San Francisco, CA
S.F. hospital stabbing analysis confirms Mission Local reporting on security lapses
A 13-page assessment released today by the San Francisco Department of Public Health confirms Mission Local reporting last month that protocol failures contributed to a social worker’s fatal stabbing in December, and that hospital workers, not a sheriff’s deputy, were first to intervene in the attack.
The DPH has hired four additional staff members to its security team to ensure around the clock threat management coverage, and committed an additional $15 million a year to “support a fundamentally strengthened and modernized approach to safety and security” across its facilities.
After a period of increasingly threatening behavior toward his doctor at General Hospital’s Ward 86 HIV clinic, Wilfredo Tortolero Arriechi, 35, arrived on Dec. 4 and was intercepted by his social worker, Alberto Rangel. He stabbed Rangel, 51, to death in the hallway.
According to today’s report, the DPH immediately took action: installing a weapons detection system at Buildings 80-90 where the attack occurred, launching a 24/7 threat management team to triage and respond to concerns and establishing a formal threat escalation protocol which “balances safety measures with trauma-informed, patient-centered approaches.”
The report also identified a need for better processes to respond to emergencies that occur within the DPH system. Although Rangel was stabbed at Ward 86, a clinic on the grounds of San Francisco General Hospital, and witnesses on the scene called 911 immediately, EMS workers did not arrive to take over Rangel’s care until 11 minutes after his stabbing. A full 26 minutes elapsed between the 911 call and Rangel’s arrival in the emergency room, only a block away.
Today’s report also confirmed Mission Local reporting that a Ward 86 employee first intervened in the attack on Dec. 4 — a direct contradiction to claims from the sheriff’s union that a sheriff’s deputy assigned to the site had “saved Ward 86 from a rapid mass casualty stabbing.”
The deputy had been assigned to the area that day after Tortolero Arriechi had made threats against his doctor, who worked there. According to today’s report, the doctor was in a different hallway at the time of the stabbing.
Hospital staff had repeatedly raised alarm bells with DPH security specifically about Tortolero Arriechi’s threatening behavior, but today’s assessment confirmed that no additional safety measures were taken until the day of the incident.
Mission Local reported that Tortolero Arriechi posted increasingly erratic messages on his social media in the weeks leading up to the stabbing, including a photo of his doctor’s note pinned to a wall with a knife.
The DPH assessment includes a timeline, which shows that Tortolero Arriechi had to be escorted out of City Clinic in SoMa as early as Nov. 13 after he appeared seeking out his Ward 86 doctor, who also worked there.
A week later, on Nov. 20 and 21, Tortolero Arriechi exhibited “elevated behaviors” at an appointment with the doctor, who reported his behavior to DPH security. The next week, between Nov. 24 and 26, security “attempted multiple times” to reach Tortolero Arriechi by phone, with no success. Security leadership at General Hospital “discussed” the case, but apparently took no further action.
On Dec. 4, the morning of the stabbing, Tortolero Arriechi went to both the City Clinic and Ward 86.
The doctor again reported to security that Tortolero Arriechi was seeking him out at City Clinic, and that Tortolero Arriechi had allegedly insisted that he would return daily until he could see the doctor. According to the report, DPH security then assigned a “safety ambassador” to the clinic.
That same morning at Ward 86, staff contacted DPH head of security, Basil Price, and informed him that Tortolero Arriechi had once again shown up at the clinic looking for the doctor, and told them that he would be returning that afternoon.
The DPH requested a “criminal history check” by the sheriff’s department that day, which surfaced no warrants for Tortolero Arriechi. After a sheriff’s lieutenant conducted a “threat assessment” on the situation, the sheriff’s department assigned a deputy to be “posted at Ward 86.” Staff at Ward 86 interviewed by Mission Local were under the impression that the deputy was keeping an eye out for Tortolero Arriechi, but the DPH report confirms the sheriff’s department’s assertion that the deputy was directed only to station near the specific physician that Tortolero Arriechi had threatened.
Later in the afternoon of Dec. 4, 2025, Tortolero Arriechi again went to Ward 86 looking for the doctor, where he was directed to speak with his social worker, Rangel. Moments later, Tortolero Arriechi stabbed Rangel, who later died despite efforts by his colleagues to resuscitate him.
Tortolero Arriechi is currently facing murder charges, and his public defender has said that he was suffering a mental health crisis.
“No actions can undo the events of December 4, 2025,” the report said. “However, through an expertly informed re-evaluation of our current safety and security measures, we can ensure an improved approach to workplace safety and security going forward.”
Ward 86 employee Alex Alvarez said he was frustrated at the lack of funding for mental health care and support for traumatized employees who have not yet returned to work.
Due to the lack of protocols in place, he said, “we have to create this whole ecosystem of services, of safety protocols … why do the employees have to pay for this? Why do employees have to take the brunt of this lack of action?”
San Francisco, CA
People’s Budget Coalition Claims Victory After San Francisco Budget Restores Most Proposed Service Cuts – Davis Vanguard
By Vanguard Staff
SAN FRANCISCO — The San Francisco People’s Budget Coalition declared a major victory this week after the San Francisco Board of Supervisors’ Budget and Appropriations Committee advanced a budget proposal restoring nearly all of Mayor Daniel Lurie’s proposed cuts to community organizations and workers providing essential services throughout the city.
The coalition credited months of organizing by labor unions, community organizations, residents and advocates for reversing many of the reductions initially proposed in the mayor’s budget. The committee-approved budget now moves to the full Board of Supervisors and then to Mayor Lurie for final approval. According to the coalition, few, if any, additional changes are expected during that process.
The coalition said thousands of San Francisco workers, residents and community members participated in neighborhood town halls, marches, rallies, phone banks, letter-writing campaigns and demonstrations to pressure city leaders to restore funding for programs serving vulnerable populations.
“This budget represents a remarkable victory for every single San Francisco resident,” said Anya Worley-Ziegman, coalition coordinator for the San Francisco People’s Budget Coalition.
“And it shows that public pressure works. Showing up works. Organizing, going out into communities where people will see their lives impacted by cuts, where people feel like their government and their representatives aren’t listening to them, and giving people an outlet to make their voices heard can make real change.”
Worley-Ziegman credited “the thousands of people, workers, unions, community and advocacy organizations, as well as the leadership of Budget Chair Connie Chan and Supervisors who fought for their districts’ priorities” with helping restore “tens of millions of dollars for essential programs serving our city’s most vulnerable populations.”
“Dr. Martin Luther King Jr. reminds us that budgets are moral documents, and today, City Hall seems to agree,” Worley-Ziegman added.
According to the coalition, many of the mayor’s proposed reductions affecting LGBTQ+, immigrant, student and homeless services were restored through the city’s annual budget “add-back” process during the Budget and Appropriations Committee’s final meeting, chaired by Supervisor Connie Chan.
The coalition said restorations include tens of millions of dollars for senior services, housing and rent assistance, Free City College, HIV services, immigrant services and other community programs.
The organization argued that many of the programs initially targeted for reductions serve communities that are already facing challenges resulting from actions by the federal government. The coalition said restoring those programs demonstrates continued city support for immigrants, LGBTQ+ residents, Black, Indigenous and other communities of color, as well as individuals struggling with mental health, substance use disorders or homelessness.
The coalition said investments in those communities strengthen the city and help maintain San Francisco’s reputation as a welcoming and inclusive city.
Despite celebrating the committee’s actions, the coalition said significant fiscal challenges remain. It noted that not all proposed reductions were fully restored and that city officials project next year’s budget deficit to exceed this year’s.
The coalition argued that San Francisco possesses substantial wealth, particularly amid the city’s growing artificial intelligence industry, and said city leaders should pursue additional revenue sources to sustain public services rather than relying on service reductions.
“San Francisco is one of the wealthiest cities in the wealthiest country in the world, and with the AI boom, it’s only getting richer,” Worley-Ziegman said.
“The fact that we need to exert this much time and energy fighting for such a small slice of the pie is, frankly, as ridiculous as it is shameful.”
“We should be laser focused on expanding the pie. We need to be talking about IPO taxes, wealth taxes, mansion taxes, and every policy tool available to close future deficits,” Worley-Ziegman continued.
“It feels like every year our leaders tell the most vulnerable communities to eat cuts and make ‘hard choices,’ while simultaneously opposing comically small taxes on the city’s wealthiest and well connected residents.”
“It should not be this hard to get an immigrant mother on the cusp of eviction $50 to make rent, or a senior living with HIV on our streets counseling or a hot meal.”
Worley-Ziegman concluded by urging advocates to continue organizing beyond this year’s budget process.
“Yes, let’s celebrate this win, but don’t forget that there’s so much more work to do if we want to move San Francisco forward without leaving its most vulnerable residents behind.”
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San Francisco, CA
Suspect arrested after shooting near San Francisco Pride events, police say
A suspect was arrested Saturday after a shooting near San Francisco’s Pride celebrations left one person wounded and an officer hurt during a foot chase, police said.
The San Francisco Police Department said officers were monitoring Pride events near United Nations Plaza around 3:32 p.m. when the shooting occurred.
Officers found a victim suffering from a gunshot wound and immediately began rendering aid. The victim was taken to an area hospital with injuries that were not life-threatening.
Police said officers in the area quickly located a person matching the suspect’s description, prompting a foot pursuit. During the chase, one officer suffered minor injuries.
The suspect was eventually taken into custody, and the person’s name has not been released.
Police said the investigation remains active despite the arrest.
San Francisco, CA
Serving up a slice of Palestine at Old Jerusalem in the Mission District
Ahmed Ali Mazen can’t remember the last time he missed the call to prayer.
Five times a day, he heads out the back of his restaurant, Old Jerusalem at 25th and Mission streets, and climbs the stairs to his rooftop, which overlooks the Mission and Bernal Heights.
He always concludes the routine with a Marlboro Gold and a scorching-hot cup of tea with fresh mint.
It’s a lifetime away from the farm where Mazen, now age 58, was raised, one of 11 children, in a small village named Saffa in Ramallah, Palestine. His family grew cucumbers, tomatoes, watermelon and, on the village’s mountaintop, olives.
The Mazen family raised cows, sheep and goats. Mazen had his own pet donkey, which he said he loved dearly.
“Donkeys were for those who couldn’t afford horses,” he said. “Those who couldn’t afford donkeys walked.”
Mazen’s donkey was his most prized possession. He would use it to plow the family’s land and carry produce back from the top of the mountain.
He looks back on his childhood fondly, remembering the village’s ceremonial olive harvest and the fiercely competitive soccer matches.
He and his friends would wait outside the nearby girls’ school in the afternoons, each picking who they said they would one day marry.
“Of course, we never had the guts to go up to them and introduce ourselves. It was just fun to love from afar. That’s what kids do.”
Mazen was 19 during the first intifada in 1987, a political uprising against Israel in which more than 1,100 Palestinians, many of them children, were killed.
“Nothing was ever the same,” he says.
He was still in his teens when he left to start a new life in the United States. In San Francisco, he worked all sorts of odd jobs: Bagging groceries at Mike’s on Mission Street, tow-truck driver, and endless kitchen gigs.
Next came an arranged marriage. “She had seen a photo of me beforehand, I didn’t, but I didn’t really care,” he recalled. “I just wanted to get married.”
His bride was another Palestinian from Ramallah, possibly one of the girls he’d admired from afar during his school days.
He said falling in love and wanting to raise a family motivated him to be self-sufficient by starting his own business. Mazen felt there was a gap to be filled, that existing Middle Eastern restaurants weren’t serving “true” Palestinian food.
One day, Mazen noticed a new “for sale” sign in a window on his commute home. The asking price was far above his price range, but with loans from a bank, family and friends, he cobbled together enough money to buy it.
Old Jerusalem Restaurant opened in 2005. At first, business was so slow that he had to borrow another $40,000 loan from a friend, but eventually it picked up.
Now, 21 years later, Old Jerusalem offers authentic Palestinian dishes like pistachio-crusted lamb chops and Nablusi kunefe, a dessert made of crispy, shredded phyllo, layered with melted cheese and soaked in sweet, fragrant syrup.
“We serve the food I ate growing up, no compromises,” Mazen said.
On its face, Mazen’s story is one of the many successful stories of Palestinian immigrants. He has a wife and three kids, all of whom went to college, and a longstanding business.
He has friends in the Palestinian community here, like Sami Rami, who owns the nearby Middle Eastern market. These days he goes to countless weddings for his friends’ grown children. And he has come to love this sanctuary city.
“This place has everything you need to love it,” he said. “There is so much diversity here: Arab, Chinese, Black, you name it. If you want to get to work in this country, there’s also the money for it.”
Yet Mazen longs for the life he left behind. The annual olive harvest has become nearly impossible due to the current conflict, he says, but he still visits home about once a year to check in on his mother.
“Do you want me to tell you what is good for the story, or do you want me to be honest?” he asked. “I’m so grateful for what God has given me, but if I could go back 20 years from now, I would have never left.”
“The biggest mistake anyone can make is to leave their country,” he said.
“Money doesn’t fix anything. It doesn’t fix that feeling of comfort hearing the mosque’s call to prayer, or seeing your children gather with your nephews, and grow up alongside their cousins. No matter how much money you make, you’ll never be able to get what you once had at home.”
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