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tv   BOS Budget and Finance Committee  SFGTV  May 25, 2022 2:00am-5:31am PDT

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>> chair ronan: good morning. the meeting will come to order. this is the may 18, 2022 budget and finance committee meeting. i am hillary ronen, chair.
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joined by supervisor safai and supervisor mar. i would like to thank sfgovtv for broadcasting this meeting. mr. clerk, any announcements? >> a friendly reminder to make sure to silence cell phones and electronic devices. we are convening hybrid meeting to allow remote access and public telephone by telephone. the board recognizes public comment is essential. first is taken on each item on the agenda. those in person will speak first. then those waiting on the telephone loan. those watching charm 26, 78 or 99 and sfgovtv. public comment call-in number is 415-655-0001.
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id24852951638-pound and pound again. you will hear the discussions and you will be in listening mode. when your item is called those in person line up to speak and on the phone dial star 3 to be added to the speaker line. remember to turn down your tv and listening devices. we will take public comment from those attending in person first then the telephone line. you may submit in writing to sfgovtv. if you submit by e-mail it will be forwarded to the supervisors and included as part of the
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official file. you may send be by u.s. postal service to our office in city hall. room 244. finally, items today will be on the board of supervisors agenda on may 24 unless otherwise stated. >> please call item 1. >> 1. resolution approving amendment number one to the agreement between seneca center and the department of public health to provide mental health outpatient and specialized mental health treatment services to increase the agreement by $16.5 million for an amount not to exceed approximately $57 million to extend the term by five and one-half years from june 30, 2022, for a total agreement term july 18, 2018 to december 31,
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2027 and to authorize the dph to enter any amendments or modifications to the contract prior to its final execution by all parties that do not materially increase the obligations or liabilities to the city and/or necessary to effectuate the purposes of the contract or this resolution. call 415-655-0001 and press star 3 to enter the speaker line. when the system indid its you are unmuted that is your queue to begin your comments. >> chair ronan: thank you so much. i want to thank dph for meeting with me and i believe supervisor safai as well to speak in more detail about these items. i believe mitchell is here. would you like to present
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anything for questions? >> i came in person to thank you so much for sitting in and accommodating dph items. it is a lot. it is a difference between them being approved and paid by june 30th. thank you very much. first item is for bringing back seneca center. if you have more questions there is a lot of staff on the remote.
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again, this is one of our largest behavioral health services children's programs. 10 program areas in one contract from three different solicitations. in the future we will try to break up the contracts so they are not quite so big, combining multiple solicitations. before you is our mental health outpatient, school based services and under the umbrella continuum of care focusing on foster care and criminal justice involved youth. the primary change between services this year and the future years is as the solicitation authority runs out we are moving services out into stand alone contracts that align with the solicitation. you have an exhibit n your
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report where you see zero that is what is happening. the money is moving out as we solicit the services. this is an amendment continuation of the services through r.f.p. without patient to the end of the term. i will stop there. we have a lot of staff available for comment. we are fortunate to have the school district join today if you have school based questions. >> chair ronan: thank you. supervisor safai. >> supervisor safai: thank you for coming in person. nice to see you. it is a couple years since we have been here altogether. a number of the questions last week had a lot to do with the soar program for in school mental health support for difficult to serve populations. can you talk about that? maybe there was some confusion last week. the impression was that program was completely being eliminated.
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it is no longer offered by seneca but someone else provides that service. my question would be sounds like the size of the contract is remaining the same but yet they are offering less service. that is the way the interpretation we got from the bla. a lot of programs are eliminated or it wasn't clear how they were replaced. maybe i am misreading that. if the bla has additional information in the meantime. i know the soar program is no longer operated by seneca but somebody else is operating that. >> chair ronan: the bla didn't report any additional from last week. i think that is what the burning question that came out of committee last week was if you eliminated soar but another program from seneca why is the
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contract greater than previously. if the bla would comment on that, that would be helpful. >> on page 5 of our report we show the budget for this year and the contract. it is on the first column. the out years with the amendment. it extends the agreement to 2028. the budget is decreasing over the extension term. that is in part because some of the services. dph noted this is under multiple r.f.p.s. the authority in each is different. some are continued to be provided under another contract. this contract, the annual amount is going down each year. does that make sense?
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>> yes. that is fine the amount is going down. can we talk about the soar program. that was the one that again there was confusion. the way it was presented to us was there was a mobile mental health response to get there with in an hour. this committee as you heard last week said from my own personal experience and i don't know why i am wearing my headset. sorry. i didn't know i had my headset on. it leaves this committee and from my personal experience i saw the sew program in school mental health support how effective that was for children in need of that. we need explanation on the
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record about it is eliminated. part of seneca contract. how are you serving that population? that is not in front of us today. that is an important piece what we are looking for. >> here is our representative from the school district. >> before you speak this is what i was referring to. amendment 3 proposed service changes. aim high cannot funded except for sew not funded because of expiration. the soar was eliminated. it was not good fit to provide services in classroom. it was added to transitional age youthful service partnerships.
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nothing that gives you the impression that program is still continuing. >> chair ronan: i want to recognize the san francisco unified school district. >> thank you for your continued attention and commitment to making sure that we are able to serve our students. i am the acting executive director external affairs. a couple of contextual points. i want to clarify the soar plant is in 91 students. 140 to 160 capacity. my understanding is that while seneca center no longer provides these services for the soar
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program, children centers and lamb are providers for mental health services through this program. our understanding is also that soar is operated by the school district not outside agency. mental health agencies provide the mental health services. it allows for support for our students in classrooms and staff consultation. supervisor safai you mentioned the seneca mobile response team that is within the scope of the contract. i wanted to speak a little bit to that. this service will allow s.f.u.s.d. students to access support through the partnership between seneca that we are able to do so.
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these services are available to all s.f.u.s.d. students regardless of educational plan or any classroom or school can request referral to access the services from seneca. >> under what piece of contract? >> this is under the mobile response team provision. i think that this is sort of the piece that -- >> they call out a number of different things. we have a number of specific programs so it would be good to know where that is what piece of the budget and how much is dedicated to that. >> i am online if you want me to respond. >> please. >> i apologize for not coming in person. i received notice that i was exposed to covid last night.
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i thought best not to come to chambers. the mobile response team is under the short term connections program code. i apologize for that. the connections is where they live. [indiscernable] >> in this chart again it is funded for 22-23. zeroed out for the preceding years. >> it is under a new r.f.p. solicitation. in the new contract for 22-23 which will restore that money. the solicitation for the mobile response team ended in 22-23. there is a new solicitation. that money will all be restored. >> for what amount?
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>> the grant amount. >> 1.3664.10? >> yes. >> how much of that short term connections is dedicated to mobile response unit? >> all of this. >> that is what this is? short term connection is the mobile unit? >> yes, i am sorry. i didn't mean to talk in circles. short term connections is a program we had for a long time that resembled mobile response team. short term service we used for kids coming out of the hospital to get services in there right away. when we developed the mobile response team combined both programs and that became the mobile response team. the reason we didn't change it. i apologize. it has to do with when they use the same program code and name. i understand it is confusing.
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that is the mobile response team. it is up and running. it will be up and running for that solicitation five years. >> thank you. what this says here and sounds like you said short term connections described to us fading out is specifically for court dependent youth and juvenile dependency cases. you amended the contract to make it a different scope that is now mobile mental health services for any school in the city and county of san francisco. rather than holding this up we have a long day ahead of us. it would be helpful to provide us the contract and the description between now and next tuesday before we make the final decision. is that okay, madam chair?
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>> chair ronan: yes. i wanted to ask the school district. i understand that the soar program ended with seneca and oaks children's center took up additional work to fill those spots. you gave us the list of schools that have providekers serving children in the program. the question is is every student who needs the service getting it? is oaks able to fulfill the hole left by seneca no longer providing these services. >> right. i only see four elementary schools here. >> thank you for the question, chair ronen and supervisor safai. my understanding and we just want to clarify that for the educationally related mental health services arm.
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it is a contract between sfdph and county agencies. there are 20 agencies contracting to provide these services to provide services to the students. seneca is one agency. oaks children center and rams are providers and have been for many years. the proposed contract amendment will not impact services for the soar program. the list was provided through our colleagues at sfdph. i believe that we would be able to provide you with additional information related to provisions if necessary. >> that would be helpful. >> i don't want to hold this up because i know that these services are essential. we don't want to stop them.
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i am happy to send out of committee. in the interim between now and tuesday if you could send to this committee or to the full board the contract with seneca that supervisor safai requested and also just confirmation for us that all of the schools that were receiving -- i should say all of the students whose mental health needs rise to the level of needing this intensive intervention are getting that service through oaks and rams. >> absolutely. >> chair ronan: thank you so much. >> supervisor safai: it would be helpful so the short term connections. i would like to see a copy of that scope and work and grants. i would like to see that is
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amended from juvenile dependent children to include all schools. i couldn't see here name. what your colleague said. as chair ronen said, the children served at all different schools served by soar under seneca. we want to see that and more. all i received here and i know seneca used to serve more than just these four schools. i want to see that. >> supervisors, i apologize. our administrator is having -- we had technical issues with her dialing up. i have updates for her for clarification. i mentioned 91 students received support through soar with
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providers and rams providers. we have a full capacity between 140 to 168. all students with parent consent to participate get it. all of our students in soar benefit from oaks and rams in the classroom support and services. when there is a clinician on site a clarification around the list you receive. three elementary schools and i mentioned this earlier. who are receiving services for middle schools. everything on the list except for presidio and five high schools. no changes from the list before you. there is updating that we could do to get you the most up-to-date list. i did want to provide this point of clarification on that. schools specifically the
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elementary school level, supervisor safai knows other elementary schools received it. they are no longer listed because they graduated? >> i would need to get back to you on that. >> supervisor safai: that is the million dollar question. i will end with this. these are sizable contracts. i know i say this a lot not to disparage dph. we give significant be dollars to dph to provide tremendous services in the city. when we see a contract of this size and it seems to be and i know you are clarifying. shrinking or shifting services for the most hard to serve population and ultimately down the road need additional services and additional level of government intervention and in the worst case most extreme and expensive. for the me the investment in the
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elementary and middle school level is extremely important. trauma, experienced children in so many different ways. a lot of them end up being african-american and latino that leads to other forms of either dropping out of school or expulsions. then down the road other social problems. it is not fair to those children. for me that is why this is so important that we get this right. i know you have a funding deadline. there are a lot of good services that i don't want to minimize. this is the second meeting. i still don't walk out with 100% clarity on the service, contract, amount. my staff met with dph to try to get abcs. bla was given as much information. we requested you to be here.
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thank you for being here. we need the answers before next tuesday. that is only fair. >> chair ronan: we will open this up for public comment. >> clerk: members of the public who wish to speak in person line up. remotely call 415-655-0001. id24852951638. pound, pound. star 3 to enter to speak. please continue to wait until the system unmutes you to begin your comments. there are no in person speaker in the chamber. are there any on the line? >> there are no callers in the queue. >> chair ronan: public comment is closed. because there are still outstanding motions i make a motion to send to the full board
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without recommendation and look at the additional information and that is before tuesday. roll call vote on that motion. >> clerk: to support the resolution to the full board without recommendation. safai aye. >> mar. >> aye. >> reason nan. >> aye. >> please read item two. resolution approving amendment 2 to the agreement between the regets of the university of california and the department of public health for behavioral health services for adults and older adults to increase the agreement by $63.7 million for an amount not to exceed $86.5 million to extend the term by five years from june 30, 2022 for a total agreement term
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july 1, 2018 through june 30, 2027 and to authorize department of public health to enter into amends to final execution to all parties that do not materially increase obligations or liabilities to the city and are necessary to effectuate the pumps of the contract or the resolution. if you wish to comment call 415-655-0001. 24852951638 for id. pound pound. press three to speak. when the system indicates you are unmuted that is your key to comment. madam chair. >> chair ronan: the reason we continued this last week is because i had a lot of questions city-wide case management is one of the biggest providers of mental health serviceis in the city. in my discussion with dph
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yesterday. i asked the department to do what it could with very little time to explain how this contract fits in to the overall provision of case management services in the city and the system of care in our last report budget legislative analyst there are 150 people on the waiting list for intensive case management waiting three to six months. that is a long time. it is better than a few years ago when they were waiting close to a year. i want to understand given what a prominent role city-wide plays in case management how this contract and the division of the different case managers supporting through the contract fits into our larger desperate
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need for additional case management services in the city. i don't know what you were able to prepare in a short period of time. we are looking forward to hearing what you have. >> on the line we have alexander jackson and alice miller. >> yes, we are here. thank you. alex is on the line as well. thank you for having us today. supervisor ronan said it was a very productive conversation when we were able to meet. what we discussed was being able to sort of better detail what we
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do. i think we do a good job of delivering service as other programs mentioned better job. for u.c.s.f. it is our largest contract. the uc system serves about a how clients with 57 dedicated staff. when you think about icm, we have a continuum of care from short term to long-term care. uc does all of it in a sense of it that two programs that provide care to the most complex clients or patients in our system. they are triple diagnosed with substance and mental health and medical issues, significant amount are experienced homelessness. i think supervisor safai talked
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a lot about trauma. when you think about population you are thinking about a traumatized population that is difficult to engage. for this contract the beauty and i know i am sort of talking in a way that you probably already know, but the beauty of icm. it can follow clients wherever they fit or wherever they fall. in jail or hospital or on the street or supported housing. you are looking at a system when we talk about most vulnerable population that meets clients where they are at. it looks at care broadly and works within the client's goals to stabilize them in an outpatient setting.
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>> chair ronan: let me ask a more specific question. the question that i had for you and, granted, very little time to prepare for this. we have approximately 150 people on the waiting list for case management. what is dph's plan to eliminate that wait list and have intensive case management services on demand? how does this contract relate to that plan? >> thank you for that question. i think we need to -- what we weren't capturing effectively is that we have through u.c.s.f. linkage program, a short term program. that wasn't being factored in terms of providing current care. that is a much more nimble
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system. it significantly cuts down on the wait time. that figure i would need to get back to you about. that is one piece of it that we weren't capturing what we are actually doing. the other piece that we talked about and this is across the board in all programs is that 30% vacancy around staffing, which i think is more broadly an issue around covid. through the hiring extravaganza, through robust hiring plan. hiring and training and retaining staff so that we can move to look at this is another issue that is being addressed.
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did that answer your question? >> it didn't. i need to know how we are going to eliminate is wait list. what is our plan? we have several other items related to mental health services. we tend to deal with all of these right now so i don't know how many we have in the future. i am never going to approve a contract again unless you explain to me how it fits into the overall system of care, how it fits into the implementation of mental health sf and how we are going to eliminate the
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intensive wait list. we do not want await list for those services. we have a raging crisis in the city. people with mental illness in the streets every day. we are begging for relief for them and residents of the city. my district and the mission and the tenderloin are grand zero. i see it every day. i have not heard a clearance on how we are going to eliminate that wait list. given reliance on city-wide to provide these services. i would think there would be a straightforward answer where this fits in. the fact there isn't makes me believe there isn't a plan. >> most of these client on the referral list are outpatient
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clients. they are receiving services. more than half of the individuals are already engaged in care. >> why is there 150 person wait list for intensive case managers? >> one challenge is just being able to hire and keep people in such a challenging position to be a case manager. across the board we have a 30% vacancy rate. that means that you have programs that are short a couple case managers. each case manager carries about 17 cases. just that number alone if we are able to hire up we would be able to get rid of this full referral list. that is the challenge.
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attracting the talent, bringing it back to the city, and being able to support our cpos. >> chair ronan: i am sorry. >> hiring is a challenge. it is a challenge on the civil service end. really a challenge for those in the cpos. it is a challenge for u.c.s.f. as well. >> chair ronan: i have a report required by mental health sf. it the probably two years late at this point. it was the result of the pandemic. the controller's office is currently in the middle of a staffing and hiring report about how to -- what wages and training programs and incentives are needed to hire the amount of
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staff we need. my worry and in talking to you all. the right hand isn't talking to the left within dph. there is not -- it doesn't feel that anyone can clearly articulate a plan. there is certainly not coming to the budget and finance committee and articulating a plan. i don't think we are getting anywhere further with this conversation. i thought that is what i asked for yesterday. i understand there wasn't very much time. once again, i don't want to dond up this contract because these services are essential. i am telling the budget director, dph, i am not going to okay these contracts in the future unless you can tell me where these services fit within the system of care under mental
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health sf that is implemented and how they are fitting into a plan to really imposition treatment on demand which dph says is implemented. it is not true. there are not on demand services. there is a 150 person waiting list. that is not on demand services. meanwhile we have a raging crisis in the streets i hear about as the supervisor of the mission district every day and see with my own eyes. i appreciate you coming back to the committee. i thought we were going to get much clearer answers and explanation than we are getting today. i am not going to -- i understand that and a hope people are talking to each other
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in dph. my conversations with anna in the mental health implementation conversations monthly do not correspond with what i am hearing from you. it worries me. mental health sf is to create cohesion anchored nation that i am not see -- and the coordination i am not seeing. it is a conversation i continue to have with the doctor. i can't say this has given me a lot of confidence today that that coordination, integration of different meters within the department is happening. it is worry some. i don't know if you want to say anything? >> the trust that you have in
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dr. cummings and the people you mentioned speaking on behalf of the system you can rely upon. our challenge is to meet the presentations better, to address those, to reflect those other discussions so you have a better comfort how the contracts fit into the system and that they are what piece they play to address the mental health and substance abuse issues in the system. the challenge and i will make sure in the future that is part of what is brought before you so that you are not left struggling with unanswered questions. that part we can address. >> if this is not your fault. it to me is a reflection that
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the integration and the coordination that i wanted to create by unanimously passing mental health sfh is not happening to the degree it should be. the case management services in the city we have 12 cbos and four different programs providing services. 16 entities providing case management services. office of coordinating care just launched. one of the prime purposes is to make sure there is consistency over the 16 programs, coordination and that there is no longer await list. before the excuse when we would have these conversations the office of coordinated care hasn't launched yet because the covid delayed the whole thing. that was true.
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i totally understood that. that can no longer be an excuse. there was a press release just last week or the week before saying occ is launched. it would appear to me there is always a new excuse for why there isn't the level of coordination that occ is posed to be providing. everyone is working with the same information. you know it is under going the project of the same strategy. what the clear to me today is that ms. miller and mr. jackson and ms. ruggles don't have that level of information as the people on ground that are doing this work. you are not speaking the same language as the directors of the department. that is very worry some to me.
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we can put this to rest for the moment, but i will definitely beef having a conversation with dr. comings about this. in the future i cannot have these contracts coming to this committee without being explained within the system of care. that is what mental health sf is, a system of care that did not exist prior to it. it needs to start acting like that. otherwise, it is only being implemented in name and not in practice. that is ultimately my worry. >> if i can jump in. i want to acknowledge your concerns. i hear them. we hear them.
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without making any excuses, i think part of what we are doing is building internal infrastructure and better communications for all of the work that we are doing. i completely concur about the importance of tieing together different pieces, the need to act as one. i think where historically these specific contracts have come before the board has been in a more technical sense is my understanding but i am hearing your strong recommendation is to make sure that the pieces are tied together, that we are relaying our sense of urgency and connections with the larger vision and approach to eliminating wait lists and
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improving access to care. >> chair ronan: yes, and that is the problem of these contracts coming in a technical sense. they are programs that don't work together, aren't coordinated. we don't see how the individual service fits into the whole. that is what we are trying to change in this city around the provision of mental health and substance abuse disorder of care. it is just not coming through. it is really not coming through in this presentation. we will keep talking about this. thanks for being here and being aware this conversation is happening. this is a benefit of mental health sf being the budget director. money is being spent in order to implement the vision of
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coordinated complete healthcare system for mental illness where people aren't cycled. the emergency service to jail and to the street and back again. it is back to the city for way too long. with that, mr. cook, please open this item up for public comment. >> thank you, madam chair. line up now, if you wish to speak. for those listening remotely call 415-655-0001. id24852951638. pound twice. when connected star 3 to enter the speaker line. wait until you are unmuted. that will be your queue to begin
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your comments. no in-person speakers. are there any on the phone? >> supervisors, san francisco has the problem. you have a great picture of this. i know this is about for adults and all are adults. you have done a great disservice. you have that on your hands. for the last 10 years look at behavioral services it is not going anywhere. then we get this liberal from new york. maybe the planet do be do may be coming to san francisco to teach
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us how to change things. things are not changed. you have no empathy with the people on the street. people are dying in the tents on the streets. you know that they need help. it is out of control. it takes months for them to get wraparound services. you are making salaries. how about cutting the salaries to half. maybe then you will realize the issue at hand. we cannot allow our citizens who worked very hard who do not have services to be taken for a ride when $87 million. they are not getting the services.
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thank you very much. >> we have no more speakers. >> clerk: no further callers in the queue. >> chair ronan: i would like to send to full board with positive recommendation. >> on that motion for positive recommendation. safai. >> aye. >> mar. >> aye. >> ronen. >> aye. >> we have three ayes. >> motion passes unanimously. item 3. >> resolution approving amendment number one to provide men it will health residential substance use disorder by $65.3 million not to exceed
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$120.8 million to extend five years june 30, 2022 for total term july 1, 2018 through june 30, 2027 and to authorize dph to enter into amendments or modifications to the contract prior to the final execution and necessary for the contract or resolution. members of the public who wish to comment on this resolution call 415-655-0001. 24852951638. pound twice and star 3 to enter speaker line. madam chair. thank you. >> this contract is baker places merging with positive resource center. this is part of the system of
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care provides significant collection of dph residential treatment programs and co-op living. there are two substance abuse treatment programs. acceptance place residential and the medical detox. then six other residential treatment locations that also respond to mental health or dual diagnosis needs. this contract similarly to the others has three solicitations to give that in context. they were selected to provide substance abuse outpatient and then residential services and the same on the mental health side. this amendment is to continue the contract which expires june 30, 2022. we are requesting extension with additional funding. i will conclude the technical
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part. we have representatives. i believe doctor couple another couple -- dr. cummings is till on the line. >> chair ronan: one clarification question. baker places are merging. what does that mean for both entities have substantial contract was the city. what does that mean in terms of the large portfolio they both hold. >> they didn't bring the whole portfolio. when they did it was bringing in the residential treatment services into their portfolio to expand prc to have a continuum of care to the clients and
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broader community of clients. i don't know if someone on the line could speak to that more. it is in process for a few years. there been board of supervisors support for technical infrastructure. that is the technical term. it is merging. these have two separate entities right now. >> through the length of this contract i am assuming this contract goes -- let me turn it over to the legislative analyst for more questions. >> chair, this resolution approves first amendment to the existing agreement between public health and baker place incorporated. increases $55.3 million. extends term through june 2027.
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we detailed the services page 13 of our report. they are substance abuse services and assisted living facilities. page 16 we show the budget for the extension term. we recommend approval. >> chair ronan: i am wondering how the five-year contract how does that work within the merger of these two organizations? there this become a contract with prc? >> this isn't the first time this happened. there is a legal contract document, assignment and agreement or something to move ownership. it is a legal entity owner changes. it wouldn't impact the services.
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>> chair ronan: colleagues, any other questions? >> supervisor safai: the totality is 821 beds city-wide that is what is in the controller's report? >> yes. >> that is great. >> chair ronan: have we grown the number of beds in this particular contract from prior versions? >> i will turn over to my colleague jose. i think the number of beds in these programs is capped by the license. i don't think any of the individual residential treatment programs has grown. they are assisted independent living may have grown.
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jose louise? >> you are extending the program the existing programs for five additional years. okay. thank you. >> is there anyone that can confirm online that this is 821 beds? >> this is hillary cummings. i am trying to get that information. if that is stated in the contract. >> that is what the bla report has. >> yes. >> sorry one of my colleagues on to speak to this.
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>> thank you for this meeting. i want to make it short of this is the question about the number of beds at baker place. >> correct. maybe our bla can clarify on page 13. baker place provides substance abuse mental health services under umbrella positive resource centers. several facilities across san francisco. on the last sentence their contract with dph funds the following services providing 821 beds total. is that correct? >> yes. >> thank you for clarifying.
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this is the care for the services. mental health sf residential beds at baker place. multiple residential treatment program and housing. the residential program. they have. [indiscernable] 64 beds. they have like 18 beds. [indiscernable] it is independent living co-op with 69 beds. they have other beds. [indiscernable] it is a medical program.
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medical detox program. they have 20 beds. those are actually our contact. [indiscernable] >> i want to hear from the bla through the chair. >> that was the number when i counted unduplicated clients within the subcomponent of the budget that is the number i got. i believe that's correct. i know the department reviewed the draft. >> when i look at the odyssey grove transitional . it doesn't add up to 821 beds. >> i think the clients and then there are beds. each bed can serve multiple clients.
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>> they are not in the bed? that was clients not beds? >> right. >> it does say beds. >> it is my mistake. i apologize for the confusion. >> you know why i asked specifically not because i like to do small math? i wanted to know if we had that many beds under contract. there is an ongoing conversation about the number of available bed to serve those with mental health and substance abuse issues. i was pleasantly surprised at that number. it sounds like it is more like at least the number i have on this page besides healey and grove is less than 200? doctor, can you clarify that? >> i just don't have the bed numbers in front of me. it is as the representative from the bla stated.
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when clients move through a bed through either treatment cycle or in some cases longer term in co-op housing. that has been the annual number the programs can treat in a given year or do treat in a given year. >> how many beds under this contract do we have? that is the only question i want answered. >> let me get that to you in the next couple minutes, if i may. >> thank you, madam chair. >> thank you. can we open up for public comment? >> if you are speaking in person line up now. remotely call 415-655-0001. 24852951638 for id.
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pound twice. we have no in-person speakers. any on the telephone? >> supervisors the behavior scientist, i would like to bring to your attention that a lot of the opioids and other drugs that are flowing into san francisco come from china. we have to look at this as a problem. it is endemic in san francisco. you are talking this.
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the epvans is number one in the nation linked to the deaths of adults who do this type of drugs. this is a job. this is infecting quality of life issues in san francisco. i have been a director of environmental justice for 20 years. supervisors have no clue of the damage done. we have young people from other places and found dead on the streets. you think this is a joke. we need a place to go where they know wraparound services and quality of treatment given to the people in the institutions. how long they remain and how much it costs per patient.
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how much it costs per patient. you would be shocked. thousands of dollars. not hundred dollars, $5,000, $20,000 as much as 30 and $40,000 per person. >> sorry to cut you off. we are timing each speaker two minutes. thank you for your comments. do we have more comments in the queue? >> there are no further callers in the queue. >> thank you very much. >> thank you for recognizing me, supervisors. the number at the baker place is 179 beds.
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>> you know the question i am going to ask you, right? the same question i always ask. are any beds. [indiscernable] space? >> thanks for the question? my favorite question. >> let me try to answer it in the best way i can, supervisor. all of the programs many of which really focus not all on folks with mental health conditions and substance abuse disorder. the approach that we require them to take is consistent with the best scientific evidence we have including mental health and substance abuse. those programs in particular are the medical withdrawal
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management for joe healey which seeks to support people as they stop using substances. that is why they are coming in. importantly, the care so there is substance abuse treatment depending on what the person is interested in with what we fund and have available in the city. >> pretty much are harm reduction. i support it. if someone said i am interested. a lot of people getting mental health services need medication. those that are also doing supervised withdrawal are doing harm reduction. i wanted to ask the question. >> if i may, i would offer that to redescribe that that these
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programs work with people who want to stop using drugs and support them to do so. i wouldn't -- they are based to help them with the goal. i know you and i have had multiple conversations about that but i would characterize it as helping clients stop using drugs. >> of course, i don't want to spend too much time on that. i agree people purely on harm reduction to move withdrawal away from using drugs are trying to become drug fee. i am not debating that at all. my only thing there are times that people have gone through multiple programs. i have tried these programs i want to be in drug free
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environment. we are trying to expand to have the options. i was curious if baker had any that were purely drug free. that is all. i don't know enough about these programs. that is why i asked the question. >> any response? did we lose you? i think we lost her. >> i am sorry. i don't mean to beg the question. i think that the programs aim to be to support people to be abstinent. the approach at an individual program level and maybe this is a conversation to have with the program as well is what happens
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when folks in treatment or in care have relapse? what is the approach there? that is where operationally we want to support people to both stay in care importantly and to support the entire community of people in treatment so that they are folks refraining from drug use are also supported. i think that is what you are getting at. we want our program goes to support the entire community of people enrolled in treatment as well as the individuals who might be experiencing relapse. i know that is that we want to do both things. i appreciate the question. it comes down to programmatic operational details about how to do that.
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i want to say very clearly that the program's goal is to help people achieve abstinence whenever possible and using our best methods of treatment to do so. >> chair ronan: thank you so much. this is straightforward because it is extending the same programming. it is essential. i would like to make a motion to send this item to the full board with positive recommendation. roll call vote. >> on that motion. safai. >> aye. >> mar. >> chair reason nan. >> aye. >> we have three ayes. >> thank you so much. please read item 4. resolution approving amendment be number one to the agreement between community forward sf inc. and department of public health for substance use
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disorder and mental health services to increase $20.3 million for an amount not to exceed $29.8 million to extend by five years from june 30, 2022 for a total agreement term of july 1, 2018 through june 30, 2027 to authorize department of public health to enter into amends or modifications to the contract prior to the final execution by all parties that do not materially increase the obligations or liabilities to the city and are necessary to effectuate the purposes of the contract or this resolution. call 415-655-0001 to comment. the prompt will indicate ushunmuted that is your key to begin your comments.
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madam chair. >> chair ronan: thank you. this is an amendment to extend the term of existing contract. extending existing services five years to june 30, 2027 with the corresponding funding each year. it will continue the women's place shelter, drop in and the combination of mental health and substance abuse services provided on site. only change in the contract which is also a recommendation of the budget legislative analyst to reduce out funding for the future years that funds covid. when we submitted the contract and presented it was unclear. we should have -- well now it is clear. after next year there is no funding for the support that they have really done a great help in providing operational support and shelter.
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that is the only change. it is the continuation of the existing services through the term. the current contract expires. we are here to extend it. >> budget analyst. >> this resolution approves the first amendment to the grant agreement between public health and community forward. extending the term through june 2027 increases not to exceed amount $29 million to that number excuse me. contract funds detailed on 19 of the report and on page 20 of the report we show the spending which shows $18.1 million over the next five years. as noted the budget for the extended term includes price of
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the sip hotel. that is winding down. we do have a recommended reduction to the contract amount to $24.5 million to collaborate with the department. we recommend approval of the resolution as amended. >> chair ronan: one question. given in reading the bla report it says and i knew this from being a supervisor in the community. the women's place drop in center closed during covid. it seems like the building is inadequate. people end up sleeping in chairs. are they moving from that building? do they have a new site? >> i have heard that. i don't want to speak to that. i have a colleague that is more
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up to speed on the plan. jose is program manager for substance abuse disorders maybe he is online. >> yes, this is jose. program manager for the substance abuse disorder program. the program the physical plant for the drop in center is ending. we met with community forward leadership yesterday. terms for the building endings at the end of june. currently the plan is to move this service to their other facility on howard street. we are working with the program to meet the needs for drop in program as well as shelter program.
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just met with them yesterday afternoon. >> we are extending their contract by five years. we have no idea how they are going to provide the services for the drop in shelter -- drop in center or shelter? >> the shelter facility. the drop in center is newer development for them. >> ask the budget legislative analyst. we are extending the contract for five years. it is unclear how or where they are going to provide one of the major services that we are extending the contract for? is that common practice? that is worry some. >> there was a plan for that program to the department.
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>> i think we submitted this two months ago. what will happen now is that we need a mechanism to pay them. between now and approving the contract goes back to the city attorney, back to the purchaser to approve. then now knowing we can update the contract documents for fiscal year 22-23. i don't know at this minute in time how the budget is changing. they are asking about that. it doesn't sound like the program is going. they are in an intear mediate space where they are going to be located. that would be reflected in how we change the budget. i don't think anything is closing or ending, i should say.
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>> the drop in center is an issue. women feel comfortable going to the drop in center and prefer it over other shelter options is what i have heard many times before. it is very uncomfortable. they end up sleeping up right in chairs. it is always something that has worried me because clearly the provider is doing a great job. many women would rather it is in the up right chair than go to the congregate shelter with a bed. that says a lot for the provider. if the budget legislative analyst can explain knowing they don't have a site or details what type of drop in program they are going to offer. would you still recommend
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approval of this contract? >> i would like -- it is hard to evaluate the program on the fly. i would like to maybe work with dph to get the details about what the interim plan is for providing these services to re-evaluate the recommendation. at the time my understanding there was a plan to continue through the summer. i felt comfortable recommending based on the information we had. >> chair ronan: if we continue for a week would there be a problem with continuing the services that are up and operating? >> i will jump in. this is the program manager of mental health services. they are going to move the
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program to their offices. it is not they don't have a space. they have lost the lease in the old place as of the end of june. as of july 1st they will be in their current offices. they do have a place. they are not stopping services. they are also looking at a nob hill facility that is being offered to them as 30 year lease. however, that particular place will require more rent. if anything, it is going to bring more money in the future than less. they will be asking dph and sh for. >> chair ronan: it is great there is potentially a new
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place. how do you operate the same service in the existing office when you previously had a whole other place to offer services. that site wasn't sufficient to meet the needs of the community. in light of this information and yesterday's information. with the department recommend reducing the term extending for one year and that would allow us to come back. we don't have to wait a year. at least i need to get them funding this year and make sure there is funding july 1st. i think a week isn't very long. it may not have enough detail. we could do that if that seems more palatable to extend by one year. and then come back.
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>> i want to say this respectfully. these are significantly large contracts that you are bringing to us. they are extremely important services. this is the third or fourth contract in front of us today that we are getting information on the fly. it sounds okay. our budget legislative analyst is not provided this information. we get detailed reports. we spend a lot of time going over them. if we have questions we reach out to your department. we come here. actually what we are doing this is replacing this. it sounds good. we have a fiscal responsibility to the citizens of san francisco to offer see this contract. i appreciate you offering to reduce the term. from five years to one year that is a minimum. you know, another thing in here golden gate seniors close at the end of fiscal year 19-20. that is the first time i heard
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this. all clients were transitioned. i just do not feel comfortable supporting this today. i think it really requires you to extend for one creek. at a minimum reduce the term to one year. you need to get us more and the bla more exact information. it is not fair to us, not fair to the people listening. we have people we have to act to. i am sorry. having information on the fly for a $20 million contract here, $120 million contract there. we are hearing about soar. now it is going to this program. we needy tailed information to -- need the detailed information. i do notes feel comfortable. we should continue this for one week, madam chair. >> chair ronan: for me, if
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anything, i would like to increase the size of this contract so that women who need a safe place to be in the evening could have appropriate place. this service has been something that i have thought about and you know it has eaten away at me for many years. all chairs are full every night when it was open. i was working with several homeless women in my district who would only go to women's place. it is the only place they felt comfortable. they were seniors sleeping in up right chairs. for me i would feel more comfortable if you were coming asking for more money with detail us how women's place is going to have a place for women
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to lay down when they are coming to seek that service. it is not the length of the contract. whether it is a year or five years. it is the amount of money. what we want to know is that service is provided in a way that meets the needs of residents. again, i have heard nothing but great things about women's place. it is not criticism of the organization and services. it is the fact they are shutting down the building the only explanation they are moving to the existing building which absolutely makes no sense. mr. mennards. >> i ward to ask for clarity. i thought the only building closed was for the golden gate
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avenue program, not the shelter. if that is correct, i just want to clarify that. >> that was yesterday from my colleagues. it is not in the report. it wasn't contemplated when we submitted the contract. >> it was enough to say. i asked the question because you said the space was insufficient with no elevator. >> we got new information yesterday. >> i am sorry. i will ask the question again. it is not convenient. we need the woman's place to explain the plan given new information. you are asking us to approve. you originally asked $29 million contract. now it is $24.5 million.
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there is he major, major change. it is one that really impacts our residents and especially women experiencing homelessness. honestly. you need to tell us the plan. then we will approve this. if you need more funding in order to get the appropriate services, tell us that, too, because this is an essential service that doesn't exist elsewhere in our system. if we continue this one week that will not prevent you from continuing payments, right? i would like to open this up for public comment. >> thank you, madam chair. members of the public in person line up along the curtains.
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remotely call 415-655-0001. id24852951638. press pound twice. once connected press star 3. if you are already in the queue continue to wait until you are unmuted. we have no in-person speakers. are there any on the telephone? >> supervisors, you can see there should have been more people participating in the deliberation the public. what i find very right off the bat is that three months or six months before any contract expires it should come to the board of supervisors. in fact there should be a mechanism with the controller's
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office or the bla to have such a requirement mandatory to come a month or three months before. if you do not commulose the contract -- if you do not come, you lose the contract. come at the last moment. this is not an option. they are doing good service. that is true. now are we going to take it to the citizens of san francisco that it is okay that thousands of people it is on a chair for sleep? the world is laughing at us. we should have some mechanism with chair to recline. so that we have empathy and we
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show vanity. thank you very much. >> thank you for your comments. >> there are no further callers in the queue. >> chair ronan: public comment closed. i would make a motion to continue this item. sorry. looking at the calendar. i am communicating with my legislative aid who carefully constructs the calendar every week. she is asking if we continue this item to june 8, that would be best for our purposes. that is too late?
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i am sorry, nikki, we will fill you are it out. we are going to have to continue this item to -- i will make a motion to continue to may 25th meeting of this committee. please have a roll call vote. >> on that motion to continue to budget finance committee meeting may 25. vice chair safai. >> aye. >> member mar. >> aye. >> chair ronen. >> aye. >> three ayes. >> thank you. item 5. >> resolution retroactively authorizing the department of public health to accept and expand grant in the april of $1.3 million from the health resources and services administration through california department of public health for a program entitled the children and youth with special healthcare needs
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innovation grants for period february 1, 2022 through june 30, 2025. if you wish to comment call 415-655-0001. id24852955638. pounds twice and when connected press star three to answer the speaker line. wait until the system indicates you are unmuted. that is your queue to begin your comments. >> i understand ben nizel is on the line to present. >> good morning, budgeted and finance committee members. let me share my screen.
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>> i have exciting news san francisco is awarded a title 5 children and youth with special healthcare needs innovation grant. we are one of five counties in california to be awarded this grant. we anticipate it to be transformative grant for our city. i am pediatrician and medical director of california children's services, a program within the department of materrible child adolescents health in department of public health serving low income children with complex medical conditions. a little background about this
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grant and goals. there are approximately 20,000 children and youth with special healthcare needs from 0 to 26 years of age in san francisco. the major programs we know of that serve these children and young adults really like the mutual services and regional center in san francisco, serve approximately 5,000 children and youth. we have up to this point be had a very difficult time in identifying the families that have children and youth with special healthcare needs outside of these programs. we are looking to our main community-based organization called support for families with children with disabilities in
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order to help us assess this community identify the members outside these two programs that i listed and enable us to create inter agency council to collaboratively address the needs of this community. we have been awarded this title 5 innovation grant at the amount of $1,352,610 over 3.5 years. the grant goal is to create inter agency collaborative council among the agencies and organizations that serve this vulnerable population with the families integrally involved in
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a way that helps them actually drive this effort. the goals of the council are to identify incorporate best practices across agencies. so that families with children with special healthcare needs can receive support for successful transition across the pediatric life course and also to train and engage children with special healthcare needs and families to improve the system that served those families. and help them be involved in state and local program design, implementation and evaluation. to also build the data capacity to understand this community, needs and to help disparities within the children and youth with health care needs population and to reduce the racial healthcare inequality
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within the population of children apyouth with special healthcare needs in san francisco. in overview, the project aims are to establish inter agency collaborative council using an impact model with appearances and youth and family voices being front and center. to develop an organizational foundation that enables quick community response to changing environment like the pandemic during which a lot of the services that were working together had to fall away from this thoughtful population because a lot of us were deployed to covid related services. to create a learning community within the group so that the families and youth can teach the leaders of the agencies and vice
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versa the case managers in these agencies can integrate the families and teach them about the services that are available to them. from a funding overview in year one, that would expend from february 1 of this year to june 30 this year. $166,110.40. for years two through four each year it would be $395,500 for a total over the four year period or 3.5 year period with the ultimate goal of becomes sustainable through membership fees, foundation grant funding and some city funding through
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the department of children, youth and families. thank you. that is everything in my presentation. if you have questions, i am glad to answer it. >> thank you so much. i don't think there are questions. no bla report. please open up for public comment. >> if you are speaking in person line up now. remotely call 415-655-0001. continue to wait until you are unmuted. there will be a queue to comment. no in-person speakers. mr. atkins any on the line?
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>> this is very good program. i have had some experience trying to have children under the age of 5 undocumented. some children from places like afghanistan, children who have lead poisoning and need help. in san francisco we are blessed to va hospital, children's hospital established. i do not know what hospital you are working in but i want to make you that i have six or seven cases of children under the age of 5 who need help.
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i can meet and discuss with you these cases. in my opinion you should have at least $5 million for this work. when we have the children especially younger ones during the pandemic to get vaccinations. the impact is your work and god's work. thank you very much. >> thank you for your comments. are there any more speakers? >> there are no further callers in the queue. >> chair ronan: public comment is closed. thank you for the explanation why the need for retroactivity
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for january 28 of 2022 for a period of the grant periods begin on february 1, 2022. got it here expeditiously. thank you. >> i would like to make an amendment. >> thank you. please do so. >> thank you very much. page 2. [indiscernable] thank you very much. >> thank you for the detailed explanation for retroactivity.
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i would like to make a motion to amend the item as described. roll call vote. >> on that motion. vice chair safai. >> aye. >> member mar. >> aye. >> chair ronen. >> aye. >> we have three ayes. >> chair ronan: motion to send forward with positive recommendation to the full board as amended. >> forward to the full board with positive recommendation as amended vice chair safai. >> aye. >> member mar. >> aye. >> chair ronen. >> aye. >> we have three ayes. >> please read item 6. >> resolution authorizing the state lands american rescue plan in an amount of $14 million plus additional amounts of 215% of the original grant amount that may be overred for eligible
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operating and capital expenses. >> that is the wrong title. item of. resolution retroactive authorizing the department of public health to accept and expand a grand in the amount of $500,000 from centers for disease and control and prevention through the national association of county and city health officials for implementing overdose prevention strategies for august 1, 2021 through july 31, 2023. members to comment on this call 415-655-0001. id24852951638. once connected press star 3. please wait until we take comments on the item. mr. vice chair.
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>> i believe we have the first presenter ms. judith martin. >> thank you. >> please keep it brief. >> grant for $500,000 for the period between august 1 of 2021 through july of 2023. it is specific for overdose prevention strategies. it includes partial salary for a manager. it includes testing supplies for drug testing in the field. it including creating an opioid overdose board to collect all of
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the information what we are doing and display it properly and collect data from the system across the nation. it increases capacity of navigators and overdose response in emergency rooms throughout the city as part of the program. i am glad to answer any other questions you may have. >> thank you so much. i understand mr. wong has an amendment. >> thank you very much. the resolution as follows. to focus has been changed to january 1, 2022 on page one line eight. line 15. page 2 line 6. the wording of notice is signing
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agreement. to. [indiscernable] same page the word retroactively. [indiscernable] thank you very much. >> thank you again for the explanation for the reason for retro activity. the department received the initial grant letter november 18, 2021. worked with the controller to get it to this budget committee. the grant started january 1. we are hopefully going to approve it today. can you please open this item for public comment.
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>> if you wish to speak join up now. remotely call 415-655-0001. please wait until the system indicates you are unmuted. we have no in-person speakers. do we have speaker on the line? >> there are no callers in the queue. >> chair ronan: i would make a motion to amend as described by mr. wong. >> on that motion to amend vice chair safai absent. >> member mar. >> aye. >> chair ronen. >> aye. >> we have two ayes. vice chair.
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>> supervisor safai: safai is . >> vice chair safai absent. >> two ayes and safai absent. >> item 7. resolution retroactively authorizing the recreation and park department to accept and expand grant for $4.8 million from the california department of parks and recreation for the buchanan mall approving the grant contract for july 1, 2021 through june 30, 2024 and to authorize the recreation and park department to enter the amendments and modifications to the grant contract and to to execute further agreements that do not materially increase the obligations or liabilities of the city and are necessarily to
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effectuate the purposes of the projector this resolution. please call 415-655-0001. madam chair. >> chair ronan: i understand tony moran is here to present from rec and park. >> yes. good morning, supervisors. on behalf of the recreation and parks department i am here to request a recommendation to forward the resolution to accept and expend retroactively these grant funds and enter the grant agreement. the city through the recreation and park department opens and operates the buchanan mall. the park is outdated.
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much of the equipment is deteriorated. in 2014 we started working with the community and the public land trust to develop the vision plan that would analyze the blocks and develop scope of work how to improve them prioritizing recreation and really reflecting the culture of the community. we have been applying for several grants. we have received three state grants. this is a grant given to us by the state legislature through the work of senator scott weiner. he helped secure this funding. we are grateful for it. we are using it to work on fulton and callister blocks. this is administered by the california state parks department. they require we enter into the
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grant agreement back dated to july 1, 2021 and ends june 30, 2024. this is one of the reasons why the grant is retroactively. when they create the grant agreements they have the performance day to start when the funds were appropriated. we did also have to enter into a contract earlier this month because of the short term of this grant ending on june 30, 2024. that would also make it retroactive. we have not expended funds or appropriateid any for this at this time. that concludes my presentation. >> thank you. no questions and no bla report. i will open up for public comment. >> members of the public to speak in person line up now.
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remotely call 415-655-0001. 24852951638. pound twice. when connected press star 3 to enter the speaker line. wait until you are unmuted. that will be your queue to comment. madam chair. >> public comment is closed. exciting grant. the buchanan mall needs updating. so happy it is happening. motion to send to the full board with positive recommendations. >> on that motion to send to full board with positive recommendation. safai. >> absent. >> mar. >> aye. >> ronen. >> aye. >> we have two ayes with safai absent. >> passes unanimously. please read item 8. resolution retroactively
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authorizing recreation and park department to accept and expand grand from the amount of $25 million for the india basin 900innes project july 1, 2021 through june 30, 2026 and to authorize the amendments or modifications to the grant agreement to not materially increase obligations or liabilities of the city and are necessary to effectuate the purposes of the projector this resolution. members of the public call 415-655-0001 to comment. i press star 3 for the speaker line. wait until you are unmuted to begin comments. madam chair. >> chair ronan: ms. graham you are on this item.
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>> on behalf of the department recreation and parks we would like to request the committee forward this grant to the board of supervisors with a recommendation to accept and expend the grant and to approve the grant contract from july 1, 2021 through june 30, 2026. the 900 inniss site under the jurisdiction of recreation and park department since 2024 when they acquired the property. there have substantial funs to remediate the site. it is to be completed this june. next phase of the work would be the construction of the 900innis park and this would support the work on that site. the site is with the project through the community be process working closely with community and again with the trust for
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public land. started around 2014. similar to buchanan project. now we are ready to go to construction in the summer of this year once we secure the funds to get them appropriated. this project will provide new public access to the waterfront in the bayview hunters point and for the entire city. funding was secured for us by assembly person phil ting through the legislative process. they were back dated to july 1, 2021. it was appropriated when it was appropriated in the budget. that concludes my presentation.
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>> thank you for your work on these improvements. thank you. also, thank you for explaining the retroactivity as well. >> chair ronan: thank you. public comment. >> the public to comment on this item line up now. listening remotely call 415-655-0001. id24852951638. pound twice. star 3 to enter the speaker line. wait until the system indicates you are unmuted to begin comments. we have no speaker in the queue. >> chair ronan: public comment is closed.
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>> supervsor mar: i would move we send to full board with positive recommendation. >> on that motion to forward with positive recommendation. safai. >> absent. >> mar. >> aye. >> chair ronen. >> aye. >> two ayes with vice chair safai absent. >> the motion passes unanimously. [please stand by]
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committee, i'm from the controllers office of public finance. can you hear me? >> yes. >> thanks. thank you for considering this resolution today, i'll be making a brief presentation and also in attendance we have dr. dan glass and from the brandies school and their bond counsel. if there are questions about the school or the project, as a reminder, tepra, allows certain debts to be issued on a tax
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exempt basis by non-profit organizations through a joint powers authorities. the resolution is here before you today because federal tax law requires the governing body of the jurisdiction approve the financing of the project, after dual i notice public hearing before the debt can be issued on a tax exempt basis. jurisdiction, city and county of san francisco is not obligated for the payment of the bonds and the governing body is the board of supervisors. brandies school of san francisco, non-profit benefit corporation, approves the proposed issuance of certain tax exempt obligations, authority is a joint power authority, the city is an issuing member. and a hearing notice is on the public notices website on march 31, and public hearing was held
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by the office of public finance on april 8th via teleconference. one comment was received submitted on behalf of brandies, i will not quote, it's a small school that has been in the city since 1963. give over 3.5 million intuition assistance every year, and the ability to refinance the debt will allow more students and given we are a small school, the ability to refinance are significant for the budget. to give you a brief description of the project, not to exceed $8.5 million, those obligations will be purchased by financial institution and use the proceeds to loan to brandies school, which will be repaid from payments by the brandies school by is the borrower. intend to use the proceeds to refinance the costs for
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educational facilities, 655 brotherhood way and other related costs. the project is and will be owned by the borrower and used by the borrower for prekindergarten through eighth grade. background on the school, independent jewish day school for grades k-eight. established in 1963 to inspire students to lead lives of learning and purpose. a challenging academic environment and enriched by jewish thought, values and tradition. they have a current enrollment of 336 students for their website. a safe space for every child and a true sense of belonging and community made up of families from a wide variety of ethnic, linguistic and cultural identities, many are just beginning their jewish journey. nearly half the students take advantage of the assistance
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program, and a learning environment, most economically diverse. in district 7, sponsored by supervisor melgar and approval will have no impact to the city and county as the obligations are paid by the borrower and no pledge being made by the city. >> thank you. >> if you have any questions -- >> thank you very much, no questions and no b.l.a. report, public comment. >> yes, members of the public should line up now in public, and 1-415-655-0001, 24852951638, and pound twice. star 3 to enter the speaker line. wait until the system indicates you have been unmuted. comments, mr. akins. can you confirm the speaker line, please.
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>> mr. clerk, no callers in the cue. >> send to the full board with positive recommendation. >> on the motion for the positive recommendation. [roll call vote taken] >> thank you, the motion passes unanimously. mr. clerk, can you please call items 10 and 11 together. >> yes, items 10 and 11, item 10, resolution authorizing issuance of multifamily, not to exceed 71 million, and taxable multihousing not to exceed 19 million for the construction of 221 unit affordable multifamily residential at 600 7th street in the city, not to exceed 90
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million. approving the form of authorizing a trust indenture, and regulatory agreement and restrictive covenants, and authorizing the collection of certain fees as defined, ratifying and approving any action here to for, the project as defined, granting general authority to take actions necessary to implement this. item 11, resolution approving and authorizing the director of property and the mayor's office of housing and community development to enter into a ground lease for real property owned by the city and located at 600 7th street. for a lease term of 75 years and option to extend in annual base
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rent of 15,000. in order to construct a 100,000 -- i'm sorry, 100% affordable, 221 multifamily rental housing development affordable to very low and low income households, 120 units set aside for households experiencing homelessness and commercial space for community serving purposes, approving and authorizing loan agreement, not to exceed 84.2 million for a minimum loan term of 57 years, so finance the development and construction of the project authorizing and authorizing a light air maintenance and access easements between the city and the developer for $0, to benefit the project and maintain compliance with the building code and fire code, approving and authorizing the director of property. to enter into commercial grand lease for the commercial space
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with 600 7th street, at or prior to permanent financing, adopting findings that the project and proposed trans ance consistent with the plan and policies of planning code 101.1, director of property to execute the ground lease. loan agreement and easement make certain modifications to such agreements and certain actions in furtherance of the resolution. members who wish to comment, 1-415-655-0001, 24852951638 and pound twice. star 3 to enter the speaker line. when the system indicates you have been unmuted, you can begin your comments. madam chair. >> chair ronen: i understand we have judy from the mayor's office here to present.
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>> a good afternoon, judy shepherd hall, and joining me today is sarah, our senior project manager. here for 600 7th street. the purpose of the resolution before you is approve and authorize the city to enter into a long-term ground lease for the property owned by the city at 600 7th street and permanent loan agreements not to exceed 84,277,000, to finance the development as well as associated findings. the project is known as 600 7th street, 221 unit affordable housing, eight-story development. to be constructed on the corner of 7th and brand street, 100 studios and 121 2 and 3 bedroom
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units and one manager units. 120 permanent supported housing units designated for families and adults experiencing homelessness. mercy housing west selected in september of 2019 to develop and manage the property in response to the parcel developer request for qualifications that was issued on may 17, 2019, with community services as their service provider. loan proceeds will include the housing, land and contribution in which the city and developer at 801 branun street and henry street reached an agreement to convey the site. i'm sorry, my dog decided to go crazy at this time.
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units will include 100 studio units and 20 family units, three bedrooms, that will be set aside to form homeless adults and families by the local subsidy program. the plan to start construction in early july 2022 with construction completing around may of 2024. and again, my dog is trying to upstage me, so, thank you. and happy to answer any questions that you may have. >> and we have a b.l.a. report on this item? >> this report is on item 11, gap financing for the development. it's a resolution approve $84.3 million amended and restated loan agreement, 97lp, also approves a ground lease for
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the property and stated, this is 221 unit project, and includes a mix of permanent supportive housing and affordable housing. also includes a commercial space. in both cases the city will retain landownership and ground lease, the residential portion of the site to mercy and the commercial space to the commercial operator, affiliated with mercy. lease is expected to be completed in summer 2024, and page 25 of our report, total development cost, $151 million of which the city's financing 84.3 million and we recommend approval. >> thank you, supervisor mar. >> supervisor mar: thank you. thanks for the presentation and for all of your work on this. it sounds like a very -- a great
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project and thanks to mercy housing also for working on this. i just had a few questions, i'm sorry i was not able to ask them before the hearing. so the first one is around the mix between affordable and permanent supportive housing on this project, so i noticed 100 affordable units and 120 permanent supportive housing units, and that ratio is different than what i understand to be the typical -- what's typically done in affordable housing projects, it's around 20 to 25% permanent supportive housing unit. i was just curious how that, how the decision was made to include over 50% permanent supportive housing units in this project. >> i think initially, i may ask, or sarah to jump in.
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initially there was, it was submitted with a projection of 200 units and an opportunity to access additional funds. that option to increase the number of permanent supportive housing units, and to clarify the statement, 120 of the units are actually going towards the designation for that set aside for formerly homeless families and adults of the total 221 units. sarah may want to add background as well. >> and i guess my question is, isn't this more than, a higher proportion of permanent supportive housing units for former homeless than most housing project, i'm really just curious.
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i don't have an issue with that, we said certainly it's housing for formerly homeless folks, i want to understand how the decision was made. >> yes, supervisor mar, this is sarah, a colleague of judy's. and it is true that typically there is 25, or 20 to 30% of units are set aside for lost households in our developments and i wonder if keon has more to add, both judy and i were not working on the project at the beginning when the rpf happened, but i want to note $17.5 million of the gap loan is actually coming from the state through the no place like home program
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and that may have something to do with the additional permanent supportive housing units at the project. >> thank you, sarah, for the introduction. i'm the project developer with mercy housing. i was not also part of the rfp process but know the context how it was structured. two wings, one wing is serving 100% single adults, our entire permanent supportive population, the other wing is 120 units. of those units, 20 of those units are going to be for permanent supportive housing. so i would treat the property as two wings. the second wing all family housing, 120 units, it's our traditional model you have seen, you have recognized supervisor martha we have done all of our other properties, a common practice by ocd. the other wing, 100% single
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adults, that is more typical with permanent supportive housing for single adults. so, in a sense it's two models but represent them as one unified building. the reason behind that, the project was able to really have some really great efficiencies when it comes to serving these populations on an operational standpoint. having such a high percentage of units on the property, made it extremely competitive when it came to state funding. so, it was a great model that we are trying out here, which i think will be successful. other providers have done similar models to date and we are expanding upon those efforts for the need in san francisco. >> great, thank you for that explanation. that's helpful. and then i had one last question from ocd. i notice, seems like the financing from this project is pretty complicated and, well, i guess, like it is for all projects, and but i notice for
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the ocd funding for the project, there's a half dozen different sources. one of them is excess, $14.7 million, and that kind of stood out to me because it's different from the other sources for the ocd financing and again, i don't have a problem with that. i know the board passed a resolution prioritizing excess funds for affordable housing. but yeah -- i was just curious. do we have -- is there -- is there an actual budget amount of excess funds that can be used for affordable housing development? >> right, right. supervisor mar, i just wanted to find out if our director is on the call, her name is mara
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blitzer. are you on? supervisor mar, we can definitely get back to you with that information. unfortunately, our director was not able to make the meeting, i think she has an unexpected sick leave that she had to take. but we can get back to you with information. >> and then the controller have a comment? >> yes, supervisor -- part of the general fund like other tax proceeds, like property tax, hotel, sales taxes, so they come into the general fund and are distributed. if there is an excess eraf, it's continued from prior years and might have been a revenue amount from the original mid year supplemental we did to appropriate excess two years ago. i expect that's what it is.
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i will say in the past, for the past, in the current fiscal year and the year prior, all excess proceeds have been budgeted in the general fund. so i think this might be kind of a residual revenue budget carrying forward, only on this project. they do not get an allocation. >> ok, thank you. i would appreciate maybe some follow-up on this just to clarify, i guess my main question is, well, you answered my question and there's really no designation of excess erap for affordable housing despite the resolution the board passed in 2019. >> general purpose revenue and it flows into the general fund. >> supervisor mar: ok, thank you. >> chair ronen: thank you so much, i appreciate it. both of your questions, but especially the first one that stood out to me as well and i'm really looking forward to seeing how that works, it's an unusual model. thank you for asking that question. can we please open this item up
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for public comment? >> yes, madam chair. [please stand by] we have no in-person speakers in the chamber and no speakers in the cue. -- in the queue. >> chair ronen: do you want to do the honors? >> i move that we send this item to the full board with positive recommendation. >> both items, member mar. >> yes, both. on that motion offered by member mar, positive recommendation.
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[roll call vote taken] . >> aye, and add me as a co-sponsor. >> chair ronen: also add me as a co-sponsor. can you read item 12? >> number 12 is a resolution authorizing the director of property on behalf of the department of public health to extend the term of an existing city lease, 1170 market street l.l.c., from june 30, 2022, through december 31, 2022, base rent of 75,000 per month, authorizing the director to execute the documents and take certain actions in furtherance of this resolution and limits or modifications to the lease, did not materially increase the obligations or liabilities to
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the city and are necessary. members of the public joining us remotely and wish to comment, 1-415-655-0001, 24852951638, and press pound twice. and press 3 to speak, and wait until you are told to begin your comments. >> chair ronen: thank you so much. coming on the afternoon director, thank you for being here this whole time sorry for the long wait. >> not at all, chair ronen, and good afternoon. good afternoon, supervisor safai, and mar, director of real estate. i also have tricia with me from d.p.h., apologies. we were before you today seeking your positive recommendation for
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a lease extension at 1170 market street. i believe that we have a slide presentation, if you can pop that up. next slide please. thank you. this is an existing lease for the building located at 1170 market street. this lease was entered into under the mayor's emergency proclamation for the lincoln center, now known as the tenderloin center. under the terms of the lease we had a six-month initial term with three two-month extensions taking us through december of 2022. we were here before you to seek your ratification of the six months prior plus authorization to exercise the two -- the three two-month extensions. the terms of the extensions are exactly the same as the original lease. 75,000 per month base rent.
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the city is responsible for janitorial, security and electrical services on the floors that it uses in the building. landlord pays all the other services and utilities which are baked into the base rent. i will now turn it over to d.p.h. to discuss the continued use of this building. however, i would like to note that we have a nonsubstantive amendment which i will explain to you at the end of the presentation for your consideration. thank you. >> good morning, supervisors. oh, i'm sorry, good afternoon, supervisors. i got here in the morning. i'm here to briefly talk you through the program design at 1170 market street. as you all know, this program is a direct result of the mayor's state of emergency in the tenderloin to address critical issues affecting the tenderloin neighborhood.
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just four months ago actually today we opened up the center to specifically address the alarming rates of drug overdose deaths in the tenderloin, public drug use and to be able to provide connection to the critical supports that folks need to rebuild their lives. so how do we do that at the t.l.c. first thing is that we provide a radically welcoming safe space where folks are at would ut judgment or stigma. this is important to make sure people feel safe and want to come to the site for the variety of services we provide. we are open seven days a week from 8 to 8. come to get respite from the streets, basic needs met, and then to also engage with our health navigator, service nay --
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navigators for health and wellness. we are intentional of having a space for all, we are intentional as well providing services who meet the needs of folks who use drugs in the tenderloin. i want to walk through the guess flow which is really important to show you how intentional we are about how we have designed and staffed this to increase connections and relationships, which we know are the foundations people need to make important changes in their lives, and also to make sure that they can maximize engagement in a variety of services we do provide at the site. so first things folks are, you will see many of my esteemed colleagues and the white coat tenderloin vests are met and greeted at the door, a brief check-in, oriented to the site and services, and urban alchemy
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places, they don't have to stress about the things which they do on the streets. then the food station, people are provided three hot meals a day, access to water and snacks and come out into the courtyard where they will see service navigators from code tenderloin, and m.l.u. environment, also will engage in conversations what they are there for, what services are on-site, and available off-site, and then make connections. and also have on the courtyard, showers and laundry, toilets and hand washing, basic things that people need. we will have health workers with hr360 on-site, harm reduction services, hygienic supplies, naloxone distribution, engagement and then monitoring and overdose reversal support. i'm really happy to announce we opened our living room on monday
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which is a space where folks can meet with peers who are really looking to explore their sobriety or maintain their sobriety. excellent three days there, it's a gorgeous space, i would love for you to see at some point, it's relaxing and comfortable and they can reflect on what's important and the steps they are going to take to get there. next slide. so there is a lot going down in the courtyard and connected to a variety of things. one of the most sought after resources is housing and shelter. contractors there, and community services five days a week doing housing assessments, problem solving and placement into shelter ab housing. h.s.a. doing benefit applications and the service navigators and health navigators
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are there engaging and connecting them to off-site treatments such as medication assisted treatments, methadone and other residential treatment options. and then also connecting folks with a variety of social services and have pop-up services like hiv and hep c testing. and one of the wonderful things we can provide is transportation to these services, often be a barrier, kind of taking the next step. so a van monday through friday, taxi vouchers, muni passes, and many times they will walk them to a service, take a van ride with them and make sure they get to that connection and sort of, you know, take those extra steps to support somebody in what can be a very scary next step of their lives. next slide. so like i said, we had six weeks of planning, four months of operating, we have learned a tremendous amount, made improvements and continue to
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make improvements. we have been responsive to neighbor feedback, brought the services off market street, increased tenting in the back, moved staff development days to not conflict with the farmer's market and are working with the civic center c.b.d. to improve our fence line. and also interacting with guests and getting their feedback, increased the hot meal distribution, made changes to the space to reduce crowding. we have added more comfortable seating and as i just said, implemented a sober space, the living room. i know we have a lot of people here today who are going to give public comment and they can say it better than i can. but wanted to share just a few quotes from some of the folks that have visited us. people don't treat me like i'm a problem, are that gives me hope. i feel safe, if i were to o.d., people are here to watch over us and save our lives. i like this place a lot, i can get my place together, reconnect with family rather than be concerned about using drugs, i'm
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not constantly moving around. i like being able to communicate with people and feel safe. so i am here to answer any questions. also dr. cumins is on the line and donna hilliard, executive director of code tenderloin to here to answer any questions. one more thing from the director. >> thank you. supervisors, i have just two nonsubstantive amendments i would like to read to the record. plan to insert additional language on page three from lines 17 through 20. they would read whereas the planning department has determined the premises temporary use as the tenderloin lincoln center is consistent with the eight priority policies
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of planning code section 101.1, and is on balance in conformity with the objective and policies of the general plan. and then on page four from lines 9 to 12, adding the words further resolve that the board of supervisors affirms and adopt as its own the findings made by the planning department in the general planning determination on file with the clerk of the board of supervisors and phone number blank, and is incorporated herein by reference, and be it. basically these two minor amendments allow the board of supervisors to make the general plan findings that are contained in the general plan referral letter that is in the clerk's file. thank you. >> chair ronen: thank you so much. before i turn this over to the b.l.a., for people coming for budget and appropriations, we are still on the morning budget and finance meeting. we have this item and one other
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item and then we have been going nonstop since early morning, grab like -- wolf down a little lunch for about 20 minutes. so, i would estimate we are going to be back here for budget and appropriations 1:45. >> one more item after this. >> chair ronen: hopeful thinking, thinking 1:45, between 1:45 and 2:00. so, if you want to use your time productively in some other way, feel free. thank you. with that, if we can hear from the budget and legislative analysts. >> thank you, chair ronen. this is for a lease extension on market street, with the landlord by that same name, 1170 market street l.l.c.
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used for the tenderloin center, and original lease expires in june, it was entered into under the emergency order so it did not come to the board and now exercising the option to extend for another six months, subject of the board of supervisors approval because the emergency proclamation expired. we show the budget for the services at the tenderloin center this year on page 32 of our report, that does not include the lease costs, about $450,000 and the six months of this year. and will remain that for the next six months as well. now as we show on that page the costs in this year were about a million dollars a month. we also discussed the outcomes of the intervention and the tenderloin center on page 31 of our report. now, i just want to point out that you know, when the mayor originally declared an emergency in the tenderloin and the board
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of supervisors approved that proclamation, this body was provided a plan for what was going to happen, you know, as a result of that emergency. the plan did not speak to the period after the emergency, so there's no -- we don't have any documents that describes the plan after march 2022. so i would recommend that the board request that plan from public health. we have the elements what that plan should include to inform your decision making in the upcoming budget on page 28 of our report. and we consider approval to be a policy matter for the board. >> chair ronen: thank you. i think, so i'll start off with some questions probably for d.p.h. so, i've been to the site, not
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since the new living room has opened up, i'm excited to see that eventually, and you know, did get to sit down with the team and hear about what's been going on. my office, you know, in the beginning -- well, for quite some time, the first three months of this project met weekly with both dr. cumins and director carroll from d.m. to sort of have a realtime look at learning and what went on there. usage of the center is extraordinary, you know. obviously the need for these services is enormous. i still am a little unclear, you know, as our budget and legislative analyst stated the long-term plans. so what happens after december, you know, what has been the
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overall impact on the neighborhood, given the goals for the emergency ordinance, or the emergency declaration in which i supported. but you know, i also understand this is an experiment, it has never happened before, you are learning. literally daily what works, what doesn't, how to help better serve people and often times establishing relationships with people that have serious substance use addiction takes time. so you know, i -- i'm inclined to support this, knowing that we usually have a little bit more information before us to decide given how expensive this endeavor is. is this the right investment, is it accomplishing the goals we
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set out to accomplish, we don't have that information. but i'm also willing to continue the experiment and see what we learn, especially because of how much usage the center is getting and that over four months you can't really come to many conclusions in that short period of time. so that's where i'm at. i'll turn this over to supervisor safai. >> supervisor safai: thank you. director penock. >> good afternoon, supervisor. >> supervisor safai: good afternoon. the way the lease was written, a six-month lease with option to extend. is that currently, if we move past that, what happens to the lease? month to month? >> there is a provision for month to month thereafter, but
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that's not baked into the lease. that would be custom and practice. what i would anticipate if it's the city's desire to extend the lease is that prior to expiration we would enter into negotiations with the landlord. >> i don't mean before this extension, i mean if this extension were not granted six months, does it go month to month. >> no. >> supervisor safai: it ends. >> under the terms of this lease, yes. if i understand correctly, if we do not exercise the option to extend, and the lease would end at that point. >> supervisor safai: in terms of the desire of the land lord, is there a time period they have set for the use of the building? >> to my understanding, no. this building was vacant for several years prior to this lease. it is my understanding the landlord would welcome a conversation to extend the
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city's presence here. >> supervisor safai: ok. >> just going back to the b.l.a., that's not for you, director, just back to the b.l.a. point about in terms of the monetary allocation for services at this site, director, there is an intention, it seems, that the mayor will be making a commitment to services at this site in the upcoming budget? is that correct? >> yes, the mayor in the proposed june 1st budget the mayor will be speaking to the level of services that will be happening at the site. >> supervisor safai: that seems to be, what we are being asked to do is extend a lease without understanding exactly what the
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allocation is for level of services, and what the plan for those services are based on the b.l.a. analysis. has the department of public health, are you with department of public health? >> yes. >> supervisor safai: and do you have a plan in place that details the tenderloin initiative budget? >> tenderloin center budget, yes. we have submitted a budget to the mayor's budget office and we are waiting for feedback at this point. >> how do you respond to the b.l.a. analysis of the cost effectiveness of it? have you seen the b.l.a. report? >> i have seen the b.l.a. report. i think what is -- what i want to echo what supervisor ronen said it is really difficult to measure the effectiveness of this program when we have only been in operation four months. i think we need more time to really understand the impact
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both on the neighborhood and on individuals. one of the challenges of this project was how fast we set up and were not able to adequately set up the data systems that have really captured all of the work that we are doing on-site and off site. and we have -- we are really working on those data systems to really capture the wonderful connections and the wonderful suck sees. we are making connections to folks and to services every day. yesterday i heard a story of two folks what were escorted over to methadone by our service navigator, one person connected with mental health services, immediately to psychiatric meds and ongoing services and i want to make sure that we can reflect those advisories both in data and tell the stories and we need more time to do that and see whether this intervention is
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effective and cost effective. >> supervisor safai: wasn't that part of the intention, the intention was to move quickly so we were not really given the opportunity to set that up. >> yeah, absolutely. i think we needed to respond urgently to what is an alarming amount of people dying on the streets unnecessarily so it was important to start serving people first and put in data systems and increase the effectiveness of those so they really reflect what is happening and the wonderful work happening every day. >> supervisor safai: are you able to provide us with that plan? >> when you say that plan, are you speaking to the budget -- >> the plan from the department of public health that would detail the budget for this initiative and that would include some of the cost effectiveness, service goals and long-term service capacity constraints. i mean, i think one of the things i see in the b.l.a. analysis is purely on residential substance abuse treatment they have a similar
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type program, referral and cost per person, and then they have -- they compare that to some of the costs per connection here, if you are just doing simple math, based on the numbers. comes out to almost $38,000 per person per connection. so i don't know if we can accurately evaluate that right now. >> supervisor safai: can you tell me what you think is the most unique aspect of this site? people are coming in and referring them to services. what is the unique nature that you think is hard to evaluate at this time? >> unique nature, what i believe, is our range of services that we offer.
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the extremely low barrier service that we provide that really invites a lot of folks in who are very hard to reach and have been hard for this city to reach. i, it's also the collective impact approach we are taking, the number of city departments and non-profit providers who are on the site bringing their collective strengths and resources to really wrap around the person, build those relationships, and when somebody is ready it's the opportunity to be there when they are ready with that right opportunity and that right support. and when i say it's hard to evaluate, i think what we need is give some time for the data systems to get in place, the staff transitioning into place so we can capture the wonderful work that's happening there, and i think we will be able to do that, and what i'm hoping we can do, we are asking for a six-month extension right now, not a long time, but we work so incredibly hard every day to make improvements to the site. let us come back and talk to you in six months.
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i think we'll have a better understanding of how effective the services and what the cost effectiveness of it is. >> supervisor safai: do you think you'll be able to put that plan together that i ask, that i referenced? >> and when you ask the plan, right now can we show you the budget, yes, we can do that. >> supervisor safai: i don't have any other questions. >> chair ronen: before i turn this over to supervisor mar, i wanted to make another announcement to any departments that are here for the budget and appropriations committee meeting. we are still in the morning budget and finance committee meeting. i estimate we are not going to start the budget and appropriations committee meeting until 2:00, so i wanted to give you an opportunity to get a cup of coffee, or do something else in the meantime. i just hate to see you all waiting around, i'm so sorry for the delay and being behind. supervisor mar. >> supervisor mar: thank you, chair ronen. i wanted to start by saying i
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appreciate all the work that d.p.h. and the many community partners have done in creating this new experiment and model for addressing a range of different urgent issues, particularly at this location, the epicenter i think of a lot of the challenges. but i do share my, some of the concerns about reflecting my colleague's comments. it's more about like wanting to understand what the community impact is, has been and will be for this important effort and then also the cost effectiveness. because i appreciate how the budget and legislative analysts compared it to the center in some, that's about a third of the cost of this, and i know the figures are not totally transferable. but i just had one question, and maybe i missed this earlier because my colleagues asked.
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the lease extension is for six months to the end of the year. is it h.s.a. -- or city's intention to continue the program for more than beyond that? and if so, what is -- how does that relate to the lease extension only extending to the end of the year? >> good question. first i just want to say i share all of your concerns and i'm deeply wanting to understand the answers to these questions and find the right service model to really have the maximum amount of benefit to the folks that we serve. and i think one of the things i did not talk about was just what can be very frustrating for all of us, but that the slow pace of change sometimes, so not only allowing us to get our operations going, but also to allow us to build those relationships and really work with people over time, to really make change in their lives. and so yeah, i think that our intention is to operate the site beyond december 31st.
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this was just what we were allowed to extend in the current lease extension. the department of public health is looking at other sites as well that might serve various purposes in the departments and may actually really help us to build an even better program through co-location of other services like the b.h.s. pharmacy, etc. we don't have answers on that today, but hopefully we will have answers on those items soon. >> thank you. and i'm supportive of this lease extension. >> chair ronen: can we open this item up for public comments. >> members of the public when wish to speak on the item and joining us in person should line up now along the curtains. for those remotely,
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1-415-655-0001, 24852951638, press pound twice. once connected, star 3 to enter the speaker line. please wait until the system indicates that you have been unmuted and that will be your cue to begin your comments. i would like to invite our first in-person speaker up to the lecturn. >> good afternoon, supervisors. dale seymour. you all know me, i spent 35 years in the tenderloin. 18 years walking around like a zombie stoned on drugs, that's the hat i've got on today. i have a lot of hats in the community, that's the hat i want to put on today. i've been clean 12 years. you talked about the cost. my sobriety is worth more than $30,000. it could be hundreds of thousands where i feel i got help from the city way back. so this means a lot, and one of the supervisors mentioned the word experiment, this ain't no experience mernt.
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you don't experiment with people, you experiment with robots, teslas, rocket ships going to the moon, you don't experiment with people. they are not experiment in the tenderloin. this is dedicated service. last week on my own dime i flew to new york and went to harlem to visit the lincoln center in harlem on 126th street. based on the chronicle article where the reporter went two weeks ago before me. i was blown away at their ability to help folks and their dedication and their full support of the city of new york behind that center. we got so many stories here, you asked about, give me an idea, we had a family, now they had a family walked into the lincoln center two weeks ago with five kids. sleeping in their car. that's seven people sleeping in the car. and they handled it. is that worth 30,000, hell yes. so, please give a concern this
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is new, i admittedly said a lot of the folks doing this didn't know how to do it, it's the first time. so, it's only four months, brand-new, brand-new. please give us a chance to extend this program. it means a lot, maybe not as much to me or you but tyrone and sheila who is down there right now, that's what it means to. thank you for this time. >> thank you for your comments. >> hello, i've been -- we started off when everybody was in tenderloin did not have a hotel to stay in, they came and asked us to let them know they were coming to get them, so we have been doing this work for a while. we connect with the community. we have people that come to the center and they want help, you know. they want to make sure they get the services because y'all giving money to programs in
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different places but they are not doing what they are supposed to do. and i have some people that will be speaking about that. they keep on coming back into the lincoln center because when we had made that move where they go out, some of the stuff is just not fair. and this is a good program. we have tooken people when there was covid off the streets, brought them and employed them. we are doing the same at the lincoln center. we are making change. people are getting jobs. not just for cold tenderloin, but other places. some are doing coding classes, jrp class, this program is working. the city, y'all have a chance to make this homeless thing turn around. it's up to y'all. >> thank you, gina collins, for
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your comments. >> good afternoon, everyone. eric rose, from cold tenderloin, and thanks out to the lincoln center. if it weren't for them, it would be a lot of issues out here in the streets. i had a gentleman come to me one saturday, he wanted to get his self clean and he wanted housing. so one of my co-workers, miss nina, we got together and we got him shelter for the weekend. that monday morning he was back down there, he got his shelter bed, he got his resume' together, and then he ended up getting him a job and got his own place now. and i really, you know, we need the lincoln center for our help. thank you. >> thanks so much for your comments. next speaker, please. >> hi, nina foster, i lived the t.l., i was out there using drugs, i was stealing, breaking windows, robbing stores, robbing people and everything.
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with the help of cold tenderloin, giving me a place where i can get myself together and help others. that's what we do. it's a good -- a good place. it helps people, house people. we got people from the streets coming in with suicidal, we take them in, take them to mental health places. people are coming in telling us that they need a drug program,s we take them. we get them there, we take them. we talk to them first, you know, we let them know we care. you have to let these people know you care, you know. we take them to the drug programs, they come back with stories thank you for helping us, we got four months clean, you know, it helps a lot from people being on the streets, using drugs, where kids have to walk down the street. knowing that we have the lincoln center, they can go in there and do what they do and feel comfort and. we save their lives.
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give them opportunities where they can get on g.a., food stamps, get housing, and they are coming for the support. to eat, to get clothes, to take a shower, they didn't have that on the streets. you have people on the streets doing troubled things but when they come and get the love and caring from us, they don't go out on and do the same thing no more. you should give us the opportunity, funding we need to keep the program going to give the people the help and support they need out there for they won't be doing all kinds of things they shouldn't be doing. just give us that opportunity to help us, you know. it's all a learning game for all of us. we all have to learn something in life. so, give us the opportunity, we can teach them and get guidance for ourselves. >> thank you, nina. >> thank you. >> thanks so much for your comments. next speaker, please.
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>> good afternoon, my name is tenish, my husband pierre. we recently just came back to san francisco, we were here earlier. once we got back we went to another agency we were familiar with to obtain services and found out they didn't have services anymore and it took a lot of, well, i won't say that. it didn't take a lot of effort. once we learned about the lincoln center, we found out they had everything we needed. the young lady that just spoke before myself, i've literally been able to see her turn her life around through the cold tenderloin and everything. so, this program is definitely needed. thank you for letting me share. >> thanks so much for your comments. next speaker, please. >> board of supervisors, good afternoon. my name is robin smith. i've been a resident here over
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30 years. i have never in my life seen how this city can go and get run down. never in my life did i expect to see san francisco collapse. but the reason i'm here is to let you know that these people right here have saved more lives, including myself, by their kindness, their love, and compassion, thank the lord, that anybody i've ever known. and i'm a -- the way i see it, if we do things together we can get things done. but if we quarrel about it,
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bicker about it, ain't going to get done. these people don't do that, they get things done. and supervisors, thank you for listening to me. but that's all i have to say. support these people. they need all the support they can get. >> thank you robin smith for your comments. next speaker, please. >> good afternoon, chairman and everybody else. julie, i was born and raised in san francisco. and san francisco has been run down, but the lincoln center and these people open their arms to us and they showed us that even what color you are, whatever, they are going to support you, physically mentally and spiritually and they have helped me more than than i could ever imagine. and don't close the doors to them. keep the doors open. we need this. because other agencies, more or less -- more or less all over everywhere else, nobody does what they do and we need that. and thank you for your time.
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>> thank you so much for your comments. next speaker, please. >> good afternoon, my name is elgin rose, sr., director, a resident of the tenderloin 30 plus years and like they say, never has there been opportunity to touch so many people and just without -- without no prevention, just let folks come in and say from the minimal things they need to centralizing like hot team and department of health and service after service and just right here in the middle of the tenderloin, and what we have done in over 100 days was, i mean, up to 500 people come a day, and if you multiply $6.25 times 400, you get the 450 we are looking. $6 a day. and people are opening up to these services that they think they are not available. and so we need to continue to give that invite to the folks,
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they are sleeping in the cold and doing drugs, just totally gave up. they are coming in, seeing a ray of hope, they are excited about life, and with the partners that we have in this project the sky is the limit for the tenderloin and homelessness as a whole in san francisco. please believe and keep an eye on this project. thank you. >> thank you for your comments. >> good afternoon, board of supervisors. i came with data and numbers, but after hearing everyone speak i just want to tell you please, we are doing something phenomenal in this space. we call it the t.l.c., the community has named it t.l.c., not the lincoln center, because when they come in there we are giving them hope and what we have looked for solutions, right, for homelessness, drug addiction. we all know one of the biggest weapons we have is inspire that person to let that person see there is a light at the end of
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the tunnel. so including myself, everyone on the team comes from lived experience and we are able to talk the language, we are able to understand what they are going through. this is something that maybe a doctor can't do because they have not slept a night on the street and don't understand what it means when a mice runs past you and how you feel and how you need to stay awake, somebody might try to rape you, right. we are seeing women come into the space who have been trafficked, they feel comfortable to come in, there's no police, they have someone that will take them in. there is stories after stories after stories we are seeing 400 to 500 people a day, not everyone, and i want to say this and want people to hear this, not everyone coming into that space are drug users. we are seeing people who are just lost in the shuffle who have lost hope, you know. we have veterans coming into that space, we have seniors coming into that space, they are looking for help. san francisco has done amazing job, we have so many resources
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but when you cannot see the resources because you are on the ground, you need someone to help you navigate them, and that's what it is doing, peer-to-peer support, helping get to the wonderful services you have provided in san francisco. thank you for your time, please support us. >> thank you so much for your comments. that concludes our in-person speakers in the chamber, do we have any callers on the telephonic line. >> we did hear you. if we can go for the next one. >> yes, we hear you. >> hi, my name is robert hoffman, i'm a community
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contractor with chapped and population health at d.p.h. and i've been deployed to the tenderloin center since the start of the mayor's tenderloin initiative emergency. i just want to just kind of speak to what i've seen. i think this model in itself is like, you know, it is taking people in, and people are attracted to it, and what it's doing is it's kind of meeting people's basic needs, offering them support and comfort, and then it kind of is wrapping, you know, like on-site and navigation to off site services around people so that you know, people often, who are experiencing homelessness, are not able to access services because they are trying to meet their very basic needs. and in this program, it's the first program that i can think of in san francisco that is
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doing this by meeting everyone's basic needs and then having the wonderful staff and all the wonderful community partners, 360, urban alchemy, everyone just like attending to people, having that shared experience, and you connecting with people. and so people are getting their basic needs met and then you are willing to maybe look at other things and this stuff is happening. so, i appreciate everyone's support for this project. and i hope we continue to go with this model. thank you. >> thank you, robert hoffman, for your comments. can you confirm that was our last caller in the telephonic line? that was the last caller, madam chair, no further speakers here in the chamber.
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>> chair ronen: public comment is now closed. i first of all just want to thank everyone from code tenderloin and residents who have used the center for coming out and speaking. the staff of d.p.h. is excellent at giving an explanation, but hearing from people with lived experiences talk about their experience with the center or providing services at the center is extremely compelling. thank you so much for your work. thank you so much for coming out here today and speaking to us. as dell said, it's not -- we have limited dollars to serve enormous needs and we always are trying to figure out what's the best use of those dollars to serve the needs.
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i am very intrigued by the -- this experiment, and i do believe it's not like anything that we are doing anywhere else in san francisco and i'm really, you know, i've been watching it extremely closely because i think we are going to -- we have learned and we are going to continue to learn a lot from the center. so it's hard for us on the board when we don't have long-term plans and this, you know, arose as an emergency and didn't have much of a plan and enormous amount of money to ok the massive contracts without having much information. but we are also collectively doing our best to serve a crisis on the streets and learning as we go. and i'm well aware of that and am learning, doing this learning
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with you as we go along, and i think it makes sense to continue this lease for another six months as we continue this learning together. but as it's open longer and longer, we'll need more and more answers and we all know that. so thank you again for coming out today and, oh, supervisor safai. >> supervisor safai: thank you. i just want to thank all the folks that came out from the community. i think it's really important to hear about people's lived experiences. we did a program last year, you all might know, positive directions equals change. we, i led that effort to ensure that got funded because community was asking for an abstinance-based therapeutic community, similar to what you do in terms of sharing your lived experience, helping surround those in need with services and then helping to direct them speaking from your own personal experience. so, for me that is a phenomenal,
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phenomenal thing you are doing. whether we come into this room on the budget committee, we have to look at it through the lens of just the numbers, right. and so how much are you getting for what you are putting in, and i understand, dell, you can't put a price on the amount of money that it takes to turn someone's life around. and of course, we are dedicated to that in this chamber. so i'm willing to support this today. i really appreciate you all coming out and sharing your experiences from the heart. i know it's not easy to do that publicly, so i want to recognize that and i also want to say i look forward to continuing to work with you all on hopefully this will continue to be a success. we will look forward to the mayor's budget and how they detail what additional services and money is put into this. and i'm happy to put efforts behind innovative ideas and look and see how we can get better outcomes for the money we put
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in. so, we will look at that further when the mayor puts the proposal forward in terms of what the commitment is. but right now what's in front of us as i was reminded the other day is the contract extension for a lease. so, i'm happy to support that contract extension and then we will come back to the further conversation of additional services and a plan. it would be so that the department of public health knows, we would like to see a plan in terms of the budget once it's approved by the mayor. we will see that budget and how you intend to spend those services and what the true objective is for this t.l.c. center as folks from the community renamed it the t.l.c. site. thank you, madam chair. >> chair ronen: i would like to make a motion to send it to the full board with positive recommendation. can you take a roll call vote. >> with amendment. >> chair ronen: first i have to amendment it. i would like to make a motion to
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amend this item as detailed by the director. >> yes, on the motion to amend this resolution as offered by department of real estate. [roll call vote taken] >> chair ronen: thank you, now make a motion to send the item to the full board with positive recommendation as amended. >> the motion to forward the resolution to the full board with the positive recommendation as amended. [roll call vote taken] >> three aye. >> chair ronen: thank you so much. >> thank you, everyone. can you please read item number 13. >> 13, resolution approving the send amendment to grant agreement between five keys school and programs and supportive housing, and next door shelter, increasing the grant amount by approximately 22.7 million for total amount of approximately 32.4 million,
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extending the grant agreement from june 30, 2022, to june 30, 2025. and five one-year options to extend the city's discretion, and enter into amendments or modifications prior to the final execution by all parties, and did not materially increase the obligations or liabilities to the city and are necessary for purposes of the grant. members of the public joining us remotely call 1-415-655-0001, 24852951638 and pound twice. press star 3 to enter the speaker line. please wait until the system indicates you have been unmuted and your queue to begin your comments. >> chair ronen: emily cohen i believe is on the line to present.
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>> good afternoon chair ronen members of the committee. emily cohen. i'm here before you today with an amendment to the, second amendment, excuse me, to the branch agreement with five keys for ongoing operations of the next door shelter. resolution before you would approve the second amendment to our grant agreement for shelter operations and services. extends the term by three years for a total term of december 1, 2020, to june 30, 2025. continue services t he same level, increasing not to exceed amount by 22.7 million to account for the additional three years of operation. the annual budget is approximately $6.8 million for this shelter program. as background, next door closed
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in june 2020 due to the pandemic and then the site reopened under the operations of five keys. and the site can support up to 334 guest at full capacity, although we are currently operating at a covid informed capacity of 248 guests. since the project reopened, the shelter reopened, it served 618 people, providing a safe place to be, food, services, showers, the robust services provided by shelter. and i am happy to stop there and of course take any questions the committee has. >> chair ronen: thank you. we have a report from the budget legislative analyst. >> this resolution approves the first amendment to the existing agreement with five keys to operate a congregate shelter at
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1001 polk street. extends the existing agreement through june 2025, and not to exceed by $32.4 million. we show the budget on page 39 of the report, of our report, we did have a recommendation at the time we were writing this report, the monitoring report for this provider was not available, but we did get that last night from h.s.h. so we do recommend approval of this resolution. >> i'm sorry, through the chair, can you repeat the last thing you said. >> when we issued the report, a recommendation to provide this year's program monitoring report on this particular site, which was not available at the time our report was published. we did get a copy of that report last night so we are recommending approval. we did not see any issues in the report. >> chair ronen: great, thank you so much. my questions, colleagues?
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>> supervisor safai: yes. >> chair ronen: supervisor safai. >> supervisor safai: deputy director cohen. >> good afternoon. >> supervisor safai: good afternoon, how are you? >> doing well, sir. thank you. >> supervisor safai: good. one of the questions, one of the things i saw in here the size of this grant, extension of it, i understand is three years. but it's growing exponentially from the original amount. over 234%. can you talk about that? i understand it's a number of years, and you've provided the monitoring, on-site monitoring report. can you talk about the on-site monitoring report since we did not have access to that information? >> yes. absolutely. so, the on-site monitoring report we have done in the past year as a desk audit due to the
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restrictions of covid, but on-site monitoring, and five keys is meeting all the expectations in terms of the services provided, guest satisfaction, and being able to keep the site in good working order. so, we are continuing to work with them to ensure that the site satisfaction, increase the rate of completion of those, as well as connecting folks to coordinated entry, but generally found the shelter is, is functioning very appropriately and meeting the needs of the guests. >> supervisor safai: and then in terms of -- in terms of just because i've always known five keys as providing, i mean they
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started as a program that provided high school diplomas with the sheriff's department for those that are adults in county jails, how long, and i understand you issued an rfq, which i appreciate. how long has five keys been in the shelter business for single adults? >> absolutely. i believe the first contract we entered into with five keys to operate navigation centers and shelters was at the embarcadero safe navigation center. that was before the pandemic, i want to say 2019, they also operate the bay shore navigation center, they have operated several hotels, they also recently were awarded a contract to operate a new housing site in partnership with h.s.h. and as five keys has grown statewide they have taken on more and more
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housing and homeless services. i believe staff from five keys is on the line to give public comment but they have developed a robust and very successful shelter and housing component of the work that they do. not just in san francisco, and so we have found them to be an incredibly -- i'm sorry, the bay shore was the first with h.s.h. and then contracted embarcadero as well, so a very strong partner and appreciate how much work during the pandemic to operate safe hotels as well. >> supervisor safai: and how many people responded to the rfq you issued, number 130? >> let mow -- i don't think i have that information in front of me with you can get it quickly. >> supervisor safai: that's fine, you can follow up. i was curious, just looking at the report in terms of the
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analysis of qualifications and previous demonstrating capacity. but seems as though they have done work with you over the years so you feel comfortable with their capacity to deliver the service. and i appreciate the fact you did an rfq. i don't have any additional questions. thank you, madam chair. >> chair ronen: thank you so much. open the item up for public excellent. >> members of the public in person should line up now, remotely, 1-415-655-0001, press pound twice, star 3 to enter the speaker line. we have no in-person speakers in the chamber. can you unmute the first speaker. >> hello, my name is megan fallen, calling as a director of
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five keys but also as a strong advocate for unhoused neighbors in san francisco. i've worked in homeless services in san francisco for the last six years, and worked for five keys for nearly three years. and i've seen over and over how shelter can change lives. i'm super excited to share with you today and five keys is honored to provide shelter services at next door. runs a variety of different shelters, hotels, nav centers and phh in the bay area, and given the opportunity to run next door, we were super sighted. it's a safe place for folks to stay and the hope is that they are connected to permanent housing. we have case managers that help our guests get stabilized, medical services for folks who need care and focus on building community with every interaction we have with our guests. thank you for your consideration
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and support for this agreement. >> thank you, megan, for your comments. do we have any more speakers in the queue? that completes our chair. >> chair ronen: public comment is now closed. i would like to make a motion to send to the full board with recommendation. >> on that motion to send the resolution to the full board with recommendation. [roll call vote taken] three aye. >> chair ronen: thank you, item 14. >> a resolution approving the first amendment to the grant agreement between bayview hunters point foundation, and the department of homelessness and supportive housing to provide shelter operations and services at the bayview safe navigation center, increasing the grant agreement amount by approximately 17.1 million for a total amount not to exceed 26.6 million, extending the grant agreement term by 36
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months. december 1, 2020, through june 30, 2025, and amendment, prior to the final execution by all parties and did not materially increase the on gauges or liabilities for the city and necessary to effectuate the purposes of the grant. members of the public joining us remotely and wish to comment please call 1-415-655-0001, 24852951638, and pound twice, and then 3, and the system will indicate when you have been unmuted. madam chair. >> chair ronen: update for those here for the afternoon budget and appropriations meeting, we are still in the morning meeting, budget and finance. new estimate of time will come back and start that meeting around 2:20.
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so please feel free to get a cup of coffee or do something else in the interim. miss cohen, could you please try to keep this presentation very short? >> absolutely, chair ronen. thank you very much. we are here before you with a contract amendment for the bayview safe navigation center. this would extend the contract to june 30, 2025, and increase the not to exceed amount to $26.7 million, continuing services at the same level. annual budget for the shelter that is offered in partnership with bayview hunters point foundation, about $5 million annually. project first opened in january 2021, and can serve 186 adults and 17 families. it's in a beautiful newly constructed facility in the
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bayview neighborhood and just really incredible partnership with bayview hunters point foundation, appreciate their collaboration, i'll take any questions. >> chair ronen: thank you so much. b.l.a. >> this resolution approved the first amendment to the bayview hunters point foundation, grant agreement which operates the bayview safe navigation center, extends the existing agreement through june 2025 and not to exceed amount by $26.7 million. as we show on page 44, annual cost is approximately $5 million, and you'll see that is a decrease from the current year of $6 million, and my understanding from the department is that they are going to add a case management to this side that will increase the annual cost, accounted for in the contingency budget of the existing contract.
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we do -- we are not able to review this year's program monitoring report so we do recommend that the department provide that report which i understand is underway to the full board prior to the full board approving this resolution but we do recommend approval, assuming there is no issues in the performance monitoring report. thank you. >> chair ronen: thank you, and to miss cohen, can you get us the performance monitoring report between now and tuesday when we have to make the full -- we have to make the final decision at the full board? >> i do not think i can get it to you by tuesday. the work is underway, but we have not will regular meetings with the provider, regular visits, not a lot of -- our shelter monitoring staff has been impacted by covid this last
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couple of weeks and so we do have some minor delays getting the report out. we expect to have this well -- i think we can have it before the full board. >> chair ronen: that's tuesday. >> okay. i think -- we could get this for you -- possible. i can't commit to next tuesday. >> chair ronen: what i'm going to do, send this out to the full board without recommendation and then if we don't get the report in time, we might continue it at the full board. so, but first of all, we'll set it up for public comment. >> chair ronen, we have the site visit as part of the monitoring scheduled for may 23. so the report would be available following that site visit. >> chair ronen: ok.
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so that's a day before. you'll have some time -- we'll just continue at the full board if we have to. so -- can we please open this up, item up for public comment? [please stand by]
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. . . . i have been able to get sober and get in many different programs and to work with the list to be put in permanent housing. they also helped me apply and i am in the process of getting social security and med-ical. they have definitely saved my life. >> thank you so much for your comment. can i confirm th