New Health + Human Services: Deferred Projects

Deferred Projects

Project Name 

Description 

DPH – ZSFG Building 2 (Service Building) NPC-4 Seismic Upgrade

Building 2 provides utilities to acute care services, but does not currently meet all the seismic performance requirements needed to serve acute care services. A seismic upgrade to Non-structural Performance Criteria level 4 (NPC-4) is required.

The estimated project cost is $1.2 million.

Health + Human Services: Deferred Projects

Deferred Projects

Project Name 

Description 

DPH – LHH Pharmacy Code Compliance Upgrades 

This project is a State licensing and certification regulatory requirement. Code upgrades are required to compounding hood enclosures to comply with USP800 by 2018. 

 

The estimated project cost is $450,000. 

DPH – LHH Second Floor Service Corridor Access Control 

This project is an OSHPD requirement. Elevators need to have access control, which is not currently in place. Control is needed at three points – the adjacent administration building and second floor corridors from North and South towers. 

 

The estimated project cost is $400,000. 

DPH – ZSFG Building 2 Cooling Towers Replacement 

The existing system is over 30 years old and a recent study by an engineering firm established the need for replacement. 

 

The estimated project cost is $7.2 million. 

DPH – ZSFG Building 2 (Service Building) NPC-4 Seismic Upgrade 

Building 2 provides utilities to acute care services, but does not currently meet all the seismic performance requirements needed to serve acute care services. A seismic upgrade to Non-structural Performance Criteria level 4 (NPC-4) is required. 

 

The estimated project cost is $1.2 million. 

DPH – ZSFG Building 5 Kitchen Upgrade and Remodel 

This kitchen at General Hospital was last updated in 1982, and there is flooring, ceiling, and electrical work required throughout. In addition, food storage areas require renovation and upgrade. This is an Office of Statewide Health Planning and Development (OSHPD) project. 

 

The estimated project cost is $3.4 million. 

DPH – ZSFG Building 5 New Chiller to Support IT Infrastructure 

Existing and planned IT Infrastructure requires dedicated cooling, and is experiencing failure due to cooling deficiencies within IT closets. 

 

The estimated project cost is $1.2 million. 

2022 - Health + Human Services: Enhancement Projects

09. Health and Human Services

Enhancement Projects

Project Name Description
DPH & HSH – Mental Health SF Facilities,
Permanent Supportive Housing
& Homeless Services Projects
This program will acquire or improve real property, including the construction, acquisition, development, improvement, expansion, rehabilitation, and preservation of priority behavioral health investments such as permanent and transitional supportive housing units, shelters, locked acute and sub-acute treatment facilities, psychiatric skilled nursing facilities, residential treatment facilities, residential stepdown facilities, behavioral health respite facilities, detox and sobering facilities, a new centralized Behavioral Health Access Center, existing community health facilities that deliver behavioral health services to vulnerable populations, and facilities for long-term placements such as board and care and other residential care.
This program will receive $207 million from the 2020 Health and Recovery G.O. Bond, with significant investments in permanent supportive housing and mental health and substance abuse disorder treatment facilities.
DPH – Chinatown Public Health Center Seismic Retrofit Chinatown Public Health Center is one of DPH’s most seismically vulnerable clinics with a Seismic Hazard Rating of 4. This project addresses seismic issues and makes a number of critical renovations to allow the co-location and integration of primary care medical and mental health services, along with dental, social services, and other ancillary services.  In addition, DPH will relocate a specialty mental health program from leased space into this clinic. The project includes infrastructure improvements such as modernization of outdated equipment, upgrades and retrofits of building automation systems, and repairs to HVAC controls.
The project budget is estimated at $56 million, planned to be funded by the 2023 Public Health G.O. Bond, pending voter approval.
DPH – Silver Avenue Family Health Center Renovation Built in the early 1960s, the current Silver Avenue Family Health Center is not conducive to a state-of-the-art collaborative working environment. This renovation will continue DPH’s efforts to modernize aging neighborhood health centers which began with the 2016 Public Health and Safety Bond, creating space for co-location and integration of primary care medical and mental health services, along with dental, social services, and other ancillary services.
The project budget is estimated at $30.5 million, planned to be funded by the 2023 Public Health G.O. Bond, pending voter approval.
DPH – ZSFG Building 3 Retrofit and Renovation Building 3 on the ZSFG Campus is a 6-story building originally constructed in 1964 as a three-story concrete building which was expanded in 1989 with three floors of steel framing. This project includes a seismic upgrade to the upper floors, ADA improvements and new finishes for administrative functions relocating from 101 Grove Street and other seismically vulnerable brick buildings on the ZSFG Campus. This project will complete the relocation of all staff out of 101 Grove Street. 
The project budget is estimated at $45 million, planned to be funded by the 2023 Public Health G.O. Bond, pending voter approval.
DPH – City Clinic Relocation City Clinic is currently located at 356 7th Street in a functionally obsolete 2-story industrial building originally built in 1912. Originally utilized as a fire station, it was eventually converted into an outpatient facility for DPH.  City Clinic is San Francisco’s only categorical municipal STD clinic, serving approximately 85 patients per day, with more than 18,000 visits annually. The facility includes clinical laboratory facilities and medication storage. The current location is in poor condition, and a relocation would allow the department to modernize and streamline the operations of this vital service.
The project budget is estimated at $25 million, planned to be funded by the 2023 Public Health G.O. Bond, pending voter approval.
DPH – Critical Infrastructure Repairs Both the LHH and ZSFG campuses continue to have several critical repair needs that are too large in scope for the City’s Pay-As-You-Go Program. At ZSFG, the fire alarm system is obsolete and replacement parts are difficult to find; the terra cotta roofs, exterior walls, and windows at the old brick buildings need repairs; and the wastewater plumbing throughout Building 5 needs replacement. At LHH, expansion of the emergency power system is the highest priority; there are water intrusion issues at the old patient wings; and the new hospital building has several unanticipated needs including HVAC equipment and exterior repairs.
These repairs are estimated to cost $30 million, planned to be funded by the 2023 Public Health G.O. Bond, pending voter approval.
DPH – ZSFG New Childcare Center ZSFG is required to construct and operate a new child care center for employees as a result of a recent union arbitration award.
The total project cost is estimated to be $5 million, of which $2.5 million has already been funded by the General Fund.
DPH – UCSF Research Facility at the ZSFG Campus  The University of California at San Francisco (UCSF) is building a contemporary research facility at the ZSFG campus. The facility will be five stories high, with an area of approximately 175,000 square feet, and provide space for 800 researchers and technical staff.
The estimated project cost is $250 million and will be funded by UCSF. The City is required to offset costs for planning, legal, and real estate services, which will be funded by the General Fund. 
HSA – Relocation of HSA Headquarters Built in 1978, 170 Otis Street houses HSA executive offices and program administration. In July 2018, DPW completed a seismic evaluation of the building and it was determined to have a seismic hazard rating of SHR4. A permanent relocation of all staff – including major programs such as Family and Children’s Services and CalWORKs, as well as HSA’s Facilities/Operations Program and its Executive Offices – from 170 Otis Street are currently being explored. Given the number of staff in the building and the vulnerability of populations served there, this effort is a high priority.
This project may be funded in part with revenues from the sale of 170 Otis. In addition, the City plans to issue $70 million in FY2023 Certificates of Participation to support this relocation. 
HSH – Shelter Rehabilitation HSH oversees three City-owned shelters that serve people experiencing homeless. The two shelters at 1001 Polk Street and 525 5th Street are the largest shelters in the adult shelter system and between them represent 57 percent of the current capacity of the City’s emergency shelter system (pre COVID-19). Adult shelters provide safety, shelter, and food to adults experiencing homelessness in San Francisco and facilitate connections to medical, mental health and substance abuse services, income maintenance, disability benefits, employment and housing programs. The family shelter at 260 Golden Gate Avenue offers up to six months of shelter while providing comprehensive support services that includes parenting skills groups, employment and housing workshops, housing search and placement assistance, and budget counseling. This shelter rehabilitation project will provide much-needed health and safety system repairs and other improvements to keep the shelters fully functional.
While this rehabilitation project received $7 million from the 2016 Public Health and Safety Bond to address urgent needs, additional funding sources are required.

New Health + Human Services: Enhancement Projects

Enhancement Projects
Project Name Description
DPH – ZSFG Building 80/90 Renovation & Seismic Retrofit

Constructed in 1934, Building 80/90 is a seismically deficient red brick building at the ZSFG campus that houses the urgent care clinic and several other clinics. These clinics will move to Building 5 to make room for a major seismic renovation of this structure.

The total project cost is estimated to be $150 million and is planned for the 2023 Public Health G.O. Bond, pending voter approval.

DPH – Chinatown and Silver Avenue Health Clinic Renovation and Infrastructure Improvements

These projects address major renovations needed at Chinatown and Silver Avenue Health Centers. These projects will support the integration of primary care with behavioral health care, foster a collaborative team based care model, and enable improved workflow. In addition to these renovations, the projects also include infrastructure improvements such as modernization of outdated equipment, upgrades and retrofits of building automation systems, and repairs to HVAC controls.

The project budget is estimated at $20 million per clinic, to be funded by the 2023 Public Health G.O. Bond, pending voter approval.

DPH – UCSF Research Facility at the ZSFG Campus

The University of California at San Francisco (UCSF) plans to build a contemporary research facility at the ZSFG campus. The facility will be five stories high, with an area of approximately 175,000 square feet, and provide space for 800 researchers and technical staff.

The estimated project cost is $200 million and will be funded by UCSF. The City is required to offset costs for planning, legal, and real estate services, which will be funded by the General Fund.

HSH / DPH / MOHCD – 1064-1068 Mission Street Project

MOHCD is financing a permanent supportive housing development for people who have experienced homelessness at 1064-68 Mission Street. This project will provide space for a Homeless Services Center, to be co-operated by DPH and HSH. This Center will include the relocated Tom Waddell Urgent Care Clinic, DPH’s street medicine program, and the San Francisco Homeless Outreach Team (SF HOT), as well as dental services. The City must relocate the urgent care clinic located at 101 Grove Street due to seismic safety conditions. This site will enable HSH in partnership with Public Health to improve the coordination of care and delivery of services to chronically homeless persons living on the street.

The Homeless Services Center, comprising nearly 21,000 square feet on two floors, is estimated to cost approximately $14 million. Five million dollars from the 2016 G.O. Public Health and Safety Bond is allocated for tenant improvements at the new location to create a centralized deployment facility and client access point for SFHOT. An additional $5 million will come from the FY2019 DPH 101 Grove Exit Certificates of Participation, and the balance of cost for the Health Services Center is expected to come from the General Fund. Construction is expected to start in 2020.

HSH – Shelter Rehabilitation

HSH oversees three City-owned shelters that serve people experiencing homeless. This shelter rehabilitation project will provide much-needed health and safety system repairs and other improvements to keep the shelters fully functional. HSH has engaged Public Works to complete a facilities condition assessment for each of the three shelters, which will help determine project details.

This project will receive approximately $7 million from the 2016 Public Health and Safety Bond, but additional sources will likely be required. The bond funding is expected to provide a source for the most essential enhancements and renewals at these facilities.

SFHA – Disposition Projects

The Housing Authority is an important partner in the HOPE SF projects described in the Economic and Neighborhood Development chapter as those projects are transformative in nature. SFHA is also working on dispositions of other properties, including the non-dwelling administrative offices 440 Turk Street, as well as scattered sites. Feasibility studies for seven scattered site properties containing 70 SFHA public housing units have been prepared. The Housing Authority is committed to protecting the rights of the current residents in these units and meeting all requirements pursuant to HUD’s public housing regulations.

To better support low-income residents in San Francisco, SFHA plans to convert the sites to Project-Based Vouchers, then transfer ownership and management to a non-profit developer entity. The increased rent subsidies from the vouchers will enable the private owners to secure the additional resources needed to complete full rehabilitations of the sites. A combination of this financing with a public land trust in the form of a long-term ground lease and local developers is a public-private partnership consistent with the Authority’s re-envisioning. This structure ensures long-term affordability and oversight through the lend-lease structure, access to new funds not available to SFHA, and improved housing conditions.

SFHA – Rental Assistance Demonstration (RAD) Program

Conversion of 3,480 public housing units to Project Based Vouchers (PBV) under RAD is addressing critical immediate and long term rehabilitation needs and preserving affordability for very low income residents by increasing revenue and by attracting new capital. In addition to RAD, the financing strategy as contemplated by the Plan relies upon HUD’s Section 18 Disposition/Demolition program which has permitted the Authority to obtain additional Housing Choice Voucher/Section 8 vouchers to supplement the RAD program.

All 28 RAD projects utilize private debt, equity generated by the Low-Income Housing Tax Credit program, and soft debt from the Authority and the City and County of San Francisco. This approach has resulted in a $2 billion conversion project and generated $700 million in construction and rehabilitation work that benefits the tenants of Authority sites while preserving existing affordability.

Ocean Park Health Center
Ocean Park Health Center
Castro Mission Health Center
Castro Mission Health Center

 

Health + Human Services: Enhancement Projects

Enhancement Projects
Project Name Description
DPH – Civic Center Buildings Relocation

This comprehensive plan relocates Department of Public Health central administrative staff out of the seismically unsafe 101 Grove Street to Building 9 at ZSFG campus and two of the finger buildings at Laguna Honda Hospital (LHH) campus. The scope of work includes ADA and fire life safety compliance, renewal of all building subsystems, tenant improvements and IT infrastructure. This project also includes the relocation of the AITC Immunization and Travel Clinic, the Communicable Disease Prevention Unit, and the Tom Waddell Urgent Care Clinic.

 

The estimated project cost for all DPH project components including the AITC clinic and the Tom Waddell clinic is $90.8 million, and it is planned to be funded by Certificates of Participation as early as FY2018. The planning effort is expected to cost $2 million and will be funded by the Capital Planning Fund in FY2018.

DPH – Clinics Renovation and Infrastructure Improvements

This project addresses major renovations needed at high-demand neighborhood clinics, including Castro Mission Health Center, Maxine Hall Health Center and Chinatown Public Health Center. The project will support the integration of primary care with behavioral health care, foster a collaborative team based care model, and enable improved work flow. For Castro Mission and Maxine Hall Health Centers, construction is expected to begin in May 2017 and January 2018 respectively, and planning for Chinatown Public Health Center will begin in 2017. In addition to these renovations, this project also includes infrastructure improvements such as modernization of outdated equipment, upgrades and retrofits of building automation systems, and repairs to HVAC controls.

 

The total project budget is $20 million, and it is funded by the 2016 Public Health and Safety G.O. Bond.

DPH – Southeast Health Center Expansion and Behavioral Health Integration

This project will be implemented in two phases, the first of which will be a renovation of the existing facility to provide more efficient work and patient flow, including additional examination rooms and other support functions. Construction for this phase is expected to begin in January 2017. The second phase will be a new addition that expands and integrates family-oriented primary care and behavioral health services. Behavioral health programming that may include Children, Youth & Families programs and services, will be relocated here from leased space. Construction for this phase is expected to begin in June 2018.

 

The total project budget is $33 million, with $3 million from a Mental Health Services Act grant, and $30 million from the 2016 Public Health and Safety G.O. Bond.

DPH – UCSF Research Facility at the ZSFG Campus

The University of California at San Francisco (UCSF) plans to build a contemporary research facility at the ZSFG campus. The facility will be five stories high, with an area of approximately 175,000 square feet, and provide space for 800 researchers and technical staff. Construction is expected to begin in the fall of 2017.

 

The estimated project cost is $175 million and will be funded by UCSF. The City is required to offset costs for planning, legal, and real estate services, which will be funded by the General Fund.

DPH – ZSFG Building 5 Renovation and Seismic Retrofit

In addition to the seismic retrofit and safety improvements, the ZSFG Bldg 5 Renovation & Seismic Retrofit project also includes scopes of work related to the Public Health laboratory, physical therapy relocation, chronic dialysis, and urgent care. The planning phase for this project is complete and design is underway, with construction expected to begin in June 2017.

 

The total project budget is $222 million and is funded by the 2016 Public Health and Safety G.O. Bond. The first Bond sale of approximately $176 million is scheduled for January 2017.

DPH – ZSFG Building 80/90 Renovation & Seismic Retrofit

Constructed in 1934, Building 80/90 is a seismically deficient red brick building at the ZSFG campus that houses the urgent care clinic and several other clinics. These clinics will move to Building 5 to make room for a major seismic renovation of this structure.


The total project cost is estimated to be $115 million and will be funded by the 2022 Public Health G.O. Bond.

DPH – Remaining Facilities Improvements

Although the scope of this project is still in development, outstanding Department of Public Health needs include major renovation and infrastructure improvements at the remaining neighborhood clinics, renovating remaining unoccupied buildings at LHH, and needs related to the Population Health Division City Clinic.

 

The total project cost is estimated to be $185 million and will be funded by the 2022 Public Health G.O. Bond.

HSH – Administrative Headquarters Tenant Improvements

The City recently acquired an office building located at 440 Turk to serve as the administrative headquarters for the new Department of Homelessness and Supportive Housing. The building is in need of substantial retrofitting before the department can occupy the space.


This project is estimated to cost $4 million dollars and is funded by the General Fund in FY2017.

HSH – Homeless Service Sites Projects

HSH is currently assessing the construction, acquisition and improvement needs of City-owned homeless shelters and service sites, as well as needs related to the expansion of homeless services.

 

The 2016 Public Health and Safety G.O. Bond will fund $20 million of these needs.

HSH – Future Navigation Centers

The navigation center model is based on creating spaces for engaging people experiencing street homelessness, outside of the traditional shelter model. The Board of Supervisors passed an ordinance in 2016 requiring the City to open no fewer than six navigation centers by July 2018. Two of these Navigation Centers are already in operation. One more at the central waterfront is expected to be completed in FY2017.

 

This central waterfront project has an estimated construction cost of $3.5 million and is funded by the General Fund. The remaining three sites have not yet been determined and are dependent on the availability of future funding.

HOPE SF – Hunters View

The Hunters View development consists of the demolition of the original 267 public housing apartment units on the property and the new construction of 267 replacement public housing units, plus up to an additional 533 mixed-income housing units; off-street parking; new roadways, and sidewalks; up to 6,500 square feet of retail space; up to 8,500 square feet of child care space; community parks; and landscaping. The relocation of tenants is expected to start in November 2016, and the final phase of construction is slated for completion at the end of 2016.

 

Hunters View received a $30 million California Infill Infrastructure Grant for infrastructure development, and the Board of Supervisors authorized the issuance of Certificates of Participation financing in the amount of approximately $25 million for this project.

HOPE SF – Alice Griffith

The Alice Griffith Replacement Housing Project is rebuilding one-for-one the 256 public housing units from the original property, as well as an additional 248 tax-credit-affordable units. This project is a portion of the greater Housing Plan of the Candlestick and Hunters Point Shipyard Project being developed by CP Development Co., LP. The Housing Plan includes 382 market-rate units, 43 inclusionary units, and 281 workforce units, for a total of 1,210 units to be developed in the Candlestick and Phase 2 Hunters Point Shipyard Project. The projected date of substantial completion for Phases I and II of the Alice Griffith Housing Development is February 2017; projected substantial completion for Phases IIIA and IIIB is September 2017.

 

Alice Griffith was awarded a federal Choice Neighborhoods Initiative grant for $30.5 million, and the infrastructure and housing costs will be funded primarily through developer contributions and property tax financing as part of the ongoing financial obligation of the Office of Community Investment and Infrastructure (OCII).

HOPE SF – Potrero Terrace and Annex The Potrero Terrace and Annex project is a master-planned new construction development consisting of the demolition of the existing 606 public housing units on the property and the construction of up to 1,700 new units, including one-for-one replacement of the existing public housing units, affordable rental units, and market-rate rental and for-sale units. The project will also feature up to 15,000 square feet of neighborhood-serving retail and/or flex space, up to 35,000 square feet of community space, approximately seven acres of new open spaces, and a reconfigured street network. Demolition is planned for early 2018, pending HUD approval and award of Section 8 subsidies. The anticipated timeline for development is 10-12 years.
HOPE SF – Sunnydale and Velasco The Sunnydale and Velasco project is a master-planned new construction development consisting of the demolition of the existing 775 public housing units on the property and the construction of up to 1,700 new units, including one-for-one replacement of the existing public housing units, affordable rental units, and market-rate and affordable for-sale units. The project will also provide up to 16,200 square feet of retail space, up to 46,300 square feet of community service, and educational facilities. Approximately 11 acres of new parks and recreation spaces and approximately 12 acres of a new and reconfigured street network will be built as part of the project. Pending HUD approval and award of Section 8 subsidies, the first two phases of the project could begin in 2018 and would include the relocation of existing households, demolition, and then new construction. Subsequent phases would proceed when replacement units are completed and if subsidies are available and awarded. The overall development timeline to completion is 12-15 years.

 

101 Grove Street Building
101 Grove Street Building
ZSFG Campus Building 80/90
ZSFG Campus Building 80/90
HOPE SF Sunnydale Master Plan
HOPE SF Sunnydale Master Plan

2022 - Health + Human Services: Renewal Program

09. Health and Human Services

Renewal Program

The overall renewal needs for the City’s Health and Human Services facilities total $427 million over the next 10 years. The Capital Plan recommended funding level for these needs is $119 million as shown in Chart 9.1. Given anticipated funding constraints due to the COVID-19 crisis, sufficient General Fund to meet this recommendation may not be available.

Chart 9.1
Chart 9.1

There are many outstanding needs for aging Public Health facilities, both at the Zuckerberg San Francisco General Hospital and Laguna Honda Hospital campuses, and also the neighborhood clinics. These renewal needs include water intrusion, outdated fire safety systems, kitchen refrigeration issues, obsolete elevator components and deteriorating HVAC systems. Given the large scale of these projects, they are expected to receive some funding from the planned 2023 Public Health G.O. Bond, pending voter approval.

There are also several outstanding needs at the three City-owned shelters. While several life safety renewals were addressed through the 2016 Public Health and Safety Bond, a lot more work remains to bring these facilities to a state-of-good-repair.

 

New Health + Human Services: Renewal Program

Renewal Program

The overall renewal needs for the City’s Health and Human Services facilities total $325 million over the next 10 years. Given funding constraints, the Plan allocates $181 million from the General Fund to meet these needs, as shown in Chart 8.1.

Chart 8.1
Chart 8.1

There are many outstanding needs for aging Public Health facilities, both at the Zuckerberg San Francisco General Hospital and Laguna Honda Hospital campuses. Of note are two large water tanks at Laguna Honda due for replacement, estimated to cost $4.9 million; and the freight elevator at ZSFG, estimated to cost $2.2 million.

Not shown in the Renewals curve are the repair needs at San Francisco’s publicly owned homeless shelters. The City’s shelters are eligible for funding from the 2016 Public Health & Safety G.O. Bond, and the debt for this purpose has already been issued. HSH has worked with San Francisco Public Works to identify and prioritize renewal needs at the shelters using the available bond funds in addition to space improvements for operational enhancements as discussed in the Planned Enhancements section.

Also not shown in the Renewals curve are the physical needs of the post-conversion SFHA portfolio. The most recent needs assessment of the SFHA portfolio was conducted in 2009 and determined needs of $269 million, including sites already converted and those slated for conversion. The needs of the post-conversion portfolio are likely to exceed the $3 million annual pot expected to be available through HUD. Funding for maintenance, including annual federal operating subsidies, have been and are expected to continue to be inadequate, making deterioration of these units a continual challenge.

 

Health + Human Services: Renewal Program

Renewal Program

The overall renewal needs for the City’s Health and Human Services facilities total $328 million over the next 10 years. Given funding constraints, the Plan allocates $193 million from the General Fund to meet these needs, as shown in Chart 8.1.

Chart 8.1
Chart 8.1

There are many outstanding needs for aging Public Health facilities, both at the Zuckerberg San Francisco General Hospital and Laguna Honda Hospital campuses. Of note are two large water tanks at Laguna Honda due for replacement, estimated to cost $4.9 million.

The RAD program is not captured in the renewals curve because it does not fund projects at City-owned assets, but it is an important part of San Francisco’s affordable housing preservation. RAD funds the rehabilitation of existing affordable units in the SFHA portfolio, and those units become eligible for Section 8 vouchers. These projects are expected to maintain the physical and economic viability of the units for at least 20 years.

Also not shown in the Renewals curve are the physical needs of the post-conversion SFHA portfolio. The most recent needs assessment of the SFHA portfolio was conducted in 2009 and determined needs of $269 million, including sites already converted and those slated for conversion. The needs of the post-conversion portfolio are likely to exceed the $3 million annual pot expected to be available through HUD. Funding for maintenance, including annual federal operating subsidies, have been and are expected to continue to be inadequate, making deterioration of these units a continual challenge. 

Health + Human Services: Overview

Overview

San Francisco’s health and human services agencies provide high-quality, culturally sensitive services to many of the city’s most vulnerable residents.

Public Health

The San Francisco Department of Public Health’s mission is to protect and promote the health of all San Franciscans, and the department’s hospitals, clinics, and administrative offices all contribute to the success of that mission. DPH’s organization falls into two divisions, the San Francisco Health Network, which provides direct health services to insured and uninsured residents, and the Population Health Division, which addresses public health concerns including consumer safety and health promotion. The department’s central administrative functions support the work of both divisions and promote integration. 

With the completion of the Zuckerberg San Francisco General Hospital and Trauma Center (ZSFG) in 2015, DPH will focus on the renovation of existing hospital campus buildings and community-based clinics, as well as the relocation of staff from the seismically vulnerable building at 101 Grove Street. The 2016 Public Health and Safety G.O. Bond will fund the seismic strengthening of Building 5 at the ZSFG campus, as well as improvements at Southeast, Castro- Mission, Maxine Hall, and Chinatown Health Centers. In 2016 DPH completed master planning efforts to move staff out of 101 Grove. This effort will be funded through the General Fund Debt Program. The proposed solution involves relocating some staff to Buildings 5 and 9 on the ZSFG campus, others to finger buildings on the Laguna Honda Campus, and the rest to a combination of City-owned and leased properties in and around Civic Center.

Human Services and Homelessness and Supportive Housing

San Francisco has two human services departments: the Human Services Agency (HSA) and the newly formed Department of Homelessness and Supportive Housing (HSH). Through assistance and supportive services programs, HSA promotes wellbeing and self-sufficiency among individuals, families, and communities for San Francisco residents. HSA is also responsible for three homeless shelter facilities and three child care center facilities. These shelters are expected to be transferred to HSH beginning in 2018 to help San Francisco’s homeless population permanently exit the streets. With a mandate to end homelessness for at least 8,000 people by 2020, HSH is currently engaged in a rigorous strategic planning process that will guide capital and operating efforts in the years ahead. Among HSH’s known capital priorities are improvements to the existing shelter facilities and the expansion of the Navigation Center program. 

The November 2016 election saw the loss of Proposition K, a proposed three-quarter-cent sales tax increase that would have generated around $50 million annually for homeless services. Addressing San Francisco’s homeless crisis remains a top priority, however, and the City has identified sources that can be redirected towards HSH priorities. These funds will complement the $20 million already approved by voters for homeless service sites in the 2016 Public Health & Safety G.O. Bond.

Affordable Housing

The responsibilities of San Francisco’s housing agencies have been evolving in recent years. In 2012 staff from the City and the San Francisco Housing Authority (SFHA), along with representatives of 72 different community organizations, met over a four-month period to re-envision the roles and responsibilities of SFHA. One of the primary goals of that process was addressing the $270 million backlog of deferred maintenance needs in the public housing stock. The resulting strategy addressed critical immediate and long-term rehabilitation needs while preserving affordability and improving conditions for very low-income residents. 

As part of this strategy, SFHA set out to convert the majority of the its public housing units to private, non-profit-led ownership and management to enable the use of tax credits as a funding source for these properties. The conversion program is funded through the US Department of Housing and Urban Development’s (HUD) Rental Assistance Demonstration (RAD) program as well as a combination of other sources including but not limited to: HUD rental subsidies, Mayor’s Office of Housing and Community Development (MOHCD) funding, low-income housing tax credits, tax-exempt bond financing through the California Debt Limit Allocation Committee, long-term ground leases from SFHA, and seller carry-back financing. SFHA will continue to ensure compliance with eligibility and other programmatic requirements at these sites, but the management of the facilities will no longer be SFHA’s responsibility. It is expected that 4,575 housing units, including those at HOPE SF sites, will be converted through this process, leaving approximately 1,460 public housing units along with partnership interests in HOPE VI sites in the SFHA portfolio. 

The mission of MOHCD is to coordinate the City’s housing policy; provide financing for the development, rehabilitation, and purchase of affordable housing in San Francisco; and strengthen the social, physical, and economic infrastructure of San Francisco's low-income neighborhoods and communities in need. MOHCD administers the HOPE SF initiative and the RAD program, and it also manages the funding available through the 2015 Affordable Housing General Obligation Bond and the Housing Trust Fund. Additionally, MOHCD serves as the Successor Housing Agency, responsible for all former San Francisco Redevelopment Agency affordable housing assets. 

HOPE SF is Mayor Lee’s signature anti-poverty initiative that works to revitalize San Francisco’s largest and most distressed public housing sites as mixed-income developments. This effort calls for a wide variety of capital improvements, beginning with horizontal infrastructure improvements that pave the way for new homes, community facilities, and open spaces. The HOPE SF public housing sites are Hunters View, Alice Griffith, Potrero Terrace and Annex, and Sunnydale and Velasco. All of these projects are former San Francisco Housing Authority sites, now being converted to private management. 

The real estate and infrastructure component of HOPE SF requires the complete demolition and rebuilding of the four sites along with new streets, parks and open spaces, and community space that will physically reconnect these sites to their surrounding neighborhoods. HOPE SF also includes family-focused community building, neighborhood-based health and wellness supports, integrated neighborhood education supports, targeted early care supports, economic mobility pathways for youth, and community policing. In total, the City’s HOPE SF initiative will replace 1,904 public housing units, add 1,026 new affordable housing units serving low- and very-low income households, and provide 2,357 workforce units for sale and for rent. 

RAD is a HUD program for the voluntary, permanent conversion of public housing to Section 8 housing. San Francisco was an early adopter of this program and is the largest RAD conversion site in the country. Unlike public housing properties, converted properties are eligible for low-income tax credits, a more reliable and adequate source of funds to support the capital needs of these facilities. RAD funds are used for both HOPE SF developments and for gut rehabilitations on smaller properties throughout the city. 

Altogether MOHCD’s portfolio of affordable housing now includes more than 26,000 units for seniors, families, formerly homeless individuals, and people with disabilities. The affordable housing that MOHCD supports is developed, owned and, managed by private non-profit and for-profit entities that leverage City subsidies with state and federal resources to create permanent affordable housing opportunities for low-income households.

Key Housing Terms 

AMI: Area median income; for 2016 100% of AMI for an individual is $75,400, and for a family of four it is $107,700 

Affordable Units, also referred to as Tax-Credit Affordable Units: Affordable to low- and very-low-income households, defined as up to 60% AMI 

Inclusionary Units: Affordable to households with income restrictions subject to Section 415 of the San Francisco Planning Code 

Market-Rate Units: No income limit restriction 

HUD: United States Department of Housing and Urban Development, the federal agency responsible for affordable housing programs 

Public Housing: Affordable to households with incomes of up to 80%, and rent is set at 30% of income 

Section 8: HUD housing choice voucher program, the major federal program for assisting very low-income families, the elderly, and the disabled to afford decent, safe, and sanitary housing in the private market 

Section 18: HUD disposition program that allows the conversion of properties found to be economically or functionally obsolete to mixed finance developments 

Tenant Protection Vouchers: Vouchers available through HUD and issued directly to eligible tenants to ensure that a Section 18 disposition does not harm existing residents in a property slated for disposition 

Workforce Units: Available to households earning roughly between 60% and 120% AMI but priced below market, typically part of Inclusionary Units

2022 - General Government: Financial Summary

08. General Government

Financial Summary

Programs / Projects
(Dollars in Thousands)
FY 2022 FY 2023 FY 2024 FY 2025 FY 2026 FY 2027 - 2031 Plan Total  
State of good repair renewal - Need 51,800 53,613 56,293 59,108 62,063 360,086 642,963  
                 
SPENDING PLAN               DEFERRED
State of good repair renewal - Proposed Uses 3,023 3,221 4,068 9,038 10,737 90,061 120,148 581,127
ADA Improvements 1,000 1,000 1,000 1,000 1,000 5,000 10,000 -
Enhancements - - - - - 32,000 32,000 35,836
TOTAL 4,023 4,221 5,068 10,038 11,737 127,061 162,148 616,962
                 
REVENUES                
General Fund 4,023 4,221 5,068 10,038 11,737 95,061 130,148  
General Fund - Enhancement - - - - - - -  
Certificates of Participation - - - - - 32,000 32,000  
TOTAL 4,023 4,221 5,068 10,038 11,737 127,061 162,148  
Total San Francisco Jobs/Year 18 19 23 45 53 569 726  
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