BOARD OF SUPERVISORS

COUNTY OF SAN DIEGO BOARD OF SUPERVISORS REGULAR MEETING MEETING AGENDA TUESDAY, SEPTEMBER 15, 2026, 9:00 AM COUNTY ADMINISTRATION CENTER BOARD CHAMBER, ROOM 310 1600 PACIFIC HIGHWAY SAN DIEGO, CA 92101 County of San Diego Board of Supervisors General Legislative Session & San Diego County Fire Protection District Tuesday, September 15, 2026, 9:00 a.m. A. Roll Call B. Opening Ceremonial Matters 1) Invocation 2) Pledge of Allegiance 3) Presentation or Announcement of Proclamations and Awards C. Non-Agenda Public Comment Individuals can address the Board on topics within its jurisdiction that are not on the agenda. According to the Board’s Rules of Procedure, each person may speak at only one Non-Agenda Public Comment session per meeting. Speakers can choose to speak during either the General Legislative or Land Use Legislative Session. D. Approval of Statements of Proceedings/Minutes Approval of the Statement of Proceedings/Minutes for the sessions of September 1, 2026, and September 2, 2026, and minutes for concurrent Special District meetings of San Diego County Fire Protection District for June 24, 2026, and June 25, 2026. E. Consent Agenda All agenda items listed under this section are considered to be routine and will be acted upon with one motion. There will be no separate discussion of these items unless a member of the Board of Supervisors or the Chief Administrative Officer so requests, in which event, the item will be considered separately in its normal sequence. Tuesday, September 15, 2026 1

1. Sheriff - Revenue Agreement with the California Department of State Hospitals for Security for Early Access and Stabilization Services (Districts: All) Recommendation by Sheriff: 1) Approve and authorize the Clerk of the Board to accept and execute upon receipt a nine-month revenue contract between the County of San Diego and Liberty Health Services, Inc. for security services while on-site incompetent to stand trial services are being performed at County jails for the period of October 1, 2026 to June 30, 2027 2) Authorize the Sheriff to execute all required contract documents, including any extensions, amendments, or revisions thereof that do not materially impact either the program or funding level 3) Waive Board Policy B-29, Fees, Grants, Revenue Contracts - Department Responsibility for Cost Recovery, which requires docketing Revenue Contracts with the Board of Supervisors at least 60 days prior to the effective date of the contract Board Letter Agenda Information Sheet Approval Log Attachments: 2. Request for a Single Source Procurement for a New Cooperative Agreement with the California Department of Forestry and Fire Protection (CAL FIRE) for Continued Fire Protection and Emergency Medical Services (Districts: All) Recommendation by Chief Administrative Officer: In accordance with Board Policy A-87, Competitive Procurement, approve and authorize the Director of the Department of Purchasing and Contracting to enter into negotiations with California Department of Forestry and Fire Protection (CAL FIRE) and subject to successful negotiations and a determination of a fair and reasonable price, award a contract for fire protection and emergency medical services and operating goods effective July 1, 2027, with an initial term of three years and two option years and an additional six months if needed, through December 31, 2032, and to amend the contract as needed to reflect changes to requirements and funding. Board Letter Agenda Information Sheet Approval Log Attachments: 3. Adoption of the Updated County of San Diego Operational Area Emergency Operations Plan (Districts: All) Tuesday, September 15, 2026 2

Recommendation by Chief Administrative Officer: Adopt the updated County of San Diego Operational Area Emergency Operations Plan, as approved by the Unified San Diego County Emergency Services Organization. Board Letter Agenda Information Sheet Approval Log Attachment A - Op Plan Report Attachments: 4. Adopt the San Diego County Regional Fuel Contingency Plan (Districts: All) Recommendation by Chief Administrative Officer: Adopt the County of San Diego Regional Fuel Contingency Plan, as approved by the Unified Disaster Council. Board Letter Agenda Information Sheet Approval Log Attachment A – Contingency Plan Attachments: 5. Authorize Certification Statement for California Children’s Services Program (Districts: All) Recommendation by Chief Administrative Officer: 1) Approve and authorize the Clerk of the Board, or designee, to execute, upon receipt, the Fiscal Year 2027-2028 through Fiscal Year 2031-2032 State California Children’s Services Certification Statements. 2) Authorize the Chief Administrative Officer, or designee, to apply for any additional funding opportunity announcements, if available, to support programs and services that improve the health and well-being of children. Board Letter Agenda Information Sheet Approval Log Attachment A - Certification Statement Attachments: 6. Authorize Acceptance Of California Department Of Transportation Funding For Sustainable Transportation Planning Grant Award (Districts: All) Recommendation by Chief Administrative Officer: 1) Waive Board Policy B-29, Fees, Grants, Revenue Contracts - Department Responsibility Tuesday, September 15, 2026 3

for cost recovery for grants. 2) Authorize the acceptance of $700,000 in grant funds from the California Department of Transportation (Caltrans) for the period of September 1, 2026, through June 30, 2029, for the Sustainable Transportation Planning Program. 3) Authorize the Chief Administrative Officer, or designee, to execute all required grant documents, upon receipt, including any annual extensions, amendments, and/or revisions thereto that do not materially impact or alter the services or funding level. 4) Authorize the Chief Administrative Officer, or designee, to apply for additional funding opportunity announcements, if available, to support chronic disease prevention and management efforts. Board Letter Agenda Information Sheet Approval Log Attachments: 7. Approve Submission of the Refugee Support Services Plan for Federal Fiscal Years 2027-2029 and Adopt the Related Resolution (Districts: All) Recommendation by Chief Administrative Officer: 1) Approve submission of the Federal Fiscal Years 2027-2029 Refugee Support Services Plan to the California Department of Social Services, Refugee Programs Bureau and authorize submittal of revisions by the Chief Administrative Officer, or designee, when required by changes in funding or services. 2) Adopt the Resolution entitled: A RESOLUTION OF THE BOARD OF SUPERVISORS OF THE COUNTY OF SAN DIEGO RELATING TO REFUGEE SUPPORT SERVICES PLAN FOR FEDERAL FISCAL YEAR 2027 THROUGH FEDERAL FISCAL YEAR 2029. Board Letter Agenda Information Sheet Approval Log Attachment A - RSS Plan 2027-2029 Attachment B - Resolution Attachments: 8. Approve the Fiscal Year 2026-27 Appropriation Limit for the County of San Diego (Districts: All) Recommendation by Chief Administrative Officer: 1) 1) Adopt the Resolution entitled: A RESOLUTION OF THE BOARD OF SUPERVISORS OF THE COUNTY OF SAN DIEGO RELATING TO ADOPTING AN APPROPRIATION LIMIT FOR THE COUNTY OF SAN DIEGO FOR FISCAL YEAR 2026-27 Tuesday, September 15, 2026 4

Board Letter Agenda Information Sheet Approval Log 1 Approval Log 2 Attachment A - Resolution Attachment B - Funds Subject to Appropriation Limit Attachment C - Documentation Determination Attachments: 9. Approve Property Tax Rates for Fiscal Year 2026-27 (Districts: All) Overview This is a request to set the annual countywide ad valorem tax rates and the tax rates for school district debt service funds. State law requires that these rates be adopted by the Board of Supervisors (Board) on or before October 3rd annually so the rates can be used to prepare the property tax roll and property tax bills. State law also requires that taxes be levied upon the taxable property of the County. Recommendation by Chief Administrative Officer: Adopt the resolution entitled: “A RESOLUTION OF THE BOARD OF SUPERVISORS OF THE COUNTY OF SAN DIEGO ADOPTING THE PROPERTY TAX RATES FOR THE FISCAL YEAR COMMENCING JULY 1, 2026” (Attachment A, on file with the Clerk of the Board) incorporating the various rates as computed by the Auditor and Controller for Fiscal Year 2026-27. Equity Impact Statement General Obligation Bonds are a vital financing mechanism for school districts in our community. The proceeds from the voter approved bonds are used to provide much needed infrastructure and equipment to school districts that might not otherwise have the resources for the acquisition and/or construction of these public improvements. There is strong evidence that high-quality infrastructure facilitates better instruction, improves student outcomes, and reduces dropout rates, among other benefits. School districts must conduct an annual, independent performance and financial audit. Sustainability Impact Statement The proposed action supports the County of San Diego Strategic Initiative of Sustainability. Supporting school districts by authorizing the Fiscal Year 2026-27 property tax rates will raise the funds necessary to make the annual principal and interest payments on voter approved bonded debt. Fiscal Impact There is no fiscal impact associated with the adoption of this resolution. There will be no change in net General Fund cost and no additional staff years. Tuesday, September 15, 2026 5

Business Impact Statement N/A Board Letter Agenda Information Sheet Approval Log Attachment A - Resolution Attachment B - Exhibit A - Tax Rates 26-27 Attachments: 10. Approving the Issuance of Bonds by the California Municipal Finance Authority to Finance or Refinance the Acquisition of and Improvements at Promenade Apartments (District: 4) Recommendation by Chief Administrative Officer: Adopt a Resolution entitled: RESOLUTION OF THE BOARD OF SUPERVISORS OF THE COUNTY OF SAN DIEGO APPROVING THE ISSUANCE OF CALIFORNIA MUNICIPAL FINANCE AUTHORITY EXEMPT FACILITY BONDS IN AN AGGREGATE PRINCIPAL AMOUNT NOT TO EXCEED $40,000,000 FOR THE PURPOSE OF FINANCING OR REFINANCING THE ACQUISITION, CONSTRUCTION, IMPROVEMENT AND EQUIPPING OF PROMENADE APARTMENTS Board Letter Agenda Information Sheet Approval Log Attachment A - Resolution Attachment B - Transcript Attachment C - Proof of Notice Attachment D - Project Application Attachments: 11. Approving the Issuance and Reissuance of Bonds by the California Municipal Finance Authority to Finance or Refinance the Acquisition of and Improvements at Seaward Affordable Apartments (District: 1) Recommendation by Chief Administrative Officer: Adopt a Resolution entitled: RESOLUTION OF THE BOARD OF SUPERVISORS OF THE COUNTY OF SAN DIEGO APPROVING THE ISSUANCE AND REISSUANCE OF CALIFORNIA MUNICIPAL FINANCE AUTHORITY EXEMPT FACILITY BONDS IN AN AGGREGATE PRINCIPAL AMOUNT NOT TO EXCEED $20,000,000 FOR THE PURPOSE OF FINANCING AND/OR REFINANCING THE ACQUISITION, DEVELOPMENT, CONSTRUCTION, AND EQUIPPING OF A QUALIFIED RESIDENTIAL RENTAL PROJECT TO BE KNOWN AS Tuesday, September 15, 2026 6

SEAWARD AFFORDABLE APARTMENTS Board Letter Agenda Information Sheet Approval Log Attachment A - Resolution Attachment B - Transcript Attachment C - Proof of Notice Attachment D - Project Application Attachments: 12. Approve 11 Conflict of Interest Codes Submitted by County Departments and Local Agencies for the Required Biennial Review (Districts: All) Recommendation(s) by Chief Administrative Officer: 1) Approve the amended Conflict of Interest Codes adopted by the following County departments (Attachment A): o Civil Service Commission o County Technology Office 2) Approve the amended Conflict of Interest Codes adopted by the following agencies (Attachment B): o Guajome Park Academy o Helix Water District o Iftin Charter School o Lakeside Fire Protection District o Metropolitan Transit System o Pacific Coast Academy o Rainbow Municipal Water District o San Elijo Joint Powers Authority o Vista Irrigation District Board Letter Agenda Information Sheet Approval Log Attachment A - COI County Department Attachment B - COI Agencies Attachment C - Support Docs County Department Attachment D - Support Docs Agencies Attachments: Tuesday, September 15, 2026 7

13. Second consideration and adoption of Ordinance: Adopt an Ordinance to Amend Rules and Duties for the Citizens’ Law Enforcement Review Board and Approve Updated Rules and Regulations (September 1, 2026- First Reading; September 15, 2026- Second Reading Unless Ordinance is Modified on Second Reading) (Districts: All) Recommendation by Chief Administrative Officer: 1. Consider and adopt the Ordinance (second reading): AN ORDINANCE AMENDING SECTIONS 340.7 AND 340.9 OF THE SAN DIEGO CODE OF ADMINISTRATIVE ORDINANCES PERTAINING TO THE ORGANIZATION AND DUTIES OF THE CITIZENS’ LAW ENFORCEMENT REVIEW BOARD 2. Approve the sunset review date of December 31, 2033 for this ordinance 3. Pursuant to subparagraph (b) of section 340.7 of the San Diego Code of Administrative Ordinances, approve the August 6, 2026 amendments to the Citizens’ Law Enforcement Review Board’s Rules and Regulations. Board Letter Agenda Information Sheet Approval Log Attachment A - Ordinance Clean Attachment B - Ordinance Info Attachment C - Summary of Ordinance Attachment D - CLERB Rules and Regs - Clean Attachment E - CLERB Rules and Regs - Info Attachments: 14. Appointments to Boards, Commissions, and Committees (Districts: All) Recommendation by Chair Terra Lawson-Remer: 1) Appoint Benjamin Maxwell to the Child and Family Strengthening Advisory Board, Seat 20, to complete the unexpired term, set to expire May 1, 2027. Recommendation by Chair Pro Tem Paloma Aguirre: 1) Appoint Rachel Morineau to Community Action Partnership Administering Board, Seat 1, for a term to expire January 8, 2029. Recommendation by Chief Administrative Officer: 1) Appoint Wilford Smith to the Community Action Partnership Administering Board, to Seat 6 from Seat 16, for a term to expire September 15, 2029. 2) Appoint Brandon Duran to the Community Action Partnership Administering Board, Seat 14, for a term set to expire September 15, 2029. 3) Appoint Andrew Cross to the County of San Diego HIV Planning Group, Seat 2, for a term set to expire September 15, 2030. Tuesday, September 15, 2026 8

4) Appoint Tania Avalos-Bello to the County of San Diego HIV Planning Group, Seat 5, for a term set to expire September 15, 2030. 5) Appoint Esteban Duarte to the County of San Diego HIV Planning Group, Seat 42, to complete the unexpired term, set to expire January 07, 2029. 6) Appoint Angela Vito Cruz to the County of San Diego HIV Planning Group, Seat 44, to serve a term set to expire September 15, 2030. Board Letter Agenda Information Sheet Approval Log Attachment A - Supporting Docs Attachments: 15. Communications Received (Districts: All) Recommendation by Chief Administrative Officer: 1) Note and file. Board Letter Agenda Information Sheet Approval Log Attachment A - CR List Attachment B - CR1. Contracts and Agreements Attachment C - CR2. County Staff Information Attachment D - CR3. Meeting Minutes Attachment E - CR4. Other Government Entities- Official Notifications Attachment F - CR5. Public Communication Attachment G - CR6. Recorded Documents Attachments: F. Discussion Items These items are presented for Board consideration and public discussion. Discussion Items may involve staff presentations and deliberation by the Board. The Board may provide direction, adopt recommendations, or take other appropriate actions. Please note that the Board may take items in a different order than they appear on the agenda. 16. Receive Presentation on the Draft Economic Impact Study and Recommendations on the Tijuana River Sewage Crisis (Districts: All) Recommendation by Chief Administrative Officer: Receive a presentation with the draft preliminary findings of the Economic Costs and Impacts of the Tijuana River Sewage Crisis study in response to the Board’s September 9, 2025 (17), direction.1) ..End Tuesday, September 15, 2026 9

Equity Impact Statement The communities most directly affected by the Tijuana River sewage crisis include areas with socioeconomic and demographic characteristics that may increase vulnerability to economic and environmental disruptions. The draft study identifies a primary study area with approximately 155,265 residents and 47,759 households. The study reports higher unemployment, a higher share of renters and cost-burdened renter households, lower educational attainment, and a higher share of households with incomes below $75,000 compared with the overall region. Presenting the draft findings supports a more complete understanding of how the crisis affects communities that have experienced prolonged exposure to pollution and related economic disruption. Sustainability Impact Statement Presentation of the draft findings supports the County of San Diego’s efforts to understand and address the long-term environmental, economic, and community impacts of the Tijuana River sewage crisis. The study provides information that can help guide investments and policy actions intended to improve environmental conditions, community well-being, economic resilience, and the long-term sustainability of affected communities. Fiscal Impact There is no fiscal impact associated with today’s presentation on the economic impacts of the Tijuana River sewage crisis. There will be no change in General Fund cost and no additional staff years. Business Impact Statement The draft study identifies significant pathways through which the sewage crisis has and may continue to affect businesses, including reduced beach visitation and tourism, lower customer activity, business disinvestment, and changes in business starts. Business survey respondents reported revenue impacts and indicated that continued conditions could result in reduced staffing, lost income, closure, or relocation. Draft recommendations include expanding economic-development and technical assistance for affected businesses, promoting destinations and activities that remain available during beach water closures, supporting events that increase foot traffic, connecting businesses with financial and marketing resources, and promoting South Bay assets and investment opportunities. Advisory Board Statement N/A Background The Tijuana River sewage crisis has affected communities and coastal areas in the South Bay for decades. Sewage and other pollutants carried through the Tijuana River watershed have contributed to prolonged beach water closures, degraded water and air quality, public health concerns, reduced recreational access, and economic disruption in affected communities. On September 9, 2025 (17), the San Diego County Board of Supervisors (Board) approved an item entitled, “Enhancing Regional Efforts and Federal Advocacy to Advance Solutions to the Tijuana River Sewage Crisis.” As part of that action, the Board directed the Chief Administrative Officer to fund and implement an Economic Impact Study assessing the full scope of losses caused by the sewage crisis, including impacts to small businesses, property Tuesday, September 15, 2026 10

values, and regional tourism, to strengthen future funding and mitigation efforts. The resulting Economic Costs and Impacts of the Tijuana River Sewage Crisis study is designed to identify and measure economic costs and impacts associated with the crisis and to provide evidence supporting a proactive approach to addressing those impacts. The draft methodology acknowledges that certain impacts can be monetized and directly attributed to the sewage crisis. It further recognizes that additional impacts can be quantified, though not reliably converted into monetary terms or conclusively linked to the crisis. Still others can be described or identified but cannot be appropriately quantified with the information currently available. The draft analysis identifies a series of negative economic impacts, including worsening water and air quality and prolonged beach water closures caused by increased sewage flows. These conditions have, in turn, contributed to reduced tourism and recreation, lost recreation value, costs to local businesses, property value declines, decreased transient occupancy tax revenues, increased public health and water treatment costs, population outmigration, and potential reductions in public school funding. The findings also identify potential impacts to public schools, with impacted districts experiencing larger reductions in enrollment and average daily attendance than other school districts in the region. Government expenditures associated with addressing the crisis are another component of the preliminary analysis. The study identifies approximately $1.3 billion in government spending to date based on various government reports, documents, websites, and news sources. Preliminary analysis indicates that the sewage crisis is causing substantial regional economic losses, with annual reductions in San Diego County’s economic output estimated between $125.6 million and $503.5 million and discounted cumulative 20-year impacts ranging from $1.9 billion to $7.9 billion (in 2025 dollars). These estimates should be viewed as indicating the potential scale of economic effects, not as final damage determinations. Community and stakeholder engagement conducted for the study further illustrates these impacts on residents and businesses. This engagement took multiple forms, including virtual meetings with stakeholder discussion groups. These sessions gathered qualitative data such as anecdotes, stories, and lived experience. Invited stakeholders included municipal officials, environmental regulators, business leaders, chamber of commerce representatives, health experts, and community leaders. Additional community input was gathered via an online portal with four targeted surveys that were heavily promoted through multiple channels. Participants in the discussion groups and survey respondents reported reduced recreational activity, shorter or less frequent visits to impacted areas, concerns about health and quality-of-life, losses in business revenue, decreased staffing needs, and the potential for business closure or relocation if current conditions persist. The draft recommendations include providing consistent real-time communication to the affected communities across agencies and jurisdictions, providing support for affected businesses through promotional and technical assistance activities, strengthening regional and binational coordination, and advocating for long-term infrastructure reliability. The findings also recommend support for the San Diego Regional Chamber of Commerce’s 5-Pillar Framework, predictable funding for operations and maintenance, preventive maintenance and monitoring, and a coordinated binational approach that moves the region from reactive repairs toward Tuesday, September 15, 2026 11

proactive system management. The findings and recommendations presented today remain preliminary until the final report by ECOnorthwest is delivered in October 2026. Additional analysis and refinement are underway, including further evaluation of recreation and tourism losses, air-quality-related public health costs, property assessed values, and public-school funding implications. By receiving an update on the draft findings, the Board will have an opportunity to review the study’s current analysis and recommendations while the work is finalized. Receipt of today’s presentation on the draft preliminary findings does not constitute adoption of the findings or recommendations and does not authorize implementation of future actions requiring separate Board approval. The final report may include recommendations that, subject to the Board’s future consideration and direction, may require funding. Linkage To The County Of San Diego Strategic Plan Today’s action to receive the draft preliminary findings of the Economic Costs and Impacts of the Tijuana River Sewage Crisis study supports the “Equity” and “Community” Strategic Initiatives in the County of San Diego’s 2026-2031 Strategic Plan by providing data and analysis that can inform efforts to improve community quality of life, advance environmental justice, strengthen economic resilience, and protect the health and well-being of residents and businesses affected by the Tijuana River sewage crisis. Respectfully submitted, Board Letter Agenda Information Sheet Approval Log Attachments: 17. Improving Care and Achieving Cost Savings by Insourcing Nursing Services at South Region Public Health Center and Polinsky Children's Center (Districts: All) Recommendation by Supervisor Joel Anderson and Chair Pro Tem Paloma Aguirre: 1) Direct the Chief Administrative Officer to transition the immunization services at South Region Public Health Center, currently provided by University of California San Diego through contract 567121, to a model where services are provided by County staff, no later than December 31, 2026. 2) Direct the Chief Administrative Officer to transition the physical health services at Polinsky Children’s Center, currently provided by Rady Children’s Hospital through contract 563750, to a model where services are provided by County staff by December 31, 2026. Board Letter Agenda Information Sheet Attachments: Tuesday, September 15, 2026 12

18. Strengthening Wage Theft Enforcement to Recover Stolen Wages and Protect Working Families (Districts: All) Recommendation by Chair Pro Tem Paloma Aguirre 1) Direct the Chief Administrative Officer to implement an expanded enforcement strategy within the Office of Labor Standards and Enforcement that includes: a. Increased investigative capacity to address wage theft complaints, including proactive, industry-targeted investigations in sectors with high rates of violations; b. Enhanced enforcement of local and state labor standards; and c. Targeted outreach that connects workers directly to enforcement, including: i. Complaint intake and referral pathways that connect workers directly to the Wage Theft Enforcement Program and Workplace Justice Fund, through culturally competent, multilingual, and community-based outreach; and ii. Engagement strategies tailored to workers and industries at heightened risk of wage theft, including partnerships with trusted community-based organizations and worker-serving institutions that can identify violations and refer cases for investigation. 2) Direct County Counsel, in coordination with the CAO and the Director of OLSE, to strengthen wage theft enforcement through enhanced legal coordination, including: a. Streamlining referral processes between OLSE and the Office of County Counsel; b. Expanding litigation pathways to pursue wage theft violations and recover unpaid wages; and c. Identifying and assigning appropriate legal resources to support a more proactive and effective enforcement strategy. 3) Direct the CAO to evaluate opportunities to strengthen and expand the Wage Theft Enforcement Program and Workplace Justice Fund, including: a. Identifying sustainable funding sources, such as penalties, fees, settlements, grants, and other revenue streams associated with wage theft enforcement; b. Assessing strategies to increase access to these programs for workers with unpaid wage judgments; c. Evaluating strategies to improve the efficiency and timeliness of employer-side collection and cost-recovery efforts as enforcement capacity expands; and d. Identifying opportunities to align these programs with expanded enforcement efforts to maximize recovery and direct financial relief to impacted workers. 4) Direct the CAO to report back to the Board within 120 days with a written update on implementation of this Board action, including progress on staffing, enforcement, wages recovered and judgments collected, Wage Theft Enforcement Program and Workplace Justice Fund improvements, and any additional resource or policy recommendations for Board consideration. 5) Direct the CAO to express the County’s support for Assembly Bill 1838, consistent with Board Policy M-2. 6) Refer to the Fiscal Year 2027-28 CAO Recommended Operational Plan the appropriation of $300,000 of ongoing funding in the Chief Administrative Office, Office of Labor Standards and Enforcement (OLSE) based on General Purpose Revenue or other available funding source(s) and the addition of two staff years (2.0 full-time equivalent positions) to expand Tuesday, September 15, 2026 13

the County’s capacity to investigate wage theft complaints, enforce labor standards, and recover unpaid wages owed to workers with both positions dedicated to enforcement functions, including investigation, case development, and judgment collection. 7) Direct the Chief Administrative Officer to identify up to $150,000 one-time funding to increase capacity through temporary staffing in the Chief Administrative Office, Office of Ethics, Compliance and Labor Standards (OECLS) and return to the Board in a Fiscal Year 2026-27 quarterly status adjustment to transfer or establish necessary appropriations, contingent upon the identification of available funding in Fiscal Year 2026-27. Board Letter Agenda Information Sheet Attachments: 19. Taking Deceptive Retailers to Court for Marketing Motorcycles to Kids as “E-Bikes” (Districts: All) Recommendation by Chair Terra Lawson-Remer 1) Direct the Chief Administrative Officer, in consultation with County Counsel, to pursue legal actions against manufacturers, distributors, and retailers marketing and selling illegal electric motorcycles as e-bikes, under state and federal law. Litigation options should include, but not be limited to actions arising under, California’s False Advertising Law, Unfair Competition Law, Consumers Legal Remedies Act, and public nuisance. This may also include joining statewide and national efforts, outreach to justice officials, and affirmative litigation strategies. Return to the Board in closed session on an ongoing basis every 90 days with updates on their efforts, and with options that the Board can consider for further direction. Board Letter Agenda Information Sheet Attachments: 20. Receive a Presentation on the County of San Diego’s El Niño and Severe Weather Preparedness and Take Actions to Strengthen Community Preparedness (Districts: All) Recommendations by Chief Administrative Officer: 1) Receive a presentation on the County of San Diego’s El Niño and severe weather preparedness efforts. 2) Direct the Chief Administrative Officer to develop an enterprise-wide Severe Weather Community Preparedness Resource Hub and engagement strategy that strengthens access to preparedness resources, leverages community-based organizations and trusted messengers, addresses access and functional needs and other barriers, and incorporates community voice into preparedness efforts. Board Letter Agenda Information Sheet Approval Log Attachments: Tuesday, September 15, 2026 14

21. Enhancing Emergency Ambulance Transportation Services in the Grossmont Ambulance Operating Area (Districts: 1, 2, and 4) Recommendation by Chief Administrative Officer: 1) Authorize the Director, San Diego County Fire, on behalf of the Chief Administrative Officer, to reach mutual termination with the Grossmont Hospital Corporation for management of emergency ambulance transportation services within the Grossmont Ambulance Operating Area. 2) Authorize the Director, San Diego County Fire, on behalf of the Chief Administrative Officer, to accept the transfer of the Grossmont Hospital Corporation contract with the ambulance provider and subsequently transfer the contract to the San Diego County Fire Protection District. (Relates to San Diego County Fire Protection District item no. 25) Board Letter Agenda Information Sheet Approval Log Fire Attachment A - Agreement Attachment B - Correspondence Attachments: 22. Receive Update on The Aging Roadmap San Diego County Regional Plan Fiscal Year 2025-26 Annual Report (Districts: All) Recommendation by Chief Administrative Officer: Receive update on the Aging Roadmap Board Letter Agenda Information Sheet Approval Log Attachment A - Annual Report Attachments: G. Special Districts When the Board of Supervisors meets as the governing body of a special district, they are acting in a different capacity than during their regular County business. In this role, the Board makes decisions that apply only to that specific district, such as approving its budgets, projects, policies, and operations. These actions are legally separate from the Board’s actions as the County of San Diego, and they apply only to the area and responsibilities of the special district. Special Districts Consent Agenda 24. Fire Safety Inspection Reporting for Fiscal Year 2025-26 (Districts: 1, 2, and 5) Tuesday, September 15, 2026 15

Recommendation by Executive Director: 1) Receive San Diego County Fire’s report of State-mandated inspections, as required by California Health and Safety Code Section 13146.4, within the San Diego County Fire Protection District 2) Adopt a resolution entitled: A RESOLUTION OF THE SAN DIEGO COUNTY BOARD OF DIRECTORS OF THE SAN DIEGO COUNTY FIRE PROTECTION DISTRICT TO ACCEPT THE REPORT OF THE COMPLETION OF THE FISCAL YEAR 2025-26 FIRE INSPECTIONS Board Letter Agenda Information Sheet Approval Log Attachment A - Resolution Attachment B - FY 25-26 Program Inspections Attachments: Special Districts Discussion Items 25. Enhancing Emergency Ambulance Transportation Services in the Grossmont Ambulance Operating Area (Districts: 1, 2, and 4) Recommendation by Executive Director: 1) Waive Board Policy A-87 Competitive Procurement and authorize the Executive Director, San Diego County Fire Protection District, or their designee, to accept ownership of the existing ambulance transportation contract between the Grossmont Hospital Corporation and their private ambulance operator and take all necessary actions to amend the agreement for service enhancements to patients and include the County of San Diego’s standard terms and conditions in the contract. 2) Approve and authorize the Executive Director, San Diego County Fire Protection District, or their designee, to execute a revenue agreement with the ambulance transportation provider(s) for the Grossmont Ambulance Operating Area in an amount up to $0.5 million annually, for administrative oversight, service enhancements, community investment and collection of non-compliance penalties through June 30, 2038. 3) In accordance with Section 401, Article XXIII of the County Administrative Code, authorize the Director, Department of Purchasing and Contracting, in coordination with the Emergency Medical Services Office (EMS), acting as the Board of Supervisors-designated Local EMS Agency, to issue a Competitive Solicitation(s) for ambulance transportation services within the Grossmont Ambulance Operating Area, and upon successful negotiations and determination of a fair and reasonable price, award a contract for a term of five (5) years, with five (5), one (1)-year options and up to an additional six months if needed, and to amend the contract as needed to reflect changes to services and funding, subject to the approval of the Executive Director, San Diego County Fire Protection District or their designee. (Relates to Board of Supervisors item no. 21) Tuesday, September 15, 2026 16

Board Letter Agenda Information Sheet Approval Log Attachment A - Agreement Attachment B - Correspondence Attachments: H. Closing Reports and Recess 1) Board Member Committee Updates: This is an opportunity for Members of the Board to provide informational updates on their committee assignments. No action may be taken. 2) Recess to Wednesday, September 16, 2026, at 9:00 a.m. for the Land Use Legislative Session Tuesday, September 15, 2026 17