Category

Agenda No.

Subject:

Health & Human Services

1.

SHELTERING SENIORS FROM THE SUMMER HEAT

2.

PROCUREMENT OF CUSTOMER SERVICE, PUBLIC INFORMATION, AND HOME & COMMUNITY-BASED SERVICES CONTRACTS

3.

CALIFORNIA WORK OPPORTUNITY AND RESPONSIBILITY TO KIDS  (CALWORKS) FISCAL YEAR 2001-03 INCENTIVE FUND SPENDING PLAN

4.

COMPETITIVE PROCUREMENT OF ADVANCED LIFE SUPPORT SERVICES IN EAST COUNTY AND OTAY MESA

5.

INCREASING ELIGIBILITY LEVELS IN THE COUNTY MEDICAL SERVICES PROGRAM FOR FY 2001-02

6.

HIV/AIDS-RELATED AIDS MASTER GRANT AND STATE REVENUE AGREEMENTS

7.

FISCAL YEAR 2000-01 THIRD QUARTER BUDGET STATUS REPORT:  HEALTH AND HUMAN SERVICES AGENCY 

8.

VIRAL HEPATITIS PREVENTION PROGRAM

9.

RESPONSE TO GRAND JURY 2000-2001 INTERIM REPORT - ADMINISTRATION OF MENTAL HEALTH PROGRAMS IN SAN DIEGO COUNTY

10.

PROPOSITION 36:  SUBSTANCE ABUSE AND CRIME PREVENTION ACT OF 2000 IMPLEMENTATION PLAN

Public Safety

11.

SHERIFF’S  DEPARTMENT - COPS UNIVERSAL HIRING PROGRAM GRANT

12.

SHERIFF’S PAYMENT OF LOST PROPERTY CLAIM

13.

SHERIFF’S DEPARTMENT EAST MESA DETENTION FACILITY CENTRAL WAREHOUSE EXPANSION  

14.

PUBLIC SAFETY GROUP – THIRD QUARTER BUDGET ADJUSTMENTS

Land Use & Environment

15.

SAN DIEGUITO RIVER VALLEY REGIONAL OPEN SPACE PARK JOINT POWERS AUTHORITY REQUEST FOR LETTER OF SUPPORT

16.

ADVERTISE AND AWARD CONSTRUCTION CONTRACT FOR DEHESA ROAD AND DEHESA ELEMENTARY SCHOOL CAMPUS IMPROVEMENTS

17.

LAND USE & ENVIRONMENT GROUP – 3RD QUARTER ADJUSTMENTS

Financial & General Government

18.

SECOND DISTRICT COMMUNITY PROJECTS

19.

ALLOCATION OF COMMUNITY PROJECTS FUNDS

20.

FINANCE AND GENERAL GOVERNMENT GROUP BUDGET ADJUSTMENTS – THIRD QUARTER 

21.

THIRD QUARTER REPORT ON PROJECTED RESULTS OF OPERATIONS FOR FISCAL YEAR ENDING JUNE 30, 2001

22.

SOLE SOURCE ACQUISITION OF ADDITIONAL AUTOMATED CASHIERING WORKSTATIONS

23.

ESCHEATMENT OF MONEY IN COUNTY  TRUST FUNDS

Community Services

24.

COMMUNITY SERVICES GROUP 3RD QUARTER FY 2000-01 BUDGET ADJUSTMENTS

25.

FY 01-02 CAPITAL IMPROVEMENTS PLAN

26.

DEPARTMENT OF GENERAL SERVICES’ REQUEST FOR OUT-OF-COUNTRY BUSINESS

Communi-cations Received

27.

COMMUNICATIONS RECEIVED

Closed Session

28.

CLOSED SESSION

Community Services

29.

SET HEARING FOR 06/12/2001

SHERIFF - OPTION TO PURCHASE A BUILD-TO-SUIT SHERIFF'S SUBSTATION AT 426 EAST ALVARADO STREET, FALLBROOK

(CARRYOVER FROM 05/15/2001, AGENDA NO. 12)

Financial & General Government

30.

ADMINISTRATIVE ITEM:

SECOND CONSIDERATION AND ADOPTION OF ORDINANCE: PETTY CASH REIMBURSEMENT POLICIES

Health & Human Services

31.

CREATING A COMPREHENSIVE PLAN FOR THOSE DUALLY DIAGNOSED

Community Services

32.

SUPPORT FOR ROLLING BLACKOUT REDUCTION PROGRAM AND CALIFORNIA ENERGY COMMISSION ENERGY EFFICIENCY LOAN PROGRAM FOR PUBLIC AGENCIES

Land Use & Environment

33.

MILLAR RANCH ROAD PERMANENT ROADS DIVISION

Community Services

34.

ENERGY EFFICIENT “COOL” ROOFS FOR COUNTY FACILITIES

Financial & General Government

35.

MEMORANDA OF UNDERSTANDING WITH SERVICE EMPLOYEES INTERNATIONAL UNION, LOCAL 2028, AFL-CIO, CLC AND SOCIAL SERVICES UNION, LOCAL 535, AFL-CIO REGARDING AGENCY SHOP ELECTIONS AND RELATED PROCEDURES

36.

FILLING THE VACANCY ON THE OTAY WATER DISTRICT BOARD OF DIRECTORS

Appointments

37.

ADMINISTRATIVE ITEM:

APPOINTMENTS

38.

AWARDS AND PROCLAMATIONS

Public Communi-cations

39.

PUBLIC COMMUNICATIONS

1.

SUBJECT:

SHELTERING SENIORS FROM THE SUMMER HEAT

(DISTRICT:  ALL)
 

The County is experiencing an influx of calls from fixed-income seniors who fear for their health and safety during California’s on-going electricity crisis. Utility rate increases have discouraged the use of air-conditioning.  Seniors, particularly those in our region’s inland areas, are worried about the medical effects of summer heat.  These effects include dehydration, heat exhaustion, heat stroke, heat cramps and in extreme cases, brain damage and death.  Several seniors already admit to sacrificing prescription medication and groceries to compensate for high utility bills.

The California Public Utilities Commission reports that barely half the state’s low to moderate income ratepayers who are eligible for rate assistance programs, which includes many seniors, have enrolled in such programs.  State regulators blame the low figure on less-than-diligent outreach efforts by the utilities.

The County must take steps to ensure the health and safety of this most vulnerable population. Today’s action will create countywide “cool zones” at senior centers and community centers where seniors can escape summer heat without running up expensive utility bills.  Also, today’s action will urge San Diego Gas and Electric to enhance its efforts to enroll seniors in utility payment assistance programs and develop a County plan to improve outreach to seniors.  Additionally, today’s action seeks to bring energy efficiency programs to the region’s fixed and low-income residents.
 

These actions can be performed within the existing budget.
 

SUPERVISOR JACOB:

1.    Direct the Chief Administrative Officer to identify and prepare “cool  zones” at libraries, community and senior centers and private sector and faith-based facilities throughout the County to offer respite from summer heat and to use CTN and other County media resources to develop a public education campaign to make older adults aware of such “cool zones” and utility payment assistance programs.

2.    Direct the Chief Administrative Officer to draft a letter to San Diego Gas and Electric, urging the utility to increase utility payment assistance program awareness efforts to the public, especially seniors, and to work with seniors to ensure their service is not terminated this summer.

3.    Direct the Chief Administrative Officer to investigate ways to bring energy efficiency programs to San Diego County’s fixed and low-income residents. Return to the Board in 30 days with an implementation plan and possible funding sources.
 

ON MOTION of Supervisor Jacob, seconded by Supervisor Slater, the Board of Supervisors took action as recommended; and directing the Chief Administrative Officer to assist in getting the word out to seniors on life supporting devices of the number to contact for San Diego Gas & Electric so that SDG&E will not blackout their particular grid.  Also directed that CTN publicize locations of cool zones in communities for an easy way to access.

AYES:  Jacob, Slater, Roberts, Horn

ABSENT:  Cox
 

2.

SUBJECT:

PROCUREMENT OF CUSTOMER SERVICE, PUBLIC INFORMATION, AND HOME & COMMUNITY-BASED SERVICES CONTRACTS

 (DISTRICT: ALL)
 

The Health and Human Services Agency provides a variety of health and social service programs.  Customer satisfaction with services and the wide dissemination of information regarding the variety of programs and services available through Aging & Independence Services is a priority.  This item requests Board approval to issue a request for proposals to obtain services for customer satisfaction data collection, analysis and tracking, and for consulting services to design a community information and education campaign to expand on the elder and adult abuse awareness and prevention message and other programs serving the elderly and disabled.  The item requests the Board to ratify and authorize the issuance of a request for statement of qualifications to identify service providers for programs that assist homebound persons with long term care needs.    Approval is also requested to negotiate and award a small sole source contract to complete customer service baseline data collection for twelve Aging & Independence Services programs.
 

The funds for this request are included in the Health and Human Services Agency Fiscal Year 2001-02 proposed Operational Plan.  The funding sources are the State Department of Aging ($1,483,125), the State Department of Health Services ($393,000), and the State Department of Social Services ($236,375).  If approved this will result in $2,172,500 costs and $2,112,500 revenues in FY 2001-02, and $2,372,500 costs and $2,312,500 revenues in FY 2002-03.  There will be no change in net General Fund cost and no additional staff years.
 

CHIEF ADMINISTRATIVE OFFICER

1.      In accordance with Board Policy A-87, Competitive Procurement, and Board Policy A-96, Sequence for Obtaining a Chief Administrative Officer Determination Regarding Economy and Efficiency of Independent Contractors Pursuant to Charter Section 703.10, approve and authorize the Director of Purchasing and Contracting to enter into negotiations with The Capstone Group for the purposes of completing customer service satisfaction assessment baselines of services delivered by Aging & Independence Services; and, upon completion of successful negotiations and determination of a fair and reasonable price, award a one-year contract beginning July 1, 2001, through June 30, 2002,  and up to an additional six months if needed; and, to amend the contract to reflect changes in funding or service requirements, subject to approval of the Director, Health and Human Services Agency.  Waive the advertising requirement of Board Policy A-87.

2.      In accordance with Section 401, Article XXIII of the County Administrative Code and Board of Supervisors Policy A-96, Sequence for Obtaining a Chief Administrative Officer Determination Regarding Economy and Efficiency of Independent Contractors Pursuant to Charter Section 703.10, authorize the Director, Purchasing and Contracting, to issue a Request for Proposals to select a contractor to continue customer service satisfaction surveying and monitoring for Aging & Independence Services and to establish a customer service satisfaction baseline for the Health and Human Services Agency’s East Region; and, upon completion of successful negotiations and determination of a fair and reasonable price, award a two-year contract through June 30, 2003, with one additional option year, and up to an additional six months if needed; and, to amend the contracts to reflect changes in funding or service requirements, subject to approval of the Director, Health and Human Services Agency. 

3.      In accordance with Section 401, Article XXIII of the County Administrative Code and Board of Supervisors Policy A-96, Sequence for Obtaining a Chief Administrative Officer Determination Regarding Economy and Efficiency of Independent Contractors Pursuant to Charter Section 703.10, authorize the Director, Purchasing and Contracting, to issue a Request for Proposals to select a firm that specializes in strategic design, planning and public information to develop a public education campaign and associated materials for elder and adult abuse awareness and related activities; and, upon completion of successful negotiations and determination of a fair and reasonable price, award a three-year contract through June 30, 2004 with two additional option years through June 30, 2006, and up to an additional six months if needed; and, to amend the contract to reflect changes in funding or service requirements, subject to approval of the Director, Health and Human Services Agency.

4.      In accordance with Section 401, Article XXIII of the County Administrative Code and Board of Supervisors Policy A-96, Sequence for Obtaining a Chief Administrative Officer Determination Regarding Economy and Efficiency of Independent Contractors Pursuant to Charter Section 703.10, ratify and authorize the Director, Purchasing and Contracting, to issue a Request for Statements of Qualifications (RSFQ) to establish a roster of pre-qualified vendors that provide in-home and personal assistance services for seniors and disabled persons receiving case management through the following County managed programs: a) Multipurpose Senior Services b) Linkages c) Acquired Immune Deficiency Syndrome Medi-Cal Waiver d) Acquired Immune Deficiency Syndrome Case Management e) Home Assist and Management of Assessment of Social And Health Needs f) Senior Team g) Adult Protective Services;  and, add new vendors to the roster through the RSFQ process as they become qualified; and, based upon the fair and reasonable rate quotes determined through the RSFQ, issue and reissue service authorization requests on a case by case basis, according to client needs, to those vendors meeting the Criteria for Provider Selection elements defined in the RSFQ under the provisions of the Home and Community-Based Care Services Delivery Agreement, over a delivery period of four years, from July 1, 2001 through June 30, 2005, and up to an additional six months if needed; and, to amend agreements to reflect changes in funding or service requirements, subject to approval of the Director, Health and Human Services Agency.
 

ON MOTION of Supervisor Slater, seconded by Supervisor Jacob, the Board of Supervisors took action as recommended, on Consent.

AYES:  Jacob, Slater, Roberts, Horn

ABSENT:  Cox
 

3.

SUBJECT:

CALIFORNIA WORK OPPORTUNITY AND RESPONSIBILITY TO KIDS  (CALWORKS) FISCAL YEAR 2001-03 INCENTIVE FUND SPENDING PLAN

(DISTRICTS: ALL)
 

The County’s welfare-to-work efforts continue to succeed in raising the number of people moving from welfare to employment, and in reducing the total dollars paid out in cash aid as a result of increased recipient earnings.  The State has notified the County of San Diego that based on its success, $26,073,338 in CalWORKs Incentive Funds is available.  The State indicates these funds must be spent for activities and services that contribute to the self-sufficiency goals.  The documents required to request these funds from the State were prepared, and the funds have now been transferred to the County and are on deposit in the required Trust Fund.

The Health and Human Services Agency has prepared a proposed Spending Plan to respond both to needs existing countywide and to barriers to self-sufficiency unique to each of the Agency's regions.  The majority of the program activities proposed in the Spending Plan continue efforts that have been successfully implemented with previous Board of Supervisors' authorization, utilizing prior years’ CalWORKs Incentive Funds.  The continuing and newly proposed programs in the Spending Plan are all directed at reducing barriers to self-sufficiency faced by CalWORKs families and children and otherwise improving the effectiveness of the County's self-sufficiency programs. 

This item requests Board approval in concept of the proposed Spending Plan for CalWORKs Incentive Funds and Board action authorizing appropriations in the Fiscal Year 2001-02 Operational Plan to reflect the Spending Plan.  The recommendations direct that staff return to the Board for contract approvals and other actions necessary to complete the implementation of the Spending Plan.  This item supports the County’s Self Sufficiency Strategic Initiative.
 

Funds for this request are not budgeted.  The funding source is CalWORKs Incentive Fund revenue.  This request will not increase current year costs.  If approved, this request will increase cost and revenues in the amount of $15,325,044 in Fiscal Year 2001-02 and $10,748,294 in Fiscal Year 2002-03.  No additional staff years are required and there will be no change in net General Fund cost. 
 

CHIEF ADMINISTRATIVE OFFICER

1.      Approve the CalWORKs Incentive Fund Spending Plan for Fiscal Years 2001-02 and 2002-03 as submitted by the Chief Administrative Officer, and direct that staff return to seek necessary Board actions to implement the plan.

2.      Establish appropriations in the amount of $15,325,044 for Fiscal Year 2001-02 in the Health and Human Services Agency based on CalWORKs Incentive Funds revenue. (4 VOTES)
 

ON MOTION of Supervisor Slater, seconded by Supervisor Jacob, the Board of Supervisors took action as recommended, on Consent.

AYES:  Jacob, Slater, Roberts, Horn

ABSENT:  Cox
 

4.

SUBJECT:

COMPETITIVE PROCUREMENT OF ADVANCED LIFE SUPPORT SERVICES IN EAST COUNTY AND OTAY MESA (DISTRICT: 1 & 2)
 

On July 16, 1996 (12), the Board approved the agreement with Grossmont Hospital Corporation to provide for Advanced Life Support services (ALS) in the Zone Two Rural Service Area which covers East County communities.  The agreement was effective for the period July 1, 1996 through June 30, 1997, with four one-year renewal options.  All of the renewal options were exercised and the agreement is due to expire on June 30, 2001.  Grossmont Hospital chooses not to renew the agreement and is returning administration of the service area to the County.  The County is integrating the service area with the unincorporated areas of Otay Mesa as well as the correctional facilities operated by the Sheriff’s Department, California Department of Corrections (CDC), and Correctional Corporation of America (CCA) in Otay Mesa to form the Zone Two Rural and Otay Mesa Service Area.

Board approval is requested to authorize a Request for Proposals (RFP) for Advanced Life Support services in the Zone Two Rural and Otay Mesa Service Area.  Pending completion of the RFP process, Board authority is requested to extend the agreement with Grossmont Hospital Corporation for ninety days for the Zone 2 Rural Area and to award an interim agreement with American Medical Response for ALS services for the correctional facilities and the unincorporated areas of Otay Mesa.  Approval is also requested to enter into revenue agreements with CDC and CCA to fund ALS services for their facilities.  Attachment A describes the expenditure agreements and their funding sources while Attachment B describes the revenue sources.
 

Partial funds are included in the FY 2000-2001 Operational Plan.  If approved this request will result in an increase in current year costs and revenues of $33,354, FY 2001-2002 costs and revenues of $792,500 and subsequent years’ costs and revenues of $792,500 annually. The funding sources are the California Department of Corrections ($27,577) and Correctional Corporation of America ($5,877). There will be no change in net General Fund cost and no additional staff years.
 

CHIEF ADMINISTRATIVE OFFICER

1.      Waive Board Policy B-29, Fees, Grants, Revenue Contracts – Department Responsibility for Cost Recovery. 

2.      In accordance with Section 401, Article XXIII of the County Administrative Code, and Policy A-96 of the Board of Supervisors, Sequence for Obtaining a Chief Administrative Officer Determination Regarding Economy and Efficiency of Independent Contractors Pursuant to Charter Section 703.10, authorize the Director, Purchasing and Contracting, to ratify issuance of  Request for Proposals (RFP) to select a provider for Advanced Life Support services in these two areas:

1)      Zone Two Rural Service Area which covers the East County communities of Alpine, Pine Valley, Jamul, Descanso, Mount Laguna, Campo, Boulevard, and areas along Highway 94 and I-8 to the Imperial County line.

2)      The unincorporated areas of Otay Mesa including the George Bailey Detention Facility, Richard J. Donovan Correctional Facility, and Correctional Corporation of America facility.

Upon successful negotiations and determination of a fair and reasonable price, award a contract for the period October 1, 2001 through June 30, 2004, with options for four additional one-year periods ending June 30, 2008, and up to an additional six months, if needed, and to amend the contract for changes in service or funding, subject to the approval of the Director, Health and Human Services Agency.

3.      In accordance with Board Policy A-87, Competitive Procurement, and A-96, Sequence for Obtaining CAO Determination Regarding Economy and Efficiency of Independent Contractors Pursuant to Charter Section 703.10, authorize the Director, Purchasing and Contracting, to enter into negotiations with Grossmont Hospital Corporation and, upon successful negotiations and determination of a fair and reasonable price, extend the agreement with Grossmont Hospital Corporation from July 1, 2001 and ending September 30, 2001 or until a new contract is executed as a result of the RFP.  This agreement provides for Advanced Life Support services to the unincorporated areas of East County.  Waive the advertising requirement of A-87.

4.      In accordance with Board Policy A-87, Competitive Procurement, and A-96, Sequence for Obtaining CAO Determination Regarding Economy and Efficiency of Independent Contractors Pursuant to Charter Section 703.10, authorize the Director, Purchasing and Contracting, to enter into negotiations with American Medical Response and, upon successful negotiations and determination of a fair and reasonable price, award an interim agreement with American Medical Response to provide Advanced Life Support services in the correctional facilities at George Bailey, Richard J. Donovan, and Correctional Corporation of America, and the unincorporated areas of Otay Mesa, from June 1, 2001 through September 30, 2001, or until a contract is executed as a result of the RFP process.  Waive the advertising requirement of A-87.

ON MOTION of Supervisor Slater, seconded by Supervisor Jacob, the Board of Supervisors took action as recommended, on Consent.

AYES:  Jacob, Slater, Roberts, Horn

ABSENT:  Cox
 

5.

SUBJECT:

INCREASING ELIGIBILITY LEVELS IN THE COUNTY MEDICAL SERVICES PROGRAM FOR FY 2001-02 (DISTRICT: ALL)
 

The Board of Supervisors has taken several significant actions over the past several years to increase access to health care for low-income residents of San Diego County. As part of the commitment, the Board directed the revenue projected to be received from the Tobacco Settlement for various healthcare activities including increased funding for the County Medical Services program.

On June 13, 2000 (23), the Board approved raising the financial eligibility standard (income limit) for the County Medical Services program to 100% of the Federal Poverty Level for FY 00-01 and designated Tobacco Settlement funds for this purpose.  It further directed the Chief Administrative Officer, in collaboration with the Project Management Committee for Improving Access to Healthcare, to assess the potential for modifying the eligibility ceiling to 112% of the Federal Poverty Level for individuals.  The proposed County Operational Plan for the County Medical Services program in fiscal year 2001-02 includes an additional $3,000,000 in Tobacco Settlement funds. The additional funds will be utilized to increase the County Medical Services eligibility level. This item requests Board approval to increase County Medical Services income eligibility to 112% of the current Federal Poverty Level, or approximately $800 per month for an individual.  

The Health and Wellness Initiative in the County’s strategic plan promotes expansion of the County Medical Services program in order to provide additional County residents with access to healthcare.
 

These funds are included in the FY 2001-02 Operational Plan. The funding source is Tobacco Settlement revenue. If approved, this request will result in no change in current year costs and revenue, and $3,000,000 in subsequent year costs and revenue. There will be no change in net General Fund cost and no additional staff years. 
 

CHIEF ADMINISTRATIVE OFFICER

1.      Direct the Chief Administrative Officer to implement County Medical Services program eligibility changes, by increasing the patient income eligibility ceiling, effective July 1, 2001, to 112% of the current Federal Poverty Level or approximately $800 per month for individuals.

2.      Authorize the Director, Health and Human Services Agency, to conduct an annual evaluation of the feasibility of adjusting eligibility levels for the County Medical Services program in accordance with Federal Poverty Level guidelines and report back to the Board of Supervisors on any recommended adjustment to the County Medical Services program’s eligibility levels. 
 

ON MOTION of Supervisor Slater, seconded by Supervisor Jacob, the Board of Supervisors took action as recommended, on Consent.

AYES:  Jacob, Slater, Roberts, Horn

ABSENT:  Cox
 

6.

SUBJECT:

HIV/AIDS-RELATED AIDS MASTER GRANT AND STATE REVENUE AGREEMENTS

(DISTRICT:  ALL)
 

For seven years, the Board has approved the AIDS Master Grant Agreement to provide county-wide HIV/AIDS prevention and surveillance services to reduce the transmission of HIV/AIDS in San Diego County, most recently approving the Agreement for FY 2000-2001 on July 25, 2000 (14) and amending it on September 12, 2000 (18). This proposal seeks Board approval to accept unanticipated revenue, make funding level adjustments, amend and execute the AIDS Master Grant and State revenue agreements, and establish appropriations to provide additional HIV/AIDS surveillance and prevention services. AIDS Master Grant funded activities are consistent with the County Strategic Initiative’s Self-Sufficiency and Health and Wellness initiatives.

This proposal also requests to make staffing adjustments within the Health and Human Services Agency budget to implement highly confidential and information-sensitive HIV Non-names reporting mandated by state law with no net change to budgeted positions.
 

The FY 2000-2002 Operational Plan for the Health and Human Services Agency includes $4,280,504 based on the State of California Department of Health Services, and State Office of AIDS, AIDS Master Grant Agreement. If approved, this proposal will result in an increase of $254,831 in current year costs and revenues for a total of $4,535,335 based on AIDS Master Grant and State Revenue Agreements, an increase of $352,220 in FY 2001-02 and a smaller increase of $166,553 in FY 2002-03 due to some one-time funding. This proposal will require no change to net General Fund costs and no net change to budgeted positions in the Health and Human Services Agency Office of Public Health budget.
 

CHIEF ADMINISTRATIVE OFFICER

1.      Waive Board Policy B-29, Fees, Grants, Revenue Contracts – Department Responsibility for Cost Recovery.

2.      Ratify and authorize the Clerk of the Board to execute amendment #2 to the State AIDS Master Grant revenue agreement in the amount of $70,000 with the California Department of Health Services to provide additional Early Intervention Services for the period July 1, 2000 through June 30, 2001, and to execute subsequent amendments, extensions and renewals of the State revenue contract that do not materially impact or alter the program or funding level.

3.      Ratify and authorize the Clerk of the Board to execute amendment #3 to the State AIDS Master Grant revenue agreement in the amount of $185,145 with the California Department of Health Services to provide additional AIDS Surveillance services ($146,200) and HIV Counseling and Testing services ($38,945) for the period January 1, 2001 through June 30, 2001, and to execute subsequent amendments, extensions and renewals of the State revenue contract that do not materially impact or alter the program or funding level.

4.      Ratify and authorize the Clerk of the Board to execute, upon receipt, a revenue agreement with the California Department of Health Services for one-time funding to implement an HIV Non-names surveillance reporting format through the development of a reporting protocol in the amount of $51,000 for the period March 1, 2001 through June 30, 2001 and $119,000 for the period of July1, 2001 through December 31, 2001 for a total of $170,000 and to execute subsequent amendments, extensions and renewals of the State revenue contract that do not materially impact or alter the program or funding level.

5.      Ratify and authorize the Clerk of the Board to execute, upon receipt, a revenue contract with the California Department of Health Services to initiate HIV Testing Survey 2001 for $33,333 for the period of February 1, 2001 through June 30, 2001 and for $66,667 for the period of July 1, 2001 through December 31, 2001 for a total contract amount of $100,000 and to execute subsequent amendments, extensions and renewals of the State revenue contract that do not materially impact or alter the program or funding level.

6.      Establish appropriations in the amount of $254,831 in the Health and Human Services Agency, Office of Public Health based on revenues from the State Department of Health Services AIDS Master Grant Agreement. (4 votes)

7.      Approve the addition of a position to perform epidemiological functions and the deletion of a vacant supervising communicable disease investigator with no net change in staff years in the Health and Human Services Agency, Office of Public Health and direct the Department of Human Resources to adjust the classification as necessary for the program.
 

ON MOTION of Supervisor Slater, seconded by Supervisor Jacob, the Board of Supervisors took action as recommended, on Consent.

AYES:  Jacob, Slater, Roberts, Horn

ABSENT:  Cox
 

7.

SUBJECT:

FISCAL YEAR 2000-01 THIRD QUARTER BUDGET STATUS REPORT:  HEALTH AND HUMAN SERVICES AGENCY  (DISTRICT: ALL)
 

A companion Board letter on today’s agenda addresses the fiscal condition of the individual budget units within the County, including the Health and Human Services Agency.  The recommended actions in this item address necessary technical and third quarter adjustments required for the efficient operation of the Health and Human Services Agency
 

Funds for this proposal are not included in the Fiscal Year 2000-01 Operational Plan.  If approved, this request will result in increased Fiscal Year 2000-01 cost and revenue of  $9,921,058.  The funding sources are the State Department of Social Services ($438,592), the State Department of Mental Health ($333,333), CalWORKs single block grant ($6,616,876), State Department of Education ($1,363,150), CalWORKs Incentive Fund ($1,100,068), federal Title XX ($42,964), Early and Periodic Screening Diagnosis and Treatment ($21,957), and Medicare ($4,118).  There will be no change to net General Fund cost and no additional staff years.
 

CHIEF ADMINISTRATIVE OFFICER

1.      Establish appropriations of $9,080,094 in the Health and Human Services Agency for Child Care Stage 1 and 2, based on unanticipated revenue from CalWORKs single block grant ($6,616,876), State Department of Education ($1,363,150) and CalWORKs Incentive Fund ($1,100,068).  (4 VOTES)

2.      Ratify and authorize the Director, Health and Human Services Agency, or his designee, to execute a revenue agreement with the State Department of Education in the amount of $1,363,150 for Child Care Stage 2 for the period July 1, 2000 through June 30, 2001 (State Contract #F2AP-0049).

3.      Establish appropriations of $421,092 in the Health and Human Services Agency to provide post adoptive services based on unanticipated revenue from the State Department of Social Services, Federal Incentive Funds for Post Adoptive Services. (4 VOTES)

4.      Establish appropriations of $333,333 in the Health and Human Services Agency for mental health services for children and youth, based on unanticipated revenue from AB 3015 State General Fund. (4 VOTES)

5.      Establish appropriations of $69,039 in the Health and Human Services Agency to pay Maximus its contingency fee, in accordance with the terms of the County contract, for revenue enhancement based on unanticipated revenue from State Administrative Child Welfare Services Title XX ($42,964), Early and Periodic Diagnosis, Screening, and Treatment ($21,957), and Medicare Part A/B ($ 4,118). (4 VOTES)

6.      Establish appropriations of $17,500 in the Health and Human Services Agency to provide additional Kinship Support Services Program services to relative caregivers based on unanticipated revenue from the State Department of Social Services, Foster Care Branch. (4 VOTES)

7.      Approve and authorize the Director, Health and Human Services Agency, or his designee, to submit the revised AB 3015 Work Plan (Attachment 1) to the State Department of Mental Health.

8.      Authorize the Clerk of the Board to execute revenue agreements, upon receipt, with the Regional Center of San Diego and Imperial Counties for the provision of infant/preschool child mental health services in the amount of $40,000 for the period May 22, 2001 through June 30, 2001 and two one-year extensions, and to execute any subsequent amendments or renewals subject to the approval of the Director, Health and Human Services Agency, that do not materially impact or alter either the program or funding level.

9.      Adopt a resolution reallocating $1,103,288 among sub accounts in the Local Health and Welfare Trust Fund.
 

ON MOTION of Supervisor Slater, seconded by Supervisor Jacob, the Board of Supervisors took action as recommended, on Consent, adopting Resolution No 01-146, entitled:  RESOLUTION REALLOCATING $1,103,288 AMONG SUBACCOUNTS IN THE LOCAL HEALTH AND WELFARE TRUST FUND.

AYES:  Jacob, Slater, Roberts, Horn

ABSENT:  Cox
 

8.

SUBJECT:

VIRAL HEPATITIS PREVENTION PROGRAM

(DISTRICT: ALL)
 

The threat of Viral Hepatitis is growing in San Diego County. In 2000, the number of reported hepatitis cases included: 310 Hepatitis A, 1,140 chronic Hepatitis B and 3,325 chronic Hepatitis C.  Infection with Hepatitis B or C virus may cause serious liver damage leading to cirrhosis, liver cancer and death.  The Office of Public Health recently piloted a program that provides a “one stop” prevention service for sexually transmitted diseases including hepatitis prevention counseling, vaccination, testing and referral services. Approval of this request will allow the “one stop” prevention service to continue, and provide expansion into other sites serving high-risk populations.  Funding is provided through a grant award from the federal Centers for Disease Control.
 

This request is included in the Health and Human Services Agency FY2001-03 proposed Operational Plan.  If approved, this request will result in FY2001-02 and subsequent year cost and revenue of $271,340.  This request will result in no additional staff, and no increase in net General Fund cost.
 

CHIEF ADMINISTRATIVE OFFICER

1.  Authorize the Clerk of the Board to execute, upon receipt, a revenue agreement with the federal Centers for Disease Control and Prevention in the amount of $67,835 for the period July 1, 2001 through September 29, 2001, and annual funding of $271,340 beginning September 30, 2001 through September 29, 2003 for the Integration of Viral Hepatitis Prevention Services into the County’s Sexually Transmitted Disease (STD) Program.

2.  Authorize the Clerk of the Board to execute amendments, renewals and extensions to the revenue agreement, provided terms, conditions, program and funding are not materially impacted or altered.
 

ON MOTION of Supervisor Slater, seconded by Supervisor Jacob, the Board of Supervisors took action as recommended, on Consent.

AYES:  Jacob, Slater, Roberts, Horn

ABSENT:  Cox
 

9.

SUBJECT:

RESPONSE TO GRAND JURY 2000-2001 INTERIM REPORT – ADMINISTRATION OF MENTAL HEALTH PROGRAMS IN SAN DIEGO COUNTY

(DISTRICT:  ALL)
 

On May 8, 2001 (6) your Board received the 2000-2001 County Grand Jury Interim Report entitled:  "Administration of Mental Health Programs in San Diego."  On that date, your Board directed the Chief Administrative Officer to prepare draft responses for the Board's consideration no later than May 22, 2001.  This is a request for your Board to authorize the Chief Administrative Officer to transmit the attached responses to the Grand Jury via the Superior Court Presiding Judge.
 

There is no fiscal impact with this action.
 

CHIEF ADMINISTRATIVE OFFICER

Authorize the Chief Administrative Officer to transmit the attached responses to the Grand Jury via the Superior Court Presiding Judge.
 

ON MOTION of Supervisor Slater, seconded by Supervisor Jacob, the Board of Supervisors took action as recommended, on Consent.

AYES:  Jacob, Slater, Roberts, Horn

ABSENT:  Cox
 

10.

SUBJECT:

PROPOSITION 36:  SUBSTANCE ABUSE AND CRIME PREVENTION ACT OF 2000 IMPLEMENTATION PLAN (DISTRICT: ALL)
 

On November 7, 2000, California voters passed Proposition 36: the Substance Abuse and Crime Prevention Act of 2000.  Proposition 36 requires offenders convicted for non-violent drug possession offenses and existing County probationers and State parolees who commit offenses contained within Proposition 36 to be referred to substance abuse treatment instead of State prison or local custody.

Proposition 36 provides the County with an opportunity to substantially expand alcohol and other drug treatment for offenders and to implement a coordinated system of care through an enhanced partnership between the justice and treatment systems.  An annual allocation of $120 million statewide through Fiscal Year 2005-06 was included in the proposition.  In addition, $60 million was allocated for planning and infrastructure development activities for the period of January 1, 2001 through June 30, 2001.  On February 27, 2001 (1), the Board accepted San Diego’s planning allocation of $4,536,627 to support local planning efforts including service capacity expansion to support an estimated additional 5,000-6,000 eligible offenders referred to treatment on an annual basis.

The State Department of Alcohol and Drug Programs, the lead State agency for Proposition 36 implementation, issued final Proposition 36 Emergency Regulations on April 30, 2001 that include a requirement that counties submit a local implementation plan by June 1, 2001. This item includes an update of the Prop 36 planning activities and an overview of the State required implementation plan that will be submitted to the State. Today’s action requests the Board to adopt a resolution that delegates authority to the Director of the Health and Human Services Agency to submit the County of San Diego’s Proposition 36 Implementation Plan to the State by June 1, 2001.
 

Proposition 36 funds have been included in the FY 2001-02 Health and Human Services Agency Operational Plan.  If approved, this request will result in no change to net General Fund cost, and will require no addition of staff years.
 

CHIEF ADMINISTRATIVE OFFICER

Adopt a resolution entitled: A RESOLUTION OF THE BOARD OF SUPERVISORS OF THE COUNTY OF SAN DIEGO RELATING TO THE SUBSTANCE ABUSE AND CRIME PREVENTION ACT OF 2000 DELEGATION OF COUNTY PLAN APPROVAL AUTHORITY.
 

ON MOTION of Supervisor Slater, seconded by Supervisor Jacob, the Board of Supervisors took action as recommended, on Consent, adopting Resolution No. 01-147, entitled: A RESOLUTION OF THE BOARD OF SUPERVISORS OF THE COUNTY OF SAN DIEGO RELATING TO THE SUBSTANCE ABUSE AND CRIME PREVENTION ACT OF 2000 DELEGATION OF COUNTY PLAN APPROVAL AUTHORITY.

AYES:  Jacob, Slater, Roberts, Horn

ABSENT:  Cox
 

11.

SUBJECT:

SHERIFF’S  DEPARTMENT - COPS UNIVERSAL HIRING PROGRAM GRANT

(DISTRICT: ALL)
 

In anticipation of future growth in the region, the Sheriff’s Department is planning for the possible expansion of its community oriented policing services into the  unincorporated areas. The Sheriff’s Department has successfully participated in Office of Community Oriented Policing Services (COPS) grant hiring programs since 1995.  Thirty-three Deputy Sheriff positions have been partially funded through COPS grants to perform community policing activities.   This is a request to ratify the submission and authorize the acceptance of a COPS Universal Hiring Program grant from the Office of Community Oriented Policing Services.  The grant will fund $750,000 over a three-year period for hiring ten new Deputies.   This request supports the Sheriff’s Department’s Strategic Plan for Law Enforcement Services and the County’s Crime Prevention Strategic Initiative.
 

Pending further Board action, there is no immediate fiscal impact or addition of staff. 

Matching funds will be identified and the Board will be asked to establish appropriations and add staff at a later date.   If all ten positions are filled, first year costs are estimated at $1,244,730 and ongoing costs are estimated at $802,060 per year.  Future revenue will be $250,000 per year for three years.  The County would be required to retain and fully fund the positions the fourth year.  It is estimated that the total County match for the four-year period would be $2.9 million if all ten positions are filled.  Possible funding sources for this match include Prop. 172 revenue and revenue from school districts.
 

SHERIFF:

1.   Waive Board Policy B-29, which requires full cost recovery for grants and that Board approval be given in advance of application for funds.

2.    Ratify the Sheriff’s Department’s submission and authorize the acceptance of the COPS Universal Hiring Program grant for $750,000 from the U.S. Department of Justice, Office of Community Oriented Policing Services, for the period January 2, 2001 through December 31, 2003.

3.   Authorize the Sheriff to review and execute the COPS Universal Hiring Program grant documents and any extensions, amendments, or revisions thereof that do not materially impact or alter either the grant program or funding level.
 

ON MOTION of Supervisor Slater, seconded by Supervisor Jacob, the Board of Supervisors took action as recommended, on Consent.

AYES:  Jacob, Slater, Roberts, Horn

ABSENT:  Cox
 

12.

SUBJECT:

SHERIFF’S PAYMENT OF LOST PROPERTY CLAIM (DISTRICT: ALL)
 

A claim in the amount of $900 has been filed against the County of San Diego for the loss of personal property entrusted to the care of the Sheriff as a result of an inmate’s confinement. The claim was investigated and found to be valid.  Payment of such claims in excess of $500 must first be authorized by the Board per County Administrative Code, Article X, Section 158.  Your Board’s authorization will permit the Auditor and Controller to make payment on the claim.
 

The funding source is the Sheriff’s fiscal year 2000/01 budget (Org 2414, Account 2340).  If approved, this one-time request will result in $900 current year cost, no annual cost and will not require additional staff years.
 

SHERIFF

Pursuant to the investigative results, authorize the Auditor and Controller to make payment on Claim #LP26298 in the amount of $900.
 

ON MOTION of Supervisor Slater, seconded by Supervisor Jacob, the Board of Supervisors took action as recommended, on Consent.

AYES:  Jacob, Slater, Roberts, Horn

ABSENT:  Cox
 

13.

SUBJECT:

SHERIFF’S DEPARTMENT EAST MESA DETENTION FACILITY CENTRAL WAREHOUSE EXPANSION 

(DISTRICT 1)
 

The East Mesa Detention Facility  (EMDF) Central Warehouse currently occupied by the Food Services Production Center and the Facility Services Materials and Supplies Section has insufficient space to support the requirements of both operations.  The warehouse will be expanded by approximately 14,580 square feet by the construction of a pre-engineered steel frame building.  This Board Letter requests the establishment of appropriations in the amount of $906,167 in the Criminal Justice Fund for the expansion of the East Mesa Detention Facility Central Warehouse. Inmate Welfare Funds are available to pay for the construction costs with no General Fund cost to the County. 
 

The funding source is the Sheriff’s Inmate Welfare Fund.  This fund is generally composed of profits generated by inmate purchases from the commissary stores system, vending machines, and telephone commissions.  The profits are held in the County Treasury, in trust, for the benefit of the inmates.  If approved, this request will result in no General Fund cost, no annual cost, and will not require any additional staff years.
 

1.   Find that the Final Supplemental Environmental Impact Report (FSEIR) on file in the Department of General Services for the East Mesa Detention Facility Project, MUP 88-018, Log. No. 88-19-11 certified by your Board on September 2, 1988, and the Addendum to the FSEIR for the East Otay Mesa Detention Facility approved by your Board on June 29, 1999, had been adopted in compliance with the California Environmental Quality Act (CEQA) and State and County Guidelines; that the Board of Supervisors has reviewed and considered the information contained herein prior to approving the project; and that the FSEIR reflects the independent judgment of and analysis of the Board of Supervisors; and find that the expansion of the warehouse is part of the same project, and that there is no substantial changes in the project or in the circumstances under which it is undertaken which involve significant new environmental impacts which were not considered in the previously certified FSEIR and Addendum.

2.   Waive Board Policy A-91, Mid-Year Budget Changes, for construction of a pre-engineered building approximately 14,580 square feet to expand the existing warehouse.

3.   Transfer appropriations in the total amount of $906,167 within the Sheriff’s Inmate Welfare Fund from Services and Supplies to an Operating Transfer Out to provide funding for the expansion of the East Mesa Detention Facility Central Warehouse.

4.   Establish appropriations of $906,167 in the Criminal Justice Fund for Capital Project #KK1712, based on unanticipated Operating Transfer revenues from the Sheriff’s Inmate Welfare Fund. (4 votes)

5.    Authorize the Director of Purchasing and Contracting to take any action authorized by Section 93.2 of the Administrative Code with respect to contracting for the subject public works project.

6.   Designate the Director, Department of General Services, as the County Officer responsible for administering the contract.
 

ON MOTION of Supervisor Slater, seconded by Supervisor Jacob, the Board of Supervisors took action as recommended, on Consent.

AYES:  Jacob, Slater, Roberts, Horn

ABSENT:  Cox
 

14.

SUBJECT:

PUBLIC SAFETY GROUP – THIRD QUARTER BUDGET ADJUSTMENTS

(DISTRICT: ALL)
 

The Public Safety Group requests the Board of Supervisor’s approval of technical and other adjustments to the operational plan in order to continue efficient operations through the end of the fiscal year. 
 

If approved these requests will cancel appropriations of $847,066.15, establish appropriations of $2,606,188.67 ($252,551.26 from Fund Balance made available through cancelled Capital projects; $1,830,400 from over realized or unanticipated revenue; $477,937.41 from various revenue sources due to the cancellation of Capital Projects; $45,300 due to Operating Transfers), and transfer appropriations of $7,989,680; and will amend the ISF spending plan by $24,800, for a total of $11,467,734.82 in transactions.
 

1.   Waive Board Policy A-91, Mid-Year Budget Changes.

2.   Transfer appropriations of $34,874 from the Public Safety Group Management Reserves to the Sheriff’s Department for consultant services expenditures incurred on behalf of the Public Safety Group performing research on Proposition 36 (the Substance Abuse and Crime Prevention Act of 2000) and the development of the performance maintenance and activity based costing system. (4 VOTES)

3.   Transfer appropriations of $6,197 from the Sheriff’s Department to the Risk Management Division of the Department of Human Resources to provide funding of the required cost of liability insurance for the Sheriff’s Department new helicopter.

4.   Transfer appropriations of $10,000 from the Sheriff’s Department to the Probation Department for coverage of overtime expended on mutual enforcement operations.

5.   Cancel appropriations and related Prop 172 revenue of $141,500 in Capital Project KK8044 “Sheriff ASTREA Project” to make funds available for furniture and equipment for the facility.

6.    Establish appropriations of $141,500 in the Sheriff’s Department for Services and Supplies and Fixed Assets to furnish the new ASTREA facility based on Proposition 172 revenue made available by cancellation of appropriations in Capital Project KK8044. (4 VOTES)

7.   Transfer appropriations of $3,108 from the Sheriff’s Department to the Clerk of the Board of Supervisors for County Administration Center security.

8.   Establish appropriations of $1,730,400 in the Sheriff’s Department for inmate medical services based on overrealized revenue from Federal and State Institutional Care, State Aid for Corrections Training, and Reimbursement of Mandated Costs. (4 VOTES)

9.    Approve the acquisition of two motorcycles for the Sheriff’s Contract Law Enforcement Program.

10.   Transfer appropriations of $22,000 from the Sheriff’s Department Lease/Purchase Equipment (Org. 2453, Account 3366) to General Fund Contribution to Fleet ISF (Org. 5605, Account 6310) for Operating Transfer to General Services Fleet Internal Service Fund to purchase two motorcycles.

11.   Amend the General Services Fleet Internal Service Fund Spending Plan in the amount of $24,800 to provide appropriations to purchase two motorcycles (Org. 6522, Account 4509-$22,000) and to provide appropriations for maintenance, fuel and depreciation based on an operating transfer and charges in the General Fund. 

12.   Transfer appropriations of $45,300 from the Sheriff’s services and supplies account to Operating Transfers to provide additional funding for Capital Project KK9512, Fallbrook Sheriff’s Station.

13.  Establish appropriations of $45,300 in the Criminal justice Capital Outlay Fund to supplement Capital Project KK9512, Fallbrook Sheriff’s Station, based on an operating Transfer from the Sheriff.  (4 VOTES)

14.   Transfer appropriations of $72,088 within the Medical Examiner Department from Management Reserves to Services and Supplies for a projected over expenditure in utilities. (4 VOTES)

15.   Cancel appropriations and related revenue of $117.53 in sheriff’s Capital Project KK0791, which has been completed. 

16.    Cancel appropriations and related revenue of $7,896.92 in Sheriff’s Capital project KK5015, which has been completed. 

17.    Cancel appropriations and related revenue of $39.71 in Sheriff’s Capital Project KK9033, which has been completed. 

18.    Cancel appropriations and related revenue of $46,056.20 in Sheriff’s Capital Project KK7015, which has been completed.

19.    Cancel appropriations and related revenue of $497.84 in Sheriff’s Capital Project KK9505, which has been completed.

20.    Cancel appropriations and related revenue of $3,381.69 in Sheriff’s Capital project KK9511, which has been completed.

21.    Cancel appropriations and related revenue of $293,327.16 in Sheriff’s Capital Project KK8020, which has been completed.

22.     Establish appropriations of $11,933.69 in the Sheriff’s budget for computer replacements based on fund balance available as a result of cancelled Capital projects. (4 VOTES)

23.   Establish appropriations of $293,327.16 in the Sheriff’s budget for computer replacements based on Rents and Concessions revenue available as a result of the cancellation of appropriations in Capital Project KK8020. (4 VOTES)

24.    Transfer appropriations of $5,800,000 in the Sheriff’s budget for utilities based on a transfer of Management Reserves from the Public Safety Group. (4 VOTES)

25.   Cancel appropriations and related revenue of $12,561.57 in the Capital project KK8904, Law Library Ethernet, which has been completed.

26.   Establish appropriations of $12,561.57 in the Public Safety Group Executive Office for Law Library utilities based on Fund Balance made available from the cancellation of appropriations of Capital Project KK8904.  (4 VOTES)

27.   Cancel appropriations and related revenue of $70,520.62 in the Probation Department’s Capital Project KK9011, which has been completed. 

28.   Cancel appropriations and related revenue of $62,118.84 in the Probation Department’s Capital Project KK6115, which has been completed.

29.   Cancel appropriations and related revenue of $165,937.82 in Capital project KK8031, North County Juvenile Justice Hall, which has been cancelled. 

30.   Cancel appropriations and related revenue of $43,110.25 in the Probation Department’s Capital project KK8903, which has been completed. 

31.   Establish appropriations of  $228,056 in the Probation Department’s budget for Major Maintenance projects based on fund balance available from canceled Capital projects. (4 VOTES)

32.   Establish appropriations of $43,110.25 in the Probation Department’s budget for Major Maintenance projects based on AB 189 Criminal Justice Facility revenue made available from the cancellation of appropriations in Capital Project KK8903.  (4 VOTES)

33.    Accept an initial gift of $60,000 from the California Traffic Safety Institute (CTSI) pursuant to San Diego County Administrative Code section 66 towards the purchase and installation of a replacement modular court room (i.e., trailer unit) at the Superior Court’s Kearney Mesa Traffic Facility, authorize the Deputy Chief Administrative Officer, Public Safety Group to accept additional gifts from CTSI totaling up to an additional $40,000 through monthly gifts during the remainder of Fiscal Year 2000-2001, and during Fiscal Year 2001-2002, and designate the Deputy Chief Administrative Officer, Public Safety Group, to thank CTSI for the gifts on behalf of the County and its Board of Supervisors.

34.   Establish appropriations of $100,000 in the Public Safety Group Management Reserves based on unanticipated revenue from the California Traffic Safety Institute.  (4 VOTES)

35.   Transfer appropriations of $643,000 from the Public Safety Group Management Reserves to the Contributions to Trial Court budget for utilities. (4 VOTES)

36.   Transfer appropriations of $49,800 from the Public Safety Group Management Reserves to the Probation Department to provide counseling services.  (4 VOTES)

37.   Transfer appropriations of $250,000 from the Public Safety Group Management Reserves to the Defense Attorney Contracts budget to fund operations through the end of the fiscal year.  (4 VOTES)

38.   Transfer appropriations of $1,053,313 within the Public Defender from Management Reserves to Services and Supplies for the development of a case management system. 
 

ON MOTION of Supervisor Slater, seconded by Supervisor Jacob, the Board of Supervisors took action as recommended, on Consent.

AYES:  Jacob, Slater, Roberts, Horn

ABSENT:  Cox
 

15.

SUBJECT: