Im barbara garcia, director of health. We have mayor london breed and supervisor jane kim. Were so happy to be here today, were opening a new part of the respite providing services for those who need that kind of support from our shelter system. This respite has been open for over 10 years and providing over 45 beds for those needing support around alcoholism and around another 30 beds for those coming out of hospital who need Additional Support. These are focused on the shelter system to ensure that those individuals who need more medical support and i want to acknowledge supervisor kim who has been a champion for the expansion, particularly when she spent time in the shelter and saw that many individuals needed additional medical support. This took about two years to open with the renovation and with the staffing and were so happy today to be with you to open these new beds, as well as the fact that the staff is there already, we have served over 3,000 Homeless Individuals in the past 10 years providing the upmost care for these individuals who really need support and provide them the Additional Support to continue their pathway into housing. At this point, i would like to ask for mayor breed to give us some comments and she has been a big champion around homeless issues and very happy for the respite to be open today. Thank you very much. applause thank you. I want to start by thanking director garcia for all the work that her and her team have put in to really making this dream a reality. Supervisor kim has been an amazing champion on this expansion. And our mayor, mayor ed lee actually had an opportunity to tour the facility. He was really excited about what it could do for some people that we know that are facing challenges, our most vulnerable population. We think its as simple as showing up to a shelter, but just imagine if you have a medical issue. Just imagine if you have a wound or something going on with your body that basically you have not been medically treated for. People who sadly are living on our streets need medical support, too. Often times, imagine when were in the same situation and we stay home and need time to heal, this is what the Respite Center is going to provide, a place for people to heal, a bed, a safe space, three meals a day, support they need and 30 of the people who have been helped in this Respite Center have been permanently housed. Thats been amazing. The staff is not only providing the medical care, theyre providing the social services that go with helping people transition into permanent housing. Our goal has to be to make sure people are taken care of and this is one way to do that. To go from 45 to 75 beds is tremendous. Which means we have a larger capacity to serve more people and that means everything for the person using this service. So im happy to be here today. I want to thank the staff and everyone who has been active in making sure that this space is not only providing care, but is providing compassion and support and resources because we want to make sure its a Wraparound Service that will eventually help people into something permanent where they have homes to live and the support they need to be sustainable in our Housing Market that is so challenging for so many. Thank you for being here and with that, i want to turn it over to my colleague supervisor kim who has been a champion and an important part of making this possible. The funding and all of the things we needed to do to get this place open, she was a fierce advocate for that. I want to turn it over to supervisor kim. applause thank you. Thank you mayor breed for being here today. Its a little sad to be here without mayor ed lee. I had fought and advocated for 4 million to expand the medical respite shelter and i remember the day he called me and said he was going to make it an important piece of the budget. While it takes some time for the build up, its amazing we have this resource in our city here today. Director garcia mentioned why i came to fight for the medical respite shelter, it was because when i was appointed acting mayor, much more briefly, my staff decided i would spend my first night as acting mayor in one of our single adult shelters in my district. In my first night there it became clear to me that homelessness is not just a poverty issue, its a Public Health issue. The residents staying there were far oral far older and sicker than i imagined and were seeing so many brothers and sisters aging in places on the streets. So i worked with director garcia to fight for our adult shelters and to see what the nurses are doing every day at sanctuary, next door, they are doing gods work. Our residents need to see a nurse every single day and need the medical attention they can get at the shelters. The expansion of a 24 7 medical respite shelter is a huge resource in our city. I dont need to tell anyone what were seeing on the streets today, people are so sick and to have this resource with increased beds and 24hour attention from doctors, nurses, psychiatrists is how we address homelessness in San Francisco today. I want to thank director garcia, who has been an impassioned person working on this and to dr. Barry stephen who is not here today and kate shuten and dr. Alice chen. And finally to president breed, who knows probably the supervisor who knows my district the best on the board of supervisors, shes in fact the only colleague who constantly asks me of the needs because she knows our residents there. I want to thank you for your support and for your support of a safe injection site. We also have to address Substance Abuse in our city as well. Thank you for being here and im incredibly excited to double the expansion of the medical respite shelter here today. applause thank you supervisor and mayor breed. Im honored to be able to present our doctor and medical director of the respite dr. Kelly egan. Dr. Kelly egan has professionalism and compassion in the way she has brought the new respite expansion and all the patients she serves directly. So dr. Kelly egan. applause thank you supervisor kim, mayor breed and director garcia. As medical director i have experienced this programs transformation first hand in recent months. Medical respite has served the sickest and most medically complex people in homelessness. In the past we have accepted referrals only from hospitals and now we can accept them from shelters for people who are too sick to stay there and are at risk. I want to put a face for the clients we served. We recently cared for a gentleman with a new cancer diagnosis and he needed a place to rest and recoup rate. Without a bed laughter without a bed at respite, Cancer Treatment may not have been an option for this gentleman. And we have been working with a Woman Working intensely with physical therapy, she can walk and take care of herself now again and ready to go back to the shelters. And were seeing an increasing aging population among the homeless, people who are cognitively impaired and unable to keep themselves safe. They receive behavioral health, primary care, assistance with medications and referrals to Psycho Social Services such as housing. Personally i want to thank the staff of medical respite and sobering who provide the care day in and day out and Shelter House street medicine, these are the care teams that provide compassionate and patientcentered care for our patients every day. Im proud to be a part of the team. Thank you. applause here are scissors for the supervisor and mayor to share. cheering were going to go inside were going to walk inside right now. We are celebrating the glorious grand opening of the chinese rec center. 1951, 60 years ago, our first kids began to play in the chinese wrecks center rec center. I was 10 years old at the time. I spent just about my whole life here. I came here to learn dancing. By we came we had a good time. Made a lot of friends here. Crisises part of the 2008 clean Neighborhood Park fund, and this is so important to our families. For many people who live in chinatown, this is their backyard. This is where many people come to congregate, and we are so happy to be able to deliver this project on time and under budget. A reason we all agreed to name this memorex center is because it is part of the history of i hear to name this rec center, is because it is part of the history of San Francisco. They took off from logan airport, and the call of duty was to alert American Airlines that her plane was hijacked, and she stayed on the phone prior to the crash into the no. 9 world trade center. I would like to claim today the center and the naming of it. [applause] kmer i actually challenged me to a little bit of a ping pong the mayor actually challenge me to a little bit of a ping pong, so i accept your challenge. It is an amazing spot. It is a state of the art center. Is beautiful. Quarkrights i would like to come here and join them i would like to say good morning, but its really not a very good morning. Welcome to the San Francisco county Transportation Authority for today. It seems like its been a long day already, tuesday december the 12th. I just want to start the meeting by offering our condolences to the family of edwin lee, the 43rd mayor of the city and county of San Francisco and share all of our condolences with people of the city and county of San Francisco. I want to thank all of my colleagues on the board, many of whom gathered in the wee hours of this morning at zuckerberg general hospital. With that, our clerk is Alberto Quintanilla and mr. Clerk, if you could please call the roll, were going to have a very brief meeting and then we are going to adjourn to go have a press conference with our acting mayor london breed on the mayors balcony. Clerk item one, commissioner breed, breed absent. Commissioner cohen, present. Commissioner farrell, present. Commissioner fewer, fewer absent. Commissioner kim, kim present. Commissioner peskin. Present. Commissioner ronen, present. Commissioner safai present, commissioner sheehy, absent. Commissioner tang, present commissioner yee. Commissioner sheehy should be named present. Commissioner fewer, i spoke to a few hours ago, well take that without objection. Im going to forego the chair support, madam secretary director, are there any items you want to share . Any comment on the chairs report or executive directors report. Public comment is closed on items 2 and 3. Could you read the Consent Agenda. Clerk four to nine consent, items being considered for approval. Staff is not planning to present on the items. Is there any Public Comment on item four, the minutes of the december 5th meeting . Seeing none, Public Comment is closed. Would any member or members like an item severed, if not, a roll call on the Consent Agenda please. Motion to move the Consent Agenda made by commissioner yee, seconded by commissioner farrell and on that item, a roll call please. Clerk commissioner farrell. Aye. Commissioner cohen, aye. Commissioner ronen, aye. Commissioner safai, aye. Commissioner sheehy, aye. Commissioner tang, aye. Commissioner yee, aye. Could you please read the next item . Which seemed very important a week ago. Programming of 6. 189 and 4. 1 for the prop k. Good morning commissioners, policy and programming director. Last week, at the december 5th Board Meeting the motion to approve the item did not pass after considerable discussion at the board. The commission generally agrees with the programming of the funds to the street resurfacing but the commissioners couldnt agree on the second part of the recommendation to transfer on the 4 million in prop k funds programmed to street resurfacing to manage lanes environmental phase. The board requested to see more evidence that the managed lanes would improve congestion without negatively impacting freeway corridors or local streets and a more holistic approach to congestion and other areas of concern. In light of the robust discussion, we have advised staff recommendation to only approve the proposed programming of the state funds to street resurfacing projects and this is a request to approve on first read to meet the states timeline of december 15th of when we need to submit the applications to the California Transportation Commission and we would defer action on the Fund Exchange to provide more time for staff to complete planning studies and address commissioners concerns. Theres a list of street resurfacing projects funded by the state funds and a map that you cant see particularly well yes, you can see it. If we were to approve this as revised given the december 15th date, this would be the final approval, not the first read, is that correct . Thats correct. It would be approval on first read. Is there a motion . Made by commissioner farrell, seconded by commissioner tang. Colleagues are there any members of the public who would like to testify on this item . Seeing none, Public Comment is closed. And on the item as revised, same house, same call, the item is finally approved. Next item, please. Clerk item 11, programming 2. 813. 264 to the San FranciscoMunicipal Transportation Agency non infrastructure project, this is an action item. I want to start by briefly thanking colleague commissioner tang and her staff and my staff who listened to i think very sophisticated discussion we had here a number of months ago. I want to thank tilley chang and the ta staff and miss lafour but particularly commissioner tang, she did a lot of the heavy lifting. With that, commissioner tang . Thank you. I echo my thanks to the ta staff and as well amber crab as well. I just encourage our colleagues to look through the packet. There is a revised Organization Chart where you can see the new structure for the program. So we have decided to move everything to fall under the sfcta because i think it will work more well with the schools and needs brought to our attention and so i think all schools will benefit from this change. We have found a way to address this without reducing any of the funding to the nonprofit partner agencies. I think overall the out come was great and i look forward to continuing the discussion another day. Thank you commissioner tang. I neglected to thank the mta and department of Public Health and San FranciscoUnified School District for really coming to quite a number of meetings and being willing albeit with a little reluctance at first, to restructure this. And thank you commissioner tang. Is there a motion to approve item 11 made by commissioner tang. Seconded by commissioner yee. Any Public Comment on that item . Thank you. Thank you to all of the nonprofit participants for your understanding, i know you all got a little nervous at the beginning, but i think youll see a program that not only allows you and your staff to continue the good work theyre doing but will make it a much more efficient program. With that, seeing no Public Comment. Public comment is closed and on the motion, same house, same call, item 11 is approved. Mr. Logan, would you upset if we continued item 12 . All right. Is there any Public Comment on would you read item 12 alberto. Clerk update on the Transportation NetworkCompany Landscape and regulation in california and across the country. Is there Public Comment on item 12 . Seeing none, Public Comment is closed. Is there a motion to move to the first meeting in january. Well take it without objection. Is there introduction of new items . Seeing none, any public item on said item. No. Is there any general Public Comment . Seeing none, Public Comment is closed and well adjourn the meeting in the memory of edwin lee, the 43rd mayor of the city and county of San Francisco, were adjourned. Working for the city and county of San Francisco will immerse you in a vibrant and dynamic city thats on the forefront of economic growth, the arts, and social change. Our city has always been on the edge of progress and innovation. After all, were at the meeting of land and sea. Our city is famous for its iconic scenery, historic designs, and world class style. Its the birthplace of blue jeans, and where the rock holds court over the largest natural harbor on the west coast. The citys Information Technology professionals work on revolutionary projects, like providing free wifi to residents and visitors, developing new programs to keep sfo humming, and ensuring Patient Safety at San Francisco general. Our it professionals make government accessible through awardwinning mobile apps, and support vital Infrastructure Projects like the hetch hetchy Regional Water system. Our employees enjoy competitive salaries, as well as generous benefits programs. But most importantly, working for the city and county of San Francisco gives employees an opportunity