Hospital reported to medicare and medicaid cms the agency that gives the programs 2 over dose that occurred. We reported those and do so as a matter of patient care quality. Reported those over doses triggered a survey process for the hospital. We took corrective actions to address the issues that had lead to those nonfatal over doses, in this process, there were a number of other issues identified and republican out of time to correct those and do a plan of correction before the regular period closed. So we take the findings seriously and we tang quality of care seriously but got in a bit of a federal pickle. As a result of that process, the of federal government notified us in april of 2022, that they were terminating laguna honda contract with medicare and medicaid that is a very serious issue for us because it means the federal government is no longer including laguna honda in the network of heck providers for the patients the majority of the patients. It is our primary source of reimburse am for prescription of this Critical Service in San Francisco. So in response to that, as we are since april announce am we were decertified we put an Aggressive Program in place to get recertified. We have a team of experts on board, we have a very are extensive staff training and corrective action plan. It is our belief we will be recertified come become in the program. But it is a challenging situation at the hospital is in now. In order to be recertified we will have to go through a new survey process with the federal and state governments. To document our compliance with federal regulations that the subject of the work we are doing and the top proirpt for the d. Public health to work through that process. We thank you process will occur through the fall of fall and winter of this year. There is a lot to still come. One last thing i will note is that part of the dessertification of the hospital, required that we do a patient transfer plan it has been suspended patients are in the being transferred unless they choose to. And that it is a positive development. Buoy want to express we will hear about the institutional master plan which is now connected to the issue i know that this is very much in the public consciousness of San Francisco. Wanted express we are working with every colwe have to make sure we get the hospital recertified continues to be the key pieces of Public Health care in our Health Care System in San Francisco and we are committed to doing that. So with that i will turn it over to kathy jung or director of Capital Planning to describe the contents of imp. You have 5 minutes. Thank you. Good afternoon im kathy jung director of facilities and planning of department of Public Health. Joining me today simons the architect and jung kim an architect for d ph and tim dunn from mercy housing this will be a brief over view on the laguna honda institutional [inaudible]. My focus on the major developments since the last imp and describing future development plans. The upon plan updates present in the the following, institutional over view, if sillitys over view. Accomplishments and future development plans. For 156 years beginning with the gold rush laguna honda serving residents of San Francisco it it is a Skilled Nursing and rehab center with 780 beds the largest in the country representing the most commitments to any city or county um through the therapeutic care for seniors and adults with disabilities. Would you pull the mic down you are going in and out for our listeners on the tv it may be hard to hear you is this better. Sorry. Okay. This slide shows the depth of diversity of the Patient Population served bite hospital across multiple characteristic. Include race, gender, language and age. Laguna honda is located on 62 acres of park like land in the heart of San Francisco. The site is public use. The primary facility located on the campus other new hospital buildings and administrative buildings. In terms of zoning all existing and future planned development will comply with land use and height bulk environments through the San Francisco planning code. The most significant accomplishment since the 94imp with the completion of the new laguna honda hospital buildings done in 2010. These replaced facilities used wards built in the 20s. The project include 2 new patient towers and Building Patient pavillian for services. Since 2010 there have been no other major developments. The one nonfacility project is laguna Honda Community trail system that was implemented through the hospital and the San Francisco urban riders the Financial Support from the ps alliance. Complete in the 2019 the project restored 21 2 miles of multiuse trails that comp elements the twin peeks and other trail systems and open space. Looking to the future, there are 2 projects planned. The first is the renovation of the mno building the project will retrofit former patient care ward in administrative space for [inaudible] currently located in the civic center area. This includes staff and present low located at the seismic [inaudible] Public Health administrative building a seismic rating of 4. Includes seismic upgrades and updates to Building Systems address the city goals of the susstainability and [inaudible]. The project is targeted for completion in 2024. The second project is a Senior Living facility in the process of being will developed the mirs office of housing and community development. Mercy housing the developer completed feasibility and capacity analysis that include assisted living, independent living. Adult day health and Early Childhood education components. Construction will not start earlier than 2025. And this concludes my remarks happy to try to respond to questions you have. Thank you. Open up opinion comment. Member this is is your opportunity to address the commission on this matter. Press story 3 if you are call nothing remote if you are here come forward. Okay. Seeing no request to speak from the public. Public comment is closed and the imp is before you, commissioners. Commissioner. Thank you. Um im i have a question in terms of the closure and transfer and how it may affect the mno, will this affect the retrofit and renovation plan and assisted the plan for Senior Living . Thank you, commissioner for this question. I would say, no. The difference. The mno plan is oi a different time line than all of the regular issues that we are talking about. So the closure and transfer plan it is very poorly named requirement but it is a federal language from the federal regulations. And that is a plan that they require any facility to submit when they go through this press we have of losing our certification under medicaid. It is a regulatory process we need to comply with once recertified, we have all hands on deck to ensure that happens. That plan will not be irrelevant havent and expire. No longer needed we go become to serving our patients as normal. Anticipation that process will be completed before any of the construction moves significantly on the mno wings and the mno wings are in the nonpatient care portion of the hospital campus. So they are separate issues connected by virtue of being on campus but no link between the 2 for the future. Okay. Thank you. I know we are Planning Commission and not necessarily department of Health Commission but it is quite shock to hear the closure about the dessertification process. My in terms of nmo project and the Senior Living development, i i my question is in terms of the master plan, looks like the last this is the only update we had since 1994 or are you planning have an update with us during the retrofit . I can ask the team if they have thoughts. I will say for me and on behalf of the department we are happy to provide you updates and come as often as you are interested and having us. And more than happy to share i dont know if there it is a formal schedule the team to see if tr is anything. Okay. Weure more than happy to come update you and work with the staff to make sure. I would like to hear updates on those since this is the mysterier plan and believe planning should have regular updates. And if i could also i want to emphasize we have the closure plan, the hospital is operating. We have about 600 patients in the hospital. Receiving care. And so we hope tell come out the other side soon and go back to doing regular business but we do condition to operate as we negotiate this regulatory process. Okay. Thank you. Those were my comments commissioner diamond. Yes. Thank you very much. Before i ask the questions of the imp i have a couple i want to recognize how important and critical and vital the services that you provide are and that i wish you the best of luck with the recertification process i hope typeset is speed sounds like the path you are taking. Best of luck. Thank you. On the mno project Senior Housing and assisted living am they be back in fronts of us for entitlements . Of any kind . Commissioner diamond this is laura with staff the mno project can be reviewed at staff level and that is what prompted the the knowledge that we were over due for a master plan on this site. Technically plans are to provided every 10 years with an update every 2 years. For commissioner imperial the next scheduled update should be in 2 years per the code. Unless the n evermno plan is dred tell be staff level. Thank you. How about assisted live anding Senior Housing projects will they be back for approval . I dont have enough information on that project. It is a little too far in the future we dont have any preview of the project yet. The project experience could better answer that question. But to date we dont have applications on file with the city. The project sponsor to weigh in regarding entitlements . Im tim dunn with mercy housing we dont have an application for this project. At this point our intention is to are Affordable Housing over lie lay a project will conform to the zoning and would be exempt from review. I think providing a continuum of care is person way to proceed with the drchment of laguna honda forward and assisted living and Senior Housing is a good add. I would hope if you are not required to get commission entitlement that require you to be in front of us this in the imp update, which sounds like tell happen in 2 years you will provide information relating to those 2 projects. I want to second commissioner comment about the need for compliance with the legislation. We have imp legislation that requires plans done every 10 years with updates every 2 years im not sure how this went so long without compliance we need to comply it is important you be back in 2 years. Thank you. Upon i would like to add thank you mr. Wagner for the dessertification update. I think anybody who reads the paper is sitting on edge this is an important resource for the city, city wide. And i commend our forefathers back in 1866 for those who have not read the historical over view to creating a facility of 700 people at that time if you reflect the need of the time to today i think we dont have to really etch say much. We are awe struck of how severe the situation was well and how severe it is today even more. I am interested in seeing a 2 year update and again 10 years a new master plan i had a few questions the ledgeability of do you means hi a difficult time reading the graphics that were too small. I had a heard time i have not been physically at laguna honda. I have driven by many times i love the setting and the mist row where it was i could not read the drawings to put together where what is. There is an element of empty space and i would like them to tag on to commissioner diamonds question and commissioner improlls question with the affordable zoning over lay. Where is capacity and how. And in addition to that, where would Senior Housing be for us to think b. We dont have say but i think as we are concerned about the city in a large are context of how it fits together i would like to stay informd and better understand what is. Otherwise, im supportive of the history of this project it is fascinating anybody who has not read it, do so i was awe instructs about the depth of the description but the incredible degree of caring that existed at the time when this all started. Thank you. We acknowledge the presentation and close the public hearing. Very good. Thank you. Commission chair. In that case, we can move on to item 5 pulled off consent case 20210137 sea, 142nd street. Cu authorization. Commissioners this is chris went joined us during the pandemic in november. 2021 a preservation planner and southeast quadrant. Previously he worked for Cultural Resource firm Michael Baker served an a preservation planner. Over 12 Years Experience in education and nonprofit work. Graduated from sa nomea state in 2016. Welcome, chris. Thank you. Good afternoon crips Flint Department staff. The item is a request for cu authorization for the property 140, Second Street a category one belling in the new montgomery conversation district designated article 11 of the code and register list the second and howard historic district. Of the property is c30 zoning district. The property improved a sick Story Building construct in the 1907 in italian style. To install a new at t and anthem wireless consistentsing of the following. New roof top platform. Principle antennas in 24 aaron covers. 2 remote radio units. One gpsn 10asm one walk up cabinet. Panels, boxes and cables and utility runs from the roof to the sources in the existing basement as part of the at t mobility telecommunication network. Excuse me. Im sorry to interrupt you i need permission from the commission to recuse myself. This is an at t facility. Yes. Okay. I have an indirect of at t shares and lack of information [inaudible] the draft [inaudible] my situation in consultation with City Attorney in caution i need to seek recusal on this item. Do that before you proceed. Thank you, commissioner diamond. I see mr. Koppel move to recues commissioner diamond. Second. Next, commissioners. On that motion to recues commissioner diamond commissioner ruiz. Why aye commissioner diamond. Why aye. Commissioner imperial. Ray commissioner cop and he will moore. Aye that passed unanimously. My apologies i should have done that. The department received one in opposition to the project. Staff determined the work will be in conformance out line in article 11 of the code and secretary of standards. Associated my department to alter on july 12 [speaker speaking too fast]. Of the Preservation Commission did noted provide comments. Base on the upon analysis in the case report staff recommends prove with the following conscience. As part of the future review of the Building Permit by the department of building inspection or other agencies any required refinements reviewd and approved by department preservation staff. If approved today staff will modify the approval prior to publication of final motion this concludes my presentation the sponsor is here and we are happy to answer questions you may have. Does the do you have a presentation we dont. Very good. Take Public Comment. This is the opportunity to address the commission on the matter. Node to come forward. Or if you are call nothing remote press star 3. No requests to speak Public Comment is closed and this matter is before you, commissioners. Is the sponsor present . Yes, they are. Were you going to make a presentation for clarity. No we were told we would not need a presentation for this i dont have one im here if you had questions thank you. I wanted share a couple of observations. This site this is one 40, Second Street in the National Register district. When i look the at the simulations you can sit and i will call you when if there is a question for you, thank you very much. When i locked at the simulation drawings closely i found that it was odd a chimney conceal am was chosen to conceal the antennas. We have gone through configurations how equipment is concealed this building sdpiep this district does not have chimneys. I found that awkward. Question arose what are we put thanksgiving in a penthouse somewhat moved away from the roof edge not visible the pen house is more neutral. And i answered the perception may not be good. I said fine i would like to know a question for you, how many examine to see where equipment and concealment that does not interfere could achieve the same net result you are looking for. We are happy to modify the conceal inspect the way the commission would like. We go with what typically guess with the Planning Departments suggestions but if you have a better idea we are happy to entertain that. This is the agency in sacramento does the historic review i do like to note the fact that the cu pulled for this macro site today Opening Statements the door for further venders to add equip to the antenna farm on this building without future review or approval. That is disturk im not entered in asparagus field of chimneys. Ultimately will make to our physical environment. Chimneys are typical for this building type and the district a penthouse would be a more appropriate and i would also like that the department at some point unless we find an agreement today gift commission an update on section 6409, so the