Forgotten the responsibilities of the place as well as all people who reside in their traditional territory. As guest we recognize that we benefit from their traditional homeland. Thank you, the next item is the approval of commission meeting. Commissioners you have the minutes before you. Which you have reviewed. If there are no amendments, do we have a motion to approve . So moved. Sektd. Public comment, please. Hi everybody, let me read a script for each agenda item. Members will have an tount make a comment for up to three minutes. However the process does not allow questions to be answered in the meeting or for questions from the public to, im sorry for members of the public to engage back and forth conversation with commissioners. Making request to the dph. Please note that each allowed to speak three minutes on one agenda. Written Public Comment may be sent to the Health Commission at the following address. If you wish toplease know that policies along with local law, prohibit conduct against Public Meetings and will not be tolerated. We will first take Public Comment from individuals inperson. And then remote comment from individuals who have received accommodations for disability. I have given each of these individuals a code to speak to prevent others from speaking at this time. Finally, we will hear from our remote individuals. There will be a total of 20 minutes on remote comment thats can be heard at each time for those who have not received accommodation for disability. Is there any Public Comment from the room, this is regarding the minutes . Okay, yes, please come up and i have a, ill put three minutes on my timer and when i note the time is up, please finish your comments. Dr. Former physician specialist at Public Health. I staff Central Emergency thats what we were called inle and served as word naturer administration. We didnt have an opportunity to talk about some of the issues surrounding the vote to adopt article article 31 and i did want to bring to your attention that there are a few things that you have the power to protect people from violations and propositions 65 enforcement along the entire western since line of the shipyard, people who live on city streets, streets lick griffith, crisp avenue, revere and finch, are being exposed to a toxins from deep soil excavations that are being conducted along with fence line that does not even have basic humane, thats what you should address from article 31. Many of you are probably not aware that there are industrial grade mining dust curtains, the Mining Industry has a financial incentive to keep the product in. They want to avoid lawsuits and loss of valuable product and they have developed dust curtains that are highly resilient, have tolerated typhoons and can be used to reenforce the western fence line. Many are not aware that there is a childrens playground within 500 feet to the shipyard and the campus of the defense laboratories. The land field is also at the boundary of San Francisco street and fitch street. It has no dust barriers in contrast the barrier waste entombed in the area in the South Pacific that was bombed and where at least 100 ships were brought back to the 100 shipyard, that waste is in tuned and in San Francisco, we have a situation where people are living literally within feet of a radiation contaminated land field. And there are people in campers and homeless encampments along that western fence line. So in addition to you know, reinforcement of the fence line and enforcement of proposition 65 violations, there is the benefit of worker. Your time is up. Speaker thank you very much. Thank you so much. And we have one person on the remote. Jamie, please unmute that person. Caller code a a can you hear me . Yes, please begin. Caller the minutes of this august 15, commission meeting, reports for the dr. Chow was to hear laguna honda has applied for medical recertification. Report mr. Peck ins indicated that obtained medical location, the next step reports from a second application to obtain medicare recertification. Approval first. We learned from a chronicle article the next day on august 16th, medical application was improved by cdth. So when will the medical application be submitted . The minutes also report commissioner chow inquired how soon honda willthey will have to revisit the submission status end quote. That was [indiscernible] since the location was approved on august 16th, they have the duty to inform the members of the public of the actual date admissions are expected to resolve. I want to publicly thank dr. Chi for her great leader ship on 100 shipyard monitoring that, she is a hero in my book and this commission needs more aggressively listen to her testimony and take substantial reneedial actions to protect our more vulnerable citizens in the Shipyard Area and out there on treasure island. This commission needs to do much more around monitoring that radioactive toxic dump. Thank you. Thank you, that is last Public Comment. All those in favor of approving the minutes . Aye. Aye. Opposed . All right, the minutes are approved. The next item is general Public Comment. My apologies, all right i have a script to read and then we can move on to see who wants to make Public Comment. Subject matter of jurisdiction but not on this Meeting Agenda. Each member may address the commission for up to three minutes. Discussing not appearing on the posted agenda. Please note that each individual will be allowed individualso lets first take anyone in the room, would you all like to make Public Comment . Okay, we will go to remotel Public Comment. I see money hand. Please unmute that person. Caller hi, this is dr. Palmer, im aa, i wanted to followup with what dr. Sintie said and when are we going to hear from the Health Commission about dealing with the dangers of bay view hunters point. And the clearly, inadequate protection that residents are having from the toxins there. I would like to know when that meeting will be. Thank you. Thank you. All right, those are the only hands that i see raised. All right, thank you for your comments. Our next item is the directors report. Dr. Colfax director of health. Good afternoon, Health Commissioners and members of the public. The directors report for september 5th, is specific and ill address some questions. So the good news to repeat is long term future of laguna hospital is secure. This was a major step for the city and county of San Francisco. In that, the California Department of Public Health and the department of healthcare services, at the state approved laguna honda hospital for recertification meaning and thankfully the critical dollars will continue to flow to the institution. More than 95 of laguna residents rely on medicaid funding for their care and this will ensure that they serve the residents for generations to come. And i want to recognize the incredible work with the honda team as you know many many leaders were deployed to laguna honda, especially the frontline staff who really pulled together and ensure that our Quality Improvement happened. The partnership with our unions and of course the incredible support of our policy makers including the Health Commission, mayor london breed and the board of supervisor sxz hom others that contributed to this as well as our advocates. Moving on to our second item which is similar to the first item, but just to say that our efforts, at laguna honda are continuing, they will be sustained. This announcement represents a new beginning as we ensure that laguna honda maintains this Quality Improvement and will be the nursing home, the exemplary home for the future for the rest of the state. I also want to let the commission know that we did apply for our medicare funding, our medicare application was submitted to cms on august 23, we are survey ready and expecting a survey at any time at laguna, if you recall those surveys are unannounced. Next item, with regards to covid19, the commissioners are likely that were seeing an increase in covid19 cases, locally and state wide and across the country, thankfully even with these variants, boosters and baxovid are making a difference and due to the ending of the may, of this federal state of emergency and vas reductions in federal funding for covid19 services, we have had to reduce our covid19 footprint in the community in terms of providing services to at Certain Community testing sites and you can see where the sites will be closed. And thankfully we will continue to offer, testing at ella hutch center so i just want to call your attention to that. We do expect the cdc to announce when the fall covid booster will be available, we made that announcement anytime. Right now, we believe that the covid booster would be available at the end of september or october. Our Healthcare System will be ready to administer those changes as soon as they become available to our Network Patients and of course we will look to our other partners to ensure that members get their booster as well. Next item is to congratulate the grad units, the graduation was held on august 5th at china town Health Center. It was sponsored by asian resource center. And its cosponsored by the china town ymca, this is to empower youth as well as faster leadership skills and the program was started in 2019, and you can read more about how this program promoted Healthy Living and education in the directors report. Wanted to congratulate to dph leaders who are recognized, through the American College of healthcare executives award, that american executive is a professional society of more than 48,000 who lead hospitals and other healthcare organizations. And yearly, the American Healthcare of executive also known as ape, each year, the hcag, across Central California collects executive in early career to receive the highly competitive regents awards. Im happy to say that carina for health at home examine integrate Rehabilitation Services was recognized with the regent early award which is a great honor and really affects her leadership and without saying, who currently says as San Francisco chief operating officer and laguna recertification commander was recognized with the senior level career award. So really, great recognition at a National Level of the leaders that we have in healthcare executive, healthcare executives in the department. Next items are focused on the great work that is being done at dcsfg, just to call out that the California Health and Human Service and cal hospital can, and the california and Human Services and Care Hospital compare recognize as a hospital that can consistently demonstrate a demos culture of safety in the Maternity Care honor role. The 2023 maternity honor role recognized aimed the redursing birth to csection. So another indication of great medical care that people receive. Also very timely at cfg, received honor roll. This recognizes for the hospital efforts to increase access to Addiction Treatment by placing the hospital honor role and it was one of 100 hospitals that submitted data and was, was recognized for achieving excellence progress in making opioid treatment more available to our patients. And as you know, with the incredible challenges that we have Overdose Deaths across the country, and across the state and unfortunately here in San Francisco, this is such an important thing to continue to expand treatment and make sure that treatment is available when people want it and when they need it, that every door so we know that treatment works. And then with regard to, other wellness activities happy to say that, that wellness, the Wellness Center has reopened, the Team Wellness month is a foundation to coordinate a variety of wellness for staff. So we know that our staff need to stay healthy in order to support people on their support patients and our clients in their journey of health and wellness, so really nice thing that this center has been reopened. And you have our gph updates in the news. You can add that link in the report. And lastly, i did want to call on dr. Suess an philip to provide the commissioners with a brief update on further work that she and her team have been doing to at the commissioners request, of structure in a timeline for strengthening our Community Engagement. So dr. Philip, ill turnover to you and then commissioners im happy to answer any questions the report. Thank you. Sxl dr. Philips is joining us remotely. Thank you, director colfax, im happy to join you again today and give you an update on the work that we have been doing in ph. D since we last met and talked with you and heard from community. And we do completely agree this is a very important area of work as you heard. We are pulling together a Multi Disciplinary Team for the first time to really work with community and to to really press for clear information from the navy, from the regulators including the epa, the department of substance control at the state and the water board as well. And so what we will be doing is coming back to speak with you more formally in january for an update. In the meantime, im going to be joining the Communications Meetings with the av and regulators to really push for clear communication. We are having our internal meetings on a regular biweekly basis and Deputy Director for ph. D which you heard on this topic for article 31 will also be helping lead our efforts to reach out to some of the Community Members that were present at the Health Committee to speak with them and to start doing that work of ensuring that communication is as clear and as strong as it can be, so that is the work that well be doing in the coming weeks and months that we will started and we will continue and accelerate and reporting back to you in january. Thank you, dr. Philip. Before we go to commissioner comments or questions, do we have Public Comment . Sure, is there any Public Comment on this item on the directors report . Okay, i dont see any in the room. I see one hand raised, i see two. We will take comment first from those who received accommodations, so i have two folks codes, if youre those two folks, leave them up. May i please start with caller 2, and well go from there. Caller good afternoon, its patrick, on the can you hear me . Yes, please begin. Caller on page 2 of the report, update section at laguna honda submitted both the application for medical and medicare recertification in august. However, a budget report posted on the board of supervisors agenda for tomorrow, september 5th, states that laguna honda application was going to be submitted on september of 17th, presumably to beat l. A. , obtained that september 17th date from somebody. If laguna actually submit its medicare application on august 16th, as dr. Colfax just asserted or will it be submitted on september 17th . Particularly why wasnt the Background Information provided to the budget and legislative analyst, the board of supes told that they have been submitted in your request in the 4. 5 Million Dollars in the emergency repairs. After all, you claim that you need that 5 million in emergency repairs to assist with recertification, but youve already obtained it why is the budget and legislative analyst misinformation that the application has not been submitted yet for medicare recertification. This is a glaring error. Thank you. Thank you. Jamie, please unmute the next caller. Caller hi, this is dr. Teresa palmer, can you tell us when the admissions will resume . I imagine its after any survey that medicare will do. But, we do need to know. Have some item of when this will be. And then, is medicare recertification needed for services to resume or can long term certifications be admitted. Once who are still alive, be readmitted . Is theres no indication anywhere in writing that they have any proximity, i would like to see that in writing from the Health Commissioners. And it seems to be that residents who have had to leave the county prepared should have priority at laguna honda. How are the hiring of high ends going . Since most of the staff is not even cna Home Health Aid and patient care assistance, you need adequate to superintendent. Youre atrisk of jeopardy again if there is not enough supervising rns. And how are you going to deal with the admission and management of conflicts and acute behavioral patients . Is it going to be on going pressure from county hospital to admit patients who cant safely be handled . Is Ge