# Board of Supervisors Minutes: September 12, 2017 - Meeting date: 2017-09-12 - Document type: minutes - Source format: PDF - Extracted pages: 29 - [Canonical HTML transcript](https://sfbos.info/documents/460/2017-09-12-minutes) - [Authoritative City source](https://sfgov.legistar.com/View.ashx?M=M&ID=563614&GUID=B1CB6615-7F34-479E-BCF0-1A30ED18AF31) > This text was extracted for search and accessibility. The linked City source is the authoritative public record. ## Structured legislative records ### File 170907: Hearing - Appeal of Determination of Exemption From Environmental Review - 302 Greenwich Street/1531 Montgomery Street - Pages: 15-16 ### File 170908: Affirming the Exemption Determination - 302 Greenwich Street/1531 Montgomery Street - Pages: 16 - Vote 1: approval, likely final - Action: 170908 [Affirming the Exemption Determination - 302 Greenwich Street/1531 Montgomery Street] Motion affirming the determination by the Planning Department that a proposed project at 302 Greenwich Street/1531 Montgomery Street is exempt from further environmental review. Motion No. M17-132 Supervisor Sheehy, seconded by Supervisor Yee, moved that this Motion be APPROVED. The motion carried by the following vote: - Ayes: Breed, Fewer, Kim, Ronen, Safai, Sheehy, Tang, Yee - Excused: Cohen, Farrell, Peskin ### File 170909: Conditionally Reversing the Exemption Determination - 302 Greenwich Street/1531 Montgomery Street - Pages: 16 - Vote 1: tabling - Action: 170909 [Conditionally Reversing the Exemption Determination - 302 Greenwich Street/1531 Montgomery Street] Motion conditionally reversing the determination by the Planning Department that the proposed project at 302 Greenwich Street/1531 Montgomery Street is exempt from further environmental review, subject to the adoption of written findings of the Board in support of this determination. Supervisor Sheehy, seconded by Supervisor Yee, moved that this Motion be TABLED. The motion carried by the following vote: - Ayes: Breed, Fewer, Kim, Ronen, Safai, Sheehy, Tang, Yee - Excused: Cohen, Farrell, Peskin ### File 170910: Preparation of Findings to Reverse the Categorical Exemption Determination - 302 Greenwich Street/1531 Montgomery Street - Pages: 16-17 - Vote 1: tabling - Action: 170910 [Preparation of Findings to Reverse the Categorical Exemption Determination - 302 Greenwich Street/1531 Montgomery Street] Motion directing the Clerk of the Board to prepare findings reversing the determination by the Planning Department that the proposed project at 302 Greenwich Street/1531 Montgomery Street is exempt from further environmental review. (Clerk of the Board) Supervisor Sheehy, seconded by Supervisor Yee, moved that this Motion be TABLED. The motion carried by the following vote: - Ayes: Breed, Fewer, Kim, Ronen, Safai, Sheehy, Tang, Yee - Excused: Cohen, Farrell, Peskin ### File 170965: Hearing - Committee of the Whole - Closing of Skilled Nursing and Sub-Acute Unit at St. Luke’s Hospital - September 12, 2017 - Pages: 17-18 ## Extracted text ### [Page 16](https://sfbos.info/documents/460/2017-09-12-minutes#page-16) Board of Supervisors Meeting Minutes 9/12/2017 170908 [Affirming the Exemption Determination - 302 Greenwich Street/1531 Montgomery Street] Motion affirming the determination by the Planning Department that a proposed project at 302 Greenwich Street/1531 Montgomery Street is exempt from further environmental review. Motion No. M17-132 Supervisor Sheehy, seconded by Supervisor Yee, moved that this Motion be APPROVED. The motion carried by the following vote: Ayes: 8 - Breed, Fewer, Kim, Ronen, Safai, Sheehy, Tang, Yee Excused: 3 - Cohen, Farrell, Peskin 170909 [Conditionally Reversing the Exemption Determination - 302 Greenwich Street/1531 Montgomery Street] Motion conditionally reversing the determination by the Planning Department that the proposed project at 302 Greenwich Street/1531 Montgomery Street is exempt from further environmental review, subject to the adoption of written findings of the Board in support of this determination. Supervisor Sheehy, seconded by Supervisor Yee, moved that this Motion be TABLED. The motion carried by the following vote: Ayes: 8 - Breed, Fewer, Kim, Ronen, Safai, Sheehy, Tang, Yee Excused: 3 - Cohen, Farrell, Peskin 170910 [Preparation of Findings to Reverse the Categorical Exemption Determination - 302 Greenwich Street/1531 Montgomery Street] Motion directing the Clerk of the Board to prepare findings reversing the determination by the Planning Department that the proposed project at 302 Greenwich Street/1531 Montgomery Street is exempt from further environmental review. (Clerk of the Board) Supervisor Sheehy, seconded by Supervisor Yee, moved that this Motion be TABLED. The motion carried by the following vote: Ayes: 8 - Breed, Fewer, Kim, Ronen, Safai, Sheehy, Tang, Yee Excused: 3 - Cohen, Farrell, Peskin City and County of San Francisco Page 671 Printed at 4:50 pm on 10/6/17 ### [Page 17](https://sfbos.info/documents/460/2017-09-12-minutes#page-17) Board of Supervisors Meeting Minutes 9/12/2017 SPECIAL ORDER 3:00 P.M. Board of Supervisors Sitting as a Committee of the Whole 170965 [Hearing - Committee of the Whole - Closing of Skilled Nursing and Sub-Acute Unit at St. Luke’s Hospital - September 12, 2017] Hearing of the Board of Supervisors sitting as a Committee of the Whole on September 12, 2017, at 3:00 p.m., to discuss the closing of the skilled nursing and sub-acute units at St. Luke’s Hospital, as well as legislative solutions; and requesting the Department of Public Health, Human Services Agency, and Office of Economic and Workforce Development to report; scheduled pursuant to Motion No. M17-127, approved by the Board on September 5, 2017. (Clerk of the Board) President Breed opened the public hearing and inquired as to whether any member of the public wished to address the Committee of the Whole relating to File No. 170965. Barbara Garcia, Director (Department of Public Health); Ken Rich (Office of Economic and Workforce Development); David Serrano Sewell (Hospital Council of Northern and Central California); Dr. Warren Browner (CMPC); provided an overview of the project and responded to questions raised throughout the discussion. Raquel Rivera; Dr. Ken Barnes (St. Lukes Hospital); spoke neither in support or opposition to the hearing matter. Teresa Palmer, M.D. (for complete statement see page 26); Bruce Allison; Iris Biblowitz; Fran Taylor; Geoff (Jeff Hicks); Spencer McGell; Female Speaker; Kim Tavaglione; Michael Lyon; Jessica Lehman; Female Speaker; Juan Jose Cativo; Roberto Cativo; Marlene Latino; Gary Buguell; Female Speaker; Margaret Katherin; Ann Ludiwig; Linda Rosario; Donna Stoven; Andrea Leung; Marcia Buchae; Ron Anderson; Mr. Marshall; Gordon Mar; Female Speaker; Ms. Brookes; Male Speaker; spoke on various concerns regarding the hearing matter. There were no other speakers. President Breed declared public comment closed, adjourned as the Committee of the Whole, and reconvened as the Board of Supervisors. Supervisor Safai submitted the following proposals on actions the Board of Supervisors should take during future hearings: 1) Direct the Department of Public Health to prepare - within two months - a report identifying all beds in San Francisco hospitals that are licensed or could be re-licensed for use as SNF beds or “swing” beds for SNF, including sub-acute care patients. 2) Direct the Department of Public Health to take actions to develop both short-term and long-term solutions for insuring a sufficient number and range of post-acute care beds and facilities within the City and County of San Francisco for San Francisco residents discharged from San Francisco hospitals. 3) Direct the Department of Public Health to analyze and propose solutions to the insufficient number and range of post-acute care beds and facilities, such as the following along with other options: a. Cooperation agreements among private and public hospitals to operate and fund jointly hospital-based SNF, including sub-acute care beds and facilities within the City and County of San Francisco. b. The enactment of local legislation requiring the imposition of fines whenever a private hospital or healthcare facility removes a SNF bed from service without guaranteeing beforehand the availability of a similarly staffed bed elsewhere within the City and County of San Francisco. c. The enactment of local legislation that mandates the minimum number of and range of hospital-based post-acute care beds that public and private hospitals within the City and County of San Francisco must create and maintain. HEARD AND FILED City and County of San Francisco Page 672 Printed at 4:50 pm on 10/6/17