BOARD OF SUPERVISORS

STATEMENT OF PROCEEDINGS COUNTY OF SAN DIEGO BOARD OF SUPERVISORS REGULAR MEETING TUESDAY, OCTOBER 8, 2024, 9:00 AM COUNTY ADMINISTRATION CENTER, ROOM 310 1600 PACIFIC HIGHWAY, SAN DIEGO, CALIFORNIA Order Of Business A. REGULAR SESSION: Meeting was called to order at 9:05 a.m. PRESENT: Supervisors Nora Vargas, Chair; Terra Lawson-Remer, Vice-Chair; Joel Anderson; Monica Montgomery Steppe, Jim Desmond; also, Andrew Potter, Clerk of the Board of Supervisors B. Statement (just cause) and/or Consideration of a Request to Participate Remotely (emergency circumstances) by a Supervisor, if applicable. C. Invocation was led by Reverend Rebecca Little John of Vista La Mesa Church. D. Pledge of Allegiance was led by Ms. Ekstein’s and Mr. Castro’s class of Bonita Vista High School. E. Presentations or Announcement of Proclamations and Awards: Chair Nora Vargas presented a proclamation declaring October 8, 2024, to be Javier Plascencia Day throughout the County of San Diego. Chair Nora Vargas and Supervisors Monica Montgomery Steppe presented a proclamation declaring October 8, 2024, to be Scripps Health – 100 Years of Caring Day throughout the County of San Diego. Supervisor Joel Anderson presented a proclamation declaring the week of October 6-12, 2024, to be National 4-H Week throughout the County of San Diego. Vice Chair Terra Lawson-Remer presented a proclamation declaring the Month of October 2024, to be Italian Heritage Month throughout the County of San Diego. Vice Chair Terra Lawson-Remer and Supervisor Monica Montgomery Steppe presented a proclamation declaring the Month of October 2024, to be Filipino American History Month throughout the County of San Diego. Supervisor Jim Desmond presented a proclamation declaring the Month of October 2024, to be Domestic Violence Awareness Month throughout the County of San Diego. F. Non-Agenda Public Communication: Opportunity for members of the public to speak to the Board on any subject matter within the Board’s jurisdiction but not an item on today’s agenda. G. Approval of the Statement of Proceedings/Minutes for the meeting of September 24, 2024. 1TUESDAY, OCTOBER 8, 2024

ACTION: ON MOTION of Supervisor Anderson, seconded by Supervisor Desmond, the Board of Supervisors approved the Statement of Proceedings/Minutes for the Regular meeting of September 24, 2024. Vargas, Anderson, Lawson-Remer, Montgomery Steppe, DesmondAYES: H. Consent Calendar I. Discussion Items J. 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. NOTICE: THE BOARD OF SUPERVISORS MAY TAKE ANY ACTION WITH RESPECT TO THE ITEMS INCLUDED ON THIS AGENDA. RECOMMENDATIONS MADE BY COUNTY STAFF DO NOT LIMIT ACTIONS THAT THE BOARD OF SUPERVISORS MAY TAKE. MEMBERS OF THE PUBLIC SHOULD NOT RELY UPON THE RECOMMENDATIONS IN THE BOARD LETTER AS DETERMINATIVE OF THE ACTION THE BOARD OF SUPERVISORS MAY TAKE ON A PARTICULAR MATTER. Board of Supervisors' Agenda Items SubjectAgenda # 1. SHERIFF - REQUEST APPROVAL FOR A MANUFACTURER’S SINGLE SOURCE PROCUREMENT OF A PORTABLE SILVUS TECHNOLOGIES INC. RADIO SYSTEM 2. AUTHORIZE ACCEPTANCE OF 2023 URBAN AREA SECURITY INITIATIVE GRANT FUNDS AND ESTABLISH APPROPRIATIONS (4 VOTES) 3. RATIFY ACCEPTANCE OF DONATION TO DEPARTMENT OF ANIMAL SERVICES FROM ANONYMOUS DONOR 4. SUNSET REVIEW OF COUNTY ADMINISTRATIVE CODE ARTICLES ASSIGNED TO THE PUBLIC SAFETY GROUP - OFFICE OF EMERGENCY SERVICES 5. AUTHORIZE ACCEPTANCE OF BEHAVIORAL HEALTH BRIDGE HOUSING GRANT FUNDS, AUTHORIZE A COMPETITIVE SOLICITATION FOR PROVISION OF RECUPERATIVE CARE SERVICES, AUTHORIZE REALLOCATION OF AMERICAN RESCUE PLAN ACT EVERGREEN FUNDS SUPPORTING RECUPERATIVE CARE SERVICES, AND ADD ACCESS TO RECUPERATIVE CARE TO THE LEGISLATIVE PROGRAM 6. APPOINTMENTS: VARIOUS 7. COMMUNICATIONS RECEIVED 8. REDUCING GUN VIOLENCE THROUGH RESPONSIBLE FIREARM PROCUREMENT ORDINANCE 2TUESDAY, OCTOBER 8, 2024

9. PROPERTY TAX ALLOCATIONS AND FUNDING FOR FIRE PROTECTION IN UNINCORPORATED COMMUNITIES 10. CREATE A UNIT DEDICATED TO REPRODUCTIVE HEALTH, JUSTICE AND EQUITY 11. RECEIVE THE ANALYSIS OF HOW CHANGES TO PROPOSITION 47, THROUGH THE POTENTIAL PASSAGE OF PROPOSITION 36, COULD IMPACT FUNDING FOR SERVICES OFFERED BY THE COUNTY OF SAN DIEGO; BOARD TO CONSIDER TAKING A POSITION ON PROPOSITION 36 12. EXPANSION OF EMERGENCY AIR QUALITY AND IMPROVEMENT RELIEF: PROCUREMENT AND DISTRIBUTION OF AIR PURIFIERS RELATED TO THE TIJUANA RIVER POLLUTION CRISIS AND A-72 WAIVER (4 VOTES) 13. DECLARING THE TIJUANA RIVER VALLEY AN EPA SUPERFUND SITE TO UNLOCK STATE AND FEDERAL FUNDS FOR TOXIC REMEDIATION AND CLEAN-UP 14. A RESOLUTION OF THE BOARD OF SUPERVISORS OF THE COUNTY OF SAN DIEGO TO DECLARE ITS SUPPORT FOR PROPOSITION 4 ON THE NOVEMBER 2024 BALLOT TO PASS THE SAFE DRINKING WATER, WILDFIRE PREVENTION, DROUGHT PREPAREDNESS, AND CLEAN AIR BOND ACT OF 2024 15. A RESOLUTION IN SUPPORT OF PROPOSITION 6 TO AMEND ARTICLE 1, SECTION 6 OF THE CALIFORNIA CONSTITUTION 16. SUNSET REVIEW OF BOARD OF SUPERVISORS POLICIES, COUNTY ADMINISTRATIVE CODE, AND COUNTY REGULATORY CODE PROVISIONS ASSIGNED TO THE FINANCE AND GENERAL GOVERNMENT GROUP (10/8/24 - First Reading; 10/22/24 - Second Reading, unless the ordinances are modified on second reading) 17. COMMUNITY ENGAGEMENT FOR THE MIGRANT TRANSITION DAY CENTER AND A-72 WAIVER 18. CLOSED SESSION 19. NON-AGENDA PUBLIC COMMUNICATION 3TUESDAY, OCTOBER 8, 2024

1. SHERIFF - REQUEST APPROVAL FOR A MANUFACTURER’S SINGLE SOURCE PROCUREMENT OF A PORTABLE SILVUS TECHNOLOGIES INC. RADIO SYSTEM (DISTRICTS: ALL) SUBJECT: OVERVIEW The San Diego County Sheriff’s Office (Sheriff) Special Enforcement Detail (SED) is a tactical unit tasked with responding to critical incidents and crisis situations within the region. SED plans to enhance and strengthen operational communication capabilities and situational awareness within San Diego County, specifically in the rural and remote locations, through a manufacturer’s single source procurement of a portable Silvus Technologies, Inc. Radio System. On January 6, 2021, Sheriff’s Aerial Support to Regional Enforcement Agencies (ASTREA) through a competitive procurement chose Silvus Technologies, Inc. radios to create a high-definition video downlink and data transmission radio mesh network system. Silvus Technologies, Inc. radios use advanced radio technology and a unique wireless communication network not compatible with other radios due to proprietary software that does not allow cross communication. Near the United States-Mexico international border, communication issues are exacerbated by aggressive terrain and the lack of repeater antennae for the 800-megahertz (MHz) system due to property constraints. The procurement of a portable Silvus Radio System will provide a mobile communication network for deployment at scale in remote regions locations, such as rural areas, and locations with reinforced concrete structures that severely weaken radio signals such as parking structures, shopping centers, and schools. This enhanced network is particularly critical for operations near the international border, where effective communication can significantly impact the success of enforcement and security efforts. This is a request to authorize the Director of Purchasing and Contracting to issue a manufacturer’s single source competitive procurement for a portable Silvus Technologies, Inc., Radio System, to include Silvus radios, original equipment manufacturer parts, repairs, services, installation, accessories, supplies, and extended warranty. The Request for Bids (RFB) is anticipated to be posted on BuyNet by November 2024. The purchase order will be issued by the end of the year. RECOMMENDATION SHERIFF In accordance with Board Policy A-87, D.5 Standardization, approve and authorize the Director of the Department of Purchasing and Contracting, to issue a manufacturer’s single source competitive procurement for the purchase of additional Silvus Technologies, Inc. radios, original equipment manufacturer parts, repairs, services, installation, accessories, supplies, and extended warranty; and, subject to successful negotiation and a determination of a fair and reasonable price, award a contract for up to six years and an additional six months if needed, and to amend the contract as needed to reflect changes to requirements and funding, subject to the approval of the Sheriff. EQUITY IMPACT STATEMENT Today’s request for the procurement of a portable Silvus Radio System is essential in providing the Sheriff’s Special Enforcement Detail (SED) unit with the necessary tools to deliver a timely and accurate public safety response. The ability to access real time information and provide a 1TUESDAY, OCTOBER 8, 2024

clear image of situation assessments is critical for the safety of our communities. The primary purpose and benefit of a manufacturer’s single source procurement of the portable Silvus Radio System is to prevent disruption or gaps in communication and access to relevant information when delivering law enforcement services. SUSTAINABILITY IMPACT STATEMENT The proposed action to pursue a manufacturer’s single source procurement of the Silvus Technologies Radio System will allow the Sheriff’s SED unit to improve communication interoperability and shared situational awareness between members of the unit and other San Diego County law enforcement and public service agencies. This request aligns with the County of San Diego’s sustainability goals of providing just access to underserved communities. Having a robust, uninterrupted communication system and access to information, especially within remote areas of the County, is critical for the Sheriff’s Office to ensure the public safety of all communities. FISCAL IMPACT Funds for this request are included in the Fiscal Year 2024-25 Operational Plan for the Sheriff’s Office. If approved, this request will result in current year estimated costs of $352,380 and revenue of $350,000. The revenue recovers Sheriff's Office direct costs but does not reimburse all costs associated with administrative overhead and support estimated at $2,380. The funding source is grant revenue from the Fiscal Year 2023 Operation Stonegarden grant program ($350,000) and existing General Purpose Revenue ($2,380). Costs for ongoing maintenance of the radios, estimated at 1% annually ($3,500) after the one-year warranty ends, and remaining contract years will be included in future years operational plans for the Sheriff's Office. There will be no change in net General Fund cost and no additional staffing. BUSINESS IMPACT STATEMENT N/A ACTION: ON MOTION of Supervisor Montgomery Steppe, seconded by Supervisor Desmond, the Board of Supervisors took action as recommended, on Consent. Vargas, Anderson, Lawson-Remer, Montgomery Steppe, DesmondAYES: 2. AUTHORIZE ACCEPTANCE OF 2023 URBAN AREA SECURITY INITIATIVE GRANT FUNDS AND ESTABLISH APPROPRIATIONS (DISTRICTS: ALL) SUBJECT: OVERVIEW The U.S. Department of Homeland Security Urban Areas Security Initiative (UASI) focuses on regional governance, strategic planning, and collaboration to enhance preparedness and security. The UASI provides financial assistance to address the unique needs of high-threat, high-density urban areas in preventing, protecting against, mitigating, responding to, and recovering from threats or acts of terrorism. On September 12, 2023 (5), the Board of Supervisors (Board) adopted a resolution to authorize the Office of Emergency Services (OES) to submit grant applications related to disaster planning and support of emergency responders throughout the region, such as the UASI. 2TUESDAY, OCTOBER 8, 2024

On May 14, 2024, OES was awarded $1,720,194 Fiscal Year 2023 UASI grant funds, passed through the California Governor’s Office of Emergency Services, and sub-granted through the City of San Diego. OES is responsible for administering and distributing grant funds in the County for terrorism prevention, preparedness and response efforts. Accepting UASI grant funds will significantly bolster the region’s ability to prevent, protect against, respond to, and recover from terrorist threats and catastrophic events by providing essential resources and support. Today’s actions request the Board to authorize the acceptance of $1,720,194 in UASI grant funds, establish appropriations in the Office of Emergency Services ($960,784) and the Department of Animal Services ($250,000). In addition, today’s action includes a request to authorize the Director of the Office of Emergency Services, or designee, to sign all grant documents and any annual extensions, amendments, and/or revisions thereof that do not materially impact or alter the services or funding level. RECOMMENDATION(S) CHIEF ADMINISTRATIVE OFFICER 1. Authorize the Office of Emergency Services to accept $1,720,194 in grant funds from the U.S. Department of Homeland Security Urban Area Security Initiative for the period September 1, 2023 through December 15, 2025. 2. Authorize the Director, Office of Emergency Services, or designee to sign all required grant documents, including agreements for the distribution of grant funds where necessary to carry out the purposes of the grant program, and any annual extensions, amendments and/or revisions thereto that do not materially impact or alter the services or funding level. 3. Establish appropriations of $250,000 in the Department of Animal Services, Capital Assets Equipment to purchase mobile livestock emergency sheltering supplies with associated trailers for equipment transport based on the U.S. Department of Homeland Security Urban Area Security Initiative grant. (4 VOTES) 4. Establish appropriations of $960,784 in the Office of Emergency Services, Services & Supplies ($738,999) for a public outreach and engagement campaign, regional fuel contingency plan, and to purchase a Regional Readiness - Emergency Operations Center tool kit, and in Capital Assets Equipment ($221,785) to purchase a Mass Casualty Apparatus based on the U.S. Department of Homeland Security Urban Area Security Initiative grant. (4 VOTES) EQUITY IMPACT STATEMENT Today’s requested actions to accept the Fiscal Year 2023 Urban Area Security Initiative (UASI) grant funds significantly benefits efforts for equity in the region. Designated as a high-threat urban area, the San Diego region receives approximately $16 million annually from the UASI program. These funds support critical initiatives that enhance public safety, emergency management, and risk management. By investing in preparedness, information sharing, and risk reduction, the County of San Diego ensures a more equitable and resilient community. 3TUESDAY, OCTOBER 8, 2024

SUSTAINABILITY IMPACT STATEMENT Sustainable emergency management involves recognizing and assessing risks in a way that considers long-term impacts and environmental factors. The Board of Supervisors acceptance of Fiscal Year 2023 Urban Area Security Initiative (UASI) grant funds bolsters public safety readiness while aligning with the County’s sustainability goals. FISCAL IMPACT Funds for this request are not included in the Fiscal Year 2024-25 Operational Plan for the Office of Emergency Services and Department of Animal Services. Funds for this request are included in the Fiscal Year 2024-25 Operational Plan for the Department of Environmental Health and Quality. If approved, this request will result in current year costs and revenue of $250,000 in the Department of Animal Services, $509,410 in the Department of Environmental Health and Quality, and $960,784 in the Office of Emergency Services. The funding source is a U.S. Department of Homeland Security Urban Area Security Initiative grant. There will be no change in net General Fund cost and no additional staff years. BUSINESS IMPACT STATEMENT N/A ACTION: ON MOTION of Supervisor Montgomery Steppe, seconded by Supervisor Desmond, the Board of Supervisors took action as recommended, on Consent. Vargas, Anderson, Lawson-Remer, Montgomery Steppe, DesmondAYES: 3. RATIFY ACCEPTANCE OF DONATION TO DEPARTMENT OF ANIMAL SERVICES FROM ANONYMOUS DONOR (DISTRICTS: ALL) SUBJECT: OVERVIEW County of San Diego Administrative Code Article III, Section 66 Acceptance of Gifts and Board of Supervisors Policy A-112, Acceptance and Use of Gifts and Donations, governs the acceptance of gifts and donations by the administrative head of each department in the County, subject to approval by the Board of Supervisors. The County of San Diego’s Department of Animal Services (DAS) received a donation in April 2024 in the amount of $100,000 from an anonymous donor to support and promote the department’s mission to protect the health, safety and welfare of people and animals throughout the region. The donation was received by DAS from the Trust Estate Administrator of the donor, who prefers to remain anonymous. Funds will be deposited in the Medical Expense “Spirit” Trust Fund to help injured and sick animals regain their health through surgery, medicine, and follow-up care. Today’s request is to ratify the acceptance of a $100,000 donation for the Department of Animal Services and waive the requirement of a letter of appreciation since the donor has asked to remain anonymous. DAS has already sent a letter of appreciation to the donor on department letterhead via the Trust Estate Administrator. 4TUESDAY, OCTOBER 8, 2024

RECOMMENDATION(S) CHIEF ADMINISTRATIVE OFFICER 1. In accordance with County of San Diego Administrative Code Article III, Section 66 Acceptance of Gifts and Board of Supervisors Policy A-112, Acceptance and Use of Gifts and Donations, accept a donation from the anonymous donor in the amount of $100,000 for the Department of Animal Services. 2. Waive Board Policy A-112, Acceptance and Use of Gifts and Donations, which requires a letter of appreciation to an individual providing a gift or donation. EQUITY IMPACT STATEMENT The County of San Diego Department of Animal Services periodically receives monetary gifts and in-kind donations to benefit animal and public health and safety, including care for orphaned pets in County animal shelters. In Fiscal Year 2023-24, Animal Services served 6,809 animals, the majority of which enter our shelters as strays in need of veterinary care. Gifts and donations received by DAS help advance equity since they are used to provide access to services for those in historically underserved communities, which are frequently without veterinary care access for beloved family pets. By expanding access to critical veterinary services for those historically underserved, the County can help keep pets in homes with their families and out of shelters. SUSTAINABILITY IMPACT STATEMENT The proposed actions to ratify acceptance of a $100,000 donation from the anonymous donor, contribute to the County of San Diego Sustainability Goals to maintain adequate resources and fiscal stability to be able to provide critically needed veterinary care services. The Department of Animal Services is committed to the 2004 San Diego Animal Welfare Coalition Asilomar Accords (recently updated in November 2020) goal of saving all healthy and treatable dogs and cats in our care and meeting the standard of care typically provided in the community. These generous donations to the Spirit fund allow DAS to afford necessary but expensive medical care for animals that are treatable. FISCAL IMPACT If approved, donations will be deposited into Medical Expense Fund to help injured and sick animals regain their health through surgery, medicine, and follow-up care. There will be no change in net General Fund cost and no additional staff years. BUSINESS IMPACT STATEMENT N/A ACTION: ON MOTION of Supervisor Montgomery Steppe, seconded by Supervisor Desmond, the Board of Supervisors took action as recommended, on Consent. Vargas, Anderson, Lawson-Remer, Montgomery Steppe, DesmondAYES: 5TUESDAY, OCTOBER 8, 2024

4. SUNSET REVIEW OF COUNTY ADMINISTRATIVE CODE ARTICLES ASSIGNED TO THE PUBLIC SAFETY GROUP - OFFICE OF EMERGENCY SERVICES (DISTRICTS: ALL) SUBJECT: OVERVIEW In accordance with Board of Supervisors (Board) Policy A-76, Sunset Review Process, the Public Safety Group periodically reviews Board policies and provisions of the County of San Diego (County) Administrative Code and Regulatory Code to ensure they reflect current Board standards and practices, that obsolete policies and Code provisions are removed, and that policy language is revised for clarity accordingly. Today’s action seeks Board of Supervisors approval to extend the sunset date for the San Diego County Code of Regulatory Ordinances Title 3, Division 1, Chapter 1, Emergency Services Organization until December 31, 2031. RECOMMENDATION(S) CHIEF ADMINISTRATIVE OFFICER 1. Determine no change is necessary and establish the new sunset review date of December 31, 2031, for TITLE 3, DIVISION 1, CHAPTER 1, EMERGENCY SERVICES ORGANIZATION of the San Diego County Code of Regulatory Ordinances. EQUITY IMPACT STATEMENT County departments are guided by several Regulatory Codes, Administrative Codes, and Board policies to serve the region and customers consistently and equitably. The periodic review of County codes and policies ensures that departments keep documents up to date, provide clarifying language, and continue to guide departmental practices. Additionally, this practice allows the language within these codes and policies to align with current efforts and to reflect inclusivity. SUSTAINABILITY IMPACT STATEMENT This action to review County Administrative and Regulatory Codes aligns with the goal to promote opportunities for community engagement and supports the sustainability of governmental practices and services. Updates proposed in today’s action are meant to ensure that codes and policies are up to date, reflect current processes, and are needed to continue services and responsibilities to the region, such as emergency services. FISCAL IMPACT There is no fiscal impact associated with the proposal to establish new sunset dates for these regulatory codes. There will be no change in General Fund cost and no additional staff years. BUSINESS IMPACT STATEMENT N/A ACTION: ON MOTION of Supervisor Montgomery Steppe, seconded by Supervisor Desmond, the Board of Supervisors took action as recommended, on Consent. 6TUESDAY, OCTOBER 8, 2024

Vargas, Anderson, Lawson-Remer, Montgomery Steppe, DesmondAYES: 5. AUTHORIZE ACCEPTANCE OF BEHAVIORAL HEALTH BRIDGE HOUSING GRANT FUNDS, AUTHORIZE A COMPETITIVE SOLICITATION FOR PROVISION OF RECUPERATIVE CARE SERVICES, AUTHORIZE REALLOCATION OF AMERICAN RESCUE PLAN ACT EVERGREEN FUNDS SUPPORTING RECUPERATIVE CARE SERVICES, AND ADD ACCESS TO RECUPERATIVE CARE TO THE LEGISLATIVE PROGRAM (DISTRICTS: ALL) SUBJECT: OVERVIEW On September 27, 2022 (23), the San Diego County Board of Supervisors (Board) adopted the Behavioral Health Optimal Care Pathways (OCP) model, outlining the optimal and future capacity that would best support people with limited opportunities for placement due to complex needs, lack of existing services, inadequate capacity, and/or other specialty care needs. The model focuses on diversion to the least restrictive environment and supports the medical, social, and environmental needs of people more effectively by improving access and connecting them to ongoing care long term. According to the OCP model, the region has experienced significant capacity loss across community-based care. The inequity of this level of care continues to have impacts resulting in people remaining in higher levels of care. The model has identified the need for 12,000 new recuperative care bed days, a service which does not yet exist within the behavioral health continuum of care. Earlier this year, a grant opportunity became available to address this need. On January 16, 2024, the California Department of Health Care Services (DHCS) released a request for applications for the Behavioral Health Bridge Housing (BHBH) Program Round 3, which provided $265.0 million in competitive grant funds to county behavioral health agencies to address the immediate and sustainable housing needs of people experiencing homelessness who have serious behavioral health conditions. The County of San Diego (County) Health and Human Services Agency (HHSA), Behavioral Health Services (BHS) applied for BHBH Round 3 grant funds. Subsequently, on July 25, 2024, BHS received a notice of a conditional award totaling $12.4 million of grant funds for Program Operations and Bridge Housing Start-Up Infrastructure. On January 9, 2024 (14), the Board allocated $8.0 million in capital funding to support expanding recuperative care capacity using American Rescue Plan Act (ARPA) funds to address hospital overcrowding for medically vulnerable individuals experiencing homelessness. On May 21, 2024 (26), the Board specified use of General Purpose Revenue through the ARPA revenue loss strategy to fund the program. In response to Board direction, HHSA engaged community partners to gather input to ensure awarded funding would address specific gaps and barriers that persons experiencing homelessness face when accessing recuperative care. Today’s item requests the Board to authorize acceptance of $12.4 million of one-time grant funds, inclusive of $10.0 million for recuperative care services and $2.4 million of infrastructure funding for facility improvements, to establish a minimum of 49 new recuperative care beds. A portion of the grant funding will also be utilized to establish recuperative care infrastructure and services within the County-owned Substance Use Residential and Treatment Services (SURTS) facility. Additionally, today’s item requests the authorization to issue a competitive solicitation and award contract(s) for provision of recuperative care services. 7TUESDAY, OCTOBER 8, 2024

Additionally, today’s action will ensure funding designated for recuperative care will address barriers to access as identified by existing recuperative care providers, health providers, Medi-Cal managed care plans and other community partners who participated in community forums. Approval of today’s action would authorize up to $6.0 million of the designated $8.0 million from ARPA funding to support facility improvements required for the County-owned SURTS facility, specific to recuperative care beds that will serve individuals with serious behavioral health conditions. Today’s action would also authorize $2.0 million of the funds previously designated to recuperative care to invest in strategies to reduce barriers to access for existing recuperative care beds as identified by community providers and health care partners, and add access to recuperative care language to the Legislative Program. This item supports the County vision of a just, sustainable, and resilient future for all, specifically those communities and populations in San Diego County that have been historically left behind, as well as our ongoing commitment to the regional Live Well San Diego vision of healthy, safe, and thriving communities by supporting housing stability for individuals with behavioral health conditions, including those who are experiencing or at risk of homelessness. RECOMMENDATION(S) CHIEF ADMINISTRATIVE OFFICER 1. Authorize the acceptance of $12.4 million of one-time competitive Behavioral Health Bridge Housing (BHBH) grant funding and authorize the Agency Director, Health and Human Services Agency, or designee, to execute all required documents, upon receipt, including any annual extensions, amendments, or revisions that do not materially impact or alter the services or funding level. 2. In accordance with Section 401, Article XXIII of the County Administrative Code authorize the Director, Department of Purchasing and Contracting to issue a Competitive Solicitation for recuperative care services that serve individuals with serious behavioral health conditions, and upon successful negotiations and determination of a fair and reasonable price, award contracts for an Initial Term of up to one year, with up to four 1 -year option years, and up to an additional six months if needed, and to amend the contracts if needed, to reflect changes in program, funding or service requirements, subject to the availability of funds and approval of the Agency Director, Health and Human Services Agency. 3. Authorize up to $6.0 million in General Purpose Revenue through the American Rescue Plan Act (ARPA) revenue loss strategy designated as capital funding for expanding recuperative care capacity to be reallocated for facility improvements within the County-owned Substance Use Residential and Treatment Services (SURTS) facility that will provide recuperative care services for individuals with serious behavioral health conditions. 4. Authorize $2.0 million in General Purpose Revenue through the ARPA revenue loss strategy designated as capital funding for recuperative care bed expansion to be reallocated to implement strategies and support efforts that optimize and increase access to existing recuperative care services by reducing identified barriers, including but not limited to streamlining referral and authorization processes and supporting enhancements to recuperative care beds to ensure access to care for clients with complex medical and/or behavioral health needs. 5. Add access to recuperative care language to the Legislative Program, consistent with 8TUESDAY, OCTOBER 8, 2024

Board Policy M-2. EQUITY IMPACT STATEMENT The County of San Diego Health and Human Services Agency, Behavioral Health Services (BHS) is committed to building a system in which mental health and substance use services are equitably and regionally distributed while accessible to all individuals and families within the region who are in need. As outlined in the Behavioral Health Optimal Care Pathways (OCP) model, an increase of 12,064 new recuperative care bed days was projected to optimally support Medi-Cal beneficiaries within the behavioral health continuum of care. The Behavioral Health Bridge Housing Round 3 grant funds will be dedicated toward establishing new recuperative care services, in alignment with the OCP, for people with behavioral health conditions. The new beds are anticipated to support continuity of care and services in a stable location to prevent returns to homelessness and facilitate smooth transitions from specialty care settings. Complexities of managing multiple healthcare needs coupled with barriers to timely and consistent access to care may allow existing health conditions to deteriorate beyond what would otherwise be safely managed in outpatient settings. In the absence of recuperative care facilities, persons experiencing homelessness (PEH) may be discharged to shelters or the streets, which do not provide necessary care for recovery. Evidence suggests medical respite programs are effective in bridging gaps in care for PEH by reducing hospital readmission rates and overall healthcare costs, while providing a stable environment that facilitates recovery and access to necessary health services (National Institute for Medical Respite Care, 2021). Recuperative care programs can also help provide stable housing post care. A case study on the National Health Foundation, a recuperative care program in Los Angeles that partners with local hospitals and the county, found that 59% of PEH transitioned to stable housing or reunited with family after the program (McCarthy and Waugh, 2021). Findings from these studies suggest that recuperative care programs can improve health and housing outcomes for individuals experiencing homelessness. The stable housing, support, and connection to services offered by recuperative care facilities provides a place to recover from surgery, illness, and other ailments without concerns about necessities, or how to balance these needs with obtaining health care and social services. SUSTAINABILITY IMPACT STATEMENT Today’s item supports the County of San Diego (County) Sustainability Goal #2 to provide just and equitable access by creating policies to reduce and eliminate poverty, promoting economic sustainability for all by pursuing available funding focused on serving historically underserved client populations that are most in need of care. This includes the unique needs of individuals experiencing homelessness who have a serious behavioral health condition. This item supports Sustainability Goal #4 to protect the health and well-being of everyone in the region by creating new recuperative care beds that will allow individuals to continue to receive care. This item also supports Sustainability Goal #6 to ensure the capability to respond to immediate needs for individuals, families, and the region by providing opportunities for people engaged in substance use disorders and/or in the criminal justice system to find longer-term care and housing. This will allow the County to meet the regional need for immediate and sustainable housing, while leveraging the County-owned Substance Use Residential Treatment Services facility along with contracted community-based care providers. 9TUESDAY, OCTOBER 8, 2024

FISCAL IMPACT Recommendations 1 and 2 Funds for this request are included in the Fiscal Year (FY) 2024-26 Operational Plan in the Health and Human Services Agency. If approved, this request will result in estimated costs and revenue of up to $2.4 million in FY 2024-25 for capital costs associated with renovations to establish new recuperative care beds and estimated costs and revenue of $10.0 million in FY 2025-26 through FY 2026-27 for services. These costs will be absorbed in existing appropriations. The funding sources are State General Fund through the Behavioral Health Bridge Housing (BHBH) Round 3 grant funding. Funding for this request in future years will be included in future Operational Plans. There will be no change in net General Fund cost and no additional staff years. An estimated $1.2 million of the BHBH Round 3 capital funds will be utilized within the Substance Use Residential and Treatment Services (SURTS) facility specific to the development planning, permits, fees, and renovations for recuperative care beds. Recommendations 3, 4 and 5 Funds for Recommendations 3 and 4 are included in the Fiscal Year (FY) 2024-26 Operational Plan in the Health and Human Services Agency. If approved, this will result in a one-time cost and revenue of $8.0 million in FY 2024-25. The funding source is General Purpose Revenue made available through the ARPA revenue loss strategy. There will be no change in net General Fund cost and no additional staff years as a result of this option. There is no fiscal impact expected for Recommendation 5. Up to an estimated $6.0 million of the General Purpose Revenue made available through the ARPA revenue loss strategy will be utilized within the SURTS facility specific to costs for the development planning, permits, fees, and renovations for recuperative care beds that are not fully funded through the BHBH Round 3 capital funds. The total project cost for the SURTS facility renovations and improvements is estimated at $26.0 million, inclusive of substance use treatment and recuperative care beds. BUSINESS IMPACT STATEMENT N/A ACTION: ON MOTION of Supervisor Montgomery Steppe, seconded by Supervisor Desmond, the Board of Supervisors took action as recommended, on Consent. Vargas, Anderson, Lawson-Remer, Montgomery Steppe, DesmondAYES: 6. APPOINTMENTS: VARIOUS (DISTRICTS: ALL)SUBJECT: OVERVIEW These appointments are in accordance with applicable Board Policy A-74, “Citizen Participation in County Boards, Commissions and Committees.” 10TUESDAY, OCTOBER 8, 2024

RECOMMENDATION(S) SUPERVISOR MONICA MONTGOMERY STEPPE Appoint Burnie Dunlap to the EMERGENCY MEDICAL CARE COMMITTEE, Seat No. 27 for a term to expire October 8, 2028. Appoint Yvette Porter Moore to the HISTORIC SITE BOARD, Seat No. 4 for a term to expire January 4, 2027. EQUITY IMPACT STATEMENT County government includes standing and special citizen boards, commissions, committees, and task forces formed to advise the Board of Supervisors and County staff on issues and policy and to serve as links to the community. Boards, commissions, and committees provide an inter- relationship between the residents and the government of the County. The nominations in this Board Letter enable the County of San Diego to provide individual residents the opportunity to impart valuable insight and input into the operation of the government. SUSTAINABILITY IMPACT STATEMENT The County of San Diego has over one hundred boards, commissions, committees, and task forces that serve as voice in the County government. Advisory bodies are an essential role in resident engagement that allow citizens to participate on issues relating to the welfare and quality of life in the County. They are fundamental to the County of San Diego’s ability to navigate complex and dynamic policy challenges, are a conduit to the County Bureaucracy, and a broker to community voice. This board letter supports the County of San Diego Sustainability Goal No.1 by “encourage[ing] people and diverse stakeholders to partner and participate in decisions that impact their lives and communities.” FISCAL IMPACT N/A BUSINESS IMPACT STATEMENT N/A ACTION: ON MOTION of Supervisor Montgomery Steppe, seconded by Supervisor Desmond, the Board of Supervisors took action as recommended, on Consent. Vargas, Anderson, Lawson-Remer, Montgomery Steppe, DesmondAYES: 7. COMMUNICATIONS RECEIVED (DISTRICTS: ALL)SUBJECT: OVERVIEW Board Policy A-72, Board of Supervisors Agenda and Related Process, authorizes the Clerk of the Board to prepare a Communications Received for Board of Supervisors' Official Records. Routine informational reports, which need to be brought to the attention of the Board of Supervisors yet not requiring action, are listed on this document. Communications Received documents are on file in the Office of the Clerk of the Board. 11TUESDAY, OCTOBER 8, 2024

RECOMMENDATION(S) CHIEF ADMINISTRATIVE OFFICER Note and file. EQUITY IMPACT STATEMENT N/A SUSTAINABILITY STATEMENT This board letter is a list of documents received by the Clerk of the Board of Supervisors and/or Board of Supervisors from other entities, other county departments, the public, and internal documents presented to the Clerk of the Board of Supervisors or the Board of Supervisors. This contributes to the overall sustainability of the county by engaging the community in meaningful ways and promote an environment that provides equitable access opportunities for public engagement. FISCAL IMPACT N/A BUSINESS IMPACT STATEMENT N/A ACTION: ON MOTION of Supervisor Montgomery Steppe, seconded by Supervisor Desmond, the Board of Supervisors took action as recommended, on Consent. Vargas, Anderson, Lawson-Remer, Montgomery Steppe, DesmondAYES: 8. SUBJECT: ACTION: A motion was made by Supervisor Lawson-Remer, seconded by Supervisor Montgomery Steppe, for the Board of Supervisors to take action as recommended. AYES: Lawson-Remer, Montgomery Steppe NOES: Anderson, Desmond NOT PRESENT: Vargas (Motion failed due to a tie vote. Pursuant to rule 2(g) of the Board’s Rules of Procedure, this item will be placed on the agenda for the next regular meeting.) Lawson-Remer, Montgomery SteppeAYES: Anderson, DesmondNOES: VargasNOT PRESENT: 9. PROPERTY TAX ALLOCATIONS AND FUNDING FOR FIRE PROTECTION IN UNINCORPORATED COMMUNITIES (DISTRICTS: SUBJECT: 12TUESDAY, OCTOBER 8, 2024

ALL) OVERVIEW On July 16, 2024 (4), the Board of Supervisors (Board) directed the Chief Administrative Officer to review the level of resources, funding, and sustainability of fire protection in the communities of Valley Center, Deer Springs, and Pauma Valley and other parts of the San Diego County Fire Protection District (SDCFPD) and return to the Board in 90 days with recommendations. In San Diego County, unincorporated communities receive fire protection and emergency response services from 12 fire protection districts, including the San Diego County Fire Protection District (SDCFPD), and one municipal water district. These agencies either provide services directly with professional staff or contract with another government agency. Funding for the districts is made available through a property tax allocation from property tax revenue, voter-approved fees, community facilities districts, grants, and service fees. The Valley Center Fire Protection District (VCFPD) and Deer Springs Fire Protection District (DSFPD) were established after California voters approved Proposition 13 in 1978. For local agencies that existed prior to passage, the law allocated revenue to taxing agencies based on a factor calculated on the revenue received in the three fiscal years prior to 1978, with allocations ranging from 6.4% to 32.3% for fire protection districts. For fire protection districts established after the passage of Proposition 13, their share of property tax revenue was negotiated at a lower rate, ranging from 1.3% to 2.8%. In the past two decades, 23 fire agencies have dissolved, with 20 consolidating into San Diego County Fire (County Fire), and three joining other fire protection districts. Although VCFPD and DSFPD elected not to consolidate with County Fire or other fire protection districts, the County took action to support VCFPD and DSFPD with funding and in-kind assistance. County Fire has a Memorandum of Agreement with DSFPD, valued at nearly $1 million annually, that includes support for staffing, dispatch, training and fire marshal services. The County entered into a similar arrangement with VCFPD in 2007, valued at approximately $700,000 annually, but the agreement expired in 2013 when VCFPD terminated their contract with the California Department of Forestry and Fire Protection (CAL FIRE). VCFPD added a ballot measure for a parcel tax in 2018 and 2020 to pay for additional fire services within the district. The measures, which required a 66.67% vote, failed twice despite achieving a majority vote. Increasing the existing property tax allocation for these districts to 6%, which is the allocation the San Diego County Fire Protection District receives, would shift approximately $2.7 million in base property tax revenue from the County and provide $1.5 million to VCFPD and $1.2 million to DSFPD, based upon the Fiscal Year 2024-25 property taxes. A property tax shift is one of the options being presented to the Board of Supervisors. In addition, County Fire has reviewed existing service levels in Pauma Valley, East Otay Mesa, and the Highway 94 corridor and has identified a need for an additional $3.5 million annually to address operational deficiencies and future needs. Today’s actions are seeking the Board’s policy direction on providing County financial and operational support to VCFPD, DSFPD and SDCFPD, as well as other potential revenue options. RECOMMENDATION(S) CHIEF ADMINISTRATIVE OFFICER 13TUESDAY, OCTOBER 8, 2024

1. Provide direction on the following options to support fire protection and emergency response services in the Valley Center Fire Protection District (VCFPD): a. Pursue an increase in the VCFPD property tax allocation to 6% effective Fiscal Year 2025-26. Direct the Chief Administrative Officer to return to the Board of Supervisors with a resolution and take other necessary steps to complete a property tax reallocation following VCFPD holding a public hearing to consider the effect of the proposed transfer ($1,500,000); or b. Direct the Chief Administrative Officer to enter into a Memorandum of Agreement with VCFPD to provide reimbursement to fund for 1/3 of the staffing at the third station ($600,000), and offer in-kind dispatching services, training, fire prevention/fire marshal services and other support services through County Fire ($200,000), for a total estimated value of approximately $800,000 and pursuant to Government Code section 26227, find that the funding is necessary to meet the fire protection and emergency response needs in the VCFPD and authorize the Chief Administrative Officer, or designee, to execute an agreement with VCFPD effective July 1, 2025, thru June 30, 2028, and to amend the agreement as needed to reflect changes to requirements or funding necessary to maintain local fire protection and emergency response services; or c. Direct the Chief Administrative Officer to explore a special tax ballot measure for enhanced fire protection and emergency response services in VCFPD or a broader area, and return to the Board of Supervisors to present necessary actions. Provide County staff with the intended boundary and scope, which could include VCFPD or a broader area; or d. Add language to the County’s Legislative Program to seek a sponsor in the California legislature to propose legislation that would transfer state funds to underfunded fire protection districts in San Diego County to enhance fire protection and emergency response services; or e. No action at this time. 2. Provide direction on the following options to support fire protection and emergency response services in the Deer Springs Fire Protection District (DSFPD): a. Pursue an increase in the DSFPD property tax allocation to 6%, effective Fiscal Year 2025-26, and modify the existing MOA to cover a portion of the staffing and other costs related to the North Regional Urban Search and Rescue Unit. Direct the Chief Administrative Officer to return to the Board of Supervisors with a resolution and take other necessary steps to complete a property tax reallocation following DSFPD holding a public hearing to consider the effect of the proposed transfer ($1,200,000 and a reduction of approximately $700,000 to the existing MOA); or b. Direct the Chief Administrative Officer to explore a special tax ballot measure for enhanced fire protection and emergency response services, and return to the Board of Supervisors with the necessary actions. Provide County staff with the intended boundary and scope, which could include DSFPD or a broader area; or c. Add language to the County’s Legislative Program to seek a sponsor in the California legislature to propose legislation that would transfer state funds to underfunded Fire Protection Districts in San Diego County to enhance fire protection and emergency response services; or d. No action at this time; maintain the existing MOA with DSFPD. 14TUESDAY, OCTOBER 8, 2024

3. Provide direction on the following options to support fire protection and emergency response services in the San Diego County Fire Protection District: a. Provide a paramedic fire engine in Pauma Valley and East Otay Mesa, and a paramedic squad along the Highway 94 corridor within SDCFPD effective Fiscal Year 2025-26. ($3,500,000); or b. Direct the Chief Administrative Officer to explore a special tax ballot measure for enhanced fire protection and emergency response services, and return to the Board of Supervisors with the necessary actions. Provide County staff with the intended boundary and scope, which would include SDCFPD; or c. No action at this time. EQUITY IMPACT STATEMENT The San Diego County Fire Protection District (SDCFPD) serves residents in some of our region’s most isolated communities with low Healthy Place Index scores. Rural communities include lower-income households, tribal nations, and residents experiencing health disparities that necessitate the usage of emergency medical services. If the Board of Supervisors (Board) takes action to increase SDCFPD resources, additional firefighting personnel will be provided to further support and respond to calls related to medical emergencies, structural fires, and local emergencies. Valley Center Fire Protection District (VCFPD) and Deer Springs Fire Protection District (DSFPD) both receive a disproportionately lower share of property tax revenue in comparison to other fire protection districts. If the Board takes action to increase revenue to VCFPD and DSFPD, the financial sustainability of these districts would be bolstered, and it would create an opportunity to further enhance the level of service to the community. SUSTAINABILITY IMPACT STATEMENT If the Board of Supervisors approves additional funding for the San Diego County Fire Protection District, the investment would be focused in chronically underserved communities. Additional revenue for the Deer Springs and Valley Center Fire Protection Districts would help build resilience in communities in the unincorporated areas. FISCAL IMPACT Funds for this request are not included in the Fiscal Year 2024-25 Operational Plan for San Diego County Fire. There is no fiscal impact in Fiscal Year 2024-25. Option 1a would transfer property taxes to Valley Center FPD and decrease the County’s share of available General Purpose Revenue by approximately $1.5 million annually, plus approximately 3.8% of the annual growth beginning in Fiscal Year 2025-26. Option 1b would result in additional costs of approximately $600,000 to the San Diego County Fire Protection District beginning in Fiscal Year 2025-26. There is no available funding identified for this cost and therefore will result in reduction of General Purpose Revenue allocated to Public Safety Group departments, including County Fire, to fund this option. Option 2a would transfer property taxes to Deer Springs FPD and decrease the County’s share of available General Purpose Revenue by approximately $1.2 million annually, plus approximately 3.9% of the annual growth beginning in Fiscal Year 2025-26, and the existing MOA with DSFPD would be reduced by approximately $700,000. 15TUESDAY, OCTOBER 8, 2024

Option 3a would result in additional costs of $3.5 million to the San Diego County Fire Protection District beginning in Fiscal Year 2025-26. There is no available funding identified for this cost and therefore will result in reduction of General Purpose Revenue allocated to Public Safety Group departments, including County Fire, to fund this option If the Board were to select options 1c, 2b, and/or 3b, a special benefit fee, if passed by the voters, would provide funding to SDCFPD and possibly other fire agencies, depending on the jurisdictions included in a ballot measure. Staff would identify any related ballot measure costs and return to the Board for approval if one of these options is selected. There will be no change in net General Fund cost and no additional staff years. BUSINESS IMPACT STATEMENT N/A ADVISORY BOARD STATEMENT N/A BACKGROUND On July 16, 2024 (2), the Board of Supervisor’s (Board) directed the Chief Administrative Officer (CAO) to review the level of resources, funding, and sustainability of fire protection in the Valley Center and Deer Springs Fire Protection Districts and determined if specified communities within the San Diego County Fire Protection District (SDCFPD) have long-term funding needs to ensure equitable service levels in unincorporated communities. In 1978, California voters approved Proposition 13 that limits the property tax rate to 1% of assessed value at the time of purchase and restricts annual tax increases to no more than 2% until the property is sold. This resulted in limited financial resources for local governments to invest in services. Independent local government agencies receiving a portion of property tax revenue in their communities at that time were guaranteed that same ratio of revenue in the future. For fire protection districts established in San Diego County after the passage of Proposition 13, their share of property tax revenue was negotiated at a lower rate, ranging from 1.3% to 2.8%. As a result, 23 fire agencies dissolved over the past two decades, with 20 consolidating into San Diego County Fire, and three joining other fire protection districts. In addition to fire protection districts, there are 65 other independent special districts in the region providing service for water, irrigation, sanitation, healthcare, parks, ambulances and other community needs. Funding levels and sources vary from district to district, including property tax allocation, special taxes and benefit fees. Valley Center Fire Protection District The Valley Center Fire Protection District (VCFPD) was formed in 1982 and currently receives funding from property taxes, special benefit fees, Community Facilities Districts (CFD) and other revenue sources. Beginning in 2007, as part of the County’s efforts to consolidate and coordinate fire services in rural communities, the County and VCFPD entered into a contract for the County to support the staffing contract with CAL FIRE. The agreement expired in 2013 when VCFPD terminated their contract with CAL FIRE. 16TUESDAY, OCTOBER 8, 2024

Pursuit of option 1a would increase the property tax allocation for VCFPD to be in alignment with SDCFPD’s 6% allocation. County fiscal analysis has determined that increasing the existing property tax allocation (VCFPD - 2.19%) to 6% would shift approximately $1.5 million from the County and provide $1.5 million to VCFPD, based upon the Fiscal Year 2024-25 amounts. Prior to the approval of any transfer of property tax revenues, the affected agencies must hold a public hearing to consider the effect of the proposed transfer. Option 1b would seek to establish a new MOA with VCFPD. To be consistent with the DSFPD, the MOA could provide reimbursement to fund 1/3 of the staffing at the third station ($600,000), and offer dispatch, training and fire marshal services through County Fire ($200,000). The estimated value received by VCFPD would be approximately $800,000. Deer Springs Fire Protection District The Deer Springs Fire Protection District (DSFPD) was formed in 1981 and currently receives funding from property taxes, special benefit fees, and other revenue sources. DSFPD has a local services agreement with CAL FIRE to staff their three stations. However, existing revenue through the property tax allocation and special benefit fees is only able to support staffing for three firefighters on two fire engines. As part of the County Fire Urban Search and Rescue Program and to increase staff safety and operational efficiencies, the County funds a third firefighter on one Deer Springs fire engine. This fire engine cross staffs the North County Type I Urban Search and Rescue Unit. This agreement provides benefit to Deer Springs and the County of San Diego. Deer Springs is dispatched by CAL FIRE/County Fire and is fully integrated into mutual aid and strategic planning conversations. On July 1, 2023, the County and Deer Springs signed a new five-year agreement to support staffing, dispatch, training and fire marshal services, with an annual value of $936,000. Pursuit of option 2a would increase the property tax allocation for DSFPD to be in alignment with SDCFPD’s 6% allocation. County fiscal analysis has determined that increasing the existing property tax allocation (DSFPD - 2.07%) to 6% would shift approximately $1.2 million from the County and provide $1.2 million to DSFPD, based upon the Fiscal Year 2024-25 amounts. Prior to the approval of any transfer of property tax revenues, the affected agencies must hold a public hearing to consider the effect of the proposed transfer. If the Board approves a property tax exchange with DSFPD, County staff is recommending the existing cooperative agreement be modified to cover a portion of the staffing and other costs related to the North Regional Urban Search and Rescue Unit, a reduction of approximately $700,000. Option 2d would maintain the existing cooperative agreement and level of support to DSFPD. San Diego County Fire Protection District The San Diego County Fire Authority, which was established in 2008, transitioned to the San Diego County Fire Protection District (SDCFPD) in 2020 through the Local Agency Formation Commission (LAFCO) district formation process, and the Board set the property tax allocation at 6% with a base revenue transfer of approximately $3.3 million. A total of 20 formerly independent agencies had consolidated into SDCFPD and are today served by around-the-clock, paramedic-level fire engines at 22 fire stations through a partnership with CAL FIRE. Many communities within SDCFPD are disadvantaged and among the lowest scoring in the Healthy Places Index. The property tax allocation for SDCFPD, which is now approximately $11.8 million annually, only offsets a portion of the actual costs for services, and County General 17TUESDAY, OCTOBER 8, 2024

Purpose Revenue primarily makes up the difference. In response to the Board direction, County Fire has identified several opportunities to bolster service through additional unidentified County General Purpose Revenue. Although Pauma Valley is within the SDCFPD, the area has historically been served through a State fire engine that is limited to basic life support services. For 911 emergency medical calls, mutual aid is often required from a surrounding fire agency. Permanently staffing a County funded paramedic fire engine will optimize service to a large geographic area and allow County Fire to support surrounding fire agencies. In addition, the Highway 94 corridor from Boulevard to Jamul is served primarily by CAL FIRE Basic Life Support Fire Engines. With the high demand of serving the International Border with complex remote area rescues, a two-person paramedic squad is needed to augment the State funded fire engines. Border rescues can commit resources for several hours which draw resources from Jamul and other areas, leaving wide gaps in protection. Finally, the community of East Otay Mesa is growing rapidly and has a need to upgrade staffing from a two-person paramedic squad to a three-person paramedic fire engine. East Otay Mesa is especially in need with the rapid growth of warehouses and the new border crossing opening in 2026. The cost would be $3.5 million to provide a staffed paramedic fire engine in Pauma Valley and East Otay Mesa, and a staffed paramedic squad along the Highway 94 corridor within the San Diego County Fire Protection District. This could be phased in over time as part of the County’s Operational Plan process, depending on funding availability. Special Tax Ballot Measure Many independent fire protection districts, including the San Diego County Fire Protection District, have communities that previously adopted special taxes to specifically fund fire protection services. However, special taxes vary in amount and location, and funding may still be inadequate in certain districts. On August 5, 2008 (18), the Board authorized a Countywide ballot measure to fund firefighting in the entire region through a parcel tax, but that measure did not pass. The ballot measure authorized independent fire protection districts and cities to participate in the parcel tax. The measure would have created a joint powers authority to distribute funds in alignment with the approved language. Today’s actions seek policy direction from the Board on whether staff should take the necessary steps to explore a similar ballot measure for residents to self-tax to improve fire protection and ensure sustainability of funding. The ballot measure could be for: 1. SDCFPD 2. SDCFPD, VCFPD and/or DSFPD 3. All fire protection districts in the unincorporated area 4. All fire protection districts and municipal fire departments in the entire region Should the ballot measure include agencies besides SDCFPD, a joint powers authority would be needed to receive and distribute funds. If approved, County staff would return in 180 days with proposed options and fiscal projections. Legislative Program Another option is to direct the Chief Administrative Officer to add language to the County’s 18TUESDAY, OCTOBER 8, 2024

Legislative Program to seek a sponsor in the California legislature to propose legislation that would transfe