It forward with no recommendation and also wanted to let the public know that, at that meeting, the Budget Office shared a lot of helpful information about the timeline for the year, and i encourage folks, budgets are important, and i encourage folks to come out to budget meetings. It is the best committee ever. If they go online they can also see what we are going to be covering over the year, so that when we make decisions those things are not surprises. I encourage folks to come out. You can also reach out to me im happy to share with communities how were trying to make things more transparent for families and staff, how we make budget decisions. That will be happening throughout the year. There is lot of opportunities for folks. Thank you. Thank you. Do we have any board member delegate membership updates . Okay. Seeing then. Any other reports from Board Members . I briefly want to thank ida wells, and a few other schools that i went to parade. [laughter] all of the schools, the academy. I think i said them last time though. For having the other school sites. I appreciate the site tour, and the students at walden bird that took me on a tour of the school. Also, what are you doing here . I thought you retired . Oh, it was rita, my bad. You are not allowed to leave. Stay put. Commissioner norton . I want to remind everybody the Student Assignment committee is meeting on monday at 6 00 oclock. I am really excited about, i just did a planning meeting with ms. Okeefe who staffs the committee. We have some really good items on the agenda for this year, as we move towards redesigning the Student Assignment system. This monday were going to talk about particularly about diversity and different ways on how we define that. It really would be great to have attendance from as many of you that could make it. Im anxious to have as much as possible engage in these discussions before we get to an actual redesign proposal. Thank you. Anyone else . Im going to announce the next Upcoming Committee meetings. Budget and Business Services on wednesday, october 2. Rules policy and legislation monday, october 7 at curriculum and program monday, october 14 at 6 00 p. M. Buildings and grounds and services monday, september 23, 6 00 p. M. Committee on personnel matters, the meeting will be scheduled soon. Committee on Student Assignment will be monday, september 16 at 6 00 p. M. The joint City College School district, and board of supervisors meeting scheduled for october 11, friday at 10 00 a. M. That meeting will be held at the city hall. Section and, other information items. There are none tonight. Section o, memorial adjournment. There is none tonight. At this time we will take Public Comment for those who have submitted speaker cards were closed session items. Five minutes for Public Comment. Any Public Comment on closed session . Seeing none. The board will now going into closed session welcome back. Following closed session. We will resume regular board meeting. I will read the actions from tonights closed session. In the matter of the department of social services sfusd, Education School case number 2019060075, the board approve the stipulation to settle an early Education School license revocation matter. The board gave direction to general counsel. That concludes tonight board meeting. Good night. [ ] i just wanted to say a few words. One is to the parents and to all of the kids. Thank you for supporting this program and for trusting us to create a Soccer Program in the bayview. Soccer is the worlds game, and everybody plays, but in the united states, this is a sport that struggles with access for certain communities. I coached basketball in a coached football for years, it is the same thing. It is about motivating kids and keeping them together, and giving them new opportunities. When the kids came out, they had no idea really what the game was. Only one or two of them had played soccer before. We gave the kids very simple lessons every day and made sure that they had fun while they were doing it, and you really could see them evolve into a team over the course of the season. I think this is a great opportunity to be part of the community and be part of programs like this. I get to run around with my other teammates and pass the ball. This is new to me. Ive always played basketball or football. I am adjusting to be a soccer mom. The bayview is like my favorite team. Even though we lose it is still fine. Right on. I have lots of favorite memories, but i think one of them is just watching the kids enjoy themselves. My favorite memory was just having fun and playing. Bayview united will be in soccer camp all summer long. They are going to be at civic centre for two different weeklong sessions with america scores, then they will will have their own soccer camp later in the summer right here, and then they will be back on the pitch next fall. Now we know a little bit more about soccer, we are learning more, and the kids are really enjoying the program. We want to be united in the bayview. That is why this was appropriate this guy is the limit. The kids are already athletic, you know, they just need to learn the game. We have some potential collegebound kids, definitely. Today was the last practice of the season, and the sweetest moment was coming out here while , you know, we were setting up the barbecue and folding their uniforms, and looking out onto the field, and seven or eight of the kids were playing. This year we have first and second grade. We are going to expand to third, forth, and fifth grade next year bring them out and if you have middle school kids, we are starting a team for middle school. You know why . Why . Because we are . Bayview united. Thats right. [roll call] thank you. The second item on the agenda is the approval of the minutes of august 20th, 2019. Commissioners, the minutes are in your hands. After that review, i would like to call a motion to adopt. I think there is one spelling clipped correction. Okay. Page four, paragraph three, there was [indiscernible] thank you for that. I apologize. Any other comments from the commission . Seeing none, motion to adopt the minutes. So moved. Is there a correction . Second. All those in favor signify by saying aye. Aye. Great. There is no Public Comment for that item. Item three is the directors report. Good afternoon, commissioners im the director of health. You have the directors of the commission in front of you. I just wanted to highlight a few things including some things that i feel that you have done well but were not written here there are number of articles focused on ensuring that whatever beds are available in the system, maybe are available for people who are living on the streets, and just to reiterate, it is part of that work at zuckerberg General Hospital. There have been a number of unoccupied board and care beds for a number of years and those are being converted into hummingbird type model beds. 207 beds Going Forward. I want to emphasize that no clients are losing housing as a result. No one is losing a job, and these beds will revert back to longterm care beds in 2021 as we look to potentially be able to establish those longterm care beds. As an interim measure, well be using that Available Space for the urgent need to get people off the streets through converting 207 beds to hummingbird beds in the next iteration. The other page, i wanted to give you an update on some concern around the current requirements around permitting massage parlours and just to remind the commission that we filed the board of supervisors requirements that we are charged with permitting massage parlours for a number of reasons, including concerns that the board of supervisors had at the time around sex trafficking. We are following the boards intent and giving the legislation that they have passed. It is understanding that it is my understanding that some Board Members are taking another look at this legislation and made any modifications. We will of course, follow the boards orders as required by law Going Forward on that. The other key issues to highlight, i have been updating you in regards to the title two federal changes in the requirements around title x funding, which will now prohibit recipient of title x funds from stopping women from comprehensive production per reproductive services. Related also do some of the federal actions that are taking place, i am proud that the Health Department stood with the City Attorney and is seeking for luminary injunctions to stop the current public charge rule. This revised public charge rule would actually have an assessment of whether people who are benefiting from legal public benefits, that that would negatively affect their ability to get this status. Something we can have a shining effect on their individuals and the families. We are watching that very carefully. I am also really proud that one of our Staff Members was recently featured on our front page of mindful magazine. She has been a real leader in helping us move forward our trauma informed system of care. They have been a pivotal part of that work and remains a local and National Leader in helping us develop a more Trauma Informed Care system. Internally within the department for our communities. I also wanted to highlight that we are working with the Safe Community in the bayview neighborhood, including specifically the africanamerican faithbased coalition, which was started by supervisor walton to provide support and dignity to clients, and our Community Health and equity Promotion Branch is continuing to support Food Security to through that coalition and with Community Members in that regard. Finally, with regard to the neighborhood Emergency Response team, we worked with a group to assure the medical corps, in collaboration with the California Department of health and the San Francisco fire department, were trained with regards to pointofcare dispensing sites and including looking at mass distention of antibiotics in the community with the response to Public Health emergencies, and that this training is foundational to successfully deliver medical countermeasures in the event of a mass population emergency that would require us to be more responsive to protect Community Health. That is my directors report. If you would all i will stand by for additional questions or verifications. Are there any questions from the commission . Yes, thank you for the report this is in regards to the psych unit that we have or the psych units. And i see the difference between them so that this seems to be described that the patients are currently placed on [indiscernible] they are for younger patients who require board and care, and the other is for older patients. What has happened is in our arf unit, some of the patients are qualifying for certain funds pick those. Those patients would be moved up , but on the second floor, we would also maintain some a. R. F. Beds. The second floor would open up some beds on the second floor of the unit for the hummingbird beds. 207 more of those beds would be converted into hummingbird sized beds. Those beds could return. We are putting in our licensure for those beds into suspense, but they could be converted back in mid2021. Does that answer your question . So the a. R. F. Patients are being put into the others . Some would be converted. Their designation is being converted, but there are also some younger patients who have been moving up to that floor that would maintain as an a. R. F. Meanwhile, we will reduce the number of beds that we are keeping open. Those beds have never been occupied, so we are not moving patients from those beds into the community or into other places. This is simply and i may have more detail. Inc. You. Good afternoon, commissioners im the director of the Health Network. There will be 14 patients remaining on the a. R. F. So they will still continue to operate 14 beds that are currently occupied. Okay. And is there some reason that certain beds were not occupied in the past . Yes. We had vacancies and the facility continues to be on a corrective plan of action. I see. They were being held in vacancy because of the corrective action plan that needed to be carried out before we could actually activate the beds. Is that right . That is part of the equation. Making sure that the safety mechanisms are in place so we can safely operate those beds. I see. Okay. They were vacant not necessarily because there wasnt a demand, but we werent able, until we fulfilled our corrective action plan to take or add additional patients. Right. Until we felt comfortable we had corrected those deficiencies in the corrective action plan. We werent able to add additional patients. At the moment, one of the reasons that we would be reducing a. R. F. Beds temporarily , not, of course, taking away from the current residence, because everybody is trying to apply, because we are still working on this corrective action plan. We are currently working. That is correct. The beauty of this plan is that because we have those vacancies on the a. R. F. , we will take some of the staff and move them up because they also have vacancies and being able to actually occupy and put the patients into those beds because we will have access staff that will go up. So that would allow us to fill the needs . Exactly. Okay. Thank you. So when the corrective actions are completed in 2021, is that when you need the flexibility . Right. We want to have that flexibility the beauty of putting those licenses and suspense as we dont put them up. As situations and circumstances change, we can more easily go back to those beds as needed. And how will that decision be made . Is that an administrative decision within the department . We will be making it in conjunction with all of our City Partners with h. S. H. And others who are dealing with the Current Mental Health crisis. Well be looking from a holistic point of view in terms of what makes more sense for the system and the city as a whole. Thank you. Thank you. I think exactly what was stated, and i do think we need to look in 2021 at what our other alternatives to having people out on the street, including more hummingbird based models in the community. I will also add this is a bigger issue in terms of board and care , not only specific to the site at the hospital, but as you know, mayor breed has invested a substantial amount of dollars to help keep the remaining board and care beds sustainable because there will be ongoing issues Going Forward in terms of the model of care. It is something we are taking a hard look at. Strategically, it is more then those 207 beds. Every bed is important, but looking at the longterm strategy as a department, as a city, and as a community to help ensure wherever possible there is longterm care available for people. Yes, i was wondering if you might have any followup on the vague issue. It looks like people are continuing to have difficulty. I am wondering if our county has seen anything or does it seem that the word out there is i have been in close contact with our officer about this and the doctor can give a quick update on where things stand. Across the country theres been more than 200 cases that are being investigated right now San Francisco has zero suspect cases of the Vaping Associated pulmonary injury. Thank you. Anything else from the commission . Call the next item, please. Item four is general Public Comment. If i may, to those of you are making comment, in case you havent been to our meeting before, you will each have two minutes. You will be called by name. I have a little egg timer here. When the buzzer goes off, it means your time is up. Please finish your statement and let the next person come up. Everyone here is here for a reason. Most of you are very passionate about what youre talking about but no, we have to make room for everyone. Before i call names, let me inform the public that the commission will not be responding to your comments. You will make your comments, if the commission does have questions, then we will refer them directly to you. I apologize in advance if i mispronounce anyones name. Let me call three speakers right now. [calling names] hello, commissioners. I am a primary care provider a San Francisco general and the department of Public Health interpersonal violence prevention coordinator. Im here to ask you for your support of the department and the commission on behalf of brandon lee. Brandon lee is a u. S. Citizen who was a graduate of San Francisco state. He his the son of a 40 year employee, louise lee, who works at seven cisco general at San Francisco general. Brandon was working with indigenous kenyan communities in the philippines on Environmental Justice issues, deeply understanding the relationship between the health of the planet and the health of people. He survived an assassination attempt. He was shot multiple times on august 6th. He is in stable condition, paralyzed from the chest down in the philippines. He is his doctors think he will be ready to be transported back to the u. S. Within the next couple of weeks, and we are here to ask for your support. One, that the department of