STATEMENT OF pROCEEDINGS

COUNTY OF SAN DIEGO BOARD OF SUPERVISORS

REGULAR MEETING

TUESDAY, DECEMBER 6, 2005, 9:00 AM

Board of Supervisors North Chamber

1600 Pacific Highway, Room 310, San Diego, California

MORNING SESSION: Meeting was called to order at 9:04 a.m.

Present: Supervisors Pam Slater-Price, Chairwoman; Bill Horn, Vice-Chairman;

Greg Cox; Dianne Jacob; Ron Roberts; also Thomas J. Pastuszka, Clerk.

Invocation was led by Doug Baker, Senior Pastor of the Faith Community Church by the Sea.

Pledge of Allegiance was led by Jack Evans.

Approval of Statement of Proceedings/Minutes for Meetings of November 1, 2005 and November 8, 2005

ACTION:

ON MOTION of Supervisor Horn, seconded by Supervisor Roberts, the Board of Supervisors approved the Statement of Proceedings/Minutes for the Meetings of November 1, 2005 and November 8, 2005.

AYES: Cox, Jacob, Slater-Price, Roberts, Horn

Category / Agenda No. / Subject /
Health & Human Services / 1. / PANDEMIC INFLUENZA PRESENTATION
2. / COUNTY MEDICAL SERVICES PROGRAM MODIFICATIONS
3. / EDGEMOOR AWARENESS CAMPAIGN
[FUNDING SOURCE: HEALTH REALIGNMENT]
4. / JUVENILE DIVERSION RESIDENTIAL SERVICES
[FUNDING SOURCE(S): UNSECURITIZED TOBACCO SETTLEMENT]
Community Services / 5. / CHECK IT OUT: MAKING LIBRARY CARDS AVAILABLE TO FOSTER YOUTH
* Presentation
6. / HEALTH AND HUMAN SERVICES AGENCY – MAXIMUS, INC., SUBLEASE AT 690 OXFORD STREET, CHULA VISTA
7. / HEALTH AND HUMAN SERVICES AGENCY - COMPREHENSIVE HEALTH LEASE AGREEMENT – 3177 OCEAN VIEW BOULEVARD, SAN DIEGO
(4 VOTES)
8. / HEALTH AND HUMAN SERVICES AGENCY - RENEGOTIATED LEASE AGREEMENT FOR FRAUD AND INTEGRITY OFFICE AT 4990 VIEWRIDGE AVENUE, SAN DIEGO
[FUNDING SOURCE(S): STATE REVENUE FROM THE COUNTY EXPENSE CLAIM (85%) GENERAL FUND (15%)]
9. / HEALTH AND HUMAN SERVICES AGENCY - FIRST AMENDMENT TO CONDITIONAL RELEASE PROGRAM LEASE AGREEMENT AT 964 FIFTH AVENUE, SAN DIEGO
[FUNDING SOURCE(S): THE STATE DEPART-MENT OF MENTAL HEALTH FORENSIC SERVICES CONDITIONAL RELEASE PROGRAM CONTRACT]
Land Use & Environment / 10. / SEA CARGO CONTAINER REGULATIONS
11. / SUPPORT FOR CASINO CONSOLIDATION
Public Safety / 12. / DISTRICT ATTORNEY – STATE SEIZED ASSET FORFEITURE PROGRAMS
[FUNDING SOURCE(S): THE DISTRICT ATTORNEY’S STATE SEIZED ASSET FORFEITURE FUND BALANCE]
(4 VOTES)
13. / DISTRICT ATTORNEY PROJECT SAFE NEIGHBORHOODS GRANT- AN ON-GOING EFFORT TO REDUCE GUNS IN SAN DIEGO COUNTY
[FUNDING SOURCE(S): THE PROJECT SAFE NEIGHBORHOODS PROGRAM ADMINISTERED BY THE UNITED STATES DEPARTMENT OF JUSTICE
(4 VOTES)
14. / FISCAL YEAR 2005-06 CITIZEN’S OPTION FOR PUBLIC SAFETY (COPS) PROGRAM
15. / SHERIFF’S DEPARTMENT LAW ENFORCEMENT AGREEMENT WITH THE STATE OF CALIFORNIA’S 22ND DISTRICT AGRICULTURAL ASSOCIATION
[FUNDING SOURCE(S): A REVENUE CONTRACT WITH THE STATE OF CALIFORNIA’S 22ND DISTRICT AGRICULTURAL ASSOCIATION]
Financial & General Government / 16. / LOCAL COMMUNITY PROJECTS
17. / LOCAL COMMUNITY PROJECTS GRANTS
[FUNDING SOURCE(S): THE COMMUNITY PROJECTS BUDGET (ORG 0263)
18. / LOCAL COMMUNITY PROJECTS GRANTS
[FUNDING SOURCE(S): THE COMMUNITY PROJECTS BUDGET (ORG 0263)]
19. / DELEGATION OF INVESTMENT AUTHORITY, TREASURER’S INVESTMENT POLICY, APPOINTMENT OF OVERSIGHT COMMITTEE MEMBERS
/ 20. / PUBLIC ORAL AUCTION TAX SALE OF TAX-DEFAULTED PROPERTY
21. / ISSUANCE OF A REQUEST FOR PROPOSALS FOR A FINANCING TEAM FOR THE 1) TOBACCO SECURITIZATION AND THE 2) TAXABLE PENSION OBLIGATION BONDS, AUCTION RATE SECURITIES
22. / APPROVAL OF THE FINANCING DOCUMENTS FOR THE GILLESPIE FIELD REDEVLOPMENT PROJECT
(Relates to Redevelopment Agency Agenda No. 1)
Communications Received / 23. / COMMUNICATIONS RECEIVED
Appointments / 24. / ADMINISTRATIVE ITEM:
APPOINTMENTS
Closed Session / 25. / CLOSED SESSION
Awards/Presentations / 26. / AWARDS/PRESENTATIONS
Public Communication / 27. / PUBLIC COMMUNICATION

12/6/05 26

1. / SUBJECT: / PANDEMIC INFLUENZA PRESENTATION
(DISTRICT: ALL)
OVERVIEW:
One of the most important public health issues our nation and the world faces is the threat of a global disease outbreak called a pandemic. There is particular concern about the avian influenza referred to as H5N1, currently circulating in Asia and parts of Europe. If a pandemic influenza occurs, it has the potential to cause more death and illness than any other public health threat.
Being prepared and responding effectively to a pandemic involves individuals, communities, businesses, local, state and federal agencies, international countries and organizations. Much has been done to prepare locally for disasters and emergencies in general, and specifically for pandemic influenza. The report being presented to the Board, at the request of Supervisor Ron Roberts, will discuss local efforts in surveillance, preparedness and response, State and federal roles, and what the public can do in preparing for and responding to a potential pandemic.
FISCAL IMPACT:
N/A
RECOMMENDATION:
CHIEF ADMINISTRATIVE OFFICER
1.  Receive the report on Pandemic Influenza.
2.  Direct the Chief Administrative Officer to report back in 180 days with an update on the status of preparedness for Pandemic Influenza.
ACTION:
ON MOTION of Supervisor Roberts, seconded by Supervisor Cox, the Board took action as recommended.
AYES: Cox, Jacob, Slater-Price, Roberts, Horn
2. / SUBJECT: / COUNTY MEDICAL SERVICES PROGRAM MODIFICATIONS (DISTRICT: ALL)
OVERVIEW:
The County Medical Services (CMS) program provides necessary medical care for San Diego County residents, ages 21 through 64 years, who have no family support or other financial resources for medical care and meet prescribed income limits and other eligibility criteria. The current eligibility or income maintenance need level for the CMS program is $802 per month for an individual. Individuals earning up to $802 per month are eligible for primary care, hospital emergency and inpatient care, other approved medical services and pharmaceuticals. In Fiscal Year 2004/05, the CMS program provided care to approximately 15,000 certified eligible individuals plus approximately 6,000 individuals accessing care in the emergency room, for a total program cost of over $54 million.
On January 24, 2005, the Western Center on Law and Poverty filed a lawsuit against the County that challenges the CMS income maintenance need level. In response to this lawsuit, the County completed an analysis of the cost of living for a single adult residing in San Diego County. Based upon this study, it is recommended that $1078 per month for an individual, or 135% of the Federal Poverty Level be established as the new standard for income eligibility for the CMS program.
FISCAL IMPACT:
Funding for this request is not included in the FY 2005-06 Operational Plan for the Health and Human Services Agency. It is anticipated that the change in the income eligibility level for the CMS Program will result in a current year increase in costs of approximately $3 million, and an annual increase of $6 million. The source of funds is currently under review. It will also require the addition of 2 FTE staff years for FY 2005/06 and 1.5 additional staff years for FY2006/07. Existing vacancies within the Agency will be utilized for these additional staff.
RECOMMENDATION:
CHIEF ADMINISTRATIVE OFFICER
1.  Direct the Chief Administrative Officer to increase the County Medical Services income maintenance need level to 135% of the Federal Poverty Level ($1078 per month for an individual) and to implement program modifications as required.
2.  Authorize the Director, Health and Human Services Agency, to maintain the County Medical Services income maintenance need level at 135% of the Federal Poverty Level, effective July 1 of each subsequent year.
3.  Authorize the Director, Health and Human Services Agency, to conduct an evaluation every three years to assess the cost of living and adjust the income maintenance need level to the appropriate percentage of the Federal Poverty Level, if warranted.
ACTION:
ON MOTION of Supervisor Roberts, seconded by Supervisor Horn, the Board took action as recommended.
AYES: Cox, Jacob, Slater-Price, Roberts, Horn
3. / SUBJECT: / EDGEMOOR AWARENESS CAMPAIGN (DISTRICT: ALL)
OVERVIEW:
The Health and Human Services Agency’s Aging & Independence Services (AIS) division administers a variety of programs serving seniors and the disabled, including Edgemoor Hospital.
Edgemoor Hospital’s new, state-of-the-art facility is projected to be completed in 2007. This item requests Board authorization to competitively contract with a consultant to develop and implement an Edgemoor Awareness Campaign.
The goals of the campaign include increased census for this distinct-part skilled nursing facility, a greater pool of employees interested in working at Edgemoor, and increased awareness of Edgemoor Hospital by the general public, potential volunteers, and donors, as well as referral sources.
FISCAL IMPACT:
Funds for this request are included in the Health and Human Services Agency Fiscal Year 2005-07 Operational Plan. The funding source is Health Realignment. If approved, this request will result in estimated FY 2005-06 costs and revenue of $100,000, and FY 2006-07 costs and revenue of $150,000. There will be no change in net General Fund cost and no additional staff years.
RECOMMENDATION:
CHIEF ADMINISTRATIVE OFFICER
In accordance with Section 401 et seq. of the County Administrative Code, authorize the Director, Purchasing and Contracting, to issue a competitive solicitation to select a consultant to develop and implement an Awareness Campaign for Edgemoor Hospital, and upon successful negotiations and determination of a fair and reasonable price, award a 16 month contract from March 1, 2006 through June 30, 2007, with an option to extend for three additional years, and up to six additional months if needed; and to amend the contract as required for changes to funding and services subject to the approval of the Director, Health and Human Services Agency.
ACTION:
ON MOTION of Supervisor Roberts, seconded by Supervisor Cox, this item was withdrawn at the request of the Chief Administrative Officer, on Consent.
AYES: Cox, Jacob, Slater-Price, Roberts, Horn
4. / SUBJECT: / JUVENILE DIVERSION RESIDENTIAL SERVICES (DISTRICT: ALL)
OVERVIEW:
For more than 25 years, the County of San Diego has provided Juvenile Diversion Residential Services, a program focusing on early intervention and prevention services for at-risk youth. Juvenile Diversion Residential Services engage youth who are at-risk of entering or re-entering the juvenile justice system. This program contributes to the avoidance of law enforcement and juvenile justice system costs.
Juvenile Diversion Residential Services are provided through County contracts with competitively selected community based agencies. The current contracts will expire on June 30, 2006. If approved, this item would authorize the Director, Purchasing and Contracting to issue a competitive solicitation for a one-year contract with four option years, from July 1, 2006 through June 30, 2011 and up to an additional six months, if needed.
This action will also authorize the Director of Purchasing and Contracting to conduct a competitive solicitation for technical assistance services for the Critical Hours and Juvenile Diversion programs.
FISCAL IMPACT:
Funds for this proposal are included in the Fiscal Year 2006-07 Approved Operational Plan. If approved, this proposal would result in no change to current or subsequent year annual costs and funding of $481,406. The funding source is Unsecuritized Tobacco Settlement. There will be no change in net General Fund costs and no additional staff years.
RECOMMENDATION:
CHIEF ADMINISTRATIVE OFFICER
1.  In accordance with section 401 et seq, of the County Administrative Code, authorize the Director, Department of Purchasing and Contracting, to issue a competitive solicitation to select contractors to provide Juvenile Diversion Residential Services if, after an RFI process, there is more than one respondent per geographical area. However, if there is only one respondent per geographical area to any of the services, in accordance with Board Policy A-87 Competitive Procurements, authorize the Director, Department of Purchasing and Contracting, to enter into negotiations with the respondent for Juvenile Diversion Residential Services and, subject to successful negotiations and determination of a fair and reasonable price, enter into and award contracts for a term of one year for the period of July 1, 2006 through June 30, 2007, with four additional option years and up to an additional six months if needed, and to amend the contracts as needed to reflect changes in funding or service requirements, subject to approval of the Director, Health and Human Services Agency.
2.  In accordance with Section 401 et seq, of the County Administrative Code, authorize the Director, Department of Purchasing and Contracting to initiate a competitive solicitation to procure technical assistance services for the Critical Hours and Juvenile Diversion programs if, after an RFI process, there is more than one respondent. However, if there is only one respondent to any of the services, in accordance with Board Policy A-87 Competitive Procurements, authorize the Director, Department of Purchasing and Contracting, to enter into negotiations with the respondent for technical assistance services for the Critical Hours and Juvenile Diversion programs and, subject to successful negotiations and determination of a fair and reasonable price, enter into and award a contract for a term of one year for the period of July 1, 2006 through June 30, 2007, with four additional option years and up to an additional six months if needed, and to amend the contracts as needed to reflect changes in funding or service requirements, subject to approval of the Director, Health and Human Services Agency.
ACTION:
ON MOTION of Supervisor Roberts, seconded by Supervisor Cox, the Board took action as recommended, on Consent.
AYES: Cox, Jacob, Slater-Price, Roberts, Horn
5. / SUBJECT: / CHECK IT OUT: MAKING LIBRARY CARDS AVAILABLE TO FOSTER YOUTH (DISTRICT: ALL)
OVERVIEW:
Library cards provide a gateway to learning and knowledge. Books and other library resources not only educate us about our history and culture, but they often provide an escape from the stress of life and the problems of the day. Today’s action will give San Diego County foster children the chance to explore and learn through the ability to obtain a County library card.
FISCAL IMPACT:
There is no fiscal impact associated with this request
RECOMMENDATION:
SUPERVISOR COX AND SUPERVISOR ROBERTS:
1.  Direct the Chief Administrative Officer to implement a process to make San Diego County Library cards available to foster youth.
2.  Direct the Chief Administrative Officer to work with the 11 other library jurisdictions to make library services available to foster children throughout the County.
ACTION:
ON MOTION of Supervisor Roberts, seconded by Supervisor Cox, the Board took action as recommended, on Consent.
AYES: Cox, Jacob, Slater-Price, Roberts, Horn
6. / SUBJECT: / HEALTH AND HUMAN SERVICES AGENCY – MAXIMUS, INC., SUBLEASE AT 690 OXFORD STREET, CHULA VISTA (DISTRICT: 1)