Issue an inspection notice. The project would have to go back to planning, and that changes the democounts, and thats a process that we have in place for those types of projects. Were trying to get away from people saying oh, it was rotten. We just took it down and ask for forgiveness. Were actually calling people ahead of time and making sure they dont get into that situation. This sounds like they may, based on some of the comments that ive heard tonight with framing and touch with soil and contact with wood, thats never a good thing. So with that, id say its a good enough permit, as long as they go down the line and follow the process. Commissioner honda so joe, is there no excavation here . I dont know, to be honest. I didnt see the drawings, and commissioner honda and im satisfied that because theyve gone through the process here that the Building Department will follow through because we realize how important it is, especially when youre doing retaining walls, excavation, how important it is to make sure yeah. Its a vertical addition, so theres definitely structural work to be done, whether theyre being made to do a new foundation, i dont know that just yet. I can review the plans and get you a rebuttal on that. Commissioner honda you get a second swing on that, and you have 9 42. Clerk thank you. Is there any Public Comment on this item . Commissioner honda come on up. Good evening and welcome. Thank you. Im glad youre all able to retain your sense of human. My name is amy kyle. I filed a card. I live in between mr. Greeman in between the two houses he constructed, so i know a lot about impacts, not construction. And im going to speak to the flood issue because part of my back yard is the exposed bedrock, and part of my hill is really steep hill. Theres a cluster of houses at the corner, and the hill. And its so steep. Its so steep, they dont mow it. They just send the goats up. You just see the water moving on it all the time, so i have flooding issues. Before they fixed it, the reservoir leaked, and wed see a lot of water. But it kind of comes to the corner. Its a chute sort of down toward our corner, so the hill goes in both directions. The street that goes up past my house goes up the hill, and then gladys goes up this hill, and the water will kind of concentrate that way. So im concerned about that, and im concerned about this project because we keep seeing drawings that maybe arent quite showing everything, you know . This has sort of been happened before, and we raised this issue earlier, and oh, no, thats not a thing. I think it is a thing, and you only have to look at the project to be worried about the condition of that foundation. So, you know, the prior hearing doesnt really make me feel too much better about how everything will be taken care of by the system. Will it . I dont know. I think theres a lot of peril with this project because everythings a zero lot line. This thing is already occupying fully whats supposed to be the set back, and were just hoping thisll get figured out later. You know, im pretty doubtful that thats going to happen, so i hope you take the closest possible look here, you know, and give us some assurance that this isnt going to cause our houses ultimately to fall down if water leaks through or, you know, all these walls that are really not i mean, you can look at it and see it. Theyre not well constructed now or maybe not all going to be replaced or whatever. So im not an engineer, im not an expert, but i am concerned about the way this has all come forward and what the impacts are going to be and whether were going to be back here in five years saying this is a colossal mess that no one can fix. Commissioner honda thank you. Clerk thank you. Is there any other Public Comment . Yes, i have one. Commissioner honda come on up. The price is right. Ill be short and sweet. Commissioner honda its okay. I live next to david, one door up. My issue is about the reservoir because i have problems in my garage with the reservoir. I have a river running through, and im very concerned about my property. I just wish if hes going to build, that they really look into that because im just two doors up. And my second concern is the way he wants to build, i have a living room window. Hell look right in on me, so im concerned with privacy. Im 75 years old, and i live my myself, so think did suggest things for him to make the building a little different, that everyone would be happy, and he refused to do that. And so, you know, those are my concerns as a resident on gladys street. Thats it. Commissioner honda thank you very much. Clerk maam . Maam . Will you please fill out a speaker card . Thank you. Commissioner honda were requesting your auto graph. Clerk is there any other Public Comment on this matter . We just need your name so it reflects accurately in our minutes. Is there any other Public Comment . Okay. Well move on to rebuttal, and well hear from mr. Greeman first. Well, i can see where everyones coming. They keep telling me theyre going to catch it, 16, 16 d. B. I. Theyre going to catch it if the diagrams were accurate, but theyre not. If someone had said can we have this on the screen, please. If that was listed as being a demo, that wouldnt have gone through 1660. Thats a demo, too because its up against soil. Had they accurately depicted, and they should have known an architect whos been working in this city for two decades would know that wood up against soil isnt going to fly. I dont want to use the word lie i guess i just did, but i think its really deceptive to send a plan in with wood up against soil on concrete thats been observed to be repaired and capped in a 1941 building, to add a full load on a floor with a wraparound deck with a life human load and claim to 1660 thats going to remain. My biggest fear is they go in there, they discover the conditions, and its red tagged during the construction. I live two buildings up from the applicant. I was broken into five times. Insurance is more when youre in construction. Im terrified that youre going to go discover sure enough that it is in fact a demo, because it is. There is no way to support those floors while cutting away 5 feet of floor to put up that wall. When you do put up the wall, i really, really hope you do what your engineer said. A 12inch drain, a stem wall thats ten, 12, 18 feet has to be 12 inches thick with rebar. Must contain a footer thats 18 inches thick. The rebar must extend 12 inches out to connect with the rebar on your rat pad. Its not true theyre only doing certain facade differences. Thats a demo, too, on their diagram, so all this is wrecked. This is a demo, period. Thank you. Clerk thank you. Commissioner honda thank you. Clerk we will now hear from the attorney for mr. Donofrio. Good evening, commissioners. Thank you very much for your patience on what im sure has been a long evening for you. We have an incorrect scope of demolition depicted and an incorrect story count, even an incorrect cost of what this story is going to cost. Most significantly, the concern is that the removal of the eastern wall, which as weve heard from mr. Duffy if its wood against soil could create problems. The removal of that wall raises significant demolition and float stability issues. And yes, these are issues that we have raised in other forums because of the concern about this uphill reservoir, the impact on neighboring properties. And what we were told by planning at the board of supervisors was that, due to the onsite slope, the project is subject to heightened review by d. B. I. s structural advisory committee. Yet now we are hearing from mr. Sanchez that planning didnt guarantee us that were going to go to structural advisory committee. Secondly, a geotechnical report would be required before a Building Permit was issued, yet we havent seen any further geotechnical reports, so these are some real concerns about what has been analyzed for this project, and thats why were asking for the permit to be revoked. However, if the board is not minded to revoke the permit, were ask that it be referred to d. B. I. Structural advisory committee, and if they make a determination regarding the story count, the slope stability issue or the scope of demolition, it should then be referred back to planning. Thank you very much for your time. Commissioner honda thank you. Clerk thank you. We will now hear from the permit holder. You have six minutes. I guess the only thing i want to respond to is the quote from the planner was, i think, an environmental planner who was speaking about his thought about what potentially might be required at d. B. I. Its not a d. B. I. Representative, and it doesnt conflict with what were saying here today, which is that d. B. I. Will require everything to make sure it complies with safety requirements. I think that everything, Building Permits, site permits is used interchangeably, but theyre Different Things if youre filing a full Building Permit versus a site permit with a future agenda. So ill stop there, and the team is here to answer any questions. Commissioner honda thank you. Clerk thank you. Well now hear from the planning department. Commissioner honda come on, move it along. This is the last case. Get it going, skippy. Dont rush me. Scott sanchez, planning department. Whats shown on the plans is not a demolition. The appellant had highlighted something on the plans that he had stated was a demolition. There were separate hashed lines that depict parking space, but thats not shown being demolished on the plans. Anything thats below grade does not count towards section 317 calculations, so even if all those retaining walls need to be replaced, that doesnt count toward 317. I think this board has heard these issues before, and people will come up and claim its a demolition. Commissioner honda first time. If anybody wants to be out in front of that, its the sponsor usually after the department has reviewed conditions generally not very favorably in several cases going back to what was there before or often wanting to go back to what was there when the building was first built. So it was quite a serious matter. And maybe the project sponsor wants to address some of their thoughts and methodology in greater detail, but you know whats shown on the plans as shown to not be a demolition because mr. Buskovic notes, we have a process for this. And we do have a process for this. If there are changes to be made, theres a process for that. If work is done without a permit out in the field, i think that this project will be very well monitored by the neighbors and if there is demolition or if even this is a demolition beyond what was approved, therell probably be complaints about it, and therell be inspections, investigations. Im sure therell be a close eye on it, and if issues are found that it is a demolition, itll go back to the Planning Commission and require a conditional use authorization, and thatll be the process. Commissioner honda thank you. Commissioner tanner one question around the hydrology issues and drainage issues, i imagine there are requirements that properties deal with drain age issues that properties deal with drain age issues that are not on their property . Thats a d. B. I. Issue. Clerk okay. We will now hear from d. B. I. Joe duffy, d. B. I. Asking d. B. I. To do a s. A. C. Review, if it falls under that type of project, our process would catch that, which is good. I cant tell you people what to do, but a s. A. C. Review commissioner honda attorneys do it all the time. Well, when its not required, its a little unfair on a permit holder. I would imagine its just trying to put a team together. If it does fall under any category, whether its s. A. C. , when its slope stablity, when you put an address in our section, you click on restrictions, itll show you restrictions and slope stablity, and no doubt what mr. Sanchez said, theres a lot of eyes on this project. I doubt it will be missed. You had a question. Commissioner tanner public drain age, during public testimony time, some folks are concerned with drain age in the area which would be seem to be the permit holders issue other than the fact that they might suffer from it, as well. Can you speak to how we address drain age from one property to the other or what would be required . Yes. Its a very good question. Basically, everyones responsible for their own drainage. As mr. Sanchez said, you cant drain on somebodys property. Unfortunately, its going to drain downhill. There are occasions in this project, for example, if theres drainage, theyre going to have to take care of it, the retaining wall, anything like that, theyre going to have to take care of it. Water cant run from their property on to somebodys property. There may be something just because of the area, and for the lady that got up and said shes got water coming through her garage, shes got a water cable table or something, i would imagine. Theres ways she can address that. It may be coming from a neighbor, and she can file a complaint if she thinks there is. If she has clear indication that water it coming over a Property Line from somebody elses property. Commissioner tanner sounds like it may be coming from p. U. C. Property to other peoples property, so that may be the issue. Clerk thank you. Commissioners, this matters submitted. Commissioner tanner i have not heard any testimony that would lead me to believe this permit was not properly issued. I would move to deny the appeal. Commissioner honda just because i was smiling and making jokes does not mean that im not taking this as a serious matter. This particular project has undergone quite a bit of process and just by the amount of dollars per hour in this room, i think there is going to be a significant amount of eyes watching this project alongside with the departments which whether we like or dont like, we have to have faith in our city departments and their abilities to make things happen, and so i would concur with my fellow commissioner. Vice president lazarus as would i, im content to let the normal processes take their place because i havent heard anywhere here tonight that would encourage me to revoke the site permit. Commissioner tanner and just to the woman, you gave testimony just wondering how things would be caught in light of the previous cases, 20year ongoing permit. I think thats very much on the outside and the outlier of our permit system. What will happen, it will be graded and more studies, as mr. Duffy said, related to the project. When we say well catch things, its not that we hope it, it goes through a much more scrutinous review. Thats why we have faith in it and most of the time, it does work. Clerk okay. So we have a motion from commissioner tanner to deny the appeal and uphold the permit on the basis that it was properly issued. On that motion [roll call] clerk okay. So that motion carries, 30, and this adjourns the meeting. [gavel]. Clerk thank you. Hi. My name is carmen chiu, San Franciscos elected assessor. When i meet with seniors in the community, theyre thinking about the future. Some want to down size or move to a new neighborhood thats closer to family, but they also worry that making such a change will increase their property taxes. Thats why i want to share with you a property tax saving program called proposition 60. So how does this work . Prop 60 was passed in 1986 to allow seniors who are 55 years and older to keep their prop 13 value, even when they move into a new home. Under prop 13 law, property growth is limited to 2 growth a year. But when ownership changes the law requires that we reassess the value to new market value. Compared to your existing home, which was benefited from the which has benefited from the prop 13 growth limit on taxable value, the new limit on the replacement home would likely be higher. Thats where prop 60 comes in. Prop 60 recognizes that seniors on fixed income may not be able to afford higher taxes so it allows them to carryover their existing prop 13 value to their new home which means seniors can continue to pay their prop 13 tax values as if they had never moved. Remember, the prop 60 is a one time tax benefit, and the Property Value must be equal to or below around your replacement home. If you plan to purchase your new home before selling your existing home, please make sure that your new home is at the same price or cheaper than your existing home. This means that if your existing home is worth 1 million in market value, your new home must be 1 million or below. If youre looking to purchase and sell within a year, were you nur home must not be at a value that is worth more than 105 of your exist egging home. Which means if you sell your old home for 1 million, and you buy a home within one year, your new home should not be worth more than 1. 15 million. If you sell your existing home at 1 million and buy a replacement between year one and two, it should be no more than 1. 1 million. Know that your ability to participate in this Program Expires after two years. You will not be able to receive prop 60 tax benefits if you cannot make the purchase within two years. So benefit from this tax savings program, you have to apply. Just download the prop 60 form from our website and submit it to our office. For more, visit our website, sfassessor. Org, hi, everybody. Good morning and thank you for being here. Thank you to the foundation for hosting us and i am pleased to be joined here with a number of our leaders including my partner in these initiatives, supervisor mandelman as well as our new district attorney. And members of the task force. I just want to thank all the members of the task force who participated in this process. I think supervisor mandelman and i had a conversation when he and i talked about this task force and what he wanted to do with it , and he said specifically to me, i dont want to do a task force that does a report that just sits on the shelf and that is really what i am excited about. And implementing the task force this force this year, we have recommendations that we are not only working to implement, but we are going to see hopefully real results as a result of the amazing work that the task force has done. We know that in San Francisco we have a serious problem with meth use. In 2018, over 126 people died of a meth overdose and the number of Overdose Deaths from meth rose over 500 in the last 10 years. Meth use is a Public Health and a Public Safety issue in our city. We know that meth is not only providing Substance Use challenges in San Francisco, but we need to make sure that we have a citywide approach to address the combined challenges of Substance Use, Mental Illness , and homelessness in particular. And that is why, along with the department of department health, we announced a comprehensive plan for those who are most in need of Mental Healthcare and Substance Use treatment entitled urgent care s. F. With this, we include building a new system of care coordination, outreach, and lower Barrier Services, and Harm Reduction designed to meet the specific needs of the 4,000 people who we know our dual diagnosed. Several of the Meth Task Force recommendations are prioritized and urgent care s. F. In february this year, we combined this task force under the leadership of supervisor mandelman with three goals in mind. To decrease health risks for people under the influence of meth, to identify best practices for treatment and service options, and to reduce the negative medical and social impacts of matthews for all san franciscans. Over the past six months, the task force has met to understand the specific challenges that meth presents for our city and to develop recommendations that would help address this issue. And the report issued today details the findings as well as 17 recommendations. Several of the recommendations go handinhand with our goals around urgent care s. F. , which include creating a meth Sobering Center, strengthening our Mental Health and Substance Use crisis response, increasing the availability of safe indoor spaces such as dropin centers, shelters, and Navigation Centers , expanding Case Management and Wraparound Services, and expanding availability of treatment beds at multiple levels. Some of these recommendations, its meth Sobering Centers, are new efforts and we are working to implement those well several build upon the work that is already underway. By creating a trauma informed sobering sight for people who are under the influence of meth, we will have a place where people can go or can be taken td where staff will be responsibly trained to help them. In addition to creating a safe place for people to sober up, the center will be a place where we can connect those individuals to services. The department of Public Health is currently exploring locations for the center and our plan is to have at least one of these centers open within the next three to six months. We have already taken action on a few of the recommendations that were mentioned are earlier. In september we announced a partnership with Tipping Point community to open up another 14 hummingbird psychiatric west respite beds. We also announced a plan to expand the hours of the Behavioral Health access center, to increase the availability of safe indoor spaces and help those who need it get connected to care. We are also making progress on adding another 1,000 beds to our Behavioral Health treatment system. We have already funded 212 beds in the last year across the continuum of Harm Reduction treatment and recovery services. The issue of meth use also connects with our efforts on expanding conservatorship in San Francisco because the new conservatorship allows us to extend the benefit of care to treatment, to people with Mental Illness and Substance Use disorder. We know that among people with at least psychiatric hold halls, nearly nine in the 10 are users of meth. And as we work to implement a successful conservatorship program, it is important we understand the overlap between matthews and eligibility for conservatorship. We are making progress and we know that progress is not moving fast enough, but we need to be responsible in how we coordinate the right systems so it actually delivers the results we need to have an impact on what we see out on the streets every single day. It is one of the reasons why i hired the first ever Mental Health reform director this year to really analyse the system, to find out what the challenges are , and to work on solutions. Theres not one solution that is going to get us to a place where we need, but we see the problem, we understand the challenges, we understand the data. The data is going to help to inform the decisions that we make so that we can get real results. We are making progress and one of the recommendations of the task force was to strengthen our Mental Health and Substance Use crisis response. Under urgent care s. F. , we will add more Behavioral Health resources to accompany police oncall through our 311 system so that our Police Department is working handinhand with one of our Street Medicine Team workers so we can again provide people with care and get them into one of our Sobering Centers if necessary. We will take action on the recommendations to expand Case Management and Wraparound Services, specifically by reducing the patient to provide a ratio so that we can really get the kinds of results that we need, adding staff to handle the additional cases is also critical, and our next steps include taking action on these recommendations. My office will carefully review the other recommendations included in the report and determine which one will move forward and which ones will be incorporated into the work we are already doing with urgent care s. F. I want to thank the members of the task force for dedicating so many hours to this work, this very critical work. The report and set of recommendations will be extremely helpful as we move forward to address meth use that is hurting so many people in this city. I now have the pleasure to introduce the person who has really been leading on this charge, supervisor mandelman is the person who came to me about this issue early on to talk about the challenges that existed. He knows that i care about opening Safe Injection Sites and that has been a focus of my administration and i am really optimistic that we are closer than ever before to getting there, but he really highlighted the fact that we are seeing the number of folks who are dying on our streets with methamphetamine increasing significantly, and so he has been the leader on shining the light on this issue and i am hopeful that because of his leadership in this work, we can take these recommendations to the next level so we can see a difference and we can help save lives. Ladies and gentlemen, supervisor raphael mandelman. [applause] thank you, madame mayor. Thank you for your commitment and persistence in making the changes in the city that everyone agrees need to be made, and for your fortitude and making those changes that are necessary, but not everyone agrees need to be made. San francisco has a meth problem i think we all know it. We all see it on our streets, in our hospital emergency rooms, in our jails and too often in the growing list of san franciscans dying from overdoses. Among homeless san franciscans who have died on our streets, methamphetamine was the most commonly present substance showing up in 47 of deaths. Now this is not the first time San Francisco has engaged on the issue of meth and its impacts in our communities. It was nearly 15 years ago that then then mayor newsom and supervisor dusty convened the citys first Meth Task Force focused on its impacts in the queer community. I know there are some veterans of that effort here in the room, some of them were part of the task force. The task force, that task force didnt important work and helped lead innovations and modelled the response that our task force has studied and i think its really appropriate that we are here in this aids foundation building. Thank you for your work and thank you for giving us or a thomas and make, where is make . There he is. Laura is back there. Okay. They made such important contributions to the task force but have been doing amazing work on drug policy and helping folks out for many decades, a couple decades. I will stop before i get in any more trouble. [laughter] this task force and the report we released today is not really the beginning of a conversation, and its not certainly the end of the conversation. It cant be. I believe we have made important contributions to that conversation. Today, meth addiction is still very much a queer issue in San Francisco, but as me know, and as the report documents, it is also a Public Health crisis that threatens the safety and wellbeing of vulnerable residents across the city, in every community, and threatens those communities. The report contains 17 recommendations and we cant go into each and every one of them here. I want to highlight a couple of them in particular. The first recommendation is to create a trauma informed sobering sight with integrated Harm Reduction services for people who are under the influence of methamphetamine. Drug Sobering Centers were the task forces top recommendation. Across a spectrum of participants, whether law enforcement, service providers, people with lived experience, everyone agreed that we need places that are not psychiatric emergency services, that are not emergency rooms, and that are not jails for people who are meth intoxicated or in a meth induced psychosis. Safe space for them to be and it leaves the communities from which they came safer. This is something we must do and i am so grateful to our mayor, her team, and dr. Colfax for their commitment to making this happen on an expedited timeline. The second recommendation of the task force, which also, i believe it was the secondhighest recommended recommendation, was to strengthen the citys interdisciplinary Behavioral Health crisis response. I hear almost every day from constituents who are seeing folks in distress, folks in psychosis pretty much every day and they have no idea what to do , who to call, how to get a response. They call 311, it doesnt work. They feel nervous about calling the police, and so what the mayor recognizes and what has worked its way into urgent care s. F. And what will be moving forward are other responses so that san franciscans who are seeing neighbors and distress have a number they can call, and app they can dial, and they can get, in realtime, an appropriate response it isnt necessarily the police. If you need a police officer, the police need to be there, but ideally, it is not the police. So that is something that i think will change lives, both for folks who are in crisis, and for the communities in which those folks are living. Theres a third recommendation that is buried way down there. It is item number 17. It is actually really important and it is strength collaboration strengthen communities communication and collaboration among city agencies and providers. I want to highlight this because it is the reason that dr. Bland exists. I want to thank mayor breed for creating this position, for recognizing the need to look across city agencies, to look to our nonprofit partners, to bring folks together to get out of the silos and to have us working together towards common destinations and towards getting care to the people who need it. We can do this. I dont want to steal dr. Colfax s thunder because i think he may say some similar things and i will i will say again. We know we can do this because we have done it before. The San Francisco model of h. I. V. Care was innovated by a city that had been abandoned by the federal government to deal with really challenging Public Health crises here at the local level and although we were angry , and many of the folks here protested the federal governments inaction in the department of Public Health, and other city agencies, and in our nonprofit partners, we innovated and we created a San Francisco model of care that has now resulted in new h. I. V. Infections dropping below 200 for the first time. That is amazing. We will get to zero, but the fact we were able to do it there gives me hope we can do it here with our Behavioral Health services. And dr. Bland will get us there. Thank you, again, mayor breed for all of your work and all of these Behavioral Health issues. It cant be done in a day, but you have not rested a day since you have started. I am grateful for that. I want to thank my cochair, i want to thank the d. P. H. Staff who work so hard on running these all of the members to do such extraordinary work in your work lives and to go above and beyond every day but who gave us the wisdom, the expertise, the experience to come up with the report that i think really does make a useful contribution to the conversation. I am excited. Thank you. [applause] i also want to take the opportunity to thank and recognize a commander who is joining us from the Police Department, as well as Brent Andrews from p. R. C. Some Amazing Community partners. We have two more speakers and at this time, i would like to ask dr. Grant colfax, the director of the department of Public Health, to say a few words. Thank you. I think before i started, you announced i was going to be cochairing the task force. [laughter] i am really pleased. It is great to be here with so many colleagues and friends and having worked on this issue for several decades, i think this is an amazing day as we move forward with recommendations. The health department, with so many did was only partners in the room, we do big things. This is one of the next big things that we are going to do. I want to thank mayor breed for her leadership in this and my cochair supervisor mandelman, and all the members of the task force, and the Public Health team that really helped move this forward. And i think very importantly, the people who are living or in recovery with meth addiction because i think that their voices in the room, the courage they show to coming forward, ensuring what needs to be done in helping us come up with solutions is really, really key to us moving forward. Im committed to ensuring that the recommendations of this report are implemented. We did that with h. I. V. And we will do it with this. We can get this done. I also think it is important that while we think of meth as a substance addiction and having very concerning Health Consequences as a result of that , including overdose, we also have to frame this in the broader context of health and wellness. That has had effects on strokes, it has effects on cardiovascular health. We know the documentation on the h. I. V. So providing a broader contextualized approach to how we address people who are using meth, meet their needs, and people who are at risk is really key. This is an evident evidencebased community informed report that will save lives. I think sometimes when we issue these reports it is really important to remind ourselves of that. It will save lives as we implement. It will also improve the quality of life for all san franciscans where we are all affected by the meth epidemic and today were coming together to do something about it. I think i want one of the key things that stood out in the task force is that San Francisco is a city of compassion and we are driven by the conviction that all individuals deserve an opportunity to achieve their health and wellness goals. We courageously demonstrated leadership on so many friends. I said we would do big things from our approach h. I. V. To implementing healthy San Francisco, to implementing the Affordable Care act, our approach to hepatitis c, we can do this going forward. We know that lives are being lost to meth today and the People Struggle with this destructive substance half of them come voluntarily seeking help. They begin to provide summary and will free up valuable space and resources to treat more people in our citys emergency rooms. We can make changes to the system that will make a difference. We have operated a Sobering Center. We will build and what we have learned from that to implement this Sobering Center and others. We have heard stories of hope, learned about promising treatment and dug into the data that talks about the problem. We will continue to do the work. We need the community and all of you to improve San Francisco and take on this danger to our families, friends and neighbors. Together, we can and will make a difference. Thank you. Now a few words from mike from the San Francisco aids foundation. Thank you. Thank you very much. Im a little bit nervous. I will read my statement here. I want to comment. I agree San Francisco has been courageous. Im very passionate about the work we do at this project and we have been working with meth users for over 15 years. I am a member of the task force and i was a member of the last task force years ago and the director of the foundation. It was funded in 1997 by Michael Seaver and served by gay and trans men who have sex by men and some trans women who have Substance Use concerns, including challenges with the use of crystal meth. It was founded as one of the first programs and as a result of one of the first treatment on demand recommendations over 20 years ago. Our Program Allows participants to enter at all levels of Substance Use, misuse, and or dependence. For a first 10 years, the projects focused our work specifically on Substance Use services and treatment solely within the intersection of meth matthews and h. I. V. Transmission and infection. At its conception, we were seen as radically different than the care offered at most Substance Use counseling and treatment programs due to our Harm Reduction approach. Thanks in large part of the funding of the San Francisco department of health and the San Francisco aids foundation, many donors and other funders, we remain strong and have expanded our Substance UseServices Including our low barrier and free Harm ReductionServices Offered through our innovative Harm Reduction center on sixth street and in San Franciscos does San Francisco soma district and other locations in the castro. We recently started our program to offer our evidencebased continued seat management that serves meth users beyond services for gay, by, and trans populations to nongay identified meth and other stimulant users. As it is called out in the task force recommendations, the San Francisco aids foundation has been working to expand all easy Access Services. We have been expanding our program in partnership with our other Behavioral Health efforts and other treatment in support and support providers throughout the city. We offer low barrier Overdose Prevention and Substance Use counseling and support injection and noninjection drug users in the streets and other dropin services. I am proud of these recommendations. It they recognize what our vision has known all along. At the aids foundation, the Substance Use programs expect all methods to get help with meth concerns and other Substance Use concerns. We will continue to dig deep and innovate along with the city and other departments to effectively offer the type of low barrier and other support and Treatment Services and outreach recommended for enhancement and expansion at the task force recommendations. At the aids foundation, i applaud mayor breed and for their support to support a task force. It was charged in larp large part to recommend ways to improve our system of care or Substance Use on our streets. The San Francisco aids foundation and our c. E. O. Look forward to partnering with the city to realize the vision of the task force recommendations. I believe when we accept drug users without stigma, and in a state and in all states of health, Mental Health, and Substance Use and misuse, we have nothing to gain but vast improvements in serving all residents with Substance Use concerns to improve health and functioning. Low Barrier Services like those recommended today offer particular improvements for Community Members not ready for more intensive or traditional Treatment Options for easy Access Service options, support, dropin centers, Case Management , more accessible substance treatment and supportive policy on all levels of healthcare delivery. Thank you and please join with us to support the recommendations put forth today. [applause] chair peskin thank you. And another great partner in this effort he will say a few words is what andrews with p. R. C. [applause] it is wonderful to be here. I am just looking down the line here. Thank you for allowing me to be part of the analysis and the processes. You are my mayor and i support you fiercely. We have known each other for years. Thank you for leadership. You and i has have to find a new place for dinner. When the man was speaking, i all i could think is dont say that dont say that because that is in my speech. He will just hear that one more time. [laughter] i want to thank the mayor and the supervisors for understanding the importance of convening the Methamphetamine Task force. As we seek to address the Critical Issues of the day, homelessness, Mental Health, and Substance Use issues, we could not have achieved that successfully if we didnt fully address the growing crisis of meth and its effects that it is having on our community. Over the past eight months, the task force came together with a shared goal of seeking to decrease health risks, identify best practices and reduce the negative social impacts that they are having on San Francisco under the 17 recommendations, the creation of the Sobering Center is key among them. Rather than being an opportunity to take someone to the psychiatric emergency services, the Sobering Center would provide an appropriate alternative, giving them access to Outpatient Services and other communitybased Mental Health and Substance UseTreatment Services. It understands the value of an effective program, as many of you know, in partnership with the city, thank you, mayor, we are in partnership with the city on hummingbird place. It is a low threshold barrier removal Navigation Center located on the campus of zuckerberg general. This innovative General Program addresses the crosssection of Substance Use, Mental Health, and homelessness. With many people transitioning into one of our nine residential treatment sites. Sometimes they have been there only for their very first time. They have been on the street this long. They have made the decision for themselves. This homelike environment when someone is off the streets and feeling safe, and supported with three meals a day and shower facilities, and a homelike environment and a beautiful i call it nature therapy. When you are able to be off the street and out of duress and finally make that decision for yourself, that you want to show up for yourself and live a life of dignity. I know we can do that. One out of every four individuals that comes through comes into treatment. These programs are effective. It is clear that when we come together with our shared values leading the way, there is nothing that we cannot achieve. Im pleased to be part of the process and look forward to partnering with the city and the limitation of many of these implementations from the task force. I want to thank the mayor, supervisor mandelman, dr. Grant colfax. I am looking forward to partnering you. I want to acknowledge the many nonprofits who are in the room and across the community. It is across it is reason why we are able to apply this system of care. Thank you. Thank you. Last but not least, i would like to say this is not a new challenge for our city. When we think about even going back as far as 1960s, the heroin epidemic, into the 70s and the 80s with a crack at get epidemic all of the drugs sadly that have really destroyed lives and destroyed communities and destroyed families, we know that we cant just turn a blind eye. We have to think about ways in which we can make sure that providing help, providing support integrated into what we do in our medical system. It has to be something that is accessible to all people and not just those who couldnt afford treatment. I have been out in the community on a regular basis. When i talked about Safe Injection Sites, it is interesting that whether it is a wealthy neighborhood, and in between or poor neighborhood, i always have someone who walks up to me and tells me about their child, about their friends, about their family member, struggling with an addiction. None of us is immune to the struggle. It could be anyone of us. It could be any one of our family members or friends. I do think it is important that we have better access to treatment on demand. That we have better access to supportive Wraparound Services and they may not accept it on the first, second, or third time , but we have to make sure that regardless, it is available , it is accessible, it is easy to get to. And that is why we need to start looking at how we provide services for those struggling with Substance Use, for those who sadly are struggling with Mental Illness. We need to look at a new way of doing things so it is naturally integrated into our medical system in a more comprehensive, responsible way that has a tremendous impact on peoples lives. That is the goal of what we are trying to accomplish. Using data, using medical experts, using nonprofit organizations, working together with the city to provide something that will effectively deliver so that we can see a difference and we can save lives that is the ultimate goal and i want to thank each and everyone of you for your work on the task force and all that you do to help us advance the goals of what we need to do to make San Francisco a better city for each and every one of us. Thank you all so much. [applause] sustainability mission, even though the bikes are very Minimal Energy use. It Still Matters where the energy comes from and also part of the mission in sustainability is how we run everything, run our business. So having the lights come on with clean energy is important to us as well. We heard about cleanpowersf and learned they had commercial rates and signed up for that. It was super easy to sign up. Our bookkeeper signed up online, it was like 15 minutes. Nothing has changed, except now we have cleaner energy. Its an easy way to align your environmental proclivities and goals around Climate Change and its so easy that its hard to not want to do it, and it doesnt really add anything to afternoon. Welcome to thesag Commission Regular hearing for thursday, october 24, 2019. I will start off by saying those members of the public that do not have a seat will have to leave the room. We have made accommodations in room 416 as an overflow room. If you go to room 416, you are able to watch and listen to the proceedings. Until such time people vacate these seats you have to stay there or outside of this hearing room. Once we begin taking Public Comment, you will be entitled to enter the room and submit your testimony for which ever item you were hear for. I would like to