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And then the actual final report which often times may be pending further toxicology testing, or may additional investigation. That has taken a longer period of time. The name standard is to issued the final determination and report, 90 within 90 days. Our goal continues to reach that. We have particularly difficult time doing that in 2018, after the department move to the new location. All of our Forensic Laboratory equipment was being recertified. We fell very behind in that part of it. During the last two quarters of the last fiscal year we are now regularly the average of completing a toxi...

Today. We used to have was it 40 licensed or 60 licensed sub acute . They were the only one. This conversation is narrowly focused on cpmc sutter. Some of that is decisions far before we as policymakers were here. They were made in the overall city. This is something the department of Public Health and there is a move, i guess, in the last 20 years to get out of the business of subacute care. It doesnt seem to make sense to me. Those patients are not going away. Those patients will need care. What we are saying in our Decision Making is, yes, but someone else is going to take care of them so w...

Fellow friends, hundreds of other legitimate, certified massage therapist providing Wonderful Service in San Francisco have to dig into some savings accounts that we may or may not have for thousands of dollars of fees to pay for a Health Permit that we had no idea was necessary, number one, and number two, i kind of want to have a reeducation about who we are. This may be an issue for the city and for the nation as a whole, but why is the Health Department going after california certified massage therapists who have Business Licenses and who are doing business in the city. I am my only breadw...

[roll call] thank you. The second item on the agenda is the approval of the minutes of august 20th, 2019. Commissioners, the minutes are in your hands. After that review, i would like to call a motion to adopt. I think there is one spelling clipped correction. Okay. Page four, paragraph three, there was [indiscernible] thank you for that. I apologize. Any other comments from the commission . Seeing none, motion to adopt the minutes. So moved. Is there a correction . Second. All those in favor signify by saying aye. Aye. Great. There is no Public Comment for that item. Item three is the directo...

She is a client from hpp. Hpp helped her during her pregnancy. She has two kids. Before that she didnt know the resources that they can apply for food. Hpp helped her apply for food. Right now she is concerned because the new president they are going to take it away from her kids. She is with immigration and feels like it is care. Right now she thanks homeless prenatal. She has food for the kids and it is important to have healthy food for her family. Thank you. Supervisor mandelman thank you. Next speaker. [speaking foreign language] her name is maria campos. She is a client from hpp with thr...