Okay. I am nicole, the director of the Mayors Office on disability. Thank you for inviting me here today. What i want to do is talk for a minute what our charge is and how we Work Together with s. F. M. T. A. There is a lot that we are focused on that is very positive and i dont want to move those thoughts but i want to take time to make you aware of some of the things we are also hearing and you will hear duplication from dianes comments. I think it is important that we are hearing from the same communities. I wanted to highlight some of those things. First of all, the charge of the Mayors Office on disability specifically is as the citys overall americans with disability act coordinator on behalf of the city. We work closely with our ada coordinators in the various city departments and s. F. M. T. A. Has a fairly robust team in s. F. M. T. A. Accessible services. We work closely with them on a number of initiatives. Many of the complaints and concerns that we hear from individuals with disabilities or older adults are channeled directly to or colleagues in the accessible services. As part of our charge in the Mayors Office on disability is to help to similarly with hic to make sure our concerns are responded to in a timely way. We do a fair amount of grievance monitoring as well so to the specific items that the Mayors Office on disability hears about frequently related to transit, our specific removal of bus stops, seating, type of seating used especially on our light rail vehicles, concerns about parking protected bike lanes and messaging around parking in general especially for folks who use accessible vehicles as their primary moneyed of transit mode of transit, crowding on bus lines and also some concern that has been happening recently as we think about transit equity and what does that mean that the concern is that our buses especially our transit lines becoming vehicles specifically for older adults and people with disabilities only. What does that mean . Those are some of the basic things. Another thing that we hear fairly frequently is that we really want to work with our colleagues in s. F. M. T. A. To figure out the best way to do Broader Community outreach on those issues that are impacting team with disabilities in particular. I think that sfmta does a good job using the tools we have the web and internet based tools are used very well, and also they do a good job of engaging with our Multimodal Accessibility Advisory Committee and also engaging on occasion with our Mayors Disability Council which has broad representation on disability. However, i am really wanting us to find ways that we can reach even more people and especially those folks who might not have immediate access to the internet. One of the things that i am working on with some of our colleagues in sfmta right now are accessibility improvement fact sheets for some of our transit improvement projects that help to highlight what is happening to the project, the enhancements that will result from the work and we are just starting this and finding that people are responding to those well, and i hope that we can utilize those on all of our transit projects. I think that those are the main things that i want to highlight. Again, we are doing a lot of work that i didnt mention today, and i want to encourage the commission and also anyone in the audience today that wants to learn more about what Mayors Office on disability is doing to definitely contact us because many m. T. A. Related issues that arent specifically related to bus line transit that i havent mentioned we are working on. I want folks to know we are a resource and to encourage the rrc commissioners to partner with the Mayors Disability Council. It is specifically also interested in issues of transit, housing and employment so to the degree that those issues little intersect with you, the Mayors Disability Council is interested in working with you and sharing thoughts on how to make improvements in those areas, too. That is where i will stop for now. Thank you. Can you tell me a little bit about what you hear from the communities you serve about how they would like to see improvements in transit in the city specifically . I think. Or shortcomings that are identified for you. What do people bring to your attention . Some of those i mentioned are most common which i will mention again which are specifically bus stop removal when we are changing our street plan and certain bus stops have been removed, we care about that quite frequently. Bus stop seating being available or not, shelters being available or not, broken or not. That is a very common one. Another very common one and i will mention it again is concern around wherewithal of our streets changes for folks that need access to accessible parking and especially van accessible parking, there is a lot of misunderstanding on that particular issue because sfmta does center as part of it they are not removing the blue zones, but because they move it seems they are not removing them. We spend a lot of time talking with folks about that, and also specifically around accessibility and the parking protected bike lanes. We hear about that quite frequently and there is a team working specifically on helping to make improvements there. And then crowding and access to buses being passed up on bus lines because of overcrowding, that kind of thing is also quite common. Thank you. Other questions from up here . Okay. Thank you for your time, thank you for your work. We look forward to partnering with you on this initiative and others. Great. That is perfect. From the homeless prenatal program. Good evening, i am the Deputy Director at the homeless prenatal programming. Our Center Serves approximately 3500 families each year. Of these we serve about 800 pregnant individuals each year. I want to highlight one of the main issues that came up recently. Supervisor stephanie sponsored a hearing on Food Insecurity one of the main things is accessible so people can get to the food opportunities including grocery shops and the accessibility issues around the bus stops. That is one of them and access to paratransit shuttles and taxi vouchers as well. The biggest ones that came up were some of the barriers and obstacles to Service Included reliability around on time. He appreciate the commissioners comments of all of you around the reliability and need for Reliable Transportation important people who rely on muni to get to work. That is a large part of our population. We also have people who experience real hardships when buses are not reliable or delayed for Court Appointments or child care is a big one because people are charged additional fees when they are late for picking up child care or can have family members called and cause drama in reunification. Thinking about those reimpacts on peoples lives when a bus is 30 minutes late and somebody doesnt know it just disappeared from the next bus. Then, also, looking at really accommodating strollers and grocery carts so being able to transport items and that accessibility, i think, is a similar theme from what we heard from seniors and disabled individuals. The ease of boarding on and off is huge. Reception by bus drivers is a big one. People not walking. They are in training might be pregnant carrying groceries may or may not have a stroller and the patience it takes so manage that. We hear a lot of feedback around that. We have a lot of clients reluctant to report that kind of behavior because they dont want to get the bus drivers in trouble or they dont want to be banned from the bus. Those are things to consider since we have the Wonderful Union kneecaptivated audi the m un i captivated audience. Then one of the consistent complaints from Family Resource centers mostly in the southeast and southwest part of the city are around the accessibility of bus stops. Hpp, for instance, is on 18th. It was right outside which is one of the main reasons we purchased the building was removed last year. It is a couple of blocks to walk up to 16th, it is still a trek when you are dealing with strollers and all of the other things i mentioned especially with multiple children. Considering those things when making those decisions would be fantastic. I am also a muni rider. My mom rides muni and she is a nanny and experienced these challenges. I appreciate the weekly bulletin now with the chase center. It does impact traffic getting to ucfs, all of that, kaiser appointments, all of those things. Any questions. I want to recognize former commissioner davis. Before i do, when you purchased the building next to a bus stop to serve your community and the bus stop moved. Were you aware if there was an entire process around signs removing the bus stop . The building was purchased. I should be clear 13 years ago now. We had the good fortune of being there for a while. One of the reasons that site was selected by not only our organization but board of directors is because of accessibility to major transit lines as well as proximity to general hospital. The building is still a wonderful location, but just having that removed last year has really impacted peoples ability to get to appointments on time and in some cases where moms or individuals are further along in the pregnancy it makes it harder to show up without paying a taxi. They dont want to walk the two blocks uphill. It is a hardship. It is my understanding before muni moves the bus stop there are community meetings, did that happen when they moved the bus stop . Yes, there were. We had opportunity to comment and we submitted letters and comments from the community. It was a very open process. At the end of the day we lost it. Okay. Thank you. Director davis. I wanted to i am trying to make sure we get to communities. Two things you mentioned that i wanted to drill down on, and also to think about how we address and partner with s. F. M. T. A. First the reception on the bus or at the bus stops, i did last year just a little bit later than this time with the mayor we did a visit to hilltop, the school for parents teens. One of the things they talked about were buses passing them up with the stroller and not letting them on the bus with the stroller. And people being upset to lower the ramp to get on the stromelers. Sometimes they are told to pick them up which is difficult to do. That was a theme w we heard. The mayor said work with young people around making suggestions and recommendations and addressing some of the challenges people who have stroaminglers and babies receive. I was on muni the other day and someone got on with the stromeler. The way they were treated on the bus they were making it inconvenience for everyone else and shifted in multiple spaces. There was no real support for them. With the bus stop removals are moving, i think that is another piece to think about how to do engagement and how we define equity. The issue is not necessarily about the majority wins in Something Like this, examined be more equal tran equitable and the challenges that those bus stops being moved become a Public Safety issue, they become a Public Health issue. Again, we have seen it and i think cheryl may speak to this. The persons ability to travel uphill, whether they are older or suffering with asthma or other ailments that might impact their ability to move. Those are things we tried to in the past to think about what it looks like to be equitable and not necessarily looking at the number of people who speak out and understanding the malars and things do mailers do not get to the folks living in the residence or that connection. I bring that up because those are two issues that hit the spectrum of age, abilities and really i think the most marginalized communities are most negatively impacted by it. Thank you, director davis. I will direct this to our director who is coming back in october with a further report. I would like to understand how the Community Feedback process works and specific to this process and in general. Based on the testimony we have heard there was an engaged community that spoke out. It did not result in any change of ultimate decision. I want a better understanding how that process works, how this decision was made and how it might impact other marginalized communities. One other thing for the Family Resource centers, there are 26 in the city. Often times people accessing them are not necessarily just from the neighborhood. We provide services from pregnant people. Maybe it is one address providing the feedback, it is impacting many lives. I wanted to highlight that. Thank you. Next we have San Francisco transit riders. Cat carter, is that right . Yes. Hello. I am cat carter, acting executive director with San Francisco transit riders. We are a nonprofit advocating for better transit around San Francisco. We are small but getting bigger. What we are focusing on is transit priority. As we have been hearing, too much of the muni system is too slow and reliable in communities in the equity strategy and outer neighborhoods. We also worked with muni with the s. F. M. T. A. To develop that in 2014. We have a basis in that. We have worked with they will well on transit improvement process in the equity neighborhood. As frequent and rapid and reliable transit means access. We need more transit improvements to bring priority on the streets. We have increasing Traffic Congestion slowing down buses. I hear muni has to put more buses and trains on the streets to keep up with service because they are slowed down so much. Our focus is more transit priority on the street. We have a campaign called 3030. We want rapid routes to connect all neighborhoods by 2013 in 30 minutes. We have a network that focuses on getting people downtown and not serving the outer neighborhoods. It works very well. We have seen increase in ridership 22 on the five r corridor. They found 15 of the riders were getting out of private cars to muni. That makes neighborhoods safer and reduces accidents and crashes. The challenge is to try to do these improvements there are years of community outreach. It is important and not to dismiss anything discussed. We are working on Rapid Bus Service on the 29 sunset serving the southern and western neighborhoods and on the t which has problems with service. Transit students can take these and riders are waiting for their vehicles. We want to recommend identifying a quick build process for muni like vision zero and bike lanes. We need to cut through the red tape. We need pilot projects to make that part of the outreach wherever that is possible. This would mean we could get crucial common sensory leaf much quicker. It would derm whatever modifications are needed. We need muni first. Iit is a safety issue. If we want Reliable Service for paul riders. Sfta needs to prioritize it on all streets. Thank you. Questions . Thank you for joining us and for joining this dialogue. I have i heard. Shelby from city college. That is who just spoke. Cat spoke for thia. Then i have cheryl thornton. Good morning. I work for the department of Public Health. I have worked in district 10 for the department of Public Health for 28 years. Now, i am at Southeast Health center. Transportation barriers are sited as barriers to healthcare access. They do lay care and miss or delay medication use. These may lead to poor management of chronic illness and that is poor health outcomes. Transportation is necessary for medication access particularly for those with chronic disease. Chronic disease can require a limb visit and medication and access. Change to evidence based care. Without transportation and intervention results, it may lead to lack of appropriate medical treatment or Unmet Health Care Needs which can accumulate and worsen the healthcare outcomes. Many studies identified transport barriers with lead to early death with those with chronic disease. In addition the prices have risen. They are up to 3 per ride. The rides provide a transfer good for 120 minutes. If they are out of the patients control the patient has to pay another 3. Their costing up to 12 round trip. The Alice Griffin housing complex is home to the patients. They have to take two to three buses to visit their provider and four buses to San Francisco general. Wait times for 10 to 25 minutes for the first bus then walk. A low income household is generally unable to pay 12 for bus care. It causes them to acquire fees and penalty. The vulnerable Sustainable Solutions to improve their health. We have pregnant women the newborn babies. They are on the bugs, late to ap they are on the bus and late to appointments and cant be seen. Many are black africanamericans. This is highest in the black africanamerican population. We do need change in district 10 for around equity on the line. I was part of the patrol hill lost 53 southern heights. It would go around the hill. It is a very hilly terrain. People who live in the Public Housing really need to take a bus to get to the to clinic. Bus lines were removed and people cannot get to the clinic. We have had people who probably have lost their life prematurely due to the fact there is not equity in the bus lines in district 10. That is what i wanted to say. Thank you. Thank you. Let me ask you this. Are there specific items that you think bring back bus stops . There are items that would help alleviate the issues you discussed. Many of our patients use paratransit. You have to make an appointment 48 hours prior to the appointment. If you get sick, diabetic, if your sugar goes awry you will not be able to use it if you have not booked an appointment. Often times pair tra pair para transit