Transcripts For SFGTV Government Access Programming 20240713

Foreclosed soon. Prime with us make your final decision. Relief of us this imprisonment. Thank you. Good afternoon. I am in here to remind you last week we lost one dear friend and a driver. He is very, very hardworking person. I feel very sad talking about it because he has a wife, kids, like a family man. And i tell you the worse things i was 10 or 15 cars behind him. I see exactly what happened. Because i was the same situation. You imagine you sitting in your port three or four hours. They hold your and mentally, believe me. You drive far away and they levee your own car you imagine every day four hours is like that. We are sitting behind. Your feet blow up. And these guys, he was sitting behind a car. I know, maybe it was an accident but i dont see that. You guys and this situation killed him. Over a tire. He may be at the airport and he controls everything. He is more than three hours, the whole day. 12 or 14 hours. What do you expect . This is happening. And i want to remind you other things, new york, chicago, boston, other cities he was not like this in San Francisco. San francisco is guilty. Because they have to stand up for his m medallion. You broke your promise. You have to bring if back. No choice. You have to next speaker. Good afternoon, everybody. My name is abdullah and im a longtime taxi driver and the press shuprecious medallion anda father of five kids. I dont know what to say. We didnt give up yet. We have faith in the city of San Francisco. I tell my kids i want to keep the relationship with the city of San Francisco because we gave them 22 years. I dont say they lived to us. Well always respect you. Even if you listen to us or not, come on. Its way too much. I dont want to be in the freeway. I dont want to get in an accident when im driving a taxi. I want to exist from the shop and i want to give someone an opportunity to drive a taxi. We treat the customers maybe one of you ride in my taxi we get them home safe. You know, were human beings. We need you to feel with us. I came today not to pick up my check for money back or bail out, i cant drive and support my kids. One of the other drive and make the payment and keep my kids. I dont want to be homeless in the city of San Francisco. I see a lot. I show my kids all the homeless in every street. So, come on. Help. Help the people. Help the hardworking people. We love this city of San Francisco and we want to be part of the city. We want to remember you with the good things. You back up the cab drivers. You damage the drivers and you have to fix your damage. So that is what i have to say. Thank you. Good afternoon. Sam the taxi drivers and we come coming back and fourth again and again and nothing has been changed and the things are getting worse and worse and same like what we are losing and start losing hope on up guys and dont bring us up to the point where we lost complete hope. Some of you have promised us you will buy back. You promised us you will get our money back. Please, help us out. Everybody in San Francisco has the right to make a living wake. Why not the taxi driver . With the 250,000 investment we are not making a living wage. We are legalized under big slaves and this is the democra democracy. This is what you want to see the San Francisco and thats how you want to be remembered . We are finished. This is a question of all the board of supervisors how you would like to be remembered among the taxi drivers. At least you can give us some relief as long as you dont come up with the master plan of how you are going to buy back at least you can get us out from the neck of the Cab Companies that we are not making money but we are filling their tummies and theyre never going to say enough. We dont want your money anymore. They are so greedy that they are take our 700 a month and we can spend that towards mortgage and towards our future. Supervisor yee next speaker. Good afternoon. Its my first time here. The reason why im here is i just last week i was right behind the cab driver who died on the freeway so i have seen everything. So, i just want to ask how long we have to wait. Weve been back and fourth for almost eight years or nine years and that is no answer from you or the sfmta. We kept waiting and waiting. The sfmta told us the medallion and this plan and this plan has failed. Is there anyway to solve this problem. Thank you. Thank you. Next speaker. I come down tonight to speak about how you have it in a room District Attorney appointed and felt very bad about that because i came down to speak out against mario woods shooting death and no one is going to speak out except for capper nick and capper nick was a Great Quarterback in that he put a need out and i want at statue put up in his behalf. I am pictures of it and everything. I enjoy being able to ex down here and speak out because you know, what is happening in hong kong and what happened over in chinatown, we are going through a lot of hell here in the city. And its on our backs what is going on. With cappernick and everything, he spoke for mario woods and mario woods brother are celebrating this moment right now. I thank you. Theres a lot going on in this world. And be able to come down here and speak out against all of that. You know, when kaepernick was out there in alcatraz, and they appointed him indian or you know, honorary chief, he said this is like a chapel here with the priest down here talking were all married to our lord jesus christ. He is just unbelievable for what he has done to us and i hope we can have a statue out here. Next speaker. Tom, i wish for this board and the mayor to create and sign a National Petition for the complete ban of all assault semi automatic rifles and wells in an the united states. Let other towns, cities and villages sign up. An opportunity to get some local majority out into washington too the people who are here. We dont need these weapons that kill people. We just want it changed. And i think the cities are the place where we can get the most amount of change. Were closer to the people. And the people that we need. Direct television, again, is canceling out or threatening to cancel out channel 2, ktvu and channel 7. If you are a broadcast station and you have news, a local news affiliation you should not be able to be canceled or cut off from your broadcast. No cable should have that ability. Right now, we are living in object sudden tee where we have thousands of people burn oil, pollute the air, set carbon dioxide, increase our disaster that is happening so they can make a living and secure a safe home for their children and the next day they go out and buy more gas to burn to more fuel so they can come to the city to create a regular job so they can go back home and have a safe house. Its not happening. Were in a destructive mode. We need policy ranges. Thank you. Good evening. Mr. President and supervisors. My name is wo duffy im a neighborhood activist from this area around here. About a year or two ago, this body approved a big tower in the downtown area with housing and mostly market rate housing and they promised they would put an mexicanamerican museum in the ground there were thats great and they said well what are you going to have . Were going to have the head of request teen murry e. T. Asomeone. What i said then is we have to get more out of the buildings and we had a perfect example of that today. A building that did not provide enough and our planning code did not allow us and also ceqa did not allow us to get a better outcome. Especially now when you start to consider Global Climate change. We know upper income people who live in market race housing has a tendency towards creating more climate problems. Climate emissions. They have a bigger profile. So, as big a problem is that is, i cant help but say after our first speaker and you have 50 of america inundated talk about revolution and the civil war is acceptable and theyre literally the people we are fighting against now are literally pushing violence against us citing that people to violence and i hope that our city can help because we need help with a non violent change of gover governance. Supervisor yee thank you. Good evening president ye e and supervisors. I dug these up when i was 12 years old. The bottle is from the south of market area. Many years ago and the can is from camp used from the loggers up there. Im going to get the late 1800s. And the locket is from sutters mill when i was 12yearsold, one of the first thing that locked up gold. Have you seen a older lock. Thats i didnt like that one. Bruce is retiring. Can you see the tshirt. And i want to say good luck to retirement to him. He worked there quite a while. He is leaving on a jet plane. And good luck in retirement to him. Oh i hope he does real good. Supervisor yee thank you. And well see. Well meet again. Do know where or when but i know well meet again. Some supervisor board of supervisors day. Supervisor yee thank you. Any other speakers . Please come on up. When i first moved to San Francisco it seemed inform and it didnt put out very much heat and to inspect the appliances and he explained his procedure and took a look and stated all was well and left actually the guides who installed the new gas stove had failed to seal the connection. It was a metal thread to metal thread no puddy or tape whether the thermostat was up or down the flame remained the same. I turned off the gas and sealed the stove connection in my opinion neither p. G. And e. Or private contractors who might break an old alliance and in order to sell a new one are necessarily the best parties exam such issues. This is why i suggested the Fire Department recruit and our Police Cadets inspect furnaces and Carbon Monoxide and fire alarm devices and crowded neighborhoods particularly where there are many children. And one thing i seem to perceive here is that under the budget chair contractors are not simply and running the mill and soltation osoltation of the indi have had witness on no less than half a dozen occasion and ringing funds out of the Budget Committee and offering no more than poorly constructed and arguments yet, they have succeeded in receiving additional funding on nothing more than an assumption of payment for an opening. Thank you. Seeing no other public speakers Public Comment is now closed. Madam clerk, before we do that, can i have a motion to excuse supervisor fewer. Made by supervisor safai and no objection shes excused. Please call for the adoption with our Committee Reference calender. Items 32 to 34 are introduced a unanimous vote is required for resolutions on First Reading today alternatively any supervisor may require a resolution to go to committee. Supervisor yee ok. Would any of my colleagues like to officer any items. 32, please. Ok. Madam clerk, could you go ahead and take 33 and 34. Items 33 and 34, supervisor stefani. [roll call] there are eight ayes. Supervisor yee so, these two resolutions are adopted unanimously. Madam clerk, call number 32. A resolution urging the Municipal Transportation Agency to ensure further compliance with private scooter permit conditions. Supervisor yee thank you. Thank you president yee i would like to thank yourself and supervisors for cosponsoring this resolution. I have circulated some amendments. As ive said repeatedly about. Is zero tolerance for riding these devices on the sidewalks . Its plain and simple. Thats the law but as we did a Pilot Program and as its not been fixed and as the current regiment that is is being proposed in just a few days from now has three steps before someone is blocked for walk riding and can move from platform to platform and you havent fully figured this out and safety first and we do not want these people coming in with traumatic and finally, lets use all of tools that we learned here. First hiring direct hiring and stop the 1099 economy and lets have the w2 economy all of these pay your employees right and i thank you for your co sponsorship and there are before you some non substantive amendments and theres one correction to what is before you on page 2 at line 4 that april 2016 is a typo it should be april 2018. What my office said to the clerks legislative division has that so id like to make these amendment requests thaamendmente additional change. I want to say one thing from today, chris tanevance a d5 person. Hey, as skip scooters, your scooter was parked as a 45 angle and a man tripped and fell. Paramedics had to be called. Remove the scooter asap the sidewalk is too crowded as it is. I rest my case. Supervisor yee theres a motion to amend. Is there a second. Second by supervisor stefani. Can we take these amendment without objection. Amendment passes. Can we take this item as. I wanted to be added as a cosponsor. Can we take this item as amended same house same call. This passes unanimously. Is there anything else . Todays meeting will be adjourned in memory of the following beloved individuals. Supervisor yee that brings us to the end of our agenda. Is there any other business before us today. That concludes our business for today. Thank you very much. We are adjourned. Shop and dine on the 49 promotes local businesses and challenges residents to do shopping and dining within the 49 square miles of San Francisco by supporting local Services Within neighborhood. We help San Francisco remain unique, successful and vibrant. Where will you shop and dine in the 49 . San francisco owes the charm to the unique character of the neighborhood comer hall district. Each corridor has its own personality. Our neighborhoods are the engine of the city. You are putting money and support back to the community you live in and you are helping Small Businesses grow. It is more environmentally friendly. Shopping local is very important. I have had relationships with my local growers for 30 years. By shopping here and supporting us locally, you are also supporting the growers of the flowers, they are fresh and they have a price point that is not imported. It is really good for everybody. Shopping locally is crucial. Without that support, Small Business cant survive, and if we lose Small Business, that diversity goes away, and, you know, it would be a shame to see that become a thing of the past. It is important to dine and shop locally. It allows us to maintain traditions. It makes the neighborhood. I think San Francisco should shop local as much as they can. The retail marketplace is changes. We are trying to have people on the floor who can talk to you and help you with products you are interested in buying, and help you with exploration to try things you have never had before. The fish business, you think it is a piece of fish and fisherman. There are a lot of people working in the fish business, between wholesalers and fishermen and bait and tackle. At the retail end, we about a lot of people and it is good for everybody. Shopping and dining locally is so important to the community because it brings a tighter fabric to the community and allows the Business Owners to thrive in the community. We see more Small Businesses going away. We need to shop locally to keep the Small Business alive in San Francisco. Shop and dine in the 49 is a cool initiative. You can see the banners in the streets around town. It is great. Anything that can showcase and legitimize Small Businesses is a wonderful thing. This noting will come to order. I will call the roll. roll call . President james loyce before we get started i would like to read a statement from the commission. Thank you for attending todays meeting. There have been several articles about the property of Public Health adult residence facility. There is frustration and confusion about the past year. In response to the changes made in areas of homelessness and Behavioral Health issues in San Francisco we request the next three meeting including the following relevant items. Today we will discuss the presentation. Next meeting whole Person Care Initiative to address the needs of the highest utilizers of Public Health services. On the fifth of november a broad update. We are concerned about the health and wellbeing of those in San Francisco. We take our role seriously and we will continue to use our meetings as a public forum to discuss important Public Health issues. Members of the public are always invited to attend and provide input. I am mark. Health commission secretary. If you have Public Comment, please hand a slip to me. If you would consider today, there are a lot of people who feel passionately about what you are here for. As others speak, they may have different opinions than you, try to be respectful. Be silent in your show of your opinion by either doing Something Like this or this. If you like what is being said. If you dont like being said do this. Vocalizes is not respectful to the person at the podium. Please consider that. Item 2. Approval of august 20 and september 17 meetings. In front of you is slightly revised Meeting Minutes for the 17th. I was to add it was adjourned 4 29 p. M. Due to disruption of the meeting. Please consider that version for your approval. The minutes are in the hands of the commission. If you have comments about the first set of minutes on september 17, please do so now. We will follow with the minutes from august 20th. I move approval of the minutes. Second. Those in favor signify by saying aye. Is that both sets . I move september 17th. Second. A. Item three directors report. Good afternoon, commissioners, grant colfax director of health. We have a full agenda this afternoon. I will highlight the key items in the directors report in front of you. One thing that is exciting, the first item. Yesterday mayor breed and the department of health announced a new Overdose Prevention program for the hotels to be carried out. This program is in response to the rising number of Overdose Deaths in San Francisco, approximately which 30 occur in single room occupancy hotels. This program is based on the successful tenant Overdose Response program from vancouver. We will work with the sr operators to develop the prevention programs. It will expand the Overdose Prevention further and support installation of naloxone boxes. That will begin later this year. The Health Department supports Harm Reduction Coalition Drug Overdose Prevention project which provides 15,000 doses of naloxone to thousands of those witnessing overdose in 2018 alone. The drug Overdose Prevention product reported 1658 overdose reversals that year and is on track to double that in 2019. We are concerned about overdose death in San Francisco. We are doing everything we can to minimize that terrible situation, and this project is a major step forward to help people most at risk for overdose. I want to emphasize that on september 24th, the mayor and the director of Mental Health reform announced plans to launch an online inventory of dph Substance Abuse and Mental Health treatment beds, we want to be sure there is increased transparency in terms of bed availability in the city within the system. We expect this public web page will improve the timely access to treatment and Health Providers make the best use of beds in the programs. The first space in november will have withdrawal management and 90 day programs. In the second phase the short term beds will be added. In addition to transparency this will help data driven decisions where we need to target new investments and bottle mecks in the bottlenecks in the healthcare. We are going to spend time on the Behavioral Health system today. The department has chosen to pause changes while the mayor and board of supervisorses have a conversation how to have expanded access to services. You will be hearing about that today directly from the dph in terms of history and Public Comment. I look forward to that part of the agenda. Just to emphasize with regard to vaping, the California Department of Public Health urges everyone to refrain from vaping given the current status of vaping risk. Since june of 2019 the California Department has received reports of 90 people in california who were hospitalized for severe breathing problems and lung damage. San francisco does not have any suspect cases we will be diligent in that regard. Nationally the epidemic associated with pulmonary injury grew 52 compared to the prior week. There are 805 from 46 states with 12 deaths reported. We continue to be vigilant on both the regulatory and the policy fronts. With regard to the recent heat wave on september 24 and 25, the National Weather service issued a heat advisory in San Francisco with temperatures in the 80s and 90s. They worked together with the department of Emergency Management and joint Information Center for city agencies to coordinate efforts and share messages to stay cool, hydrated and connected. City officials remind the people about the importance of window, water and pet safety. I think as we see the effects of Climate Change continuing, dph will ensure that we are resilient in the city with regard to our adaptation to Climate Change, including potential health risk for residents. That is a final note. I am excited to announce tomorrow the mayor celebrates the groundbreaking for the maxine hall remodel. She will celebrate the remodel, to improve safety during an earthquake. Locate primary Care Services and for the construction maxine hall will move to a temporary clinic on golden gate avenue. We want the community to be informed of that. As a provider i recently visited. The staff is committed and clients are receiving great care. It is time for refresh. I am excited that is happening tomorrow. Thank you very much. I will take any further questions on the directors report. Commissioners. I thank you for the report in regards to especially the coordination during the heat advisory, and because we were in chinatown just several months ago. I am wondering what type of coordination actually occurred in chinatown for that because it would be a very good example of what we are trying to do down there. I believe that doctor aragon has an update with regard to the specifics there. Thank you. Good afternoon. I am sorry i dont have an update. Doctor baba does. Thank you, doctor chou. There are a couple places impacted with heat. We checked in with the chinatown community. Chinatown has a library with airconditioning, which is great. The messages really went to the community. As with all of these incidents we debrief to see what we can improve in our communication. We will keep our eye on how we are able to respond to that community during these heat advisories. We did the same thing with bayview because that has a lot of heat as well. Thank you. Other questions . Thank you, doctor. No Public Comment for that request. Item 5 report back from the finance and Planning Committee from today. Thank you. I am sure commissioner chung would have been pleased today in our reports on the monthly contracts we were able to get some outcomes. The outcomes were quite satisfactory. On the block of the monthly contracts that included the Fountain Institute that is actually a Diversion Program and then several programs that actually were looking at improving employment from the university of california and the positive Resource Center. We spoke somewhat at the positive Resource Center if that information was getting back to primary providers in a way that they may find it useful to understand how their clients were assisted beyond the medical illness. We heard request for a retroactive contract with the San Francisco Community Health authority, San Francisco health plan, administering the San Francisco covered mri program. It is a contract that goes back four years. Because of the changes of funding in which the Services Rendered by the San Francisco health plan on behalf of the mra program and changes in the mra program, there have been some delay, therefore, being able to actually pay for all of the services which the San Francisco plan continued to render. The retro activity will include also an additional two or three months to the end of 2019, at which time all the San Francisco health plan tpa type contracts for the covered mra and other tpas would be brought fort to the finance and the commission. At that time we will be able to understand better the allocation of the types of services being rendered for those people in the various programs. Barring that, then we also have one more contract which relates to an outside vendor to perform mixtures of different compounds and types of medications that we know longer do, and it is a certified contractor from the fda and will giv give us a Super Service at the general for those types of medications. At the consent calendar we will ask for consent on all of these contracts. Questions from the commissioner . I apologize. I made a mistake as we went forward i skipped general Public Comment. Hold any questions on the report back and go to item 4, general Public Comment. I apologize. It wasnt intentional. I hold an egg timer. Everyone gets two minutes. When the buzzer buzzes, finish your sentence so the next person can come forward. For general Public Comment, mike hill, crystal duran and heather roninger. I am one of the nurses in the er. Our concerns are about General Hospital Emergency Department staffing issues, transparency, lack of, promises made to us at the joint commission that were supposed to be built into our contract. For instance, the ratio change in the er. We havent had any information funneled down to us how that will be accomplished. We assume they will hire temporary staff for the changes. That is not the safest way to care for our patients. If that is the plan, but we dont know the plan. There has been multiple issues. Care start is another implementation that didnt respond to any of the input from the nurses that have to work the care start program. It is not safe to our patients. There are so many different issues the other nurses with me will speak about. I wanted to introduce those problems in the er. Would you identify yourself for the record . Mike hill, nurse in the er. Thank you. Good afternoon, commissioners. I am actually going to read a letter on behalf of one of my colleagues. One of my colleagues felt fear in speaking out because of retaliation. I will read this. I am crystal. I am a nurse in the Emergency Department at San Francisco general. For nearly half my life i worked as a nurse in the Emergency Department at San Francisco general and for the department of Public Health. Our department is pushed to unsustainable point. The ed is a disaster scene almost daily. As safety net of the city we reflect the picture of the community. The department of Public Health and city are not well. Our population is more complicated and desperate. Imagine unhoused with cancer, diabetes. It is cruel and heart beating. We are a special group. We are drawn like special forces to this department. We have the knowledge and the skills to bring back people from the dead, literally or care for an 85yearold fractured hip fall patient, 7yearold hit by a car. Kisdisaster is taking a toll. One colleague tried to decrease antidepressants and cried and had to go on it. A group of p103s are on a six month leave of absent for stress and Mental Health reasons. We have contract rns making 30 of total staff. I have never been in such a hostile stressful environment not only from the management but from the patients with complicated desperate needs. They are promised by leadership, dont worry, we will take care of everybody. Do you think the zuckerberg building with hundreds of millions on lobbies, balconies and hallways is providing effective quality Public Healthcare . Really . What percentage of our patients would agree with you . We see the multitudes it is failing. The sad suicidal teenager doubles up in a room with a person in a severe combattic episode or the 90yearold with dementia next to the psychperson who cant get in the group hope. They are on the street. Finish up, please. Thank you. It is time for the painful honesty, the abuse scandal, people jumping out of the windows and the admitted patients in the ed getting bills for care impossible to provide. Please finish. The hundreds of care patients are waiting in the triage area and getting a full ed visit. The goal of numbers and ignoring front line staff has costs which may include juror death or detriment of patient as is and staff we want to care for mom, dad, sisters and brothers. Please help us. Ladies and gentlemen, please respect the people be anhind you. There are a number of people to speak. We are giving you two minutes. Please respect those folks and give them the opportunity to speak. We want to hear from all of you. Thank you. I am krista durand, er nurse. Contract bargains is over. Now there is no reason to think we are asking for raises. We are here because we said we would return. The leadership style at San Francisco general has a culture of intimidation is so severe we fear interaction with management. Our rn director pushed 50 of the best leaders out in less than four months. Why wasnt this a red flag to the administration . This is having detrimental effects of the Mental Health of the staff and distracting them from providing staffing care. Adding an additional layer of leadership not transparent to maintain control is having direct effect on patient outcomes. Front line staff are being dictated to risk licenses. They are aware of it and has done nothing about the administration poor implementation of programs. I became a nurse to provide compassionate and competent care. It is my duty to advocate for the patients. The petition we sent to you guys shows a lot of violations. If you turn a blind eye now you are going to be part of the problem. We sent multiple letter goes with the same outcome. You let Administration Lie with numbers and charts. Now we have submitted the explanation of the crisis. What are you going to do . Are you going to do something what people diane Staff Members are injured or commit suicide . I am heather a nurse in the er12 years. I have been here before. I thought about how to convey the severity of the situation to you. We tried emotional pleas that havent worked. San francisco general is about compassion, not quality care, data. These are data points to consider. 25 to 30 of the emergency beds are housed with admitted patients every day. We get zero nurses to help support their care. 50 of our most trusted respected and experienced leadership staff are forced out of positions in the last four month. 50 . Our department houses from eight to 12 behavioral 12 Health Patients in acute psychiatric bases in space designed for four. Resuscitation area exceeds level of 15 to 17 patients. It is designed for six. We discharge 700 patients each month out of the waiting room. That is where they receive all of their care, in our uncomfortable perfectly public waiting room. 63, that is the number of nurses who have signed the petition sitting in front of you today asking for your help. Asking you to engage. You dont need lean workshops and Software Programs to understand what is going on with our patients. You need to talk to the staff. You need to listen to what they have to say. Thank you for your time. Thank you. Those are all the slips i had for public testimony. Does anyone else want to speak on general Public Comment . Call the next item. Thank you everyone who chose to make Public Comment. The petitions are in your packet for item 7. It is altogether. I want you to know it is there. Item 5. We have gone through with commissioner chow, review of the finance and Planning Committee meeting. I would like to know before the concept calendar the dph staff asked to change the amount on the second contract. They had incorrectly figured out the contingency. 4,431,259. As you vote i want you to have the right amount. That is for the San Francisco Community Health authority contract. That is correct, thank you, mark. That reduction was with a recalculation of the approximate 12 for the 2019 fiscal year. Since the other years had closed. The new amount is actually in the San Francisco health plan contract. The commission would like to move those items on to the consent for your approval on the consent calendar. There is one other item on the calendar which i assume ultaup separately. It is the resolution on alice chen. I will defer to you on alice chen. Why dont we do this first then. Thank you. All those in favor of accepting the finance committee report. Opposed. Hearing none it is adopted. Now we go to consent calendar. The resolution for alice chen. Correct. The consent calendar for resolution 1913, honoring doctor alice chen requested by the Health Commission and a draft had been presented to doctor chen at a reception at the San Francisco general for her. I would like to move that consent. All those in favor signify by saying aye. Aye. Next item. No Public Comment for 6. Item 7 the San Francisco Behavioral Health adult residential facility. Mr. Pickens do you need help pulling up the presentation . Good afternoon, commissioners, roland pickens, director of San Francisco health network. I will be joined by my colleague Kelly Hiramoto former director of transitions for the San Francisco health network. I am here today to share with you some of the background and circumstances pertaining to the adult residential facility located at 88 88 7 00 p. M. At 8 7 00 p. M. Atrero. I hope it informs you about the current set of circumstances. So in todays presentation i will start with Background Information on the bhc which is the building in which it is located. Next i will provide an overview of the program. Then i will present the facts and circumstances that led to the current plan and, finally, i will review where things stand now in the proposed next steps. Currently, the Behavioral Health Center Provides both locked, subacute and patient treatment and unlocked delayed egress Residential Care for adults and seniors who have Behavioral Health needs. However, the bhc didnt start that way. It has a long history that has evolved over time to meet the