Minimize the opportunity for illness to be introduced into the site and triggers that we would that the school needs to establish to switch to Distance Learning, and also specific trainings for staff and communication plans specific to school. Of course, some of the universal factors are things like cleaning and disinfecting, face coverings as much as possible, healthy hygiene habits, making sure theres enough hand washing stations and soap and water, hand sanitizers onsite, Contact Tracing, and, of course, physical distancing. This is a copy of our guidance that we released earlier this month or actually technically last month on specifically k through 12 schools. Next slide, please. We are recognizing that school is not open at this moment in time to accommodate for Distance Learning support. We produced a guidance for outofschool times, and this is impacting Community Learning hubs, both public and private. And to the commissioners earlier question, there is recommendations in this particular guidance related to youth sports, and its basically limited to small, stable cohorts of physical activity that is conducted only outside and with limited amount of sharing of equipment. And youre more than welcome i will share the website later, but this is the full guidance you can access the full guidance in order to help people answer their questions. We also maintain an active list of over 600 people and schools and providers that we send all of our updated guidance out to, and we push this out to all of the stakeholders that are interested not only this guide, but all of the things that we publish. And then moving onto the next slide, please, we also want to make sure that we include institutions of Higher Education and any Adult Education programs, so we have guidance and directives as permitted by the health officer, which permits outdoor classes, depending on the weather. If it requires specialized equipment that cannot be provided by Distance Learning, and there are very special recommendations related to athletics. For both the outofschool time and the institutions of higher ed, we actually just published updates today to both of the guidance and documents, including also the child care guidance and directives that we have issued. And of course, this was a recent update that was not reflected in this slide. The California State Department of Public Health updated their guidelines, standardizing the number of students in each cohort to 14 students per cohort, so we have updated our guidelines to reflect that respectfully, and that was published today. Next slide, please. So this is a list of all of our recent local guidance and information that we have published to support our partners in education. The website, all of this, can be found in that white box on the bottom of the slide, and im happy to share the link with you all later . But again, we have published guidance for institutions of Higher Education and issued a directive related to that. We also have issued a directive and guidance for outofschool time providers. We have issued a tip sheet for families that are organizing their own learning pods in their homes . We do recognize the challenges that Distance Learning provides, and even though having multiple households, multiple families in an indoor setting presents a higher risk, we know that these families are moving forward with these learning pods, and weve offered them safety tips for these families to do this as safe as possible. Again, weve also issued guidance related to reopening of schools. Weve also published Additional Guidance specific for youth settings, so what a health check for children would look like at a site, what any program serving youth, including schools, should screen for, any symptoms, whether a child or a Family Member thats in close contact, etc. , thats all in this health check guidance. And then, these last two pieces, we received some questions that these pieces of guidance can address specifically, so at the bottom here, there is an f. A. Q. That we published specific to Contact Tracing at schools, child cares, and any other programs. So that we provide specific instructions and also how to contact our schools and child care hubs . And also, just to note that our hub has been working with child care and summer camp settings since march and has had quite a bit of experience working with all these sites that serve youth and feel like we are ready to support a School Reopening as we move forward with Contact Tracing and case investigation. And lastly, we have a quick guide for schools and child cares and programs for youth where we run through all the scenarios of what to do, whether theres been someone that is exhibiting some symptoms versus someone who has been exposed versus someone who is a confirmed case, and what are the actions that a setting needs to do, and also some communication templates that we can provide to all of these settings, and its being translated, and all of this is available on this website listed below. Next slide, please. Questions related to testing, we are encouraging everyone to contact their primary care provider to get tested. Just as a note, the California Department of care has just passed emergency regulations that classifies teachers and staff as essential workers, and they are eligible to receive testing as frequently as they request and have the their Health Insurance cover this . So we are encouraging everyone to contact their primary care provider first to address this issue. And then but there are also testing Resources Available for in the city, which is available at this website. And we are also, of course, encouraging everyone to get their flu vaccinations and other vaccinations as we consider reopening schools as safely as possible to bring everyones immunization records up to date. Moving onto the next slide, please. And that is the that is the end of the presentation, and thank you for having me, and im, along with dr. Colfax and dr. Aragon, happy to answer any questions. Thank you for this comprehensive work. And it struck me, as i looked at your guidelines, how much work you have done in the month of august alone with all of the changing thinking and input and data, and its really remarkable that you and this team have been able to put this type of extensive advice and guidance together in such a short period of time with, really, such elaborate information, so its greatly appreciated. I believe its time for Public Comment, is that right, mark . Yes. I see five hands, so again, if youd like to make Public Comment, you can press star, three, and your hand will be raised. I have a timer set for two minutes for each of you, and ill unmute you one by one, and i will start the timer. I will start with the first person. You are unmuted, and youve got two minutes on the clock. Hi. This is dr. Teresa palmer. Can you hear me . Yes. Okay. One, i would like dr. Colfax and dr. Aragon to address the ongoing isolation of nursing home patients and why health order c1903 has not been revised. As you know, health order c1903 does not allow any visitation on the premises of nursing homes, even if theres a physical set up that would allow safe outdoor or distanced visitation. And in addition, the Nursing Home Administration is on power to refuse oneonone visitors that have that are essentially medically essential nurses homes have been refusing to allow Family Support people to visit unless people are literally within a day or two of dying, and this is the state has much more liberal guidelines, and the state actually guidelines say that there should be outdoor visitation. I got a call from dr. Aragon in early june, promising this would change. The City Attorney told my colleague at california advocates for nursing home reform the system would change a month ago. This is not happening. Nursing home cases have now been locked down, isolated from their families for over five months. It was never intended to last this long. Their quality of life is being impugned. People are having to unsafely take their parents home. Its a violation of human rights, and its an example of ageism and enablism, and when is this going to change . Thank you, dr. Palmer, for your comments. Next caller, youre unmuted, and you have two minutes on the clock. Caller, are you there . Hello . Hi there. Can you hear me okay . Yes, i will start the clock. Thank you. My name is Glen Thornton close. I am the owner of [inaudible]. Sir, if youre moving around, its hard to hear you. [inaudible] with almost minimal to no and how we can plan to come back from this closure. Thats despite the work of the San Francisco [inaudible] independent Coalition Work with the office of economic and Workforce Development to submit plans with no concerns submitted back to us. We it has been incredibly frustrating to not be able to plan to come back from a closure like this. We have put plans in place that have considered every possibly sna scenario that weve been able to glean. Reservation systems, the ability to contact trace, masks required at all times, social distancing or aerosolization concerns, and its awful. Whats amounted to my lifes work is now gone. We have no option but to close. The options that were given to us for outdoor operations, we dont have the ability to work on the sidewalk, we dont have a sidewalk at our business. Other [inaudible] the air quality is horrible, and the fact that sfpd gyms are allowed to open, and the fact that my business is not, and the fact that my family and i are forced to leave because we can no longer afford to live here is a travesty. You must do better. You cannot let an entire sector like this down. Thank you for your time. Thank you, sir, for your comments. Okay. Caller, im unmuting you. Can you hear me . Hello . Yes, you are on, and i will start the two minutes on the clock. My name is dean ericson, and im the owner of [inaudible] and im also a member of the San Francisco fitness coalition, and the first restaurants and bars were allowed to reopen amid the spike in the last reopening effort, and theaters and museums are given a higher priority than gyms and Fitness Centers. [inaudible] onsite schools, which is a mix [inaudible] basically another surge and halt reopening. There are a number of multiple safety and Health Issues related to outdoor fitness. Indoor fitness can be controlled and can be safe. For the last two months, the city has hidden behind the state watch list now that we are in the state red tier, rated in the 10 indoor occupancy for gyms and Fitness Centers, you are deviating from state guidelines with no indication that gyms or Fitness Centers are a danger as long as guidelines are in place minimizing contact. [inaudible] Small Business and the health of San Francisco residents who you serve are impacted. Start applying some common sense to these strategies. Please start looking at San Franciscos Small Businesses as being a priority. Things can be done safely. We have reached out to oewd, department of Public Health, the mayors office, our board of supervisors. We continue to run into ro roadblocks and walls with these efforts to bring you up to speed in how we can control this and how we can provide Health Solutions to the residents of San Francisco. Thank you. Thank you for your comments, caller. Next caller, ive unmuted you. Can you hear me . Yes, this is michael ryan. Im calling in support of the testimony of Teresa Palmer concerning nursing home visits and visiting nursing home patients. Senior disability action and [inaudible] are both very upset at properly equipped visitors are not being allowed to visit patients inside nursing homes, especially when the stay is possible. Nursing homes frequently have such problems with understaffing and not being able to take care of everything and take care of nursing precautions, so its offenten presence of visitors which which fills in for things that that the staff simply dont have the time to do because of understaffing. So family visits are extremely important, to say nothing about the morale of both distraught patients and families. So San Franciscos policy about no nursing home visits has to change. Thank you. Thank you for your comments. The next caller, ive unmuted you. Can you hear me . Hi, yes, i can hear you. Okay. Great. Youve got two minutes. Thank you. So my name is [inaudible]. My name is shala, and i am a parent and Fitness Studio owner of ubalance. I wanted to say thank you for letting us open. As a parent and business owner, its honestly, like, a really happy day. We got word that we can reopen, we can go back to school to some extent. What i wanted to say is i feel like the public really needs to hear from the mayor and supervisors and Health Officials that were not just reopening because theres been pressure from a federal level, from trump, from newsom or some protests at city hall. A lot of people think this is political, and theres a lot of internet trolls, saying the mayor is just giving into political pressure. I think we need to spread the word how much work youve put in, how much work Small Businesses have been in preparing for this, and that its safe to go back to work and Small Businesses, and theres a plan, that were not just going to shutdown immediately. If theres one outbreak in one institution, that were going to work with that one institution under the plan for every single museum and school and Small Business. The public really just needs to be educated on this right now. Theres just a lot of people are very skeptical still and find this to be political for a number of different reasons, so if all of our politicians can let people know that its safe to return and months of planning have been put into this, and its not just random, it would be really helpful to Small Businesses. Thank you. Thank you very much for your comments. All right. The next caller, can you hear me . Ive unmuted you, caller. Hello . Yes, youre on. Youve got hi, sorry. Okay. Im calling about personal services. San francisco county, its in the red, while all the surrounding counties are in the purple, yet us and Alameda County are the only ones not offering indoor personal services. Honestly, i really hope this is an oversight or were going to change this soon because there seems to be really bad reasons to allow botox and [inaudible] tucks indoors but not salon services. The only thing i can find, some of these professions that are allowed, they tend to demand a fouryear or longer degree, and salons, barber shops, and personal services do not. I have to question, is there an educational bias going on here . Add weather and smoke and pedestrians, and it is impossible for many businesses to open under the current guidelines. So many of these businesses are failing right now and are so close to closing there are doors, yet it sometimes feels like San Francisco doesnt care or has prioritized other things instead of Small Business. You say youre trying to limit risk during this as much as possible, yet with other county offering these services and us not doing so, youre offering you were suggesting youre allowing people to travel for these services and up the risk that people will be infected because theyre going and exposing themselves to more people. Its just sad to watch whats happening to Small Business right now, specifically, the salon industry, where you move the goal posts over and over and over again. Weve almost opened three times okay. Thank you very much for your comments. All right. Caller, ive unmuted you. Can you hear me . Yes, you there . Yes. Youve got two minutes. Hi. My name is evan, and my wife and i own custom fit personal training and marketing company. Two days ago, the c. D. C. Has said the u. S. Has been badly affected due to covid from a lack of Good Nutrition and personal fitness. So my question is why are we not prioritized . How have you never provided any information to the public on how to eat healthy and examiner advertise to combat covid . There has been zero Scientific Evidence that Fitness Studios spread covid any more than open Retail Stores such as 2kgucci. Why are gucci determined to be essential but not us . Why are you okay with people Standing Shoulder to shoulder on municipal o or sharing an um 20 feet away . You say that is scientific, but that is suspect. You have not presented one site that justifies keeping our entire industry closed, even to the end of the coming month, as the mayor disclosed. Its my understanding the mission of the Health Department is to advise, promote, and pr