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tv   BOS Budget and Finance Committee  SFGTV  March 28, 2022 3:00pm-8:01pm PDT

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>> chair ronen: good morning. the meeting will come to order. this is the march 23 budget and finance committee meeting. i am hillary ronen, the chair of the budget and finance committee. i am joined by vice chair supervisor ahsha safai remotely. he's on his way in, and gordon
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mar will be joining us shortly. our clerk is brent jalipa, and i would like to thank kalina mendoza with sfgovtv. mr. clerk, do you have any announcements? >> clerk: yes. just a reminder while in the chambers to silence your cell phones and electronic devices. the board recognizes that public participation is equitable and the board will be taking public comment for each item on the agenda. for those watching either channels 26, 78, or 99, and, the public call-in number is streaming across the screen. that number is 415-655-0001.
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then enter the meeting i.d. of 2499-723-2102, then pound and pound again. when connected, you'll hear the meeting discussions, but your microphone will be muted and you'll be in listening mode only. when your item of interest is called, people in the room should lineup on the right side of the room and remote users should press star, three. as mentioned, we will take public comment in person first, and then, we will go to the telephone line. or you may submit public comment in writing to me,
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b-r-e-n-t for items 7 and 8, we arranged for interpreter services. we have marty dixon joining us remotely. marty? [speaking spanish language]
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>> interpreter: thank you, mr. clerk. >> clerk: and finally, items acted upon today are expected to appear on the board of supervisors agenda of april 4. >> chair ronen: thank you so much, mr. clerk. can you please call item 1? >> clerk: yes. item 1 is a resolution authorizing san francisco animal care and control to enter into a use agreement with bh-ab productions, l.l.c., to develop and produce a documentary television project about sfaccs animal emergency rescue calls and animal control officers, and grant all necessary trademark licenses
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and the exclusive right for a term of no longer than one year and one week to traditional and digital networks, to commence upon approval by the board of supervisors. madam chair? . >> chair ronen: thank you, and i understand that virginia donohue is here to give you a short presentation? >> yes. thank you, supervisor ronen. as you know that sfacc is the city's animal shelter, and we enforce all state and local animal welfare laws. bh/ab productions is a group that we are familiar with because they are the group that was here for the live
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documentary during the pandemic. they were super popular with users, and this is a different company than we had worked with during the pandemic, but it's the same individuals. next slide. we're going to show you just a small portion of a clip of one of our live films. play, please. >> we are on our way to rescue an animal in a chimney. we're going to see if we can
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work this out and get the animal out of the chimney. where is this house? ah, the person waving at me. hi, there. >> hi. >> look at this kitty cat. there's one right there. >> there's one right there. >> oh, my gosh. did you tell your papamatheakis there was a birdie in -- did you tell your papa that there was a birdie in the chimney? i like kitties. >> yesterday, both of them kept coming over here and looking up here, and then, we started hearing knocking about and knocking about, and i looked it up on-line, and apparently, the animal is just as scares. >> yeah, that's been the first time -- >> oh, high, gorge.
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>> you see him? >> yes, he's a beautiful pigeon that's going to be real mad at me in a second. hi, love bug. trying to help you. hi. can i grab you? you're going to make this hard? i don't want you to get hurt, love. let me help you. [indiscernible]. >> i'm proud of you. >> thank you. i'm proud of myself. this is your friend. >> it's a pigeon, huh? >> thanks. so as you can see, really great positive promotions of the officers and the work they do. so this resolution would allow us to work with this team again. they don't have a home for the
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show yet, so it would allow to produce reels that they can go and shoot for other companies. do you have any questions? >> chair ronen: no, but i have to say, i started my day in a bad mood, and that film just lifted my spirits. colleagues, any questions? sorry. go ahead. go ahead. >> i was just going to say, well, thank you. officer cohen, in my opinion, is generally uplifting in my day, as well. >> chair ronen: there is no -- oh, supervisor safai.
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>> supervisor safai: thank you, chair, and sorry for being late. i just want today say, i visited the animal care and control a few times with virginia and her team, and it is such an amazing space. it's one of those only in san francisco, right? if you've ever seen it, and so just tremendous work, tremendous work with animals, and this is such an important thing, so thank you for letting me support this, and thank you for allowing me to say a few things. >> chair ronen: supervisor mar? >> supervisor mar: thank you. i just wanted to say thank you to director donohue. as you know, me and my family are huge fans, and we adopted our kitties from animal care and control, and yeah, thank
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you for the efforts that you do to help the city, and thank you for getting the broadcast recognition that you deserve in the city. >> chair ronen: thank you. you've got three fans on the budget and finance committee. mr. clerk, are there any speakers for public comment, or can we open this up for public comment? >> clerk: sure. members of the public who are present in person should lineup by the curtains, and for those joining us remotely, dial 415-655-0001, meeting i.d. 2499-723-2102, then press pound and pound again and press star, three to enter the queue. we have no speakers present in
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the chambers. mr. atkins, do we have any callers present in the queue? i think we hear a caller. caller? it might be unattended. we should come back to that point. >> operator: mr. clerk, there are two callers in the queue, but both lines appear to be unattended. >> clerk: thank you. >> chair ronen: thank you. public comment is closed. supervisor mar, do you want to do the honors? >> supervisor mar: yeah, i'd move that we send this to the full board with a positive recommendation. >> chair ronen: roll call vote. >> clerk: on the motion that this resolution be forwarded to
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the full board with a positive recommendation -- [roll call] >> clerk: we have three ayes. >> chair ronen: thank you so much. at the request of supervisor preston, i will be calling item 2 later on in the agenda. mr. clerk, can you please call items 3 and 4 together? >> clerk: yes. item 3 is an ordinance appropriating $385 million from the issuance of one or more series of refunding general obligation bonds, and placing such amounts on controller's reserve in fiscal year 2021-22, and item 4 is a resolution approving the issuance and sale of not to exceed $385 million aggregate principal amount of city and county of san francisco again obligation
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refunding bonds, series 2022-r1, to refund certain outstanding again obligation bonds of the city and county of san francisco, approving the form and authorizing the execution and delivery of an escrow agreement relating to certain prior bonds, approving the form and authorizing the distribution of the preliminary official statement and authorizing the execution, delivery, and distribution of the official statement relating to the sale of said bonds, ratifying certain actions previously taken, and granting general authority to city officials to take necessary actions in connection with the authorization, issuance, sale, and delivery of said bonds. members of the public who are joining us by phone who wish to provide public comment should call 415-655-0001, meeting i.d.
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2499-723-2102, then press pound and pound again. madam chair? >> chair ronen: thank you. i believe we have somebody from the city here for us. >> -- just as brief background, back in 2020, the board approved approximately $1.5 billion in g.o. refunding bonds under a master refunding resolution, and since then, in 2020, the city issued, pursuant to that resolution, about $195 million of general obligation refunding bonds which achieved net present savings of 122
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million, so before you is proposed the fourth series of bonds under that master refunding resolution to achieve additional savings for the city, so i will go forward here. so as you can see, before you on the slide, the -- this refunding issuance will be to refund certain prior outstanding bonds, primarily the 2008 sfgh hospital bonds and the 2014 eser bonds issued from 2008 to 2014. typically, when we issue bonds, we issue them with a call provision which allows the city to issue the bonds after a certain call date for the bonds. these bonds have reached their call date in 2022 and are
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available for refund. based on our current estimates, this will create gross savings to property taxpayers of approximately 37.4 million, based on estimated interest costs of 2.45%, and that amounts to 8.9% of the principle, which is about $370 million of the bonds that we're proposing to refund. that's slightly different than what we had included in the memo back in january, but as you are aware, interest rates have risen, and we're in a rising interest rate cycle at the moment, but it's well within our parameters for issuing funding bonds. we can issue refunding bonds as
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long as we achieve a minimum of 3% [indiscernible] savings. this slide shows just sources and uses as a simple. as our most recent estimate of the funding cash flows. again, the resolution allows up to $385 million to refund all the principal. the final date would be the same of june 2024, and we're expecting to close in april 2021. these cash flows were provided by our underwriters, we did an r.f.p. for underwriters in december and january. we received 11 proposals for senior managers and 15 proposals for comanagers that
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were reviewed and scored by our qualify set of panelists, and according to the scoring and the criteria we had laid out, we selected the two top scoring senior managers and the four top scoring comanagers. i'd be happy to take any questions you may have at this time, and thank you for your consideration of this item. >> thank you, chair ronen. nick menard from the budget and legislative analyst's office. bond 2022-r 1 [indiscernible] we show the transaction costs
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on page 8 of our report, which total $2.4 million, and then, according to when we looked at this originally, the office of public finance estimated that the funding of the bonds would total $46.5 million, though it sounds like the savings has gone down with the current interest rates. this complies with the city's long-term debt policies, so we therefore recommend approval. >> supervisor safai: thank you. just maybe to the controller's office or the b.l.a., the cost to refund the bonds is $2.4 million. that's how much we're paying the underwriters and bond issuance group, is that
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correct? and then, the debt service savings, that is money -- the debt service is paid through the general fund? where's the source of the debt service? >> no, just quickly, to address your first question, the most current set of numbers that we got from the underwriting firm is approximately $1.5 million in cost of issuance and underwriting, and that's consistent with the city's policy to not exceed 2% for cost of issuance and 1% for underwriter's discount. when we issue the bond -- >> supervisor safai: yes, i see
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that. >> we have a policy constraint for our capital planning program to keep the tax rate under the -- at or under the fiscal year 2006 tax rate, and so by creating savings on the
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outstanding bonds then that allows additional issuance of other bonds to go within that tax rate. >> supervisor safai: so no real savings to -- we just allow that money to be used again in the future, which is good. it's important, because we have the commitment not to exceed a certain debt service level, but that allows us to free up debt in the future. >> that's correct. it preserves flexibility to the board to allow the issue waens of other bonds in the future. >> supervisor safai: okay. i just wanted to get all of that on the record. i appreciate that. thank you. >> clerk: thank you, madam clerk. members of the public who wish to speak on this item and are joining us in person should lineup to speak now next to the
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curtains. members of the public listening remotely should dial in 415-655-0001, enter meeting i.d. 2499-723-2102, then pound twice, then press star, three to enter the queue. please wait until the system indicates your line has been unmuted, and that will the time to begin your comments. there is no public comment in the chambers. mr. atkins, do we have any callers on the public comment line? >> operator: mr. clerk, there are no callers in the queue. >> clerk: madam chair? >> chair ronen: thank you. supervisor safai, do you want to make a motion? [indiscernible]. >> chair ronen: roll call, please. >> clerk: thank you.
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on that motion by vice chair safai to forward items 3 and 4 to the full board with a positive recommendation -- [roll call] >> clerk: we have three ayes. >> chair ronen: thank you so much. >> thank you, supervisors. >> chair ronen: mr. clerk, can you please read item 5. >> clerk: yes. item 5 is resolution re reauthorizing the issuance of tax empty lease negative new commercial paper certificates of participation, series 3 and 4, and taxable laze revenue commercial paper certificates of participation, series 3-t and 4-t, in an aggregate principal amount not to exceed
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$100 million to finance the acquisition, construction, and rehabilitation of capital improvements and capital equipment approved by the board of supervisors and the mayor, authorizing the delivery of an alternate credit facility in the principal amount of $100 million, and approving and authorizing execution. members of the public attending in person should lineup by the curtains, and members of the public listening remotely who wish to make public comment should press star, three to enter the queue. madam clerk? >> chair ronen: thank you. i believe we have nick from the
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controller's office. >> yes. we authorized this additional 100 million in july 2013, which we referred to in series 3 and 4. this is a form of short-term debt that allows the city to pay debt coming due, instead of issuing the full amount of the long-term participation, the city utilizes interim paperwork
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to fund the project until the project is close to colleague, at which time long-term certificates of participation is issued to pay down the program. the -- this represents annual savings to the program of $285,000. in connection with the closing
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of the new bank of the west facility, it there will be certain costs to the program in typical long-term financing, which we expect not to exceed, and they are passed onto the capital project which is paid over the life of the long-term debt, and that's it. let me know if you have any questions. >> thanks, chair ronen. so this reauthorizes $100 million of commercial paper and $100 million of line of credit that expired in 2022.
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this replaces a similar one that expired last month, and the city would accrue $600,000 of one-time costs to get the agreement in place, and then one-time as shown in page 16 to keep in place. we recommend approval. >> chair ronen: can we please open this item up for public comment. >> clerk: thank you, madam chair. members of the public who wish to speak on this item in person should lineup by the curtains. members of the public listening remotely should dial
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415-655-0001, meeting i.d. 2499-723-2102, then press pound and pound again. press star, three to enter the queue. there are no members of the public present in person. mr. atkins, are there any callers in the queue? >> operator: we have no callers in the queue. >> chair ronen: may we have a roll call vote, please. [roll call] >> clerk: you have three ayes. >> chair ronen: thank you. mr. clerk, could you please call item 6. >> clerk: yes. item 6 is a resolution
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authorizing the port commission to accept and expend a grant from the california state lands commission, through the american rescue plan act of 2021 allocation, in the amount of $14 million plus additional amounts up to 15% of the original grant amount that may be offered, for eligible operating and capital expenses for fiscal year 2022, effective upon execution of the funding agreement through june 30, 2024. members of the public present in person should lineup by the curtains to speak, and members of the public listening remotely some dial 415-655-0001, meeting i.d. 2499-723-2102, then press pound again.
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madam chair? >> chair ronen: and i believe that boris from the port commission is here with us? >> yes. we have a quick presentation and we'll make ourselves available for questions afterwards. can you see my presentation? >> chair ronen: not yet. >> can you see it now? >> chair ronen: yes. >> so the port of san francisco manages 3.8 miles of waterfront. we are self-supported by our own revenues. our operating budget is approximately $110 million annually. the economic consequences of
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the pandemic eroded two pillars of the port economy, and the pandemic had an outside impact on our leasing proceeds with our total proceeds down 40% from prepandemic levels. the port met these challenges by reducing $60 million in a number of ways. while the economy has somewhat recovered from the on set of the pandemic in march 2020, full economic recovery is expected to take five years, with tourism spending expected to return to prepandemic levels in 25-26. in february of last year, we work with speaker pelosi's office to author the american
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rescue plan act, and it was the first plan made available to ports nationwide. governor newsom's budget included a $250 million to the port for their loss. 14.4 million of the awarded funds are eligible to are spent in the current fiscal year. the remaining will be accepted through the upcoming budget process. last month, the port submitted a second application for 58.1 million to cover our state land revenue losses for 2021. the disbursement of those funds
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will be made at the next meeting of the state lands commission in april. page 9 of your packet detail spending of the $14.4 million today. page 17 of your packet includes the proposed use of funds for the entire funding package. today, we're asking expenditure
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of the funds, and it's been a long road to get here. we thank you for your time, and we're available to answer any questions that you have. >> chair ronen: thank you so much, and there's no b.l.a. report for this item. can we please open this up for public comment. >> clerk: yes. members of the public who wish to speak on this item should
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lineup by the curtains. members of the public attending remotely should call 415-655-0001, meeting i.d. 2499-723-2102, then press pound twice. press star, three to enter the queue, and wait until the system indicates you have been unmuted to begin your comments. we have no callers in the chamber. mr. atkins, do we have any caller in the queue? >> operator: mr. clerk, there are no callers in the queue. >> chair ronen: thank you. i would like to thank speaker pelosi for this, and i would like to make a motion to recommend this to the full board with a positive recommendation. can i have a roll call vote. >> clerk: yes. on the motion to send this item to the full board with a positive recommendation --
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[roll call] >> clerk: we have three ayes. [indiscernible]. >> clerk: thank you, mr. vice chair. >> chair ronen: can we please read item 2? >> clerk: yes. item 2 is an ordinance deappropriating $200,000 previously appropriated to the mayor's office of housing and community development and reappropriating $200,000 to the department of building inspection for tenant outreach in federal department of housing and urban development funded buildings and other publicly financed residential developments in fiscal year 2021-22. members of the public listening remotely who wish to make public comment should call 415-655-0001, meeting i.d.
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2499-723-2102, then press pound and pound again. press star, three to enter the queue and wait until the system indicates your line has been unmuted before you begin your comments. >> chair ronen: thank you. supervisor preston? >> supervisor preston: thank you. i did want to speak briefly on some of the background why this is on your agenda today. in last year's budget cycle, my office secured funding for two experiences full time public or affordable housing organizers to conduct outreach, education, and assist residents on their housing needs in h.u.d. or publicly subsidized housing. the purpose is to ensure that these residents, disproportionately african american tenants, get the help
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that they need as tenants from folks who are experienced and folks frankly not hired by the owner or operator of the properties. after the budget was approved in july, we were repeatedly assured that the process to disburse these funds would be undertaken imminently. there was really a constant back and forth that our office had with mohcd, which we were told there would be a prompt update, followed by claims of staffing changes at mohcd there were delays in getting these funds out the door, repeatedly asking through the fall when there were no updates of this, and promises of further information that never materialized. after many, many meetings,
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e-mails, calls, we followed up again on this in november and got no answer on this. in december, we introduced this item in committee because it was clear at mohcd there was no intent to get the funds out the door, these funds were transferred to the department of building inspection. i would like to ask that the item be tabled. i do want to say, just before wrapping up, it's just really
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problematic that residents face really horrible housing conditions, and after we worked to get the folks the housing that they need, we faced hurdle after hurdle and delay after delay, and still in march, we do not have these funds out the door with an ever-shifting array of excuses. i want to thank the department of building inspection for their willingness to help address this and look forward to working with them to get these funds into the field as soon as possible without delay. thank you very much. >> chair ronen: thank you, supervisor preston. any questions, colleagues? no? can we please open this item up for public comment. >> clerk: thank you, madam chair. members of the public who wish to speak on this item joining us in person should lineup now.
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for those listening remotely should call 415-655-0001, meeting i.d. 2499-723-2102, then press pound twice. press star, three and wait until the system indicates your line has been unmuted, and that will be your signal to begin your comments. we have no public speakers in the room. mr. atkins, do we have any callers in the queue? >> operator: mr. clerk, there are no callers in the queue. >> chair ronen: seeing no public comment, public comment is closed. may i please have a roll call vote. >> clerk: on the motion to table the item -- [roll call] >> clerk: there are three ayes. >> chair ronen: thank you.
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mr. clerk, can you please read item 8? >> clerk: yes. item 8 is a resolution retroactively approving and authorizing the mayor and director of the mayor's office of housing and community development to execute grant agreements for the distribution of covid-19 rental stance through mohcds emergency rental assistance program to eligible san francisco tenants and landlords, in an aggregate amount not to exceed $52 million for a term from july 1, 2021, through june 30, 2023, approving the form, and authorizing the execution of the grant agreements, granting general authority to city officials to take actions necessary to implement this resolution.
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members of the public who are joining us remotely and wish to comment on these items, please call the public comment number at 415-655-0001. meeting i.d. is 2499-723-2102, then press pound twice. once in the system, you will need to press star, three to enter the speaker line. please wait until the system indicates you have been unmuted before you begin your comments. as stated earlier, we have partnered with marty dickinson who will provide spanish interpretation for these items. marty? [speaking spanish language]
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>> interpreter: thank you, mr. clerk. >> clerk: thank you, marty. and for those who have lined up along the curtains, i imagine you're here for public comment. please wait until we open public comment, and then, i'll direct you to go and stand, but for this item for the time being, please go ahead and take
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a seat. madam chair? >> chair ronen: thank you so much. i believe that brian chu is on the line to present this item? >> yes. brian chu with the mayor's office of housing and community development, and i believe we have a presentation that we can put on the line.
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thank you. so we can go to the next slide. we have two items, item 7 and 8. item 7 is to amend a portion of the administrative code to administer funds that are placed in specific created funds in the emergency rental assistance relief fund that would allow us to be able to offer rent funds directly to tenants as well as landlords, nonprofits, and c.b.o.s to distribute the funds. item 8 is a resolution to deploy a certain amount of city funds that are aimed at emergency rental assistance. this is a combination of funds that come to us from the prop c a year or so ago in addition to
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moneys given to us in the mayor's budget and in that rent resolution and relief fund. we're coming to you for item 8 because we have two grants that would exceed $10 million, and for those that exceed $10 million, we need board approval in order to execute those grants. next slide, please. just a few quick words about our emergency rental assistance program. it combines emergency rental assistance with legal protections offered by our full scope eviction defense providers. the emergency rental assistance program combines the funding from the state that i think you all are aware of, as well as funding for our own local program. you can see the program eligibility off to the right is for our annual -- for our
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households that are at or below 80% area median income, experienced financial hardship during the pandemic and are at risk of homelessness or housing instability. next slide, and this is just a summary of the rent relief program. this is for the state program. next slide, please. for the local program, we have three households receiving $21 million. we opened it in june, and we closed it in september because the state opened up a program. we are now going to open our program back up because the
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state program is closing april 1, so it's essential that we get our program back up and running. as you know, the city passed its own funding request, but we need to provide rent assistance for prospective rent, and now, that particular portal will now be closed. this just reinforced what i
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said. our local ordinance does go into effect april 1, but we needed to provide payment to those people prior to april 1. and then, our program will provide assistance for pending foreclosures. next slide, please, and then just a reminder for folks who may be watching this on-line, if you go to, you can get rental assistance, help with evictions and landlords. and that's the end of our
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presentation here. so just just a reminder, for the -- for item 7, we are amending the code. it allows specifically mohcd to extend the use of the fund to june 30, 2023, and we have worked with supervisor preston's office to come up with these amendments, so that is the reasoning behind item 7 is just to amend the parameters of that fund so that the dollars that come from that
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fund can be used in rental impact assistance programs. you'll also see an amended resolution for item 8, which allows us to expand our existing grant agreements with three of our providers above the $10 million. one amendment to the resolution is to remove the reference to retroactivity. it will not -- we are moving forward with future plans, so there's no retroactive portion of this resolution. we retain cath lynn charities and mission neighborhood centers. we amended the dollar amount to reflect only the amount that
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attaches to these extensions, so that's why the 52 million is the only one being referenced. an additional amount that you'll see is a removal of one of our community partners, [indiscernible] resource center. they had originally been included in a prior version of this resolution. after we had submitted the initial resolution, we had received communication from their board that they were conducting an internal review
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of some of their own practices. because of the significance amount that flows through these organizations, we need to provide it in advance of all of these grants. advances need to be approved, specifically approved by the controller's office, and the controller's office has now required that our fiscal team certify explicitly for each of these grants, that we certify that we have no concerns about the fiscal management of those funds. they were doing an internal review of a number of issues that were brought to their attention, and our financial team determined that, based on
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that, they were not able to go through the provisions necessary certified by the controller, and in that case, for the purpose of this particular resolution, and for this resolution only, we did need to remove that one organization from this listing, and you can see that that results in an increase to the other organizations listed. again, the organization mentioned is still a granted
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organization, and they are still granting what we gave them in the first round, and this does not affect their ability to receive funds in the future. we are committed to work with all of our community stakeholders, especially the latino community, which you know has been most significantly affected by covid, and are -- have been shown to be the largest recipient of all of our emergency rental assistance
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programs. i lived our provides here, three other provides, who aren't included in this resolution because their amounts don't exceed $10 million. we're committed bringing these providers together with all of the community stakeholders. i understand that there is concern, and the community wants assurances that the removal of this provider at this particular time would not endanger services to community members who are in desperate
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chance of evictions. we have been meeting regularly with all of our emergency providers, and that is my presentation, and mr. ramirez and i are happy to answer any questions that you may have. >> chair ronen: great. i have a number of questions, but before that, let's go to the b.l.a. >> thank you, chair ronen. this would essentially align it with any existing city rent relief program. file 020211 would retroactively
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approve four rent agreements for an amount, $52.05 million. since the introduction of the resolution approving the grant agreements, mohcd has updated their funding plan as described by mr. chow. so the department, i understand it, is going to introduce an amended resolution with three providers, and just the new resolution from 52.5 to 44.5. the grant agreements fund these organizations administrative costs to administer the grants as well as provide 33.5 million in rental agreements to households. this rental assistance would benefit about 2259 households.
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we consider approval of the cochange to be a positive amount for the board, and we recommend approving the amended version of 22011 to be submitted by the department for approval. thank you. >> chair ronen: thank you so much. do you want to -- i'd love you to go first, supervisor preston, and then, i have a number of questions. >> supervisor preston: thank you, chair ronen, and thank you for calendaring these items. i did want to speak specifically on item 7 and perhaps provide a little bit more -- some of the context for this one. i think we have several sources
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of these rent relief funds, and this is an attempt to unify all of these programs. item number 7 is related to the fair recovery act package that our office moved in 2020, which raised taxes on the high end real estate transactions and has already brought in hundreds of millions of dollars to the city, and thank you, chair ronen and supervisor mar for approving those ballot measures and bringing those funds in. as part of those packages, we created the housing and rent relief fund to cover back rent for tenants affected by
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covid-19, and appreciate the unanimous support of the board for creating both of these funds. at this time we passed the original iteration of the original rent relief fund that item 7 now amended -- this was back in oct-2020, at that time, there was no federal rent relief program, there was no state rent relief program. i'm proud to say that san francisco was really first out of the gait on this, and we as a city saw this issue coming early, we took issue early and responded through the initial ordinance. $10 million of the money is
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currently in the rent resolution and relief fund. i appreciate mohcds collaboration on this, is we are trying to disperse the funds. this will allow mohcd to leverage the existing $10 million that's in the existing rent relief fund, along with $20 million in prop c funds, and 32 million from prop i that was approved in last year's budget. so all told, this will give the city a total of $62 million to prevent displacement and keep struggling san franciscans in their homes. i want to remind everyone just
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because i do it at every possible time when this issue comes up, we are facing a march 31 deadline for the applications to the state, and really just urging anyone who is listening to help get the word out that that deadline is upon us, and appreciate all the work of community organizations to spread the word. i do want to note that every one of these state claims that get processed is going to be one less claim that the city pays for with those funds. we know that this is not going to meet the need, especially if if they're going to get the
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average that we're looking for, $10,000 per application. this is a many millions of dollars issue, and the more people we can encourage to apply before march 31, the better. i would like to get clarification from mr. chu around the amendment of the dollar value down on item 8, just to have confirmation on --
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some clarification that we're not reducing the amount down. i think expanding that on the record would be great. i think we need to conform this -- the formal name of the rent resolution and relief fund, not rent resolutions with an "s," and that appears repeatedly in the ordinance, with rent resolutions, so if the department could amend all of those original form of resolutions in the document, and so i'd request that you
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make those amendments, and thank you again for the time. >> chair ronen: thank you, and we'll make those amendments after public comment. mr. chu, can you please just answer supervisor preston's first question? >> yes, sure. in terms of the difference of the 52 and 62, the other $10 million that comes from prop c, that's being administered by the department of homelessness and supportive housing, but the original amount available is 62, as supervisor preston stated. >> supervisor preston: and through the chair, when you say it's being administered, it's being administered for rent relief directly to tenants or for some other purpose? >> my understanding is it's also being administered for tenants, and they are target being those tenants that are
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imminently homeless because of their priority focus, and we provide assistance to that kind of broader range of tenants that may not qualify for the h.s.h. definition of homelessness. we cover kind of a broad range of anybody that would have the housing destabilized by not having that rental stance. >> supervisor preston: thank you. through the chair, so this is -- was not aware of the reduction. i just want to make sure this isn't diverting any of the funds. certainly, as you just described them, we're diverting some of these funds and the
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presentation of homelessness. there were conversations between our office and mohcd, some interest in potentially -- from mohcd about potentially using some of these funds for the subsizized housing providers -- subsidized housing providers, and i just want to be sure that we're preventing displacement. i don't have any concern in principle which agency is administering it for that purpose. i think we've spent a lot of time with mohcd to make sure we're all on the same page to confirm how the funds are being used. i do think we're on the same page with mohcd, but i think we
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haven't had conversations with h.s.h., and i'd like to get some feedback on that. >> sure, supervisor. after this meeting, we can set up a time because we're in conversation with h.s.h. all the time about that, so we'd be happy to set that up with your office. >> chair ronen: is that all, supervisor preston? is. >> supervisor preston: yes, thank you, chair ronen. >> chair ronen: i want to thank you so much for all of your hard work for getting rent assistance to any san franciscan that needs it. i remember being in press conferences, national press conferences with you, and we looked down the line, and we envisioned a massive, massive
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eviction wave in the city, and the only thing that would prevent that would be rent relief, and i just want to thank you for all of your advocacy on behalf of all san franciscans, and my gratitude knows no limits. thank you. >> supervisor preston: thank you. very much appreciate it, chair ronen, and appreciate your strong support of every one of these measures, both for measures and to create rent relief. generally speaking, when it's come to stopping evictions and making sure that we act unanimously in pushing the state to push for rent relief, i think, if i'm not mistaken, most of those have been
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unanimous, and this board has taken a strong stand, and i hope they'll be able to. >> chair ronen: i also wanted to thank bryan chu and mohcd for all their work. this has truly been a massive undertaking that we should be proud of.
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i do have a couple of questions. this committee doesn't meet again until a day before that deadline, and so that's why it was so important to get this next tranche of funds out, is that correct? >> yes. it really was driven by the state application period. >> chair ronen: okay. i wanted to give a shoutout to nick menard and the b.l.a. they had to work extra hours and go outside their normal work process to make this happen, so thank you to nick, and thank you to my staff,
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nikki, for her incredible work. so because you decided not to offer additional funds to la raza c.r.c., i'm hearing concerned that the mission and latinx communities won't have access to these funds. as the mission supervisor, catholic charities, homie, and native american health center, and eviction defense collaborative is just a couple of blocks outside of the mission. so basically, six of the seven
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organizations are inside the mission, is that correct? >> that's correct, and i will say, as you know, that different organizations have different constituencies, and that's why we wanted to try to link those up. we wants to make sure that they will have equitable access to all of the other providers. yes, they're all in the mission, but some people are just really used to going to one place.
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we want to make sure that we can do all of the collaborative pairing up that we can to make sure that we don't miss anyone. >> chair ronen: thank you -- can you tell us how much money is remaining in the original tranche that the organizations received? >> so the 6,000 for e.d.c. -- 6 million -- 6,000? 6 million from catholic charities, 4 million for
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n.n.c., 4 million for la raza c.r.c., and 6 million for homies. >> so of that original 4 or 6 million, how much of that is left? >> chair ronen: yeah. >> so chair, in the b.l.a. report, you'll find the remaining balances for grantees provided in the resolution. it does not include the remaining balances for all seven of our providers. la raza c.r.c. has a remaining balance of 900,000 in the first tranche, and it will be that remaining balance that will sustain the la raza c.r.c. team and help people complete the
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application, and then, other people will cut the check. la raza will still be collaborating with our community members, but they will be collaborating for check cutting for the remaining providers. >> chair ronen: do you have any idea what the remaining funds are? >> so i believe the remaining aggregate from the first tranche is about $4 million. in terms of the need, what brian mentioned earlier, the state of california has processed about half of the applications that have been submitted by san francisco tenants, so that's more than 9,000 applications, more than $106 million, and presumably, there is still more than $100
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million to deploy from the state program, and our local program will serve as the safety net to the state program. so as brian mentioned earlier, our local providers will collaborate with our he lick defense system, the tenant right to council. it will provide rental assistance for the months that we know that the state will not cover, and then, also serving the most vulnerable tenants who -- the state program is not as low barrier as our local program, so we want to make sure that we're able to serve the people that need it. >> chair ronen: so as long as a tenant gets an application in
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or landlord prior to april 1, then, the state will process them. >> that's correct. >> chair ronen: so we don't have a firm grip on what the need is afterwards. >> that's correct. [please stand by]
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. >> chair ronen: which is why we made a very unusual exception to hear this item outside of our normal process, and i appreciate those answers. supervisor safai? >> supervisor safai: thank you, chair ronen.
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thanks. some of the questions that you asked were some of the questions that i was going to highlight. i am concerned about where the rental relief funds came from for my district. can you provide some of the outreach that they provided to
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my district? >> a lot of -- actually, only about a percentage or two below the mission, so we definitely are able to reach out to all the different neighborhoods, and as you said, the impact of covid affects every single neighborhood, east side, west
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side, north to south. >> supervisor safai: and are you able to provide which organizations provided that support to 941 -- >> i don't have that information before me, but i am happy to get that back before you. >> supervisor safai: second question was just to build on what chair ronen was asking. it sounds like you have additional funds to award.
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is that correct? and if there are, why are you holding back on moneys to provide rent relief support? why is that money not being distributed now? >> in that case, i was speaking to the chair, for example, about funds that may have been created through proposition c that we may have now but may come to us in the future.
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prop c will be our primary source moving forward because we have a one-time distribution of the 32 million, and then, the one-time $10 million that was in provider preston's fund, so outside of that, moving forward, the primary funds will be prop c funds, that is correct. >> supervisor safai: and just to go back to my previous point, you don't have or the organizations are not providing information on where they're -- which organizations are working with which neighborhoods in the city? >> oh, no, we do have that information. every organization puts down the neighborhood that they work with together. the figures that i put together for you was the rolled up figure of each of the neighborhoods, but we can break
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that down by provider. >> supervisor safai: so you do have that. >> yes. >> supervisor safai: so that's essentially the questions that i had. i was concerned about where the money was distributed for rent. here's another one. i just wanted to get it on the record. how do you ensure that the funds are disbursed? how does that work, and how do you make sure that the money is utilized for rent? >> yeah, so supervisor, i just wanted to emphasize that this is a citywide program, so despite six of the seven community-based organizations being located in the mission, it's one unified application. the tenant selects what
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organization they would like to work with, and m my notes, the top five neighborhoods makeup 60% of beneficiaries. the number one is the bayview. number two, mission, three tenderloin, four, excelsior, and five, south of mission. 98% of all applicants are extremely low-income and very low-income, so it really speaks to the effectiveness of our state-citywide program in engaging our most vulnerable residents. our emergency rental assistance program, in the vast majority of cases, is a direct payment to the landlord. we do have, in very limited cases, direct-to-tenant
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payments when the landlord is unresponsive or uncooperative, but in most cases, these are payments done to landlords or management companies. >> supervisor safai: so a person goes to one of these organizations and says, this is my organization, this is my period of rent, and what happens? >> so then, the organization collects that documentation, that lease agreement. the organization has to attempt to make contact with the landlord, to obtain, for example, a uu 09.
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>> supervisor safai: so the organization cuts payment directly to the landlord, not the tenant? >> that's correct. >> supervisor safai: okay. those were my questions. thank you, chair ronen. >> chair ronen: thank you so much. we will now open this up for public comment. >> clerk: thank you, chair ronen. members of the public who wish to speak on this item who are joining us in person should lineup by the curtains. members of the public who are joining us on-line should call 415-655-0001, meeting i.d. 2499-723-2102, then press pound and pound again. press star, three to enter the queue and wait until the same indicates you have been unmuted before you begin your comments.
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marty dickinson will be providing spanish interpretation, and marty, if you could please provide the instructions in spanish. thanks. [speaking spanish language]
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>> interpreter: thank you. >> clerk: thank you, marty. we do have a speaker at the podium, and i'll start your time for two minutes. >> i was hoping that we could have two minutes as our organization is impacted the most, a loss of $8.2 million. >> chair ronen: okay. we have the same rules for every speaker. >> we are the main organization impacted by this, and the main topic of discussion. >> chair ronen: you are not the main topic of conversation. please proceed with your comments. >> i was very disappointed to see this amendment. we actually have -- we've
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actually been working very hard, and i know when the city was working really hard to get these out fast, la raza, our staff was getting these out fastest. i know that six of the seven you mentioned, you're saying you're located in the mission, but we serve 18,000 families a year in our food pantry. we link families to our family resource pantry, giving out diapers and wipes, covid assistance for families. we have a 52-year history of doing this. we are a latino task force and latino parity equity coalition member, and those funds would move out of these hands, so it
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isn't a good change, and what happens with this amendment, it doesn't allow our ability to have our case workers give the funds directly to the families and connect them with other services. we've worked on subcontract before, and for us, it actually made it more difficult to serve the families and get funds in their hands faster, and that's actually what la raza community center does. i would actually ask -- this is heard before the board of supervisors on april 1, due at the state on april 9. i would ask to have a reconsideration of the
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deadline. >> [indiscernible] so, you know, someone with a lot of disabilities, i was easy to come to one organization, which was la raza c.r.c., to get services at one location. so having these funds would ensure that we maintain that high standard and quality of
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services, which as cochair of the behavioral health commission, i've coauthored a resolution to maintain that for behavioral health services. furthermore, a lot of our clients will come from d-4, d-9, d-7, and d-6, so supporting us and maintaining that funding would help us on that issue, so we urge you to continue supporting us. thank you.
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>> clerk: thank you for your comments. next speaker, please.
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>> we're going to need spanish interpretation for this next comment. >> clerk: miss dickinson? >> hello.
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my name is [indiscernible] takia. i have been with the community for 17 years. as a volunteer, i have been working to distribute applications and so forth. i consider that funds should be given out to us so that they can be distributed among the most vulnerable in our community, which is young children and single mothers. this group relates to us, and there's so much work that we can do and need to do. >> clerk: thank you so much.
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[speaking spanish language]
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>> hello. my name is claudia rodriguez. for the last nine years, i have been a volunteer for the group, and the last two years, i've been working for them. this was the only group that was open during the entire pandemic, so they were giving out not only funds, but
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essential needs like rent, diapers, food, gift cards, and things that the people were needing at the moment. we distribute over $600,000 in essential items, so we are claiming that you help us remain open and distributing these funds. >> clerk: thank you for your comments. next speaker, please. >> good afternoon. my name is [indiscernible], and i am a resident of district 6. la raza community resource
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center has been a place where people feel community, where they can come, and yes, there are many other that provide these type of services. secondly, i'm here as a supporter to amend this budget because la raza, as the previous speaker said, people realize that they do speak the language. we are speaking that la raza gets the community, and we respectfully request that the
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board of supervisors take that into consideration. >> clerk: thank you for your comments. next speaker. >> hi. my name is brenda, and when i heard them speak about landlords and renters, my sister is one of the few black people that owns a home. she had someone renting who wasn't paying rent, and my
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sister was a city employee, didn't have a lot of money. whatever agency she was dealing with, they hardly talked to her. when all the money was given to the tenants, she got nothing, and still has nothing, so i think this does need to be looked at a little basis closer clerk -- little bit closer. >> clerk: thank you for your comments. next speaker, please. >> the board has been meeting with gabriel every month, and gabriel has told us time and time again how proud he is at the hard, hard work of the
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agency staff and pushing a large number of rental assistance checks outside the door. i've never seen any indication of any malfeasance or any inappropriate appropriation of the funds, but i did support an outside expert coming in to review, and they found no
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instances of inappropriate allocation or misuse of funds. i do understand the logic in brian chu's letter. it does make sense that they would have some problems delivering funds to an agency with an investigation open, but the investigation has been closed and the agency has been cleared. i would certainly urge the board to take that into consideration that the audit has been closed and the organization has been cleared. thank you so much. >> clerk: thank you for your comments. next speaker, please. >> hello. my name is carla garcia, and i'm a board member of la raza. i've been a board member since july 2021, and i can tell you that this organization is really beloved by the
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community. it's an icon by the community, and i'm pleading to keep the funds that we have, because we need them. i mean, we, like martin said, we have conducted an outside audit, and everybody -- everything came out clear. mr. gabriel medina has done a wonderful job. he has raised salaries to all the employees, and also benefits. there was some rumors, too, but i would just ask the board of supervisors to consider facts instead of rumors. our lawyer is going to call soon just about the things that were added, and also, please, make sure -- i just wanted to also mention that nancy pelosi came to la raza in august, and she thinks that we are a star
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organization, that we went beyond the call to help the community, and i hope you consider that, as well. thank you for your time, and i hope you keep the funds with la raza. >> clerk: thank you for your comments. next speaker, please. >> i'm here to argue for the full reinstatement of la raza's eraf funds. la raza c.r.c. is the gatekeeper organization, so la
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rasaprovided and completed an investigation of both fiscal and cultural practices with no findings of mismanagement or malpractice by an independent third party. just because that employees leave does not mean that the organization is incapable, but there needs to be due diligence of the false claims involving an organization that has been top tier in rolling out funds. supervisors, would it not possible to include the resolution that if there are no findings in the financial audit
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for la rasa c.r.c. that the funds can be reinstated? this can be a compromise. thank you so much for your time and the work that you all do, and i please urge you to make sure that la rasa stays funded to continue the good work that they have been doing for over 50 years. >> clerk: thank you for your comments. looks like that's the end of the in-person speakers. mr. atkins, do we have any remote attendees who would like to speak? >> my name is jose cartagena. i work for catholic charities, senior director for the homeless programs and emergency relief programs. i just want to call just to say thank you for the support that you provide san francisco.
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we serve everyone. the pandemic have put us in a very difficult position but also help us to work better together to partnership. if you don't receive money from the city, but you are working in visitacion valley, you are working with a client, we establish partnership, but not necessarily the client has to come to mission to receive services.
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the system that the city has put in place is excellent because you don't have to come to our offices to receive services. you will be able to apply on-line. a worker will be assigned if you have not -- i want to emphasize that we were open through the entire process of the pandemic. we never close our doors, and i want to reaffirm catholic charities naming to continue doing our work, our share of the work in the city. thank you for approving this resolution. >> clerk: thank you so much for your comments. at this time, we have 25 members of the public listening with 15 in the queue. if you are in the -- if you are listening and you haven't already done so, please press star, three to get into the speaker line, and wait until
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the system indicates you have been unmuted before you begin your comments. mr. atkins, next speaker, please. i think we have a caller on the line. >> hi. i am the covid-19 rent relief outreach coordinator at the san francisco antidisplacement coalition. i'm calling to emphasize the urgency of our city to authorize the funds that previous supervisors have spoken for to be put into the local city rent relief program.
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over the past year, i've worked with the city and mohcd to get people applied with the rental relief program. we know there's still about 9,000, 10,000 applications in the pipeline, and extensions haven't been extended, and it's really important to get these funds to these organizations that were read so that we can
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continue to help low-income tenants. thank you so much. >> clerk: thank you for your comments. next caller. >> my name is henry morales, and i've worked in the city services and the community programs. i just want to extend my complete support for homies because we have a relationship with the community. i have an auntie who is getting help because of this. kudos to san francisco for leading the way, not only for doing its job but making sure
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that san francisco helps its residents. again, just give my complete support. i love what they're doing. great organization. they're doing great work, and they can be supported. thank you. >> clerk: thank you for your comments. mr. atkins, next speaker, please. caller, you may want to lower the volume on whatever listening device you're using.
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hello, caller. we hear you. >> hi, my name is [indiscernible] can you hear me? hello? hello? >> clerk: yes, you may begin. >> great. thank you. my name is luis coronados, and as we all know, covid has resulted in a very strong impact on our community. i think what i'm hearing is
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that not including la rasa c.r.c. in the funding seems challenging, just given the work that they've done in collaboration with the city, not just the last 50 years, but the last two years, not only to the mission, but to all of san francisco. i think that what i would ask from the committee is that if there's no funding that are coming out from the audit, as i heard from the treasurer of la rasa c.r.c., then that this committee include an item within the resolution that says if there aren't no findings regarding financial malpractice, that the funds for la rasa c.r.c. be awarded the way they have been originally allocated.
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i think that's an elegant solution to this challenge because i think by doing -- by not providing those funds to la rasa c.r.c., a certain part of our community will not be able to access relief made necessary by the covid crisis. thank you so much. >> clerk: thank you for your comments. mr. atkins, next speaker, please. >> hi, hello. hello. can you hear us -- hear me okay? >> clerk: yes. >> so i'm actually calling for eight people who are going to give public comment, and the first caller will need interpretation, so i'm bringing up our speaker right now. >> clerk: thank you. >> oh, okay.
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actually. okay. okay. go ahead. >> hello. my name is luis vasquez gomes, and i have works in the different organizations [indiscernible] i'm calling to keep complete funding in house for la rasa. during the pandemic, we were the only organization that kept our doors open for the people. we had a pantry serving 150 families, and in two months, we are serving near 1,000
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families, and we actually extended our worth. we started opening another pantry. and also, we have the program rental assistance [indiscernible] and i personally processed more than 250 families and distributed nearly $750,000. with that, i just wanted to emphasize that we have the capacity to continue serving our community, and it's very frustrating, and unfortunately, because of the internal matter, the agency, and all the excellent work that we've been doing for the last 50 years gets questions when, in reality, we should be applauded for our work in this community. also, nearly 30% of the
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eligible families do not apply for assistance, so it's important that we keep funding for families. >> okay. the next speaker. [speaking spanish language]
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>> clerk: thank you. >> hello. my name is carmen gallegos. i am a volunteer of la rasa and also a volunteer of the food bank. i have been informing people of all the resources that la rasa has for our hispanic population. i have personally gotten help from them, as well, and during the pandemic, we was the only organization that was open for
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pandemic and food help. i personally helped fill out many applications, so i hope that we remain steady and helping la familia continue with the cause that they are doing. thank you. >> clerk: thank you, marty, and thank you, caller, for your comments. next speaker, please. [speaking spanish language]
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>> my name is magali, and i have been working as a family
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specialist to assist families with whatever they may need, and know that theed funds are needed to keep giving families what they need. thank you. [speaking spanish language]
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>> hello. my name is christina ortiz, and i have been a volunteer for the organization, or i currently am. i want you to know that this community of people helping have not only done -- have not only helped with essentials but also have helped with emotional problems that we may have. i've taken classes here for parenting and leadership, and this makes us grow, as well, so i would ask that you continue to lend your funds to us. thank you. [speaking spanish language]
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>> hello. my name is estramos, and i have been in san francisco for about 17 years. i am currently a volunteer.
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i was able to pay my rent during covid thanks to this program, and many families weeks and years and months after covid have gotten help, not only financial but emotional, as well. so i urge you to hold your heart and please help us retain these funds. thank you. >> hi, good afternoon. my name is marisela gomez, and i've been working at la rasa as a case manager since 2017. during the pandemic, we administered and successfully
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assisted our community with various mohcd grants. i'm calling to ask that the board of supervisors reinstate and pass the original resolution and to fully fund la rasa c.r.c., the 8.4 million program grant. mohcd has allowed us to continue providing critical safety net services to one of the most vulnerable populations in san francisco. as expected, we have seen a tremendous surge from first time assistance to on going spar. -- on going support. due to the numerous factors, including language barriers, loss of job, huge rental debt among others, the impact of covid continues to be difficult
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for the latino community. as the statewide eviction protection expires on march 31 and harassment from landlords continues to escalate, it is essential to continue supporting our most vulnerable communities. thank you for your continued support and helping us help san francisco. >> clerk: thank you for your comments. >> hello. my name is [indiscernible] and i have been working for la rasa for the last 17 years. my experience with one of the
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families was -- it was a family of five that's experiencing many difficulties. the mother was having depression, the father had an accident, and they were just struggling with the kids at home. he reached out to us, and because of you, we were able to assist him. he was able to get it off his chest because he didn't even have a clue of what was out there for his family, and he reach out to us. it has been hard during this pandemic for many of our families, and i'm just happy to serve, and i'm asking to please keep the funds at la rasa so we can continue serving our families. >> hi. my name is [indiscernible]
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caldas, and i am grateful to say that i live in district 9 and work at la rasa community resource center. i implore you to reinstate the original resolution to fully fund la rasa 8.4 million. our families need this funding more than ever, and defunding us is defunding la rasa. our families need us. during the pandemic, we never closed our doors, and i work with families to give them funds through the much needed eraf program. i know firsthand that with the full funding reinstated it will allow us to expedite the process of getting funds to the
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families when it's needed most. we've received countless e-mails and letters from the families that we help, and i'm reiterating that defunding la rasa is defunding the ones who need it the most. i also ask that you not rush this decision and at least give yourselves until april 5, when you vote on everything. thank you so much. bye. >> clerk: does that conclude your speakers? >> it does. >> clerk: thank you so much for organizing, and thank you so much for participating.
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mr. atkins, next speaker, please. >> yes, hi, good afternoon. everyone. thank you for making this time. my name is michelle, and i am a board member with la rasa community resource center. i have actually been a volunteer for almost nine years, teaching the la rasa participant citizenship on the weekends, and i would urge you to consider approving the funding for la rasa, as we have previously stated, our recent audits found no mismanagement and no violations of any kind of policy in this field. we do appreciate all of our
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staff and everyone that's worked so hard serving the latino community. as i have personally witnessed so many people coming to the center to help people get ahead. they need these jobs, and they need this extra support, this extra rental assistance to have a peace of mind and to have a respectful life, so i urge you to consider before you vote on this. thank you. >> clerk: thank you so much for your comments. mr. atkins, next speaker,
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please. >> hi. my name's roxanna morales, and i am calling in favor of the extended resolution for the covid-19 resolution. i used to be the lead eraf case manager person at la rasa c.r.c., and i just wanted to clarify some situations. i left february 4 because of a lot of problems that were going on at la rasa, particularly in the eraf program. remember, we were still giving out checks in october, and when i left in february, we still had people that had not received assistance, and they were waiting for assistance since december, and they had applied way before then. so i do want to say, we had to completely stop working for a period of time because mr. gabriel medina told us we no longer had funds, and we had several checks bouncing.
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the payment was always delayed, people were always calling us angry because we didn't have the funds to give to them, even though we had promised to give it to them after the whole process was done, so i do urge you to let the resolution stay as it is. la rasa is crucial and important to many people, and i just think they should be allowed to work with the eraf programs, but they should not be have contact with the funds. >> clerk: thank you so much for your comments. mr. atkins, next speaker, please. >> hello? can you hear me? >> clerk: yes, we can. >> hi. my name is john mendoza, and i'm calling here today in
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support of the amendment to keep the money with la rasa. i just want to speak a little bit about the different agencies in the mission. when you're poor and underprivileged like myself -- i've been in the mission 45 years, and you find an agency that helps you, that agency becomes like family. so to take the money away from la rasa and all the families that depend on la rasa for their resource, that would be devastating. we had the homeless problem solved because we had them in hotels, and if you let them out of hotels by losing our funding and losing their support, you're really going to be hurting. i urge you to support this agency and support these funds.
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this is not a time to destabilize somebody's social network and that's where they depend on, so please, support this amendment. keep la rasa resource center, and thank you. >> clerk: thank you for your comments. currently, we have 24 people listening and nine in the queue. if you are one of the 24 listening and wish to provide public comment and have not already done so, please press star, three to make public comment. mr. atkins, can we have the next speaker, please?
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it seems like that line is unattended. >> good morning, supervisors and community. my name is karl [indiscernible] and i work at la rasa community resource center as an
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immigration attorney and as the director of the legal program. i have worked at la rasa close to eight years, and i've led the immigration program that whole time. i've heard a lot from my colleagues and others about the great work that la rasa does. i have full confidence in the ability of la rasa staff to implement rental assistance projects like this one. while la rasa has a great and committed staff, that's due to the continued legacy of la rasa's previous director that gabriel medina inherited when he took over a little over a year ago. i'm commenting to clarify some things about the situation here. in late january, our three
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program directors who collectively have about 40 years of experience concerning la rasa's programs, filed grievances to the board of directors. the majority of staff had raised concerns about the e.d.s more treatment of them and poor management of programs. the board announced that it found zero problems with the e.d.s conduct even though we had allegations that staff felt led on, led on by the investigator. i had an incident where the investigator violated the
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investigation where he spoke to me about another grievance. >> clerk: so sorry to cut you off, but we are limiting each speaker to two minutes. mr. atkins, next speaker, please. >> hello, board. my name is kristin mitzel, and i am their outside counsel, and they've asked me to share a little bit more what's happening to you. as you know, they had complaints coming in, so they took steps and hired attorneys and consultants on the outside.
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>> due to la rasa with their connections with the community,
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they have been in place for over 50 years. people say it's not the same, but then, there's a change in management style. you have a new person come in, and of course, they're going to be passionate, trying to improve the services and everything. i hope we can amendment the resolution to note that at the same time and just recognition that this is a gem of an organization. each organization in the
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mission and everyone in san francisco has a purpose. it's all beautiful. we need to come together as different community organizations and give our all to communities. >> clerk: thank you. your time has expired. mr. atkins, next speaker, please. sounds like that line is unattended. >> can you hear me? >> clerk: yes, we can. please begin. >> okay. i'm sorry. yes, my name is marian, and i
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work for la rasa community resources, and i want to tell you that it doesn't matter if
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la rasa has 50 years of community experience or less, the money needs to be distributed. i thank you to mohcd for keeping the door open and making sure that families receive their money in a more accurate and a more substantial way, taking down barriers and allowing requirements. >> clerk: thank you so much for your comments. mr. atkins, next speaker, please. >> hello. my name is [indiscernible] and i'm [indiscernible] at homie. as an organization, we've also been open during the pandemic. our latin-based organization is in proximity to the mission
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corridor and has continued to operate, as well. in addition to rent assistance, we provide food for 800 households a week, and the demographics we serve is citywide. i see it firsthand and strongly affirm community members in need of support within the 16 street corner and citywide will continue to access city services within the strong network of city agencies, and on behalf of our organization, we thank the city for supporting vital services and our community organization. >> clerk: thank you so much for
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your comments. next speaker, please. >> good evening. my name is petra mendoza, and i wanted to bring your attention to an incident on february 28 where la rasa [indiscernible] at the hands of the current administration. i have been a volunteer at la rasa community center for about three months, working at the food pantry to provide families with a healthy diet and nutritious food. because of that, i had given my personal information as well as personal number receiving announcements for events that i volunteer for. however, on february 28, i received a surprised phone call at 6:28 p.m.
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this woman introduced herself as carla garcia and advised me not to attend the rally the next day as the city would takeaway their funds. moreover, in an abrupt manner, she asked me if that was what i wanted to happen because that's what would happen if i attended this protest. lastly, when i questioned how she received my number, which was supposed to be private and received solely for the source of a volunteer, she explained because she was a member of the board, she had access to private information. this is why i have reached out to inform you all about this. thank you for listening. >> clerk: thanks so much for your comments. mr. atkins, next speaker,
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please. >> hi. my name is laura. i am the director of radco program at eviction defense collaborative, and i just want to express my strong support for the local eraf program in general, and it's had a strong impact in supporting our chinatown community. through our partnership, we were able to reach the chinese
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community, and e.d.c. was one of the only providers who had mandarin and cantonese speaking staff to help people with the program, and we have received feedback that that was very needed for their clients. i know that we'll continue to reach this very important population through our outreach partners, so thank you for the opportunity. i also want to highlight that e.d.c. is the lead in the san francisco tenant rights council system, and radco can act quickly to administer assistance to those in eviction proceedings because they all get referred to radco. thank you. >> clerk: thank you for your
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comments. mr. atkins, can you confirm that we've reached the end of the queue? >> operator: mr. clerk, we have reached the end of the queue. >> clerk: madam chair? >> chair ronen: thank you. public comment is now closed. first, i want to acknowledge all the comments from la rasa community resource center. i want to thank all of the staff members for coming in and testifying today. [speaking spanish language] >> chair ronen: i have been a huge fan and supporter of this organization and donor myself to this organization for many years. [speaking spanish language]
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>> chair ronen: but it's very unusual that we've been presented with a situation like this. [speaking spanish language] >> chair ronen: we have a fiduciary duty when we oversee any money that's taxpayers' money, but especially $8 million that's going to residents that could be homeless, that we are sure that the organization receiving those funds is capable of doing the work. [speaking spanish language]
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>> chair ronen: and there's a lot of disturbing events that have happened at la rasa that, unfortunately, are coming to public that we've heard today, that several long-standing staff that had the love and trust of the community quit the organization, and one of them was the facilitator of the eraf program, that 70% of the staff sent a letter, alleging financial improprieties of la rasa including her concerns were ignored, and that's very serious. [speaking spanish language]
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>> chair ronen: we have to be very careful here. so i understand that mohcd has suspended these funds until the
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organization is sure that -- or until the department is sure that this organization can handle the funds and has the personnel to distribute the $8 million to the public. [speaking spanish language] >> chair ronen: now, i just have a question for brian chu, if you're still there. i hope you are. >> yep, i'm here. >> chair ronen: okay. great. so given that there is a new third party audit that seems to show that there's no financial improprieties in la rasa, and -- i'm just wondering, what would be your process going
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forward for deciding whether or not to allocate the approximate $6 million in additional funds to la rasa, if it makes sense to do so? >> well, a couple of items. so just to clarify my previous statement, i intended to convey that there was a possibility to add up to $6 million without going back to the board. that's different than saying we have the $6 million now. we may have the additional dollars through unexpended dollars that are left in the pool from this time around and/or dollars that are unexpended or that may come to us in july. so that being said, in terms of the process going forward, i would need to consult with my staff, but i would imagine that we would be consulting with our
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lead fiscal team because it's the fiscal team that needs to make a certification to the controller's office, and we would connect with the controller's office to -- their office has set up the requirements to allow advances to be made on city contracts, so i think it would be a consultation with the controller's office and with our lead finance officers to review the works. >> chair ronen: i'm sorry. so you don't have additional money to distribute to la rasa if you then deemed it appropriate? >> there is -- there are some dollars that were not allocated through this resolution. we didn't need to put them on this resolution because that amount won't go past the $10
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million, so that funding is currently available for distribution. >> chair ronen: so are -- >> and any additional dollars that we get in the next fiscal year. [please stand by] yes, so that
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redistributed and correct me if i'm wrong, mister ramirez that if we have monies from the 11 million that are not accounted for in those three organizations, what you've done in thepast is looked at those organizations that basically expand their money , some organizations spend their money morefreely than othersso that additional money would then be added on to those existing grants not for the 3/10,000,000 but for the order organizations . >>that's correct . >> but comes in for the 11 million youdon't have any money left . it's 40 million+11 million and that gives you 52million . unless you make , unlessyou change your mind on the distribution of theremaining 11 million , you don't have any additional dollars to distribute, is that correct ? >> that's correct
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>> now we are all clear . at least i am. it sounds like they're giving slightly different answer . >> yes. >> okay. and then i was going to say the same thing about miss barrel but it sounds like you can follow up directly with her and we can follow up with that landlord. that's another reason i asked about funds being distributed directly to the landlord through the organization once the information is sentforward. i don'thave any additional questions . >> supervisor mar . >> iq chair ronen. i want to thank mohcd and all organizations who been part of this tremendous effort. it's one of the most important trend for relief programs we've had in the city and especially to the la rasa crc who have
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spoken out today and your efforts are really appreciated. i know how challenging it is to maintain the grassroots community organization for my many years of community work for being a board member so we really do appreciate all your work and it sounds like with the audit, the positive audit report and what director chiu from mohcd says, there is a still a pathway to provide rent relief to some of the most vulnerable humiditymembers in the mission and in our city . i guess i'm open to however supervisor ronen might want to handle any possible amendments but it sounds like there's definitely a pathway for la
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rasa crc to continue to be part of this important program. >> yes, but this is unfortunate situation because i would not be okay. i appreciate supervisor safai for clarifying the additional money would then have to come from the additionalallocation to yc and native american house center which i'm not okay with .>> i can offer one additional point that may help attribute discussion . so in terms of the initial allocations to those other groups, native american health center, what we had from them there allocated to them , we're at about 1.4 million on allocated to any of the organizations.
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so you havethose three grants and then 1.4 million that have not been preliminarily allocated to thosegroups . and but that's their expectation. and then just to be clear , in terms of the technical application of theresolution before you , the resolution before you allows it to amount. not to exceed that amount. so those amounts allow us to give example to 9.85 million to mmc, up to 16.6 million to edc and to 14.1 million two catholiccharities . >> got it. >> we could choose not to give that full amount, it just authorizes us to go up to that amount depending on the discussion we have here , that maychange our decision as to how much to add . >> i'm not going to do anything on the record today.
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it's too confusing.we haven't prepared enough . i know this city attorney is probably getting nervous but what i will say is that first of all, yc he is the only organization pretty much outside the mission that is disputing this money so i don't want to see why cd unless an additional 46, $4.6 million. and then you know, the native american health center serves a very particular population and i don't want to see them getting less and as their staff has said has been also open during the entire pandemicdoing amazing work in the community so again, it's thismoney.
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you have about 1.4 additional money and if there's an additional dollar that you decide to take from the bigger allocations later because you think it's responsible to do , then we can talk about later how to do that . what i will say to la razacrc is i hate this.i wear in this situation. it's awful. it's awful for the supervisor, also for the community and also for the staff . [speaking spanish] and my message to the board and the director of la raza is you guys need to work out what's happening in your organization . because this is bleeding into the money that goes to the community and the community user. that is not my job as supervisor of district 9. my job as supervisor of district 9 is to ensure that this taxpayer
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money is responsibly spent and that it gets into the hands of the people that need it. i feel very confident with the other organizations listed here are phenomenal organizations that they will get this money into thehands of the people that needed . i hate seeing la raza crc in this position i've been a longtime supporter and this has been one of the roughest transitions of leadership i've ever seen in an organization . so i'm asking for the board if you're still listening and for the director to really you know, take the concerns of all the staff there he seriously because this is bleeding into the board of supervisors which is inappropriate and not our job. and we've spent hours, hours trying to work with you all to prevent this and i would appreciate that you don't bring this into these community-based
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discussionsanymore. it's ruining the reputation of the organization and it's incredibly problematic . so with that i am going to make a motion to amend this item. i guess what we're amending is item 8. right? that's the only item we're amending. we're going toamend item 8 . both as brian chiu laid out and distributed to us all colleagues and that minor amendment thatsupervisor preston made that was also distributed to all of us . if we can do that in one float together if that's possible. >> chair, i wanted to add just friendly language. maybe the city attorney, that they would come back and give
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us the data. they agreed on the record to do so. give us data about the distribution ofneighborhoods and where money is allocated . that would be somethingthat would be greatif we could make that happen . can we do that between now and when it goes to the full board ? >> provides her, can we amend this to handle this separately? >> we're happy toprovide the information to the committee . >> i have no doubt. so i think a motion to amend item 8 with the 2 amendments i described that have been distributed to all of us in writing . >> point of clarity madam chair. the amendment bysupervisor preston i believe is on item 7 . obviously it's a clerical edit to just replace grantresolution with resolution singular . >> this is why you are the best clerk ever. let me just start over.
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i'd like to amend item 7 with the minor amendment presented by supervisor preston and distributed to all of us and i'd also like to amend item 8 with the amendments described by brian chiu distributed to all of us. if it's possible to take that in one vote. >> yes we can madam chair. on that motion to amend item 7 for a clerical edit and item 8 accepting the amendment offered by mohcd. feist chair safai. [roll call vote] we have 3 aye's. >> and i'd like to forward the amended items to the fullboard with recommendation . >> on that motion to forward both items seven and eight to the full board with a positive
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recommendation as amended, vice chair safai. [roll call vote] we have 3 aye's. before we move on mister chiu if we can continue to work together to consider additional money going to la rasa crc after you have the opportunity to examine the audit and maybe talk to members of the staff and make sure there is truly thecapacity to do this work . >> thank you and we shall do so and take all this conversation into account before we finalize any execution of ourexisting grant agreement and i will refer to this discussion . >> i appreciate everyone for coming out today and hopethese matters are resolved very soon . [speaking spanish]
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>> thank you and thank you to everyone who is here for item . you've been waiting so long. mister clark, can you call item 9? >> madam chair, item 9 is ongoing staffing shortages at san francisco general hospital. members who wish to comment please call the comment number at 1-415-655-0001. after the meeting id of 2499 723 2102. once connected you will need to press star 3. a systemprompt will indicate you have raised your hand . please wait until the system indicates you have been unmuted. >> chairwoman: sorry about that. i think we have ... i'm sorry,
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supervisor safai. >> thank you chair ronen. justwant to give a little context . supervisor haney was the lead sponsor, i was his cosponsor on this but he's not able to be here today so i want to put a little frame as to why we are here. this afternoon as many of us know many city workers will gather on the steps of city hall to demand the city staff to fill thousands of vacant positions that thecity has funded and not yet still . as many of you know i have been an outspoken about city staffing. we started with our conversation at the fire department as pertains to paramedics. we also had a lot of conversation with the department of public works. we had a hearing on that a few weeks ago looking at the chronic understaffing in that department historically about
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30 percent plus ofthe positions have been vacant in that department . which has led many people to push and question about the level of cleanliness on our streets and the way the department is responding because they are so shortstaffed. that leaves us here today to talk about so much of what's happening at san francisco general and we wanted to talk about that interms of staffing ,staffing decisions . how the people are responding in times of right now so many of our front-line workers have been on the frontlines over the last couple of years doing everything they can to keep our city safe and our population healthythey feel overworked and in many cases underappreciated . so this is a very very difficult situation to deal with particularly when you're looking at staffing decisions and positions that have gone
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unfilled. and our nurses, our front-line healthcare workers are saving livesevery day . let's please thank them for all their tremendous work and our central flow line workers. i want to thank doctor ehrlich for the past few years in this crisis, responding in so many ways. i thinksan francisco has been a leader but we still need to get back to where we are in terms of staffing . staffing decisions and how we were approaching the issue of temporaryemployees and how we intend to really think about filling those positions . today, we're going to have a presentation department of public health doctor ehrlich with her team and ask members
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to come up and speak and after those presentations we will have questions directed at the departmentthough doctor ehrlich if you'd like to start off .i know you've got a prepared presentation and we will get into sci you 2021 but it was important to start with dph so everyone could hear the framing from your side and hear directly from lineworkers and their group . thank youdoctor ehrlich . >> thank you supervisor safai. i'm susan ehrlich, chief executive officer at san francisco general and i'm joined with mycolleague basil price whose director of security for department of public health and a number of our community membersonline . i want to thank you for the opportunity to address you about our staff and before i start with the slides which are
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up , i would just like to express the amount of gratitude for the team at zuckerberg san francisco general. everybody shows up just completely committed to serving our community, to serving our patients and they done so in what has been the most challenging time to provide health care services in my career which was long at this i'm very grateful to them and for the teamwork we have fair because we all want the same thing which is to serveour patients and serve our community. so with that i'll start on my brief remarks they are brief asyou requested . we can go into moredetail if you would like . so slides please . next slide. so this really summarizes the situation in a very brief way this is just nurses, it is in many ways reflective of other staff but i wantedto go through this example with you . you can see that we have 984.1 ftes and 91.8 percent of them
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are filled which is great. it gives us a vacancy rate of 8.2 percent which is substantial but actually compares well with the industry right now.the healthcare industry is suffering and that is true throughout the country. this has been documented and written about quite a lot. i read recently that perhaps one inevery five healthcare workers is leaving theirjobs for a lot of reasons . mostly related to the pandemic at this point . if that's not the way it feels the general and the reason for that is we have a lot of people out for other reasons so these are filled positions we don't have people working because they are out on leave which they need and are entitled to or their calling in sick. so that's actually a much more substantial impact on our workforce than othervacancies.
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you see the total vacancies of 8.2 percent of the vacation , sick leave is 19 percent. giving us a vacancy rate of 22, 27.2 percent. among vacant are in positions you can see we actually have 3.2 percent have identified candidates that are not yet on boarded and fivepercent are vacant . next slide. so obviously where really focus on doing whatever we can to improve the situation. the anticipated time to fill out and positions is 45 days on average. for new grads and training programs hiring can take about three months and we especially have challenges in theemergenc department and icu . this is true throughout the industry . what we're focusing on now what seems to be the best way to stabilize our staffing is by
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having training programs and this means that we're bringing in folks who don't necessarily have the skills to work in the emergency department orcritical care to start but we train them to do that . and we weren't able to do that as much as we would have liked during the pandemic for a lot of different reasons but now we have continual training programs in the emergency department we just completed a training program with the nurses coming into staffing . we are our colleagues in hr have done expedited hiring during the pandemic and currently is posting on morning is about 2 to 3 times a week. so now i'm going to turn it over to my colleague basil is going to give a few remarks regarding safety and security at the hospital. >> thank youdoctor. supervisors, next slide please .
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so as far as workplace violence is acceptable this chart represents the 316 reports that were taken by sheriff's deputies of crimes at the hospital, crimes against persons over the past three and halfyears . this chart actually represents a 47 percent decrease since fiscal year 1819 of reported crimes against persons with 72 percent of those or 246 of those incidents occurring in the emergency department, pes as well as psychiatry. next slide. in these same positions or departments in addition to dedicated assign sheriff's deputies to these departments, we're also adding psychiatric
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nurses as well as technicians to function as a pure emergenc response teams . and they will apply trauma informed crisis intervention techniques and principles in order to prevent and de-escalate behavior emergencies. so turn it back overto doctor l . >> just in summary, our staff are our greatest asset and our top priority really is on hiring permanentnurses . there's no substitute for permanent nurses and that is definitely our top priority for hiring. we also want to maintain quality patient care and a safe environment for staff.
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that concludes my remarks and i'm happy to takequestions or proceed as you desire. thank you for the time . >> i think what will do is go to sci 1021 and we can come back to questions that's very specific questionsand i know my colleagues do as well . >> is there a place to plug in? is there something there it will pluginto ? >> of the time being there is nointerface to plug-in . although i dobelieve we have a copy of your presentation if you need us to share . >> is already up. >> although quickly. i'm the collective bargaining orneeded for 10 to 1 . i thank you, perfect.i have led the negotiations with the
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nurses for many years. the remarks by doctor ehrlich would be reassuring if they had any relationship to what's happening at the general hospital the information about the vacancy numbers our core messages you take one thing away from oursremarks is the budget is wrong . was sf dh is expected to provide to the public and across the public health far exceed what is budgeted for so a present is a great vacancy number but the question is eight percent of what. the vacancy number is of an artificially deflated hole or someone have vacancies is on information about leads and sick calls. most other hospital systems into their staffing plan and budget forit . the answer is that people will take vacations, go on maternity leave then you know thatfor
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staffing . so that when someone calls in sick or uses their benefits or has jury duty doesn't everyone else indanger. can we go to the next slide ? we will go to the next slide. so three points, the hiring process is broken. as we talked about it's the citywide issue there's a lot of vacancies but even if we fix hiring process the ph would be critically understaffed cost again of what is wrong leading to an overreliance to fill basic staffing needs. that is to say that our services notbeing provided but there are also a lot of services that are being provided but beingprovided by unbudgeted nonpermanent staffing positions, next slide . let's hear some examples .
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next slide. this is from their data which is rosie to start with. it goes to the health commission, with a few months over several years to show consistently missed serves as a typical inpatient unit post surgery, chemotherapy etc. consistently running at a census is over 100 percent of budget. icu frequently often over 100 percent of budget. skilled nursing facilities on-site, over 100 percent of budget. so is to say those are the services provided but they're notbudgeted for the budget doesn't reflect what's occurring . >> i appreciate yougoing fast but you're going really fast . just quick question. when you mean budgeted, you mean the number of staff to serve the number of bedsthat are expected to be filled ? >> correct. that there is sf general is licensed for 40 percent more beds than it hasbudgeted and
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staff . so just for instance, if you have 20 beds and your budget for 10 beds in every day you have 15 patients, you're going tobe understaffed every day, does that make sense ? next slide. >> you can still go slower. >> i want to getout of the way and let the nurses talk . this is again ed divergent dat . there's sort of like a butterfly effect in the system where things get impacted in one area and then it backs up across the system so because the searches go all the time patients are held who can be admitted to the inpatient areas of the hospital andthen over two thirds of the time , ambulances except for trauma patients get sent to other places. this is partially a question of
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inadequate physical capacity sometimes but often again because we're not staffing the actual volume in med surge, not staffing to volume in psychology or actual volume in icu and not staffing to actual volume in ed . you have to close capacity in the ed they don't havestaff to take care of it . so this is just the nurses kept track for thismonth of the number of nurses they were short every day in the ed . they by day of what they were supposed to have based on their own written staffing model their short all the time every day. this whole cannot be filled by travelers. and so next slide. next slide. so this is again from health commission data, psychiatric emergency services on condition red100 percent of the time since may 2020 . so that's the sort ofpes
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version of being on diaper status . but because of safety protocols may reduce incapacity so they don't have to many people in the unit of those patients don't disappear, they go into the main emergency room at the hospital and they wait there in ways that are unsafe for them and unsafe for everybody else to just be holding psychiatric emergencies in theed . >> i want tomake sure i understand . when ps is on code condition red it means they're not accepting newpatients . >> it means they have to accep , ease have to accept anybody who walks in the door so somebody wants and they have to see them but it means people are referred toother locations .
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>> next slide. okay, so this is for example laguna honda. in 2017 registry and travel use was under $1 million ayear . as of last year that had goneup to $12 million .that far exceeds the number ofbudgeted vacancies . there's some massive growth an reliance on travelers instead of core budgeted staff . similarly this is the per diem notices that don't have a set schedule. the blue bar is the amount budgeted and the orange bark is what they're actually so you can see is there massively leases far beyond what is budgeted on per diem's. instead of permanent staff. a lot of what happens out of dph is sort of a robbing peter
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to pay paul, the system where there's a whole bunch of needs. they don't have thebudget for it and there has been cannibalizing services from one place to another nurses providingrelief to nurses eight and so on. last year , last year dph spent $90 million on per diem's . so these numbers here that were around $60million in 2016 17and 2018 have gone up to $92 . next slide . that means that per diem notices instead of regularstaff are doing 40 percent of nursing care across dph . so this creates a whole bunch of impacts that aggravate the retention prices we have in the system.and so there's problems with the hiring process. that need to be fixed.
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we hear lots of stories from peoplewhere they can't get called back,they can't get information . they have trouble getting on board . the managers list, the list of old. by the time they get around to calling peoplethere gotten other jobs . next slide . so the questions that we have for you are what actions can the supervisors take to fix hiring process that's been broken for a long time. what can supervisors do to facilitate large-scale conversion of per diem nurses . and finally, what should the budget be to reflect the services that we are providing. how do we convert all this money being spent on exempted traveler and registry into permanent civil service positionsprovided by city workers. and there's a conversation ,
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doctor ehrlich mentioned about the national trends in nursing and san francisco is not defensible for san francisco to be doing a victory lap in the national news about our incredible response and then wreck our public health workforce in a way that will take us a decade to rebuild . the curve we need to flatten out is the curve of nurses leaving the profession in san francisco and we need to get had it . we need to look at the issues driving recruitment and retention and the core of it that we see again andagain as long-term chronic structural understaffing, under budgeting and i want to pass it to other ballinger , the president and general hospital. >> thank you supervisors. i'd like to thank you for posting this again today. you'll remember we were here pre-pandemic askinga number of the same questions and unfortunately we can't really report that situation has
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improved . nato introduced me, i'm a emergency department nurse and have been with san francisco general for 14 years and i'm proud to represent my colleagues as the recently elected chapter president .i just really wanted to point out the under budgeting that we suffer from has systemic effects across the system then have a lot of hidden costs and i want to paint a bit of a picture of what that looks like in the real world and of the from the ed perspective since that's the world i'm less familiar with. thebackup is in the emergency department and in some cases it just is on the streets .and the emergency department which we report has the 60 bed facility is often so poorly staffed that they can only open 30 of those beds foractive patient care. of 30 of those that , 12 to 15 of them are often boarding admissions because there are no available beds staff on inpatient units for those
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patients now we're down to 18 or 15available beds . of the 15 or 18 available beds remaining holding multiple patients that are experiencing acute psychiatric episodes because pes is on condition red legitimately. they're an extremely old, extremely small poorly designed facility for safety and extremely poorly designed for infectious disease. as an example on sunday evening the emergency department was holding 13 patients who are unable to be transferred to the psychiatric emergency unit. so we can do the math 18 from 13 is not 60 bed emergency department. it's just functionally not. the waiting room yesterday at 5:30 p.m. at 13 patients assigned to the care start program this program is designed to manipulate without being seen numbers because they write orders for these patients and those patients are
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documented as being seen by a provider but they are still in the waiting room. they don't have an assigned nurse to start carrying out their care and don't have a roomwhere they can be seen . so the nurses know that these patients are not getting that care but they are being categorized as patients who are receiving care . these circumstances are setting the nurses and their colleagues up to fail each and every shift. they know they're not going to be able to provide the care patients need each and every shift increases their stress and dismay. there is a national trend of nurses leaving the bedside nurses are not leaving the bedside because they don'tcare anything because they care so much and they just can't stand to failure patients each and every day . that's whythey're leaving the bedside . since january 2020 just the san franciscoemergency department alone has lost over 60 nurses . 60 nurses. since january 2020.
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those are trained emergency department nurses .so ask dph and dvr the amount of time, money and expense is going to go into recruiting , hiring and training 60 new nurses to replace what was lost. and how long will those nurses stay if they meet with the same inability to treattheir patients the same inability to provide basic level of care . where in a cycle because we are failing to adequately resource our facility. all because we are not budgeting inappropriately . that's upsetting usanything in the long run . it's not enabling us to provide safe care and at the end of the day the people that run the risk are the citizens and patients they're the ones that suffer . so we really are hoping going to be able to pick this thread back up and again, it's a three
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covid problem and we need to fix itbecause this hospital is crumbling. i'd like to thank you guys for your time and i'm more than happy to answer any questions i can clarify anything for you . >> thank you. doctor ehrlich, can you come back up please? thank i have three basic categories of questions and i know my colleagues probably do as well but first as you heard hiring permanent employee ratherthan temporary employees , secondly implementing the findings and we haven't even gotten to it but the goal report and racial disparities, i want to spend a minute or two on and discussing thebudget impacts of these hiring decisions. first , really want to just dive right in on the process
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that the department goes through to convert temporary per diem or traveling registry nurses who want a permanent position and whythe large increasein over reliance on temporary and traveling nurses over the last number of years . >> thank you forthe question . so the pandemic has been a really challenging time to address hiring . we want to always rely on permanent positions. permanent positions, it's been more challenging in thepandemic than other times. when we can't hire permanent nurses , we will rely on temporary nurses, much less often officiallyduring the pandemic on registry . over time those are the various categories we have to try to address nursing staffing. the details, there are a lot of detailed questions you asked us
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and a lot of these seem detailed questions were asked to us by the union and we have responded to them we are happy to provide those written responsesin writing to you .and we are doing that . for some of the very details on the permanent and temporary conversions that we have offered permanent conversion from temporary workers iwould want to deferto my human resources colleagues who are on the line . >> that would be great . who is that? >> i would defer to luana kim. >> you're on the line? >> i think karen hill is online here she is . >> you are on mute.>> can you hear me okay?
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good afternoon supervisor. reception may be bad so let me knowif you can hear me or not . >> we canhear you . >> the question was 10 you describe the process that dph goes through to convert temporary or traveling nurses who want a permanent position and then the second is the overreliance and that's less about hr question but more leadership question. once the move to be more overreliance on per diem and traveling nurses and this is something that looks like it predates covid, this is something that goes back a few years. it's now skyrocketed over it's grown at least over 1000 percent so it would be good to
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talk about that but first, can you describe the process that apartment goesthrough in converting the temporary traveling nurses to permanent positions ? >> so starting with the per diem which is the per diem and the traveling nurses we send out notices actually since 2019. we send out notices twice a year to all per diem's and all traveling nurses wehave on staff . expressing action for them to express their interest in transitioning topermanent positions . we send out close to 800 notices to all the per diem's and traveling nurses to their emails and provided either a five-day, ten-day response to express interest. since 2019 their responses have been fairly low expressing interest to benefit aposition . since 2019 probably to our most recent notice that we sent out
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we probably have less than 10 that expressed interest and benefited positions but those who have expressed interest have them to the benefited positions of their specialty and they work with the hiring manager and on transition plans. the most recent notices we sent out was early in late december, early january of this year and this was probably the largest response that we received we sent out to again close to a couple of hundred indians and travelers. we received close to 80, a little over 80 express interest in benefited positions. out of the 80 requested for them to apply to the specialty oftheir interest . out of the 86 and apply only 26 actually submitted applications so currently working with the other 55+ to reach out to them
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directly to follow up with them on why they didn't respond. with submitting their permanent applications for permanent positions and to work with them individually to have them apply so we can work with them to get theminto a benefited position . out of the 26 that did respond and submit applications they are currently being vetted by our analysts so we can have those names refer to the hiring manager to transition those 26 express interest inbenefited positions . >> thank you. i'm sure we will hear something from that side of the union but that's good information to hav . in terms of doctor ehrlich in terms of the response about staffing ratios based on the demand and need from the hospital, can you respond to that ? it seems as though there is a
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chronicunderstaffing based on the demand and need for the services . and i think part of the reason why we've heard over and over again we are losing people in the profession is because folks feel the mental strain has been accentuated even more over the last two years from being overworked without the right support as they say coming to work and feeling as though their failing every day without the right staffing levels and support, can you respond to that ? >> it has been a really tough twoyears especially . i can explain at a high level howwe prepare the budget . and that will give you a sense of. >> that would be the assumption you put into your staffing pla . >> we have a fairly robust process of creating staffing models and those start with looking at the number of beds that we want to staff. looking at the ratio, the
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ratios we need to fulfill. and those include state-mandated ratios as well as an ou negotiated ratios that go beyond a state mandate. that's where we start, we do build in what we call a nonproductive time at about 22 percent so we do take into account to that degree that we're going to havepeople out on vacation . i will say during the pandemic that's been exceeded people have been out more . and it's because there are more often out on leave, more often sick andwe're not the only hospital in americahas experienced that . it's been really challenging . when we have more people out ... >> so you plan for 22 percent but what has it been actual? >> i don't remember the number but we would provide that to you. when we don't have enough staff to staff the demand, the next
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thing we do is we look for alternatives. those are various things, they include overtime, temporary staff too much less of an extent, registry . that's because the registry staff during the pandemic especially have become very hard to come by and very excited. that's really been fewer than we would like to bring in at this point. it's been tough and we do the best wecan . and if we can't staff the beds that we would like to we close them just as described so we close beds in the emergency department or in medsurg because we don't want to break ratios. so we end up closing beds instead of having folks, instead of breaking ratios.
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a lot to clarify something about pdf condition red. we are actually restarting being on 100 percent pdf condition red almost at the beginning of the pandemic and the reason was because we wanted to make sure every patient who was bound for pef was screened before they went there . so it's a little bit misleading because we're never less than 100 percent at this point. every patient who goes to pef must go to the ed first. where they can be screened. we tried to accommodate that by having a psychiatrist in the emergency department . we have psychiatric nurses rarely when we can. and now we have the burke team there. basil described a littlebit of the birth team to help identify issues before they happen and de-escalate . >> i guess what i would say is againhaving gone through this
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budget process last year with dbh , it's a phenomenal almost a third of our entire city budget. it is phenomenal the amount of things that we fund and it is one of the priorities of san francisco to be whether it's mentalhealth, whether it's emergency response . even all the just general public health. but there were a lot of monies that we allocated i saw this is not directed at you,this is more of the overall department . it went into many other categories that seems amorphous in a lot of ways. we'll describe this to you when i see a basic service level hospital or public hospital and what you said is i just heard you say that you look at your average daily census. you look at your right and you have to consider ratios and if you don't have the proper
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staffing you have to closeso if you have the capacity , what is it where not staffing up for that capacity? >> i will say that we try to staff as much as we can. and our budget proposal includes staffing, permanent staffing for a surge unit which would provide more.but honestly what we've really had a challenge is getting enough staff during the pandemic, during these past two years. it's been challengingand again it's not for lack of trying. it's because this is a healthcare industrywide problem ringing staffing . so i would just say again, just from looking at this priority this seems like a trend that was beginning prior to covid. it might have been asked and she waited but what are the we doing because we can'tjust be , and we have these conversations before so i'm not telling you anything we haven't talked about what what are we doing to
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move away from temporary trave , overtime model. it sounds like missile said th largest response you've gotten in a really long time , 80 responses. it seems as though similar to the way we did when we found out it was a nine-month period plus to hire nurses , we've been able to reduce that working aggressively. that was one of the things we worked on with you and the union at the table to really condense that time down and it sounds like you're continuing to meet that . but i don't feel like the same level of resources and energy are going into this transition into prominence away from traveling and temporary which then bleeds into the inability to staff up at appropriate levels based on demand and not being able tofully service what you have programs working program at the hospital . >> appreciate that it feels like that at this time
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certainly. what i would say our strategy is first to really understand what we require in terms of first prominent nurses and then other types of staff to staff the demand at the hospital. that's the first strategy and that's what we tried to dowhen we submitted our budget going forward . and then once we have a level of resource we have available and we see the demand that we try to meet thedemand in whatever way we can that's what fill positions and other categories of labor as i described . >> so not to belabor the point but i just as the vice chair working withthe committee chair and other members think it's going to be a big priority when we present our budget and come back during budget time the amount of energy and effort put
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into permanent positions away from temporary travel . i want to just goto the second topic on racialdisparities in the goal report . we had 19 recommendations to address racial disparities in hiring. has dbhimplemented any so far and what progress have you seen . >> the dbh like other city departments is participates in the racial equity action plan . and we've done very i would say robust look at where we meet it and where we don't. doctor bennett is the leader for that. so i would rather defer to her. i don't think she's here today but we would behappy to provide that . we have more than 100 page document and i know that describes how we're attempting to meet the ambitious goals the city has inthis area . >> we can follow up with that questionabout the recommendations of racial disparity and hiring and we'd
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like to know how many of those have been implemented and we're happy to look at that report . the last thing and we talked a little bit about this but i guess what are some of the assumptions you're going to carry into this upcoming budget and can we start from the understanding of staffing ratios and budgeting for the right number of positions based on demand and move away from ... we went from increase of $90 million to 62 million and that was from 20 18th last year so it's grownby over $30 million . but when we've asked these questions before it seems that though a lot of that money could go to cover budgeted vacancies so instead of filling those budgeted vacancies, we're moving towards that and that is one of the priorities we push for and we're going to work really hard with the mayor and her team on and the mayor has said as even as recently as
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yesterday they're committed to filling these vacant positions so we want to see that as a priority in your upcomingbudget conversations . >> 100 percent and we all want the samething. we want toserve the patients, want to serve the community . we absolutely prioritize permanent civil service positions .and we look very much forward to talking about our budget and what the requirements are and what we submitted to the mayor's office. >> okay. supervisor mar. >> thank you doctor ehrlich and thanks to all the extremely dedicated and committed employees of dbh and general hospital . supervisor safai touched on a lot of the questions i had. i did want to go a little bit further on a few of them maybe starting with the increasing
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reliance or temporary workers and specifically the per diem 103 nurses and seiu does 40 percent across dbh and i wonder if you could respond to that and that does seem pretty extreme and whether that percentage has gone up and what dbh goal is in again, addressing this issue that we all agree needs to be
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. >> i think for the detailed answer i would rather deferto the written questions we have . i know mister wagner is on the line but really i think it would be best to rely on the written responses we have to the very detailed questionsyou have because again, our intent is not to rely on more temporary nurses . it's to hire as many permanent
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civil service nurses as we can . >> yousaid you can provide a written response . >> you asked a lot of detailed questions which we are happy to respond to and we are in the process of responding to now . >> just for clarification we sent a whole list of detailed questions to the apartment so we can get writtenresponses which we are covering today as well . >> i also had some questions around the staffing. there's the systemic or structural understaffing of general hospital and the emergency department that has existed prior to the challenges during the pandemic and so i just wanted to get further. i guess the question is do you feel like you're adequately, your staffing plan. say just for the emergency
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department is adequate and what would it take to have an adequate staffing plan? >> right now we are not adequately staffed in the emergencydepartment and that was described by my colleagues . the main thing i think we feel will allow us to be better staffed in the emergency department with permanent nurses who will stay is continual training programs. and we plan to do those four times a year. it's very hard right now to bring an experienced emergency department nurses and for that matter critical care nurses so we really are going to more rely on these training programs to make sure that we're bringing in nurses who are the most likely to stay with us. we got behind on that during the pandemic because we had restrictions about bringing folks into the hospital and so
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things got a lot worse during the pandemic but now we're back on track with the continuous training program and we think that in addition to recruiting experienced nurses when we can is going to be our best bet to make sure that we're adequately staffedin the emergency department . >> i guess my final question to take this further is if the department is able to achieve its goal of really moving to say fully staffed through permanent positions, given that the daily census count chart by seiu exceeds 100 percent. that would seem to indicate even ifit's fully staffed by
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permanent nurses and other staff , there's a need to increase staffing just to address the services provided. just speaking of the emergency department. >> in the emergency department as in other areas of the hospital , our staffing is always going to be made up of a mix of things. primarily permanent civil service, temporary very small minority of the time we will use registry staff mainly to cover nurses are out on leave. and any hospital including ours is going to staff with that combination of staffing. our goal is to bring in permanent nurses when we can and wethink we're going to be best able to do that at our training programsin addition to recruiting experienced nurses . that will help us keep ahead of the turnover that we have . >> and beyond the question of shifting more to permanent
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staff,that's the goal that we all share .do you feel like that staffing levels, the number of staff in the emergency department for example is adequate and heavy requestedhave you requested additional staffing in the budget for the emergency department ? >> we budget enough staff because we use our staffing models. we don't have adequate staff in the emergency department today as well as in other parts of the hospital because primarily because of the pandemic impacts so we're trying to get back to a place that's more adequate and we work with our hr partners including folks who focus on recruitment and use the training programs and we do our best to try to staff at the level we know we need to tomeet the demand . >> thank you and i look forward
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tofurther discussions about theseimportant issues as we go through the budget process . >> we appreciate your support . >> thank you doctor ehrlich and i'm wondering if you agree with seiu that the total authority to begin with is flawed. that's if you know, you're understaffed to a certain extent the base amount of nurses that you have budgeted authorityto hire , is that an undercount? like, do you needmore nurses to properly staff . >> as i mentioned we attempted to address what we knew was an understaffing and so hopefully that will allow us to have a better staffed level surge unit at the level of demand we know
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wesee with patients .>> so your current position of authority is 984.1. what did you ask for? >> i don't have that number off the topof my head, i'm sorry . we can provide that to the mayor's office >> if greg lyman is here . >> he actually is not, he is en routeto a meeting . >> is there anyone from dph budget staff that's herethat can tell us . >> unfortunately our budget person is not with us today but again, we'd be more than happy to provide that information for you. >> that seems pretty basic information fo
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>>. michael otherwise 19. >> i agree, there are a lot of discrepancies andwe've been trying to understand them for years . the challenge is that every nurse can give me the name of a friend or colleague that's an experienced nurse that's applied for a job and never heard back. and then what our managers tell us is they've receivedlists that can be up to two years old . oddly enough they start calling candidates to learn they found out other jobs. we also know there are qualified nurses who have tried tocome back and been unable to do so for some reason that is a mystery to everyone . the expedited hiring process put in place unfortunately while it appeared successful on paper my understanding is that
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a vast majority of thosenurses did not make it through six months or a year . a lot of them were underqualified , underprepared, underfunded and emergency department especially i believe they hired some very close to 20 rns and there were six, eight still remaining in the department after a year. so just offering a job to anyone with a licensedidn't work . but waiting two years to call someone back that'sinterested in a position also doesn't work . it's a very challenging process and it's hard because we don't have access. in terms of our baseline staffing we have participated
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over the years in many of the leanworkshops that were brought to our institution that were supposed to improve our efficiency, that we're supposed to bring the frontline to the table . and i can tell you every one of those workshops that i was in our staffing request numbers were higher than what administration wanted to provide. because of little things like we dogo on vacation. we do have babies. wedo get sick . we work with sick people. our families get sick. then there's also the fact that we take breaks . and the math on breaks is really fun math to do when you're an administrator who is trying very hard to provide the least possible number of people on the unit versus when you're an actual nurse who is trying to prepare patient care. so we neverhave come to an agreement for the emergency department on how many nurses we need. before we moved into the facility are educators, are
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critical nurse nationalists , are charge nurses got together and discussed it atlength . we said minimally 32. i believe minimally they consider us fully staffed at 24. it doesn't work and it will never work.and we can't get that across because we're not at the table to make the decisions. that's what information ican provide . >> look, it's getting late and i really want to hear from everyone who came today. i just want to say the following as the new chair of the budget committee that just got dropped on me and i'm touching off and i'm surprised supervisor haney isn't hereand he was the former budget chair so i'd love to hear his input on this .but i would like to have a really clear sense from both dph and seiu on what you
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think proper budgeted staffing levels are in the hospital because without getting to some agreement about that i just don't know how we fundamentally improve conditions. and then , i also just like to knowledge how the hell you all have just been through. your system, how tired you all must be. aside from all the fundamental staffing problems that we have in the city and that we have all over. having been a lifelong kaiser patient, some had surgeries. having just gone with my dad in la at aprivate hospital because kaiser was on die version at the time . but it was almost impossible to get attention from anyone. i do know this is a problem everywhere.and it's a problem
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we have to fix. it's not okay and especially afterwhat you all just got us through . so i just want to thank you and a knowledge howto apologize on behalf of the city . that we don'thave , that we're not doing better by our staff and hospital because we depended on you and you gotus through . so toeveryone thank you . and let's keep our ion the ball during the entire budget process and get this right with that if we could open up this item to public comment . >> members of the public who wish to speak on this item should line up to speak right along the curtains. for those listening remotely call 1-415-655-0001. enter the meeting id of 2499
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723 2102. then press pound twice. once connected press star three to enter to speak and for thos already in the queue please continue to wait until the system indicates you have been unmute it . again, the first in person speaker, go ahead andapproach the lectern and i'll start your time at two minutes . >> i am a health worker with dph and i just wanted to let you folks know that i have about 30 years of experience in infectious disease as a counselor and a healthcare worker and i have applied for multiple jobs with dph and most of the time the offer comes six months to a year after i've applied and therefore have gone on to either a different position or a different organization.
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it's an untenable situation. and currently i'm a temporary employee but that means that i am kind of at will and working in covid response so who knows how that's going to look like but what i would think would be the next course of action is that taking temporary, giving a different
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>> as a social worker with support services and i've just had a t exposition back in 2020 and i've been working with the covid response teamas a temporary dex in the office of public health coordinator position . and we are going through the process of being transitioned into a different department now
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and it has been most difficult for us that our city employees based on the fact that there are a lot of temp employees that are not city employees but they are actually seem to be the ones who've been getting place in the positions that are available and we don't know anything about the positions until after it's announced that this is what they will be assigned to. as far as the temporary dex positions, with some of us that are county workers have been on the list for many years. i've been on the list for the 2591 for the last 2 and a half years but i've never receiveda call for a permanent position . and with my experience being with the city and county and working with the community and some of the community-based programs, i feel that there should be a different process as to how they are going about accepting these positions.
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thank you. >> thank you for your comments, next speaker please. >> i'm brenda barrows and i want to support the nurses 100 percent and the staffing is really bad . but i still want to bring it back to i'm glad you brought up the gould report. you can give me more staff but if you're not treating me like i should be treated withrespect and dignity, then money doesn't mean anything to me that's just me personally . so i think that while we're dealing with all these other things we have to deal with all those facts to and an example i can give you is we just got text, i'm working at the crc that they're asking for volunteers to go to laguna on to search patients. that is totally inappropriate to be asking people like the ones that just spoke to go to
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laguna honda to search parents for paraphernalia but these are the kind of things going on and nobody's questioning it and nobody's answering for them and nobody's being held accountable . >> thank you brenda barrows for your comments. next speaker please. >> i am a health worker working for dph for 15 years. and my whole entire career with dph i had to fight for every promotion that i've gotten. just to get on as a city employee. i work 15 years for a city agency never to be hired permanently until 15 years later.
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so that's 15 years lost that i could have been a cityemployee . i've been working for the city agency. but most recently i worked with the crc with the two ladies that spoke previously beforeme . and it just so happens that i started out with the city working for the crisis response team providingpsychological first aid to victims of homicide . and families and communities. i also served as a chaplain for the san francisco sheriff's department so i have training in grief and loss. and while workingwith the crc , we had lots of people who were dealing with death. who were dealing with that and there was no support offered for the employees, for
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counseling or anything like that. and i just thinkthat's disrespectful . that's why people leave. because they can't afford to deal with that if they don't haveany training . so that's one thing. but the next thing is when i got deactivated andwent back to my home office and i don't know why because they didn't have anything prepared for me . i'm age 54, almost 65. it's just asif they are trying to push the old people out . >> speakers time hasexpired . >> speaker: thank you. >> apologies for cutting you off butwe are timing everybody at 2 minutes . next speaker please. >> speaker: good afternoon board of supervisors. although i do not work at san francisco general hospital i do stand in support with myfellow
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nurses back here. i am a nurse , frontline worker for dph in the community that's taking care of people who experience homelessness in the streets, shelters and activated disaster service worker for one year, opening sip hotels. london breed and city officials can brag about san francisco leaders having the lowest death rates in the nation andhighest vaccination rates because of nurses like us . we have been the backbone to mitigating covid. we need to continue expediting staffing of nurses in permanent positions, consider dual wrecks in different departments. i was offered a permanent civil service position when one day in 2020. i had a conditional offer by the time i got to my car. let's make it an easier pathway
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now. hiring managersalso need more transparency into this process . the health commissioners recently gave himof us workers around of applause for our work butthat's not good enough . it's time to staff up , pay up and acknowledge the critical life services we have provided to the city of san francisco and i also support the emergency rental assistance as i'm a nurse also working in permanent supportive housing and all these people are at riskof losing their housing if we cannot help them as well . >> thank you for yourcomments, next speaker please . >> speaker: i'm julie, one of the nurses in theemergency room. i've worked at san francisco general since 1989 . i want to thank you again for having us here. i'm hoping that we get another hearing to continue this, it's
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missing so much information but i want to thank the community of san francisco and bay area were trusting science and healthcare professionals and keeping the sickness and virus down. i think it's huge so thank you. number two, i would like to ask what you can offer the essential workers and nurses to not only as a thank you but for us to stay.we're leaving in droves. you heard 46, i thought it was 44 of our emergency nurses, two of them were kristin who was here two years ago . also john falla who is our critical nurse specialist and thereason we're on that groundbreaking hospital . which brings me up to the disaster, the sexy stuff. i have prepared notes. if there's an 8.0 right now we're in deep trouble. there's peoplethere who have no preparation at all .
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our staff is not experienced. it's not their fault, they're trying to help but they don't know what they don't know. we have been bringing in people from the field who are pepper sprayed or gasoline doused which is bioterrorist type thing and they should be decon before they come in. we're the trauma center but we really the safety net. we are here for the people who have nowhere else to go and the staff are boards, christie. we're begot. the violence is worse. it's over 400 assaults were filed and that is just filed. people are getting strangled my coworkers, people my size . 51. and our admin, thank you. >> thank you for your comments, next speaker please. >> good afternoon supervisors.
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my name is lily and i'm a nurse at san francisco general. i work in the emergency department and have seen firsthand how lack of staffing can result in poor patient outcomes. i don't want to belabor the point that have been made but please if my words alone cannot convince you, thereare hundreds of sites available out there . experts, one after another awards when hospitals are understaffed people die. what does staffing look like today? if someone is having a heart attack and came in with chest pains the critically understaffed means there's only one triage nurse up front and nomedical assistance . when that happens there's a delay in getting an ekg , a delay in getting a room. maybe there's enough to clean that room because there was a positive patient in there beforehand or maybe there's no room becausethere's not enough staff and every single room is
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taken . you may be sitting in the waiting for hourswith 30 other patients, three other test patients that came before you and 10 more in line . while you sit , your heart muscles are dying. this is not acceptable. it's unsafe. we are closing poppy and our pediatric area in the ed . when the number of at risk increase due to a lack of staffing everywhereelse that means we are putting more patients on a dailybasis . these pediatric patients have nowhere to go but on a now referred to as a supercar . what this means is our patience are being escorted basically children and their families through our most acuteareas , stopping by folks who are experiencing psychotic episodes,stroke , patiencein custody with police sitting outside . these families to seek care with their children donot live in the neighborhood you live in . they're not coming from the arena, they are the black and brown children of our city and i challenge the members to reconcile this withthe
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department of public health priority regarding equity and access to healthcare . >> next speaker please. >> my name is megan greene and i'm a registered nurse at san francisco general and i want to give you examples of the situations we've been facing at work and maybe this will shed light on the problem in general . one worker described it shift where she had a patient seizing with low oxygen levels and after that patient was transferred to the icu one of her other patients guarded throwing objects andthreatening to kill staff. while this was going on her bed, patient had no help with toileting were turning over because there were no nursing aides available . she cried after working 12 and a half hourswith no break . another described a shift where she found her patient on the floor. he had slipped in an attempt to go tothe bathroom and after he
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was lifted he was agitated . she also had another bedbound patient whocouldn't assist themselves and there were no nurses aides . i have a coworker who assisted a patient who call themselves on fire and another was choked by a passerby and thereare tons of patients that need to go to the icu but there's no room . these situations are not rare. my unit lost 14 nurses last year including some higher during the pandemic but don't we have a low vacancy rate? i don't know how we can continue to pray blame covid when it's bad budgeting and treating staff as if we are expendable. we're tired of coming to work up to fail . we don't want to leave every day feeling anxious, crying or defeated.after the last two years we cannot take much more. many articles have been published outlining why nurses are leaving sfp eight and the profession. we don't have enough health, where overworked and we don't
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get breaks. we can be aproductive city by being the hospital who changes this horrible trend or we continue to do the same thing and expect different results . >> thankyou for your comments, next speaker . >>speaker: my name is brittany hewitt, i'm in r and r and at sf general . there's a lot i can say but i had the opportunity to go through the hiring process twice but i'd like to shed light on that . i came to san francisco in 2015 as a travel nurse and i really liked it and wanted to stay. it took three months for me to start. even after having my manager put me at the top of the list to hireme onto the unit i've been working on . we had to leave san francisco for family reasons a a while ago and came back. i submitted my application right away during working as a traveler again it's because that's the fastest way to get higher and knowing from my
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personal experience got a contract there and started working in a few days and still took after my contact had ended for me to actuallybe hired and start working . so that's my story.thank you for your support. >> next speaker please. >> my name is erin kramer, i'm a registered nurse with the city and county for over 14 years. i'd like to thank the supervisors for having this item on the agenda today and i'd like to echo thesentiments of all my colleagues . when people say that i feel the frustration of our new employees and our old employees about the burnout that's been going on with the pandemic but
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covid only exacerbated our staffing problem . the budget is wrong. we came to the board of supervisors prior to this pandemic citing vacancies, citing issues with temporary workers and that problem has only been exacerbated in the following years . so i really want to reinforce the sentiment and urge you to get the hr to expedite and make the hiring process more transparent. it's frustrating to hear the sentiment thatthey produced the hiring time to 45 days . that's the average or aggregate i still don't believe that when i have new employees telling me i applied i didn'thear from months . months. covid has only exacerbated the job market for nurses and we
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need nurses today. we need hr to hire today. we need hr to process people today . it's the staffing, fix the budget andthank you for your time . >> thank you erin kramer. next year please. >> good afternoon, my nameis mount highsmith. i you for listening . i have eight years as a patient with a chronic illness and during that time, i've seen my care as a patient slowly disintegrate. not through any fault of my nurses but through lack primarily of nurses to the available for my care . persons are not walls. i havelistened to nurses cry .
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i have heard and i've seen violence in the areas that i've received care.i have had my appendix burst because there was nobody available to get into a different levelof care in time . i have friends and family who are nurses in five states and this is by far the one that i'veseen suffer the most . and aside from numbers on a page, aside from talking about just the budget this all trickles down to taking care of our nurses so our nurses can take care of our citizens, our people. half the time i feel as though i got to take care of my nurses as well when i'm a patient. it's a lovely thing to be able to do that when you can but we've got to take care of our
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nurses . that should be number one. without takingcare of them, they can't take care of us . >> thank you for your comments. that is the end of in persons speakers. we have a remote, who would like to see if you're on the phone and have not already done so please press star 3 and wait until the system indicates you have been unneeded. we currently have four listeners with 2 in the queue so first speaker please. >> can you hear me?>> yes we can. >>. >> speaker: my name is teresa rutherford, i am one of the vice president for seiu and i'd
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like to basically take this time to reiterate all the things that my fellow members and coworkers have highlighted. the city cannot continue to balance the budget on you know, on short staffing. currently overall in the entire city there's about 4000 vacancies which runs about $630 million. those are budgeted positions. among that we have hundred and 60 or more vacancies in dph. those are also budgeted positions and they have to be filled otherwise the city will not reopen. we are lookingat workers who are burned out, workers who are leaving so it is a crisis . it's a crisis for the nurses who have sacrificed and put
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their lives on the line even before we knew covid, even before we had a vaccine. these are the workers still here fighting. there are also workers who have lost their lives during this pandemic more than anything else that the numbers with this 630 million or so dollars also speaks to value and service not being delivered and people are dying. so this is necessary, important priority
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>> speaker: what they're doing is asking for more overtime money andwhat happens is there putting more burden of work on their employees . the legal term younormally here, our cost savings, salary savings . all of this is done to create overtime work to try to create
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some type of savings and where is that money going? it's really affecting the employees. there is no additional incentive for employees. morale is hugely low. the burnout factor is high. not only has dph seen a max exodus, the deputies are leaving. >> so sorry tocut you off but thank you for your comments . mister koop, next speaker please. >> can you hear me? >>. >> speaker: yes we can. >> and robbins, i'm one of the nurse educators, san francisco general since 2014 and i remember clearly the hiring process and taking three months for me to begin work . this is a really expensive city
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and what i know in my role as an educator i onboard all of our new nurses and so i'm really aware of the hiring process and pitfalls and what we hear frequently is when our managers are finally around to call people on the list, they are told i forgot i even applied . i have already begun workat another hospital . so we're losingtalent. we're losing experienced nurses . and the other issue i wanted to point out, i just want to say i was heartened that you guys listen to us and took the time the board of supervisors meeting before covid hit us and i'm so glad you're listening to us again thank you for that. i just wanted to give you one more example of one way hiring process have to be fixed and i appreciate you saying that so
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clearly. when people leave orvacate their jobs from retirement , there positions are not posted four months. that includes we just had to nurses assistance leave about three months ago so what we have done is just make do without them for the last three months and that directly affects our patient safety and our patient care and the members of our community and i know that you've gotten so many examples but that's just one example of the way in which the hiring process is so broken so thank you for listening to us and i appreciate your time. >> thank you for your comments. anymore speakers? >> mister clark, that completes the queue. >> public comment is closed. thank you again for your incredible patience and for
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speaking with us all. did you want to make any comments supervisor safai? >> thank you chair ronen. thank you to all the nurses, front-line workersthat came out today . i know this has been an ongoing conversation and thank you dph for attending andwe look forward to following up on all the questions that are there . as supervisor ronen said, this is something we've been working on for some time looking at traditional vacancies, looking at how staff andfront-line staff are treated . how they're supported and how they're retained. we don't properly staff and people feel as though they're being overworked to the point of breaking. are going to continue to lose more people and that's across the entire city but particularly when it comes to
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front-linehealthcare . this is when we talked about hiring , if many of you recall the first day we had the hearing on the hiring of nurses was the day they announced the first covid case in the city. and we made hiring a priority in terms of the time frame. there's still a lot of work that needs to be done in terms of how we reaching out to people and how we're allowing the woman that came earlier, the nurse that's been there for 30 years. it doesn't make senseto me why they haven't been able to transition her into a permanent position so i wanted to thank you all . we're goingto continue to raise this level ofconversation around hiring and permanent positions . it's going to be one of the top priorities we have . we don't want more nurses and front-line healthcare workers to leave the profession. we want you all to be here.
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we value the work you've done and what you make .and how you make san francisco special and i would say to end with this. one of the commenters said we should be a leader. we should be an example for other healthcaremodels around the bay and i think we have the ability to do that . we're happy to work with you. we want to give you the funding and support and put the infrastructure in place but it will certainly be one of the priorities i have carrying into this budget so i appreciate everyone here. i don't as we get into dph budget they will have to come back and represent their plan. it's going to be an ongoing process so we invite you all to be a part of that and we will continue to reach out to you and work with you around that. on the second part which was the recommendationsfrom the
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gold report as one of the commenters said , i think it's also very important . it's not just about hiring in general, it's about who we are hiring and howwe're making them feel as they becomepart of sft age so those recommendations are very important . we'd like to see how that's happening with diversity and equity . so i think that's also the last priority. but thank youchair, thank you for this . i know it's been a really long day and we appreciate you all coming out and educating us and working inpartnership with us . iq madam chair .>> we can continue this to the call of the chair in case we need to bring it back so i'll make a motion to continuethis . >> can we please have a rollcall vote? >> i have a motion offered by vice chair safai. [roll call vote] we have 3 aye's. >> thank you all.
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mister clark, anyother items on the agenda today ? >> that completes our business. >> and this verylong meeting is adjourned. thank you everyone . >> we worked very hard with the
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san francisco venue coalition, the independent venue alliance to advocate for venues. put this issue on the radar of the supervisors and obviously mayor breed. the entertainment commission and the office of small business and we went to meetings and showed up and did public comment and it was a concerted effort between 50 venues in the city and they are kind of traditional like live performance venues and we all made a concerted effort to get out there and sound the alarm and to her credit, maybe breed really stepped up, worked with matt haney, who is a supervisor haney was a huge champion for us and they got this done and they got $3 million into the sf venue recovery fund.
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>> we have represented about 40 independent venues in san francisco. basically, all the venues closed on march 13th, 2020. we were the first to close and we will be the last to reopen and we've had all the of the overhead costs are rent, mortgage, payroll, utilities and insurance with zero revenue. so many of these venues have been burning $1,000 a day just to stay closed. >> we have a huge music history here in san francisco and the part of our cultural fab lick but it's also an economic driver. we produce $7 billion annual' here in san francisco and it's formidable. >> we've been very fortunate
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here. we've had the department of emergency management and ems division and using part of our building since last april and aside from being proud to i can't tell you how important to have some cost recovery coming in and income to keep the doors open. >> typically we'll have, three to 400 people working behind the teens to support the show and that is everything from the teamsters and security staff and usualers, ticket takers, the folks that do our medical and the bar tenders and the people in the kitchen preparing food for backstage and concession and the people that sell key shirts and it's a pretty staggering amount of people that are out of
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work as a result of this one verne you going tarkanian. it doesn't work to open at reduced capacity. when we get past june 15th, out of the into the blue print for our economy we can open it it 100% and look at the festival in full capacity in october and we're just so grateful for the leadership of the mavor and dr. coal fax to make us the safest ♪ america and this is been hard for everybody in san francisco and the world but our leadership has kept us safe and i trust them that they will let us know when it's safe to do that. >> a lot of people know about
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america is military stuff, bullying stuff, corporate stuff. when people like me and my friends go to these foreign country and play music, we're giving them an american cultural experience. it's important. the same way they can bring that here. it sounds comfy buyia, you know, we're a punk band and we're nasty and we were never much for peace and love and everything but that's the fertilizer that grows the big stuff that some day goes to bill graham's place and takes everybody's money but you have to start with us and so my hope is that allel groups and people make music and get together because without out, hanging together we'll hang separately, you know. >> other venues like this, all over the place, not just in the san francisco bay area need to exist in order for communities to thrive and i'm not just talking about the arts communities, even if you are
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here to see a chuckle bucket comedy show and you are still experiencing humanity and in specific ways being able to gather with people and experience something together. and especially coming out of the pandemic, the loss of that in-person human connection recovering that in good ways is going to be vital for our entire society. >> it's a family club. most our staff has been working with us for 10 years so we feel like a family. >> what people think of when they think of bottom of the hill and i get a lot of this is first of all, the first place i met my husband or where we had our first date and i love that and we love doing weddings and i expect there to be a wedding season post 2021 of all the make
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up we haddings and i hope that many people do that because we have had so many rock ep role weddings. >> i told my girlfriend, make sure you stand at the front of the stage and i can give you a kiss at midnight. at this got down on one knee at the stroke of midnight. it wasn't a public thing, i got down on one knee and said will you marry me and is he she had are you [beep] kidding me and i said no, i'm dead serious and she said yes. we were any time homicideel of the show. we just paused for new year's eve and that was where i proposed to my wife. this is more than just a professional relationship it's more than just a relationship from a love of arts, it's where my family started. we'll always have a special place in my heart.
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>> venues, you know, represent so much. they are cultural beckons of a city. neighbors can learn and celebrate and mourn and dance together. venues and arts and culture are characterized as second responders to crisis and they provide a mental health outlet and a community center for people to come together at and it's the shared history of our city and these spaces is where we all come together and can celebrate. >> art often music opens up people to understanding the fellow man and i mean, taz always necessary and if anything, it's going to be even more necessary as we come out of this to reach out and connect with people. >> we can sustain with food, water and shelter is accurate
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and does anybody have a good time over the last year? no. >> san francisco is a great down. i've been here many years and i love it here and it's a beautiful, beautiful, place to be music and art is key to that. drama, acting, movies, everything, everything that makes life worth living and that's what we've got to mow proteasome no san francisco and that's what is important now. [♪♪♪] the tenderloin is home to families, immigrants, seniors, merchants, workers and the housed and unhoused who all deserve a thriving neighborhood to call home.
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the tenderloin initiative was launched to improve safety, reduce crime, connect people to services and increase investments in the neighborhood. as city and community-based partners, we work daily to make these changes a reality. we invite you to the tenderloin history, inclusivity make this neighborhood special. >> we're all citizens of san francisco and we deserve food, water, shelter, all of those things that any system would. >> what i find the most fulfilling about being in the tenderloin is that it's really basically a big family here and i love working and living here. >> [speaking foreign language]
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>> my hopes and dreams for the tenderloin are what any other community organizer would want for their community, safe, clean streets for everyone and good operating conditions for small businesses. >> everything in the tenderloin is very good. the food is very good. if you go to any restaurant in san francisco, you will feel like oh, wow, the food is great. the people are nice. >> it is a place where it embraces all walks of life and different cultures. so this is the soul of the tenderloin. it's really welcoming. the. >> the tenderloin is so full of color and so full of people. so with all of us being together and making it feel very safe is challenging, but we are working on it and we are getting there.
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>> mayor breed: i am san francisco mayor london breed. welcome to the state of the city address. [applause] >> mayor breed: i am happy to have all of you here today. it is really great to be outdoors in person. the mask mandates, vaccine mandates are all gone. if you take pictures answer post. make sure you put disclaimer we removed it in san francisco so i don't get beat up by folk on the internet. thank you and welcome. i want to start by thanking all workers who helped us navigate the latest surge. nurses, police officers, paramedics, educators, all incredible


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