Power to order individuals that walk out on the street and may someday need help in the hospitals have decided not to issue that order in the past seven weeks. I want to know why because it doesnt make sense to me, and it doesnt make sense to my constituents, both housed and unhoused. If you walk the streets of the city, it doesnt make sense to any of those thousands of people that are obviously dangerously camping in the street right next to each other with no access to hygiene. So i dont want you to hide behind the City Attorney, i want to know why you havent issued a health order requiring intervention on the basis of Public Health facility. You just shutdown the entire economy of San Francisco, and you were willing to do that, and i stood by you, and i stand by you in that decision. You have not been willing to do that for the homeless population, and i dont understand it. We as supervisors have done everything in our power to try to force the situation, but were not the Public Health officer. Thats you, and i want to understand why you havent issued that order. Ill explain it to you the best way i could, and thats really all im prepared to say at the moment. Supervisor ronen well, thats really disappointing, dr. Aragon. I have nothing more. President yee okay. Thank you, supervisor ronen. Ill say it mildly. I dont disagree with supervisor ronen. Supervisor safai . Supervisor safai thank you, president yee. Thank you, dr. Aragon. Thank you for let me just say that you for all the questions that i have had, all the ones that i have funneled your way during this crisis, i really appreciate your accessibility and your response and your ability to explain things in a clear manner, joining us for our town halls, and for working so hard to get this information out as quickly as possible. Its been tremendous. I want to ask you, and if i missed it, im sorry because i know that theres been a lot of questions. I want to talk a little bit about our Skilled Nursing facilities. I know ive talked to you about this last time. I know weve had some conversations about when testing would begin in an aggressive manner, and when i see that new york is has issued the governor of new york has issued that all persons in these facilities would be tested twice a week, and they would be moving aggressively, and they then changed their orders that said they would no longer allow covidpositive patients to be transferred into these nursing facilities. And then, when i read the statistics in the state that over half the people that have died have been in these Skilled Nursing facilities, it makes me wonder why and how we havent moved a little bit more aggressively. I know you said youre still debating about the types of swabs and so on, but what can you do i know youve told us recently that the orders have changed, and now, all the staff in these facilities are going to be tested. But we put out on sfcity, testsf that people can get testing at 7 and brandon without an appointment, or any person can get testing on pier 32. Im just wondering how and why we havent been able to move more aggressively in our skilled facilities. This is a big concern in the entire Jewish Community yes, thank you. It is our longterm care facilities, especially the s. N. F. S, is our highest priority. And i think what youll see if you go back and look at all the orders that were done on Skilled Nursing facilities, strom screening, temperature checking, we made it at laguna honda, the residents that could prior leave, are not allowed to leave. So what we did what we did early on with laguna honda because that is the biggest location, we asked the c. D. C. And the California Department of Public Health to come in and actually develop a framework and an approach that we could provide to longterm care facilities, and weve gone beyond that, and were requiring testing for all staff and all patients. Supervisor safai i know that you guys have consistently changed your orders. It just seems that were not moving aggressively enough, given the statistics of people that have died, and i just wonder how we can move more aggressively. Yeah. So let me just real quickly tell you our goal. Our goal is to get every two weeks of testing. Its big logistically, and the Health Department has committed to making sure the testing gets done. Other places will pass the orders and then just expect the Skilled Nursing facilities to do it. What weve heard is they dont necessarily have the Financial Resources or expertise to do that. So were stepping up to do that, and if we see that it needs to be done for frequently, well move in that direction. But we agree with you and im actually getting some texts that i need to leave because i needed to leave at 6 00, and its 6 15. That all your questions . Supervisor safai well, i did have one more questions, and thats abaho sphere, and how its going to be distributed throughout all the hospitals. I know our staff is looking into that, because theres been changes how that drug is going to be distributed. Were getting instruction from the state, and i believe something may have just been distributed within the last 24 hours, ill send it to you so you have an idea of how its going to be distributed within california. Supervisor safai more specifically in San Francisco. Yeah. Youll want to know where its going and where its not going. Supervisor safai okay. Thank you. President yee thank you. Theres two more names added, but supervisor walton, do you have a quick question . Supervisor walton i know that supervisor fewer had a few questions, so ill pass it to her. President yee yes. Supervisor fewer . Supervisor fewer yes. Dr. Aragon, i can say i understand the frustration. Once, when you came before us, you said early, the unhoused population, the people in s. R. O. S, they are our main concern, yet, we have not seen a Public Health order, and therefore, we dont know the plan or direction what is happening to these people. I think also in the recovery, but not only the recovery, but as go forward in the next couple of months, we dont know what the plan is. If were adopting a strategy of safe sleeping sites, thats something we should be doing right now. We cant leave it to people in the bayview, to leave it in their hands. This is leaving a whole population, and were talking about thousands of people without a direction, and we as supervisors dont have direction of where youre headed with this. I think that its it is disingenuous, quite frankly, to say. This is a population from the very beginning that weve had concern about, and not had a Public Health order, not one direction. We also say to people, thousands of people, in a very middle class way, wash your hands 20 times for 20 seconds every time. We hear from Public Health officials, yet they dont even have their clothes in their house. They have to undress before they get into their own homes. When we are saying these basic things to folks, and yet, in the unhoused population, we dont even have a place for them to wash their hands, i would say that we are looking at it through a wrong paradigm. We are looking at it through a middle class lens, when actually, quite frankly, where we are going to see this outbreak, where we are going to see saving lives of people, it is in this paradigm where they dont have these options. We dont know whats going to happen, and even when we start to loosen up the restrictions, these people still have not been quarantined. So i join my colleagues in wondering what is really happening and what will really happen . We have not been shared on a plan, we dont know what the plan is. I actually, quite frankly, think that during this Public Health crisis, that should be a Public Health mandate. So that is not a question, that is just my opinion, and im happy to have a private offline conversation with you about this, but thank you. I appreciate the honest feedback. Thank you. President yee dr. Aragon. Im going to have to im going to have to run, so i dont want to be rude, and i know that we still have to president yee well, dr. Aragon, excuse me, theres been this question over and over again, and youre not going to be able to answer it, of course, today. And youre at least, i think for next week, you should start off answering this question, what the plan is, if any, and if theres a reason for it. And i want to give at least one more person a chance who hasnt asked a question at all, even though youre way over. No, its okay. President yee okay. Supervisor peskin. Supervisor preston. Supervisor preston thank you, president yee. I want to share my concern of my colleagues. In your explanation, i heard a reason why you felt you couldnt issue an order on kmo kmo on commandeering hotels, but that is only part of the issue that supervisors ronen and fewer has raised. My question is, you came before us on march 17, you said that we could do everything right in our response here, but if we dont address our congregate living situations and Homeless People, that we could have an explosion of cases. I think you were right then and would like to see the orders that my colleagues have referenced address Homeless People. But my question isnt looking backwards as to why you havent. Id actually just like a direct answer as to whether you plan to issue any Health Orders regarding homelessness on the issues that have been raised social distancing among Homeless People, the availability of rest rooms, showers, hand washing stations for Homeless People . Are you planning on issuing a health order on those issues . Yeah. So everything that youre describing to me are really policy decisions and strategic options, and so what i want to do is i want to just convene with dr. Colfax and our executive team and really come back and decide how we can respond in a holistic way. Ill work with president yee to make sure that we can come back and discuss this further. Supervisor preston thank you. Supervisor peskin mr. President , i just want to remind all of us, and im sorry for jumping in and keeping dr. Aragon, but i want to just raise the original contention that dr. Aragon presented at the beginning. And i admit that San Francisco is unique because we are a city and county, but the reality is this the City Attorney believes, and i share this belief, that along with the other 57 counties, it is the legislative branch that appoints this position. And while it is true that as a doctor in the Health Department, dr. Aragon works for dr. Colfax and is part of the executive branch. It doesnt actually have to be that way. Thats not the way it is in the other 57 counties, and the City Attorney says that should we desire to have dr. Aragon be a completely independent person who does not have to take marching orders from dr. Colfax not that im saying that dr. Colfax is giving him bad marching orders we have that power and ability. So i think we really, for the health of the body politic and communications amongst Decision Makers and communicators and the public, we need to change the dialogue between the chief Health Officer and this legislative elected body, and i just want to leave everybody with this thought. Im really going to have to run because my wife is going to be very upset with me. President yee, is it okay if i clerk mr. President , you might be muted. I just want to be excused appropriately. President yee i will excuse you as soon as i finish my sentence. Okay. Thank you. President yee so basically, you answered some of the questions, and thank you very much for doing that, and theres some outstanding ones that were on the list that you didnt get a chance to get to. I think theres some fundamental frustration or questions that we have frustrations about thats going to come back over and over again. You need to have a plan when you come back on how to do this, because its not going to go away. The people on the streets arent going to go away by themselves, and the danger thats afforded to them isnt going to go away, and we cant come back every single time and say, were thinking about it, and we have a plan. Okay. Thank you for staying a lot later than we asked you to. Okay. Thank you very much. Have a good evening. President yee okay. Thank you very much. Okay. Thank you, colleagues, and i will continue talking with dr. Aragon and dr. Colfax to try to get to some of the questions that you have presented, and i will now adjourn this update. Thank you very much. Supervisor peskin okay. Thank you. In meeting is called to order at 11 01 a. M. The Small Business commission thanks sf gov for viewing on livestreamed at sftv. Org. Members of the public who will be calling in, the number is 888 2733658 and the access code is 2107452. When prompted, dial 10 to. Added to the speaker line. The auto prompt will indicate callers are entering the question and answer time and this is the Public Comment period. If you call in before Public Comment is called, youll be added to the cue. When youre called, mute the device youre listening to the meeting on. Please show the business slide. Sharky, youre muted. Can you hear me now . Perfect. Today we will start with the reminder that the Small Business commission is the official public forum to voice your opinion and concerns about policies that affect the Economic Vitality of Small Businesses in San Francisco. Also, that the office of Small Business is the best place to get answers about doing business in San Francisco during the local emergency. If you need assistance with Small Business matters, particularly at this time, you can find us online or via telephone and as always, our services are free of charge. Before we go to item one, i would like to start by thanking sf gov tv for livestreaming this and please call item number one. Item one is role call. role call . Commissioners adams is absent and commissioner duly is not yet on. Mr. President , you have a core rum. Please call item number two. Small business recommendation for recovery and rebuilding, discussion and possible action items. We will provide on the economic response to the local emergency and i think one thing thats important to emphasize to the community, a lot of times locally we talk about a recovery and i think from the perspective that the community that we should think more in terms of building. We want to make Something Better than it was before because what we had before wasnt great. So simply recovering to where we were was not good enough and we need to do better. So along those lines, we ask for comment to pass on to the Economic Recovery Task force and weve received a number of Public Comment submissions on the matter. We convened the meter toda meeto reflect back on that and from many of you in the Small Business community. Our goal is to submit a robust set of recommendations to the Economic Recovery Task force and that is informed by both last meetings discussion, Public Comment and input from everyone in the Small Business community. So we want to thank everyone who has provided your feedback and your advice and your comments and has helped to inform this document. This is an ongoing process, the first of many suggestions that we anticipate making to the Economic Recovery Task force as that task force does its work. Staff has started us off with a draft that youve all received and hopefully youve had the time to review and our director is also available for questions. With that, commissioners, are there any questions regarding the draft set of recommendations . Commissioner, i have a question. I just saw that. Please. I dont think that we should be limiting these recommendations just to the work of the Economic Recovery Task force. With respect to the task force which was an Amazing Group of city and Small Business leaders, it is meeting monthly and its first set of recommendations are not due to be drafted until august. And hundreds of businesses are facing imminent closure. And i know weve all talked about this, but i want to be careful because i think weve done a great job coming up with proposals and you and i both know, some of these things need to worked on yesterday and i dont want the work of the Recovery Task force to slow us down in any way. I completely agree and support your position here. Of course, the framing for our suggestions is the initial set of recommendations to the Economic Recovery Task force and the task force has said during their meetings that particularly comments by rodney fong, the cochair, this is a living document and wer the city is nt going to wait until the final recommendations are made in august before acting. And so i do believe the recommendations that we make today can be taken into account and acted upon today and the sooner we get the recommendations in front of the folks from the