BOARD OF SUPERVISORS

STATEMENT OF PROCEEDINGS COUNTY OF SAN DIEGO BOARD OF SUPERVISORS REGULAR MEETING TUESDAY, DECEMBER 5, 2023, 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 9:14 a.m. PRESENT: Supervisors Nora Vargas, Chair; Terra Lawson-Remer, Vice-Chair; Joel Anderson; Supervisor-Elect 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 Laurel Mathewson of St. Luke’s North Park Episcopal Church. D. Pledge of Allegiance was led by Sabrina Bishop. E. Item 33: ADOPTION OF A RESOLUTION DECLARING ELECTION RESULTS OF THE NOVEMBER 7, 2023 SPECIAL ELECTION ACTION: ON MOTION of Supervisor Vargas, seconded by Supervisor Anderson, the Board of Supervisors adopted. Vargas, Anderson, Lawson-Remer, DesmondAYES: Montgomery SteppeABSENT: F. Swearing-In of District 4 Supervisor-Elect Monica Montgomery Steppe The Oath of Office was administered by Cecil Steppe. G. Presentations or Announcement of Proclamations and Awards: Chair Nora Vargas presented a proclamation declaring December 5, 2023, to be 2024 World Design Capital Day throughout the County of San Diego. Vice-Chair Terra Lawson-Remer presented a proclamation declaring December 5, 2023, to be Caregiver Appreciation Day throughout the County of San Diego. Supervisor Jim Desmond presented a proclamation declaring December 5, 2023, to be Hillel Day throughout the County of San Diego. H. 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. 1TUESDAY, DECEMBER 5, 2023

I. Approval of the Statement of Proceedings/Minutes for the Regular meeting of November 7, 2023; Flood Control District meeting of September 27, 2023; Housing Authority meeting of July 19, 2023; In-Home Supportive Services Public Authority meeting of June 27, 2023; Redevelopment Successor Agency meeting of June 27, 2023; San Diego County Fire Protection District meeting of October 24, 2023; and, the Sanitation District meeting of October 25, 2023. ACTION: ON MOTION of Supervisor Desmond, seconded by Supervisor Anderson, the Board of Supervisors approved the Statement of Proceedings/Minutes for the Regular meeting of November 7, 2023; Flood Control District meeting of September 27, 2023; Housing Authority meeting of July 19, 2023; In Home Supportive Services Public Authority meeting of June 27, 2023; Redevelopment Successor Agency meeting of June 27, 2023; San Diego County Fire Protection District meeting of October 24, 2023; and, the Sanitation District meeting of October 25, 2023. Vargas, Anderson, Lawson-Remer, DesmondAYES: Montgomery SteppeABSTAINED: J. Consent Calendar K. Discussion Items L. Time Certain: 11:00 a.m. Item 34: FISCAL YEAR 2023-24 FIRST QUARTER OPERATIONAL PLAN STATUS REPORT AND BUDGET ADJUSTMENTS (DISTRICTS: ALL) M. 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 Category # Subject Public Safety 1. DISTRICT ATTORNEY - REQUEST TO APPLY FOR AND ACCEPT CALIFORNIA OFFICE OF TRAFFIC SAFETY GRANTS [FUNDING SOURCES: CALIFORNIA OFFICE OF TRAFFIC SAFETY AND EXISTING GENERAL PURPOSE REVENUE FOR INDIRECT COSTS] 2TUESDAY, DECEMBER 5, 2023

2. SHERIFF - REQUEST TO APPROVE AMENDMENT TO THE REVENUE CONTRACT WITH DEPARTMENT OF STATE HOSPITALS FOR THE FELONY INCOMPETENT TO STAND TRIAL (IST) PROGRAM [FUNDING SOURCE: DEPARTMENT OF STATE HOSPITALS] (4 VOTES) 3. ACCEPT THE FISCAL YEAR 2023-24 COMMUNITY CORRECTIONS PARTNERSHIP PLAN 4. AUTHORIZE COMPETITIVE SOLICITATIONS FOR SERVICES IN PROBATION FACILITIES AND THROUGHOUT THE COUNTY OF SAN DIEGO [FUNDING SOURCE: JUVENILE PROBATION ACTIVITIES REVENUE, JUVENILE JUSTICE CRIME PREVENTION ACT, JUVENILE JUSTICE REALIGNMENT BLOCK GRANT, AND EXISTING GENERAL PURPOSE REVENUE] 5. EMERGENCY SERVICES - 2023 HOMELAND SECURITY GRANT PROGRAM AND EMERGENCY MANAGEMENT PERFORMANCE GRANT PROGRAM GOVERNING BODY RESOLUTION [FUNDING SOURCE: CALIFORNIA GOVERNOR’S OFFICE OF EMERGENCY SERVICES] Health and Human Services 6. ADOPT RESOLUTION TO GUIDE IMPLEMENTATION OF SENATE BILL (SB) 43 AND ESTABLISH A MULTISECTORAL PLANNING PROCESS TO GUIDE IMPLEMENTATION 7. SECOND CONSIDERATION AND ADOPTION OF ORDINANCE: HEALTH AND HUMAN SERVICES AGENCY ADMINISTRATIVE CODE AND BOARD POLICY SUNSET REVIEW 2023; APPROVE AN ORDINANCE AMENDING PROVISIONS IN THE SAN DIEGO COUNTY ADMINISTRATIVE CODE RELATING TO THE GENERAL RELIEF PROGRAM (NOVEMBER 7, 2023 - FIRST READING; DECEMBER 5, 2023 - SECOND READING) 8. AUTHORIZE COMPETITIVE SOLICITATION FOR AS-NEEDED COMMUNITY VACCINATION SERVICES, AND AUTHORIZE FUTURE FUNDING OPPORTUNITIES RELATED TO IMMUNIZATION SERVICES [FUNDING SOURCE: CALIFORNIA DEPARTMENT OF PUBLIC HEALTH IMMUNIZATION LOCAL ASSISTANCE GRANT IN FY 2024-25 AND THE DEPARTMENT OF PUBLIC HEALTH EPIDEMIOLOGY AND LABORATORY CAPACITY FOR PREVENTION AND CONTROL OF EMERGING INFECTIOUS DISEASES IN FY 2025-26] Financial and General Government 9. RESOLUTION DESIGNATING DATES AND TIMES FOR REGULAR MEETINGS OF THE BOARD OF SUPERVISORS IN 2024 3TUESDAY, DECEMBER 5, 2023

10. WITHDRAWN - RESOLUTION AMENDING THE RULES OF PROCEDURE OF THE SAN DIEGO COUNTY BOARD OF SUPERVISORS 11. SOLICITING VOLUNTEERS FOR THE ANNUAL POINT IN TIME COUNT 12. AN ORDINANCE AMENDING THE COMPENSATION ORDINANCE AND ESTABLISHING COMPENSATION (12/5/23 - First Reading; 1/9/24 - Second Reading, unless the ordinance is modified on second reading) 13. 2024 LEGISLATIVE PROGRAM 14. ESCHEATMENT OF UNCLAIMED PROPERTY TAX REFUND MONEY IN COUNTY TRUST FUNDS (PROPERTY TAX) 15. GENERAL SERVICES - APPROVAL OF SECOND AMENDMENT TO LEASE WITH THE SAN DIEGO REGIONAL BUILDING AUTHORITY AND SECOND AMENDMENT TO SUBLEASE WITH THE SAN DIEGO METROPOLITAN TRANSIT BOARD FOR THE JAMES R. MILLS BUILDING AND NOTICE OF EXEMPTION 16. APPROVAL OF THE CONFLICT OF INTEREST CODE FOR ALBERT EINSTEIN ACADEMIES 17. ADMINISTRATIVE ITEM: SECOND CONSIDERATION AND ADOPTION OF ORDINANCE: ORDINANCE AMENDING THE COMPENSATION ORDINANCE AND ESTABLISHING COMPENSATION (11/7/23 - First Reading; 12/5/23 - Second Reading, unless the ordinance is modified on second reading) 18. ADMINISTRATIVE ITEM: SECOND CONSIDERATION AND ADOPTION OF ORDINANCE: AN ORDINANCE ADDING SECTION 438 TO ARTICLE XXIV-A OF THE SAN DIEGO COUNTY ADMINISTRATIVE CODE, RELATING TO VOLUNTEER ELECTION POLL WORKERS AND ELECTION SUPPORT VOLUNTEERS (11/07/2023 - First Reading; 12/05/2023 - Second Reading, unless ordinance is modified on second reading) 19. SECOND CONSIDERATION AND ADOPTION OF ORDINANCES: SUNSET REVIEW OF BOARD OF SUPERVISORS POLICIES AND COUNTY ADMINISTRATIVE CODE PROVISIONS ASSIGNED TO THE FINANCE AND GENERAL GOVERNMENT GROUP (11/7/23 - First Reading; 12/5/23 - Second Reading, unless the ordinances are modified on second reading) Appointments 20. APPOINTMENTS: VARIOUS Communications Received 21. COMMUNICATIONS RECEIVED Public Safety 22. ENDING TAXPAYER FUNDED DEPORTATION DEFENSE FOR CRIMINAL NONCITIZENS 4TUESDAY, DECEMBER 5, 2023

23. AN ORDINANCE AMENDING SECTION 363 OF ARTICLE XX OF THE SAN DIEGO COUNTY ADMINISTRATIVE CODE, RELATING TO FILING FEES TO SEAL OR EXPUNGE A RECORD, PURSUANT TO ASSEMBLY BILL 134 [FUNDING SOURCE: EXISTING GENERAL PURPOSE REVENUE] Health and Human Services 24. HOUSING EVERY HOMELESS PERSON IN ADDICTION RECOVERY [FUNDING SOURCE: GENERAL PURPOSE REVENUE] 25. WITHDRAWN - ADVANCING REPRODUCTIVE RIGHTS EDUCATION AND PURSUING LITIGATION TO SHUT DOWN FAKE AND FRAUDULENT CRISIS PREGNANCY CENTERS [FUNDING SOURCE: EXISTING ONE-TIME GENERAL PURPOSE REVENUE] 26. ADOPT THE SUSTAINABLE, EQUITABLE, AND LOCAL FOOD SOURCING POLICY AND DIRECT IMPLEMENTATION OF YEAR-TWO OF THE SUSTAINABLE, EQUITABLE, AND LOCAL FOOD SOURCING PROGRAM [FUNDING SOURCE: ARPA] Financial and General Government 27. NOTICED PUBLIC HEARING (TEFRA): ISSUANCE OF BONDS, IN ONE OR MORE SERIES, FROM TIME TO TIME PURSUANT TO A PLAN OF FINANCE, BY THE CALIFORNIA PUBLIC FINANCE AUTHORITY FOR THE BENEFIT OF SHARP HEALTHCARE AND ITS AFFILIATES IN AN AGGREGATE AMOUNT NOT TO EXCEED $1.0 BILLION 28. ADOPT ORDINANCE AUTHORIZING A DISPOSITION AND DEVELOPMENT AGREEMENT FOR AFFORDABLE HOUSING ON COUNTY-OWNED LAND - RAMONA SENIOR HOUSING/PASEO NORTE AND RELATED CEQA FINDING [FUNDING SOURCE: INTERNAL AGREEMENT WITH THE HEALTH AND HUMAN SERVICES AGENCY (HHSA) SUPPORTED BY HHSA’S EXISTING AVAILABLE APPROPRIATIONS FUNDED WITH GENERAL PURPOSE REVENUE] (4 VOTES) 29. PROTECTING CALIFORNIA RATEPAYERS BY OPPOSING INCOME-GRADUATED FIXED ENERGY CHARGES 30. ENHANCING HUMANITARIAN EMERGENCY RESPONSE AND RELIEF: SUPPORTIVE SERVICES FOR ASYLUM SEEKING MIGRANTS [FUNDING SOURCE: EXISTING GENERAL PURPOSE REVENUE] 31. ENSURING DIVESTMENT OF COUNTY FUNDS IN THE ISLAMIC REPUBLIC OF IRAN 5TUESDAY, DECEMBER 5, 2023

32. CONDUCT COMPREHENSIVE FISCAL STUDY FOR SOLUTIONS TO IMPROVE RETENTION AND RECRUITMENT OF SAN DIEGO COUNTY SHERIFF DEPUTIES [FUNDING SOURCE: EXISTING ONE-TIME GENERAL PURPOSE REVENUE] 33. ADOPTION OF A RESOLUTION DECLARING ELECTION RESULTS OF THE NOVEMBER 7, 2023 SPECIAL ELECTION 34. FISCAL YEAR 2023-24 FIRST QUARTER OPERATIONAL PLAN STATUS REPORT AND BUDGET ADJUSTMENTS [FUNDING SOURCE: JUDICIAL COUNCIL OF CALIFORNIA, RCS TRUST FUND, CALIFORNIA HIGHWAY PATROL CANNABIS TAX FUND GRANT, OVER-REALIZED GENERAL PURPOSE REVENUE, GOVERNOR’S OFFICE OF BUSINESS AND ECONOMIC DEVELOPMENT GRANT, OPIOID SETTLEMENT FRAMEWORK, ENVIRONMENTAL PUBLIC HEALTH AND EMERGENCY RESPONSE GRANT AND MISCELLANEOUS REVENUES; OPERATING TRANSFERS IN FROM THE GENERAL FUND, OPERATING TRANSFERS IN FROM JAIL COMMISSARY ENTERPRISE FUND, AVAILABLE PRIOR YEAR JAIL COMMISSARY ENTERPRISE FUND FUND BALANCE, FEDERAL AVIATION ADMINISTRATION, OPERATING TRANSFERS IN FROM INTERNAL SERVICE FUND, AVAILABLE PRIOR YEAR COMMUNITY SERVICE AREA FUND BALANCE, AVAILABLE PRIOR YEAR AIRPORT ENTERPRISE FUND FUND BALANCE, AVAILABLE PRIOR YEAR COMMUNITY FACILITIES DISTRICT FUND BALANCE, AVAILABLE PRIOR YEAR FISH AND GAME PROPAGATION FUND FUND BALANCE AND MISCELLANEOUS REVENUES] (4 VOTES) Closed Session 35. CLOSED SESSION Public Communication 36. PUBLIC COMMUNICATION 6TUESDAY, DECEMBER 5, 2023

1. DISTRICT ATTORNEY - REQUEST TO APPLY FOR AND ACCEPT CALIFORNIA OFFICE OF TRAFFIC SAFETY GRANTS (DISTRICTS: ALL) SUBJECT: OVERVIEW The District Attorney’s Office (DAO) has a long history of utilizing grant funds to support the operation of the Driving Under the Influence (DUI) Homicide Unit and impaired driving prevention activities since 2014. This is a request to authorize the DAO to submit a grant application, and if awarded, to accept the grant funding for the California Office of Traffic Safety (OTS) DUI grant through the National Highway Traffic Safety Administration for Federal Fiscal Year (FFY) 2024-2025. The estimated grant amount of $2.5 million would be for the period of October 1, 2024 through September 30, 2025. In addition to continuing vertical prosecution of DUI cases, the grant would also support community education on impaired driving and provide training for local law enforcement on DUI investigations. This is also a request to authorize the DAO to apply for and accept grant funding from OTS in subsequent years provided there are no material changes to the grant terms and funding levels. If authorized, the DAO will return to the Board of Supervisors for authorization to appropriate awarded funds as necessary. RECOMMENDATION(S) DISTRICT ATTORNEY 1. Waive Board Policy B-29, Fees, Grants, Revenue Contracts - Department Responsibility for Cost Recovery which requires full cost recovery of grants and to the extent it requires separate applications for authority to apply for and accept grants. 2. Authorize the District Attorney to apply for and accept grant funds in the estimated amount of $2.5 million for the period of October 1, 2024 through September 30, 2025 from the California Office of Traffic Safety for the Driving Under the Influence program and apply for and accept grant funds in subsequent years provided there are no material changes to the grant terms or funding level. 3. Authorize the District Attorney to review and execute all required grant and grant-related documents for the Driving Under the Influence grant program, this year and in subsequent years, including agreements with other government agencies for the distribution of grant funds where necessary to carry out the purposes of the grant and any annual extension, amendments, and/or revisions thereof that do not materially impact or alter the services or funding level. This authorization would include agreements for the distribution of grant funds where necessary to carry out the purposes of each grant and any annual extension, amendments, and/or revisions thereof that do not materially impact or alter the services or funding level. EQUITY IMPACT STATEMENT The District Attorney's Office is constitutionally responsible for the investigation and prosecution of all criminal violations of state law and county ordinances. The District Attorney’s 1TUESDAY, DECEMBER 5, 2023

Driving Under the Influence (DUI) Homicide Unit specializes in prosecuting DUI homicide and other DUI related cases. DUI cases affect all communities in San Diego and are also prevalent in cases involving youth. The DUI Homicide Unit is committed to engaging all San Diego communities in education and awareness campaigns to protect residents and prevent the tragedies associated with impaired driving. Proactive strategies will be deployed with the goal of educating the community at large, with an added focus on outreach at local schools and universities. SUSTAINABILITY IMPACT STATEMENT The District Attorney’s application for Office of Traffic Safety grant funding contributes to the County of San Diego’s sustainability goals of safety by focusing on educating community members on the dangers of impaired driving, assisting victims and families who have been harmed by a Driving Under the Influence (DUI) driver, training law enforcement personnel in the investigation and prosecution of DUI cases. FISCAL IMPACT Funds for this request will be included in the Fiscal Years 2024-26 CAO Recommended Operational Plan for the District Attorney’s Office. If approved, this request will result in estimated costs and revenue of $2.5 million for Fiscal Year 2024-25. The funding sources are $2.3 million from the California Office of Traffic Safety and an estimated $0.2 million of existing General Purpose Revenue for indirect costs. Funds in 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 ACTION: ON MOTION of Supervisor Desmond, seconded by Supervisor Anderson, the Board of Supervisors took action as recommended, on Consent. Vargas, Anderson, Lawson-Remer, Montgomery Steppe, DesmondAYES: 2. SHERIFF - REQUEST TO APPROVE AMENDMENT TO THE REVENUE CONTRACT WITH DEPARTMENT OF STATE HOSPITALS FOR THE FELONY INCOMPETENT TO STAND TRIAL (IST) PROGRAM (DISTRICTS: ALL) SUBJECT: OVERVIEW The Department of State Hospitals (DSH) is responsible for restoring competency to individuals with serious mental illnesses who are found mentally incompetent to stand trial (IST) on felony charges, pursuant to California Penal Code 1370. A person cannot be tried or sentenced while mentally incompetent, therefore IST defendants are to be committed to a state hospital for care and treatment to restore competency in order to stand trial. There is a high demand in California for state hospital beds for substantive services to restore competency, which has created delays to IST treatment. DSH has made efforts to mitigate restorative service delays by introducing programs to facilitate expediency in the competency restoration process as well as alternatives to incarceration through diversion programs. 2TUESDAY, DECEMBER 5, 2023

The San Diego County Sheriff’s Department (SDSD) and DSH agreed to implement the Re-Evaluation Services IST program at Sheriff’s detention facilities and entered into a revenue agreement executed in October 2022 with estimated expenditures of $100,000 per year for Fiscal Years 2021-22, 2022-23, and 2023-24. The SDSD agreed to facilitate access and provide security to IST individuals who DSH identified as being selected for re-evaluation services. IST individuals are escorted from their respective housing locations to the telehealth interview areas within the facilities. SDSD further agreed to provide DSH with relevant incarcerated persons' medical records, including mental health and behavioral health records, and coordinate interviews with defendants who have been determined to be IST on a felony charge, and are awaiting placement into a DSH restoration program. Due to the high demand for competency restorative services, DSH has increased the re-evaluation services provided by the program, which has resulted in an increase of additional $300,000 in the estimated expenditures of the revenue agreement between now through June 30, 2024. This is a request to approve a revenue agreement addendum increasing the estimated expenditures and revenue for services provided to the DSH Re-Evaluation Services for IST program. RECOMMENDATIONS SHERIFF 1. Waive Board Policy B-29, Fees, Grants, Revenue Contracts - Department Responsibility for Cost Recovery that requires docketing Revenue Contracts with the Board at least 60 days prior to effective date of the contract. 2. Approve and authorize the Clerk of the Board to execute, upon receipt, an amendment to the Agreement for Incompetent to Stand Trial (IST) services between the County of San Diego, through the Sheriff’s Department, and Department of State Hospitals (DSH), to increase funding by $300,000. 3. Establish appropriations of $300,000 in the Sheriff's Department, Salaries & Benefits, based on revenue from DSH for the IST program. (4 VOTES) EQUITY IMPACT STATEMENT The Department of State Hospitals and San Diego County Sheriff's Department recognize the systemic impact the Statewide waitlist for incompetent to stand trial treatment services has had on incarcerated persons with serious mental illness who are awaiting trial. This agreement continues the focus on equity by decreasing the disparity from the State justice system and benefits the incarcerated person by supporting the access to restoration services. SUSTAINABILITY IMPACT STATEMENT The proposed actions support the County of San Diego’s Sustainability Initiative of resiliency by ensuring the County’s ability to respond more efficiently to the immediate needs of incarcerated persons with serious mental illness requiring incompetent to stand trial treatment services. The proposed action to expedite access to restoration and forensic services for incarcerated persons contributes to the County of San Diego's Sustainability Goal to provide just and equitable access because it lessens the time that incarcerated persons need to be housed in a Jail Based Competency Treatment Program or in a state hospital. 3TUESDAY, DECEMBER 5, 2023

FISCAL IMPACT Funds for this request are not included in the Fiscal Year 2023-24 Operational Plan for the Sheriff's Department. If approved, this request will result in current year costs and revenue up to $300,000. The funding source is revenue from Department of State Hospitals. There will no change in net General Fund cost and no increase in staff years. BUSINESS IMPACT STATEMENT N/A ACTION: ON MOTION of Supervisor Desmond, seconded by Supervisor Anderson, the Board of Supervisors took action as recommended, on Consent. Vargas, Anderson, Lawson-Remer, Montgomery Steppe, DesmondAYES: 3. ACCEPT THE FISCAL YEAR 2023-24 COMMUNITY CORRECTIONS PARTNERSHIP PLAN (DISTRICTS: ALL) SUBJECT: OVERVIEW On October 1, 2011, the State of California implemented the Public Safety Realignment Act (AB 109). This law fundamentally altered the criminal justice system by changing the definition of a felony; shifting housing for people with lower-level felony offenses from state prison to local county jails; and transferring the supervision of designated people on parole from the California Department of Corrections and Rehabilitation to local county agencies. AB 109 requires counties to develop comprehensive plans to effectively implement these modifications to the criminal justice system without compromising public safety. Today’s action requests that the Board of Supervisors (Board) accept San Diego County’s Fiscal Year 2023-24 plan, known as the Community Corrections Partnership (CCP) Plan. AB 109 established the role and membership of the CCP Executive Committee, which approves a CCP Plan. In 2023, updates to the CCP Plan were provided by the District Attorney’s Office, Health and Human Services Agency (HHSA), Probation Department, Public Defender, and the Sheriff’s Department. The CCP Plan reflects stakeholder and community participation gathered during two community forums and through the Engage San Diego online platform that includes feedback from community-based providers and individuals with prior justice system involvement and their families. The updated CCP Plan shows that San Diego County’s approach to AB 109 and the broader justice system has evolved significantly in the 12 years since passage of AB 109. Additionally, the policy priorities expressed by the County of San Diego Board of Supervisors are reflected in the plan including a focus on behavioral health, housing, equity, and alternatives to incarceration. The Fiscal Year 2023-24 CCP Plan provides an updated framework for San Diego County justice partners and stakeholders to plan, monitor, and report on the San Diego County criminal justice system. As part of a public meeting, the CCP Executive Committee voted to accept the CCP Plan on October 12, 2023. Today’s action is a request for the Board to accept the Fiscal Year 2023-24 4TUESDAY, DECEMBER 5, 2023

CCP Plan. RECOMMENDATION(S) CHIEF ADMINISTRATIVE OFFICER 1. Accept the County’s Fiscal Year 2023-24 Community Corrections Partnership Plan. EQUITY IMPACT STATEMENT The Community Corrections Partnership (CCP) Plan was developed with equity as a guiding principle to reduce disparities across the health and justice systems and ensure equitable access to quality prevention, treatment, and rehabilitation services. The CCP Plan includes feedback from community stakeholders and individuals who were previously involved with the justice system. The CCP Plan includes services delivered by community members with relevant lived experiences to mentor and assist individuals to successfully transition from custody into the community. SUSTAINABILITY IMPACT STATEMENT The proposed action to accept the County’s Fiscal Year 2023-24 Community Corrections Partnership (CCP) Plan contributes to the County of San Diego's Sustainability Goals of engaging the community and providing just and equitable access to services and resources. The CCP Plan reflects robust community input gathered from two community forums and the Engage San Diego online platform and includes feedback from representatives of community-based organizations and individuals with lived experience in the justice system. Furthermore, the CCP Plan outlines linkages and access to treatment, behavioral health care, housing, education, employment, medical and public health care, with the goal of expanding the availability of accessible County services and community resources for justice-involved individuals. The Probation Department will continue to gather public input on future CCP Plans to meet the needs of justice-involved individuals and encourage diverse stakeholders to participate in decisions that affect their communities. FISCAL IMPACT There is no fiscal impact associated with accepting Fiscal Year 2023-24 Community Corrections Partnership Plan. 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 Desmond, seconded by Supervisor Anderson, the Board of Supervisors took action as recommended, on Consent. Vargas, Anderson, Lawson-Remer, Montgomery Steppe, DesmondAYES: 4. AUTHORIZE COMPETITIVE SOLICITATIONS FOR SERVICES IN PROBATION FACILITIES AND THROUGHOUT THE COUNTY OF SAN DIEGO (DISTRICTS: ALL) SUBJECT: OVERVIEW The County of San Diego Probation Department (Probation) provides a comprehensive array of 5TUESDAY, DECEMBER 5, 2023

programs and services to Probation clients and their families throughout the County in Probation facilities and in the community. These services are delivered through County-operated programs, as well as through contracted services. Today’s actions request the County of San Diego Board of Supervisors to authorize competitive solicitations for contracts to continue providing youth-focused programs including family therapy, alternatives to detention, credible messenger mentoring, and food and healthcare services for Probation detention facilities. These programs support Probation’s mission of fulfilling clients’ needs, using evidence-based and best practices in the continuum of care and promoting public safety. These actions support the County of San Diego’s vision of a just, sustainable, and resilient future for all. These services will help justice-involved clients acquire life skills, gain self-sufficiency, and avoid recidivism, while protecting community safety. RECOMMENDATION(S) CHIEF ADMINISTRATIVE OFFICER 1. 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 family therapy services, and upon successful negotiation and determination of fair and reasonable price, award contracts for an initial term of one (1) year with up to four (4) one-year options and an additional six months if needed, subject to the availability of funds and a need for the services, and to amend the contract as needed to reflect changes to services and funding, subject to the approval of the Chief Probation Officer. 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 alternatives to detention, and upon successful negotiation and determination of fair and reasonable price, award contracts for an initial term of one (1) year with up to four (4) one-year options and an additional six months if needed, subject to the availability of funds and a need for the services, and to amend the contract as needed to reflect changes to services and funding, subject to the approval of the Chief Probation Officer. 3. 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 the credible messenger mentoring program, and upon successful negotiation and determination of fair and reasonable price, award contracts for an initial term of one (1) year with up to four (4) one-year options and an additional six months if needed, subject to the availability of funds and a need for the services, and to amend the contract as needed to reflect changes to services and funding, subject to the approval of the Chief Probation Officer. 4. 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 the food services at Probation facilities, and upon successful negotiation 6TUESDAY, DECEMBER 5, 2023

and determination of fair and reasonable price, award contracts for an initial term of one (1) year with four (4) one-year options and an additional six months if needed, subject to the availability of funds and a need for the services, and to amend the contract as needed to reflect changes to services and funding, subject to the approval of the Chief Probation Officer. 5. 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 integrated healthcare services at Probation facilities, and upon successful negotiation and determination of fair and reasonable price, award contracts for an initial term of one (1) year with up to four (4) one-year options and an additional six months if needed, subject to the availability of funds and a need for the services, and to amend the contract as needed to reflect changes to services and funding, subject to the approval of the Chief Probation Officer. EQUITY IMPACT STATEMENT These contracts will provide services to Probation clients and their families, including those underserved by social and health resources and populations with justice-involvement, those experiencing homelessness and those with health conditions. SUSTAINABILITY IMPACT STATEMENT Today’s proposed actions contribute to the County of San Diego’s Sustainability Goals of providing equitable access to economic opportunity and reducing outcomes of poverty like homelessness. These services will strengthen family relationships, promote client self-sufficiency, and improve client health and well-being. In addition, food will be sourced locally when possible, supporting local agriculture and reducing emissions. Food-related materials will be tracked for waste reduction, diversion, reuse, and recycling. These services will serve to strengthen the County’s efforts to maximize environmental and sustainability practices. FISCAL IMPACT If approved, this request will result in approximate total costs and revenue of $15.1 million of which $0.3 million in existing General Purpose Revenue is included in the Fiscal Year 2023-24 Operational Plan for Probation. Remaining costs and revenue of $14.8 million will be included in future Operational Plans for Probation. The funding sources are Juvenile Probation Activities revenue, Juvenile Justice Crime Prevention Act, Juvenile Justice Realignment Block Grant, and existing General Purpose 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 Desmond, seconded by Supervisor Anderson, the Board of Supervisors took action as recommended, on Consent. Vargas, Anderson, Lawson-Remer, Montgomery Steppe, DesmondAYES: 7TUESDAY, DECEMBER 5, 2023

5. EMERGENCY SERVICES - 2023 HOMELAND SECURITY GRANT PROGRAM AND EMERGENCY MANAGEMENT PERFORMANCE GRANT PROGRAM GOVERNING BODY RESOLUTION (DISTRICTS: ALL) SUBJECT: OVERVIEW The U.S. Department of Homeland Security provides funding to the California Governor’s Office of Emergency Services (Cal OES) through the Homeland Security Grant Program which includes the State Homeland Security Program and the Urban Areas Security Initiative and the Emergency Management Performance Grant Program. The County of San Diego Office of Emergency Services (OES) is responsible for administering and distributing the State Homeland Security Grant Program funds in the region for prevention, preparedness and response efforts related to terrorism and other catastrophic events. The purpose of the State Emergency Management Performance Grants is to support comprehensive emergency management and to encourage the improvement of mitigation, preparedness, response, and recovery capabilities for all hazards. On September 15, 2015 (3) (6), the Board of Supervisors authorized OES to apply for and accept Homeland Security Program Grants and Emergency Management Performance Grants in subsequent years. In 2023, OES submitted Fiscal Year 2023 applications to the California Governor’s Office of Emergency Services for both the Homeland Security Grant Program and the Emergency Management Performance Grant Program. OES received a notification of award on October 18, 2023, for the State Homeland Security Grant Program ($3,210,706), and on October 16, 2023, for the Emergency Management Performance Grant Program ($775,605). This is a request to adopt a governing body resolution for the Fiscal Year 2023 State Homeland Security Program and Emergency Management Performance Grant Program which will authorize the Deputy Chief Administrative Officer, Public Safety Group, or the Director or Assistant Director of OES to execute any actions necessary for the purposes of these grants and accept grant funding in the amount of $3,986,311. RECOMMENDATION(S) CHIEF ADMINISTRATIVE OFFICER 1. Adopt a resolution entitled: A RESOLUTION OF THE BOARD OF SUPERVISORS OF THE COUNTY OF SAN DIEGO RELATING TO THE STATE HOMELAND SECURITY GRANT PROGRAM AND THE EMERGENCY MANAGEMENT PERFORMANCE GRANT PROGRAM. 2. Waive Board Policy B-29 (Fees, Grants and Revenue Contracts - Department Responsibility for Cost Recovery), which requires full cost recovery for grants. 3. Authorize the Director of the Office of Emergency Services, or designee, to accept grant funds in the amount of $3,210,706 for the State Homeland Security Grant Program through June 30, 2026 and $775,605 for the Emergency Management Performance Grant Program through June 30, 2025 and, authorize the Director of the Office of Emergency Services, or designee, to accept grant funds in subsequent years provided there are no material changes to the grants’ purpose, services, or funding level. 4. Authorize the Director of the Office of Emergency Services, or designee, to execute all 8TUESDAY, DECEMBER 5, 2023

required grant documents, including any annual extensions, amendments, and/or revisions thereto that do not materially impact or alter the services or funding level. EQUITY IMPACT STATEMENT The Office of Emergency Services (OES) 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 may be reflected in the programs, services and resources allocated to communities. To combat terrorism and improve response to all hazards in the community more proportionately, OES will continue to take a whole community approach in emergency management and, through an equity lens, collaborate with partner agencies to implement projects and policies to address gaps in underserved areas. OES anticipates these actions will have a positive effect on all San Diego County residents and increase preparedness and resiliency in all communities across the region. SUSTAINABILITY IMPACT STATEMENT The proposed action to authorize the Director of the Office of Emergency Services, or designee, to accept grant funds from the State Homeland Security Grant Program and Emergency Management Performance Grant Program, along with adopting a resolution of the Board of Supervisors of the County of San Diego relating to the State Homeland Security Grant Program and Emergency Management Performance Grant, contributes to the County of San Diego’s Sustainability Goal to protect the health and wellbeing of citizens. These actions will impact the sustainability of health and wellbeing by providing emergency management planning, outreach, and equipment necessary to mitigate terrorism and all hazards across the San Diego region. FISCAL IMPACT Funds in the amount of $1,768,800 for the State Homeland Security Grant Program are included in the Fiscal Year (FY) 2023-24 Operational Plan for the Office of Emergency Services. The total grant award is $3,210,706. Remaining funds of $1,441,906 will be included in FY 2024-26 CAO Recommended Operational Plan for the Office of Emergency Services. The funding source is the California Governor’s Office of Emergency Services. There is no match required for the State Homeland Security Program. Funds in the amount of $775,605 for the Emergency Management Performance Grant Program (EMPG) are included in the Fiscal Year 2023-24 Operational Plan for the Office of Emergency Services. The funding source is the California Governor’s Office of Emergency Services. There is a 100% match required for the Emergency Management Performance Grant. Funds for the match are budgeted from Office of Emergency Services General funds. There will be no change in net General Fund cost and no additional staff years. BUSINESS IMPACT STATEMENT N/A 9TUESDAY, DECEMBER 5, 2023

ACTION: ON MOTION of Supervisor Desmond, seconded by Supervisor Anderson, the Board of Supervisors took action as recommended, on Consent, and adopted Resolution No. 23-135, entitled: A RESOLUTION OF THE BOARD OF SUPERVISORS OF THE COUNTY OF SAN DIEGO RELATING TO THE STATE HOMELAND SECURITY GRANT PROGRAM AND THE EMERGENCY MANAGEMENT PERFORMANCE GRANT PROGRAM. Vargas, Anderson, Lawson-Remer, Montgomery Steppe, DesmondAYES: 6. ADOPT RESOLUTION TO GUIDE IMPLEMENTATION OF SENATE BILL (SB) 43 AND ESTABLISH A MULTISECTORAL PLANNING PROCESS TO GUIDE IMPLEMENTATION (DISTRICTS: ALL) SUBJECT: OVERVIEW On October 10, 2023, Governor Newson signed into law Senate Bill (SB) 43, amending the Lanterman-Petris-Short Act (LPS Act), for the first time in over 50 years. Under the LPS Act, “gravely disabled” was narrowly defined as a condition in which a person, as a result of a mental health disorder or impairment by chronic alcoholism, is unable to provide for basic personal needs for food, clothing, or shelter. SB 43 significantly expands the definition of gravely disabled by including severe substance use disorder (SUD) as an allowable category for someone to be compelled into treatment or placed under conservatorship. The adoption of SB 43 is one of several recent actions taken by Governor Newson to overhaul the State’s behavioral health system. Other recent statewide initiatives include SB 326, the “Behavioral Health Services Program and Bond Measure,” which will go to California voters as Proposition 1 on March 5, 2024, as well as the establishment of the Community Assistance, Recovery, and Empowerment program (CARE Act), which provides a new pathway to deliver mental health services for those living with untreated schizophrenia spectrum or other psychotic disorders through a new civil court process. On October 1, 2023, the County of San Diego was one of seven pilot counties in the State to implement the CARE Act to address the behavioral health needs of eligible individuals for whom other treatment options are not working. The CARE Act required over a year of rigorous planning and coordination across multiple County departments and with external stakeholders to implement and has now been operational for two months. One of the key lessons learned of the planning process of the CARE Act was the convening of the stakeholders comprised of representatives from County Behavioral Health Services, the judicial system, local municipalities, and stakeholders to develop the program and establish the infrastructure necessary for successful implementation on October 1, 2023. As a County, we are committed to successfully implement the CARE Act program and SB 43 as part of the County’s Behavioral Health Continuum of Care. Today’s action would adopt a resolution to implement SB 43 on January 1, 2025. Additionally, it will direct the Chief Administrative Officer to establish a multi-sectoral planning process that would include key parties and agencies impacted by and/or involved with the implementation of SB 43. RECOMMENDATION(S) 10TUESDAY, DECEMBER 5, 2023

CHAIRWOMAN NORA VARGAS 1. Adopt a resolution entitled: A RESOLUTION OF THE BOARD OF SUPERVISORS OF THE COUNTY OF SAN DIEGO RELATING TO SENATE BILL (SB) 43. 2. Direct the Chief Administrative Officer to establish a process to implement SB 43 on January 1, 2025. The process should include a multi-sectoral planning process with key parties and agencies impacted by and/or involved with the implementation of SB 43. 3. Direct the Chief Administrative Officer to add to the County’s 2024 State Budget Advocacy support for additional funding needed to implement SB 43 and to apply for any available funding that will support the implementation of SB 43. EQUITY IMPACT STATEMENT The County of San Diego has taken a proactive approach to address the behavioral health needs of our communities, especially our most vulnerable populations including youth, seniors and people experiencing homelessness. On October 1, 2023, San Diego County became one of seven Cohort One counties to implement the CARE Act, which provides community-based behavioral health services and supports to Californians living with untreated schizophrenia spectrum or other psychotic disorders through a new civil court process. The County of San Diego is committed to give careful consideration to the implementation of both the CARE Act and SB 43 to ensure clients have the best possible outcomes. SUSTAINABILITY IMPACT STATEMENT This action aligns with the County of San Diego’s (County’s) Sustainability Goal #1, #2 and #4. Sustainability Goal #1 involves the engage with the community and this action calls for the County of San Diego to conduct stakeholder engagement and input regarding the implementation of SB 43. This action also aligns with the County’s Sustainability Goal #2 to provide just and equitable access to County services. As the State and County continue to address the behavioral health needs of Californians, we have a responsibility to prioritize the health and well-being of those experiencing a mental health crisis through a client-centered approach. Lastly, this aligns with Sustainability #4 to protect the health and well-being of everyone in the region. Today’s action ensures that the individuals who may be affected by SB 43, have the best possible outcomes and ensuring all parties responsible in the roll out of SB 43 have an opportunity to carefully think through the methodology needed to have a successful program. FISCAL IMPACT There is no fiscal impact associated with today’s recommendations; however, there will likely be future fiscal impacts identified by the department including new costs and staff years associated with the implementation of SB 43, which will be included in future Operational Plans for consideration and approval by the Board. For today’s actions, there are no change in net General Fund cost and no additional staff years. BUSINESS IMPACT STATEMENT N/A 11TUESDAY, DECEMBER 5, 2023

ACTION: ON MOTION of Supervisor Vargas, seconded by Supervisor Desmond, the Board of Supervisors took the following actions: 1. Adopted Resolution 23-136 entitled: A RESOLUTION OF THE BOARD OF SUPERVISORS OF THE COUNTY OF SAN DIEGO RELATING TO SENATE BILL (SB) 43. 2. Directed the Chief Administrative Officer to establish a process to implement SB 43 on January 1, 2025. The process should include a multi-sectoral planning process with key parties and agencies impacted by and/or involved with the implementation of SB 43. 3. Directed the Chief Administrative Officer to add to the County’s 2024 State Budget Advocacy support for additional funding needed to implement SB 43 and to apply for any available funding that will support the implementation of SB 43. 4. Directed the Chief Administrative Officer to return to the Board in 90 days for an update on the implementation plan for Senate Bill 43. Vargas, Desmond, Montgomery SteppeAYES: Anderson, Lawson-RemerNOES: 7. SECOND CONSIDERATION AND ADOPTION OF ORDINANCE: HEALTH AND HUMAN SERVICES AGENCY ADMINISTRATIVE CODE AND BOARD POLICY SUNSET REVIEW 2023; APPROVE AN ORDINANCE AMENDING PROVISIONS IN THE SAN DIEGO COUNTY ADMINISTRATIVE CODE RELATING TO THE GENERAL RELIEF PROGRAM (NOVEMBER 7, 2023 - FIRST READING; DECEMBER 5, 2023 - SECOND READING) (DISTRICTS: ALL) SUBJECT: OVERVIEW On November 7, 2023 (07), the Board of Supervisors took action to further consider and adopt the Ordinance on December 5, 2023. In accordance with San Diego County Board of Supervisors (Board) Policy A-76, Sunset Review Process, the County of San Diego (County) Health and Human Services Agency (HHSA) periodically reviews County Administrative Code and Board Policy to ensure policies reflect current Board standards and practices. Today’s actions seek Board approval to amend provisions in the San Diego County Administrative Code relating to the General Relief Program and extend the Sunset Review date; and determine no change is necessary to Board Policy A-128, Comprehensive Homeless Policy and approve the Sunset Review date. The ordinance makes non-substantive changes to remove language that is not currently used in California law. It will be introduced to the Board on November 7, 2023, and if approved, will be scheduled for adoption on December 5, 2023. If the proposed ordinance is altered on December 5, 2023, a subsequent meeting date will be selected for the ordinance’s adoption. 12TUESDAY, DECEMBER 5, 2023

This item supports the County’s vision of a just, sustainable, and resilient future for all, specifically those communities and populations in San Diego County that have been historically underserved as well as our ongoing commitment to the regional Live Well San Diego vision of healthy, safe, and thriving communities. This will be accomplished as the County Administrative Codes and Board Policies provide a framework for a county that is healthy, safe, and thriving. Additionally, in alignment with the Board’s commitment to transparency and open government, the Sunset Review process is an opportunity for HHSA to reflect on current policies through an equity lens and recommend changes that allow for greater transparency. RECOMMENDATION(S) CHIEF ADMINISTRATIVE OFFICER 1. Consider and adopt (second reading): AN ORDINANCE AMENDING THE SAN DIEGO COUNTY ADMINISTRATIVE CODE RELATING TO THE SAN DIEGO COUNTY GENERAL RELIEF PROGRAM. 2. Update the Sunset Review date of the San Diego County Administrative Code, Article XV-C, General Relief Program, to December 31, 2030. EQUITY IMPACT STATEMENT As part of standard practice, the County of San Diego (County) Health and Human Services Agency (HHSA) performs an annual review of Board Policies and County Administrative and Regulatory Codes that are sunsetting to ensure alignment with current San Diego County Board of Supervisors (Board) values and to ensure that they are updated to reflect applicable laws and regulations. In alignment with the Board’s commitment to transparency and open government, the Sunset Review process is an opportunity for HHSA to reflect on current policies through an equity lens and recommend changes that allow for greater transparency. The changes recommended support the Board’s framework toward achieving better outcomes for consumers. The recommended changes regarding Article XV-C, General Relief Program, reflect the County’s priority in supporting policies that address disparities and disproportionality and ensure access for all through a fully optimized health and social service delivery system and upstream strategies. Future Sunset Reviews will continue to utilize an equity lens and a quantitative data-driven approach. Additionally, it is anticipated that these actions will have a positive impact on equity-seeking groups including, Black, Indigenous, people of color, women, people with disabilities, immigrants, youth, and the LGBTQ+ community. SUSTAINABILITY IMPACT STATEMENT Today’s actions strive for programs and operations that reflect the County of San Diego’s (County) values and priorities. By aligning with the County’s Sustainability Goals, the changes reflect more equitable, sustainable, and impactful practices. Specifically, extending the Sunset Review date for Board Policy A-128, Comprehensive Homeless Policy, aligns with Sustainability Goal #1 engaging the community in meaningful ways, by investing in community-centered approaches and collaborative leadership to address homelessness. Board Policy A-128 also aligns with Sustainability Goal #2, providing just and equitable access to County services and resources by prioritizing services for individuals who are experiencing homelessness and are part of a particularly vulnerable populations. 13TUESDAY, DECEMBER 5, 2023

Today’s action related to Article XV-C, General Relief Program, supports the County’s Sustainability Goal #2, by continuing to focus investments on chronically underserved communities, and investing in resilience in vulnerable populations. By updating the sunset date of this ordinance, this action continues to align available County resources with services to maintain fiscal stability and ensure long-term solvency as well as creates policies to reduce poverty, promoting economic sustainability for all. In addition, amendments will ensure the capability to respond and recover to immediate needs for individuals in the region. FISCAL IMPACT There is no fiscal impact associated with the recommendations. There will be no change in net general fund costs and no additional staff years. BUSINESS IMPACT STATEMENT N/A ACTION: ON MOTION of Supervisor Desmond, seconded by Supervisor Anderson, the Board of Supervisors took action as recommended, on Consent, and adopted Ordinance No. 10869 (N.S.), entitled: AN ORDINANCE AMENDING THE SAN DIEGO COUNTY ADMINISTRATIVE CODE RELATING TO THE SAN DIEGO COUNTY GENERAL RELIEF PROGRAM. Vargas, Anderson, Lawson-Remer, Montgomery SteppeAYES: DesmondNOES: 8. AUTHORIZE COMPETITIVE SOLICITATION FOR AS-NEEDED COMMUNITY VACCINATION SERVICES, AND AUTHORIZE FUTURE FUNDING OPPORTUNITIES RELATED TO IMMUNIZATION SERVICES (DISTRICTS: ALL) SUBJECT: OVERVIEW The County of San Diego (County) Health and Human Services Agency (HHSA), Public Health Services, Immunizations Unit aims to eliminate vaccine preventable diseases by improving vaccine coverage for all San Diegans. This is done through evidence-based practices to address community needs, including vaccine management, technical assistance, evaluating regional immunization coverage rates, responding to outbreaks, disease prevention activities, health promotion, and management and analysis of information from the immunization information system. On May 10, 2022 (19), the San Diego County Board of Supervisors (Board) authorized a competitive solicitation for vaccine administration services for communities throughout the county. The contract awarded from the competitive solicitation provides community vaccination services for COVID-19 vaccines and other immunizations to those most vulnerable to severe disease outcomes, and is set to expire on June 30, 2024. Today’s action requests the Board authorize the Director, Department of Purchasing and Contracting to issue a competitive solicitation for as-needed community vaccination services, and authorize the Agency Director, HHSA to pursue future funding opportunities related to immunization services. 14TUESDAY, DECEMBER 5, 2023

Today's actions support the County's 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 establishing sustained capacity to increase access to vaccinations for vulnerable communities and increasing immunization rates countywide to reduce the risk of suffering, disability, and death caused by vaccine preventable diseases in infants, children, adolescents, and adults. RECOMMENDATION(S) CHIEF ADMINISTRATIVE OFFICER 1. In accordance with Board Policy A-87, Competitive Procurement, and Section 401, Article XXIII of the County Administrative Code, authorize the Director, Department of Purchasing and Contracting to issue a Competitive Solicitation for as-needed community vaccination services, and upon successful negotiations and determination of a fair and reasonable price, award a contract(s) for a term of one year, with four option years and up to an additional six months if needed, and to amend the contract(s) as needed to reflect changes to services and funding, subject to the approval of the Agency Director, Health and Human Services Agency. 2. Authorize the Agency Director, Health and Human Services Agency, to pursue future funding opportunities, if available, for current and future fiscal years related to immunization services. EQUITY IMPACT STATEMENT Today’s action will advance equity and racial justice through a data-driven population health approach that delivers immunization prevention and outbreak response services through trusted community partnerships and coalitions committed to addressing disparities and health inequities. The County of San Diego Health and Human Services Agency, Public Health Services, Immunizations Unit works closely with the San Diego Immunization Coalition (SDIC) to communicate and advance equity driven initiatives, outcomes, and health education. SDIC is a community coalition of 2,000+ individual immunization partners throughout San Diego County committed to its mission to increase immunization rates and improve the health of the county by raising awareness and providing education about vaccine preventable diseases. The Immunizations Unit will continue to pursue grants and funding opportunities that support efforts to eliminate vaccine preventable diseases in the most underserved communities. Underserved communities are identified through the health equity lens, the health equity zip codes, the Healthy Places Index quartile framework used by the State, outcomes from local data analysis on vaccine preventable disease cases, and disproportionality of vaccine coverage rates. Furthermore, the activities described in this request are planned and carried out through a health equity lens by employing linguistically and culturally tailored services. SUSTAINABILITY IMPACT STATEMENT Today’s proposed action aligns with the County of San Diego Sustainability Goal #4 of protecting the health and well-being of everyone in the region by providing vaccination services in community-based settings and sustaining capacity to vaccinate populations disproportionately affected by vaccine preventable diseases. This will be done through mobile immunization 15TUESDAY, DECEMBER 5, 2023

services which will improve access to immunizations, the overall health of communities, and reduce the demand of associated care services, while increasing the effectiveness of care providers. FISCAL IMPACT Funds for this request are not included in the Fiscal Year (FY) 2023-25 Operational Plan in the Health and Human Services Agency. If approved, this request will result in no costs and revenue in FY 2023-24; anticipated costs and revenue of approximately $1,500,000 in FY 2024-25; and costs and revenue of approximately $1,500,000 in FY 2025-26. The funding sources are the California Department of Public Health Immunization Local Assistance grant in FY 2024-25 and the Department of Public Health Epidemiology and Laboratory Capacity for Prevention and Control of Emerging Infectious Diseases in FY 2025-26. 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. BUSINESS IMPACT STATEMENT N/A ACTION: ON MOTION of Supervisor Desmond, seconded by Supervisor Anderson, the Board of Supervisors took action as recommended, on Consent. Vargas, Anderson, Lawson-Remer, Montgomery Steppe, DesmondAYES: 9. RESOLUTION DESIGNATING DATES AND TIMES FOR REGULAR MEETINGS OF THE BOARD OF SUPERVISORS IN 2024 (DISTRICTS: ALL) SUBJECT: OVERVIEW This item was continued from the November 7, 2023 (16) meeting agenda. The recommended action is that the Board adopt the resolution setting the 2024 Board of Supervisors regular meeting schedule. RECOMMENDATION(S) CHAIRWOMAN NORA VARGAS Adopt the resolution: A RESOLUTION OF THE SAN DIEGO COUNTY BOARD OF SUPERVISORS SETTING THE DATES AND TIMES FOR REGULAR MEETINGS OF THE SAN DIEGO COUNTY BOARD OF SUPERVISORS IN CALENDAR YEAR 2024 EQUITY IMPACT STATEMENT The Board of Supervisors annually adopts a calendar for regular meetings. This ensures that the public is well informed of the meetings and can plan for active participation in local government. SUSTAINABILITY IMPACT STATEMENT The proposed meeting calendar allows stakeholders to plan for community engagement and identify meaningful ways to continually seek input to foster inclusive and sustainable communities. 16TUESDAY, DECEMBER 5, 2023

FISCAL IMPACT There is no fiscal impact associated with these recommendations. There will be no change to net General Fund cost and no additional staff years. BUSINESS IMPACT STATEMENT There is no business impact associated with this action. ACTION: ON MOTION of Supervisor Desmond, seconded by Supervisor Anderson, the Board of Supervisors took action as recommended, on Consent, and adopted Resolution No. 23-137, entitled: A RESOLUTION OF THE SAN DIEGO COUNTY BOARD OF SUPERVISORS SETTING THE DATES AND TIMES FOR REGULAR MEETINGS OF THE SAN DIEGO COUNTY BOARD OF SUPERVISORS IN CALENDAR YEAR 2024. Vargas, Anderson, Lawson-Remer, Montgomery Steppe, DesmondAYES: 10. RESOLUTION AMENDING THE RULES OF PROCEDURE OF THE SAN DIEGO COUNTY BOARD OF SUPERVISORS (DISTRICTS: ALL) SUBJECT: OVERVIEW This item was continued from the November 7, 2023 (17) meeting agenda. The recommended action is that the Board adopt a resolution to amend the Board of Supervisors’ Rules of Procedure to clarify that the adopted calendar sets the meeting start time, redefined the Tuesday session as the “Legislative session,” and added other clarifying language pertaining to public participation. RECOMMENDATION(S) CHAIRWOMAN NORA VARGAS Approve amendments to the Board of Supervisors Rules of Procedure and adopt a Resolution entitled: RESOLUTION AMENDING THE RULES OF PROCEDURE OF THE SAN DIEGO COUNTY BOARD OF SUPERVISORS EQUITY IMPACT STATEMENT As publicly elected officials, our number one duty is to serve the people of San Diego. We prioritize transparency and accessibility to improve public understanding of how the County operates and participation in shaping future priorities. These efforts towards accessibility are particularly important to reach those communities that have been previously disconnected from the County civic process. It is anticipated that through these changes to the Rules of Procedure we will ensure that the diverse voices of our community can be heard in an equitable and civilized manner, and as such, can provide input that is vital to a healthy democratic institution. SUSTAINABILITY IMPACT STATEMENT The changes to the Rules of Procedure allows stakeholders to plan for community engagement and identify meaningful ways to continually seek input to foster inclusive and sustainable communities. FISCAL IMPACT 17TUESDAY, DECEMBER 5, 2023

There is no fiscal impact associated with this action. BUSINESS IMPACT STATEMENT There is no business impact associated with this action. THIS ITEM HAS BEEN WITHDRAWN AT THE REQUEST OF CHAIR NORA VARGAS ACTION: This item was withdrawn at the request of Chair Nora Vargas. 11. SOLICITING VOLUNTEERS FOR THE ANNUAL POINT IN TIME COUNT (DISTRICTS: ALL) SUBJECT: OVERVIEW The U.S Department of Housing and Urban Development (HUD) requires that Continuums of Care (C