to all of the young people in San Francisco, but with an intention to focus on young people that have typically not being able to access opportunities such as internships or workbased learning opportunities. Money should never be a barrier to your ability to succeed in life and that is what this program is about. Theres always these conversations about young people not being prepared and not having experience for work and if they dont get an opportunity to work, then they cannot gain the experience that they need. This is really about investing in the future talent pool and getting them the experience that they need. It is good for everyone because down the road we will need future mechanics, future pilots, future bankers, future whatever they may be in any industry. This is the pipe on we need to work with. We need to start developing talent, getting people excited about careers, opening up those pathways and frankly giving opportunities out there that would normally not be presented. [ ] the way that it is organized is there are different points of entry and different ways of engagement for the young person and potential employers. Young people can work in cohorts or in groups and thats really for people that have maybe never had job experience or who are still trying to figure out what they want to do and they can explore. And in the same way, it is open for employers to say, you know what, i dont think we are ready to host an intern yearround are all summer, but that they can open up their doors and do site visits or tours or panels or conversations. And then it runs all the way up to the opportunity for young people to have longterm employment, and work on a project and be part of the employee base. Something new, to get new experience and meet people and then you are getting paid for it you are getting paid for doing that. It is really cool. I starting next week, i will be a freshman. [cheers and applause] two of the things i appreciate about this program was the amazing mentorship in the job experience that i had. I am grateful for this opportunity. Thank you. Something i learned at airbnb is how to network and how important it is to network because it is not only what you know, but also who you know to get far in life. During this program, i learned basic coding languages, had a had to identify the main components and how to network on a corporate level. It is also helping me accumulate my skills all be going towards my College Tuition where i will pursue a major in computer science. For myself, being that i am an actual residential realtor, it was great. If anybody wants to buy a house, let me know. Whenever. [applause] it is good. I got you. It was really cool to see the commercial side and think about the process of developing property and Different Things that i can explore. Opportunities for all was a great opportunity for all. We were aiming to have 1,000 young people register and we had over 2,000 people register and we were able to place about between 50 and did. We are still getting the final numbers of that. Over several weeks, we were able to have students participate in Investment Banking they were able to work with our team, or technology team, our engineering 20 we also gave them lessons around the industry, around financial literacy. There are 32,000 young people ages 16 and 24 living in San Francisco. And imagine if we can create an opera skin it just opportunity for all program for every young person that lives in public housing, Affordable Housing, low income communities. It is all up to you to make that happen. We have had really great response from employers and they have been talking about it with other employers, so we have had a lot of interest for next year to have people sign on. We are starting to figure out how to stay connected to those young people and to get prepared to make sure we can get all 2400 or so that registered. We want to give them placement and what it looks like if they get more. Lets be honest, there is always a shortage of good talent in any industry, and so this is a real great career path. For potential sponsors who might be interested in supporting opportunities for all , there is an opportunity to make a difference in our city. This is a really thriving, booming economy, but not for everyone. This is a way to make sure that everyone gets to benefit from the great place that San Francisco is and that we are building pathways for folks to be able to stay here and that they feel like they will belong. Just do it. Sign up for it. [ ] this is thes Transportation Committee for monday, april 13th. Im the chair of

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