BOARD OF SUPERVISORS

STATEMENT OF PROCEEDINGS COUNTY OF SAN DIEGO BOARD OF SUPERVISORS REGULAR MEETING TUESDAY, JANUARY 28, 2025, 9:00 AM COUNTY ADMINISTRATION CENTER, ROOM 310 COUNTY OF SAN DIEGO BOARD OF SUPERVISORS REGULAR MEETING AGENDA TUESDAY, XX, 20XX, 9:00 AM AND WEDNESDAY, XX, 20XX, 9:00 AM COUNTY ADMINISTRATION CENTER, BOARD CHAMBER, ROOM 310 1600 PACIFIC HIGHWAY, SAN DIEGO, CA 92101 GENERAL LEGISLATIVE SESSION TUESDAY, JANUARY 28, 2025, 9:00 AM Order Of Business A. REGULAR SESSION: Meeting was called to order at 9:04 a.m. PRESENT: Supervisors Terra Lawson-Remer, Vice-Chair; Joel Anderson; Monica Montgomery Steppe; Jim Desmond; also, Andrew Potter, Clerk of the Board of Supervisors ABSENT: (District 1 Seat Vacant) 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 Rabbi Laurie Coskey, Vice Chancellor of Development and Entrepreneurship for San Diego Community College District. D. Pledge of Allegiance was led by Holly Kemper. E. Presentations or Announcement of Proclamations and Awards: Supervisor Joel Anderson presented a proclamation declaring January 28, 2025, to be San Diego FC Day throughout the County of San Diego. Vice-Chair Terra Lawson-Remer and Supervisor Monica Montgomery Steppe presented a proclamation declaring the weeks of January 29, 2025 through February 12, 2025, to be Lunar New Year Weeks throughout the County of San Diego. Supervisor Jim Desmond presented a proclamation declaring the Month of January 2025, to be Human Trafficking Prevention Month throughout the County of San Diego. F. Non-Agenda Public Communication: 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 Communication session per meeting. Speakers can choose to speak during either the General Legislative or Land Use Legislative Session. 1TUESDAY, JANUARY 28, 2025

G. Approval of the Statement of Proceedings/Minutes for the sessions of January 7, 2025, January 8, 2025 and Special Meeting of January 14, 2025. ACTION: ON MOTION of Supervisor Desmond, seconded by Supervisor Montgomery Steppe, the Board of Supervisors approved the Statement of Proceedings/Minutes for the Regular meeting of January 7, 2025, January 8, 2025; and the Special meeting of January 14, 2025. Anderson, Lawson-Remer, Montgomery Steppe, DesmondAYES: H. Consent Agenda 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. K. Recess to Wednesday, January 29, 2025, at 9:00 AM for the Land Use Legislative Session 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 Category # Subject Health and Human Services 1. AUTHORIZE ACCEPTANCE OF FUNDING FOR THE TRANSITIONAL HOUSING PROGRAM, HOUSING NAVIGATION AND MAINTENANCE PROGRAM, AND TRANSITIONAL HOUSING PROGRAM PLUS HOUSING SUPPLEMENT PROGRAM AND ADOPT RESOLUTION AUTHORIZING APPLICATION AND ACCEPTANCE OF ALLOCATION AWARDS 2. AUTHORIZE SINGLE SOURCE PROCUREMENT OF HAMILTON MICROLAB SERIES MANUFACTURER-SPECIFIC INSTRUMENTATION, MAINTENANCE, CONSUMABLES, AND SUPPLIES FOR THE PUBLIC HEALTH LABORATORY 3. AUTHORIZE A SINGLE SOURCE CONTRACT WITH SHARP HEALTHCARE FOR HOSPITAL-BASED CRISIS STABILIZATION SERVICES WITHIN SHARP CHULA VISTA MEDICAL CENTER Financial and General Government 4. 2024 ESCHEATMENT OF UNCLAIMED MONEY IN COUNTY TRUST FUNDS 2TUESDAY, JANUARY 28, 2025

5. 2024 ESCHEATMENT OF UNCLAIMED PROPERTY TAX REFUND MONEY IN COUNTY TRUST FUNDS (PROPERTY TAX) 6. AUTHORIZE APPROVAL OF BRAND NAME VEHICLES IN PROCUREMENT OF COUNTY FLEET VEHICLES AND EXPANDED USE OF SIMPLIFIED PROCUREMENT PROCESS TO ALLOW SOLICITING LOCAL BUSINESSES FOR NEW VEHICLE PURCHASES, OUTFITTING, AND REPAIR SERVICES 7. AUTHORIZE APPROVAL OF BRAND NAME ELECTRONIC SECURITY PRODUCTS IN PROCUREMENT OF ELECTRONIC SECURITY PARTS 8. GENERAL SERVICES - AUTHORIZATION TO ADVERTISE AND AWARD CONSTRUCTION CONTRACT(S) FOR NEW STAND-ALONE WORKOUT SHEDS AT SEVEN FIRE STATIONS 9. GENERAL SERVICES - APPROVAL IN PRINCIPLE TO LEASE SPACE FOR PUBLIC DEFENDER’S CENTRAL BRANCH 10. GENERAL SERVICES - APPROVAL OF FIRST AMENDMENT TO LEASE FOR THE SHERIFF’S OFFICE IMPERIAL BEACH SUBSTATION, 845 IMPERIAL BEACH BOULEVARD, AND NOTICE OF EXEMPTION 11. APPROVAL OF CONFLICT OF INTEREST CODES FOR GUAJOME LEARNING CENTERS, MIRACOSTA COMMUNITY COLLEGE DISTRICT, SAN ELIJO JOINT POWERS AUTHORITY, AND WORLD TRADE CENTER SAN DIEGO Appointments 12. APPOINTMENTS: VARIOUS Communications Received 13. COMMUNICATIONS RECEIVED Financial and General Government 14. SELECTION OF CHAIR, VICE CHAIR AND CHAIR PRO TEM OF THE 2025 BOARD OF SUPERVISORS 15. PRESENTATION ON THE IMPACT OF POTENTIAL TARIFFS Public Safety 16. PURCHASE OF A TWIN-ENGINE HELICOPTER, NEW WATER TENDERS, A COMPREHENSIVE REVIEW OF FIRE SAFETY IN THE COUNTY OF SAN DIEGO, AND WAIVER OF BOARD POLICY A-72 17. ENHANCING CLEARING AND BRUSH MANAGEMENT EFFORTS TO REDUCE WILDFIRE RISK IN THE COUNTY OF SAN DIEGO AND WAIVE BOARD POLICY A-72 18. PRESENTATION ON COUNTY OF SAN DIEGO EMERGENCY PREPAREDNESS AND RESPONSE EFFORTS Health and Human Services 19. ENHANCING BEHAVIORAL HEALTH ACCESSIBILITY: ESTABLISHING NEW PARTNERSHIPS ACROSS THE CONTINUUM OF CARE AND A-72 WAIVER 3TUESDAY, JANUARY 28, 2025

20. AUTHORIZE ACCEPTANCE OF INCOMPETENT TO STAND TRIAL DIVERSION AND COMMUNITY-BASED RESTORATION INFRASTRUCTURE PROJECT GRANT FUNDS Land Use and Environment 21. CONVENING A TIJUANA RIVER VALLEY POLLUTION SPECIAL MEETING Closed Session 22. CLOSED SESSION Public Communication 23. NON-AGENDA PUBLIC COMMUNICATION 4TUESDAY, JANUARY 28, 2025

1. AUTHORIZE ACCEPTANCE OF FUNDING FOR THE TRANSITIONAL HOUSING PROGRAM, HOUSING NAVIGATION AND MAINTENANCE PROGRAM, AND TRANSITIONAL HOUSING PROGRAM PLUS HOUSING SUPPLEMENT PROGRAM AND ADOPT RESOLUTION AUTHORIZING APPLICATION AND ACCEPTANCE OF ALLOCATION AWARDS (DISTRICTS: ALL) SUBJECT: OVERVIEW The County of San Diego (County) Health and Human Services Agency, Child and Family Well-Being Transitional Housing Program (THP) is comprised of the Transitional Housing Program-Plus (THP-Plus) and the Transitional Housing Placement Program for Non-Minor Dependents (THPP NMD). Both programs improve outcomes for youth entering adulthood from the foster care system. Over the past two decades, the California legislature has made strides in addressing the transitional age youth housing crisis for those involved in the child welfare and probation systems. In 2001, California Assembly Bill 427 established the THP-Plus, which provides affordable housing and supportive services for aged out youth ages 18 to 24 years for up to 24 months as they transition out of foster care. Between 2001 and 2012, there have been numerous State laws, allowing for funding of THP that support youth in identifying and preventing homelessness. Most recently, in 2022, California Senate Bill 154 extended transitional housing services up to age 25 and provided 36 months of support for all youth involved. Today’s actions request the San Diego County Board of Supervisors authorize the application for and acceptance of funding for the THP, Housing Navigation and Maintenance Program, and Transitional Housing Program-Plus Housing Supplement Program, adopt a resolution authorizing application for and acceptance of allocation awards, and apply for future funding for transitional age youth housing. Today’s 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. This will be accomplished by enhancing the coordination of upstream prevention strategies and services between community resources and the child welfare system to ensure transitional age youth receive services and supports to secure and maintain a safe environment. Additionally, this item aligns with the County Framework for Ending Homelessness and the Housing Blueprint, promoting prevention and housing stability through equitable access to safe, affordable housing for current and former foster youth, helping to address youth homelessness. RECOMMENDATION(S) CHIEF ADMINISTRATIVE OFFICER 1. Authorize the application for and acceptance of $1,545,738 in Transitional Housing Program funds from the California Department of Housing and Community Development for the anticipated funding period of Fiscal Year (FY) 2024-25 through FY 2026-27 to reduce youth homelessness and authorize the Deputy Chief Administrative Officer, Health and Human Services Agency, to execute all required allocation award documents, including all amendments thereto. 1TUESDAY, JANUARY 28, 2025

2. Authorize the application for and acceptance of $413,630 in Housing Navigation and Maintenance Program funds from the California Department of Housing and Community Development, for the anticipated funding period of FY 2024-25 through FY 2026-27 to help youth secure and maintain housing, and authorize the Deputy Chief Administrative Officer, Health and Human Services Agency, to execute all required allocation award documents, including all amendments thereto. 3. Authorize the application for and acceptance of $1,032,773 in Transitional Housing Program-Plus Housing Supplement Program funds from the California Department of Housing and Community Development, for the anticipated funding period of FY 2024- 25 through FY 2026-27 to help meet increasing housing needs and cost of rent demands, and authorize the Deputy Chief Administrative Officer, Health and Human Services Agency, to execute all required allocation award documents, including all amendments thereto. 4. Adopt a resolution entitled A RESOLUTION OF THE BOARD OF SUPERVISORS OF THE COUNTY OF SAN DIEGO TO AUTHORIZE AN APPLICATION FOR, AND ACCEPTANCE OF, THE COUNTY ALLOCATION AWARD UNDER ROUND 6 OF THE TRANSITIONAL HOUSING PROGRAM, ROUND 3 OF THE HOUSING NAVIGATION AND MAINTENANCE PROGRAM, AND ROUND 4 OF THE THP - PLUS HOUSING SUPPLEMENT PROGRAM. 5. Authorize the Deputy Chief Administrative Officer, Health and Human Services Agency or designee, to apply for future funding, including grants, supplemental funding and other funding to support transitional housing for youth and support youth secure and maintain housing and avoid homelessness. EQUITY IMPACT STATEMENT The County of San Diego (County) Health and Human Services Agency, Child and Family Well- Being (CFWB) Transitional Housing Program (THP), inclusive of Transitional Housing Program- Plus (THP-Plus) and Transitional Housing Placement Program for Non-Minor Dependents (THPP NMD), provides up to 36 cumulative months of subsidized housing for current and former foster youth ages 18-25 years. In Fiscal Year (FY) 2023-24, 389 youth were served under the THP and 75% maintained and exited to safe and sustainable housing. In any given month, there are approximately 329 unduplicated youth participating in the THP. The goal of the THP is for participants and subgroups within to include Black, Indigenous, People of Color, native Spanish speakers, and LGBTQ+ youth, to secure safe and stable housing by program graduation, and make progress towards life goals, including educational attainment or employment achievement, physical and mental well-being, and connections to community. The ethnicity breakdown for the 389 youth served under the THP in FY 2023-24 includes: 27% African American; 1.5% Asian; 18% Caucasian; 38.5% Hispanic; 0.5% Native American; 0.5% Other Ethnicities/Unknown; and 14% Bi or Multi-Racial. CFWB partners with nonprofit entities to provide housing opportunities and services in the six County service regions to ensure youth in underserved communities have greater opportunities and access to safe and affordable housing. CFWB engages with program participants and providers to collect data and evaluate service outcomes to ensure positive outcomes for youth transitioning to adulthood and help them maintain safe and stable housing. Participating youth complete surveys quarterly, which identify areas within the program that are both beneficial and need improvement. The surveys provide information on the effectiveness and satisfaction of the program service delivery to ensure equitable service delivery and programming. Recent data 2TUESDAY, JANUARY 28, 2025

show that in FY 2023-24, approximately 83% of youth surveyed within all available THPs reported being satisfied with the program services. SUSTAINABILITY IMPACT STATEMENT Today’s actions support the County of San Diego Sustainability Goal #2 of providing just and equitable access by expanding the availability of affordable housing to transitional age youth. Investments in concrete supports, such as housing, reduces economic and personal hardships on youth and provides the supports needed for youth to build resilience, independence, and long-term skills, which will lead to a reduction in youth homelessness and recurrence of generational maltreatment, and associated costs. FISCAL IMPACT Recommendation 1: Authorize the Application for and Acceptance of Transitional Housing Program Funds Funds for this request are partially included in the Fiscal Years (FY) 2024-26 Operational Plan in the Health and Human Services Agency. If approved, this request will result in no costs and revenue in FY 2024-25, estimated costs and revenue of $772,869 in FY 2025-26 and $772,869 in FY 2026-27, for a total costs and revenue of $1,545,738 from FY 2024-25 through FY 2026-27 for the Transitional Housing Program. The funding source is Transitional Housing Program allocation of State General Funds. Funds for subsequent years will be included in future operational plans. There will be no change in net General Fund cost and no additional staff years. Recommendation 2: Authorize the Application for and Acceptance of Housing Navigation and Maintenance Program Funds Funds for this request are included in the FY 2024-26 Operational Plan in the Health and Human Services Agency. If approved, this request will result in no costs and revenue in FY 2024-25, estimated costs and revenue of $206,815 in FY 2025-26 and $206,815 in FY 2026-27, for total costs and revenue of $413,630 from FY 2024-25 through FY 2026-27 for the Housing Navigation and Maintenance Program. The funding source is Housing Navigation and Maintenance Program allocation of State General Funds. Funds for subsequent years will be incorporated into future operational plans. There will be no change in net General Fund cost and no additional staff years. Recommendation 3: Authorize the Application for and Acceptance of Transitional Housing Program- Plus Housing Supplement Funds Funds for this request are not included in the FY 2024-26 Operational Plan in the Health and Human Services Agency. If approved, this request will result in no costs and revenue in FY 2024-25 and estimated costs and revenue of $1,032,773 in FY 2025-26 for the Transitional Housing Program-Plus. The funding source is the Transitional Housing Program-Plus Housing Supplement Program allocation of State General Funds. Funds for subsequent years will be included in future operational plans. There will be no change in net General Fund cost and no additional staff years. BUSINESS IMPACT STATEMENT N/A 3TUESDAY, JANUARY 28, 2025

ACTION: ON MOTION of Supervisor Montgomery Steppe, seconded by Supervisor Desmond, the Board of Supervisors took action as recommended, on Consent, and adopted Resolution No. 25-002, entitled: A RESOLUTION OF THE BOARD OF SUPERVISORS OF THE COUNTY OF SAN DIEGO TO AUTHORIZE AN APPLICATION FOR, AND ACCEPTANCE OF, THE COUNTY ALLOCATION AWARD UNDER ROUND 6 OF THE TRANSITIONAL HOUSING PROGRAM, ROUND 3 OF THE HOUSING NAVIGATION AND MAINTENANCE PROGRAM, AND ROUND 4 OF THE THP-PLUS HOUSING SUPPLEMENT PROGRAM. Anderson, Lawson-Remer, Montgomery Steppe, DesmondAYES: 2. AUTHORIZE SINGLE SOURCE PROCUREMENT OF HAMILTON M I C R O L A B S E R I E S M A N U F A C T U R E R - S P E C I F I C INSTRUMENTATION, MAINTENANCE, CONSUMABLES, AND SUPPLIES FOR THE PUBLIC HEALTH LABORATORY (DISTRICTS: ALL) SUBJECT: OVERVIEW The County of San Diego (County) Health and Human Services Agency, Public Health Laboratory (PHL) provides high-quality laboratory services to protect the health of the community and prevent the spread of disease. PHL has been a leader in infectious disease control locally, in California, and across the nation by analyzing clinical and environmental samples through surveillance, assessment, and assurance activities. In addition, PHL supports regional preparedness and response to communicable disease events, outbreaks, and emerging infectious disease threats. On October 25, 2022 (11), the San Diego County Board of Supervisors (Board) approved the establishment of appropriations for design and pre-construction services for a new PHL. The new facility will be larger than the previous PHL and will also be a Biosafety Level 2 and 3 reference laboratory, as the County serves as an approved Centers for Disease Control and Prevention Select Agent Laboratory for San Diego and Imperial Counties. PHL is also the designated location for the federal BioWatch program for the detection of bioterrorism agents in San Diego County. This new expanded PHL will allow for enhanced and expanded testing services and capabilities. The use of specialized laboratory equipment is essential to ensure this expansion of testing while maintaining and increasing testing proficiency and accuracy. Today’s actions request the Board authorize a single source contract with Hamilton Company for their Microlab series manufacturer-specific specialized instrumentation, maintenance, consumables, and supplies to sustain critical services and enhance PHL. Today's actions support 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. This will be accomplished by re-enforcing PHL’s ability to safeguard and improve the health and well-being of San Diego County residents through enhanced and increased testing, prevention, and intervention to interrupt transmission of disease while maintaining good fiscal management. 4TUESDAY, JANUARY 28, 2025

RECOMMENDATION(S) CHIEF ADMINISTRATIVE OFFICER 1. In accordance with Board Policy A-87, Competitive Procurement, approve and authorize the Director, Department of Purchasing and Contracting to enter into negotiations with Hamilton Company, and subject to successful negotiations and determination of a fair and reasonable price, award a contract for Hamilton Microlab series manufacturer-specific instrumentation, consumables and ongoing maintenance and repairs for the life of the equipment, for an Initial Term of up to one year, with four one-year Options, and up to an additional six months, if needed, and to amend the contract as needed to reflect changes to services or funding allocations, subject to the availability of funds and the approval of the Deputy Chief Administrative Officer, Health and Human Services Agency. 2. Authorize the Deputy Chief Administrative Officer, Health and Human Services Agency, or designee, to apply for additional funding opportunity announcements, if available, that would support the Public Health Laboratory efforts. EQUITY IMPACT STATEMENT San Diego County has one of the busiest border crossings in the United States and is home to a diverse population including military and tribal communities. Reports from the Centers for Disease Control and Prevention have highlighted disparities among populations impacted by diseases such as HIV, viral Hepatitis, Sexually Transmitted Infection, tuberculosis, and COVID-19. Disparities in ethnicity have shown to be linked to behavioral risk factors, environmental exposures, social determinants of health, and access to accurate and timely testing. To protect the health and well-being of all residents, the County of San Diego (County) Health and Human Services Agency, Public Health Laboratory (PHL) provides diagnostic testing that helps to diagnose diseases among the public, including but not limited to, tuberculosis, measles, mumps, norovirus, and malaria. Additionally, insights from testing results and patient demographics, available through the laboratory information management system, enables PHL to record and monitor health disparities and inequities across a wide range of diseases. PHL works in conjunction with public health clinics, local hospitals and healthcare providers, and the County Department of Environmental Health and Quality to analyze clinical and environmental samples to detect and identify bacteria, viruses, and other pathogens, perform rapid diagnostic testing, and characterize pathogens. A fully functioning PHL that implements the core activities of surveillance, assessment, and assurance, is essential to provide the best health outcomes for our communities. Thus, PHL is continuously tracking advancements in specialized laboratory and testing equipment to ensure the most efficient and effective instrumentation is a priority. The procurement of advanced instrumentation will lead to improved testing capabilities, reduced response times, and more efficient and effective services to interrupt the transmission of disease and protect all San Diego County residents, especially the most vulnerable. SUSTAINABILITY IMPACT STATEMENT Today’s actions support the County of San Diego (County) Sustainability Goal #3 to transition to a green, carbon-free economy, and reduce greenhouse gas emissions; and Sustainability Goal #4 - to protect the health and well-being of everyone in the region, with a focus on collaborating 5TUESDAY, JANUARY 28, 2025

with community partners and advocating for environmental justice for communities that have been disproportionately impacted. The County Public Health Laboratory continuously increases capacity and testing services aimed at detecting and preventing illnesses by using the most effective and efficient equipment available. Testing and identification will improve the overall health of communities, reduce the demand for associated care services, while increasing the effectiveness of care providers and lowering operating costs of facilities, thus reducing greenhouse gas emissions and waste generated within the care sector. Since climate change and air pollution are direct threats to human health, the reduction of pollution is also considered a preventative healthcare measure. FISCAL IMPACT Funds for this request are included in the Fiscal Year (FY) 2024-25 Operational Plan of the Health and Human Services Agency. If approved, this request will result in estimated costs and revenue of $300,000 in FY 2024-25 for purchase of one-time equipment and lab supplies and estimated costs and revenue of $50,000 in FY 2025-26 for ongoing lab supplies and maintenance of the equipment. Funds for subsequent years will be incorporated into future operational plans. The funding sources are Enhancing Laboratory Capacity Enhancing Detection grant funds and existing Health Realignment. 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. Anderson, Lawson-Remer, Montgomery Steppe, DesmondAYES: 3. AUTHORIZE A SINGLE SOURCE CONTRACT WITH SHARP HEALTHCARE FOR HOSPITAL-BASED CRISIS STABILIZATION SERVICES WITHIN SHARP CHULA VISTA MEDICAL CENTER (DISTRICTS: ALL) SUBJECT: OVERVIEW Under the leadership of the San Diego County Board of Supervisors (Board), the County of San Diego Health and Human Services Agency, Behavioral Health Services (BHS) has made key investments over the last several years to enhance community-based behavioral health services including the establishment of several crisis stabilization units (CSUs). CSUs provide immediate mental health support and treatment services in a therapeutic setting to people with serious behavioral health needs who require urgent care beyond what an outpatient clinical service can provide. Services typically last less than 24 hours and include crisis intervention, ongoing assessment and stabilization, medication administration, consultation with family and outpatient providers, and linkage and/or referral to follow-up community-based services and resources. In January 2024, Sharp HealthCare (Sharp) received one-time grant funding to support the design and development of a new Emergency Psychiatric Assessment, Treatment, and Healing (EmPATH) CSU within the Sharp Chula Vista Medical Center. Similar to a traditional CSU, an 6TUESDAY, JANUARY 28, 2025

EmPATH CSU offers care for people experiencing a psychiatric crisis through crisis stabilization services. The EmPATH model differs as it is co-located in an emergency department (ED), thus enabling people with behavioral health needs to transition smoothly to a CSU without being discharged. Sharp will establish approximately six EmPATH CSU recliners adjacent to the ED that are anticipated to provide care for a large proportion of people with serious behavioral health conditions who are eligible for Medi-Cal. As the specialty mental health plan for people with serious mental illness, the County can receive Medi-Cal reimbursement for these services through the California Department of Health Care Services. Today’s item seeks authority to establish a single source contract with Sharp for approximately six CSU recliners within the Sharp Chula Vista Medical Center that serve people with behavioral health conditions who are eligible for Medi-Cal. Sharp Chula Vista Medical Center will be the only hospital providing CSU services co-located within an ED through the new EmPATH unit, which uniquely positions it to facilitate quicker connections to behavioral health crisis care for people entering the ED. Today’s action 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. This will be accomplished through further strengthening the continuum of behavioral health services by advancing crisis care in San Diego County and expanding capacity in the South Region. RECOMMENDATION(S) CHIEF ADMINISTRATIVE OFFICER In accordance with Board Policy A-87, Competitive Procurement, approve and authorize the Director, Department of Purchasing and Contracting, to enter into negotiations with Sharp HealthCare for hospital-based crisis stabilization services, co-located within the Sharp Chula Vista Medical Center emergency department, and subject to successful negotiations and determination of a fair and reasonable price, award a contract for an Initial Term of up to one year, with four 1-year Options, and up to an additional six months, if needed; and to amend the contracts to reflect changes in program, funding or service requirements, subject to the availability of funds and the approval of the Deputy Chief Administrative Officer, Health and Human Services Agency. EQUITY IMPACT STATEMENT The County of San Diego (County) Health and Human Services Agency (HHSA), Behavioral Health Services (BHS) functions as the specialty mental health plan for Medi-Cal eligible residents within San Diego County with serious mental illness, and the service delivery system for Medi-Cal eligible residents with substance use disorder care needs. As a regional steward of public health, BHS must ensure that services address the social determinants of health by being accessible, capable of meeting the needs of a diverse population, and equitably distributed to those most in need. BHS utilizes a population health approach, evidence-based practices, robust data analysis, and input from consumers, community-based providers, healthcare organizations, and other stakeholders to identify community needs and design services that are impactful, equitable, and yield meaningful outcomes for clients. According to 2023 data from the County Medical Examiner's Office, residents in South Region had the third-highest rate of drug overdose deaths among all HHSA regions, with a staggering 7TUESDAY, JANUARY 28, 2025

117% increase from 2018 to 2023-the largest growth of any region. In 2022, South Region residents had an average of 22 emergency department (ED) encounters per week with substance use disorder (SUD) indicated as the primary diagnosis, with more than half among Medi-Cal recipients. Additionally, South Region residents had an average of 260 ED encounters per week for serious mental illness (SMI), accounting for 15% of all SMI-related ED visits in the county, 29% of which were among Medi-Cal recipients. Establishing crisis stabilization services will increase capacity of critical behavioral health care in South Region and will expand inpatient care to Medi-Cal eligible adults and others, improving access to critical crisis care for vulnerable adults who are experiencing a behavioral health crisis. SUSTAINABILITY IMPACT STATEMENT Today’s proposed action aligns with County Sustainability Goal #2, to ensure equitable access to County services. Establishing inpatient care services within the South Region prioritizes equitable access to essential behavioral health inpatient services for Medi-Cal eligible adults, enabling those in need of higher levels of care to be connected to care in close proximity to where they reside. FISCAL IMPACT Funds for these requests are included in the Fiscal Year (FY) 2024-26 Operational Plan in the Health and Human Services Agency. If approved, today’s recommendations will result in approximate costs and revenue of approximately $3.0 million in FY 2024-25 and $9.1 million in FY 2025-26. The funding sources are Mental Health Services Act (MHSA) and Short-Doyle Medi-Cal. 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. Anderson, Lawson-Remer, Montgomery Steppe, DesmondAYES: 4. 2024 ESCHEATMENT OF UNCLAIMED MONEY IN COUNTY TRUST FUNDS (DISTRICTS: ALL) SUBJECT: OVERVIEW This is a request to approve the escheatment of specified unclaimed funds pursuant to California Government Code sections 50050-50057 and Penal Code sections 1420-1422. Public notice has been given by the Treasurer-Tax Collector that 1) the amount of $195,191.91 was deposited in Trust Funds in the Treasury of San Diego, 2) was not the property of the County of San Diego (the “County”), 3) has remained unclaimed for the requisite years, and 4) will become property of the local agency effective October 5, 2024, if no claim is received prior to that date. The final claim period ended on October 4, 2024. RECOMMENDATION(S) 8TUESDAY, JANUARY 28, 2025

CHIEF ADMINISTRATIVE OFFICER 1. Direct the Chief Administrative Officer to transfer total of $151,405.90 from County Trust Funds from identified County Departments and deposit it as revenue in the County’s General Fund. 2. Direct the Chief Administrative Officer through the Office of Revenue and Recovery to transfer a total of $43,786.01 from its Trust Funds and deposit it as revenue in the Office of Revenue and Recovery’s Victim Services Fund. EQUITY IMPACT STATEMENT The Treasurer-Tax Collector recognizes the systemic impacts that inequitable policies may create for residents of the County of San Diego. Impacts have historically included outcomes related to racial justice and issues of belonging that are reflected in the programs, services and resources allocated to communities. County departments submit a list of unclaimed monies in their possession to the Treasurer-Tax Collector for inclusion in the Treasurer-Tax Collection escheatment noticing and advertising activity. The Treasurer-Tax Collector provides widespread public notice that these unclaimed monies are available to claim by displaying a full list of items on the Treasurer-Tax Collector website, and by placing display ads in local community news publications throughout the County and supplying local shelters with the display ad information to post in their establishment as means to notify the public of the upcoming deadline to claim the monies before they are escheated. The notices and display ads utilize “plain language” and graphics to convey the message and action that is needed to make a claim. Concurrent to these efforts staff perform extensive research and make attempts to contact the rightful owner of the money and encourage a claim be submitted. It is anticipated that these actions have a positive impact on groups to include Black, Indigenous, People of Color (BIPOC), women, people with disabilities, immigrants, youth, and the LGBTQ community. SUSTAINABILITY IMPACT STATEMENT The proposed actions to escheat unclaimed refunds and return the revenue to the County General Fund are appropriate as they support the County of San Diego’s Strategic Initiative of Sustainability and the Goal of Economy, to align the County’s available resources with services to maintain fiscal stability and ensure long-term solvency. The proposed actions to escheat revenue are also in alignment with the County of San Diego’s Sustainability Goal of providing just and equitable access as the process to claim refunds is widely accessible to all claimants. FISCAL IMPACT If approved, this request will result in $151,405.90 of unanticipated revenue to be realized by the County’s General Fund and $43,786.01 by the Office of Revenue and Recovery Victim Services Fund. 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. 9TUESDAY, JANUARY 28, 2025

5. 2024 ESCHEATMENT OF UNCLAIMED PROPERTY TAX REFUND MONEY IN COUNTY TRUST FUNDS (PROPERTY TAX) (DISTRICTS: ALL) SUBJECT: OVERVIEW This is a request to approve the escheatment of unclaimed property tax refunds pursuant to section 5102 of the California Revenue and Taxation Code. RECOMMENDATION(S) CHIEF ADMINISTRATIVE OFFICER Approve the escheatment of unclaimed property tax refunds and direct the Chief Administrative Officer through the Auditor and Controller to transfer $529,486.45 from the Treasurer-Tax Collector trust funds and deposit in the County General Fund. EQUITY IMPACT STATEMENT The Treasurer-Tax Collector recognizes the systemic impacts that inequitable policies may create for residents of the County of San Diego. Impacts have historically included outcomes related to racial justice and issues of belonging that are reflected in the programs, services and resources allocated to communities. The Treasurer-Tax Collector has provided widespread public notice that these property tax refunds are available to claim by displaying a full list of items on its website for the past four years, and by placing display ads in local community news publications throughout the County and supplying local shelters with the display ad information to post in their establishment as means to notify the public of the upcoming deadline to claim refunds before they are escheated. The notices and display ads utilize plain language and graphics to convey the message and action that is needed to claim a refund. Concurrent to these efforts staff perform extensive research and make attempts to contact the rightful owner the refund and encourage a claim be submitted. It is anticipated that these actions have a positive impact on groups including Black, Indigenous, People of Color (BIPOC), women, people with disabilities, immigrants, youth, and the LGBTQ community. SUSTAINABILITY IMPACT STATEMENT The proposed actions to escheat unclaimed refunds and return the revenue to the County General Fund are appropriate as they support the County of San Diego’s Strategic Initiative of Sustainability to align the County’s available resources with services to maintain fiscal stability and ensure long-term solvency. The proposed actions to escheat revenue is in alignment with the County of San Diego’s Sustainability Goal of providing just and equitable access as the process to claim refunds is widely accessible to all claimants. FISCAL IMPACT If approved, this request will result in $529,486.45 of unanticipated revenue to the General Fund. 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. 10TUESDAY, JANUARY 28, 2025

Anderson, Lawson-Remer, Montgomery Steppe, DesmondAYES: 6. AUTHORIZE APPROVAL OF BRAND NAME VEHICLES IN PROCUREMENT OF COUNTY FLEET VEHICLES AND EXPANDED USE OF SIMPLIFIED PROCUREMENT PROCESS TO ALLOW SOLICITING LOCAL BUSINESSES FOR NEW VEHICLE PURCHASES, OUTFITTING, AND REPAIR SERVICES (DISTRICTS: ALL) SUBJECT: OVERVIEW Over the past 25 years, the County of San Diego (County) has standardized its fleet to Ford Motor Company (Ford) products. On December 7, 1999 (6), the Board of Supervisors (Board) initially approved the County to standardize the makes, models, and types of vehicles acquired for use by various County departments. Subsequently, 78% of the Fleet are Ford brand vehicles. Similarly, the Board approved specifying vehicle manufacturers in support of covert, undercover operations since March 22, 2005 (8). The remaining portion of the fleet consists of various brands to meet department orders, such as off-highway construction equipment, forklifts, and buses. As a result of automotive industry shortages or cancellations, as well as State and County sustainability regulations and goals, the Department of General Services (DGS) Fleet Services Division (Fleet) and the Department of Purchasing and Contracting (DPC) need the flexibility to specify makes, models, and outfitting for the portion of the Fleet (22%) that cannot standardize to Ford or qualify as covert in order to fulfill departments’ orders and successfully achieve sustainability goals. Historically, Fleet and DPC have managed vehicle purchases through competitive procurement, with a significant portion of awarded contracts coming through cooperative agreements outside of the County (e.g. Sourcewell). Since the pandemic, Fleet has moved away from cooperative agreement contracts in favor of maximizing business with local dealers through simplified procurement methods. This strategy circumvents industry shortages and cancellations and promotes the local economy. Further, Fleet needs replacement vehicle parts pricing schedules to match automotive parts industry standards to simplify bidding for local vendors. Today’s request is for the Board to approve and authorize the Director, DPC, to (i) approve the use of procurement methods in which DPC specifies the brand-name vehicle makes, models, and outfitting, including for Ford products and other vehicle brands; (ii) waive Board Policy A-87(4), Competitive Procurement’s public notice of procurement requirement exclusively for undercover vehicle purchases; (iii) approve the use of simplified procurement methods up to $1,000,000 when procuring vehicles, outfitting, and repair services from local dealers; and (iv) approve the utilization of replacement vehicle parts pricing structures that correspond with industry standards exclusively when parts procurement is ancillary to repair services. RECOMMENDATION(S) CHIEF ADMINISTRATIVE OFFICER 1. In accordance with Board Policy A-87, Competitive Procurement, approve and authorize the Director, Department of Purchasing and Contracting to specify brand-name vehicle makes, models, and outfitting in procurements for up to five years, as required to support County department operations. 2. Waive Board Policy A-87(4), Competitive Procurement’s public notice of procurement requirement when soliciting new vehicles, outfitting, and/or vehicle repair services for up to five years in support of covert operations. 3. Approve and authorize the Director, Department of Purchasing and Contracting to utilize 11TUESDAY, JANUARY 28, 2025

Board Policy A-87's Simplified Procurement Procedure for procurements up to $1,000,000 when soliciting new vehicles, outfitting, and/or vehicle repair services for up to five years, where eligibility to compete for award is reserved exclusively for local businesses. 4. Waive Board Policy A-81(C)(1)’s prohibition on Cost-Plus-a-Percentage-of-Cost contracts and, in line with industry standards, authorize the Director, Department of Purchasing and Contracting to procure vehicle parts using a pricing structure of cost-plus-percentage markup for up to five years, when contracting with local businesses for vehicle repair services where vehicle parts and replacement parts are ancillary to the services. 5. Find that the proposed actions are categorically exempt from environmental review in accordance with Section 15060(c)(3) of the California Environmental Quality Act Guidelines because they are not projects as defined by Section 15378. EQUITY IMPACT STATEMENT Approval of today’s request helps achieve County department operational and environmental goals; promotes alignment with industry standard pricing models when purchasing vehicle replacement parts; and simplifies contracting methods to better support economic opportunity for local businesses. SUSTAINABILITY IMPACT STATEMENT Board approval to specify brand-name vehicle makes and models and expand use of Board Policy A-87's Simplified Procurement Procedure contribute to the County Electric Vehicle Roadmap and Green Fleet Action Plan strategies, which align with California Air Resources Board’s mandates related to zero-emission vehicle conversion. These actions will also contribute to the County’s annual greenhouse gas reduction goals as described in the Climate Action Plan (2024) of 236,498 metric tons of carbon dioxide equivalent (MTCO2e) by 2030 and 396, 815 MTCO2e by 2045. FISCAL IMPACT Funds for these requests are included in the Fiscal Year 2024-25 Operational Plan for the General Services Fleet Internal Service Fund (ISF). If approved, this request will result in current year cost and revenue of an estimated amount of $18,500,000. The funding sources will be ISF charges to client departments for services. There will be no change in net General Fund costs and no additional staff years. BUSINESS IMPACT STATEMENT Expenditures from this action may create private sector jobs and economic opportunities in San Diego County for local employees, independent shops, and local dealerships. ACTION: ON MOTION of Supervisor Montgomery Steppe, seconded by Supervisor Desmond, the Board of Supervisors took action as recommended, on Consent. 7. AUTHORIZE APPROVAL OF BRAND NAME ELECTRONIC SECURITY PRODUCTS IN PROCUREMENT OF ELECTRONIC SECURITY PARTS (DISTRICTS: ALL) SUBJECT: OVERVIEW The Department of General Services (DGS) is responsible for maintaining the security and fire 12TUESDAY, JANUARY 28, 2025

life safety systems in the County of San Diego (County)’s facilities. DGS’s motto Semper Salus means “Always Safe.” This approval to specify brand name products in procurements will help to ensure that the County upholds its commitment to safety for its employees and residents. Today’s request is for the Board to approve the specification of single source brand name products in procurements for repair of existing County security (e.g., access control panels, card readers, security cameras) and fire life safety (e.g., alarm panels, alert and notification devices) systems, pursuant to Board Policy A-87(3). The Board of Supervisors (Board) previously approved the specifying of brand name products in procurements for electronic security parts on May 21, 2019 (13). This authority has expired, and DGS needs a new approval from the Board to properly repair and maintain the County’s security and fire life safety systems. Specifying brand name products in procurements allows the DGS Electronic Security Team to maintain warranties and equipment in accordance with manufacturer safety and reliability standards across County properties. RECOMMENDATION(S) CHIEF ADMINISTRATIVE OFFICER 1. In accordance with Board Policy A-87 Competitive Procurement sections (1)(D)(2),(5) and (6), approve and authorize the Director, Department of Purchasing and Contracting to specify brand-name electronic security products in procurements for up to five years. 2. Find that the proposed action is categorically exempt from environmental review in accordance with Section 15060(c)(3) of the California Environmental Quality Act Guidelines because it is not a project as defined by Section 15378. EQUITY IMPACT STATEMENT The Department of General Services (DGS) is an internal service department within the County of San Diego (County). DGS ensures that other departments have the necessary workspaces to accomplish their own business objectives. Approval of today’s request will enable DGS to complete repairs on essential safety equipment more quickly. The authorization to specify brand name security and fire life safety system parts for repairs will have a positive effect on County employees and residents by ensuring facilities and infrastructure meet manufacturer safety guidelines. SUSTAINABILITY IMPACT STATEMENT Board approval of this request to specify brand-name electronic security products in procurements for security and fire life safety systems parts supports the County’s Sustainability goals of Economy, Ecology, and Resiliency. This procurement maintains fiscal stability while also ensuring the capability to respond to immediate safety needs for individuals (and, more specifically, County employees), families, and the region; it recognizes the lifecycle impacts of products; and it mitigates safety risks through promoting functioning security and fire life safety systems and streamlined safety protocols for the public across County facilities. FISCAL IMPACT Funds for this request are included in the Fiscal Year 2024-25 Operational Plan for the Department of General Services Facilities Management Internal Service Fund (ISF). If approved, the annual spend for the County’s security and fire life safety systems is projected at $900,000, with an annual projected escalation of 6%, for a total contract value of $5.07 million. The 13TUESDAY, JANUARY 28, 2025

funding source is ISF charges to client departments for services. 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. Anderson, Lawson-Remer, Montgomery Steppe, DesmondAYES: 8. GENERAL SERVICES - AUTHORIZATION TO ADVERTISE AND AWARD CONSTRUCTION CONTRACT(S) FOR NEW STAND-ALONE WORKOUT SHEDS AT SEVEN FIRE STATIONS (DISTRICTS: 2, 5) SUBJECT: OVERVIEW Fire Stations located throughout the unincorporated area of San Diego County in Harbison Canyon, Deerhorn, Lake Morena, Julian, Ranchita, Shelter Valley, and Intermountain have a need for dedicated fitness space to support the health, safety, and overall wellness of staff. A dedicated fitness space at these remote locations will help firefighters maintain optimal fitness, reduce injury risks, enhance overall performance, and ensure they are prepared to serve their respective communities. Currently, staff at these locations utilize the station vehicle bay as a makeshift fitness area. Installing new stand-alone workout sheds will allow firefighters to have a space intended for fitness activities and reduce negative health impacts associated with their work. Today’s request is for the Board of Supervisors to authorize the Director, Department of Purchasing and Contracting to advertise and award a construction contract or contracts for the installation of stand-alone workout sheds at each of the following Fire Stations: FS-24 Harbison Canyon; FS-37 Deerhorn; FS-42 Lake Morena; FS-56 Julian; FS-58 Ranchita; FS-62 Shelter Valley; and FS-85 Intermountain. If approved, construction is expected to begin in Spring 2025, with an estimated completion in Summer 2025. RECOMMENDATION(S) CHIEF ADMINISTRATIVE OFFICER 1. Find that the proposed projects for the installation of stand-alone workout sheds at the following fire stations: FS-24 Harbison Canyon, FS-37 Deerhorn, FS-42 Lake Morena, FS-56 Julian, FS-58 Ranchita, FS-62 Shelter Valley, and FS-85 Intermountain are exempt from the California Environmental Quality Act (CEQA) review pursuant to CEQA Guidelines Sections 15301, 15303, 15304 and 15311. 2. Authorize the Director, Department of Purchasing and Contracting to advertise and award a construction contract or contracts and to take any action authorized by Article XXIII, Section 401, et seq. of the Administrative Code, with respect to contracting for the installation of stand-alone workout sheds at each of the following fire stations: FS-24 Harbison Canyon, FS-37 Deerhorn, FS-42 Lake Morena, FS-56 Julian, FS-58 Ranchita, FS-62 Shelter Valley, and FS-85 Intermountain. 14TUESDAY, JANUARY 28, 2025

3. Designate the Director, Department of General Services as the County Officer responsible for administering the construction contract or contracts for the installation of stand-alone workout sheds at each of the following fire stations: FS-24 Harbison Canyon, FS-37 Deerhorn, FS-42 Lake Morena, FS-56 Julian, FS-58 Ranchita, FS-62 Shelter Valley, and FS- 85 Intermountain. EQUITY IMPACT STATEMENT The authorization and award of a construction contract or contracts for the installation of stand-alone workout sheds at County Fire Stations would contribute to the County of San Diego’s Strategic Plan Equity Goal of Health by focusing on system approaches that ensure equal opportunity for health and well-being, and Empower Goal of Workforce by investing to support programs and services to ensure continuity of operations. SUSTAINABILITY IMPACT STATEMENT The authorization and award of a construction contract or contracts for the installation of stand-alone workout sheds at County Fire Stations would contribute to the County of San Diego’s Strategic Plan Sustainability Goal of Resiliency to help ensure the capability to respond and recover to immediate needs for individuals, families, and the region. FISCAL IMPACT Funds for this request are included in the Fiscal Year 2024-25 Operational Plan for the Major Maintenance Capital Outlay Fund (MMCOF) and San Diego County Fire. If approved, this request will result in combined estimated costs of $2,220,000 for the following MMCOF projects: 1026220 Harbison Canyon FS-24 ($475,000), 1026110 Deerhorn FS-37 ($335,000), 1026112 Intermountain FS-85 ($90,000), 1026108 Julian FS-56 ($335,000), 1026111 Lake Morena FS-42 ($345,000), 1026113 Ranchita FS-58 ($335,000), and 1026856 Shelter Valley FS-62 ($305,000). The funding source is available prior year General Fund fund balance and existing current year General Purpose Revenue. There will be no change in net General Fund cost and no additional staff years. BUSINESS IMPACT STATEMENT If approved, these recommendations will have a positive impact on the business community. Many of the funded projects will involve construction projects implemented by private construction firms selected through a competitive bid process. ACTION: ON MOTION of Supervisor Montgomery Steppe, seconded by Supervisor Desmond, the Board of Supervisors took action as recommended, on Consent. 9. GENERAL SERVICES - APPROVAL IN PRINCIPLE TO LEASE SPACE FOR PUBLIC DEFENDER’S CENTRAL BRANCH (DISTRICT: 1) SUBJECT: OVERVIEW The San Diego County Public Defender (PD) has operated their Central Branch at 451 A Street (formerly 450 B Street), San Diego, since 2010. The existing lease for space totaling approximately 92,303 square feet expires on September 30, 2026. In Fiscal Year 2022-23, PD added 90 positions increasing staffing in all branches with a large 15TUESDAY, JANUARY 28, 2025

allocation of new staff assigned to the Central Branch. The current leased premises at 451 A Street cannot accommodate the additional staff and is no longer sufficient to meet departmental needs as currently configured. The Department of General Services conducted a space validation study that supports the need for approximately 113,638 square feet of space to support Central Branch operations. Today’s request is for approval in principle to search for expanded lease space for the Public Defender Central Branch. Upon successful negotiation of a lease agreement, staff will return to the Board to request approval of the transaction. RECOMMENDATION(S) CHIEF ADMINISTRATIVE OFFICER 1. Find that the proposed approval in principle is not an approval of a project as defined by the California Environmental Quality Act (CEQA) pursuant to Section 15378 (b)(5) of the State CEQA guidelines. 2. Approve in principle the lease of approximately 113,638 square feet of space for the Public Defender Central Branch. 3. Authorize the Director, Department of General Services, to conduct a site search, negotiate a lease, and upon successful negotiations, return to the Board for approval of the lease agreement. EQUITY IMPACT STATEMENT The Public Defender Central Branch office is lacking critical elements to support the community in its current location. A larger facility would benefit the community that has been traditionally underserved due to the lack of space for adequate programs, and resources providing equitable access to legal resources. SUSTAINABILITY IMPACT STATEMENT Implementing effective sustainability objectives is crucial to ensuring safe and healthy communities and contributing to the overall success of the region. The approval in principle for a larger facility for the Public Defender Central Branch supports the County’s Strategic Initiative of Sustainability to ensure the capability to respond to immediate needs for individuals, families, and the region. FISCAL IMPACT There is no fiscal impact associated with the requested approval in principle to negotiate for additional space in the existing building or at a new location. The lease costs resulting from this action will be determined during lease negotiations and will be considered only if the rates and conditions are as or more favorable than the present lease and further, the Public Defender’s office will repurpose existing General Purpose Revenue to cover any increased costs resulting from lease negotiations. Should a favorable lease term, conditions, and cost that can be absorbed by the Public Defender without compromising their budget be negotiated, staff shall return to the Board to request approval of a new lease agreement. There will be no change in net General Fund cost and no additional staff years. 16TUESDAY, JANUARY 28, 2025

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. Anderson, Lawson-Remer, Montgomery Steppe, DesmondAYES: 10. GENERAL SERVICES - APPROVAL OF FIRST AMENDMENT TO LEASE FOR THE SHERIFF’S OFFICE IMPERIAL BEACH SUBSTATION, 845 IMPERIAL BEACH BOULEVARD, AND NOTICE OF EXEMPTION (DISTRICT: 1) SUBJECT: OVERVIEW On July 1, 2018, the Director, Department of General Services (DGS), administratively approved a lease agreement with City of Imperial Beach for the Sheriff’s Office (Sheriff) Imperial Beach Substation. The Imperial Beach Substation has been operated by the Sheriff since 1983 through a series of leases, however, the current lease expired on June 30, 2023. The lease is currently on holdover, which has allowed the County to continue occupancy on a month-to-month basis while an amendment was negotiated. Staff from DGS have negotiated an amendment for the Imperial Beach Sheriff Substation to extend the term of the lease. Since the proposed term length exceeds administrative authority of five years, Board of Supervisors (Board) approval of the amendment is required. Today’s request is for Board approval of the amendment. RECOMMENDATION(S) CHIEF ADMINISTRATIVE OFFICER 1. Find the proposed lease amendment for the Imperial Beach Substation is exempt from the California Environmental Quality Act (CEQA) Guidelines pursuant to State CEQA Guidelines Section 15301. 2. Approve and authorize the Director, Department of General Services, to execute the proposed lease amendment for the premises located at 845 Imperial Beach Boulevard, Imperial Beach, California. EQUITY IMPACT STATEMENT It is anticipated that the proposed lease amendment for the Imperial Beach Sheriff Substation will contribute positively to the communities it supports by providing resources and equitable access to law enforcement services for the City of Imperial Beach and the unincorporated communities of Bonita, Chula Vista, Lincoln Acres, Proctor Valley, San Miguel, and Otay Valley. SUSTAINABILITY IMPACT STATEMENT Implementing effective sustainability objectives is crucial to ensuring safe and healthy communities and contributing to the overall success of the region. The approval of this amendment supports the County’s Strategic Initiative of Sustainability to ensure the capability to respond to the immediate needs for individuals, families and the region. FISCAL IMPACT 17TUESDAY, JANUARY 28, 2025

Funds for this request are included in the Fiscal Year 2024-25 Operational Plan in the Sheriff’s Office. If approved, this request will result in current year costs of approximately $19,178.35 in Fiscal Year 2024-25. Fiscal Year 2025-26 costs are estimated at $47,041.68 which includes a 3% rent adjustment to go into effect July 2025. Funds for the remaining term and for each option year (if exercised), will be included in future years’ operational plans for the Sheriff’s Office. The funding source is contract city revenue. 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. Anderson, Lawson-Remer, Montgomery Steppe, DesmondAYES: 11. APPROVAL OF CONFLICT OF INTEREST CODES FOR GUAJOME LEARNING CENTERS, MIRACOSTA COMMUNITY COLLEGE DISTRICT, SAN ELIJO JOINT POWERS AUTHORITY, AND WORLD TRADE CENTER SAN DIEGO (DISTRICTS: ALL) SUBJECT: OVERVIEW The Board of Supervisors serves as the Code Reviewing Body for any local agency, other than cities, with jurisdiction wholly within the County, pursuant to Government Code Section 82011. The recommended action would approve the proposed amendments to the Conflict of Interest code for Guajome Learning Centers, MiraCosta Community College District, San Elijo Joint Powers Authority, and approve the adoption of the code for Wor

COUNTY OF SAN DIEGO BOARD OF SUPERVISORS REGULAR MEETING MEETING AGENDA TUESDAY, JANUARY 28, 2025, 9:00 AM COUNTY ADMINISTRATION CENTER, ROOM 310 COUNTY OF SAN DIEGO BOARD OF SUPERVISORS REGULAR MEETING AGENDA TUESDAY, XX, 20XX, 9:00 AM AND WEDNESDAY, XX, 20XX, 9:00 AM COUNTY ADMINISTRATION CENTER, BOARD CHAMBER, ROOM 310 1600 PACIFIC HIGHWAY, SAN DIEGO, CA 92101 GENERAL LEGISLATIVE SESSION TUESDAY, JANUARY 28, 2025, 9:00 AM Order Of Business A. Roll Call B. Statement (just cause) and/or Consideration of a Request to Participate Remotely (emergency circumstances) by a Supervisor, if applicable. C. Invocation D. Pledge of Allegiance E. Presentation or Announcement of Proclamations and Awards F. Non-Agenda Public Communication: 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 Communication session per meeting. Speakers can choose to speak during either the General Legislative or Land Use Legislative Session. G. Approval of the Statement of Proceedings/Minutes for the sessions of January 7, 2025, January 8, 2025 and Special Meeting of January 14, 2025. H. Consent Agenda 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. K. Recess to Wednesday, January 29, 2025, at 9:00 AM for the Land Use Legislative Session NOTICE: THE BOARD OF SUPERVISORS MAY TAKE ANY ACTION WITH RESPECT TO THE ITEMS INCLUDED ON THIS AGENDA. RECOMMENDATIONS MADE BY COUNTY STAFF DO Tuesday, January 28, 2025 1

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. Supporting documentation and attachments for items listed on this agenda can be viewed online at www.sandiegocounty.gov/cob or in the Office of the Clerk of the Board of Supervisors at the County Administration Center, 1600 Pacific Highway, Room 402, San Diego, CA 92101. To access the meeting virtually and offer public comment via a call-in option, please go to: www.sandiegocounty.gov/telecomments for instructions. ASSISTANCE FOR PERSONS WITH DISABILITIES: Agendas and records are available in alternative formats upon request. Contact the Clerk of the Board of Supervisors office at 619-531-5434 with questions or to request a disability-related accommodation. Individuals requiring sign language interpreters should contact the Countywide ADA Title II Coordinator at (619) 531-4908. To the extent reasonably possible, requests for accommodation or assistance should be submitted at least 72 hours in advance of the meeting so that arrangements may be made. An area in the front of the room is designated for individuals requiring the use of wheelchair or other accessible devices. LANGUAGE INTERPRETATION ASSISTANCE: Language interpretation services for public speakers are available upon request to the Clerk of the Board of Supervisors at least 72 hours prior to the meeting (refer to Board Policy A-139 for additional information). Please contact the Clerk of the Board's office at (619) 531-5434 or via e-mail at publiccomment@sdcounty.ca.gov. LEVINE ACT NOTICE: DISCLOSURES REQUIRED ON SPECIFIED ITEMS (GOVERNMENT CODE § 84308) The Levine Act states that parties to any proceeding involving a license, permit or other entitlement for use pending before the Board must disclose on the record of the proceeding any campaign contributions of more than $500 (aggregated) made by the parties or their agents to Board Members within the preceding 12 months. Participants with financial interests, and agents of either parties or participants, are requested to disclose such contributions also. The disclosure must include the name of the party or participant and any other person making the contribution; the name of the recipient; the amount of the contribution; and the date the contribution was made. This disclosure can be made orally during the proceeding or in writing on a request to speak. Board of Supervisors' Agenda Items Category # Subject 1. AUTHORIZE ACCEPTANCE OF FUNDING FOR THE TRANSITIONAL HOUSING PROGRAM, HOUSING NAVIGATION AND MAINTENANCE PROGRAM, AND TRANSITIONAL HOUSING PROGRAM PLUS HOUSING SUPPLEMENT PROGRAM AND ADOPT RESOLUTION AUTHORIZING APPLICATION AND ACCEPTANCE OF ALLOCATION AWARDS Health and Human Services Tuesday, January 28, 2025 2

2. AUTHORIZE SINGLE SOURCE PROCUREMENT OF HAMILTON MICROLAB SERIES MANUFACTURER-SPECIFIC INSTRUMENTATION, MAINTENANCE, CONSUMABLES, AND SUPPLIES FOR THE PUBLIC HEALTH LABORATORY 3. AUTHORIZE A SINGLE SOURCE CONTRACT WITH SHARP HEALTHCARE FOR HOSPITAL-BASED CRISIS STABILIZATION SERVICES WITHIN SHARP CHULA VISTA MEDICAL CENTER 4. 2024 ESCHEATMENT OF UNCLAIMED MONEY IN COUNTY TRUST FUNDS Financial and General Government 5. 2024 ESCHEATMENT OF UNCLAIMED PROPERTY TAX REFUND MONEY IN COUNTY TRUST FUNDS (PROPERTY TAX) 6. AUTHORIZE APPROVAL OF BRAND NAME VEHICLES IN PROCUREMENT OF COUNTY FLEET VEHICLES AND EXPANDED USE OF SIMPLIFIED PROCUREMENT PROCESS TO ALLOW SOLICITING LOCAL BUSINESSES FOR NEW VEHICLE PURCHASES, OUTFITTING, AND REPAIR SERVICES 7. AUTHORIZE APPROVAL OF BRAND NAME ELECTRONIC SECURITY PRODUCTS IN PROCUREMENT OF ELECTRONIC SECURITY PARTS 8. GENERAL SERVICES - AUTHORIZATION TO ADVERTISE AND AWARD CONSTRUCTION CONTRACT(S) FOR NEW STAND-ALONE WORKOUT SHEDS AT SEVEN FIRE STATIONS 9. GENERAL SERVICES - APPROVAL IN PRINCIPLE TO LEASE SPACE FOR PUBLIC DEFENDER’S CENTRAL BRANCH 10. GENERAL SERVICES - APPROVAL OF FIRST AMENDMENT TO LEASE FOR THE SHERIFF’S OFFICE IMPERIAL BEACH SUBSTATION, 845 IMPERIAL BEACH BOULEVARD, AND NOTICE OF EXEMPTION 11. APPROVAL OF CONFLICT OF INTEREST CODES FOR GUAJOME LEARNING CENTERS, MIRACOSTA COMMUNITY COLLEGE DISTRICT, SAN ELIJO JOINT POWERS AUTHORITY, AND WORLD TRADE CENTER SAN DIEGO 12. APPOINTMENTS: VARIOUSAppointments 13. COMMUNICATIONS RECEIVEDCommunications Received Tuesday, January 28, 2025 3

14. SELECTION OF CHAIR, VICE CHAIR AND CHAIR PRO TEM OF THE 2025 BOARD OF SUPERVISORS Financial and General Government 15. PRESENTATION ON THE IMPACT OF POTENTIAL TARIFFS 16. PURCHASE OF A TWIN-ENGINE HELICOPTER, NEW WATER TENDERS, A COMPREHENSIVE REVIEW OF FIRE SAFETY IN THE COUNTY OF SAN DIEGO, AND WAIVER OF BOARD POLICY A-72 Public Safety 17. ENHANCING CLEARING AND BRUSH MANAGEMENT EFFORTS TO REDUCE WILDFIRE RISK IN THE COUNTY OF SAN DIEGO AND WAIVE BOARD POLICY A-72 18. PRESENTATION ON COUNTY OF SAN DIEGO EMERGENCY PREPAREDNESS AND RESPONSE EFFORTS 19. ENHANCING BEHAVIORAL HEALTH ACCESSIBILITY: ESTABLISHING NEW PARTNERSHIPS ACROSS THE CONTINUUM OF CARE AND A-72 WAIVER Health and Human Services 20. AUTHORIZE ACCEPTANCE OF INCOMPETENT TO STAND TRIAL DIVERSION AND COMMUNITY-BASED RESTORATION INFRASTRUCTURE PROJECT GRANT FUNDS 21. CONVENING A TIJUANA RIVER VALLEY POLLUTION SPECIAL MEETING Land Use and Environment 22. CLOSED SESSIONClosed Session 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, January 28, 2025 4

1. AUTHORIZE ACCEPTANCE OF FUNDING FOR THE TRANSITIONAL HOUSING PROGRAM, HOUSING NAVIGATION AND MAINTENANCE PROGRAM, AND TRANSITIONAL HOUSING PROGRAM PLUS HOUSING SUPPLEMENT PROGRAM AND ADOPT RESOLUTION AUTHORIZING APPLICATION AND ACCEPTANCE OF ALLOCATION AWARDS (DISTRICTS: ALL) SUBJECT: OVERVIEW The County of San Diego (County) Health and Human Services Agency, Child and Family Well-Being Transitional Housing Program (THP) is comprised of the Transitional Housing Program-Plus (THP-Plus) and the Transitional Housing Placement Program for Non-Minor Dependents (THPP NMD). Both programs improve outcomes for youth entering adulthood from the foster care system. Over the past two decades, the California legislature has made strides in addressing the transitional age youth housing crisis for those involved in the child welfare and probation systems. In 2001, California Assembly Bill 427 established the THP-Plus, which provides affordable housing and supportive services for aged out youth ages 18 to 24 years for up to 24 months as they transition out of foster care. Between 2001 and 2012, there have been numerous State laws, allowing for funding of THP that support youth in identifying and preventing homelessness. Most recently, in 2022, California Senate Bill 154 extended transitional housing services up to age 25 and provided 36 months of support for all youth involved. Today’s actions request the San Diego County Board of Supervisors authorize the application for and acceptance of funding for the THP, Housing Navigation and Maintenance Program, and Transitional Housing Program-Plus Housing Supplement Program, adopt a resolution authorizing application for and acceptance of allocation awards, and apply for future funding for transitional age youth housing. Today’s 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. This will be accomplished by enhancing the coordination of upstream prevention strategies and services between community resources and the child welfare system to ensure transitional age youth receive services and supports to secure and maintain a safe environment. Additionally, this item aligns with the County Framework for Ending Homelessness and the Housing Blueprint, promoting prevention and housing stability through equitable access to safe, affordable housing for current and former foster youth, helping to address youth homelessness. RECOMMENDATION(S) CHIEF ADMINISTRATIVE OFFICER 1. Authorize the application for and acceptance of $1,545,738 in Transitional Housing Program funds from the California Department of Housing and Community Development for the anticipated funding period of Fiscal Year (FY) 2024-25 through FY 2026-27 to reduce youth homelessness and authorize the Deputy Chief Administrative Officer, Health and Human Services Agency, to execute all required Tuesday, January 28, 2025 1

allocation award documents, including all amendments thereto. 2. Authorize the application for and acceptance of $413,630 in Housing Navigation and Maintenance Program funds from the California Department of Housing and Community Development, for the anticipated funding period of FY 2024-25 through FY 2026-27 to help youth secure and maintain housing, and authorize the Deputy Chief Administrative Officer, Health and Human Services Agency, to execute all required allocation award documents, including all amendments thereto. 3. Authorize the application for and acceptance of $1,032,773 in Transitional Housing Program-Plus Housing Supplement Program funds from the California Department of Housing and Community Development, for the anticipated funding period of FY 2024- 25 through FY 2026-27 to help meet increasing housing needs and cost of rent demands, and authorize the Deputy Chief Administrative Officer, Health and Human Services Agency, to execute all required allocation award documents, including all amendments thereto. 4. Adopt a resolution entitled A RESOLUTION OF THE BOARD OF SUPERVISORS OF THE COUNTY OF SAN DIEGO TO AUTHORIZE AN APPLICATION FOR, AND ACCEPTANCE OF, THE COUNTY ALLOCATION AWARD UNDER ROUND 6 OF THE TRANSITIONAL HOUSING PROGRAM, ROUND 3 OF THE HOUSING NAVIGATION AND MAINTENANCE PROGRAM, AND ROUND 4 OF THE THP - PLUS HOUSING SUPPLEMENT PROGRAM. 5. Authorize the Deputy Chief Administrative Officer, Health and Human Services Agency or designee, to apply for future funding, including grants, supplemental funding and other funding to support transitional housing for youth and support youth secure and maintain housing and avoid homelessness. EQUITY IMPACT STATEMENT The County of San Diego (County) Health and Human Services Agency, Child and Family Well- Being (CFWB) Transitional Housing Program (THP), inclusive of Transitional Housing Program- Plus (THP-Plus) and Transitional Housing Placement Program for Non-Minor Dependents (THPP NMD), provides up to 36 cumulative months of subsidized housing for current and former foster youth ages 18-25 years. In Fiscal Year (FY) 2023-24, 389 youth were served under the THP and 75% maintained and exited to safe and sustainable housing. In any given month, there are approximately 329 unduplicated youth participating in the THP. The goal of the THP is for participants and subgroups within to include Black, Indigenous, People of Color, native Spanish speakers, and LGBTQ+ youth, to secure safe and stable housing by program graduation, and make progress towards life goals, including educational attainment or employment achievement, physical and mental well-being, and connections to community. The ethnicity breakdown for the 389 youth served under the THP in FY 2023-24 includes: 27% African American; 1.5% Asian; 18% Caucasian; 38.5% Hispanic; 0.5% Native American; 0.5% Other Ethnicities/Unknown; and 14% Bi or Multi-Racial. CFWB partners with nonprofit entities to provide housing opportunities and services in the six County service regions to ensure youth in underserved communities have greater opportunities and access to safe and affordable housing. CFWB engages with program participants and providers to collect data and evaluate service outcomes to ensure positive outcomes for youth transitioning to adulthood and help them maintain safe and stable housing. Participating youth complete surveys quarterly, which identify areas within the program that are both beneficial and Tuesday, January 28, 2025 2

need improvement. The surveys provide information on the effectiveness and satisfaction of the program service delivery to ensure equitable service delivery and programming. Recent data show that in FY 2023-24, approximately 83% of youth surveyed within all available THPs reported being satisfied with the program services. SUSTAINABILITY IMPACT STATEMENT Today’s actions support the County of San Diego Sustainability Goal #2 of providing just and equitable access by expanding the availability of affordable housing to transitional age youth. Investments in concrete supports, such as housing, reduces economic and personal hardships on youth and provides the supports needed for youth to build resilience, independence, and long-term skills, which will lead to a reduction in youth homelessness and recurrence of generational maltreatment, and associated costs. FISCAL IMPACT Recommendation 1: Authorize the Application for and Acceptance of Transitional Housing Program Funds Funds for this request are partially included in the Fiscal Years (FY) 2024-26 Operational Plan in the Health and Human Services Agency. If approved, this request will result in no costs and revenue in FY 2024-25, estimated costs and revenue of $772,869 in FY 2025-26 and $772,869 in FY 2026-27, for a total costs and revenue of $1,545,738 from FY 2024-25 through FY 2026-27 for the Transitional Housing Program. The funding source is Transitional Housing Program allocation of State General Funds. Funds for subsequent years will be included in future operational plans. There will be no change in net General Fund cost and no additional staff years. Recommendation 2: Authorize the Application for and Acceptance of Housing Navigation and Maintenance Program Funds Funds for this request are included in the FY 2024-26 Operational Plan in the Health and Human Services Agency. If approved, this request will result in no costs and revenue in FY 2024-25, estimated costs and revenue of $206,815 in FY 2025-26 and $206,815 in FY 2026-27, for total costs and revenue of $413,630 from FY 2024-25 through FY 2026-27 for the Housing Navigation and Maintenance Program. The funding source is Housing Navigation and Maintenance Program allocation of State General Funds. Funds for subsequent years will be incorporated into future operational plans. There will be no change in net General Fund cost and no additional staff years. Recommendation 3: Authorize the Application for and Acceptance of Transitional Housing Program- Plus Housing Supplement Funds Funds for this request are not included in the FY 2024-26 Operational Plan in the Health and Human Services Agency. If approved, this request will result in no costs and revenue in FY 2024-25 and estimated costs and revenue of $1,032,773 in FY 2025-26 for the Transitional Housing Program-Plus. The funding source is the Transitional Housing Program-Plus Housing Supplement Program allocation of State General Funds. Funds for subsequent years will be included in future operational plans. There will be no change in net General Fund cost and no additional staff years. Tuesday, January 28, 2025 3

BUSINESS IMPACT STATEMENT N/A 2. AUTHORIZE SINGLE SOURCE PROCUREMENT OF HAMILTON M I C R O L A B S E R I E S M A N U F A C T U R E R - S P E C I F I C INSTRUMENTATION, MAINTENANCE, CONSUMABLES, AND SUPPLIES FOR THE PUBLIC HEALTH LABORATORY (DISTRICTS: ALL) SUBJECT: OVERVIEW The County of San Diego (County) Health and Human Services Agency, Public Health Laboratory (PHL) provides high-quality laboratory services to protect the health of the community and prevent the spread of disease. PHL has been a leader in infectious disease control locally, in California, and across the nation by analyzing clinical and environmental samples through surveillance, assessment, and assurance activities. In addition, PHL supports regional preparedness and response to communicable disease events, outbreaks, and emerging infectious disease threats. On October 25, 2022 (11), the San Diego County Board of Supervisors (Board) approved the establishment of appropriations for design and pre-construction services for a new PHL. The new facility will be larger than the previous PHL and will also be a Biosafety Level 2 and 3 reference laboratory, as the County serves as an approved Centers for Disease Control and Prevention Select Agent Laboratory for San Diego and Imperial Counties. PHL is also the designated location for the federal BioWatch program for the detection of bioterrorism agents in San Diego County. This new expanded PHL will allow for enhanced and expanded testing services and capabilities. The use of specialized laboratory equipment is essential to ensure this expansion of testing while maintaining and increasing testing proficiency and accuracy. Today’s actions request the Board authorize a single source contract with Hamilton Company for their Microlab series manufacturer-specific specialized instrumentation, maintenance, consumables, and supplies to sustain critical services and enhance PHL. Today's actions support 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. This will be accomplished by re-enforcing PHL’s ability to safeguard and improve the health and well-being of San Diego County residents through enhanced and increased testing, prevention, and intervention to interrupt transmission of disease while maintaining good fiscal management. RECOMMENDATION(S) CHIEF ADMINISTRATIVE OFFICER 1. In accordance with Board Policy A-87, Competitive Procurement, approve and authorize the Director, Department of Purchasing and Contracting to enter into negotiations with Hamilton Company, and subject to successful negotiations and determination of a fair and reasonable price, award a contract for Hamilton Microlab series Tuesday, January 28, 2025 4

manufacturer-specific instrumentation, consumables and ongoing maintenance and repairs for the life of the equipment, for an Initial Term of up to one year, with four one-year Options, and up to an additional six months, if needed, and to amend the contract as needed to reflect changes to services or funding allocations, subject to the availability of funds and the approval of the Deputy Chief Administrative Officer, Health and Human Services Agency. 2. Authorize the Deputy Chief Administrative Officer, Health and Human Services Agency, or designee, to apply for additional funding opportunity announcements, if available, that would support the Public Health Laboratory efforts. EQUITY IMPACT STATEMENT San Diego County has one of the busiest border crossings in the United States and is home to a diverse population including military and tribal communities. Reports from the Centers for Disease Control and Prevention have highlighted disparities among populations impacted by diseases such as HIV, viral Hepatitis, Sexually Transmitted Infection, tuberculosis, and COVID-19. Disparities in ethnicity have shown to be linked to behavioral risk factors, environmental exposures, social determinants of health, and access to accurate and timely testing. To protect the health and well-being of all residents, the County of San Diego (County) Health and Human Services Agency, Public Health Laboratory (PHL) provides diagnostic testing that helps to diagnose diseases among the public, including but not limited to, tuberculosis, measles, mumps, norovirus, and malaria. Additionally, insights from testing results and patient demographics, available through the laboratory information management system, enables PHL to record and monitor health disparities and inequities across a wide range of diseases. PHL works in conjunction with public health clinics, local hospitals and healthcare providers, and the County Department of Environmental Health and Quality to analyze clinical and environmental samples to detect and identify bacteria, viruses, and other pathogens, perform rapid diagnostic testing, and characterize pathogens. A fully functioning PHL that implements the core activities of surveillance, assessment, and assurance, is essential to provide the best health outcomes for our communities. Thus, PHL is continuously tracking advancements in specialized laboratory and testing equipment to ensure the most efficient and effective instrumentation is a priority. The procurement of advanced instrumentation will lead to improved testing capabilities, reduced response times, and more efficient and effective services to interrupt the transmission of disease and protect all San Diego County residents, especially the most vulnerable. SUSTAINABILITY IMPACT STATEMENT Today’s actions support the County of San Diego (County) Sustainability Goal #3 to transition to a green, carbon-free economy, and reduce greenhouse gas emissions; and Sustainability Goal #4 - to protect the health and well-being of everyone in the region, with a focus on collaborating with community partners and advocating for environmental justice for communities that have been disproportionately impacted. The County Public Health Laboratory continuously increases capacity and testing services aimed at detecting and preventing illnesses by using the most effective and efficient equipment available. Testing and identification will improve the overall health of communities, reduce the demand for associated care services, while increasing the effectiveness of care providers and lowering operating costs of facilities, thus reducing Tuesday, January 28, 2025 5

greenhouse gas emissions and waste generated within the care sector. Since climate change and air pollution are direct threats to human health, the reduction of pollution i