Call. Actually, first you take Public Comment. Moderator, any Public Comment . Any Public Comment, moderator . No. No, so i will do a role call, commissioners. I will show my face so we can look at that. [role call vote] commissioner, if you want to end this item gore to see if the commissioners have any more comments or do any personally thanking. I would like to offer the opportunity for commissioners to offer comments. First, i would like to begin in addition to acknowledging the people of San Francisco for the sacrifices they have made in order to comply with the orders that have been placed, that are literally saving lives every day. We cannot express in an appropriate depth of gratitude that we feel to the employees of the San Francisco department of Public Health, so many of whom are working 24 hours seven days a week in order to protect all of the people of San Francisco, particularly those who are most vulnerabled a at risk nor pandemic. All the way from director colfax throughout the entire department and Outreach Teams on the street, we are inspired every day by your leadershy and commitment. And the behavior that we can only hope to model as commissioners in upholding our role to support you and your fantastic work. Words cannot express the gratitude that i personally feel for you and like to offer an opportunity for my colleagues on the commission to add their words. Commissioner, please raise your hand if you would like to speak. Commissioner chow. Yes, thank you. I also wanted to express beyond the former resolution and gratitude and absolute joy. This has been perhaps the most horrendous Public Health event that we have faced as a city maybe in at least certainly within my time on the commission, and probably extends all the way back to 1918 if we were to read the history. I can only be astonished at how well our department has responded. I have not seen the department as unified as it is today in trying to answer our great public need. This resolution doesnt really do justice to the work that the 8,000 members of our Health Department does and how the citys other departments as dr. Colfax has noted, have stepped up and really responded to understand the health needs and need for us to protect our community as such. So unselfishly. I wanted to say that i was very proud that i was able to actually be a part of this commission during the time and this is the First Quarter that we are at least ahead in the First Quarter. Thank you. Other commissioners . Commissioner chung. Yes, thank you for directtors and dr. Aragon for your work and leadership. Personally i dont think anybody should have to have the experience of going through two deadly pandemics and unfortunately it seems to be the burden of our generation. With that said, i am so glad that i live in San Francisco, a city that provides not only Compassionate Care but also voial support to the most impacted and the vital support to the most impacted and the most vulnerable to the virus. It is not just gratitude. I think that for me there is a sense of pride to be able to brag to other colleagues about how well we are doing. And i express my deep appreciation to all of you. Thank you, commissioner. And a unified force, there is nothing we have ever seen. My only reference is my dear grandmother was here in the 1918 spanish flu. And she had given me some of the Horror Stories but how at that time in 1918 that the city of San Francisco did really come together as we are doing now. Thank you to all of you for your wonderful efforts. Thank you. I just want to reinforce what everybody else has shared on my colleagues. I cant express enough how much respect i have for the whole department. Also knowing that you are at the start of this short of executive staff and short of resources to need in a normal time to have responded to quickly and to work so closely in coordinating with all of the different departments under the leadership of mayor breed. And i think across the country of all of the different places and the tragedies that many of our vulnerable population and community are experiencing, i just wish that there was a way to transport the kind of leadership in community and sense of common good that we have here in San Francisco. Even with all the questions and all the kind of wanting to be better sentiments that are expressed by many of our advocates. I do feel that San Francisco is most fortunate. Words cant quite express, but again, justice want to express thanks and gratitude, respect, and i know that we have a lot more to go. A lot more road to go and we will be there. We are all in this together. A commissioner green. Yes. It was said so eloquently by all of you. I am on the front line. I am in the hospital every day. And the example that this department has set and our mayor and our staff has set for how to be compassionate and how to Work Together as a Cohesive Community has been so reassuring for those of us who are potentially exposed to the disease on a daily basis. I am so impressed and incredibly grateful for the speed with this which this department has acted, for the speed with which the mayor identified this problem, and in the face of potentially a lot of controversy and question from national sources. I think its resulted in so many lives saved. I think every person in this community and particularly everyone at the d. P. H. And mayor and department of supervisors and Mayors Office can take credit for keeping citizens alive and healthy. I feel that deeply and personally as someone who is an age that could potentially make me vulnerable. I just cant say enough about how proud and humble and grateful i am for everything thats been done. Thank you for your comments, commissioners. Mark, shall we move on . Item 8, actually, and give me one second to post try to post there we go. See if that is going to work. I want to post the Public Comment info for you all. Were going to move on to item 8 which is the contracts report. Mark . Yes. An i would just like to thank the commission. Thank you, director colfax. Please, feel free to say more if you would like. I just want to thank you for the kind words, the recognition, and really reinforce that the team has been has been working very hard. And the people that they are caring for every day will continue to need our help and support and one of the things that is so inspiring to me and the rest of the executive team are the people on the front lines who are caring for people in the hospital, going to the people who need to be interviewed and cared for in a supportive way, meeting peoples Behavioral Health needs and the concern of individuals and families and the communities. Going to places like the mse south shelter outbreak and people on the Street Medicine Team that worked all night to ensure that the guests and the staff of that shelter got the care they need. I just think every day im inspired by the work that the team is going and inspired by the work the city is doing across the various departments and collaborating like never before. I am grateful and honored to be able to support the department and thank you for your kind worted and recognition on behalf of all members of the department. Thank you, director colfax. That was beautifully said and the entire commission stands with you in gratitude and pride. Okay. Hard not to cry hearing all those lovely words. I am going to post the Public Comment information again as we move on to item 8 which is the monthly contracts report. There will be several contracts here with several presenters. Eeveryone on the line, only nine people can be on camera at a time and for instance, dr. Colfax, if you wouldnt mind taking the video off at this point, and dr. Aragon as well, if you could take your video off and i dont think we will need you for the contracts. Thank you. And put miss ruggles and on there we go. This will take a second. Some are on audio. The microphone is off. Thank you. D. H. P. , business office. This feels like the old world and there is a series of contracts and i will group them where they are groupable and go through them, but this first one is with the San Francisco Public Health edition and it is a new contract that has services that are ongoing and management of management, Program Administration of existing subcontractors and is an Ongoing Service that is the Public Health foundation has provided and continues to provide for many of our services. So this previously had been provided with the particular subcontractors under the San Francisco study center and moved to the San Francisco Public Health foundation as the result of slis sayings. And o solicitation. And the services in this contract are through the Public Health division and are providing several Community Capacity building and promotion work and this contract will be for a term of four and hah half years with a total contract amount of 3,610,930 and the annual amount is 665,383. I realize normally we include the prior annual amount so you have something to compare it to, which we did not. And missed that this time. So i added it to the ones where dr. Chow has specific questions, but if you have any programmatic questions and i believe and i believe that Patricia Irwin is on the phone if you do have questions. Commissioner, any questions about this contract . This is dr. Chow. The question really is, is this the same as selena health . Or why are we using two different titles for these things . That is a great point, which i didnt even the Public Health Foundation Actually now you have tote that is different. San francisco Public Health foundation is the Public Health foundation and Heluna Health is different and used to be Public Health foundation copolymer prizes. Foundation copolym enterpri. The first one is the San Francisco Public Health foundation. The Public Health foundation and started several years ago when dr. Mitch cass was director. And so that is separate than the Public Health Enterprise Foundation which was something completely different. So we are on the Public Health foundation contract right now. Commissioner that is different from the Public Health foundation. Yeah. Commissioner all right. Any other questions . We can move on to the next. The next one is Heluna Health, formally Public Health Foundation Enterprises inc. Now its doing business as Heluna Health. So contract is an amendment adding 1,027,708 and we are extending the current term by 18 months through june 30, 2024. You actually previously approved this contract on june 5, 2018. This contract provides i shouldnt gotten water. Program administration and support services to the Community Health equity and Promotion Section and so in this one they do have Heluna Health provides Administrative Services for the continuum of h. I. V. Prevention and care and treatment program, San Francisco ending the epidemic, and then hepatitis c virus Public Health services program. And the department has brought this contract back and received additional Grant Funding and so we just are increasing the not to exceed amount to include these additional funds and extending the term. A commissioner, any questions . If none, we can move on to the next one. We had three contracts with the San Francisco Health Authority that we also refer to as the San Francisco health plan. The first is the payment to private providers and the next two are Third Party Administrative contracts. You approved these are all been pretty recently approved. August 2019 and in one of them in november, but what were doing now because from the last years presentation and also the one in november you might recall that we reconfigured some contracts and consolidated them and started up new programming with the deactivated fund. You can hear me because i am on the phone. Awe it is fine. So anyway, these three contracts and what we are doing is extending them to multiyear instead of one year contracts because everything is in place and are going to the board of supervisors and back to approve the now new contract which were doing for four years. From reimbursement on nonhealth network care provideers and participating in the healthy San Francisco private provider network. And also payment to Ambulance Companies proprovide answer transport, pharmacy benefits for specific healthy San Francisco medical homes and reimbursement for providers providing gender confirming surgeries to the gender health San Francisco program. I can go through all three and you can ask questions and with the representation on the phone or maybe in a picture. Would you like to go one by one or all three . I would like to hear them all. And to start july 217 and this is providing that and language enrollment assistance and customer Third Party Administration for the healthy pedestrian program. The last contract is the Third Party Administrator city option. This contract also is a new contract multiyear going to the board of supervisors. With that, i would probably turn it over to alice if you have specific program. Commissioner, are there any questions . Seeing none, we can move on. The next question is Harm Reduction Therapy Center and is a Behavioral Health apt and extending the term by one year. The reason that the amount is bigger and we brought the contract to you in december 2018, you approved it as a new contract for the homeless treatment. Right after that, the mentally ill homeless treatment and funding was added to the contract and i think we brought the grant maybe separately as part of a broader discussion. But anyway, it got added into this contract and more recently some homeless outpatient treatment funding. The homeless mentally ill Outreach Team provides street medicine through the healthy streets operations center. And they have a mobile van, and then the Outpatient Treatment Services are to outreach and engage people who use drugs on the street. They have Harm Reduction model. It is an ongoing contact and realigning it and bringing it back because of the additional funding and extending the term to align this with the same end date. And i believe if you have questions, Marla Simmons is on the line. Any questions, commissioners . All right. Seeing none, we can continue. Okay. The next there are six contracts that are actually related to that power point that you have. Were not going over the power point today, but dean goodwin is on the line. We have tried throughout the last couple of years to Group Contracts when it was possible coming off as a solicitation so we could ground the explanation in a broader look at the program. So dean put together super comprehensive power point presentation about h. I. V. Health services and within that he set very specific contracts. So you have a group of five contracts that are part of the center of excellence on slides 8 through 15. It is all the next side except west side. West side is part of the Home Health Care and Home Community based Health Care Services on slides 20 through 22. They are all Ongoing Services providing the same doing the same thing essentially. I dont have this slide deck open, but slide 8 through 15, you can see what the center of excellence is. If you have specific questions about any of these contracts, dean is on the phone i am sure to answer. I did want to comment that i thought the presentation and the power points were really helpful and normally if we were at our usual committee meeting, we could get a better explanation, but it does assist us in understanding what the contracts are all about. And so i just want to commend staff for having put that together. And on top of that, and thank you, commissioner chow, i just like to remind commissioners and those who may be viewing from the public that although the governor and mayor did provide an opportunity to hold the meetings and the commission serves the roles as various committees as we consider things such as contract so all the work of the finance committee is being done by the full commission. So were grateful to commissioners and members of the public for your patience as well as to the staff for the hard work in putting together the presentations. Other questions, commissioners . While were looking at the whole block, i wanted to extend moi commendation to the information that they did provide me and the commission in regard to the contract what we commonly call the San Francisco health plan for their Administrative Services and we had to go back several times to get clarity, but we were able to do that. I really appreciate that. Thank you. So do i. And then the next contract is not part of that group is haluna health. I am not sick. And that one is im sorry. Dry. The approval of haluna health for the amount of 520,295 for the period of it is an amendment to extend the contract excuse me. It is actually an amendment to add funding into the contract and the funding is because we have received additional grants. We received 477,974 in additional federal c. D. C. Grant award, and then we had carryforward funding, and then the last part that is 42,000 is the contingency. It is a contract that you have seen before, but anyway, if you have questions, we have staff on the line. It is pretty straightforward and just adding money to an amendment. Miss ruggels, if we were in person, we would be offering you water. Do you need a moment . It is so dry in here. Am i allowed to suck on an lozenge . Yes, of course. All right. I am recovered. Good. Thank you. Do you have any questions on this one . A commissioners . Seeing none, we can move on to the next contract. Okay. And the last contract is the justice and diversity Bar Association of San Francisco. This is actually Ongoing Services but it is a new agreement following solicitation that was just completed. This contract does add legal work to help clients effectively document their disability claims and help them get back their disability claim helps them to be success nfl obtaining their benefits and provides advocacy in assisting them if they have challenges in order to attain those benefits or be reinstated. Again, it is an ongoing contract that we just did an r. S. P. Commissioners . An any questions from commissioners on the contract support . I believe that is the final contract, correct . We have two memos. But the two memos are separate items. A right. So commissioners, i am going to first check to see if we have any Public Comment. Moderator, do we have any Public Comment for this item . Any Public Comment . No, no Public Comment. So you all can vote on as a whole on this item and so ewith would need a motion for that. Is there a motion to i a prove . An i move to approve. I second. Thank you. I will do a role call vote. [role call vote] we can move on item 9 and get myself on here. Sorry about that. Item 9 is request for approval of new contract with prc baker places to support the creation of Behavioral Health respite center. Right. I will introduce it and if you have questions, Kelly Hiramoto is on the line for this. You might recall from recent hearing about this new program, prop i hearing, but this is the contract that comes with it. This is the request for approval and new contract with baker place and prc baker place for this service. This is the second of two programs they provide. This is the second one and opening up at 11 56 valencia street. It is a total contract amount over the term of 7,777,339 and annually about 2. 9 million. Since we had the hearing, the two things that have happened were that, one, you can see that at lo. O funding for this program is funded by a grant by tipping point. And the board of supervisors approved that grant since we were last in front of you. And then the other thing is that theyre leasing their location through a city lease withle is Activation Army for this program. And that was also approve by the board of supervisors. But if you have other questions, i know kelly is there. Any questions, commissioners . If we have no questions, mark, we can move to a vote to approve. Mark, you are on mute. So we need a motion, commissioners. So moved. Second. All right. I will do a role call. [role call vote] item 10 is the request for approval with a new contract with Bardy Diagnostics to provide a cardiac rhythm monitoring device for patients of d. P. H. This is an agreement in 1,151,068 from may 1, 2020 through april 30, 2023 and this is a new contract to provide a cardiac rhythm ambulatory monitoring device that is a small wire free patch that can be worn continuously by patients. I am not going to go on because i only know what the words say, not to explain it, but there is staff online if you have any specific questions about how this system works or what the goal is beyond whats been written. This is sort of a contract for up to and then provides the ability to use the machines or i should say the ambulatory devices and keep the entire block. I dont believe they will expend anything that isnt used but i will let the staff respond to that. Good afternoon, everybody. Rosaly and the medical director is actually on board. Are you on the call . Can you clarify if you dont use the full amount . So we replenished stocks. That was my understanding and i wanted to be sure that you understood. Thank you. Any other questions, commissioners. We need a motion to approve. So moved. Second. Thank you. I will do a role call vote. [role call vote] item 11 is zuckerberg San Francisco General Hospital regulatory status report. Thank you to the team and everyone who joined the call for the contracts report as well as the new contracts. Thank you very much. Thank you for giving me time on the agenda to bring you up up with the things happening at zuckerberg San Francisco in the last coup of months. We selfreported three events and putting together responses to the events. If you remember last year the law changed around selfreport and they are investigating the reports we send to them and asking them to report them to the joint commission that occurred simultaneously. And that acute care and we have two teams of surveyors at the beginning of the covid issues there. Both were slated to go for five days. And on the fourth day of that survey process and we have our first positive patient with the state of deficiencies and with very few findings. A lot of what they were investigating they were not able to substantiate or not find any serious issues around the hospital and see the summary of those. From the course of the last six to eight months we have been working with a difficult Patient Population and had some issues with staff. We are at a point now where we are almost bringing those two complaints to an end. They had the list of citations they were planning to present to us and gave us an opportunity as an organization to respond and provide evidence to how to address them. And many of them we have done a lot of work in the last six to eight month and that is secondary to the work place violence headed out to do a phenomenal amount of work to standardize how we respond to violence towards staff at the General Hospital. So the fact that they are given an opportunity to curb the citations and respond to them before they issue the final statement i think speaks really well to the amount of work they saw that have been that had been done over the months they were working with us on the investigation. I will ask if there are any questions from the commissioners about the things on the report at this moment. Under the validation and do you know what they were citing . It is related for complaints. That is a great question and the governing body was not related to the complaint. What happens when the complaint validation survey is initiated is they address the complaints and also have a workbook with certain things they have to look through. One of the things was contracts and did not have all the required pieces to demonstrate in the meeting inches to the j. C. C. I feel very strongly it was a paper work issue and they acknowledged that during the survey. As part of the process we are looking at how to review were sorry. Your conference is ending now. Please hang up. Are the people still online . We are still here. I am still on the line. Still here. And what were doing with that is the way that we look at the Quality Metrics in each contract and we will have them presented to pip. Pips will report the metrics to the m. E. C. And bring it to you as an overview in our minutes. That way we wont miss the contract. It was purely an administrative miss, but it is still important to make sure the contracts are monitored by the governing body. Thank you. Any other questions . Moderator, is there any Public Comment on this item . No. No Public Comment. So commissioners, shall we move on to the next . Item 12 is zuckerberg San Francisco General Hospital medical staff report. And several action items on this. Again, for the members of the public and those on the commission who usually are not on the joint committee, this is kind of business that is usually done at that committee. I am not sure if she is visually present or just audio. My intent was to be visually present as well. I dont know if anyone can see me. This is the first time and i can see all of you. We cannot. What number lets see. I dont think its vital that you see me as long as you can hear me. The other thing is that there is this delay when i am actually on the video. So it is my audio is via the phone so i can be simultaneous with the proceedings. Sure. I do not have power point slides and i do not think i have to have a visual if you are okay with me not having a visual. Please proceed, doctor. So thank you so much. Good evening. I have several items for you to review. And dr. Chow, thank you for your comments and your questions. I wanted to clarify that we changed the actual state of the privileges and have major revisions and do not change the dates at the title of the actual privileges or the sps. That was one question i know that you had. We have a revision to the privileges and the orthopedics privileges. And we have the p. A. Practice agreement and preamble. And there is one provision that addresses the idea of home visits and this is something that has come up recently. And we have recent Clinical Services have done home visits throughout the years. They have not always been cleared out clearly in the spelled out cloorly in the privilege. We wanted to be more specific and deliberate about that. But in addition with the covid situation, it does bring up a specific situation and we have had some of our patients who are pregnant and towards to end of the gestation and third trimester and needing patient care who have been in quarantine for covid and physically unable to come for visits. Both our nurse practice tigsers sorry, our certified nurse mid wives in the Ob Department as well as our faculty gynecologists have requested privileges to do home visits when those situations awe rise. So we discussed that at the credentials committee. I also discussed it with our contact with the City Attorneys Office and the Exec Committee approved those privileges and standardized procedures. Any questions about that . Commissioners . Looks like commissioner green does. Yes. Two things. One is does this include the townhouse visits . In other words, i was trying to find whether tele health is part of the previous privileges or whether it needs to be delineated. We are doing that extensively and i wondered what other options and you have a robust system at the hospital. I was wondering if that includes that. That is a great question. We have not we are actually all doing tele health right now. So we are we have not gone back to all of the privileges and specifically called out that tele health is a privilege. It seems to fall within the general privileges to me, but i think if we actually were to add that, we would need to add it to all the privileges and i dont know in that is necessary. And sterilization and i am sure has been banned and whether that is on the list or not, i am not sure, but it isnt been done. Just a little point. Thank you. I will take that off. That was again, this is not a major revision and we dont have to go back and go back to and any over questions about the procedures . If not, i will move on to the orthopedic privileges list. And the privileges list is a minor revision and we have specifically addresses when we have a podiatrist and orthopedics and the different skills that they and tasks they take on. And specifically asks orthotics and oversee and that is that definition to that privilege. It was actually in red and it is. When we are in the regular routine of thing, we plan on doing major revisions for the standardized items and these are the minor revisions to make sure we are crossing our ts and dotting the is in the case of the orthotics. Moving on. I know that this create some confusion and the p. A. Practice agreement and preamble are documents that the state licensing board for p. A. S have recommended that institutions adopt so that we know that we are following the guidelines for supervision and scope of service for p. A. S. And so i think there was a question that came up about the fact that there is these are what we adopted as a template for all of the services to use so that when they are using a standardized language and template for the p. A. Privileges in each of the departments. They continue to have state your department here and these are the templates that the credentialing Committee Approved and n. E. C. Approved for the Clinical Services to now use in their own sites when they have a p. A. Actually, we dont have p. A. S in many of our clinicals, but we wanted to have a standardized approach to the documentation for their oversight in their department when those departments did decide to hire them. Along the type of supervision and they have and updated in our own policy and procedures. As a template, these are like when you go to the standardized templates, and you take out the ones that arent pertaining to that particular person, is that it . Right. When we actually have if there is a clinical site, for example so if you look at the practice agreement, i think, the last page. It has a site where you can indicate all the p. A. S that are working in that practice site. We are recommending that a Clinical Service site has p. A. S working in that service site adopt this and lift the p. A. S and currently active members of the med staff in their service. And kind of having a blanket and with the inpatient unit. Commissioner on the standard procedure template and you can modify that in order to work on what the p. A. Is. Yes. Commissioner that is fine. Then we wouldnt recommend they do it per person but per that clinical unit. Commissioner okay. Any questions about those . I think we can move on, thank you. I believe we need to vote to approve all of those. Yes. We need a motion to approve all the protocols and policies that were just discussed. I so move to approve all the protocols. And is aekd please. Second. Great. I will do a role call vote. [role call vote] that item is passed. So those of you who were on the line from the public and in case you would like to make Public Comment, the line has been disconnected and reconnected. So you have to call in again. And i am going to say the number which is on the screen right now. To call in in case you would like to make comment for the next item. 8883634734 and 2241350 and press pound once you get in. Moderators, are there any questions or any Public Comments on this item . Okay. So i think we can move on to item 13 which is other business. Anything, commissioners . Item 14 is a consideration of a closed session. Is there a motion to move into closed session . So moved. Second. So commissioners, i will do a role call vote. [role call vote [ commissioner, and folks who are on line, here is whats going to happen. I will end this meeting and this is the d. P. H. Staff and will not be moving into closed session unless they have been authorized to do so. And first folks who go into closed session are the commissioners and is sfg staff because it is it is a credentialing matter. Once we are done with that t laguna honda folk cans sign on. For right now, i will end the call and go to the next either in your calendar or in the emails i sent you with another link to go to the next session. All right. Thank you, all, for joining us memb a we need a motion whether to disclose or not to disclose. I will do a role call. [role call vote] thank you. And then the last thing you all can do is adjourn. Is there a motion to adjourn . No, i want to keep going. I am ready to put my mask on and get out of here. Please adjourn. All right. Thank you, all, so much for your patience and for this long meeting. I will be in touch with you tomorrow. Thank you, mark. role call item 2 is pledge of allegiance. I pledge allegiance to the flag of the United States of america and to the republican for which it stands, one nation under god, indivisible with liberty and justice for all. Please be advised the ringing of and use of cell phones and pages are prohibited at this meeting. And be advised the chair may remove anybody using a cell cell phone or Electronic Device and the public has up to three minute to make pertinent comments unless the Port Commissioner dubs a shorter period. The moderator will instruct dialin participants to use touchtone phones to register any desire tor Public Comment. Comments will be taken first from inperson participants and then dialedin participants. Audio prompts will signal to dial in when the input has been enabled for commenting. The comply with the declaration for covid19, that you remain an arms length distance. We are not requiring speakers to fill out a card but speakers can go up to the podium one one at a time or queue up in line but please maintain the social distance. Item 4, declaration of emergency Port Commission meeting. Thank you, everyone, for joining us today whether in person or by phone. The mayor, the state of california and the federal government have declared that the coronavirus pandemic is a Public Health emergency and ask that the people stay at home, which is where i am. The Mayors Office has determined that the Port Commission has an urgent need to take action on the matter before us to ensure Public Health, safety and essential Government Operations and has authorized the Port Commission to meet on this matter. I move that we hold this emergency meeting because of the coronavirus pandemic as an emergency that severely impairs Public Health and safety and the matter before us demands prompt action and is necessary to ensure that there is no disruption or threaten disruption to the public facility. Do i have a second . Second. All in favour . Thank you, commissioner. Item 5a, requests approval of resolution authorizing the executive director to recommend the memorandum between the port and the department of homelessness in support of housing to expand the capacity of embarcadaro centre due to the coronavirus outbreak. So moved. Good morning. I am the director of the communications for the port of San Francisco and i will make brief remarks and i will provide an overview of the proposed amendment to the ports mou with the department of homelessness and support of housing for operations at the embarcadaro centre on sea wall lot 330. The Commission Approved the existing agreement between the port and the department of homelessness in support of housing at the april 23rd, 2019 meeting. In declaring a local emergency in calling for all efforts to protect the health and safety of the public, the Mayors Office is asking the port and hsh, the department of Homeless Housing to revisit the embarcaro centre, the rampup. It calls for one change. The proposal is to change the rampup schedule articulated on page 10, section 11. 1 of the agreement under permanent uses to allow hsh to expand bed capacity beyond the rampup limit to accommodate the citywide coronavirus response. All other terms and conditions originally agreed to on april 23rd, 2019 would remain the same and not change. I have emily cohen here from the Mayors Office who will provide a short presentation articulating the urgent need for the amendment, as well as unupdate on the state Navigation Centre operation. After the proceedings, we will be available to anticipation any questions. Answer any questions. Good morning. This is emily cohen, the mayors policy advisor on homelessness and thank you for convening today and thank you to the members of the public who have joined either in person or via phone. Can everyone hear me all right . Yes. Thank you. Im going to walk you through a brief presentation as randy said and we are proposing an amendment to the mou between the port of San Francisco and the department of homelessness and support of housing and i want to give a little background context to this. As many folks know, the safe Navigation Centre, which is operated by five keys opened the end of december. It is currently operating at a capacity of 130 people each night. During the first two months of operations, all placements into space Navigation Centre were made by the Homeless Team working in the homeless zone in the immediate area of the Navigation Center. San francisco has two, twoperson teams working in the outreach zones fulltime and they have an additional twoperson team working with one shift and one on the weekends and folks are invited into the Navigation Center. Weve had a tremendous amount of success in engaging folks on the street in the area and inviting them indoors. As folks remember from the original mou, we designated both a safety zone and outreach zone within the safety zone which is smaller and immediately surrounds the center. Sfpd has applied beat officers to the zone seven days a week, five keys have been mentioned as the operator and made a phone call available where neighbors can call or text with concerns about the need area, the perimeter of the Navigation Center. As everyone in the room or on the call is well aware, we are facing a Public Health crisis, the covid19 or coronavirus. In response, mayor breed declared a state of month in february. When i put this presentation together a few days ago, there were 23 positive cases in the city of San Francisco but the course has continued to evolve. San francisco has taken serious steps to mitigate the impact of the coronavirus on our community, including the most recent shelter inplace ordinance issued by the Health Officer earlier this week, wellspan aaswell as declareing l emergency and one of the big areas has been focusing on, for me and my work focusing on the impact, the potential impact of the coronavirus on people experiencing homelessness or living in other congregate facilities. So weve allocated funding to enhance services at dropin centers, shelters, Navigation Centers and other congregate environments. As you can imagine, the coronavirus epidemic represents a Significant Health risk represents. People experiencings have limited access to preventative measures including hand washing, home isolation, avoiding hightouched surfaces and people experiencing homelessness may have more chronic conditions making them more vulnerable to the virus. As i mentioned before, we are taking proactive steps to protect the vulnerable population within the homelessness population, including expanding cleaning, expanding hours of programs, enhancing Meal Delivery for people in supported housing and occupancy hotels who have been advised to not go out because of their conditions. And were extending a lot of this operation not to the publically funded housing but to private owned sros and increasing or outreach. Weve deployed 30 handwashing stations for people unsheltered and bringing online rvs and hotel rooms, places where people can isolate and selfquarantine if theyve been exposed to the virus but dont have problems. So part of our need and part of our strategy for protecting people experiencing homelessness in San Francisco is to expand our shelter capacity. We want to mechanic sure that people experience homelessness have state places to be, abilit, hygiene, meals and other basic healthcare. As randy mentioned, there are currently 70 empty beds at the Embarcadaro Center due to what as lined up in the mou. As i mentioned earlier, there are 130 beds currently in operation and that was the agreement per month, one through three, of the Navigation Center and were due to expand to 165 beds for months four through six anand 200 beds in july. We feel we cannot wait until jusjuly to have access to the b. So the court is requesting an amendment to the mou to allow hsh to expand the bed capacity beyond that rampup limit, to accommodate the citywide emergency coronavirus response. This is my brief presentation and im happy to take additional questions from commissioners. Thank you very much for your time. Thank you, randy and emily for your presentation. Is there any Public Comment in the room . Yes, commissioner. Please state your name. Im elgin rose and we do outreach with hundreds of Homeless People i in the Tenderloin Community and outreach into tents. So the 70 beds opened that could be filled with people and could get rest and take in information is very important. And i think just making people feel like theyre a part of the population is a key to maybe making it better and taking this covid19 thing serious. So definitely, im here to support just getting more people with those beds and if anything else the tenderloin could be supportive of, we are interested in doing it. Thank you. Thank you. Hi, thank you for having me here today and also the people who are on the telephone. Im the executive director for the tenderloin and since this crisis hit, we have not shut our doors. We have a serious crisis on the streets. People are out there that dont know whats going on. Weve giving them soap and water and Hand Sanitizer and a lot of these people are elder people, grandmothers, grandfathers and these are handicapped people in wheelchairs and they need some place go. I walked through the tenderloin this morning and i saw easily 100 in two blocks living on the streets, who are dirty and being exposed. Im walking here through the Farmers Market and if thats not a lot to say. Like, we need to help these people and we need more beds. We had a young man who came to us, to our popup and said, you know what, ive been on the streets for three years but im scared right now and i want to go somewhere. Where can i go . A 22yearold man who finally had a revelation he wanted to change his life is still on the streets. So im here in support of expanding the beds and i hope we can move this forward. Everyone has that right. Thank you. My name is joseph norez and i work for the cotenderloin and ive lived in San Francisco for 26 years. I think that on monday, i was asked to come to work to get materials so that i could work at home and on the way to work, at the corner of golden gate and hide, which is one block from the federal building, there were tents, there was a shooting gallery right on the street and so, anybody thats gone through the tenderloin in the last few years or along market street, bart stations know that San Francisco has been the site of a National Health crisis for quite some time and in the last couple of weeks, its become exponentially worse. So common sense says that if our most atrisk individuals who already have a compromised immune system, off on or barista, were all vulnerable. We work with the most vulnerable and underserved people in our city and they need beds. Canary in the coal mines at golden gate and hide is taylor and jones and the bart station and they need help. Put to thank you. Thank you. Thank you. Good morning, im an Education Coordinator and im a pastor. Im here to stay i support this for compassionate reasons. Like donna mentioned earlier, walking through the tenderloin in general, having worked in this area for over a year and a half, i see a lot of disparities and a lot of crime and pain and hurt and i see a lot of people who want find a way into a better life and better situation and now with whats happening with covid19, now theyre in even further danger. Every population, every culture and i feel the homeless situation in the tenderloin is a situation in itself and its not just the tenderloin. You have people in the bayview where i grew up. I grew up in San Francisco and people are hurting and right now covid is doin going after the ey and i want to support this effort and say we should move forward with the expansion of the beds and with helping these people as much as possible. We need someone to know how it and how we can help this effort. Thank you so much. Thank you. Thats the last speaker in the conference room. Thank you, amy and thank you everyone from the tenderloin. Any more Public Comment or inperson . No. So the inperson Public Comment is now closed. Now we will open up the phone lines to take Public Comment from members of the public who are joining us on the phone. Thank you, president brandon. At this time, well open the queue for anyone on the phone who would like to make Public Comments. In question is now in question and answer mode. To alert the speaker you have a question, press one and then zero. Please dial 10 on your phone and the system will add you. You will be entered into the system in the order you dialed 10. The system will let you know when its ready and others will wait. Public comments limited to three minutes per person. The queue is now open and please dial 10 if you wish to make a Public Comment. Thank you. Do we have anyone on the phone . There are five Public Comments via telephone. Please open the line to the first caller. Hello, earn. Everyone. Im a Community Member in rinkton hill, and im an immunologieimimmunologist. From a human standpoint, i can be on board but my concern lies from a health standpoint, specifically, if someone tests positive, what is the containment plan . Are all individuals contained to confinement and do they have an appropriate infrastructure . For example, like a pod or some sort of isolation tent . Additionally, if these individuals test positive or have an exposure, how will they be kept inside and liable to say inside of the Navigation Center or whatever facility theyre in. They should not be able come and go as they please, specifically for drug use. This will add to vulnerabilities and put further strain on the immune system and im not aware of any data about how withdrawal would influence the course of the Coronavirus Infection or another respiratory virus infection. With that said, i agree that is a vulnerable population, but it could ultimately turn into more of a risk and potentially an epicenter of a new wave of infections in San Francisco. So my question for the board or just in general is, what is your plan and how are you going to mitigate any risk . Thank you very much. Thank you. Does this new amendment allow the city to put more than 200 people in the Navigation Center or is it just to expand up to 200 . Thank you. Oh, and one more thing, is there a sundown period . I guess it wont matter. If its up to 200, it wont matter because it can stay up until 200, but if it goes over 200, is there a sundown period . In other words, does that end at a particular point in time . Thank you. Please state your name. My name is bruce goldetski. Thank you, bruce. Moving on to the next caller. Hi, commissioner and port. Im florence and i have the same concern that the first caller had about the crowding situation in the Navigation Center. Right now theres a lot of tents on main street, as you can see, and most residents are concerned about the virus spreading if they go into a shelter and im really concerned about their Health Situation if they were to be packed in even more and more beds were to be added. I would like to understand what kind of risk mitigations and procedures will take place if there are beds that will be added. Thank you. Thank you. Well continue to the next caller. My name is judy lynn and im a neighbor of the Navigation Center and i live at the watermark and i wanted to echo with the callers have stated already. I am all for expanding the shelter capability in general to help the homelessness but i think its the department of the homelessness needs a plan to mitigate risk to the Homeless Population while they reside in these shelters, particularly for the Navigation Center. Is it going to be reconfigured to keep the sixfeet distance while theyre sleeping or interacting and what are the Health Checks that will take place to keep the residents and staff safe, to determine if theyre trying to show symptoms. And also to echo the quarantine issue, if they do start to show symptoms, how will they be quarantined and kept separate from the other guests . And i just wanted to echo, what are we going to do about the 50 of the Navigation Center residents that are drug users, if they start exhibiting symptoms or need to be quarantined, does the staff have the kat capability to treat pose withdrawal symptoms . How are the rules in the Navigation Center going to change to comply with our current shelterinplace order . Earlier this week, we were seeing needles and people outside using drugs. And so those are my questions and i hope emily can address them. Thank you. We are moving on to the final phonein of the caller here. Hello, this is katie ladell and i sent a letter in yesterday and i do have some concerns that the previous speakers have, but in the meantime, weve got 130 people over there already, or 135 and we really do need to help these people out. I am also a neighbor. I walk by quite often and its very quiet over there and ive been inside a couple of times because ive taken over some donations. Its been a very good neighbor. Its been well run. I do encourage you to let executive director forbes give her permission to up the ante to 200. Thank you very much. Thank you. President brandon, at this time, there are no more members on the phone wishing to make Public Comment. Thank you. Seeing no more Public Comment, all Public Comment is closed. President brandon, if i may interject, i have an additional letter from wallace lee whom i would like to read into the Public Record with your permission. Ok. The letter is dated march 18th, 2020 and it was presented to presen president b. I am writing on a safe embarcadaro for seawall lot 330 to allow for the accelerated expansion of the center. Please support the actions the city believes to control the transmission of sarscov2 during this Public Health crisis and we do not oppose the accelerated expansion of the Navigation Center given the circumstances. However, we would be remiss not to bring to the commissions attention the many problems the nav center has brought to the neighborhood, even at the current size. An increase in public drug use, frequent use of war for drug sales and new incantments from those who moved as well as they say have a space in the Navigation Center but prefer to sleep indoors. This can be found in the attached. Its www. Safeembarcadaroforall. Sincerely wallace lee. And attached to his letter are several pictures which have been provided to you and can be uploaded to the ports website and that is the end of wallaces letter. Thank you. So randy or emily, do you want to respond to any of the callers comments or any of the Public Comment . Yes, thank you, president bran ton. Thibrandon. Im happy to respond to questions. And i think theres excellent questions around the safety in the Navigation Center and i want to assure folks that the department of homelessness and Supportive Housing is working very closely with our department of Emergency Management and department of Public Health to improve the safety of all of our congregate facilities, including this Navigation Center. So what that looks like is certainly enhanced cleaning of the site, disinfecting of frequently touched surfaces, handwashing stations, encouragement of good hygiene within the facility. Were also working with the department of Public Health to tea emplodeploy a health screenl for people coming into the Navigation Center and as folks come in, they will be asked a series of questions. If they answer question to a sensor numberacertain number, ar yes, they will be isolated in a certain area where they will ask for a Health Worker to come on site and do an assessment of their healthcare. If they distribute symptoms of the covid19, they will not permitted into the facility but in a selfquarantine isolation area unless their symptoms warrant hospitalization. So we have procured some rvs, trailers for this selfquarantine, as well as procuring hotel rooms for people exposed to the virus. And so folks who live in congregate facilities like homeless shelters. So the intent is really follow do everything we can to remove anybody from the Navigation Center displaying symptoms to have quarantine Spaces Available for them should they not warrant hospitalization and if somebody is exposed to the virus, similar precautions will be taken. So we hear that call and we share everybodys concern around the congregate environment. We are working on social distancing within the shelters across our shelter system and that will mean generally, that we could lose capacity in a number of shelters and thats why were working to identify so many more facilities where we can spread people out, too. These are, of course, for folks who are asymptomatic not exposed to somebody with the virus. For those symptomatic or who have tested positive, we will have a positive intervention for them. Again, the department of homelessness and support of housing is taking the lead from the department of Public Health on all of these protocols. Weve issued new policies and protocols to all of our shelter managers organizations so theyre aware of all of the resources that are available to them, how to interact somebody who demonstrates symptoms and how to get them the care that they need. Of course, access to supplies remains a challenge. Were all moving as quickly as possible, but we have deployed handwashing stations on the streets, as well as to some of the shelters that dont have as many sinks and showers as we would like and were trying to bring in supplemental services. I think that answers some of the questions. If commissioners have additional questions, i am happy to respond. One additional point to clarify some of the questions about the amendment and what it means. I wanted to rei reiterate the proposed amendment calls for only one change to the existing agreement and thats to change the rampup schedule as ar take articulated in 11. 1. In the presentation, emily eluded to what that rampup schedule would look like, existing agreement calls for 130 beds from months one through three and from months four through six, up to 165 and beginning in month seven, up to 200. The proposed amendment would change that rampup schedule so additional beds could be used now. No other terms or provisions of the existing mou would change. Just to clarify, there would be no more than 200 beds. Thank you, emily and randy. Is there any other information that the staff would like to share before i open it up to the commissioners . One other point is as weve been moving quickly to put together huge thank you to the port staff for the emergency meetings, i had the opportunity to talk with the vast majority of the states Navigation Center Advisory Group members, letting them know about this amendment and everyone i spoke to was largely supportive of this work. I will open it up to the commissioners and for the record, i would like to state that commissioner wuho had a conflict and she would like to express her support for more rampups in the capacity of a Navigation Center given the dire need to help the Homeless Community in this crisis. So i just want to make sure that is a part of the record. Commissioner gilman . Thank you, commissioner brandon. First of all, i want to thank all of our frontline nonprofit workers who are continuing to go to work everyday, particularly our Emergency Services staff. Too often nonprofit workers are not thought of by the public as first responders, but theyre the ones keeping our shelters and Navigation Centers and Supportive Housing everyday. I want to thank emily for your work. I am fully supportive of the item. But i have one question for emily. They want to procure hotels and for people who need to selfquarantine or symptomatic but he called for the priorization for people vulnerable to the illness or folks over 60 in the Homeless Population to be sheltered first. My question is, are you looking at that population first for priorization into the Navigation Center or will you use coordinated entry . Thats a great question. Thank you, commissioner gillman. We are looking at the governors guidance that came out yesterday and working with the department of Public Health to put together our priorization tool, but people with preexisting conditions, people over 65 are our priority to serve. Thank you. That concludes my questions. Can you please speak into the microphone. I support this Navigation Center. Vice president adams. I want to thank the community for coming out. I want to thank mayor breed for leadership and this is a situation we must act swiftly. We saw that this is coronavirus and the federal government removed in a swift manner and thats why were behind the 8ball. There was a lot of good questions and a lot of good concerns. But this coronavirus is an enemy, an enm enemy and we cane it. This is a life and death matter. Its a National Crisis and a world crisis. Were talking about our community. We must act swiftly and i live a block from the Navigation Center and we must provide for the beds and we must move. If we dont, i think there will be a price to pay. So i support it and i would ask my fellow commissioners to support it unanimously. Thank you. Emily and randy, thank you again for this presentation and thank you for all of the the work youve done to bring it to this point. I would like to thank mayor breed for having the foresight to having this facility available for our very vulnerable population and to show the need for so many more beds. This is a crisis and hopefully, we can get out in front of this and make sure this population is taken care of along with all of our other City Residents and its a small part that we can play and i want to thank the community. I want to thank our Advisory Group and i want to thank everyone supporting this item, because we really need it. So with that, all in favour . Commissioner, we need to have a role call vote for resolution number 2016. role call all in favour, thank you, commissioners. So resolution 2016 has passed. Thank you. Thank you, commissioners. Thank you. Can i have a motion to ajourn . Motion to ajourn. Is there a second . Yes, second. All in favour . The meeting is adjourned at 10 40 a. M. Thank you, commissioners. Thank you, everyone. The meeting will come to order. Good morning, everyone. This is the april 22, 2020 regular budget and finance committee meeting. At this time, i will also be calling the appropriations committee. I am joined by supervisor [inaudible] broadcasting this meeting. Motion to for todays budget and appropriation committee. Thank you. Can i have a second please
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