About the decertification and the challenges and the issues. Ir will start over. Im San Francisco mayor london breed. [applause]. And all these people behind me have official low saved laguna honda. [applause] and the difference between then when we had a decertification and now is the sad faces the tears and now the smiles, joy and excitement. For the people when work at laguna honda this is in the just about their jobs. This is about their patients. This is about the people this they help every day. The people this depends on them. For help for support because they cant take care of themselves. We know what is at stake. When the decertification came to us. We knew we had no other choice but to come together to make hard decisions and to fight for laguna honda. And fight we did. And as a result, we worked really hard and i gotta say no one worked harder then and there the people who physically worked here. And we did all the paperwork. But it was touch and go for i minute and one of the best decisions this the department of Public Health made, doctor coal fax was to send the best add administrator anywhere to help us and guide this ship. I want to thank roland pickins for his work. [applause]. Times i came up to lug luge and walked the halls with roland i know you want to keep him. You got a new director. Sandra will be great it was so like over the past year see the excitement serving folks. How people felt and mote the patient and Family Members and hear the stories. We had no choice. And we had to make very decisions that were criticized. I want to thank david chu for the lawsuit. Because it did take a lot of courage because people discouraged us from going there. But we reached out to everyone on the state level and on the federal level. And i got to point out key leaders on the federal level who were instrumental with helping us to get tow this moment. I want to star with jackie spear. Who really not only sounded the alarm but worked hard up until the day she left office to help support us and man, what will we do without our fierce leader nancy pelosi. She was absolutely invaluable in this process. And really pushed aggressively it make sure that it was clear where we stood on saving this institution. I want to thank our governor and Gavin Newsome and scott wiener for heard work on the state wide level and helping us get to this point. So, this irrelevant was a collective effort of National Support of state support and of course of a lot of local leaders. I said our City Attorney and the supervisor who represents this district, melgar and thank the president of the board of supervisors aaron supervisor peskin. And i want top extra super thank the members who are the staff but especially our partners in helping. Seiu for your work. Because of the advocacy that was helpful to put the pressure on. But again i want to keep back to the doctors and the nurses and the clinicians and the people who distribute the food and hands that make the food. The blessed machine when makes the food the people from the food makers and creative to the folks who have patience and people taking care of everyone and the folks in between who show up daily to take out the treasure to make sure that we are discarding needles appropriately there are many moving parts to laguna honda and the people here when you have done to work hard to fight your concerns about what was happening in the uncertainty. You know men of you could say i dont want it and i gallon some place and he wills do manage so my financial situation is protected but no you rolled up your sleeves and worked hard and smart and said im stick with laguna honda i want to take care of the people i care about the patients at laguna honda. Thank you all so very much. Thank you. [applause] whoa if i dont when to say anymore. But i want to say to the department of Public Health e approximately and i know grant colfax will talk about how this works because it is different layers the patients at laguna honda depend on medicare and medicaid and the state after going through the various processes and trying to get up to parmaking adjustments to new policies. Giving a list of new rules that weep had to adjust to, we got to the accomplice on my birthday august 11 we submitted an application. And in record time the state responded with, you are approved. What does this mean . That means the majority of the money over 200 Million Dollars a year this we rely on from medicare from the state will now come flowing in laguna honda to ensure that we protect this institution so that those who are most vulnerable and those who could least afford tell not only be in laguna honda and get the passport and care but mean this is if sillity will be open to the next generation of folk who is need it the most for another 150 years. So i can go and on. I will come back later. In the meantime i want to say that doctor colfanatic be proud a pandemic now make sure we save laguna honda you got a lot of great things under your belt and appreciate this more than anything else. And we are truly grateful to you and the folks you put in accomplice to get us here. Ladies and gentlemen, to provide the specifics when this means is doctor grant colfax. Thank you, thank you mayor breed. Thank you mayor breed. Have we been waiting for this day or waiting for this day 200 Million Dollars in medicaid dollars will flow to lug luge. A great day. I really want to thank everybody. Because with this funding secure laguna honda is here to stay. And this represents a new beginning for laguna honda. Going forward, laguna honda will be the if model of the new modern guild nursing facility. Our job is to ensure the health of our community especially for those who are most vulnerable. And laguna honda is a key part of that mission. Over 150 years laguna honda served san franciscans. It is a place and will continue to be a place where we provide compassionate longterm care for low income people when need us. For them, this is not just a Skilled Nursing facility. This is their home. This is why all of dph pulled together with our colleagues at laguna honda and collaboration with many others to put time, resources and effort to making significant improvement this is lead to our ref certification. We brought in experts skill in the nursing home care to sustain improvements from Clinical Operations to staff training. We moved record pace and for those. You who know this city it was a referred pace. Outstanding pace to hire our new nursing home administrator and ceo sandra simon. [applause] and sandra 2 assistants Jennifer Wade and jill. Yea. Our new Leadership Team is in place. And we were not alone we could not do this alone we had partners who worked with us advocated for us and done everything in between to get us here. We could not have done this without passport and mayor london breed. Thank you, mayor. I was not happy going in the Mayors Office and giving her the news we were decertified the mayor said you can and will do it i want it done. Thank you, mayor. I want to thank yes. I want to which thank the support of City Attorney chu. And his team lead boy julie. Amazing work. This team the teach attorneys every day worked with us. Advocates. You we think the legal side is remove from the clinical side this was a close relationship. Thank you, david for you and your teams leadership thank you to the board of supervisors president supervisor peskin and melgar incredible making sure weave got it done and i want to thank the leadership of the Health Commission for effort in guidance. And of course, we are grateful for the leadership and support of Speaker Pelosi and not without laguna honda itself this team crucial low included the per inship and support of the leadership and membership local 1021. Under the leadership of theresa and union employees. We had to mission in minds and thank you roland pickins. I called you. You anyhow that call was coming you took on daily responsibility, leading the change. You truly went above and beyond. Thank you. And you know i dont i feel like with roland and the team it does come to minds the quote from st. Francis do what is necessary then possible and soon you will do the impossible. I feel like this reflects the ethose you and your team brought to this work. [applause]. Most of all we are grateful to our residents and their families. Who despite uncertainty in the situation were supportive of us. Gave us the reason and will to succeed. And if you stay patient centered you keep resident in mind the work will take care of itself we went become to when is benefit for the residents of lug laguna honda this is why laguna honda represents the best San Francisco and why we work so hard and success have gone low for our residents, fells and our city. Thank you, and i would now like to turn it over to City Attorney david chu. [applause] brother and sisters inference france the sun is shining today. Who ask happy about this day so, let mow sill this every time i come to laguna honda i think this is true for so many, we may have had quibbles with regulators the last couple years. When i step through the doors, we feel the care. We feel the professionalism. We feel the spirit of the city of st. Francis in this building and that would not be the case but for the men and women behind us first i want to star boy thanking and sallowing the staff and workers of laguna honda. Thank you very much. Friends, this hen quite a journey. It turns out it was one year ago this month when this facility under the threat of closure our Office Joining the mayor, dph the leadership of the institution and otherings we filed a let you to continue funding. Pause resident transfer and keep laguna honda open. We all heard from countless resident fells and staff when faced uncertainty. Who were worried more transfer exclude the tolls the transfers could have on vulnerable patients. And through this litigation, we reached a fair settlement to condition funding pause transfers and give the institution the troop apply for recertification. There were thanks today. And of course i want it echo the thifrpgs for federal and state partners but irrelevantment to thank the local willful, mir, doctor colfax, dph come laguna honda staff there is a joke with relationships with lawyers and health care professionals. Im so proud we came together to preserve this Critical Institution that so many of most vulnerable san franciscans rely on. I want to take a moment and acknowledge folks from my office work helped lead us today. San francisco City Attorneys office we are the best municipal law office in the country no part because of those who are part of team laguna honda. I wish that the folks were here next to right in front of me were behind us. I want to tick a moment and thank julie. Hen row lip ton. Tera steely. And medina. Glen levy. Michael. Jessy smith. Sarah, jen. Star. Katie. Lilly and pam. [applause] jop love it when lawyers and heck folks come together. I want it take a moment and acknowledge the efforts of my former City Attorney lewis. I will close by saying this together we have preserved this incredible institution and restored a safety net for San Francisco. Laguna honda taken care of most vulnerable we look forward to this happening for the next 100 years. With this my honor to bring up someone helping to represent our neighbors and residents of the city of San Francisco the supervisor of d 7, supervisor melgar. Thank you very much. I want to say thank you, mir for your leadership and for being able to tune out the noise. While the task at hand needed get done. Sometimes we have contentious rep with the board and the majors office. [laughter] and i remember very vivid low that meet whenning we decided no we need to Work Together. Tune out the noise and figure out how to get this done and cord nit and Work Together the messaging together the same page and get it done. This was you, mayor. Thank you very much. For your leadership. I want it thank a couple people in your office. This is shawn your chief of staff. Thank you for all that. And someone when has in the been thanked from dph besides pickins whom i appreciate is doctor baba. And i look forward so much to working with sandra simon through the work ahead. Come with years of experience as a nursing home add administrator in San Francisco worked at the jewish home the other institution that does this time of work. I thank you for stepping up. In doing this. And of course local 1021. For all of the partner help the work and strategy and communication and organizing all of that thank you. I also. To say thank you to the advocates joe request urban. The doctor palmer the california advocates enoughsing home reform and gray panthers than i organized the letters to the feds and a annoying folk and made sure everybody understand to preserve the people we serve and the gem for 150 yearers Florence Nightinggale over seen in terms of making sure we are doing right. And being true to our San Francisco values. Thank you so much, everyone. Keep going it is now on us to make sure this never happens again. We have the appropriate compliance, training but also the wonderful things we need to make sure this is the tradition continues to serve san franciscans thank you and with this i will bring up the machine of the day. Our ceo and director of the San Francisco Health Network mr. Roland pickins. [applause]. Good afternoon will everyone. Supervisor melgar said, wonderful day to be in the saddle of the statute of Florence Nightinggale. This is a great day for everybody the laguna honda. Nurses, doctors and therapist and the staff most of all or residents and their families whom laguna honda their home. Will past 18 months seen nothing short of trans formation laguna honda in a world class the world class Skilled Nursing facility. One this will continue to serve for generations to come. Our goal has been dem strit this we meet the highest standards and meet them every day. We have prouven this in multiple surveys the past 18 months. Those results taken an extraordinary effort with extraordinary dedication and attention it detail. Everyone working at laguna honda in every capacity has done outstanding work. And they have done this under stressful and challenging circumstances. And im so proud of them. And grateful. For their commitment to our residents. I want to express my thanks to theical Cal Department of Public Health and the Federal Center for medicare and Medicare Services working with us on this journey and recognizing the progress we made. We all share the same goal to provide the best Service Public to those who rely on public funded health care. And finally, im grateful to residents and families who have been patient and supportive of our people and our efforts. It hen has been stressful for them. With todays recertification our residents can feel secure about the future of the accomplice they call home. Today, we are all prud of what we accomplished together. We are a different and better laguna honda. And we intends to keep this journey going. For our residents, city and our nation. By meeting high standards every day, day in and day out and in every way. This is how we will ensure San Francisco can be proud of laguna honda for decades to come. And finally as i introduce our next and final speaker whom none of this would be possible were not for she and her members and those of our other Union Partners my longterm cowork and friends Kristin Hardy Vice President of 21 San Francisco. [applause]. Thanks roland for this great introduction this might have been the best in awhile. But im Kristin Hardy. Im the Vice President for San Francisco for 10 to 1 and this is a very, very proud moment for me. Im a San Francisco native born and raised and i grew up and born and raised in this neighborhood. I live 5 minutes from here i drive past this place every day and i am also a 12 year employee at San Francisco General Hospital with customer competence roland back in the day when than i were there. I anyhow when colfax appointed and pulled terry i was mad. And brought them here i knew they were the right people to the make sure laguna honda survive and got through what it needed to get through. I wanted to say, it is in the one person. It is me and my members that you see behind me the nurses. Janitors the hair dress ors, central supplyers. My nurses. Clerks. Everybody and everybody i come from General Hospital i know when the level of care is like i want to appreciate my members. I have one of my fabulous leaders here with me. Debbie dobson, she has taken charge on making sure that she hen in the weekly meetings when im not available to join. She has been there. And i can get an update with her and our rep who k could not be ear jessica done a fabulous job day and night supporting the workers. Helping them understand education and training than i needed. Third and second and first shift whatever was. We are celebrating the work of member and resident and bringing back laguna honda so we want to know i just want everybody to know that this is a hard work of our member and this was i team effort not just my members the residents joint effort i dont think we do this often but my political alis. Our wonderful mayor. Board of supervisors, melgar is my supervisor and aaron. [laughter] and the rest. You know, im just glad we are at this day and like i want to i especially want to thank our City Attorney david chu. He has been a great alli for us in the labor movement. I know we dont do too much with attorneys and at a federal level you know secretary came through and tap in the and just grant colfax and the administration you have done an awe some job you kept us in the loop. Mark leech. Everybody else that represents other members. My brother. Vice president of organizing. Brandon dawkins. Used to work here at laguna honda and a shop store and a shout out to my president to speak theresa who is a cna used to work here and is still a member and wants to give her love and support to all you guys and administration i am turn it back over to doctor grant colfax. Upon again, thank you for being here a great day and think we will you heard the story and the different partners involved. Many groups that helped lead the way and i think we have time for a few questions. For the mayor. My grand mother lived here. Well, my grand mother lived here for about 13 years. And i used to come up to laguna honda when it was the patients in the old location and the new. And the difference is the building butt people and the care she got were the same. And to think that there are other people who could not get this care was heart breaking this was a life safer for me personal low and my family when we could not take care of her daily. It was hard. And it was harder to leave her some accomplice like laguna honda until i first coming up here every day. The nurses rubbing my back while i was crying i did in the want to leave my grand mother they made me feel okay. Her nurses like albert and denise and others. Just the joy this changed in her from no smiles to smiles demonstrated all i needed to know the care she experienced over the years of coming here an accomplice i thought what would have happened. So there are other people who need this accomplice. And when was important to us buzz in light of when was going on with the recertification. You know when this monies for the families who cant you know get their Family Member in laguna honda, that was weighing on me heavily as the people who are already here getting services. When are we do when we have to tell people, no when they need this place and so this was so important on a whole level and im grateful to god today for you know putting forth a blessing to not only the people who work here and live here and those who will be able to eventual low call laguna honda home and cared for at the end of their life in most case and live with dignity. This is truly amazing we are happy to be here because it is a challenging time for so many people this is a joyous occasion. Thank you. [applause]. Okay. Thank you so much, appreciate it. Thank you for being here we move forward together. Thank you. [applause]. You are watching San Francisco rising with chris manner. Todays special guest is carla short. Hi, im chris manner and you are watching San Francisco rising the show about restarting rebuilding and reimagining the city. Our guest is carla short the intric director of public works and here to talk about the storms we had and much more. Welcome to the show. Thank you for having me. Great to have you. Lets start by talking about the storms that started beginning of the year. There fsh a lot of clean up recovery and remediation. Can you talk about what your team did . Sure. The 17 inches of rain we got starting on new years eve through the first 2 and a half weeks of january made it one of the wettest periods in recorded history for San Francisco, so as you imagine we had a lot of work to do. We gave out more then 31 thousand sand bags, we were operating all most non stop from new years eve to San Francisco residents and businesses out of our operation yard and frequently working thin rain so it was a beautiful dance to watch. We had a corio graphed where people drive in the stop and load with san dags and get on it way so thats was the most visible thij weez had to do. Responded to all most a thousand calls for localized flooding for the corner of the street with catch basin. Our team trying to address that. We clear and pick up anything to block and it hopefully get the flooding to go down. If we are able to respond we call in the San Francisco pub utility system and are responsible for the sewer system under so they bring ing vack trucks that vacuum out debris inside the catch basin. We also dealt with lots and lots of calls about trees and tree limbs down. I think we actually faired better then some other places in terms of loss of full trees. We did have whole tree failures and that is not that uncumin with super satch waited soil conditions. We had over 950 calls about trees or tree limbs down. A lot of calls were about loss of a limb and we could save the tree. We are still assessing the data to figure how many were full tree failures versus limb failure. Also had Land Movement too. The great highway comes to mind. What is your approach to managing rock mud and land slides . That is a great question. We had 28 different slides over the course of that period. It is kind of a interesting process, so the first step is we have our geotechnical or Structural Engineers take a look to see is the hillside safe, do we need to stabilize it in some way or just need to do some cleanup . Once they made their assessment they will recommend the next steps. Often times to protect Public Safety we will place k rails the giant concrete rails at the base omthe slide area to make sure that any debris doesnt get on the edroway and bring ing the heavy equipment to scoop up on the ground and move off the roadway and try to open the roadway. Some cases, we will actually inject some rocks or other stabilizing forces either into the slide area or sometimes below the roadway. Right now there is nothing thats unstable out there but be are keeping a close eye on the areas including the gray highway area. Right, right. Well, so talking about the storms in the city response, brings us to Southeast Community scepter when there is rain remediation projects going on. Can you talk about the inconstruction project kblrks that is a favorite project. A Beautiful New Community facility. We were involved in pretty much every aspect of developing that project for the public utility commission. They were a client. We Design Project management and Construction Management and the Landscape Design for that project. And one thing that we included was storm Water Management throughout the entire project site. So, that project encapturealize the rain water that lands on the roof and flows into the landscape where we have rain gardens so intent is slow the water down to and give areas to collect to percolate into the ground rather then the sewer system. When we have sewers that are overloaded, because our rain water mixes with the sewer treatment storm sewer system, we actually can end up dist charging into the bay which we dont want to do. Anything we can do to just prevent those combined sewers from overpm loaded is a good thing and in this case allows the water to collect onsite and percolate to the ground which is the best way to manage the storm water and it is beautiful and provides habitat. I encourage everybody to see it. It is special place. Thats great. There was recently news about how city indiscernible powered by steam, which is super unusual i think. I understand public works ablgtually does the maintenance on the system. Can you just talk about that a bit . Sure. That is a unusual situation. That steam loop was actually built when the city was recovering from the 1906 earthquake. It only provides to steam about 4 buildings in civic center but that is how we keep buildings like city hall warm. The steam goes into the radiators and provides the heat. It is a old system and if you see steam billowing out of the man holes or other spaces, that is indication of a leak actually. We spend a lot of time trying to fix the leaks because its a old system. It is managed by the Real Estate Department and at one point they were looking trying to replace the whole thing but think that is a massive undertaking so now they focus on making as needed repair said. We did a big repair on growth street where we spent a month and a half working on the known leaks s in the area. It is a very tight spot and have to use blow torches to seal up the leak so a intense operation and seeing more leaks on polk street so we will be out there once it warms up to fix the leaks. Excellent. Lets discuss what is the reunifiquation of public works. There fsh a proposal or plan to split off the division, called the street and sanitation. Now that has been shelved and public works is going to just retain being a single entity. Can you talk through the process . Sure. Yeah. The original proposal was a ballot measure voted on to split the department into 2. It basically create the department of sanitation and streets that was really going to incompass all our operation divisions so it was a street cleaning department but encompass everything we refer to as operations. When we worked preparing for that split with the city administrator office, we found there were actually 91 what we call touch points between the operations work and our engineering and architecture side, so we really felt like it could be very difficult to split into two departments. We have so many areas of overlap. There was a new ballot measure last november to reunit the department. Technically we split october one and did split in some ways. We did put on hold some of the behind the scenes things like rebranding all the vehicle jz giving everyone a new email address in the sanitation and streets department, but on january 1 of 2023 we came back together so we are reunited i want sing the peaches and purb song and think it is a good thing for the 91 areas of overlap. We making 2c3w50d use of the research. Preparing for the split. Looking at all the touch points and trying to strengthen the department so we are more streamlined and efficient. One of the most important component from the original ballot measure is commission oversight. We retained two commissions, the Public Works Commission which oversee the Overall Department and approve the budget and contracts. And sanitation and Street Commission and their mandate focus on policy and deliverable for street cleaning and basically the operation division. Reporting to them regularly how we are doing, we think will help make sure we are as efficient and effective as we can be as a department. That sounds great. Thank you so much for coming and talking to me today and appreciate the time you have given. Thank you so much for having me. It was a pleasure. That is it for this episode. You are watching San Francisco rising. Today preezentation is a overview how to file a compliant about the dpa. Any questions can be emaileded at sfdpa at sfgov. Org. Independent of the San Francisco police department. Investigating allegations of police misconducting recommending disciplineitary action to the chief police and Police Commission and suggesting policy provisions when not meeting 21 Century Policing practice. If you speens or Witness Police misconduct we have several ways to submit a complaint. File with dpa online asfgov. Org dpa or indiscernible in person at the Office Located at 1 south van ness on the 8 floor or any District Police station. There are key pieces of information that anyone filing complaints should provide, including your contact information, so we can ask for followup questions, the location, time and date of incident. Officer name and star number, and specific details including words and actions by all involved parties. It is important to remember anyone can file a complaint and you do not have to be a witness or victim to initiate a complaint. This next slide provides a overview of dpa mediation division. Mediation is alternative to dpa investigationing a complaint. The goal of mediation are improve the relationship between the community and sfpd. Mediation allows both parties toprint perspectives that resulted in a complaint. May request mediation when you file a complaint or referred to the mediation team. Mediation is voluntary for the person making the complaint and officer. Both must agree to resolve through mediation. Unpaid volunteers not dpa employees trained and experiences in helping people resolve differences in a conductive manner. Because mediation is voluntary, there is a greater chance of parties want to resolve the problem mutually agreeable fashion. Not every complaint is eligible for mediation. Cases can go to mediation include those involvingcocts and not indiscernible that concludes todays good afternoon an announcement for asl viewers due to the importance of showing videos we ask our asl viewers use the link in the description of the live stream. For viewers withhold like to town hall meeting translated click on the web x link in the live stream and click
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