Would be completed. Those residents were transferred over to General Hospital and building the new trauma center, so after that was nearing completion, those workers were ideally going to move right over to van ness gary, and there was about a year hold up. A lot of the residence, apprentices and even in the office workers, even had to go somewhere else and work for that year, and then be transferred over later. They were a hiccup or two on the front end of the project starting on times on time, and that threw a wrench in moving people from hospital to hospital, but let me also say this is a very important sector in our city. The Healthcare Industry when it is not there, you notice. And sometimes certain things can be taken for granted. We typically see commercial buildings, residential, retail, and hospitals are a completely different type of building. They are so much more complex, they are so much more technical. We are not just installing simple every day features, theres different finishes, theres all kinds of machinery, technology, things need to be programmed, so it is just a feat that these projects to get finished and completed, and with the high numbers i am seeing on here, i am really impressed. I want to congratulate mr. Nam on his position and i feel really confident that he will be doing the right thing and getting all the right parties involved to sit down and get as many residents working on these jobs as we can. Thank you. Commissioner johnson . I just want to thank my fellow commissioners and thanks staff for this report. I just want to also echo that i think that the d. A. Agreements are so often both about what was discussed at the time of their forming, and also the goal and spirit of the agreement and really it should be focused on the evolving needs of the city and building a new and equitable and accessible relationship with all San Francisco residents. I am glad to see the report that came out this year did provide more detail. Especially i want to thank mr. Nam around helping us to understand what has been happening with the workforce and not only hiring an internship, but retention. That is where the rubber hits the road. It is great to see those numbers i would agree with commissioner greene that i think the rest of the report, particularly around Community Engagement, was extremely opaque and left some to be desired. I think there are some issues that were troubling last year that are still troubling this year. One is the issue of outreach to tenderloin patients. First choice, sure, people get to choose where they are go, but if theyre not choosing your hospital, you have a problem. Community outreach and Community Building is really about creating an ecosystem so that you are not just relying on one provider, but a myriad of organizations working together towards the goal of enrolment and retention of patients. Coming from a philanthropic background, that is how you do Community Back he outreach. You create and bolster an ecosystem. I am not seeing that ecosystem thriving. While i am hearing the efforts that have been done, and hope that next year there will be better outcomes, i think that theres more to do to shore up the organizations that you are working with, and working more closely with extremely competent organizations that are in the tenderloin that actually do know and have the skill of working with these populations and really keeping in touch with them, and making sure that they continue to engage. Along those lines, if you are not hiring social workers to support doctors and changing your culture to meet the needs of the community so that goes from everything from what your website looks like, to how people are welcomed, to very detailed plans around language and access to working with Community Members. We are also really concerned about, and still concerned about the issues related to the acute care beds. Our city desperately needs those beds and i would actually like to hear the end of my comments, what has happened with the patients over the last year . And what the plan is for that unit, and staffing. Im deeply concerned to hear again, this year, issues around lack of staffing, appropriate staffing. I absolutely agree with president woods that i think this is about equity and access and this is about making sure that your care is relevant, not just for the people who can pay for it, but for all san franciscans, and that will actually ultimately make your services viable in the long term being able to provide services for folks of all economic backgrounds, cultural backgrounds, and languages. That is the biggest challenge facing the healthcare sector as i see it, and i hope that you continue to be up for the challenge of really addressing those issues. Commissioner johnson, was that a question of the cpmc staff . Yes. Thank you. Good morning, commissioners. I am the Vice President of external affairs for sector. Commissioner johnson, we had a hearing last thursday, actually in the Public Safety committee of the board of supervisors to discuss this issue. Along with a presentation from staff around the work they are doing to address the citys larger problem, some of the information we shared last week around the issues of staffing and so forth, as you know, due to law and our concerns about privacy, theres only so much information that can be shared, but it is worth sharing that, first of all, the physician who spoke so ardently two years ago when there was pressure for us to transfer that unit from st. Lukes to davies has submitted a letter. We can share a copy with you giving his objective viewpoint of the care being provided in the unit. Staffing ratios are something that are mandated by the state and we are in constant compliance with those. They are posted weekly, they are submitted monthly, we also are regulated by the California Department of Public Health who have recently come through and done an audit of the unit and found there to be no concerns with the care being delivered there. Can you give a little bit more detail about what is going to happen with acute care beds and what has happened with the patients . I cant speak to whats happened with any particular patient. I think staff probably could, if kelly was here, could give a broader understanding of the type of patient who requires subacute care and what that means for their condition and level of fragility as a patient. Our intention, is agreed to with the supervisors and others last year, was that we would continue caring for that population that was with us at st. Lukes over at the davies campus and that is what we are continuing to do. Thank you. Commissioner fung . This is my first meeting on not only cpmc and the development agreement, but with some of the issues that have been brought forth. We have seen, and it is primarily technical analysis, i understand, some of the issues that are relatively new to me. It appears that i will need to study this pretty extensively if i am able to proceed in a thoughtful manner on future meetings. Just from looking at what was primarily on the planning side, it would be not as challenging as from the healthcare side. At this point, i will be studying it further. Thank you, commissioners. I agree with all of my fellow commissioner comments. Thank you so much. I did want to press a couple of issues and ask him questions. I agree with the font. [laughter] and i dont wear glasses for close reading, but it is a little bit challenging. I see that the patient demographic that was provided are for all campuses, and in thinking back to previous hearings, you know, especially as we heard about the issue of Language Access to the diabetic unit, i am wondering if we could have a more detailed, by Campus Demographic data, especially as, you know, folks when we rebuild st. Lukes were very worried about access within the eastern side of the city to cpmcs services, so i just wanted to see how that was in terms of the demographics as we know. We know the demographics are a big concern in the city and it tends to be different then in the cpmc main campus. So that is one, and then the other thing i wanted to ask was about hiring and resource hiring totals because i see that we are in compliance and doing well. I am wondering what this looks like in terms of race. So you provided data in terms of neighborhood and zip code, so we know that africanamericans have a much higher rates of unemployment in San Francisco, and this is an opportunity for folks, especially young people, to get skills to get in the door for this one project, but then those skills can be applied to other projects, and during an era where we have an extreme shortage of construction workers in San Francisco. We cannot meet the demand. So can you talk to a little bit about what the demographics look like . Thank you, commissioner. I am with city build. I knew that question would come up. Specifically for city build, our program has a 35 africanamerican demographic that graduates from the program. Is over 1400 since we started 14 years ago. Overall for construction, i did not procure the Demographic Data , but i provide a supplemental to provide that information for the commissioners, and then this specifically, that is what i was asking for from our office for the nd use post construction work for the operation. That is the other data i will be getting for the referrals and the placements that we have made for the operation of the various hospitals. Thank you. I would appreciate that data when we do this again. I think it is important. Thank you. Thank you. In my last question, that is for cpmc staff as it relates to the partnership with saint anthonys. I think that part of what commissioner johnson very distinctly said, always, is my worry, also, about creating an ecosystem by which people are attracted, but also once they walk in the door, there are culturally appropriate and welcoming services so that folks can be hooked on as patients. Im wondering what the plan is going forward. I understand that numbs was the partner who could fulfil the d. A. Requirement, but im wondering in terms of outreach to the Tenderloin Community specifically where they are not based, what the plans are for making that connection to the community and providing access and culturally appropriate access to folks. Thank you, commissioner. Emily webb again, director of Community Benefit for the bay area. We do work outside of just providing Healthcare Services in the tenderloin. For example, our Child DevelopmentChild Development centre on van ness, which provides Multidisciplinary Care to children with developmental and Behavioural Health delays is providing services at saint anthonys. We are also at schools in the neighborhood. We fund and work with dozens of communitybased organizations in the neighborhood, so through our Community Benefit investment, we do go outside of the walls of the hospital to try to make sure that we are meeting the needs of the community in the neighborhood. In terms of the services on campus, the data, which im happy to send you in a larger format, shows you that we try to recruit a workforce that is reflective of our patient population. That is really the number one thing from a healthcare perspective that helps with cultural, linguistic access to services. In addition, in the packet you will see we did an assessment of all of the cultural and linguistic access standards, and in the packet theres a detailed document that outlines what the consultant found, recommendations, and how we are working to address them. Theres a lot of Different Things that go into that, but it is in the Compliance Report that we submitted in may of this year thank you. Any other comments or questions . Okay. We are not taking action on this item, but thank you all for coming and we will see you again next year. Good morning and welcome to the street scape project and muni project. I certainly as the public works director for the city and county here and i want to thank you for all coming out to celebrate this very exciting project that will improve the lives of the many people who use this inner sunset corridor. The project which spans all the way from aguelo to 19th avenue will improve the quality of life and Transit Services of this diverse neighborhood, which serves families, students, merchants and tourists alike president the street scape improvement is a collaborative project with the ms works and the utilitys commission. For the past two years, theyve been working together to make crucial improvements to the inner sunset street scape and nearby Transit Services that not only make the area more vibrant and more accessible, safe and reliable. When you look around the surrounding streets, you see the vibrant landscapes that add to the neighborhoods charm, improve seating, as you can see, visitor striving, new street trees. All of this creates a healthy environment and a great carbon footprint. What many do not see are the upgraded traffic signals, the repaved roads and all of the help to improve thed safety and transit service. Theres many components to this project that has not been seen. We have improvements to the underground sewer line and improvements to our water lines, our firefightings were upgraded or replaced, all to increase capacity and to minimize any destructions that will provide more Reliable Service to the community. Also, as a part of this project, theres more than 3,000 feet of pipe that was installed for the department of technology for future fiber optic cables and this is a great partnership. As we do many projects on patrero were installing pipe and well have the pipes electric in and, of course, less destruction to the neighbor while the projects happen. With all of that said, it brings me great joy to see the work that all of these agencies are doing together and how we come together to improve the quality of life of this diverse neighborhood in San Francisco. San francisco. I want to thank john thomas and our project manager, johnny farm, harlin kelly and his team from the puc and mr. Maguire and, of course, our contractor, who was out here everyday making sure that we got this job done. And now, the person who helps to make all of these projects happen, the person who makes our neighborhoods better for everyone, the person looking out for the future of San Francisco, without future delay, let me introduce our mayor, london breed. [cheers and applause] its so good to be back. I remember when we first set on the path to do this project for this neighborhood, andrea, i just noticed you were over there and its great to see you and martha and so many folks from the community. You all did the work because you wanted Something Better for this community. We have kids everywhere and these kids from stepping stone preschool are joining us today. And youll get your snacks in just a minute, so dont worry. [cheers and applause] we have kids, we have families, seniors, people who, basically, love this community and so many amazing restaurants, so many amazing places to shop. This is like really a jewel in San Francisco and, in fact, when improve was supervisor, i came to this community a lot to hideout and relax. And it was great. What was so important was to make it a lot offer annua and dl with safety and Public Infrastructure improvements. One of the things that i spent time with some of the neighbors doing is standing on the corner of ninth and irving and many of you know the familiar sound of some of the onl old muni trains which still come through this way, how loud and heavy they are. Remember i said the new trains will be much quieter. Did you just hear how much quieter the new trains are . A loa lot of the promises to ths community are finally happening and it was because of your patience. We know that it was very challenging to come in and the construction and the loss of parking and tearing up the streets and digging in and you all, through this whole challenge, you were very patient and we really appreciate that, because now we are here realizing just really a dream for community, an improvement to the sidewalks, an improvement to the infrastructure and an improvement to our water pressure system so that when there is a fire or emergency, the pressure i know this is not probably that interesting, but it makes all the difference when dealing with any emergency that water suppression and our equipment and the systems actually work when we need it the most. The fiber optic cables, improvements to the sidewalks, all of the Amazing Things that will make this community not just safer but more boost and sobeautiful. I want to thank thet park neighbors, at the time of the leadership of andrea yaguin, that you pushed us to give some attention to this community and shine a light on the challenges that exist here is why were here, as well as the inner sunset merchants association. The merchants here who serve the community, this is really not just a place where so many neighbors enjoy and eat and go to the Hardware Stores and pick up glasses. People from ucfs spend a lot of time here during lunch and people from the park spend a lot of time here and this community has come together as a force to make amazing projects like this happen. So im really excited. Looking forward to doing even more, because i have not forgotten about the wires over on ninth and irving and what we need to do to underground those wires. I know thats important and were talking about right down the street, the gateway on gaten lincoln and ninth and to really transform this community because its a jewel in our community. Thank you to the department of public works, to mta, all of the contractors, all of incredible workers who basically not only worked in this community but spent money