BodyBoard of Supervisors
MeetingRegular Meeting
Date📅 June 18, 2013

UnGovr Transcript

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0:00 – 0:025 turns

UnidentifiedClerk of the BoardProposed · by role0:00 · ≈ 9:00 AM

StSq2 2.60 I'd like to reconvene our Board of Supervisors hearing meeting for June 18th. Mr. Clerk, if you could do roll call please?

UnidentifiedUnidentified speaker 1Proposed0:52 · ≈ 9:00 AM

Miss Farr? Here. Mr. Adam? Here. Mr Lavagnino? Here. Ms. Wolfe? Here! Mr. Carbajal?

Pledge of Allegianceceremonial · click to expand · ≈21s recited, not transcribed
UnidentifiedClerk of the BoardProposed · by role0:59 · ≈ 9:00 AM

Here, if you could all rise and join me in citing the Pledge of Allegiance.

I pledge allegiance to the flag of the United States of America and to the republic for which it stands one nation under God indivisible with liberty and justice

UnidentifiedClerk of the BoardProposed · by role1:25 · ≈ 9:01 AM

Do we have a motion to approve the minutes of June 4th? Motion's been made. Seconded for discussion. Having none, all those in favor? Aye. Opposed? Sentence passes unanimously. Mr. Counsel if you could report out closed session please.

UnidentifiedUnidentified speaker 2Proposed1:44 · ≈ 9:01 AM

Thank You Mr. Chairman your board concluded its conference with legal counsel two cases Your board continued conference with real property negotiators and conference with labor negotiators till the noon hour today. So you still have two items remaining on the first two items that you completed there was no action reportable.

UnidentifiedClerk of the BoardProposed · by role2:04 · ≈ 9:02 AM

Thank you, we'll be finishing those two items during our closed session lunch meeting. We will now move on to public comment. Mr. Clerk how many speakers do we have?

0:02 – 0:0713 turns

UnidentifiedUnidentified speaker 1Proposed2:15 · ≈ 9:02 AM

We have 15 requests Chairman Carbajal.

UnidentifiedClerk of the BoardProposed · by role2:17 · ≈ 9:02 AM

Okay since we have 15 and there is a very big room full of folks here for many reasons, we are going to give two minutes to every speaker. We have a few resolutions that we're gonna do right after this I was hoping to take them up early but I've been advised to do public comment first Mr. Clark

UnidentifiedUnidentified speaker 1Proposed2:38 · ≈ 9:02 AM

We're going to start in ceremony with Andy Caldwell and come back to Santa Barbara for Vivek Harris, to be followed by Doug Doherty.

PresenterAndy CaldwellCOLABProposedself-stated2:47 · ≈ 9:02 AM

Mr. Caldwell. Chairman Carbajal, members of the board, I'm Andy Caldwell representing COLAB. We were kind a little bit surprised last week during the budget hearings that this funding for this plastic bag program came up because It's always a little disconcerting when funding comes before the initiation of something. And so we made inquiry and said, well how did we end up funding something that hasn't been decided?

And we were told, well it's coming up in a week or so. So I've gone through that agenda backwards and forwards, and I don't see any notice of a hearing. And yet I've been told it's on next week's agenda. Why isn't it noticed? Why wasn't it noticed before you funded it? Why isn't it noticed right now that the hearing is a week away? As you know these plastic bag bans are extremely controversial.

We know that you had a hearing way back when to discuss Beacon doing a report, but we'd like to know why we didn't get the two week notice that this meeting's coming up and why you funded something that you hadn't even discussed. It's not a good way of doing the people's business. We always want to remind you that you work for the people, you're the people representative and the people have a right to know what you're doing.

And know ahead of time not after the fact that you're spending money doing X, Y and Z. I don't know if I'm gonna be able to be here for item number eight today because Looks like you've got a long PC, but we've got some real problems with that one because it looks like you're taking action on something that has never been decided there either.

UnidentifiedClerk of the BoardProposed · by role4:52 · ≈ 9:04 AM

Thank you very

PresenterAndy CaldwellCOLABProposedself-stated4:53 · ≈ 9:04 AM

much, Mr.

UnidentifiedClerk of the BoardProposed · by role4:53 · ≈ 9:04 AM

Colwell.

UnidentifiedUnidentified speaker 1Proposed4:55 · ≈ 9:04 AM

So back to Senator Barbara for Vivek Harris to be followed by Doug Doherty

CommentVivek HarrisProposedself-stated5:01 · ≈ 9:05 AM

Good morning, Chair Carbajal and Supervisors. I'm here on behalf of the Oasis Senior Center. My name is Vivek Harris. I am their architect. And they asked that I come and just talk about the project, some of the project history, and I have about an hour-long outline of information to cover but I won't do that to you today. Mr. Allen, if you

UnidentifiedClerk of the BoardProposed · by role5:20 · ≈ 9:05 AM

could just stop this. You as council stated earlier just so for your information we haven't considered that item in closed session. We will be considering it in the afternoon and just wanted to let you know in case that was something that you were interested in knowing.

CommentVivek HarrisProposedself-stated5:35 · ≈ 9:05 AM

No thank you. We

UnidentifiedClerk of the BoardProposed · by role5:36 · ≈ 9:05 AM

did.

CommentVivek HarrisProposedself-stated5:37 · ≈ 9:05 AM

So thank you very much. The project has really made a lot of headway and there's a lot of and I had heard some feedback from different parts of the county that The project was stalled and that there wasn't resolution on some environmental issues that were happening on two sites. One is a site that was offered by the county to put the project on, and the other was a site offered by the county as a mitigation site. Both are off of Foster Road. And both for the last year we've been dealing with California Department of Fish and Game and the US Fish and Wildlife Service to basically draft mitigation for how to develop this project. The City of Santa Maria is on hold waiting for me to submit conditional use permit plans and this project is ready to go.

We've got California Fish and Game's buy-off on our application at a federal level, and really we're at a point now from the mitigation standpoint and the environmental in the salamander standpoint that we just need to get this application submitted. Time is critical and we are concerned that Any delays that we have within this real property negotiation that's going on right now would really set this project back quite a bit. They've already raised a million dollars for this, and the rest of it has already been pledged once we get the environmental clearances. Because there's a fear that within this county and with environmental issues you're not going to be able to get environmental approvals. And quite honestly, the environmental part and the habitat part has been a little bit more easy than just getting the property issue resolved with the county.

So I'd just really like the supervisors on the board to consider this. It's a vital and important project. They feed the hungry, they're supported by lots of groups in Santa Barbara and we just want to get this project moving so thank you.

0:07 – 0:1310 turns

PresenterDoug DohertyOrchid Area Seniors in ServiceProposedself-stated7:34 · ≈ 9:07 AM

Good morning Supervisors, my name is Doug Doherty and I am the Executive Director of Orchid Area Seniors in Service. A senior citizen advocacy non-profit that owns and operates the award winning Lewis Oasis Senior Center. Oasis has been a staple of the Orchids community since 1984 with the mission of providing social educational and cultural opportunities for all adults over the age of 50 to help them preserve and improve their quality of life.

Many of the more than 4,000 people we serve each year are in their 70s and 80s. We're seeing first-hand the onslaught of the baby boomers who are looking for services now. We implement innovative programs based on current research for those aged 50 to 60 just as much as for those aged 90 to 100. Although adults who participate in senior center programs can learn to manage and delay the onset of chronic disease and experience measurable improvements in their physical, social and mental and economic well-being.

For Laga Hago Senior Boot Camp, Card Playing and Art Class Offered we partner with the Alzheimer's Association, Nurse Corps, Area Agency on Aging, Food Bank and others to provide free health screenings support services and food for those in need Throughout this relocation venture, we have done everything we've been asked to do by the government agencies at the federal, state and local level. We worked diligently with Santa Barbara County General Services Department to revise our site plan on the Foster Road campus to meet California's Department of Fish and Wildlife and U.S. Fish and Wildlife Service's endangered species requirements for tiger salamanders.

As a certified green business in Santa Barbara County, we respect these requirements and look forward to bringing environmentally friendly and energy neutral features to our new facility. There are many community leaders and stakeholders throughout Santa Barbara County involved with the relocation efforts and the capital campaign. I'm out of time.

UnidentifiedClerk of the BoardProposed · by role9:30 · ≈ 9:09 AM

Thank you. You cut yourself early, short early.

UnidentifiedUnidentified speaker 1Proposed9:34 · ≈ 9:09 AM

Marilyn Valenzuela is our next speaker to be followed by Siglind Reed.

CommentMarilyn ValenzuelaProposed9:43 · ≈ 9:09 AM

Good morning Mr. Chair, Board, Marilyn Valenzuela with Tri-County Centrally. Anyway, most of you know I represent 93,000 working men and women in the tri-counties. And before you today about the IHSS workers, Santa Barbara really needs to step up to the plate and put people first maybe instead of plastic bags. We need to provide the proper resources to support the in home healthcare workers They are the people that take care of us when we can't take care of ourselves. And that could happen to any one of us in this room today or tomorrow, where we find ourselves in a position where we are unable to take care of ourselves.

The in-home healthcare workers prevent us from leaving the home and going to a convalescent or nursing home, and saves the county, the state, and the federal government at least five times the cost of a convalescent home. They have not had a raise since 2008, except that tiny 50 cent raise in 2009 which was taken back. So technically they have not had a raise since 2008. That's five years. To us that's unacceptable. The county is reimbursed by the federal and state government almost to 100%. It's not counting Costing the county very much money to provide this service.

It's unacceptable when the County of Santa Barbara received an additional almost 400,000 which you didn't know you were getting it was a surprise check. by the federal government, which could be used to give them a raise. It's unacceptable in my opinion and probably any labor law opinion that an in-home health care worker takes a client from Lompoc to Santa Maria to a doctor And is only paid for the time they're at the doctor's office. So if you make $10 an hour and you're driving the client from Lompoc to Santa Maria and back, technically you made no money.

not transcribed≈6s of audible speech the AI couldn’t make out▸ listen
UnidentifiedClerk of the BoardProposed · by role12:04 · ≈ 9:12 AM

Thank you Ms. Valenzuela.

CommentMarilyn ValenzuelaProposed12:05 · ≈ 9:12 AM

Thank you we respectfully request that you negotiate a 50 cent raise thank

UnidentifiedUnidentified speaker 1Proposed12:10 · ≈ 9:12 AM

you. Our next speaker is Siglind Reed To be followed by Josephine Torres

CommentSiglind Reed ToProposed12:19 · ≈ 9:12 AM

Good morning I

UnidentifiedClerk of the BoardProposed · by role12:21 · ≈ 9:12 AM

would

CommentSiglind Reed ToProposed12:26 · ≈ 9:12 AM

like to say something about the way my husband, who has passed away now and his mother were cheated and exploited by an organization. This organization uses a law of elder abuse and conservatorship to get hold of rich people's assets. I'm appalled to see i.e., how easy it is here to get somebody under conservatorship. In short, my mother-in-law was declared incompetent.

My husband, her son threatened with elder abuse. or with having committed elder abuse. At the end, this organization together with their lawyer got hold of everything. My mother-in-law ended up in a home and my husband really on the street. He had to live out of trash cans. Thank you.

0:13 – 0:2114 turns

UnidentifiedUnidentified speaker 3Proposed13:44 · ≈ 9:13 AM

Good morning, Salud and Supervisors. It is my hope that you will prioritize IHSS funding. It is an essential component for our community. It provides people with jobs and allows our elderly And it's much cheaper than institutionalization. When we age and become disabled, we become frail and not able to go ahead and complete the certain tasks that we did before such as house cleaning and cooking for ourselves. IHSS helps people out when the caregiver is paid a good wage, and you get to keep them longer. And they have become more reliable and compassionate. Many of our recipients have made major contributions to our Santa Barbara communities and deserve quality care. And their providers also deserve decent wages for their hard work. Most of all, the living wage is important especially here in Santa Barbara.

Someday you will all get old and frail need help. Until then, please realize that the IHS program is important as funding a fire department and law enforcement. People need to feel comfortable and safe living in their domain. Thank you.

UnidentifiedUnidentified speaker 1Proposed15:01 · ≈ 9:15 AM

Flora West, followed by Ysenia De Casals.

UnidentifiedClerk of the BoardProposed · by role15:07 · ≈ 9:15 AM

CEO Waller could you give the Board a memo on this whole issue of IHSS? I've noticed IHS folks have come before us and quite frankly I understood that the IHS Workers are now under the state, and so I recently learned of this negotiation. But it's, I'm sort of in the dark of what it is, the state's role, our role? Why we're negotiating if it's the state? I think it's I'm not sure my colleagues feel the same way but I just am at a loss at understanding the status of this issue at this point. So if you could provide us a memo that'd be great.

CommentSanta BarbaraProposed15:49 · ≈ 9:15 AM

Chair, yes we will provide that information because as you correctly noted the state has taken a greater role in this discussion.

UnidentifiedClerk of the BoardProposed · by role15:57 · ≈ 9:15 AM

Great thank you. Please proceed.

UnidentifiedUnidentified speaker 4Proposed16:03 · ≈ 9:16 AM

I am speaking also on the subject of elder abuse. I am in a very expensive conservatorship and my retirement savings are rapidly disappearing under their control, and now they want to sell my home. to pay their salaries. The sad part is I don't even need them, I'm perfectly able to pay my own bills. I'm a 92 year old widow and I feel I'm being taken advantage of and that I should be immediately released from this trust which seems to be very difficult thing to do so I hope I can find somebody to help.

Thank you.

UnidentifiedUnidentified speaker 1Proposed16:52 · ≈ 9:16 AM

Our next speaker is Yesenia DeCasals to be followed by Ann Telfer.

CommentYesenia DeCasalsProposed17:05 · ≈ 9:17 AM

Good morning, Mr. Speaker and members of the board. I'm going to take the opportunity in these two minutes that I have in public comment to respond to a question that the chair had about the IHSS program going to the state and bargaining with the state. As of now, we are in bargaining with Santa Barbara County and for a couple of years that's going to be so. The Coordinated Care Initiative is an initiative statewide to coordinate the care of elderly and disabled that are in the IHSS program. And Santa Barbara is one of the last counties to move towards that.

We is not anticipated that's going to happen for a couple of years and I'm sure you will get a memo from your staff as to what where Santa Barbara stands. As far as that switch in the meantime, we're asking Santa Barbara County to do the right thing And invest in a program that saves, we all know the federal government saves in this type of care. The state recognizes this and Santa Barbara County has recognized it in the past and invested in this program because it's a good program.

I can tell you, I grew up as a caregiver myself and I find myself lately again as a caregiver. My mom was just admitted to the mission care program cancer Center in Santa Maria. And one of the main things that caregivers and patients need to have to deal with on an ongoing basis is going to doctor's appointments. It was mentioned before, one of the injustices that home care workers experience is not all those hours that they work and don't get paid for like taking patients to doctors. And staying up at night. And the many hours that they don't get paid, we're asking that what you do pay them that it be a fair pay and bargain in good faith. Thank you.

UnidentifiedClerk of the BoardProposed · by role19:08 · ≈ 9:19 AM

Thank you.

UnidentifiedUnidentified speaker 1Proposed19:09 · ≈ 9:19 AM

And Telford will be followed by Britta Young.

UnidentifiedClerk of the BoardProposed · by role19:12 · ≈ 9:19 AM

Council since this is a negotiation issue instead of a memo CEO Waller you may just want to put it on closed session and apprise the board if that's possible?

UnidentifiedUnidentified speaker 2Proposed19:22 · ≈ 9:19 AM

We'll work with the CEO to make certain that it's an appropriate closed session item. Thank you very much. Because there apparently has been some change in the law, and I'm frankly not that current with that change so- Thank

UnidentifiedClerk of the BoardProposed · by role19:34 · ≈ 9:19 AM

you very much. Please proceed.

CommentAnnie TelferProposedself-stated19:37 · ≈ 9:19 AM

Hi, my name is Annie Telfer. I'm from the Right to Write Letters campaign. Currently they're not allowing letters to the Santa Barbara County Jail. We've come before you before to talk about this issue and at that time custody commander Jenny Sams made some statements as to how the policy would go This was on March 5th, about a week before the policy went into place.

And she said there is no limit to the number of postcards that can be sent nor is there any limit to the size of the postcard that comes through. And here's the notice that's tacked up all over the visitation room at jail, which says that acceptable postcards will be a maximum size of six inches by four and a quarter inches and minimum size five inches by three-and-a-half inches.

That sounds like a limit to me. And I realize that this no limit on size thing is a little unrealistic, but I feel like there's two policies that have been presented. Two different mail policies. There's the one that the sheriff and his colleagues presented to you guys and to the public which is that there will be no limits. And then there's the one that's actually being enforced which is actually very restrictive.

And some of us, the other people from our campaign are going to be reading some statements that inmates wrote so that we can present it to you. And while I'd very much like you guys to consider the human element to this, the emotional element, and also like us to focus on the elements of justice. and accountability for the jail. I don't feel like the jail is holding itself accountable to the public right now, they certainly have not been going out of their way to make their policies transparent or their statements accurate. Thank you.

0:21 – 0:2810 turns

UnidentifiedUnidentified speaker 5Proposed21:34 · ≈ 9:21 AM

Hi, my name is Britta. I'm going to be reading some statements on behalf of inmates affected by the postcard-only policy. To whom it may concern, I am opposed to the use of only postcards at the Santa Barbara County Jail. My son has learning disabilities, Asperger's and cancer, testicular, kidney and lung. He is unable to write small and it is so important that we communicate regarding his doctor visits.

Also my fiancee is locked up with me. We both have no more money on our books and the welfare pack only comes with envelopes that we can't use to communicate with each other. The problems are not trivial. The postcards only communication system is an awful one and affects me and my family greatly. Please do what you can to stop this or at least make the necessary changes such as the welfare pack coming with postcards.

Thank you for your time and consideration. Sincerely, Jacqueline. I have a second one? I, Elizabeth, am currently an inmate at Santa Barbara County Jail and am actively working my steps with a sponsor. I put all I can into my recovery, creating meetings, reading literature, calling my sponsor daily that we never actually talked due to the extreme cost. The calls helped me with willingness and commitment.

Being of service and working my steps. I know I need the steps if I'm to transform and live life clean and law abiding. My sponsor's limited to postcards only, greatly affecting my ability to receive thorough feedback on my steps. As well, I volunteer for a non-profit organization when not in custody and feel that continuing to take part or at least stay updated is something that will put even more meaning into my recovery.

Being an active part of Families Act gives me a good feeling. It is a powerful and productive way to give meaning to my life, help others, and stay clean. However the postcards only rule makes this nearly impossible. Please restore my right to write. Thank you.

UnidentifiedUnidentified speaker 1Proposed23:32 · ≈ 9:23 AM

Zachary King to be followed by Elizabeth Williams

UnidentifiedUnidentified speaker 6Proposed23:42 · ≈ 9:23 AM

Good morning. For those who don't know, as you've just heard our county jail has banned letters to inmates for over three months now. Only strictly controlled postcards and some photos are allowed. Now I've heard before from County Supervisors that this isn't the right venue because you don't have direct control over the sheriff or the jail but I'll remind you that there is no other venue for Sheriff Brown or for the jail to be publicly accountable. This is the only place that we can speak about this This represents a huge injury to the rights and welfare of the people in Santa Barbara County, including our friends and loved ones who are incarcerated.

The supposed justification for this ban is to increase security but as we all recognize it is the responsibility of those who claim to govern not to inhibit our freedom to communicate or our well-being in order to claim gains in security that could be achieved with a little more work and a lot less harm. The sheriff and the jail have a responsibility to protect the security of inmates without limiting essential rights, such as the right to receive a letter.

I want to thank the UDW for being here today as well. I support them in their organizing and efforts along with all others standing for the rights of the people of our county. And I urge all people in this county who agree with these statements including you on the Board of Supervisors to stand and raise your voice against this ban. And I want everyone to speak against all public servants, including the sheriff who refused to oppose this ban and refuse to lift this ban.

Our community needs your support. Thank you.

UnidentifiedUnidentified speaker 1Proposed25:10 · ≈ 9:25 AM

Elizabeth Williams our next speaker will be followed by Brian

UnidentifiedClerk of the BoardProposed · by role25:12 · ≈ 9:25 AM

Rosen.

CommentElizabeth WilliamsProposed25:17 · ≈ 9:25 AM

Yes good morning. I'm here to speak about elderly abuse at its highest level. Conservatorship of the estate versus conservatorship of the person Now I am in. Elderly person, I'm 75 almost. My boyfriend is 88. I got him a conservatorship because he is a binge drinker five years ago. They have gone through all his money and now they took my power of attorney away from me through the court system to leave Harry out there with no family, no friends. He has no friends. He's in a home boarding care. He has been injured, hurt. I've gone to everybody. I've spent $50,000 of my savings To get him out of this horrible position I put him in five years ago because he was a binge drinker. Now, he's full-blown Alzheimer's. No! They have medicated this poor man because he is so bright to keep him under this called Restricted care through the drugs, Seroquel.

Seroquel is not okay by the FDA and the doctors are taking orders from these homes, assistant living places any of these homes are giving our elderly Seroquel all kinds of psychotic drugs to make them look more Alzheimer's, more demented than they are And Janet, she knows me. I knew Ruthie Nables before she passed away. We were neighbors. I love the elderly and they need someone to look after them especially if they have no family. Harry has nobody but me and the court removed me off of his health care to give it to Sharon Kennedy who has spent all his money. He has no money now they're drugging him as we speak with the blessings of the home.

And I can't say a word, and they cut my visitation rights. See Harry? We are boyfriend and girlfriend for six years. And just because he's 15 years older than me doesn't make him somebody that's a horrible person. They treat him like an animal that's out in the... It's horrible what's going on. You guys need to investigate it! Thank you.

UnidentifiedClerk of the BoardProposed · by role27:34 · ≈ 9:27 AM

Mr. Allen if I could just... What was the speaker's name? The next speaker? The one I just called. That's Elizabeth Williams. Ms. Williams, today is a day that we happen to have much of the judiciary in Santa Barbara County in our audience so they are listening to you and just a reminder to you that the courts are out of the authority of the Santa Barbara County Board of Supervisors. They're an independent branch of government and they're the ones who Instruct many of the decisions that you were alluding to so I appreciate you coming here today But just wanted you to know that's out of our purview. Thank you very much

CommentElizabeth WilliamsProposed28:15 · ≈ 9:28 AM

Thank you, and but I do hope they will help this Harry is not the only one

UnidentifiedClerk of the BoardProposed · by role28:20 · ≈ 9:28 AM

I'm sure they're listening very intently. I see their faces so Mr.. Clark

UnidentifiedUnidentified speaker 1Proposed28:25 · ≈ 9:28 AM

Brian Rosen be followed by Patricia Rosen

0:28 – 0:369 turns

UnidentifiedClerk of the BoardProposed · by role28:31 · ≈ 9:28 AM

Well, my mom was under the same conservator that Harry's under and there is a statement in the Bible that says love of money is the root of all evil. I think it's the great disease operating here. These people have homes, this is a bad economy and there's a lot of money out there. This is a billion dollar industry. Now if you can get older people, you can divide their families and get them fighting amongst each other with different children accusing each other of elder abuse.

Wow! There's money to be made here. Get home to the estate and pay yourself $140 an hour, and the attorney can attorneys make 350 or 400 an hour? Wow this is a great thing. Now these drugs that are being used they tried to make my mom take these drugs and then I was said to be doing medical meddling and undue influence. I wrote an article for The Independent it got published online about this Well, my mom threw them in the trash. I was blamed for it. I was character assassinated. They did their little song and dance. The judges they're all in it together. I call them the power elite.

Well, I suppose you're all the power elite too. Now that doesn't mean that you can't be reached and it's easy when we're powerful. Power corrupts absolute power corrupts absolutely. I would be probably like you are if I were in your position But we need to get this issue public. I noticed that Harry's conservator was at the anti-elder abuse meeting, we need to support our constitution of the United States for all members for life, liberty and the pursuit of happiness including our elders and we need to get the money out of the equation because the temptation is too great We all have this tendency in our hearts to get greedy when we see money in front of us. We're all easily temptable by money and power and the judges, all the power elite are on a first name basis.

Thank you very much. So thank you for listening to me today.

UnidentifiedUnidentified speaker 1Proposed30:36 · ≈ 9:30 AM

Patricia Rosen to be followed by Lou Traga

CommentPatricia RoseProposedself-stated30:45 · ≈ 9:30 AM

Good morning I'm happy to see you all here today. I'm Patricia Rose and Brian's mom, and I went through the conservatorship thing that he was talking about. I was in an automobile accident. My husband was killed a few years ago. And I was in the hospital. My head was bandaged. I was in bad shape. And a woman came to me and she said that she would take care of me That I would be okay to just go home and she'd make sure that I was okay.

And so well, she sure did make sure I was okay. She took my husband's pension money. She gave me a little allowance just to be nice. But she took thousands of money from me. And all I wanted to let you all know is that it's very important to watch these conservators, because they're all not honest and sweet and good. They don't really all care about you. They just care about making money. And everything my son Brian said to you was so good and so true.

Anyway thank you for your attention. Bye now.

PresenterDoug DohertyOrchid Area Seniors in ServiceProposedself-stated31:59 · ≈ 9:31 AM

Lou Truong and to be followed by Virena Saavedra.

PresenterLou TrugIndependent Living Resource CenterProposedself-stated32:07 · ≈ 9:32 AM

Good morning. My name is Lou Trug, I represent Independent Living Resource Center. We represent people with disabilities in the Tri-County area. Our mission is to help individuals with all kinds of disabilities to live independently in the community integrated which brings me to the reason why I'm here. We strongly support An increase in wages for care providers. They provide some of the most difficult services to individuals that have the greatest personal needs, and I realize that your job is very complicated and at times it reminds me of people going before the Great Wall For different reasons and what do you know, the wall has even cracks.

To seek forgiveness or pray or seek blessings and I hope that you take into consideration some of the services that they provide. And to give you an example we have consumers but one in particular Who I've got to know and see firsthand is Jeff and his care provider, Jorge. And I see what Jorge does for Jeff not only in terms of grooming and personal services but also in terms of other things that are not part of his job responsibility. For instance, his wheelchair broke down.

It's a power wheelchair and I don't know if you've seen one but they're very heavy and They passed 150 pounds or so, maybe even heavier. And you could see Jorge pushing Jeff around Santa Barbara in this huge power chair and it was a day that turned into a week that turned into a month That turn into months, and in fact turn into seasons. And there is Jorge continuing to push him around to this day. I hope that you take this into consideration because they really provide vital service. Thank you.

not transcribed≈11s of audible speech the AI couldn’t make out▸ listen
UnidentifiedUnidentified speaker 1Proposed34:13 · ≈ 9:34 AM

Our next speaker is Villana Saavedra to be followed by LaWanda Lyons Pruitt and she'll be our final speaker. She's up in Santa Maria.

PresenterViviana SaavedraDemocratic Club of Santa Maria ValleyProposedself-stated34:23 · ≈ 9:34 AM

Good morning. My name is Viviana Saavedra and I'm here representing the Democratic Club of Santa Maria Valley. Now our organization has a history of advocating for frontline workers, grocery store clerks, farm workers, state, county and city employees. We do support labor and recognize the need for us to step up and stand behind these in-home healthcare workers. We ask you to fulfill your contractual obligations and grant these workers the full amount agreed to in their 2009 contract. This group of workers is incredibly valuable to the community, they work hard as many other people have said before me. Now unfortunately for their clients, the state has reduced the hours once again. I know, I'm impacted by that. And this will, the full impact will be felt in July 2013.

This impacts the seniors, the disabled but it also impacts the care provider. Providers will have to make do with fewer hours and less of a paycheck. The time to honor that agreement is now. There are funds available as has been, Yesenia talked about that, the CFCO community first choice option which incentivizes participation in that federal program. The savings from this program would fund the $1 per hour increase for the next three years.

Now, we're pleased to hear at the last board meeting that you are sympathetic to county management employees who had not received a raise for five years. That encourages us to believe you understand the plight of some of the lowest paid workers in the county. There was also discussion in that board meeting with the management raise. You see also the retention of talented employees.

Well, that discussion also encourages us to believe that you understand that the most vulnerable among us deserve to have committed and qualified providers. Good hardworking employees deserve to be compensated fairly. You know, the funds are available. The time is now. The members of our club urge you to recognize the work that this labor force has contributed by honoring that contract.

UnidentifiedClerk of the BoardProposed · by role36:31 · ≈ 9:36 AM

Thank you.

UnidentifiedUnidentified speaker 1Proposed36:32 · ≈ 9:36 AM

We're going to send them off. Our final speaker is LaWanda Lyons-Pruitt.

0:36 – 0:4116 turns

UnidentifiedClerk of the BoardProposed · by role36:39 · ≈ 9:36 AM

Ms. Pruitt, please proceed.

PresenterLaWanda Lyons-PruittNational Association for the Advancement of Colored PeopleProposedself-stated36:42 · ≈ 9:36 AM

Good morning.

UnidentifiedClerk of the BoardProposed · by role36:46 · ≈ 9:36 AM

Good morning.

PresenterLaWanda Lyons-PruittNational Association for the Advancement of Colored PeopleProposedself-stated36:48 · ≈ 9:36 AM

Chairman Carbajal Members of the Board of Supervisors, I'm LaWanda Lyons-Pruitt, President of the National Association for the Advancement of Colored People. And I should clarify that by saying Santa Maria Lompoc branch we are the oldest civil rights organization in the nation as a civil rights organization we stand in support of our UDW Brothers and sisters who every day are out there working with people who otherwise would be placed in a facility, were it not for them being able to keep them in their home.

We also think that it helped the elderly and the disabled by bringing of dignity, keeping dignity in their homes. I would like to point out as Viviana did that funds are available. We also know that funds are available through the Affordable Care Act which will be enacted beginning in January 2014. We strongly urge you to increase their label. Increase their wages and we think that you can show good faith by, if you can't give them a $1 an hour increase maybe 95 cents but some good faith should be shown to them. Thank you so much.

UnidentifiedClerk of the BoardProposed · by role38:27 · ≈ 9:38 AM

Thank you very much. That's our final speaker, Supervisor Wolk.

UnidentifiedUnidentified speaker 7Proposed38:35 · ≈ 9:38 AM

Thank you Mr. Chair I just want to echo the comments that you made regarding the folks that are here from UDW. I just want to address our CEO and tell you CEO Waller It is troubling to me that we have not discussed this in closed session and I know during our budget hearings many of these folks were here, but it never became crystallized until today about what has been going on.

And it appears from what Supervisor Carbajal said that at least He and I didn't know that we were in the process of negotiations. So, I look forward to this coming to us in closed session so that we have, and next week, so that we have a good idea of what's gone on in the past and where we are now and what certain recommendations are.

UnidentifiedClerk of the BoardProposed · by role39:35 · ≈ 9:39 AM

Thank you. We will now proceed to our administrative agenda. We're going to do our resolutions first and public comment afterwards. Is there a motion to approve item A1 through A5, our resolutions? Motion has been made and seconded for discussion. Having none, all those in favor? Aye. Opposed? Abstentions? Great. We will now proceed to do our resolutions. I know there are many people here today for that and we're going to do that first then we will do our administrative comment afterwards and then approve the overall administrative agenda.

CommentSanta BarbaraProposed40:20 · ≈ 9:40 AM

Nothing, Chair. I was just going to ask if we could go ahead and approve if no one has any items pulled the remainder and then we can release our staff to get back to work but certainly we're okay with whichever way you may want to go. Approve

UnidentifiedClerk of the BoardProposed · by role40:36 · ≈ 9:40 AM

the remainder? Well traditionally unless I'm having a bad day today we usually allow public comment on the agenda that we're going to approve I'm trying to remember supervisor Adam.

UnidentifiedUnidentified speaker 8Proposed40:48 · ≈ 9:40 AM

Well, I was just going to say that I only have one item so if that makes a difference

UnidentifiedUnidentified speaker 1Proposed40:53 · ≈ 9:40 AM

We have no request from the public to pull

UnidentifiedClerk of the BoardProposed · by role40:56 · ≈ 9:40 AM

items. No requests from the public? There's no items to be pulled by my colleagues, I think we could do that CEO Waller.

UnidentifiedUnidentified speaker 8Proposed41:01 · ≈ 9:41 AM

Do I have one? Yeah.

UnidentifiedClerk of the BoardProposed · by role41:03 · ≈ 9:41 AM

You have an item.

UnidentifiedUnidentified speaker 8Proposed41:03 · ≈ 9:41 AM

One item yes number 18.

UnidentifiedClerk of the BoardProposed · by role41:06 · ≈ 9:41 AM

Well why don't we approve the administrative agenda with the exception of A18 and

0:41 – 0:434 turns

UnidentifiedUnidentified speaker 1Proposed41:18 · ≈ 9:41 AM

And I just want to note, Chairman Carbajal and members of the board that I do have a request on item 825. It's from the County Executive Office. The request is that the Board consider terms and conditions of employment to continue the existing wage and merit step increase freeze for unrepresented employees. The request of that item be continued to your meeting next week. So with the exception of that item being continued and holding off on item A18 then I believe we can go ahead with the motion.

UnidentifiedClerk of the BoardProposed · by role41:45 · ≈ 9:41 AM

Is there a motion? Motion's been made. Seconded. All those in favor? Aye. Opposed, abstentions? Passes unanimously, so we will come back to item a 18 After we do our resolution CEO Waller.

CommentSanta BarbaraProposed42:01 · ≈ 9:42 AM

I was just going to thank the chair and the board for taking that ahead of schedule

UnidentifiedClerk of the BoardProposed · by role42:06 · ≈ 9:42 AM

Thank you. I you know sometimes even though we do this every week. I get a little bit Confused whether we traditionally do it or don't do it? I was just trying to preserve the public's right to speak But I think we've done it in the past as well all right having Having said that, we will go to resolution A1. If we could have Mr. Gary Blair come forward along with Presiding Judge Art Garcia.

I didn't mean to out you guys, that you guys were in the audience today but it felt good for once. It felt good for once to just direct a public comment to you all. Before we proceed I just want to say What an honor it is for me to present this resolution to you, Gary. I along with my colleagues, I think have worked with you over the years. I worked with you as a staff person as well as now a county supervisor especially on the courthouse project that we've been working on in recent years.

And you have always been a constant professional. I remember when the courts were under the county still before they became independent, we had a much more closer inner working relationship. But you have always done an extraordinary job and I think the courts were lucky to have you. The reason you've rarely heard any issue with the court is because of your leadership and stewardship, and I just wish you the best in your retirement.

0:43 – 0:4910 turns

UnidentifiedUnidentified speaker 9Proposed43:51 · ≈ 9:43 AM

Thank you so much. That means a lot to me, Supervisor Carbajal.

UnidentifiedClerk of the BoardProposed · by role43:55 · ≈ 9:43 AM

Mike Allen, if he could read the resolution saying all those wonderful things about Mr. Blair. The only thing I will say though is that I'm not going to miss the fact that he's a fan of the Boston Celtics.

UnidentifiedUnidentified speaker 9Proposed44:06 · ≈ 9:44 AM

He

UnidentifiedClerk of the BoardProposed · by role44:06 · ≈ 9:44 AM

can take that with

UnidentifiedUnidentified speaker 9Proposed44:08 · ≈ 9:44 AM

him! I do see you have your green tie on today.

UnidentifiedClerk of the BoardProposed · by role44:12 · ≈ 9:44 AM

It was in your honor, Mr.

UnidentifiedUnidentified speaker 9Proposed44:13 · ≈ 9:44 AM

Blair.

UnidentifiedClerk of the BoardProposed · by role44:14 · ≈ 9:44 AM

Thank you. Mr. Allen?

UnidentifiedUnidentified speaker 1Proposed44:17 · ≈ 9:44 AM

Chairman Carpall, members of the board. This is a resolution honoring Gary Blair upon his retirement from Santa Barbara County Court Special Services. Whereas Gary Blair is retiring after over three decades of service having worked for the county of Santa Barbara since September 19th 1977 where he has become the longest sitting court executive officer in the state of California.

Whereas Gary Blair founded and was the first director of the Santa Barbara County DA's Victim Witness Program. And whereas Gary was appointed Superior Court Administrator Jury Commissioner on September 29, 1979. And whereas Gary Blair was named Santa Barbara County Executive Association's Executive of the Year in 1990 And whereas Gary was appointed trial court executive officer for the Unified Courts on May 4, 1998.

And whereas Gary Blair became department head of the County of Santa Barbara's Court Special Services during which time he successfully constructed and negotiated contracts with teams of attorneys to provide defense and indigent defendants when the public defender has declared a conflict thereby saving the county millions of dollars in court-appointed attorney fees.

And whereas Gary Blair is also a fan of softball having Having played for many years in the D.A.' 's softball team or whenever he gets the opportunity, upon his retirement we all acknowledge that it is time for Gary to pass his undeniably talented softball playing skills to his beautiful twin daughters by coaching their teams. Now therefore, be it ordered and resolved that this Board of Supervisors honors Gary Blair for 35 years of dedication to protecting our community's legal rights and commends him for his efforts to implement policies to ensure that justice is accessible for all residents of Santa Barbara County. Passed and adopted today.

UnidentifiedUnidentified speaker 9Proposed46:21 · ≈ 9:46 AM

Thank you so much for this resolution, board members. I think the whereas I liked the most was the one about the softball. See, I'm an example of the older I get, the better I was. My wife Ana was here. I wanted to recognize her, but she unfortunately had to leave to take one of my daughters to an event. But I do want to say that she has been my rock, my biggest fan, the person that I rely upon. She's always been there for me through good times and bad times, tough times, and has tolerated me staying up late at night. And it's been kind enough to wake me up when I've fallen asleep at my desk slumped over the computer and told me it's about time to call it a night. So Anna, even though you're not here hopefully you can watch this on the tape and thank you so much.

I'm blessed I have twin daughters who are only 13 so I'm not retiring to an empty nest and I'll have more time to spend with them. I also want to thank all of the judges that I work for. It's an honor My presiding judge, Art Garcia here today. He's come down from Santa Maria and made arrangements to be here. Judge Herman, our assistant presiding judge is here.

Judge Eskin who is following me in October retiring I want to thank you. Judge Gack, thank you for being here. I have so many of my great employees here, my managers, my secretary, people that have come down from Santa Maria The reason why I've been so successful really is because I have great people that work for me. So thank you, thank all of you for being here. I'm so happy and finally, I just would like to say that the court system is such an important part of government.

We're the third branch of government often overlooked but we're a separate and co-equal branch of government. We protect the rights and liberties of citizens in our county We dispense justice in criminal cases. We hear matters that are traffic matters, small claims but we are sometimes the last resort for people to come to and I recognized how important the court system really is by being so fortunate to have worked within it for nearly 35 years and I'm enriched from it and I think that I've been able to contribute something to it And I've been blessed because of that. So thank all of you for everything, and I hope to be seeing you in the future. Thank you.

0:49 – 0:568 turns

UnidentifiedClerk of the BoardProposed · by role49:29 · ≈ 9:49 AM

Gary maybe I'll see you at a game when the Lakers are showing the Boston Celtics how to play. All right, well now we're going to go on to our second resolution if I could ask Michelle Mickiewicz to come forward along with Dr. Wada And certainly her husband Anthony is more than welcome to come up as well. Again, we have another retirement and let me just say what an honor it is, a special honor for me to present this resolution on behalf of our board to Michelle.

When I first started working for the county, it was Michelle who showed me the way. She was working for the drug and alcohol division back then And Michelle is always somebody that you could count on knowing her stuff, having done thorough analysis and always just so even keeled. She's a consummate professional. She's somebody I learned a great deal from and I know others in county government have learned a great deal from and when you consider her rise From the various positions she's had in county government, I think it speaks volumes about your ability, your talent, your intelligence and the many skills that you have Michelle.

I will always treasure the time that we worked together because I learned so much from you and I'm really bummed that we're going to be losing you from the county government I see you're going to be spending a lot more time with Anthony, who I also know. And I think it's...I really wish you the best so it's been a real honor. Mr. Allen if you could read all those wonderful attributes for Ms. Mikiewicz? I'm gonna go down.

UnidentifiedUnidentified speaker 1Proposed51:13 · ≈ 9:51 AM

Chairman Carball and members of the board this is a resolution of commendation for Michelle Mikiewicz upon her retirement from the County of Santa Barbara. Whereas, Michelle Michiewicz received a bachelor's degree in Spanish in 1978 and a master's degree in public health with an emphasis on health education in 1981 from the University of Michigan Ann Arbor. And whereas, Michelle moved to Santa Barbara California with her husband Anthony Harris where she began work at Santa Barbara County Department of Public Health Services in August of 1981 on an extra help basis in the substance abuse program.

And whereas, Michelle has worked for the County of Santa Barbara in the Health Department as a Substance Abuse Education Specialist, Senior Prevention Specialist. A Perinatal Substance Abuse Program Coordinator, a Quality Improvement Coordinator, Project Manager, Deputy Director and Interim Department Director. And whereas, Michelle was nominated for Employee of the Year at the department on at least two occasions. Where she's known as a person who uses data and data analysis to support sound scientific decision making, and who continually strives to implement programs and services that will improve the health of our community.

And whereas Michelle has contributed broadly in the county including management executive associations where she has earned high level of respect and credibility across all departments, as well as the Employees University where her process improvement class continues after many years and is highly regarded. Now therefore be it hereby ordered and resolved that this Board of Supervisors of the County of Santa Barbara does commend Public Health Department Deputy Director Michelle Michiewicz upon her retirement after more than 30 years of faithful and dedicated service to the citizens of Santa Barbara County and to the Public Health Department passed and adopted today.

UnidentifiedUnidentified speaker 10Proposed53:11 · ≈ 9:53 AM

Dr. Rana. Chair Carbajal, members of the board on behalf of the entire public health department I just want to express our appreciation and gratitude for the 32 years of service that Michelle has given to the department and to the county she's always been a truly incredible public health leader and professional thoughtful analysis always looking for creative and better ways to do things incredible knowledge of the department and of the county and our partner entities Really faced some incredible public health challenges over the years with H1N1, with tobacco, with the prevention activities and chronic disease and new and emerging communicable diseases. There's so many things that she has really taken a lead role in. And public health will still move forward but it will be a tremendous loss without her as a member of our team.

It's been a great honor to serve with her. So thank you and I pass it on to Michelle.

UnidentifiedUnidentified speaker 11Proposed54:11 · ≈ 9:54 AM

Set this large thing down. Okay, just want to say a couple things. One is thank you for the resolution. You know it's hard to believe it's been more than 30 years. It's amazing but I can't really imagine having a better career than I had in public health. I came to the county fresh out of graduate school and had some great mentors who helped me I will be forever grateful to people that I've had the chance to work with, like Roger Heroux and Bill Chiat who were really helpful mentors to me.

But on a happier note, one of the things that 30 years does is it gives you a chance to meet a tremendous amount of people so I will miss the people that I've had the chance to work with And last thing to say, Public Health Department is a standout among many excellent county departments. So I feel really fortunate to have been part of it for all these years so thank you very much and I really appreciate

UnidentifiedClerk of the BoardProposed · by role55:19 · ≈ 9:55 AM

it. Supervisor Wolf don't go away Michelle. By the way Michelle I'm the only one who cries in this room.

UnidentifiedClerk of the BoardProposed · by role55:24 · ≈ 9:55 AM

No.

UnidentifiedUnidentified speaker 7Proposed55:28 · ≈ 9:55 AM

She made me cry a little bit Michelle and if...and you can't see the people behind you But there's a lot of people with tears in their eyes. And I think it's Obviously because, well I know for myself. I'm going to miss you terribly and I've only known you for seven years so I can't imagine, you know, for people who have known you longer, you just, you have just been an incredible person to work with the epitome of public service as was noted in the resolution your respected. I mean Michelle you are just an amazing person And so you do bring a few tears to our eyes because it is sad that you're leaving the county family. But I know you're in the second district, so I know I'm going to see you around a lot more, you and your husband. So thank you for everything.

UnidentifiedUnidentified speaker 11Proposed56:25 · ≈ 9:56 AM

I just want to say when I rehearsed this with Anthony yesterday, I did a lot better.

0:56 – 1:028 turns

UnidentifiedClerk of the BoardProposed · by role56:44 · ≈ 9:56 AM

Michelle, I just want to say that when we first met and I got to know your husband he had red hair and I had black hair. Now it's...we both have gray hairs so I don't know what's up with that. I still have hair. Alright, we will continue on with our resolutions if I could ask Adriana Silvia Alexandrian come forward? And this is a resolution that I am co-sponsoring with Supervisor Farr. Being an alum of UCSB and a Gaucho, I know what a huge honor the next few resolutions are in recognizing you that have achieved this major honor. So I could say a lot more. All I know is that it's a huge deal, and that's why you're here today. I will pass this on to Supervisor Farr

CommentAdriana Silvia AlexandrianProposed57:39 · ≈ 9:57 AM

Thank you Mr. Chair and it's certainly my honor to co-sponsor this resolution honoring Adriana. And Adriana is the recipient of the Thomas Morse Stork Award for Excellence, and this is the university's highest student honor for outstanding scholarship extraordinary service to the students in the community. There's only one given And you have to have a GPA of at least 3.5 or more.

And Adriana, you did this while you obtained two bachelor degrees in feminist studies and in English. And now I understand you're enrolled in a master's of public health program at UC Berkeley. So Mr. Allen is going to read the resolution and talk about all the wonderful accomplishments, but I think it's particularly appropriate that we just had two resolutions honoring people for their outstanding community service as they retire and now we're going to honor you and our next recipient for outstanding community service and you are just at the beginning of a wonderful career so Mr. Allen?

UnidentifiedClerk of the BoardProposed · by role58:42 · ≈ 9:58 AM

Before you proceed Supervisor Wolf, Supervisor Farr, Supervisor Wolf has asked to say something

UnidentifiedUnidentified speaker 7Proposed58:49 · ≈ 9:58 AM

Would not normally do this except to say that I read about you in one of our local newspapers. And, I was thinking how great it would be if you received accommodation so I am so grateful for Supervisor Farr and Supervisor Carbajal to bring you here so that we can recognize you. Gosh well this is like such an emotional morning. Because I think you have overcome some amazing things in your life.

And I think what is ahead of you, and I think what I read too is that you're going to be involved in public health. And so in some ways we see this great Michelle Mickiewicz who's leaving public health and you're getting into the field. We always talk about cycles of life. Well, this is another cycle. I just really want to thank you for your strength and perseverance, and appreciate that you're here. And congratulations.

UnidentifiedClerk of the BoardProposed · by role59:57 · ≈ 9:59 AM

Adriana, you speak Spanish? No. I thought you might speak Spanish

UnidentifiedClerk of the BoardProposed · by role1:00:01 · ≈ 10:00 AM

because

UnidentifiedClerk of the BoardProposed · by role1:00:03 · ≈ 10:00 AM

I was going to tell you Ms. Yellen knows how to speak Spanish. Please Mr. Ellen. Chairman Carbajal,

UnidentifiedUnidentified speaker 1Proposed1:00:10 · ≈ 10:00 AM

members of the board. This is a resolution honoring Adriana Alexandrian for her outstanding scholastic achievement at the University of California at Santa Barbara. Whereas, Adriana is the recipient of the Thomas Moore Historic Award for Excellence, the university's highest student honor for outstanding scholarship, extraordinary service to its students and the community. And whereas, Adrianna obtained two bachelor degrees in feminist studies and in English while she participated in the prestigious McNair Scholars Program where she conducted research on restricted choices, childbirth options for low-income women in Santa Barbara County. And whereas, Adriana's research findings motivated her to enroll in the Masters of Public Health program at the University of California Berkeley to continue analysis and social inequities that shape women's reproductive health and design interventions that will enhance women's health knowledge and promote access to quality healthcare for women and their families.

And whereas, Adriana's extraordinary service record reflects leadership roles in vital issues of education policy and health. During her time at UCSB she volunteered as a client advocate for domestic violence solutions, served as co-chair of NFAIC Clinics an organization that raises community awareness about pregnancy centers and promotes social and reproductive justice issues. And whereas, Adrianna served as co-chair and external affairs coordinator of the UCSB Associated Students Food Bank And during her term spearheaded a successful fee initiative campaign to generate ongoing institutional support for the food bank. Adriana also served as the Commissioner of Public Health and Safety for Associated Students Office of the President, and was a student member of the Student Health Advisory Committee and a program assistant for the Women, Gender, and Sexual Equality Department.

Now therefore be it resolved that this Board of Supervisors honors Adriana Alexandrian's academic achievements and further recognizes her commitment to activism, leadership and dedicated service to our community. Passed and adopted today.

1:02 – 1:042 turns

UnidentifiedUnidentified speaker 12Proposed1:02:19 · ≈ 10:02 AM

First, I would like to thank the 1st and 3rd District Supervisors for this honor. These past couple of days have been wonderful and hard to process with award ceremonies and graduation. I just want to express my gratitude for being recognized with this resolution especially it's an honor because I grew up in Santa Barbara. I went to Adams Elementary, La Cumbra Junior High, San Marcos High School and as you know I recently graduated from UCSB Coming from a low income background, my family has faced a lot of struggles living here in high cost and stratified Santa Barbara.

But those struggles that my parents love and guidance only motivated me to pursue higher education and give back to my community. I'm incredibly grateful for the opportunities that have been given in Santa Barbara and want to express my gratitude for my mentor, Professor Lori Oaks who has truly been a source of support for me both personally and academically. I also want to give gratitude for my AS Food Bank advisor, Tuan Nguyen, and my McNair Scholars Program graduate mentor Todd who are here today. I am honored to be recognized with two wonderful women who I care deeply about, Lupe and Nyra.

As a first generation college student, graduating college and heading to graduate school is a very big thing for my family. I want to give my greatest thanks to my father who has continued to support our family despite the grief we have experienced. I want to dedicate this resolution to my mother and sister Alexis who I miss dearly but have been a driving force for me in my life and led me to pursue public health at Berkeley due to the inequities we have faced being uninsured.

I hope as I return to Santa Barbara after graduate school that the neighborhood clinics are still supported to reflect how important they are to our community, including my family who is able to access health care there. I also want to express my support of UDW and the Home Care Workers Union today as I feel that they're also a very important resource for the community.

Thank you so much for this honor it means a lot to my family thank you

UnidentifiedClerk of the BoardProposed · by role1:04:38 · ≈ 10:04 AM

Thank you. We will now move on to A4, another resolution that Supervisor Farr and I are co-sponsoring. And again as I turn it over to Supervisor Farr, another big deal. This is a big deal to receive this award. Supervisor Farr? If I could have Guadalupe Cruz come forward.

1:05 – 1:114 turns

CommentAdriana Silvia AlexandrianProposed1:05:01 · ≈ 10:05 AM

Thank you Mr. Chair, yes now we get to honor Guadalupe Cruz who's the recipient of the Jeremy D. Friedman Memorial Award which recognizes outstanding leadership superior scholarship and contributions to undergraduate life on campus and I understand that besides all the other wonderful things that you've done which will hear about in a moment that you have also been a friend and mentor and role model to Adriana, who we just recognized as well.

And now you have earned a bachelor's degree in sociology and a minor in applied psychology and the research work that you have done on campus is leading you to enroll in the University of Missouri-Columbia to pursue a master's degree in psychology. But while you've been on campus, you've been very involved with the food bank. Chair of Associated Students Food Bank and also you created a student run book bank so that low income students could have access to textbooks that normally would be very expensive. So those are just some of the things for which you're being recognized for But again, as a community, as the Board of Supervisors we are so proud of you and your individual achievements and all that you have done for the campus and in the county here in Santa Barbara.

So Mr. Allen would you go ahead and read the resolution please?

UnidentifiedUnidentified speaker 1Proposed1:06:22 · ≈ 10:06 AM

Chairman Carbaugh, members of the board. This is a resolution honoring Guadalupe Cruz for her scholastic achievement at the University of California Santa Barbara. Whereas, Guadalupe is the recipient of the Jeremy D. Friedman Memorial Award which recognizes outstanding leadership, superior scholarship and contributions to undergraduate life on campus. And whereas, Guadelupe obtained a bachelor's degree in sociology and a minor in applied psychology.

While she participated in the prestigious McNair Scholars Program where she conducted research on overcoming academic adversity, first-generation Latino and undergraduates' path to success. And whereas Guadalupe's vast research experience was completed through the UCSB Department of Education and Counseling, Clinical School Psychology, Student Mentorship, and Diversity. As a result, her findings inspire her to enroll at the University of Missouri-Columbia to pursue a master's degree in psychology. And whereas, Guadalupe cofounded and served as chair for the Associated Students Food Bank in an effort to eradicate hunger from the campus community. Served as commissioner of student services under the Office of Associated Student President office where she developed policy proposals on equity protection and improvement of student services in the university.

And whereas, Guadalupe served as Community Service Chair of the UCSB National Society of Leadership and Success where she coordinated community events to provide leadership opportunities to undergraduate students. She also served as an Educational Opportunity Program student mentor for first-generation and low income undergraduate students. Whereas, Guadalupe's dedication to the student community led her to create a student run book bank which has an inventory of more than 2,000 textbooks available to low income students to check out to reduce their book fees.

Now therefore be it hereby ordered and resolved that the Board of Supervisors honors Guadalupe Cruz academic achievements and further recognizes her commitment to activism, leadership, and contributions to the student community. Passed and adopted today.

UnidentifiedUnidentified speaker 13Proposed1:08:28 · ≈ 10:08 AM

Okay, first off I want to say thank you to Supervisor Carbajal and Supervisor Farr for granting me with the County of Santa Barbara resolution. This is a huge honor for me and just like Annie it's been a rollercoaster of emotions just going through graduation this weekend and award ceremonies and actually just reflecting on the past four years here at the University of California Santa Barbara I'm originally from Azusa, California which is about two hours away from here. So I had to move away from home four years ago to begin my undergraduate at UCSB and I actually come under a low income, underrepresented And so my parents were actually never finished their elementary education in Mexico. So for me, I'm a first generation college student and coming into UC Santa Barbara has been a great learning experience and it has allowed me to grow intellectually and emotionally.

So I would just like to thank the city of Santa Barbara for making this paradise a home away from home. And I just feel that my major in sociology allowed me to grow and to learn about so many social issues and injustices around the world, which truly shaped my passion and everything that I want to do as far as like my future career. But it has been an amazing experience being involved in the community as well not only at UCSB and being able to work with various community organizers and I believe that I'm a true product of my mentors and the people who have guided me along the process at the university because honestly, I didn't know anything.

My senior year in high school, I knew that I wanted to go to college, I just didn't know how I would do it. So I believe that it was because of the people that guided me through the process and believed in me and told me that I would make it is the reason why I'm here today. So, ultimately in the future I do want to come back to Santa Barbara and develop a center for community wellness to potentially help individuals who are at risk in prevention and intervention programs. And hopefully break the mental health stigma in the Latino community so that we're able to help these individuals at a larger scale in the future.

Thank you so much for this honor and I look forward to working with y'all in the future.

UnidentifiedClerk of the BoardProposed · by role1:10:56 · ≈ 10:10 AM

Thank you. Guadalupe and Adriana, if you look back. Dr. Wada, if you could raise your hand? And next to him is Michelle Mikiewicz, two extraordinary public health, mental health executives and public servants that you may want to chat with before you leave. They're full of wisdom and advice especially if you come back to Santa Barbara. Now we will proceed to Resolution A5 and this resolution is being sponsored by Supervisor Wolf

1:11 – 1:157 turns

UnidentifiedUnidentified speaker 7Proposed1:11:33 · ≈ 10:11 AM

Thank you, Mr. Chair. It's my pleasure to recognize our Santa Barbara Audubon Society for their 50th anniversary. Quite a milestone and to also recognize and acknowledge all of the work that you've done in our community and how you've been recognized nationally for so much of the work that you've done. And I know that Darlene Sherman is here to accept the reward... Reward? Sorry! I know, you were just asking for some money yesterday. I wish I could give you a reward right now but instead I'm going to give you an award and we have other folks from the Audubon Society that are here and if you'd like to just raise your hand or... Well maybe they can

UnidentifiedUnidentified speaker 14Proposed1:12:18 · ≈ 10:12 AM

come up and join

UnidentifiedUnidentified speaker 7Proposed1:12:19 · ≈ 10:12 AM

us. Oh that would be wonderful. Why don't you all come forward? I'm gonna come down and present you with award and Mr. Allen if

UnidentifiedClerk of the BoardProposed · by role1:12:30 · ≈ 10:12 AM

you could read the resolution

UnidentifiedUnidentified speaker 1Proposed1:12:38 · ≈ 10:12 AM

Chairman Carbajal, members of the board. This is a resolution of commendation honoring the Santa Barbara Audubon Society on their 50th anniversary. Whereas the National Audubon Society is the second largest and second oldest major conservation education environmental group in the United States. Its mission is to connect people with nature through the medium of birds and their world And whereas, the Santa Barbara Audubon Society was organized in 1962-63 by 17 members of the Museum of Natural History's Birding Club augmented by about 20 other community members in order to contribute more than just individual hiking and bird watching. And whereas during the last 50 years 7500 local residents have been members of the Santa Barbara Audubons Society.

And whereas the Santa Barbara Audubon Society has been a nationally recognized innovator in endangered species research, education and restoration. Leading the way in documenting the decline of the California condor and helping save North America's largest bird. And whereas Santa Barbara Audubon Society has also been nationally recognized for their work in bird identification and education, community nature education, nature field trips, bird and conservation science and public policy.

And whereas for a half a century the Santa Barbara Audubon has revealed bird life, habitats, trails and backcountry wildlife to thousands of students, residents and area visitors either for free or at the lowest possible cost. Now therefore be it hereby ordered and resolved that the Board of Supervisors commends the Santa Barbara Audubon Society on their 50th anniversary and thanks the society and its members for their dedication to connecting people with birds in nature passed and adopted today.

UnidentifiedUnidentified speaker 14Proposed1:14:18 · ≈ 10:14 AM

Thank you. It's been really a pleasure to lead the Santa Barbara Audubon in the last 12 plus years, and we have two former presidents here as well today, Everett King, there he is, and Bob Lindsay. And it's really been an effort of love in the community and I think you will, many times when we have represented issues of advocacy before your board. And I think it's really been a powerful organization within the community and hope that it will continue to be so under the future presence including co-president Steve Ferry who will be taking over next month.

So it's really a pleasure to really appreciate the resolution here and the recognition of the work that Santa Barbara Audubon has done in our community for the last 50 years. Thank you.

UnidentifiedClerk of the BoardProposed · by role1:15:10 · ≈ 10:15 AM

Thank you. We will now come back to our administrative calendar, and we only have item A18 Can somebody explain to me the relationship between

1:15 – 1:2016 turns

UnidentifiedUnidentified speaker 1Proposed1:15:31 · ≈ 10:15 AM

the housing authority and the county?

not transcribed≈10s of audible speech the AI couldn’t make out▸ listen
UnidentifiedClerk of the BoardProposed · by role1:16:00 · ≈ 10:16 AM

Mr. Speaker,

UnidentifiedUnidentified speaker 15Proposed1:16:05 · ≈ 10:16 AM

for purpose of today's item it's on just for a conflict of interest code approval by the Board of Supervisors and I'm not familiar with the specifics of the relationship between the housing authority and the county But the function here today is that the county has an obligation as the code reviewing body to review all conflict of interest codes for independent districts or anybody that chooses to have their independent conflict of interest code. And that's what is here today that has adopted a conflict of interest code.

UnidentifiedUnidentified speaker 8Proposed1:16:43 · ≈ 10:16 AM

Yeah, I get that and thank you very much for that but I'm just wondering are we...is the county the...I mean obviously we're not the board of directors. We don't sit co-terminus as that board of directors So is this a NGO type of a deal or is this a branch of the county that's controlled by the county, funded by the county? Or is this sort of development LHCDC type of deal that has an arm's length entity.

UnidentifiedUnidentified speaker 2Proposed1:17:16 · ≈ 10:17 AM

I don't believe that this is a branch of the county, much like the school districts whose code we adopt isn't part of the county. It's a responsibility of adopting this code that doesn't impute to us any control or authority over the

UnidentifiedUnidentified speaker 8Proposed1:17:35 · ≈ 10:17 AM

agency. I understand that, but is there a responsibility that comes back to this board from that entity? Or is it a freestanding publicly organized entity that's separate and wholly apart from the county?

UnidentifiedClerk of the BoardProposed · by role1:17:55 · ≈ 10:17 AM

Mr. Marshall, if you feel you need some time to come back and answer that before the end of the hearing today to Mr. Adam, that would be great because keep in mind we do have appointees that we as supervisors make to that organization so to give him us and the public a more thorough answer why don't you research it and come back to us before the end of the day and make sure we get that answer Mr. Marshall?

UnidentifiedUnidentified speaker 2Proposed1:18:21 · ≈ 10:18 AM

Yes, we can do that and identify the authority and the governance of that particular

UnidentifiedClerk of the BoardProposed · by role1:18:27 · ≈ 10:18 AM

property. And or if Mr. Adam would like a memo would be just as, you want it publicly or you want a memo? It'd

UnidentifiedUnidentified speaker 8Proposed1:18:36 · ≈ 10:18 AM

probably better if we did it later today in open session. The other question to follow up on that is are we responsible for their debts?

UnidentifiedUnidentified speaker 2Proposed1:18:47 · ≈ 10:18 AM

We will discern that as we explore the governance of that agency and what if any liability we would have for their, the county would have for their operations.

UnidentifiedClerk of the BoardProposed · by role1:18:58 · ≈ 10:18 AM

Okay Okay then would you have a problem approving that now Mr. Adam or do you want to trail that and approve it later?

UnidentifiedUnidentified speaker 8Proposed1:19:07 · ≈ 10:19 AM

No, I don't guess I have a problem with approving it now but I want to make sure we trail it and come back to it and get the answer to that question and then I'll have a couple more questions once we get the answer to that.

UnidentifiedClerk of the BoardProposed · by role1:19:21 · ≈ 10:19 AM

Without objection will trail this item until later on in the afternoon? Okay, just remind us mr. Clerk not so we don't forget this item and so sometime before the end of the day If somebody could come back and give us an explanation of that Thank you very much. Not having any other item We've already approved the administrative agenda will go down over to our departmental agenda No, we've already voted on the rest of the agenda.

Yes, we will take a break now but so we'll come back. Do we vote on that item?

UnidentifiedUnidentified speaker 8Proposed1:19:57 · ≈ 10:19 AM

We're going to trail that item.

UnidentifiedClerk of the BoardProposed · by role1:19:59 · ≈ 10:19 AM

We're trailing that item voting and not separately. We've already voted on the rest of the administrative calendar. There's no more speakers on the administrative calendar. So we will come back and take up our departmental agenda in 15 minutes if that's okay. ♪ Hi.

1:21 – 1:371 turns

UnidentifiedClerk of the BoardProposed · by role1:21:10 · ≈ 10:21 AM

♪ ¶. ♪ Music playing Hi. ♪ ♫ ♪ ¶¶ ♪ ¶. Music playing ¶. Hi, everyone. Hi, everyone. ♪

1:39 – 1:417 turns

UnidentifiedClerk of the BoardProposed · by role1:39:11 · ≈ 10:39 AM

We will reconvene our board meeting and we will go to item number one, departmental item number one. Mr. Clerk if you could read the item please?

UnidentifiedUnidentified speaker 1Proposed1:39:22 · ≈ 10:39 AM

Chair McArdle, members of the Board, Item 1 is from County Council. It's a hearing to consider recommendations regarding the adoption of an ordinance amending Chapter 24A, the Administrative Fines Ordinance for the County of Santa Barbara.

UnidentifiedUnidentified speaker 2Proposed1:39:33 · ≈ 10:39 AM

Thank you. Mr. Marshall? Thank you, Mr. Chair. Ms. Van Molen will make a brief presentation and be available to answer any questions.

UnidentifiedClerk of the BoardProposed · by role1:39:44 · ≈ 10:39 AM

Thank

UnidentifiedUnidentified speaker 2Proposed1:39:44 · ≈ 10:39 AM

you, Ms. Van Molen.

UnidentifiedUnidentified speaker 16Proposed1:39:47 · ≈ 10:39 AM

County Council, Ms Van Molen. Mr Chair, members of the board, what you have before you are amendments to county code chapter 24A, the administrative fine ordinance And there are five changes. The first is adding Chapter 9A and Chapter 44 to reflect the Board's action from April 5, 2011. The second is to replace the Director of Parks with the Director of Community Services.

The third is designating the Director of Community Services as the hearing officer for violations of Chapter 44 And finally, to add new fine amounts for building code violations which are consistent with government code section 25132. And I'm available for any questions.

UnidentifiedClerk of the BoardProposed · by role1:40:32 · ≈ 10:40 AM

Thank you. Do we have any public speakers Mr. Allen? No requests to speak. Discussion by this board. Supervisor, is there a motion? I'll make a motion to move this item. Motion's been made seconded. Not having further discussion, all those in favor? Aye. Opposed? Abstentions? Passes unanimously. Mr Adams is that a yes or no? I have one. Yeah. You really do?

All right, okay. Thank you very much Mr. Adam. We will proceed on to item number two.

1:41 – 1:4830 turns

UnidentifiedUnidentified speaker 1Proposed1:41:24 · ≈ 10:41 AM

Chairman Carvalho and members of the board, item two is from the Probation Department. It's a hearing to consider recommendations regarding the contract services with retiree Dr. Robert Ritchie.

UnidentifiedClerk of the BoardProposed · by role1:41:40 · ≈ 10:41 AM

Mr. DeLera?

UnidentifiedUnidentified speaker 17Proposed1:41:49 · ≈ 10:41 AM

Good morning Chair Carbajal and Supervisors. I'm here to address or answer any questions or clarify any

UnidentifiedClerk of the BoardProposed · by role1:41:58 · ≈ 10:41 AM

issues. Is there any questions regarding this item? Supervisor Lavallino? I just have one.

ElectedSteve LavagninoSupervisorProposedvoiceprint 0.681:42:05 · ≈ 10:42 AM

What is the actual, what are we actually paying this gentleman? I know that there's a savings but it doesn't say what his actual salary or what his costs are for us.

UnidentifiedUnidentified speaker 17Proposed1:42:17 · ≈ 10:42 AM

Supervisor, Chair Carball, Supervisor Levinino. The cost for evaluation will be $1,200 per evaluation. There's not an actual salary. It's going to be a fee-for-service.

ElectedSteve LavagninoSupervisorProposedvoiceprint 0.681:42:32 · ≈ 10:42 AM

Okay what do we...do you know what we're paying right now? I mean that's what we...I mean that's so how do we how do we know if we don't know how many he's gonna do what are how would how do we get to the savings that are in here?

UnidentifiedUnidentified speaker 17Proposed1:42:44 · ≈ 10:42 AM

Chair Carball, Supervisor Labanino. What we have is a proposed cost from ADMHS of two psychologists in the amount of approximately $222,000. Our projected psychological evaluations are 80. That comes out to about $96,000 and that's where we get our savings.

ElectedSteve LavagninoSupervisorProposedvoiceprint 0.681:43:02 · ≈ 10:43 AM

Thank you very much Mr.

UnidentifiedUnidentified speaker 17Proposed1:43:03 · ≈ 10:43 AM

DeLura.

UnidentifiedClerk of the BoardProposed · by role1:43:04 · ≈ 10:43 AM

You know Mr. Delura since isn't this tied to item number three?

UnidentifiedUnidentified speaker 17Proposed1:43:11 · ≈ 10:43 AM

Chair Carbajal, very good question and they're actually two different items. This

UnidentifiedClerk of the BoardProposed · by role1:43:15 · ≈ 10:43 AM

is- So there's not a symbiotic relationship with no matter what we do on three, it's time to proceed with this?

UnidentifiedUnidentified speaker 17Proposed1:43:22 · ≈ 10:43 AM

Yes sir,

UnidentifiedClerk of the BoardProposed · by role1:43:22 · ≈ 10:43 AM

there's no correlation. Okay I just want to be clear. Supervisor Wolff?

UnidentifiedUnidentified speaker 7Proposed1:43:26 · ≈ 10:43 AM

Thank you, Mr. Chair. So Mr. DeLeo there was a notation in here about the increase in published charges from ADMHS and then when I went to item four, I know we haven't got-we haven't moved there yet where we're going to likely adopt their published charges. There is a section in there where it says that That ADMHS will work with the Sheriff's Department if the amount budgeted is not sufficient to cover services provided. And I'm wondering if they meant to include probation in that? Is ADMHS working with probation?

UnidentifiedUnidentified speaker 18Proposed1:44:14 · ≈ 10:44 AM

Chair Carver Hall, Supervisor Wolf. The mention about the sheriff in that item is separate from what they do for us. The public charges became so onerous in the current year that ADMHS DSS and probation sat down and negotiated where we're actually going to pay the staff of the two psychologists who perform these evaluations rather than pay the public's charges for this service otherwise it would have tripled the cost of having this service provided. The mention in In the in the item about the published charges and the sheriff is related to the puff which is where the Sheriff's Department will see the largest increase in cost for their Through the published charges,

UnidentifiedUnidentified speaker 7Proposed1:44:57 · ≈ 10:44 AM

but I'm maybe this is a quick. Thank you for that. It's dr. Wada Just so I better understand the published charges though are you working with our departments though to lower those? those rates

UnidentifiedUnidentified speaker 10Proposed1:45:14 · ≈ 10:45 AM

Chair Carbajal, Supervisor Wolfe. Yes when we get to the published charges item we'll discuss that in more detail but this is something that's passed on to other departments like the sheriff's for puff bed days. The sheriff has a certain amount budgeted in that line item at this point we don't know what the utilization will be but if we reach that budget line item that the sheriff has we would certainly work with them and the CEO's office on that issue

UnidentifiedUnidentified speaker 7Proposed1:45:41 · ≈ 10:45 AM

Okay, thank you Dr. Water and now a question for County Council Is this government code section that's quoted here is that the Is that related to PEPRA? The issues of

UnidentifiedUnidentified speaker 2Proposed1:45:55 · ≈ 10:45 AM

yes the requirement that the board approved the extra help is related to PEPRA

UnidentifiedUnidentified speaker 7Proposed1:46:01 · ≈ 10:46 AM

and in your opinion then What we're being asked to do was within the Within the confines of what PEPRA has asked as far as rehiring.

UnidentifiedUnidentified speaker 2Proposed1:46:14 · ≈ 10:46 AM

Yes, it's within the authority of your board to approve this request.

UnidentifiedUnidentified speaker 7Proposed1:46:19 · ≈ 10:46 AM

And the reason that we can do it is because we have to show that... What's our finding?

UnidentifiedUnidentified speaker 2Proposed1:46:25 · ≈ 10:46 AM

The finding I don't remember but the finding is I think generally a great need maybe if the CEO has a clearer definition

CommentSanta BarbaraProposed1:46:37 · ≈ 10:46 AM

Chair, Supervisor, your board is determining that there is a need and then also PEPRA requires that it be a departmental item and be heard publicly. So those are the requirements of PEPRA. Usually you would have seen these sort of requests either not at all or on the administrative agenda but PEPRA's changed that for us.

UnidentifiedUnidentified speaker 7Proposed1:46:58 · ≈ 10:46 AM

So just so I'm clear, is it the need or is it the increased cost? Because I just want to make sure that we follow the new PEPRA guidelines.

UnidentifiedUnidentified speaker 17Proposed1:47:12 · ≈ 10:47 AM

Chair Carball, Supervisor Wolf. Very good. Thank you to clarify the there is a cost associated with contracting out and we could have moved forward with our contract provider. There's a second contract provider that mental health care currently uses. The issue is contracting with just one psychologist may not meet the needs. And so the critical issue that we're trying to address here is if that psychologist is sick or that psychologist is unavailable to perform psychological evaluations, there could be a direct delay in terms of the court process, possible placements and any other decisions made by the superior courts when it comes to the juveniles.

UnidentifiedUnidentified speaker 7Proposed1:47:57 · ≈ 10:47 AM

Okay, well that helps me a great deal. Thank you.

UnidentifiedUnidentified speaker 8Proposed1:48:01 · ≈ 10:48 AM

Supervisor Adam? Yeah I heard Dr. Wada say that he was going to lower charges and I'm just wondering how he was able to do that. Did I misunderstand you Dr. Wada?

1:48 – 1:5411 turns

UnidentifiedUnidentified speaker 10Proposed1:48:21 · ≈ 10:48 AM

Chair Carbajal, Supervisor Adam, no. Our published charges are the published charges but within the county we would work with departments if we got to a point where it was going to exceed a budgetary line item. But the published charges that we have are set.

UnidentifiedUnidentified speaker 8Proposed1:48:39 · ≈ 10:48 AM

And how would you do that?

UnidentifiedUnidentified speaker 10Proposed1:48:46 · ≈ 10:48 AM

Maybe I'll have our CFO Michael Evans

UnidentifiedUnidentified speaker 19Proposed1:48:49 · ≈ 10:48 AM

discuss that. Thank you, Chair, Supervisors. In the past when the Sheriff's budget for the PUF days has been exhausted we have worked with the Sheriff in which they have then been able to reallocate more funding for that line item.

UnidentifiedUnidentified speaker 8Proposed1:49:08 · ≈ 10:49 AM

Okay so we get it from somewhere else but under no circumstances do you not get reimbursed? Correct. Okay

UnidentifiedClerk of the BoardProposed · by role1:49:14 · ≈ 10:49 AM

thank you Okay, any public speakers on this Mr. Owen? No request to speak. Having no public speakers is there a motion? Motion has been made. Seconded. Further discussion? Having none all those in favor? Aye. Opposed? Abstentions? Passes unanimously we will now

move on to item number three as staff sets up Mr. Clerk if you could read the item please

UnidentifiedUnidentified speaker 1Proposed1:49:42 · ≈ 10:49 AM

Chairman Carl Hall, members of the board. Item 3 is from the Sheriff and Probation Department. It's a hearing to consider recommendations regarding an agreement between the Santa Barbara County Sheriff's Office, Probation Department, and Corizon Health Inc.

UnidentifiedClerk of the BoardProposed · by role1:49:56 · ≈ 10:49 AM

Sheriff

UnidentifiedUnidentified speaker 20Proposed1:49:57 · ≈ 10:49 AM

Brown and Probation Officer Beverly Taylor. Good morning Chair Carl Hall, members of the board. Delivering healthcare services to others is a difficult endeavor under any circumstances, but doing so for people who are being held in custody is especially challenging. We are very fortunate to have Corizon Healthcare Services as a partner in delivering these mandated services in our county's adult and juvenile detention facilities.

And with regards to the Sheriff's Office, we've actually worked with Corizon for having them deliver our medical services since 1995 and combined to deliver our medical and mental health services since 2009. Corizon has forged a long-term relationship with us that is built on foundations of trust and mutual respect. At every level, their staff have been and continue to be professional, courteous and skilled.

Corizon delivers health care services to our inmates that are nothing short of exemplary but they do more than that. They have truly become a part of the Sheriff's team Their employees now teach in our custody deputy academy, and they provide flu shots and tuberculosis testing to members of our staff. Contracting with Corizon for medical and mental health services allowed us to provide better service by increasing staffing, expanding hours of coverage, and introducing jail discharge planning into our system.

And importantly it allowed us to do all of that while also achieving considerable cost savings. Corizon has recognized the severe fiscal challenges that the county and the Sheriff's Office have been dealing with, and they have stepped up, and they have shared the pain. Remarkably, they held the cost of their services flat for the past three years even though they had an annual cost escalator clause in their contract.

As you will see today, they have stepped up again. They delivered some extraordinary proposed savings when we negotiated the proposed contract that you're about to review and vote on today. I would like to introduce you to Carla Cesario, Corizon Health Care Services Senior Vice President of Operations for Community Corrections. Carla has been an outstanding person to work with and she will be available to you following the presentation to answer any questions that you may have about Corizon.

But first, I want to turn this presentation over to my esteemed friend and colleague and another valued partner, our Chief Probation Officer Beverly Taylor.

CommentBeverly TaylorProposedself-stated1:52:31 · ≈ 10:52 AM

Good morning Chair Carbajal and Supervisors. My name is Beverly Taylor, Chief Probation Officer. Good morning and I want to first acknowledge our ADMHS partners for their professionalism and excellent services that they currently provide to our youth at the Santa Maria Juvenile Hall in our camp programs. The decision to recommend a change in mental health providers is not for any issue related to service delivery, but rather due to probation's ongoing fiscal challenges and cost increases for current mental health staffing.

In fiscal year 13-14, the probation department faced a $900,000 budget gap. And in fiscal year 14-15 it's anticipated to be 3.8 million dollars. As Chief Probation Officer I see the Corizon offer as an opportunity to maintain a specific level of quality service for the youth in our care. Thank you. The sheriff and probation seek the approval for a contract extension with Horizon Health Incorporated to provide medical, mental health and pharmaceutical services to inmates and youth in our detention facilities. The term of the extension is for two years and would begin July 1st 2013 and go through June 30th 2015. The contract is not to exceed Just under $10,900,000.

And also we would be asking that the board ratify a previous extension of Corizon Health Incorporated for a contract for medical services and mental health services that were provided from July 1, 2011 to June 30th 2013. Supervisor Wolf?

1:54 – 2:0012 turns

UnidentifiedUnidentified speaker 7Proposed1:54:29 · ≈ 10:54 AM

Thank you, Mr. Chair Miss Taylor what if you could go back to the previous slide the pharmaceutical services Or maybe someone from Chorizon can go over What those are okay?

CommentBeverly TaylorProposedself-stated1:54:47 · ≈ 10:54 AM

I'm going

UnidentifiedUnidentified speaker 7Proposed1:54:47 · ≈ 10:54 AM

to or should we go through the

CommentBeverly TaylorProposedself-stated1:54:49 · ≈ 10:54 AM

presentation because we do talk about the pharmaceuticals yes, thank you So to continue, the Sheriff's Office and Probation Department are required by the California Penal Code and Title 15 to provide a basic and emergency health care services to both inmates and youth in our custody. And services currently provided include evaluations by physicians, psychiatrists, dentists, and other medical practitioners as well as x-ray and laboratory services.

Now to talk about probation's service level challenges, beginning in fiscal year 2010-11 the cost for mental health services at the Santa Maria Juvenile Hall and camp programs rose significantly due to an increase in the indirect cost rate as well as increase in cost per staff. The department did request bids from Khorizon for mental health services in prior fiscal years, including fiscal year 11-12.

In fiscal year 11-12, ADMHS was able to reduce their proposed cost by making it only slightly higher than Khorizon's bid. So at that time the two departments agreed, probation and ADMHS, that we would stay within the same total cost footprint for fiscal year 12-13. Which is why you see just a slight increase in those fiscal years of 11-12 and 12- 13. The staffing level for direct services to youth will remain the same 2.4 clinicians at the Santa Maria Juvenile Hall providing 7 day per week coverage and two full-time clinicians will serve the Los Prados Boys Camp and Academy Monday through Friday.

The psychiatrist will be maintained at .2 at the Santa Maria Juvenile Hall and a .15 at the Los Prados Boys Camp and Academy.

UnidentifiedClerk of the BoardProposed · by role1:56:55 · ≈ 10:56 AM

Ms. Taylor, do we have that slide?

CommentBeverly TaylorProposedself-stated1:56:58 · ≈ 10:56 AM

You should,

UnidentifiedClerk of the BoardProposed · by role1:56:59 · ≈ 10:56 AM

yes. We don't have it unless I missed it. It's not part of the PowerPoint and it's not in the staff report so maybe they put it on online but if we could get a copy that would be great while you continue to report somebody could get that copy for us.

CommentBeverly TaylorProposedself-stated1:57:17 · ≈ 10:57 AM

And I apologize the font is in white and that's why it's not showing up on your slide. I apologize but we will make copies for you. These, as noted the psychiatrist will be maintained at a point two at the Santa Maria Juvenile Hall and a point one five at the Los Predos Boys Camp and Academy. The psych tech at the camp remains the same, point one five. And the time allotted for assisting the psychiatrist at the Santa Maria Juvenile Hall is slightly more than-

UnidentifiedClerk of the BoardProposed · by role1:57:53 · ≈ 10:57 AM

Actually Miss Taylor I'm gonna ask you to start all over on this one. Okay. I got a little discombobulated myself. So if we just go over it slowly because we're waiting for the sheet.

CommentBeverly TaylorProposedself-stated1:58:02 · ≈ 10:58 AM

Certainly, so the staffing level for direct services to the youth will remain the same 2.4 clinicians at the Santa Maria Juvenile Hall will provide seven day per week coverage two full-time clinicians will serve the Los Prados Boys Camp and Academy Monday through Friday The psychiatrist will be maintained at a .20 at the Santa Maria Juvenile Hall and a .15 at Los Prados Boys Camp and Academy.

The psych tech at the camp programs remains the same of a .15, and the time allotted for assisting the psychiatrist at the Santa Maria Juvenile Hall is slightly more than the current fiscal year. It's going from .5 to .65. This increase is accomplished by leveraging current medical personnel. Some of the tasks assigned to the psych tech can be more appropriately delegated to existing medical staff, creating a higher level of efficiency.

In the current fiscal year, ADMHS provides a .5 supervisory oversight. This level is currently being proposed by Corizon. And I'll stop there in case you have any questions.

UnidentifiedClerk of the BoardProposed · by role1:59:27 · ≈ 10:59 AM

You know, I don't know if it's just me but it's a little confusing. This is one that I think this sheet we're going to have to get and maybe...I'm just trying to look at the numbers of what is today What FTEs are now with Corizon? Is that a savings in money, but the service continues or is it less FTE? It's a little confusing.

CommentBeverly TaylorProposedself-stated1:59:49 · ≈ 10:59 AM

Chair Carbajal, currently Corizon is not providing any of the services so this is what they are proposing in their contract and what we have attempted to do Working with ADMHS staff and probation personnel was to look at our current level of services being provided by ADMHS in requesting that Corizon provide us the same level of services. So currently, ADMHs you'll see the first column provides two FTE's of clinical regular so clinical reg 2 is what ADMhS proposed in their budget.

Corizon is providing 2.4 to cover Monday through Friday and on the weekend. Right below that, you'll see under ADMHS extra help of one personnel. .4 of that is weekend coverage. .6 of that is to cover for holidays, vacations I'm going to the subtotals of each line.

not transcribed≈12s of audible speech the AI couldn’t make out▸ listen

2:01 – 2:0935 turns

UnidentifiedClerk of the BoardProposed · by role2:01:09 · ≈ 11:01 AM

For Juvenile Hall, you got 3.7 FTEs and we're going to 3.25 FTEs.

CommentBeverly TaylorProposedself-stated2:01:14 · ≈ 11:01 AM

And

UnidentifiedClerk of the BoardProposed · by role2:01:15 · ≈ 11:01 AM

if I could just continue, then you go to Los Pietros 2.30 You actually are increasing that by 2.35 0.5 0.05 and then if you go down to the bottom

CommentBeverly TaylorProposedself-stated2:01:25 · ≈ 11:01 AM

you currently

UnidentifiedClerk of the BoardProposed · by role2:01:26 · ≈ 11:01 AM

have One FTE and then you're going to go to half of an FTE, the .53. So I'm just trying to understand and reconcile the same definition that you have in terms of if what we're getting now We're gonna continue how that service is similar or different irrespective of the change in FTE and the change in money

CommentBeverly TaylorProposedself-stated2:01:57 · ≈ 11:01 AM

Chair Carbajal, the number of clinicians, the actual direct services for clinicians that we currently have in this fiscal year will be maintained in the proposal by Corizon. And I apologize it is confusing because we do list extra help as one. Again, .4 of that is actual direct services. .6 of that extra help that's listed in ADMHS is to backfill behind holiday, sick, vacation. So in reality the The two do mirror with the exception of, you're right, Corizon is adding a little bit more in their psych tech. But direct services for clinician remains the same, 0.24.

That's current, that's what we currently are receiving and what Corizon is proposing. The supervisor, you mentioned the manager. Today ADMHS provides a .5 supervisory staff so we are, we've requested that ADMH, Corizon excuse me provided that same level of point, a half time supervisor and that they're doing through a combination AHSA, their Administrative Assistant and their Medical Director.

UnidentifiedClerk of the BoardProposed · by role2:03:22 · ≈ 11:03 AM

Supervisor Adams and Supervisor Wolf. But before we go to you Supervisor Adams has this gone through the Juvenile Justice Coordinating Council?

CommentBeverly TaylorProposedself-stated2:03:31 · ≈ 11:03 AM

We have brought it to their attention let me look back at our Deputy Chief Probation Officer Lee Bethel I do believe so but I want to confirm.

UnidentifiedClerk of the BoardProposed · by role2:03:38 · ≈ 11:03 AM

Have they had it as an agenda item in discussion?

CommentBeverly TaylorProposedself-stated2:03:54 · ≈ 11:03 AM

So they haven't seen the contract. However, they have been advised that there would be a change to Corizon and that we would be maintaining a similar service level.

UnidentifiedClerk of the BoardProposed · by role2:04:05 · ≈ 11:04 AM

Okay, Supervisor Allen meets Supervisor Wolfe.

UnidentifiedUnidentified speaker 8Proposed2:04:09 · ≈ 11:04 AM

Well, I was just going to make the observation that down in the bottom is the totals. And what it looks like is you're going to come up with 0.87 FTE's lower than we used to have and you're going to save $297,000.

CommentBeverly TaylorProposedself-stated2:04:29 · ≈ 11:04 AM

Chair Carbajal, Supervisor Adam. That's correct however I do want to just point out that ADMHS currently provides a .5 supervisory staff so if we're looking at current services the one FTE that they are proposing for 13-14 is an increase to what we are currently receiving at the Juvenile Hall.

UnidentifiedUnidentified speaker 8Proposed2:04:54 · ≈ 11:04 AM

I did not follow that I'm sorry.

CommentBeverly TaylorProposedself-stated2:04:58 · ≈ 11:04 AM

Currently, ADMHS provides a .5 supervisory staff.

UnidentifiedUnidentified speaker 8Proposed2:05:05 · ≈ 11:05 AM

Okay so is that going to get added to the .87? No, it's going

CommentBeverly TaylorProposedself-stated2:05:12 · ≈ 11:05 AM

to

UnidentifiedUnidentified speaker 8Proposed2:05:12 · ≈ 11:05 AM

be subtracted from the .87. Exactly. So now you're down to

CommentBeverly TaylorProposedself-stated2:05:16 · ≈ 11:05 AM

.37. And there's also, again, a .6 of that extra help that is not direct services but it's backfill for ADMH staff clinicians when they are on vacation or in training.

UnidentifiedUnidentified speaker 8Proposed2:05:35 · ≈ 11:05 AM

So actually you're getting just slightly more than

CommentBeverly TaylorProposedself-stated2:05:37 · ≈ 11:05 AM

what

UnidentifiedUnidentified speaker 8Proposed2:05:39 · ≈ 11:05 AM

you currently... When you add it all up if it was all contained there on the slide You're getting actually a little bit more than a person.

CommentBeverly TaylorProposedself-stated2:05:51 · ≈ 11:05 AM

Chair Carbajal, Supervisor Adam that is correct. The services that we are receiving today in fiscal year 12-13 we are getting that level if not a slight bit more from the proposal that Corizon has before the board today.

UnidentifiedClerk of the BoardProposed · by role2:06:05 · ≈ 11:06 AM

Okay thank you.

UnidentifiedClerk of the BoardProposed · by role2:06:07 · ≈ 11:06 AM

Before Ms. Wolf goes I, you know Ms. Taylor maybe I didn't, I'm not recalling the staff report structure but I'm trying to reconcile the reduction in FTEs. I wish there was a slide that said this is everything you're getting, service level of hours, everything and this is what you're going to continue to get or not because then what you're showing us is how it breaks down in terms of FTE and cost but what I'm most concerned about Is that really apples and apples? Are we going to be getting apples and apples, the 24-hour service when we need it, the evaluate. Everything that we are getting now, are we gonna continue to get? And if we're even getting an increase, it would be great to understand that.

The information before me, I'm not sure that I see that. I see this but what's not over imposed on that is this great service we're gonna continue to get Being received is my understanding.

CommentBeverly TaylorProposedself-stated2:07:12 · ≈ 11:07 AM

Chair Carbajal, I apologize for the issue with this particular slide. But again, so just want to reiterate the services that we're currently receiving through ADMHS this fiscal year. The proposal that Corizon has before the board today meets today's level of service. To answer your second question relative quality of care or level of similar services. In our scope of work that we worked with ADMHS to prepare, the statement of work does include groups, individual evidence-based gender specific crisis intervention so it requires the same level of service delivery that ADMHS is currently providing.

UnidentifiedClerk of the BoardProposed · by role2:08:03 · ≈ 11:08 AM

Before we go up to Ms. Wolfe I have a question for Dr. Wada Dr. Wanner, have you had a chance to look at what your department was providing and whether the same exact services or better are going to be provided through this contract? That's the bottom line.

UnidentifiedUnidentified speaker 10Proposed2:08:30 · ≈ 11:08 AM

Chair Carbajal, members of the board. Actually one of last week's board inquiry forms listed out all the services that we currently provide. This was provided to Chorizon and they said that they could meet the exact same level of service with this staffing proposal. I can read that to you

UnidentifiedClerk of the BoardProposed · by role2:08:48 · ≈ 11:08 AM

if... No need. I just want to have your assurance that it's your understanding that this contract Does provide the same or enhanced level of services that are being provided right now by your department?

UnidentifiedUnidentified speaker 10Proposed2:09:01 · ≈ 11:09 AM

Chair Carbajal, members of the board. My understanding is that that is a message that was relayed from Corizon to probation.

UnidentifiedClerk of the BoardProposed · by role2:09:07 · ≈ 11:09 AM

Okay but we don't have a schematic of what those services were and what it is we're getting. You do from the Board Inquiry form that was given to us.

UnidentifiedUnidentified speaker 10Proposed2:09:18 · ≈ 11:09 AM

Yes, and

UnidentifiedClerk of the BoardProposed · by role2:09:19 · ≈ 11:09 AM

I can

UnidentifiedUnidentified speaker 10Proposed2:09:19 · ≈ 11:09 AM

read it or we can provide it to you.

UnidentifiedClerk of the BoardProposed · by role2:09:21 · ≈ 11:09 AM

Actually, provide it to us again. I recall reading it but if we could have it again that would be great. Thank you Dr. Wada. Please proceed Supervisor Wolf. Okay please proceed Ms. Taylor

2:09 – 2:185 turns

CommentBeverly TaylorProposedself-stated2:09:37 · ≈ 11:09 AM

So the contract with Khorizon, based on our statement of work that is included in the contract will provide the same services currently being provided by ADMHS. And as I noted previously, ADMHS staff including Michael Kraft participated in the preparation of this scope of work to ensure that the current service level would be maintained by the staffing positions that are indicated in the contract. Services will include crisis prevention and crisis response, evaluation and assessments, development and ongoing case planning, individual and group sessions, medication evaluation and discharge planning, and community referrals. Additionally there will be weekly on-site meetings Quarterly management meetings and quality assurance protocols.

that are included in the contract. The rigorous biannual Institute of Medical Quality or IMQ certification process will occur in November of this year. This would provide us with a report card, so to speak from an outside consultant on how well our mental health medical and probation services are being coordinated at the Santa Maria Juvenile Hall and camp programs.

Probation will continue to rely on ADMHS and safety or safe alternatives for treating youth, to make the determination to hospitalize a youth who is in danger to self or others. Also, ADMHS will continue to provide a staff under the Juvenile Justice Crime Prevention Act. And this staff will play a key role as a liaison between probation, ADMHS and Khorizon.

Benefits from a Corizon contract include an enhanced and streamlined communication process between mental health and medical personnel, which should result in a more comprehensive level of care. And they have the ability to leverage their medical and mental health staffing to increase the support of mental health service delivery and efficiencies. To establish Corizon's history and experience providing mental health services to youth, probation contacted seven juvenile detention facilities where Corizon provides medical and mental health services.

These sites have been in contract with Corizon from three-and-a-half years to eight years. Three of the sites have contracts for services similar to what Santa Barbara County is requesting to maintain. All seven reported that they are pleased with the services provided by Khorizon and all stated that they would recommend Khorizon for medical and mental health services for youth.

It is true that other than Tulare County who just approved a contract with Khorizon for mental health and medical services last week, Khorizon doesn't provide mental health services for youth in California. However based on staff discussions with the seven probation and correctional administrators, Khorizon does have extensive experience working with youthful offender populations both in medical and mental health services outside of California.

Additionally, the qualifications outlined in our scope of work require clinicians to have specialized training in the treatment of adolescents with an array of challenges common to youth and the juvenile justice system. We've also asked for preference in hiring bilingual and bicultural clinicians. So in closing my portion, I just again commend the probation and ADMHS staff for countless hours expended in developing a contract that requires same service levels and quality assurance protocols to ensure that the youth at the Santa Maria Juvenile Hall and camp programs receive quality care.

And lastly, I just want to note that Dr. Wada and ADMHS they will continue to provide services at the Santa Maria Juvenile Hall if we go forward with the Corizon contract until staff are hired and would provide a level of transition as we would make the change. And now I would turn over unless there's any questions to Commander Darren Fotheringham.

UnidentifiedClerk of the BoardProposed · by role2:14:29 · ≈ 11:14 AM

Supervisor Farr?

CommentAdriana Silvia AlexandrianProposed2:14:30 · ≈ 11:14 AM

Thank you Mr. Chair, I just want to go back again to the issue that was raised about the Juvenile Justice Coordinating Committee which you know I'm not the board's representative too but you mentioned when asked that they had been informed of the change which is I think different than putting it on their agenda and having them Review it ahead of time. Is that correct? That's Chair Carbajal, Supervisor Farr. That is correct. Okay so the Juvenile Justice Coordinating Committee never really had a chance to go into detail or ask questions about this particular change.

That is correct. Okay and why is that?

CommentBeverly TaylorProposedself-stated2:15:14 · ≈ 11:15 AM

Well, I don't know for exact sure other than I know that this came upon us fairly quickly. I had conversations with our superior court presiding judge Garcia a couple of weeks before we were putting this in our board budget book So it did come about fairly quickly. And so because of that, I had to make a choice. We put it in our budget book in March and did not have an opportunity prior to that to vet it with the Juvenile Justice Coordinating Council. Again, it was a very quick process. I admit to that but it was an opportunity as I noted earlier to allow the probation department as we were facing You know, a $900,000 budget gap to fill services that we believe that they are able to provide for us.

I did, as I noted, consult with the presiding judge who does oversee the Juvenile Justice Coordinating Council and again, the timing was what did not afford us the opportunity to provide a more extensive vetting process

CommentAdriana Silvia AlexandrianProposed2:16:34 · ≈ 11:16 AM

Okay, thank you Chief Taylor. Mr. Chair I think Supervisor Wolf and I'm not sure who else is the board's representative on that committee may want to comment on that later but I would think this would be certainly an issue they should have had an opportunity to review at some point in time. I do have another couple of questions about the contract itself and I am not really sure who to address them too.

But as we probably all recall, when this contract for Horizon 4 service in the jail came to us in 2009 there was a high level of community concern and controversy about it at that time which the board shared. And it was expressed to us that it was a two-year contract and we went ahead and approved that but said that we wanted The sheriff's department to come back within a year and kind of do a check in with us, which they did.

Now we're being asked to ratify a two-year extension on that contract because the staff of the two departments thought that the language said that the board could be skipped over with that. And so I guess my first concern is given the level of concern and controversy the first time around, I don't know why it didn't come to the board anyway And now that we're being asked to ratify the extension, what happens if we don't ratify the extension since it's already in the past?

2:18 – 2:268 turns

CommentBeverly TaylorProposedself-stated2:18:18 · ≈ 11:18 AM

Chair Carbajal, Supervisor Farr. I would defer to County Council. I don't have an answer to that.

UnidentifiedUnidentified speaker 2Proposed2:18:26 · ≈ 11:18 AM

In the theoretical level, if the contract was not properly executed it could be considered void by the courts. The worst case scenario or the best case scenario depending on which end you are looking at would be a recovery of Money paid under a void contract and perhaps personal liability for officers who authorize an unapproved expenditure.

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CommentAdriana Silvia AlexandrianProposed2:18:59 · ≈ 11:18 AM

Okay, thank you. And Council just to follow up with that this contract is before us now also has a two-year extension as a part of it. Has that language been clarified now that that extension would come to the board or are we going to be skipped over again?

UnidentifiedUnidentified speaker 2Proposed2:19:18 · ≈ 11:19 AM

I think it's clear now that this matter comes back to your board. The language, I believe was clear before. I think it was a misunderstanding of what the term party meant and who the real parties are to the contract and the county is always the party to the contract so I think it's been as much in educational processes as any language changes

CommentAdriana Silvia AlexandrianProposed2:19:44 · ≈ 11:19 AM

Okay, well thank you and again I just think because of the level of concern about this from the beginning that it should have come to the board. I don't think there should have been any question about that if for no other reason than that. Thank You Mr. Chair.

UnidentifiedClerk of the BoardProposed · by role2:20:00 · ≈ 11:20 AM

Supervisor Wolff?

UnidentifiedUnidentified speaker 7Proposed2:20:01 · ≈ 11:20 AM

Thank you Mr. Chair. Just following up on What Supervisor Farr mentioned, I have to say I was really shocked to read the recommendations that we had to go back and ratify what we should've done a few years ago. And even in our agenda today you know we are always ratifying renewed contracts so it's very surprising that we didn't have that opportunity Just from a legal standpoint because we are the party and because of the level of interest in this contract I just Want to address a few things that have been brought up.

I have served for seven years on the JJCC and To answer supervisor Farr's question I did after this first came to the board workshop, I did bring it up. It wasn't agendized. I did bring it up because I thought it was important for the JJCC to know that this might potentially happen and there was discussion at that time But as was stated, there was no contract.

I hadn't seen the contract. What was most important, I believe, was this shift from our ADMHS to Corizon, a private for-profit company. Since I've been on the JJCC and I've talked about this a lot, the amount of information that I've learned from everyone on that committee including our probation chief has been exceptional. And one of the issues that I have heard over and over again is the use of evidence-based counseling treatment assessment I have this Juvenile Justice Crime Prevention Act that describes some of the protocols that are used by ADMHS and when I look at the contract that's provided to us by Khorizon, I don't see those same protocols.

In general, they all look the same but when you get into the meat of what is being done by ADMHS it doesn't appear as if they're the same. And I think it was back in February when I asked the ADMHS director who worked at Juvenile Hall to come and speak to the board because he spoke to the Juvenile Justice Coordinating Council and talked about the level of need and the high degree I don't even know if this is the right term. The number of issues that the juveniles are showing at the juvenile hall and the success that ADMH has had in treating these juveniles.

And, you know I can't help but think if it's not broken why fix it? Why are we going through this whole Whole thing, trying to figure out the FTEs when it looks as if they're very similar. Although the one difference is that Corizon does not have the internship program that ADMHS has. We don't have that level of coordination that's already inherent with ADMHS staff. What we haven't even talked about is the coordination between ADMHS staff and county education.

We all go to Los Prados, so it's not just the Juvenile Hall but Los Prados has been one of our shining stars and those things don't That recognition doesn't just happen. It happens from the teamwork, from the probation officers, the mental health professionals and county schools and the teachers. And what I fear is happening is we are taking a thread out of what we know is working And I don't want to say anything bad about Corizon. What I am saying is that what we have in place is working, and if it's a matter of $300,000, you know, I think what we need to do is look at our values and look at what these kids are going through, the mental illness that these kids are going through, and the treatment that they will be receiving.

I just urge all of us to take careful note in this significant change. We did it with the adult population and at that time, I had concerns about that but to make this change to the kids is rather drastic and I would submit unnecessary And that we should be able to find the funding to keep what, to keep the system right now in place that's working. I stress that this is a program that's working and if I may also just look at this plan again there are so many references in this plan about how ADMHS and probation work together their collaboration Chief Taylor started her presentation by saying we have this incredible relationship.

And we know through all of our departments when we have that coordination and collaboration, that's when good things happen. So why change it? Thank you Mr. Chair.

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UnidentifiedClerk of the BoardProposed · by role2:26:17 · ≈ 11:26 AM

Thank you Supervisor Wolf. Mr. Fotheringham

2:26 – 2:3211 turns

PresenterCommander Darren Fotheringhamrest of the presentation here and answering the question earProposedself-stated2:26:24 · ≈ 11:26 AM

Morning supervisors through the chair. I'm Commander Darren Fotheringham, I'm currently overseeing the jail operations of the county jail and I will be continuing with the rest of the presentation here and answering the question earlier we do have some specific information on pharmaceuticals. And one thing that we've experienced both at the sheriff's office and to probation department is that our pharmaceutical costs for inmates in use In our facilities has continued to rise as the pharmaceutical costs for the rest of nation have continued to rise.

Our pharmaceutical costs are based partially on the actual medical, pharmaceutical needs of the inmates and youth in our facilities but absent that specific medical need what we've noticed is a slow and steady increase in those costs. What Cryzen and for reference, I'll have some more information in a moment. The average pharmaceutical cost for the Sheriff's Department over the last four years if you average it out has been over $532,000.

Krizen Health, Inc. is offered to provide a pass-through pharmacy for on this service and through that they are able to provide as a large service provider they're able to provide that service at a reduced rate we are expecting a 25% to 30% reduction in what we actually pay for the individual pharmaceuticals and again it's a direct pass-through

UnidentifiedClerk of the BoardProposed · by role2:27:58 · ≈ 11:27 AM

Supervisor Wolf has a question.

UnidentifiedUnidentified speaker 7Proposed2:28:01 · ≈ 11:28 AM

You know, I noticed that in this new contract there's a pharmaceutical management services section and then when I looked in the contract there is no specific pharmaceutical cost it's all lumped together I don't see anywhere in the contract that talks about a pass-through or a reduction of 25%. And, in fact this pharmaceutical management services even though it's highlighted In this contract when I went back to the old contract, the pharmaceutical management services was almost identical to what is being proposed in this new contract.

Where do we see that actual savings? We get that $10 million cost and we have it broken down by month, but we don't have any of the pharmaceutical piece separated out.

PresenterCommander Darren Fotheringhamrest of the presentation here and answering the question earProposedself-stated2:29:08 · ≈ 11:29 AM

Supervisor Wolfe through the chair. The pharmaceutical management, we have not exercised that option with Corizon in the past. We were going through A and B pharmaceuticals both our agency and probation. I believe that was in the original contract excluded. I do not have that specific information and can look that up and bring that back to the board. When we met with Kreisen and discussed pharmaceuticals, what they have offered to us is to provide that direct pass through. We will be receiving the actual invoices from their pharmaceutical provider which includes a waiving of the actual prescription fee which a lot of the pharmacies do in fact charge. And the 25 to 30% savings, where that number comes from. That is based on what we are currently paying for pharmaceuticals compared to what we will be paying from Corizon.

They provided us with an estimate or A mirrored cost for what we are currently providing the inmates and then annualize that out. And their estimate was about $411,000.24 for those medications. This current year we're gonna pay approximately $700,000 for those same medications.

UnidentifiedUnidentified speaker 7Proposed2:30:29 · ≈ 11:30 AM

Just to be clear, that's not in the contract. That's just anticipated.

PresenterCommander Darren Fotheringhamrest of the presentation here and answering the question earProposedself-stated2:30:35 · ≈ 11:30 AM

Correct, the cost savings is not a contractual cost savings. It is an estimated cost savings from what we are currently paying at the rates that we pay through our current pharmaceutical vendor to what Corizon's current rates are for their pharmaceuticals.

UnidentifiedUnidentified speaker 7Proposed2:30:50 · ≈ 11:30 AM

So just so I understand, if the costs exceed the amount that they estimate do we pay the difference? Or is that the maximum amount?

PresenterCommander Darren Fotheringhamrest of the presentation here and answering the question earProposedself-stated2:31:00 · ≈ 11:31 AM

Supervisor Wolf through the chair. Yes, we would have to pay that additional. We pay the actual cost of the pharmaceuticals so if it comes in less than $411,000, we would pay less. If it were to come in over that, we would have to come back before the board And ask for a contract amendment to cover those costs. And that is, we are tied directly to the cost of the pharmaceuticals for those inmates and youths. It does fluctuate from year-to-year and I think as we had to bring before the board in the past, a particular inmate who had medication costs that if he was in our custody for a full year would have exceeded $500,000 for that one inmate alone.

We are tied to ultimately what medical conditions for the inmates in use that present to us. And I can go into a little more depth in the next slide, I

UnidentifiedUnidentified speaker 7Proposed2:31:55 · ≈ 11:31 AM

have some information there. No, that's okay so if the bottom line is it's not a fixed cost up to, it's whatever the ultimate charges are that the county will be responsible for.

PresenterCommander Darren Fotheringhamrest of the presentation here and answering the question earProposedself-stated2:32:08 · ≈ 11:32 AM

Supervisor Wolf through the chair, that is correct.

UnidentifiedUnidentified speaker 7Proposed2:32:10 · ≈ 11:32 AM

And then I saw something in the contract that there's a second pharmacy that would be available, it would be Walgreens. So why would we use another pharmacy?

2:32 – 2:4118 turns

PresenterCommander Darren Fotheringhamrest of the presentation here and answering the question earProposedself-stated2:32:23 · ≈ 11:32 AM

Supervisor Wolfe, through the chair. Khorizon as what our current pharmaceutical vendor provides that is when an inmate or youth is in custody and they need a prescribed medication that is ordered and then delivered. The local pharmacy is a requirement we have and we currently also use a local pharmacy. And that is for emergency pharmaceutical needs. It is for when someone comes into our facility that's unknown to us. And we do not have that medication in-house. We are, we do not maintain a pharmaceutical stock. We have the medication needed for those inmates so we're able to get those in an emergent need.

UnidentifiedUnidentified speaker 7Proposed2:33:00 · ≈ 11:33 AM

Do you know how often that happens?

PresenterCommander Darren Fotheringhamrest of the presentation here and answering the question earProposedself-stated2:33:03 · ≈ 11:33 AM

It happens on a fairly regular basis with...

UnidentifiedUnidentified speaker 7Proposed2:33:06 · ≈ 11:33 AM

Where there's no, where the medication is not stored you have to go out and get it?

PresenterCommander Darren Fotheringhamrest of the presentation here and answering the question earProposedself-stated2:33:13 · ≈ 11:33 AM

We do not currently store medications other than for the individuals that we have in custody, and we have their specific medications. So we continually have to order new medications for new detainees or individuals in our facilities if it's an emergent medication, and that does happen on a weekly basis.

UnidentifiedUnidentified speaker 7Proposed2:33:35 · ≈ 11:33 AM

All right, thank you.

PresenterCommander Darren Fotheringhamrest of the presentation here and answering the question earProposedself-stated2:33:38 · ≈ 11:33 AM

Let's proceed. This is a breakdown of our pharmaceutical services costs that we have experienced both with the Sheriff's Office and Probation Department. And as you can see, the amounts do fluctuate from year to year. For instance in the 9-10 year, we had a 25% increase from the previous year. In the following year, we had a 7% decrease and last year we had 41% increase.

And if you look at probation's percentage changes, they are different. But they also mirror the up and down similar to the sheriff's office from year to year. And again what we've experienced is the overall cost of the individual pharmaceuticals that are prescribed to treat the inmates in use has slowly grown but it does fluctuate from year to year ultimately depending on what the medical needs of the current population is. This current fiscal year, a sheriff's office is anticipating landing or ending the fiscal year nearly or around the same number as last year right around 700,000.

The probation department is actually looking at having a final number lower than that probably closer to $130,000-$250,000 range. Part of that in analysis of their pharmaceutical needs over the last Appears to be tied to the reduction of their current population, where at the Sheriff's Office we've experienced the opposite. We've experienced an increase in our actual population in custody.

The projected crimes and costs as I already explained is based off it We believe a sound economic and estimate of what our pharmaceutical needs will be based off the previous years. It is not a pay that amount regardless of the pharmaceuticals that are prescribed, it is pay for the actual pharmaceuticals if we were to have a year where the medical needs for were to be lower as far as pharmacy, and that number would come in below that number. That would obviously fiscally be very a good thing for the county but in fact if we have inmates and youths that have medical conditions requiring extensive medications, we may exceed that number and we'd have to come before the board for approval. Supervisor Wolff?

UnidentifiedUnidentified speaker 7Proposed2:36:01 · ≈ 11:36 AM

Just another question. Where's Dr. Wada? Doesn't public health have a pharmacy?

UnidentifiedUnidentified speaker 10Proposed2:36:17 · ≈ 11:36 AM

Chair Carbajal, Supervisor Wolfe. Yes public health does have a pharmacy we have explored that option with the Sheriff's Department our Pharmacy is restricted because we're federally qualified Health Center and 340 B And so we weren't able to offer the same discounts that were able to offer to our own patient population because of those restrictions

UnidentifiedUnidentified speaker 7Proposed2:36:39 · ≈ 11:36 AM

Thank you

PresenterCommander Darren Fotheringhamrest of the presentation here and answering the question earProposedself-stated2:36:46 · ≈ 11:36 AM

Now going into the contract costs for the breakdown for the fiscal years. Going back to fiscal year 9-10, you'll note that there is a 25% increase in the contract cost for the Sheriff's Office and that was not due to an increase in costs but that was for services. That was due to a change in services contracted from Khorizon. That is a year that the Sheriff office added Mental health services component, and then there was a slight increase in the 10-11 year for both the sheriff's office and probation. Part of that was a fine tuning of some of these hours. And then when you look at the 11, 12 and 12-13 years, Kreisen has maintained those costs and we have not experienced any increases.

Then looking at what's projected for the 13-14 year, and again these costs exclude the actual pharmaceutical pieces for specifically the medical mental health services. We're looking at a 2% increase on the sheriff's contract. And that is not an increase for the actual same services. But we are actually, what we have done is we have worked with Verizon to match the services to the current needs of both our medical and mental health since we've reworked a few of the hours. Which has resulted in the slight increase to increase psychiatry hours within the facility. And then there is an increase on probation, and again that is not due to an increasing cost for the services provided. It is a change in contractual services which will ultimately result in the price of $1.28 million.

For a cost summary for the entire contract for the two years, we have a breakdown of the first year for both sheriffs and probation. Of 3.4 million and 1.3 million for sheriff and probation respectively. We also have to add to that each year the pharmaceutical which is estimated at $411,024 for sheriff. $130,000 for probation that would be added to each year. You'll notice the second year has a cost increase in the contract raising sheriff to 3.6 million and probation to 1.4 million. I would like to note that is a 4% increase and that is a shall not exceed. In our negotiations with Verizon, they agreed to limit their exposure or our exposure for any cost increase to that maximum of 4%. And in fact have offered to, it's in the contract that if the CPI, the Western CPI for medical comes in lower than 4%, that will actually reduce our contract amount to that lower percent.

And for your reference, last year it was 3.1% was the CPI. And this year's is not yet published but we anticipate it coming out any time. Supervisor Wood?

UnidentifiedUnidentified speaker 7Proposed2:39:46 · ≈ 11:39 AM

Thank you Mr. Chair. So this cost summary is a little bit different than what we have in our board letter and what's in the contract because when I saw the contract, I thought that the total amount was that bottom number, that total combined But now after our conversation about pharmaceuticals, because now that is pulled out. That the actual cost for medical and psychiatric or psychological care could actually exceed that amount if the pharmaceuticals go up.

PresenterCommander Darren Fotheringhamrest of the presentation here and answering the question earProposedself-stated2:40:23 · ≈ 11:40 AM

The Supervisor Wolf through the Chair. If pharmaceuticals exceed our estimated amount, yes that will exceed the contract amount and prior to doing that we have to come back before the board and seek your approval.

UnidentifiedUnidentified speaker 7Proposed2:40:38 · ≈ 11:40 AM

If it's through Corizon?

PresenterCommander Darren Fotheringhamrest of the presentation here and answering the question earProposedself-stated2:40:41 · ≈ 11:40 AM

Correct, those if we were to go through, I'm sorry Supervisor Wolfe through the chair. If we were to, the pharmaceuticals is something we're mandated under Title 15 to provide at our expense to the inmates in use and Whichever provider we use, that those costs will fluctuate based on that medical need. By adding that to this contract, we anticipate paying less for those pharmaceuticals and it is tied to this contract so if our pharmaceuticals exceeds the 411,000 then yes, we would need to come back before the board for that approval.

UnidentifiedUnidentified speaker 7Proposed2:41:25 · ≈ 11:41 AM

Thank you. I just think it's important that we know that this is not the final amount, it could be more.

UnidentifiedClerk of the BoardProposed · by role2:41:32 · ≈ 11:41 AM

Supervisor Lavinia?

ElectedSteve LavagninoSupervisorProposedvoiceprint 0.682:41:34 · ≈ 11:41 AM

Thank you Mr. Chair but that's always going to be, pharmaceuticals are always going to be up in the air. We have no idea, I mean it could be regardless if we go with Verizon or keep it ourselves, it could go up 30%, 40%, 50% next year. We don't know depending on what inmates we get correct?

2:41 – 2:5222 turns

PresenterCommander Darren Fotheringhamrest of the presentation here and answering the question earProposedself-stated2:41:53 · ≈ 11:41 AM

Supervisor Lanamino through the chair, that is correct. And if I may go back to my previous slide here for pharmaceutical costs you can see that we do have a very wide ranging in cost and that is directly tied to the medical conditions of the inmates. Some years we do in fact have a decrease which for instance the 10-11 year if That medical group come through our facility, we would actually come in under the contract cost. We did work with Verizon who had the history and it was an educated estimate that was based on historical information. And ultimately will be dependent upon the medical conditions of the inmates in use.

UnidentifiedUnidentified speaker 7Proposed2:42:41 · ≈ 11:42 AM

Can I just ask a question? Maybe County Council can just research it while we're having this discussion. Where in the contract does it say that the cost might be less than the $10,000,887 if pharmaceutical costs are reduced? If you could just find that.

UnidentifiedUnidentified speaker 21Proposed2:43:02 · ≈ 11:43 AM

Chair Carbajal, Supervisor Wolk. Section 5 financial matters addresses the costs for sheriff medical services and sheriff pharmaceuticals and then separately for probation medical services and probation pharmaceuticals. And because Corizon has been willing to tie our second year increase to the CPI It's possible that those costs could actually go down. For our budgeting purposes and for the requirements of the auditor, we did ask that a specific number be included in this contract so that your board would have some perspective of what the overall contract cost would be but Corizon is willing to charge at that lower CPI cost if in fact it goes below the set

UnidentifiedUnidentified speaker 7Proposed2:43:57 · ≈ 11:43 AM

amount. I see that I get that, but it's not... There is nothing in here that says that for the first year if the pharmaceutical costs are much lower that we don't pay the amount that's quoted.

UnidentifiedUnidentified speaker 21Proposed2:44:16 · ≈ 11:44 AM

Chair Carpahal, Supervisor Wolff. Because the pharmaceuticals are set as a maximum amount in this contract and so as Commander Fotheringham has said if in fact there is an increase in those pharmaceuticals then there would be a need for an amendment and there's no way for us to know that now but as it's set now it's an up-to maximum amount. What if it's

UnidentifiedUnidentified speaker 7Proposed2:44:39 · ≈ 11:44 AM

less?

UnidentifiedUnidentified speaker 21Proposed2:44:40 · ≈ 11:44 AM

Then we don't pay any more

UnidentifiedUnidentified speaker 7Proposed2:44:42 · ≈ 11:44 AM

We pay

UnidentifiedUnidentified speaker 21Proposed2:44:43 · ≈ 11:44 AM

that amount. We pay what we're charged, so- So

UnidentifiedUnidentified speaker 7Proposed2:44:45 · ≈ 11:44 AM

that's what I'm saying. There is not, we won't necessarily pay less if we use less, we won't pay less?

UnidentifiedUnidentified speaker 21Proposed2:44:53 · ≈ 11:44 AM

No no, we'll only pay for what we're charged because the maximum amount is setting a ceiling it doesn't mean that we can't be below that maximum amount.

UnidentifiedUnidentified speaker 7Proposed2:45:02 · ≈ 11:45 AM

Okay well, I'm not a lawyer so if you think that language is fine then that's fine.

UnidentifiedClerk of the BoardProposed · by role2:45:07 · ≈ 11:45 AM

Before you go, Mr. Fotherington, Supervisor Allen? Yeah I think

UnidentifiedUnidentified speaker 8Proposed2:45:12 · ≈ 11:45 AM

better stated it would be we're not going to pay for any materials that we don't utilize correct okay so in the event that we use less materials those materials are the only thing we're gonna pay for and the number that's in there for pharmaceuticals is not to exceed

UnidentifiedUnidentified speaker 21Proposed2:45:33 · ≈ 11:45 AM

Chair Carbajal, Supervisor Adams that is correct. There are actual charges for the pharmaceuticals so as they are used they are invoiced to sheriff and probation and to the extent that those invoices are less cumulatively at the end of the year we only pay for the actual charges as you just explained. So yes that is correct.

UnidentifiedUnidentified speaker 8Proposed2:45:54 · ≈ 11:45 AM

Okay does that help Supervisor Wu?

UnidentifiedUnidentified speaker 7Proposed2:45:57 · ≈ 11:45 AM

I totally understand that. What I'm saying is, is that in the contract there's nothing that talks about that cost of pharmaceuticals. It's not broken out. In those sections that you just quoted, pharmaceuticals is not mentioned. Mr.

PresenterCommander Darren Fotheringhamrest of the presentation here and answering the question earProposedself-stated2:46:12 · ≈ 11:46 AM

Fotheringham? Supervisor Wolf through the chair, in the contract section 5.3 it does state that It states the estimated amounts as county is solely responsible for the actual cost rather than the projected costs of medications for the term of the agreement, including but not limited to. And that's on page 14 of the contract section 5.3. Please proceed. Moving on, this contract does contain a number of performance measures throughout the contract. I'm going to highlight some of the ones that are important to the board starting with costs and for services provided.

Horizon will provide the services as contracted within just a 2% margin of any missed hours. If they exceed that margin, missed hours and there is a specific financial penalty to Horizon which is equal to the loss of service or the services that were not provided. Kreisen also agrees that they will meet the standards as Chief Probation Officer Taylor has already said, and also for the Sheriff's Office. The standard probation for the Sheriff's Office is the NCCHC which is the National...

National Commission on the Correction of Health Care, and that is a national accreditation for adult facilities. And if Verizon does not meet those accreditation standards or maintain those accreditation standards then there's also a monetary fine. Other performance factors in the performance requirements within the contract, which include that the horizon meets all of the title 15 requirements. Such as some examples are on a nurse sick call in a juvenile facility that they will be seen within 24 hours and at the next available medical staff or no less than 72 hours.

And it's in the adult correction facility, it's no more than 72 hours. That medical evaluations for inmates being held longer than 14 days or use that they will have a 14 day medical evaluation. Horizon starts those on the 10th day. The requirements may be done between the 10th and 14th day. They also provide monthly and bi-weekly meetings as earlier described for Medical quality review and also provide quarterly reports.

Verizon Health has continued to provide the medical mental health services commensurate with the community standards, and is most evident recently with this contract discussion for services within the county jail of changing some of the hours around to more mirror how the private sector does it to increase efficiencies. And speed the time in that inmates are seen by medical staff. They will continue to provide continuity of care between both private healthcare and mental health service providers from those inmates that are receiving those services prior to incarceration and use, Discharge Planner, which helps facilitate the communication back to assuring that the inmate or youth and the youth's family is aware of the services that were provided.

To provide that continuation or continuity of care. And Verizon has continued to be receptive to the needs of Santa Barbara County, meeting with our staff and meeting with probation staff. To develop the best treatment methodologies for our inmates and youths. And with that concludes our formal presentation. We have members from Verizon as introduced earlier, members of the sheriff's staff and probation staff available to assist with any additional questions you may

UnidentifiedClerk of the BoardProposed · by role2:50:35 · ≈ 11:50 AM

have. Thank you Mr. Fotheringham. Mr. Allen how many speakers do we have? Public speakers? Two requests to speak. Thank you very much. Supervisor Farr?

CommentAdriana Silvia AlexandrianProposed2:50:42 · ≈ 11:50 AM

Thank you, Mr. Chair. I had a couple more questions about the contract itself. We actually have four components in the proposed contract now. We have the Sheriff's Department, physical health and mental health, and then probation which has had physical health and now wants to add mental health. So it's all put together in one contract. If the board found that we had concerns about any one of those pieces, particularly the juvenile mental health since that's what's being added to the contract.

If we wanted to terminate that or start the process which is I guess a six month process do we have to terminate the whole contract? Or can we terminate part of the contract? Is it all interwoven together in a way that it's all or nothing?

UnidentifiedUnidentified speaker 21Proposed2:51:39 · ≈ 11:51 AM

Chair Carbajal, Supervisor Farr. In fact we could choose to terminate any aspect of that contract and there would be a need to go back through and amend the contract and extract the language that relates to the particular services that you wanted to terminate but we could then leave other services in place and move forward on an amended contract

CommentAdriana Silvia AlexandrianProposed2:52:02 · ≈ 11:52 AM

Okay, thank you. And then with the contract that's before us now if we wanted to have it's a two-year term now but if we wanted to have the juvenile mental health component only be a one year and bring it back and see how it worked could we do that?

2:52 – 3:0119 turns

UnidentifiedUnidentified speaker 21Proposed2:52:23 · ≈ 11:52 AM

Yes, Supervisor Farr. There's actually a provision where the parties have an opportunity to talk about that extension before everybody moves forward in acting on that and so there would be that timetable to advise Corizon that we were no longer interested in providing or having them provide mental health services to our probation department So the contract is set up to allow discussions and modify the services as needed for that second year if the decision is to extend. And that would go back to your board.

CommentAdriana Silvia AlexandrianProposed2:52:54 · ≈ 11:52 AM

Okay, thank you. Well, the way it's written now, it's a two-year contract with a proposal for a two year extension. So what I'm talking about is within that first two year period.

UnidentifiedUnidentified speaker 21Proposed2:53:05 · ≈ 11:53 AM

Okay, I misunderstood the question. So again that would be an amendment and so you're correct it doesn't trigger that notice period to go to the next term for the extension but it would be an amendment just as the first question you asked.

CommentAdriana Silvia AlexandrianProposed2:53:20 · ≈ 11:53 AM

Okay thank you. And then this is directed to Dr. Wada and Chief Taylor. If we found that was the case what would be the costs involved in switching back? Maybe there's some one-time costs besides the ongoing cost of trying to reinstitute where we are right now before the change.

CommentBeverly TaylorProposedself-stated2:53:46 · ≈ 11:53 AM

Chair Carbajal, Supervisor Farr, if I'm understanding it, the question is if we were to go forward with Corizon and then in a year decide to go back to ADMHS for services? Well for this particular fiscal year There was approximately $300,000 difference in services or cost for services. So I would anticipate that it would be additional to the 300,000 maybe 340 or 50,000 depending on what the increases are to costs for salary for staff but at minimum

CommentAdriana Silvia AlexandrianProposed2:54:21 · ≈ 11:54 AM

Okay, thank you. Well it's not just the cost, it's actually I think the implementation of it because my understanding that the ADMHS staff that was doing this is going to be reassigned to other places in ADMHS so it's gonna have a bit of a ripple effect so besides actual dollar costs it seems like there would need to be a staffing up again

UnidentifiedUnidentified speaker 10Proposed2:54:43 · ≈ 11:54 AM

process Supervisor Farr through the chair, that is correct. At this time if this were to go forward we do have positions within the department where these individuals currently in the program would displace to. It could be in a different program, different site location entirely. We don't know if they'll all accept that so if we were to try to reinstitute the program in a year it would certainly be challenging We're not going to be able to either reassign them back to the program or retrain, et cetera.

CommentAdriana Silvia AlexandrianProposed2:55:15 · ≈ 11:55 AM

Okay. Thank you. Thank

UnidentifiedUnidentified speaker 8Proposed2:55:17 · ≈ 11:55 AM

supervisor and then supervisor Wolf. And my comment on the contract is that it's extremely. It's written so that it's extremely easy for us to get out of it if we want And there's no liquidated damages or anything. I think the contract is written pretty favorably to us. Supervisor Wolf?

UnidentifiedUnidentified speaker 7Proposed2:55:49 · ≈ 11:55 AM

Thank you, Mr. Chair I'm not sure who to address this to Miss Taylor or the Khorizon folks but when I was talking about The evidence-based practices that are being used and Right now by ADMHS staff and I'm looking at our report It says that we use the Santa Barbara assets and risk management as a validated risk needs assessment instrument and in Exhibit D that we have from Corizon. It says that they're going to be using the Massachusetts Youth Screening Instrument, second version.

CommentBeverly TaylorProposedself-stated2:56:29 · ≈ 11:56 AM

Chair Carbajal, Supervisor Wolf. The Santa Barbara Asset and Risk and Needs Assessment is a tool that we use in our intake juvenile division so it's not a tool that would be used currently by ADMHS nor would Corizon use it so that is an instrument that our probation staff use. The MAISY is currently a tool that is used at the Juvenile Hall and the camp. It's an assessment that the minor actually does on their own And then the results from that are given, are looked at by staff and if it's a high or caution or warning then a referral is made to ADMHS. So that same process will be

UnidentifiedUnidentified speaker 22Proposed2:57:09 · ≈ 11:57 AM

used.

UnidentifiedUnidentified speaker 7Proposed2:57:15 · ≈ 11:57 AM

And there's another section here, psychiatric emergencies. And it says when it is suspected that a detainee as result of mental disorder is a danger to others, is a danger to himself or herself, who's gravely disabled that a qualified clinician and then it says in parentheses ADMHS or safe alternatives for treating youth will establish if acute hospitalization is necessary.

So how will, first of all I don't know what the safe alternatives for treating youth is. What that is? If it's a group or...

CommentBeverly TaylorProposedself-stated2:57:49 · ≈ 11:57 AM

Yes they're through Casa Pacifica and currently the probation department contracts with safety for after hours so if we needed mental health assistance after hours they are the group that we go to and it is correct that Corizon would not be able to do the evaluation Designating a minor needing to be hospitalized, but we are currently working with our ADMHS staff to put a process in place. We would either contact or if it was Monday through Friday, we would contact the ADMHS staff who will be continuing to fund through JJCPA funds to come to the juvenile hall to provide that assessment or we would use safety as we currently

UnidentifiedUnidentified speaker 7Proposed2:58:36 · ≈ 11:58 AM

do. But right now, we have ADMHS staff there that could make that determination. Correct. Which would be different if we switch to Corizon because then we'll have to get someone there to do it. Correct Which in my opinion is significant because this is As I'm trying to say, we're dealing with the most difficult kids that have the most significant problems. And this is spelled out as a psychiatric emergency and I think everyone would probably agree that time is of the essence so this is of concern.

CommentBeverly TaylorProposedself-stated2:59:21 · ≈ 11:59 AM

Chair Carbajal, Supervisor Wolf. The staff are still on site and are able to work with and counsel with and intervene appropriately with that minor. They're just not able to make that determination that they need to be hospitalized And so I just want to reassure that there is staff there that are providing the necessary care for that minor until a determination is made, which isn't... and there's calling that needs to be made to determine if a bed is available.

So there are times when those minors are At the facility for a number of hours before we're able to find them a hospital bed. And at times they remain at the juvenile hall because that sometimes is the best place for them to be with added mental health coverage for them.

UnidentifiedClerk of the BoardProposed · by role3:00:16 · ≈ 12:00 PM

Supervisor Wolk?

CommentBeverly TaylorProposedself-stated3:00:17 · ≈ 12:00 PM

Thank you and,

UnidentifiedUnidentified speaker 7Proposed3:00:18 · ≈ 12:00 PM

you know I think this discussion and issue brings up a point about our local action plan, which talks specifically about the involvement of our county mental health team as being an integral part not only to JJCC but to the coordination and treatment in rehabilitation. And it just seems to me that we are disseminating that, or that that coordination is being decimated.

I would like to ask a Carizen representative if they've reviewed the Juvenile Justice Coordinating Council responsibilities and also the Welfare and Institution Code requirements for mental health in California?

3:01 – 3:0730 turns

CommentCarla CesarioProposedself-stated3:01:19 · ≈ 12:01 PM

Chair, Supervisor. Yes we have reviewed those. Our Vice President of Operations Joanna Garcia has reviewed those with Charles Guffey who is our regional vice president who has a background in mental health and I myself have a master's degree in clinical social work. And tell me who you are? What's your name? I'm Carla Cesario senior vice president for Corizon And this contract will be under my guidance as well. And do you live in Santa Barbara? No, I don't.

UnidentifiedUnidentified speaker 7Proposed3:01:48 · ≈ 12:01 PM

Where do you live?

CommentCarla CesarioProposedself-stated3:01:49 · ≈ 12:01 PM

Or

UnidentifiedUnidentified speaker 7Proposed3:01:49 · ≈ 12:01 PM

where are you operating out of? That's

CommentCarla CesarioProposedself-stated3:01:54 · ≈ 12:01 PM

OK. I live on the East Coast. And you're going to be responsible for the contract? Yes, I have contracts all over including some mental health contracts, juvenile contracts, jail contracts all over the United States. 49 of them actually, four of which are in California so I'm here quite often.

UnidentifiedUnidentified speaker 7Proposed3:02:12 · ≈ 12:02 PM

So speaking of the juvenile contracts, Chief Taylor mentioned that there was one that you now just secured with Tulare County last week. Yes, Supervisor. Is that the only juvenile contract that you have in California?

CommentCarla CesarioProposedself-stated3:02:27 · ≈ 12:02 PM

The only one we have right now in California, yes. But we have 29 juvenile contracts throughout the country and 13 of those do mental health as well as medical.

UnidentifiedUnidentified speaker 7Proposed3:02:37 · ≈ 12:02 PM

OK, thank you.

UnidentifiedClerk of the BoardProposed · by role3:02:38 · ≈ 12:02 PM

Thank you. In keeping with this, same service is going to continue. The issue that Supervisor Wolf was just touching on about Carizon not being able to perform the role that ADMHS currently does and can perform, help me understand how some level of service will continue if Carizon can't do that?

CommentBeverly TaylorProposedself-stated3:03:03 · ≈ 12:03 PM

Chair Carbajal, that is one piece that they are not able to perform. So I should have indicated that in my presentation when we said the level of care. There's that one particular item that they are

UnidentifiedClerk of the BoardProposed · by role3:03:19 · ≈ 12:03 PM

unable- Okay so now it comes out at the end but how will that service continue? The only level of service that I understand will not continue now.

CommentBeverly TaylorProposedself-stated3:03:32 · ≈ 12:03 PM

Correct. Chair Carbajal, so ADMHS will continue to provide that level of oversight and evaluation for our youth in the juvenile hall or like we currently after hours would call safety we would have that option as well.

UnidentifiedClerk of the BoardProposed · by role3:03:51 · ≈ 12:03 PM

So that service will continue.

CommentBeverly TaylorProposedself-stated3:03:54 · ≈ 12:03 PM

You just not through. Yes, not by horizon and chair Carbajal part of our planning is to trans to transition the services and we are working really diligently to ensure that each Service would be available for the youth and again this one. You're absolutely correct Carizon wouldn't provide It is a it is a service at only ADMHS And I want to say safety currently in the county is able to perform for any youth within our okay Can

UnidentifiedClerk of the BoardProposed · by role3:04:27 · ≈ 12:04 PM

you have a couple public speakers? We're gonna go to but I just have two more questions one is I Had understood that while directly we're looking at three hundred thousand dollars of savings in essence. It was five hundred thousand and That's what's been said in addition to the presentation today.

CommentBeverly TaylorProposedself-stated3:04:43 · ≈ 12:04 PM

Chair Carpahal, that is correct. So for mental health services it is approximately $300,000. By combining the medical and mental health services there is an additional savings... And I'm looking at Mr. Fletcher...

UnidentifiedClerk of the BoardProposed · by role3:05:08 · ≈ 12:05 PM

Why don't you come up to the podium?

CommentBeverly TaylorProposedself-stated3:05:10 · ≈ 12:05 PM

I apologize.

UnidentifiedClerk of the BoardProposed · by role3:05:11 · ≈ 12:05 PM

Come on up, get it on the record.

UnidentifiedUnidentified speaker 18Proposed3:05:14 · ≈ 12:05 PM

We like records. Chair Carbajal, the $500,000 as I mentioned during the budget hearings is a combination of a number of different items that are being contracted out and it is a reduction in our medical contract of 70 or so thousand dollars. It's about three hundred thousand dollars of savings of contracting out this institutional mental health services and then we also projected to save around one hundred and eight thousand dollars related to Contracting out of the quarter psychological evaluations. So all of those components combined to the $500,000 worth of savings that we loaded into our budget That had we not moved forward with contracting out Those services would have resulted in an additional cut so we presented a budget to you There was a nine hundred thousand dollar reduction in services in the department We would have been looking at 1.4 million dollars and services to the department But we loaded a budget that saved all of those other

UnidentifiedClerk of the BoardProposed · by role3:06:06 · ≈ 12:06 PM

So this contract really triggers $300,000 plus another $200,000 for a total of $500,000.

UnidentifiedUnidentified speaker 18Proposed3:06:12 · ≈ 12:06 PM

This contract, I would say between the medical savings and the $300,000 savings between ADMHS costs and Khorizons cost is more like 380 or so thousand dollars. The remaining savings was related to contracting out quarter psychological evaluations which is a service that ADMHS currently provides but there was no objection moving forward with contracting out those services because they currently use You're confusing me. I'm

UnidentifiedClerk of the BoardProposed · by role3:06:39 · ≈ 12:06 PM

sorry. Is

UnidentifiedUnidentified speaker 18Proposed3:06:40 · ≈ 12:06 PM

it

UnidentifiedClerk of the BoardProposed · by role3:06:40 · ≈ 12:06 PM

500,000? It's 380? Is it

UnidentifiedUnidentified speaker 18Proposed3:06:42 · ≈ 12:06 PM

300? It would be 380 related to what we're saving by contracting out a combined medical mental health contract with Corizon.

UnidentifiedClerk of the BoardProposed · by role3:06:50 · ≈ 12:06 PM

Okay

UnidentifiedUnidentified speaker 18Proposed3:06:50 · ≈ 12:06 PM

thank you very much

UnidentifiedClerk of the BoardProposed · by role3:06:53 · ≈ 12:06 PM

and the last item Dr. Wada

UnidentifiedUnidentified speaker 10Proposed3:06:55 · ≈ 12:06 PM

Yes, Chair Carbajal not to confuse this even more but with those savings numbers it also assumes that ADMHS is going to be absorbing the admin and overhead charges. So we would not be getting the full cost reimbursement for the program so we would actually still be losing $140,000-$150,000 in order to continue the program or actually if it goes to Corizon as well because these are fixed charges.

3:07 – 3:1214 turns

UnidentifiedClerk of the BoardProposed · by role3:07:24 · ≈ 12:07 PM

OK, now you're saying there's $140,000 that no matter what happens is going to continue being absorbed through your department? Corizon, no corizon, whatever.

UnidentifiedUnidentified speaker 10Proposed3:07:38 · ≈ 12:07 PM

Chair Carbajal, that is correct. If, if this moves to horizon there are certain charges that ADMHS would then have to absorb elsewhere in the department because these are fixed charges. So workers comp insurance IT these are things that are factored in as cost allocations based on experience or they're fixed charges for the department so currently By providing the service to probation, we can allocate some of those charges into this contract. You get some

UnidentifiedClerk of the BoardProposed · by role3:08:06 · ≈ 12:08 PM

federal funding to offset the cost of up to 140,000?

UnidentifiedUnidentified speaker 10Proposed3:08:11 · ≈ 12:08 PM

No it's not federal funding, it's actually built into the contract with probation.

UnidentifiedClerk of the BoardProposed · by role3:08:16 · ≈ 12:08 PM

Okay.

UnidentifiedUnidentified speaker 10Proposed3:08:17 · ≈ 12:08 PM

And so if it goes away, ADMHS would still have to absorb those costs within the department. If the program stays within ADMHS and the restoration is 300 or 380 that would still assume that we would be absorbing that same amount of admin and overhead and operational costs.

UnidentifiedClerk of the BoardProposed · by role3:08:38 · ≈ 12:08 PM

Okay. So no matter what, we have some costs that are absorbed moving forward with Corizon that otherwise Would be funded through from one hand to another, from probation to mental health. Correct. Okay my last question is did I hear correctly we're anticipating a 3.8 million dollar challenge for your department in the year 14-15? Chair

CommentBeverly TaylorProposedself-stated3:09:04 · ≈ 12:09 PM

Carbo that is correct.

UnidentifiedClerk of the BoardProposed · by role3:09:07 · ≈ 12:09 PM

That's it for me. We'll go out to the public. We have two speakers Mr. Allen

UnidentifiedUnidentified speaker 1Proposed3:09:14 · ≈ 12:09 PM

I'm going to start in a moment with Mr. Caldwell and then come back to Senator Barbara for Jeff Bard. Mr. Caldwell?

PresenterAndy CaldwellCOLABProposedself-stated3:09:23 · ≈ 12:09 PM

Chairman Carbaugh, members of the board, I'm Andy Caldwell representing COLAB. This is an interesting and somewhat confusing thing to watch. My perspective on this, in essence is that what you have here is the probation department is suffering and the sheriff's department is suffering from the cost of pensions. And they wanna privatize. And ADMHS has had to raise their costs in part due to pensions and some members of the community and the board don't want to see them lose revenue.

What's interesting here is you've had probably an hour-long debate and discussion and investigation on this, but if the public has to go to planning and development and pay $186 an hour nobody cares. Why is that? And in fact what's really amazing as I did some math here ADMHS is going from $2.61 per minute to $4.45 per minute. Planning and Development's $3.10 per minute.

The private sector would love to be able to quote-unquote privatize certain functions at P&D or see the board privatize these things to lower costs, but we've never had a debate. I've been doing this for 22 years. I've never seen the Board of Supervisors Thoroughly investigate, interrogate and debate on how they can lower costs to the private sector. But when it comes to the public sector or protecting public sector jobs you're willing to go to the mat.

Why is that? When in reality it's the private sector that's paying for all of these bills. We would sure like to have some equity. We would like to have some fairness, we would like to have some attention. It's not just P&D there's other departments that charge for services and of course there's all of these charges end up being going to the taxpayers in one way shape form or another.

The time is that right now, is that your departments are pricing themselves out of the market. And you're debating here over $300,000. Where was the debate last week? Over 840 million. We didn't have anywhere near a debate like this over 840 million except for deferred maintenance. Why is that? Why does this get so much attention and departments that are spending hundreds of millions get no attention whatsoever?

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UnidentifiedClerk of the BoardProposed · by role3:12:24 · ≈ 12:12 PM

Thank

PresenterAndy CaldwellCOLABProposedself-stated3:12:24 · ≈ 12:12 PM

you very much, Mr. Caldwell. This is one of the reasons CoLab was formed. Thank you very much, Mr Caldwell. And we should hope the board starts addressing these things. Thank you.

UnidentifiedClerk of the BoardProposed · by role3:12:34 · ≈ 12:12 PM

Thank You. Jeff Bard

3:12 – 3:196 turns

UnidentifiedUnidentified speaker 23Proposed3:12:45 · ≈ 12:12 PM

Morning, Mr. Chair, members of the board. As you may know I was a member of the South Coast Advisory Committee and on the shack I had the pleasure of grilling Chief Don Patterson regarding one of my personal areas of background which is infection control policies and procedures. And continuing that with the alliance that seats everywhere about community health which is now up to 2,300 members. I've concluded that much of my work is best done at a national level.

And that's quite consistent with Corizon where I had the opportunity to meet Carla and some of the proposals that I'd like to see in the county are going to have to come from the CDC. In new guidelines, recommendations for prisons and homeless shelters. So I think there's a big advantage in working with the national level private contractor. Um, I actually kind of like horizon and PHS. I think when the debate first occurred, I think it was a four one vote and I talked to Roger Thompson who briefed me on it and we had some pretty dire expectations and um, I don't have time to tell you some good anecdotes, PHS personnel and I'd really take exception to Mr Parker's The essence of a mixed economy is constantly evolving blends of experiments balancing entrepreneurial incentives With the juridical safeguards which are available in public sector enterprises.

So I very much appreciate Supervisor Wolf's very precise and detailed understanding of the exact situation here, and that's different but this kind of ideological branding of what they're calling a prison industrial complex It's really just demagoguery, and I'm glad we're not hearing much of it. The evidence is important but we need intelligent analysis of the evidence. We need the metrics because I see evidence as a big slogan in the homelessness community and the analysis of the statistics is absolutely rotten so I want to know what are the parameters? What are the metrics? What constitutes success? But I concur that there's evidence that diseases cost money And if we got a bunch of kids in the jail and they're getting influenza or they're getting tuberculosis, it's going to cost us money.

And if we take a cheap shot and we put them on phenothiazines and then they get a granulocytopenia or tardive dyskinesia or they go nuts and they'r out on a bridge waving around like the incident with Kyle, you know, that's going to cost money in the long run. So if you're worried about profit motive, worry about big pharma, okay? Worry about the people that are pushing Ritalin as a kind of general solution for juveniles OK, that's the kind of capitalism you need to worry about. Because that's not really capitalism anyway. That's just some kind of monopolistic arrangement that's going on with the Food and Drug Administration. So I don't want to worry about Khorizan. Let's give Khorizan a chance. But let's remember that if there is an epidemic, that is a game changer.

And our Department of Public Health and our EOC needs to work with the CDC and step in. We need a monitor. We need to give the Sheriff the physical plant that he needs so we can have effective

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UnidentifiedClerk of the BoardProposed · by role3:15:46 · ≈ 12:15 PM

marketing. Thank you very much. Thank you very much. Back to our board for further discussion. CEO Waller?

CommentSanta BarbaraProposed3:15:55 · ≈ 12:15 PM

Thank you, Chair. I just wanted to say as the County Executive Office how much I appreciate both the Sheriff and the probation staff for exploring and finding ways to provide the same level of service to the county at a reduced cost Between the two departments from what we've been told today, they anticipate total county cost savings to be hundreds of thousands of dollars over the next couple of years. And I also just want to thank our ADMHS staff because they have been very, very instrumental in helping develop the scope of work and the performance measures that will ensure that our county receives the same level of service that it currently does. So I just wanted to make sure I noted those three departments and thanked them for their efforts.

UnidentifiedClerk of the BoardProposed · by role3:16:40 · ≈ 12:16 PM

Thank you, Supervisor Wolf.

UnidentifiedUnidentified speaker 7Proposed3:16:43 · ≈ 12:16 PM

Thank you Mr. Chair. You know it's always nice to see efficiencies and I'm just going to be addressing the juvenile justice piece but I have to say that we are not seeing the same level of service. We brought out one instance in particular when it relates to emergency situations in the juvenile hall And perhaps even at Los Prados, so we're not getting the same level of service. And honestly, we don't really know what we're going to be getting. We know what we have right now and we know that it works with a very difficult population.

And so why would we just be throwing the dice and hoping, because that's really what it is. It's a hope that we're going to be able to do the same services as effectively as what we have right now for a savings of $300,000 or $380,000. And it's true, we're talking about millions of dollars last week in our budget. And we were able to find and allocate over $7 million for different programs. And here we're talking about our kids, the most vulnerable kids that we always say that we care so much about.

So I just, I cannot support moving forward with this piece of the contract. I'm dismayed that we didn't have the review as we were supposed to have the review for this contract. It's incredibly disappointing given the level of scrutiny that we've had on this board and actually even from the grand jury about this contracting out. So I want to thank the board for having this opportunity to discuss this in more detail today.

I think it's important, I think the future of our kids, the future of these kids that need such help is very important and for $350,000, $380,000 I think we keep what we have because we know it's working and I don't want to experiment on our kids.

UnidentifiedUnidentified speaker 8Proposed3:19:01 · ≈ 12:19 PM

Supervisor Adam. Thank you Mr. Chair, Chief Taylor how will you respond if we do not approve this item today?

3:19 – 3:2631 turns

CommentBeverly TaylorProposedself-stated3:19:14 · ≈ 12:19 PM

Chair Carbajal, Supervisor Adam. If we don't respond we will assume that we have $300,000 in our current budget for next fiscal year to be able to maintain the level of services by ADMHS and I would request that it not be a one-time funding but that it would be ongoing funding with an increase that we know we'll see in the next fiscal year. That would be my response.

UnidentifiedUnidentified speaker 8Proposed3:19:42 · ≈ 12:19 PM

So you're going to assume that we're going to fill that hole?

CommentSanta BarbaraProposed3:19:45 · ≈ 12:19 PM

Yes.

UnidentifiedUnidentified speaker 8Proposed3:19:46 · ≈ 12:19 PM

OK.

CommentSanta BarbaraProposed3:19:48 · ≈ 12:19 PM

Supervisor, if I may through the chair, just a reminder of your action last week as part of the budget. You funded $300,000 with contingency funds so for this particular year those contingency funds could be used to make up the difference in the contract for Corizon Chief Taylor is correct that your board would in future years need to consider an ongoing source of funds for at least $300,000 to $380,000 but for this particular year you have approved contingency.

UnidentifiedUnidentified speaker 8Proposed3:20:23 · ≈ 12:20 PM

Thank you. You know, I've never heard any kind of a bad word about Chief Taylor or Dr. Wada and last week I asked you guys if you were both very comfortable with this idea and both of you in budget hearings said yes. And anything changed in the meantime?

CommentBeverly TaylorProposedself-stated3:20:56 · ≈ 12:20 PM

Chair Carbajal, Supervisor Adam, no.

UnidentifiedUnidentified speaker 10Proposed3:21:00 · ≈ 12:21 PM

Chair Carbajal, Supervisor Adam we're certainly understanding of probation's decision to propose this and we would be supportive whether it stays within ADMHS or moves to Corizon then our focus of course would then switch to a smooth transition keeping in mind the best interests of the children affected

UnidentifiedClerk of the BoardProposed · by role3:21:19 · ≈ 12:21 PM

Okay, thank you. Supervisor Lavagnino? Oh wait a minute. He's not done. He just got started. I don't know, I just got

UnidentifiedUnidentified speaker 8Proposed3:21:23 · ≈ 12:21 PM

started, yeah. Just got

UnidentifiedClerk of the BoardProposed · by role3:21:25 · ≈ 12:21 PM

started, okay.

UnidentifiedUnidentified speaker 8Proposed3:21:26 · ≈ 12:21 PM

Are you getting hungry or what?

UnidentifiedUnidentified speaker 19Proposed3:21:31 · ≈ 12:21 PM

I am. You are, okay.

UnidentifiedUnidentified speaker 8Proposed3:21:33 · ≈ 12:21 PM

I'll try and step on it. You know, I'm not an expert in this field, and you guys are, and I'm going to trust you because I think you guys know Chief Taylor particularly you know I've been on a couple of tours with you and met your people and Seeing what you guys are doing, and I think that you guys and not that the sheriff's not doing the right thing. I just Think that this is coming mostly out of probation and I think your shop is fantastic and I know that all of my colleagues respect all your work and And I think that I have to trust you to be doing the right thing.

And so, I'm going to support this and I'm going to make the motion that we approve recommended action number one because I feel like I should abstain from recommended action number two. So, I don't know if it's appropriate procedurally for me to make that motion

UnidentifiedClerk of the BoardProposed · by role3:22:40 · ≈ 12:22 PM

I'm sorry. Council, you want to make a partial motion to approve part of this but not all of it?

UnidentifiedUnidentified speaker 8Proposed3:22:49 · ≈ 12:22 PM

Well yeah because I feel like I wasn't on the board at that time.

UnidentifiedClerk of the BoardProposed · by role3:22:53 · ≈ 12:22 PM

You're on here now. That's what we're approving.

UnidentifiedUnidentified speaker 8Proposed3:22:58 · ≈ 12:22 PM

Okay well if council feels that would be appropriate for me to go back and make a motion to approve things that happened before I got here then I'll go ahead and do

UnidentifiedUnidentified speaker 2Proposed3:23:10 · ≈ 12:23 PM

Yes, that would be appropriate. There is no bar to the fact that the contract was entered into prior to you. It's really the question is before you now on that issue as to ratify what was not approved in prior years.

UnidentifiedClerk of the BoardProposed · by role3:23:26 · ≈ 12:23 PM

Motion has been made?

ElectedSteve LavagninoSupervisorProposedvoiceprint 0.683:23:29 · ≈ 12:23 PM

Can we have a comment on the motion or are

UnidentifiedClerk of the BoardProposed · by role3:23:30 · ≈ 12:23 PM

we just- There hasn't been a second yet.

ElectedSteve LavagninoSupervisorProposedvoiceprint 0.683:23:32 · ≈ 12:23 PM

I'll give a second.

UnidentifiedClerk of the BoardProposed · by role3:23:33 · ≈ 12:23 PM

Motion has been made seconded. Discussion? Supervisor Thank you,

ElectedSteve LavagninoSupervisorProposedvoiceprint 0.683:23:43 · ≈ 12:23 PM

Mr. Chair. One thing I really have to get clear though before we move forward is on the instance that we're talking about providing the same or less care so this is an emergency psychiatric problem that happens, what's different now or what would be different with Corizon than where we would be different than if we were doing things status quo.

CommentBeverly TaylorProposedself-stated3:24:13 · ≈ 12:24 PM

Chair Carbajal, Supervisor Lavagnino. What Corizon would not be able to do is determine that the minor needs to be hospitalized or authorize the minor to be hospitalized. It doesn't mean they can't provide the same level of care or oversight or counseling but they just could not make that determination that the minor needs to be hospitalized.

ElectedSteve LavagninoSupervisorProposedvoiceprint 0.683:24:37 · ≈ 12:24 PM

So to the minor or whoever this situation was happening to wouldn't know one way or the other. I mean their level of care would be exactly the same, it's just procedurally inside. It would be done

CommentBeverly TaylorProposedself-stated3:24:48 · ≈ 12:24 PM

differently. Chair Carbajal, Supervisor Lavagnino correct we would have to either if it was after hours call safety which is what we would currently do if it was Monday through Friday and again ADMHS they're not going away they are still there were still partners so we would make the necessary phone call either for the staff that we want to remain on-site with our Juvenile Justice Coordinating Council funding or Michael Kraft to get a staff to come to our juvenile hall to make that determination.

UnidentifiedClerk of the BoardProposed · by role3:25:24 · ≈ 12:25 PM

Okay, that cleared it up for me. Thank you. Before we go to supervisor I was just gonna piggyback on that and that's okay For all the parents who might have a child there they don't care about all these mechanics that we're talking about If you have a child there and that child needs that assessment, that Corizon can provide. Is somebody going to provide it? Period.

In a timely fashion as its being provided now. Is the same service gonna be provided in a timely fashion like its being provided now? I don't care who provides it. What do we tell the public?

CommentBeverly TaylorProposedself-stated3:26:01 · ≈ 12:26 PM

Chair Carbajal, and I'm going to look to Dr. Wada just to answer that but there will be the same clinician would be on site again to provide that care that that minor needed until the assessment was done. But let me just-

UnidentifiedClerk of the BoardProposed · by role3:26:20 · ≈ 12:26 PM

But Beverly, let me just help you out here. You're not answering the question? Right now, we have the ability with the infrastructure in place from ADMHS to provide that service. Horizon's not going to be able to provide that service. So are you then contracting out with ADMHS to provide that service in the same timely appropriate fashion as it's being provided now? And if the answer is yes, that's great. But if the answer is no, it's good to know that too but We want to understand that for all the constituents that are watching and those parents who have kids there.

3:27 – 3:3316 turns

CommentBeverly TaylorProposedself-stated3:27:04 · ≈ 12:27 PM

If we don't have a mental health staff on site, ADMHS staff on site, we would need to call them to make that determination. Now the only reason I'm- And

UnidentifiedClerk of the BoardProposed · by role3:27:13 · ≈ 12:27 PM

what about during lag time? Okay. Think of us as all parents. We have a child there that right now will receive that service like that and now you're telling me We want that answer. Will my child still be able to get that determination done and that service as it's being done now?

CommentBeverly TaylorProposedself-stated3:27:34 · ≈ 12:27 PM

Chair Carbajal, I'm going to defer to Dr. Water because again the nuances...I'm not sure if It's a difference. I do not believe it jeopardizes the care or impacts the care, but I will let Dr. Wada answer that question.

UnidentifiedUnidentified speaker 10Proposed3:27:53 · ≈ 12:27 PM

Dr. Wada? Sure. Chair Carbajal, I don't think I could give you an exact lag time, but certainly ADMHS would respond in an appropriate fashion. But

UnidentifiedClerk of the BoardProposed · by role3:28:05 · ≈ 12:28 PM

we're talking protocols. Think of us as a parent. I want to know that the protocol will be That service is not available within an hour or two hours, or within four hours we will have a qualified professional that will provide that service. Give us something that tells us that the service will basically be the same because if you don't guess what? The services are not the same.

So what is that protocol?

CommentBeverly TaylorProposedself-stated3:28:35 · ≈ 12:28 PM

Okay. And I apologize, I was listening to one of my staff and I apologize that I didn't hear your question Chair Carbajal.

UnidentifiedClerk of the BoardProposed · by role3:28:44 · ≈ 12:28 PM

I guess what I'm saying is I'm not even hearing a protocol that would try to get to the same level of service that would be continued Dr. Rada doesn't even know a protocol, he's saying certainly it won't happen right away but it will happen and the question is when? Two days, one day, six hours, three hours, what is that protocol? And I'm sorry for being so hard, but I'm not getting that answer.

CommentBeverly TaylorProposedself-stated3:29:11 · ≈ 12:29 PM

Chair Carbajal and I know in this past fiscal year we haven't had any involuntary hospitalizations so it does not happen. It's very rare that it does happen. But I'm going to ask that Lee Bethel, our deputy chief over our institutions who has been working with Michael Kraft to develop this transition. To have her answer that question.

UnidentifiedClerk of the BoardProposed · by role3:29:40 · ≈ 12:29 PM

Great. But you see why I was frustrated? Go ahead.

UnidentifiedUnidentified speaker 22Proposed3:29:46 · ≈ 12:29 PM

Chairman Carbajal, thank you for the question. It's something we've been looking at actively as well with our partners over at ADMHS The level of service that we would have in calling in safety versus calling in ADMHS, we're not going to wait. Once we define our protocol, we have our liaison through our special funding. If they can't be there in time, you know we're going to call safety and we're gonna make sure that that child is taken care of. We have a process being put into place I think the issue in answering that question in detail is those discussions are still melding together. Yeah,

UnidentifiedClerk of the BoardProposed · by role3:30:36 · ≈ 12:30 PM

I will tell you it's completely inadequate of an answer. What I'm hoping to hear is the following. We will put in a protocol where we will call an emergency psychiatrist on-call because it rarely happens so that one time a year or two times a year that it happens, we get a psychiatrist there immediately to make that assessment. I'm not hearing that from you and I'm not even a professional!

UnidentifiedUnidentified speaker 22Proposed3:31:00 · ≈ 12:31 PM

No, definitely we will not have a lag time.

UnidentifiedClerk of the BoardProposed · by role3:31:04 · ≈ 12:31 PM

Thank you. I lost track of who turned it on. It was

ElectedSteve LavagninoSupervisorProposedvoiceprint 0.683:31:07 · ≈ 12:31 PM

Supervisor Lavaniello back to you. So this rarely happens, but when it does what first off? What's the shot clock on us doing something today because I to be honest with you. I mean, I'm supportive of this, but I want to see the protocol in place before we make before I put my name on it.

CommentBeverly TaylorProposedself-stated3:31:30 · ≈ 12:31 PM

Chair Carbajal, Supervisor Lavagnino. We would not be expecting to have Corizon in place until August the 1st so we are continuing our planning process and putting protocols into place

ElectedSteve LavagninoSupervisorProposedvoiceprint 0.683:31:45 · ≈ 12:31 PM

OK, well then I mean I totally understand Supervisor Wolf's position and I think this is an area where you really have to proceed with caution. It should have gone to juvenile justice. I don't know why it didn't. But I also am very wary about sending mixed messages to our department heads about asking them to provide us with the same service, which I firmly believe we're going to get to with less cost.

And I don't feel like we are rolling the dice. If I was Chief Taylor or Dr. Wada that would Probably not make me feel so good. I believe that they take their jobs very seriously, we have pointed out an area where obviously we need a little bit more information but I think horizon's done the job on the adult side. And when we say, why fix it if it's not broken? If we can't afford what we have which we can't, it is broken financially. It's not fitting into where we are budget wise and so provided I get that information as in that one instance where we can shore that up and make sure that the level of service is where it was.

I'll be supportive of this.

3:33 – 3:4113 turns

UnidentifiedClerk of the BoardProposed · by role3:33:19 · ≈ 12:33 PM

Supervisor Farley and Supervisor Adam, I'm not sure who went first but

UnidentifiedUnidentified speaker 8Proposed3:33:23 · ≈ 12:33 PM

I'm sure you'll... Well I'm getting late for piggybacking on your questions.

CommentAdriana Silvia AlexandrianProposed3:33:29 · ≈ 12:33 PM

Thank you Mr. Chair. I have so much admiration for the department heads and all of the staff that have been involved with this issue. I mean, really appreciate the issues that you're wrestling with all the time when it comes to costs, managing costs and your budgets in a lot of tough decisions I know went into this. But I have to say, I'm quite unhappy about a couple of issues that really probably have more to do with protocol and might have put us in a better place than we are right now to approve this.

The first is, I am very unhappy that the original contract was extended without it coming back to the board. And in fact, I remember when that was about to expire asking about it and was told that it was already done and didn't need to come back to the board. So, and I also feel boxed in on the process for this particular item. It seems to me that the proper order would have been that it would have gone to the Juvenile Justice Coordinating Committee. That they would've had a chance to fully vet it, answer questions, get into these issues of protocols which I certainly don't know anything about. And then have a recommendation from them, which then would have been brought forward as a part of the contract discussion that then would have been implemented as a part of the budget.

But the whole thing has been taken out of order and I think that for me We have advisory groups, many different kinds in the county like the Juvenile Justice Coordinating Committee for exactly this reason. For them to have an opportunity to weigh in on significant changes and what the board is proposing to do and what departments are proposing to do. So I think that if I had that recommendation from them, I would feel a lot more comfortable about going forward now.

But we don't and so I can't support the motion. I'm happy to approve the balance of the contract absent The change in the juvenile mental health piece until I would get some sort of a recommendation from the Juvenile Justice Coordinating Committee and then bring it back to us. It's clear that we can amend this piece back in again at some point in time. Whether that's sooner, before a lot of this goes into place or whether it's later and it doesn't happen until the next fiscal year and it comes back to us later on this year. I'll leave that open but I think that enough questions have been raised that can be answered that would give me a higher level of comfort with making this change. We have voted some money out of contingency to carry this forward in the interim And so that's where I am now, Mr.

Chair. Thank you.

UnidentifiedClerk of the BoardProposed · by role3:36:36 · ≈ 12:36 PM

Thank you.

UnidentifiedUnidentified speaker 8Proposed3:36:36 · ≈ 12:36 PM

Supervisor Adams? OK, well, I think the heart of Supervisor Carbajal's question was what are you going to do in the event that there is some kind of an immediate and acute problem? And we all know that these are not frequent. This is just something that happens one or two times a year. And it requires a hospitalization. And the answer is you guys are going to do something about it. You guys, the custody deputies know what's going on. They're not gonna sit there and watch somebody quivering and not call somebody right?

CommentBeverly TaylorProposedself-stated3:37:20 · ≈ 12:37 PM

Chair Carbajal, Supervisor Adam. That is correct and we currently have a protocol to call safety so that is not going to change. So the immediate attention to the minor will certainly be attended to and then we will make every effort and be successful in contacting either Safety or ADMHS to provide a further evaluation and assessment of that minor going forward.

UnidentifiedUnidentified speaker 8Proposed3:37:48 · ≈ 12:37 PM

Okay, so that being said I don't know if that makes you feel any better.

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UnidentifiedClerk of the BoardProposed · by role3:37:54 · ≈ 12:37 PM

You know Supervisor Adam, I came today obviously with a bigger inclination to support the contract. I tend to go back to what Supervisor Farr would she outline in terms of crafting a type of outcome that will allow us to make sure The probation youth contract is beefed up, the mental health contract. I will say it is with great dismay that I said what I was hoping to hear and I was kind of going round and round and that's what I wanted to hear just because at the end of the day what's of interest to me is those children period.

Not whether we save $300,000, not whether three wonderful department heads that I respect greatly are here. For me it's those children period and the fact that I didn't hear that really gives me pause for concern. I mean, what do I tell it? I was trying to get you to tell me what I would tell a parent of their child is there and where we would say no. The same level service because this is what we're going to do. And I wasn't hearing that.

I'm still open to considering the overall contract. But not today for the mental health, the probation mental health. I wanna see that come back with protocols that addresses that issue that we've identified. It's a rare issue but you didn't give me the confidence today that those children's lives are gonna be in the best safeguard possible. That's not the confidence I heard today. So if you can come back and show us protocols, I will be open to considering that component but not today.

You don't, in my opinion, forgive me for selling this way but that's not a pass you're going to get today. It's too important as Supervisor Wolfe said for the lives of those children that I want to see it in place before I decide to approve that so I'm inclined to go with what Supervisor Farr outlined. Approve the rest of the contract if that could come back to us in August protocol in place, I would be open to considering it at that point. But not today, not the mental health component.

Supervisor Adam?

UnidentifiedUnidentified speaker 8Proposed3:40:22 · ≈ 12:40 PM

And maybe naively but I don't think so because I've toured with Chief Taylor and spoken to all the people sitting in front of us from her shop and I think Dr. Wada have talked to you several times And I have the sense that they would not allow anything like that to go on. However, that being said if you guys aren't comfortable with that then we'll withdraw this motion and then we can make another one.

UnidentifiedUnidentified speaker 7Proposed3:40:53 · ≈ 12:40 PM

Okay.

UnidentifiedUnidentified speaker 8Proposed3:40:55 · ≈ 12:40 PM

And then we can take another run at it at another time.

UnidentifiedUnidentified speaker 7Proposed3:40:59 · ≈ 12:40 PM

Can I just make a comment?

UnidentifiedClerk of the BoardProposed · by role3:41:00 · ≈ 12:41 PM

Supervisor Wolf?

3:41 – 3:508 turns

UnidentifiedUnidentified speaker 7Proposed3:41:05 · ≈ 12:41 PM

And we've all said and I hope you all understand how much we appreciate what you do. Chief Taylor, I've seen what you and your staff do and I'm amazed every time I watch what goes on in probation. And I feel like, in a way we are putting probation in a box. We have said we want you to cut back and so you have made some difficult decisions and now we're hearing about the budget for next year 3 point whatever million dollars it just seems that And I'm not sure how it works internally as far as giving you your budget targets.

It seems that maybe at the very initial stage of budgeting, and this goes to CEO Waller in giving those targets. Maybe in hearing this discussion and understanding that this board values, really values what probation does and the importance in what you're doing with these kids both at the camp and at the hall. That you hear us and that more funding Go into probation and You know you mentioned at the outset of our budget hearings last week the board's priorities well I would like to say that one of my priorities is is helping probation so that they don't have their budget cut This year and subsequent years there have been some departments that have been status quo. And yet, you know Chief Taylor is tasked with trying to find budget cuts which I think this was This was one of those opportunities for you to look at.

The timing seemed to work well with the sheriff, I just don't think it's the right thing to do. And I think with maybe some more assistance with ADMHS and looking at the cost for providing this service that we can maintain what we have. I'm really glad to hear my colleagues move in the direction that we're moving. I just wish we could take it one step further and say, we're not going to look at any contracting out for mental health services in probation. That we're going to keep what we have.

You're going to work with ADMHS staff to try and rein in some of those costs. And let's just keep what we have right now rather than dismantling something That is working. But I am glad where we are. I don't know about the Juvenile Justice Coordinating Council reviewing a contract. When I brought it up at our meeting, to necessarily review the contract. It was really to review the concept because in our plan we're always talking about ADMHS, so it was a shift of moving from ADMHS to a private company and so that was the discussion that I wanted to have.

But if the board wants us to, I don't know really how we can evaluate a contract. I really wish that my colleagues will just put this away for a year and let's not bring it back. Let's keep what we have right now. Let them do their job. Let stop messing around with this contract and just move on. I guess I'm going to make that as a motion. And to keep

not transcribed≈10s of audible speech the AI couldn’t make out▸ listen
ElectedSteve LavagninoSupervisorProposedvoiceprint 0.683:45:04 · ≈ 12:45 PM

the Sheriff's piece intact.

UnidentifiedClerk of the BoardProposed · by role3:45:18 · ≈ 12:45 PM

Not hearing a second. I'm going to address that as well before we go to you, Mr Lemon. You know if that's okay. I'll use chair prerogative if it's okay. It's all yours. You know... I'm always very cautious with contracting out because we always say oh, it's the same service but then you find out that is not the same service and I think you had me Because 98% of the service, 95%, seems to be there.

And no employees are being laid off. It's very important to me. You have a huge deficit challenge for next year. You've pretty much had me up until one of the most important pieces that I didn't get a good enough answer. I just in good conscience cannot look at a parent who maybe says, well you know what? Before that my child could have gotten an evaluation. Then he had to wait 24 hours and this is what happened to him as a result because you couldn't give me an answer today but I'm still open to this coming back in August but I want to see those protocols because I cannot put a child's life in jeopardy And I'm not saying you would or you are, but it just didn't give me confidence today.

You know, I think we do give you mixed messages. On one hand, we tell you we're trying to find for as many efficiencies as possible because we have a lot of financial challenges and I think you tried your best. Again, I think if you come back and address that issue for me. I very likely will be supportive but That's the only hang-up for me and the fact that still more employees are going to be laid off very important Supervisor Lavanino

ElectedSteve LavagninoSupervisorProposedvoiceprint 0.683:47:15 · ≈ 12:47 PM

Stole my thunder man. Sorry all right well you said the same thing I was thinking so I mean to me We've got to get this one area that I'm sure you didn't look at. I'm sure you looked at it, but it's such a small segment of this entire piece that If I had more hair, I'd probably be pulling it out because we...I feel like we're grasping at straws here to try to deny this. But I also know that for us it's very difficult to go back to your constituents if there is something that was brought up that obviously hasn't been...we don't have a good answer for.

What I would like to see and I'm hoping before it can come back to us that it does go to Maybe we can get a motion that it goes to the, I think Supervisor Farr is going to make that motion. That it goes to the JJCC and we get a recommendation before it comes back to us. And I don't think that would be causing too much of a problem. As long as we get that one piece worked out, I'm still in support.

Supervisor Farr?

CommentAdriana Silvia AlexandrianProposed3:48:18 · ≈ 12:48 PM

Thank you Mr. Chair, well I'll go ahead and try a motion here that we approve the contract before us minus the addition of the mental health services for the juveniles and that piece go to the Juvenile Justice Coordinating Council for review and comment Supervisor Wolf, I wasn't so much thinking that they needed to review the contract so much as the change that you talked about.

As well as have them informed of the board's concerns about protocols and the different pieces that would be involved with this and And that we would get their there at least their comments if not their recommendation for against making this kind of a change in that there not be any particular time certain when this needed to come back, although I would say no later than next March in time for it to inform our discussion prior to budget.

But it could come back anytime between now and then after the Juvenile Justice Coordinating Council and these other questions have been answered.

UnidentifiedClerk of the BoardProposed · by role3:49:30 · ≈ 12:49 PM

I'll second that. And I'm assuming that addresses that protocol of that one issue we identified?

CommentAdriana Silvia AlexandrianProposed3:49:36 · ≈ 12:49 PM

And there may be others, you know, I'm just not well versed enough in the issue to be able to parse it down but I'm hoping through the discussion at the Juvenile Justice Coordinating Council if there are other issues there they will be brought up and thoroughly vetted.

UnidentifiedUnidentified speaker 2Proposed3:49:51 · ≈ 12:49 PM

Great. Mr. Chairman could we get a clarification on the motion does it include 3B the ratification extension for the medical services for the Sheriff's Department?

3:50 – 3:5111 turns

CommentAdriana Silvia AlexandrianProposed3:50:04 · ≈ 12:50 PM

Yes. Although,

UnidentifiedUnidentified speaker 2Proposed3:50:06 · ≈ 12:50 PM

you know how I feel

CommentAdriana Silvia AlexandrianProposed3:50:07 · ≈ 12:50 PM

about

UnidentifiedUnidentified speaker 2Proposed3:50:08 · ≈ 12:50 PM

that. And just so it's clear with this motion we will extract the probation mental health. We will ask Corison to re-execute it and then we'll bring it to the chair. This motion would be to authorize a chair then to sign that agreement which will be in all other respects Identical to what you have today, except we'll excise the mental health for the children.

UnidentifiedClerk of the BoardProposed · by role3:50:36 · ≈ 12:50 PM

Yes.

UnidentifiedUnidentified speaker 2Proposed3:50:37 · ≈ 12:50 PM

Thank you, Mr. Chairman. Does

UnidentifiedClerk of the BoardProposed · by role3:50:37 · ≈ 12:50 PM

that make sense? Okay, further discussion? No more public speakers? Roll call or actually we don't need a roll call. All those in favor? Aye. Opposed? Abstentions? Passes unanimously. Now we're going to go into closed session. Do we need to reread the items?

UnidentifiedUnidentified speaker 2Proposed3:51:01 · ≈ 12:51 PM

No, Mr. Chairman you're good to

UnidentifiedClerk of the BoardProposed · by role3:51:02 · ≈ 12:51 PM

go.

UnidentifiedUnidentified speaker 2Proposed3:51:03 · ≈ 12:51 PM

We just continue.

UnidentifiedClerk of the BoardProposed · by role3:51:04 · ≈ 12:51 PM

We're gonna go into a closed session meeting and lunch. We'll be back about what would you say we need an hour or an hour and a half? What would you say? An hour and a half so we'll be back at 2 30. ¶.

3:58 – 5:061 turns

UnidentifiedClerk of the BoardProposed · by role3:58:39 · ≈ 12:58 PM

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5:07 – 5:242 turns

UnidentifiedUnidentified speaker 24Proposed5:07:04 · ≈ 2:07 PM

Hi, everyone.

UnidentifiedClerk of the BoardProposed · by role5:07:35 · ≈ 2:07 PM

Hi. Hi, everyone. ♪♪ ¶. ¶. ¶. Hi, everyone. Hi, everyone. ♪ ♪ Hi, everyone. Hi. Hi. Hi. Hi, everyone. ♪ ♪ ♪ Hi, everyone. ♪ ♪ ♪ Music ¶. Music ¶. Music ♪ Music Music playing Hi. Music Music Music Music Music ♪ Hi. Music Music

5:25 – 5:275 turns

UnidentifiedClerk of the BoardProposed · by role5:25:22 · ≈ 2:25 PM

Hi. Music playing ♪ I would like to reconvene our board meeting. Item number four, departmental item number four. Clerk of the board if you could read it please? Mr. Chairman, may I report? Yes, why don't we do that?

UnidentifiedUnidentified speaker 2Proposed5:27:34 · ≈ 2:27 PM

Just to close the record.

UnidentifiedClerk of the BoardProposed · by role5:27:35 · ≈ 2:27 PM

County Councilor Marshall could you report

UnidentifiedUnidentified speaker 2Proposed5:27:39 · ≈ 2:27 PM

our closed session? Thank You Mr. Chair your board completed all four noticed closed session items and there were no actionable items to report thank you

UnidentifiedClerk of the BoardProposed · by role5:27:50 · ≈ 2:27 PM

great thank you very much we will now proceed to our clerk of the board reading item number four

5:27 – 5:329 turns

CommentSouth CoastProposed5:27:58 · ≈ 2:27 PM

Chairman Carbajal, members of the board. Item number four is from Alcohol, Drug and Mental Health Services. It is a hearing to consider recommendations regarding ADMHS published charges.

UnidentifiedClerk of the BoardProposed · by role5:28:08 · ≈ 2:28 PM

Thank you. Mr. Wada?

UnidentifiedUnidentified speaker 10Proposed5:28:11 · ≈ 2:28 PM

Dr. Wada? Chair Carbajal, members of the board. This next item is from Alcohol, Drug and Mental Health regarding our published charges. So the recommendations before you are to approve the introduction or first reading of an ordinance adjusting the Santa Barbara County Published Charges for the Psychiatric Health Facility and Outpatient Mental Health Services. And then to set a hearing for the adoption or second reading of the ordinance on July 2nd 2013. So as background, published charges or fees for psychiatric health facility are inpatient unit And outpatient mental health services provided to non-MediCal clients.

Less than 0.1% of ADMHS's revenues come from published charges. The entities that pay this published charge rate are private insurance, private self pay although they often do not pay the full amount because they go through an asset and income assessment and then they pay on a sliding scale. And the published charges is also passed to certain county departments.

The published charges are especially important, however, because they do affect our Medi-Cal cost settlement process for county mental health services. So the Medi-Cal cost settlement is capped at the lower of actual costs or published charges. So that's why it's important that the published charge amount which is our fully burden amount is accurate and up to date.

The actual cost is actually related to only the direct charges for MediCal. So again, it's very important for us to have up-to-date and accurate published charges. The Board of Supervisors last set ADMHS's published charges in August 2012. So with these proposed 13-14 published charges, they reflect an anticipated cost of providing services based on fiscal year 13-14 recommended budget and historical units of service. So again these published charges are fully burdened and include inpatient costs that include administrative indirect quality assurance costs that were not previously fully allocated to the inpatient unit.

There were also some changes to our inpatient services, and these published charges reflect these changes. And that's primarily related to a service mix of acute days and administrative days. And so by taking all this into account in this new analysis it had the effect of increasing our inpatient puff costs While also decreasing our outpatient costs, which are calculated as a per minute charge.

This methodology that was used was approved and supported by the auditor's office. So again approval of the item before you will allow for maximum cost recovery for services provided to Medi-Cal beneficiaries. And again, our recommendation is that you approve the first reading of an ordinance adjusting the Santa Barbara County published charges for the psychiatric health facility and outpatient mental health services. And set the hearing for the second reading of the ordinance on July 2nd 2013. And this ends our presentation.

UnidentifiedClerk of the BoardProposed · by role5:31:25 · ≈ 2:31 PM

Thank you. Madam Clerk how many speakers do we have?

CommentSouth CoastProposed5:31:29 · ≈ 2:31 PM

We have no request to speak on this item. Is

UnidentifiedClerk of the BoardProposed · by role5:31:31 · ≈ 2:31 PM

there any discussion or motion?

CommentAdriana Silvia AlexandrianProposed5:31:35 · ≈ 2:31 PM

I'll move staff's recommended action.

UnidentifiedClerk of the BoardProposed · by role5:31:36 · ≈ 2:31 PM

Motion has been made. Seconded. Further discussion? Having none, all those in favor? Aye. Opposed? Abstentions? Passes unanimously. We will now

move on to item number five. Actually, we're going to do number six first and then number five because it just follows a better flow in order of discussing these two items. There is a relationship between the two of them and if you take six first and then five, it gives you a better picture. Mr. McLaughlin? Madam Clerk, if you could read the item please.

5:32 – 5:398 turns

CommentSouth CoastProposed5:32:21 · ≈ 2:32 PM

Chairman Carbajal, members of the board. Item number six is from Public Works. It is a hearing to consider recommendations regarding County Service Area 12 Mission Canyon Sewer District ordinance relative to sewer connection fees, sewer service charges and a resolution relative to collection of said charges on the tax roll in the first district.

UnidentifiedClerk of the BoardProposed · by role5:32:43 · ≈ 2:32 PM

Good afternoon, Mr. Chair and board members. As the clerk mentioned we're here to discuss the Mission Canyon sewer district charges for 13-14 and as the chair mentioned this item actually kind of sets the context if you will for the next item as well so our presentation this afternoon will be given by Mr. Martin Wilder he's our county utilities manager.

UnidentifiedUnidentified speaker 25Proposed5:33:09 · ≈ 2:33 PM

Mr. Chair members of the board County Service Area 12 provides wastewater services to the Mission Canyon area. It does it in two different areas, the northern area which generally is on septic systems and the southern area shown in green which is sewered for the project that was built in the early 80s. There has been a couple of sewer extension studies so that it's conceptual at some point in time there could be extensions of the sewer service into the northern areas.

Sewer services, we propose an increase of 8.17% for next fiscal year. That would be an annual charge of $722 on the tax roll from $722 to $781 or an equivalent of $617 per month to $6508 per month. Of these costs about 77% are attributable to services the Mission Canyon area receives from the City of Santa Barbara and the remaining 23% are for costs for county operations.

And basically we're requesting the board to approve the items as proposed. Thank you, Supervisor Farr?

CommentAdriana Silvia AlexandrianProposed5:34:20 · ≈ 2:34 PM

Thank you Mr. Chair, thank you Mr. Wilder I don't really have a question about the service rates but I do about the possible extensions. You know it's clear from the map that the parcels that are not in the sewer district that are on septic are, you say they are larger lots But I'm not really sure on average how big that is and I just know that it's a concern in my district, in the valley where we have a similar situation. And with these new rules that are coming down from the Regional Water Quality Control Board about septic How much space you need to have, and expansion and all that. I'm just wondering whether that is going to put pressure on this particular neighborhood and some of these lots to want to hook up to the sewer sooner rather than later?

And if so, whether the 23% of the cost that goes for maintenance in the capital reserve, whether there would be enough money in there at some point in time to help buy down the costs of the extension?

UnidentifiedUnidentified speaker 25Proposed5:35:26 · ≈ 2:35 PM

Mr. Chair, Supervisor Farr, in general the original project was for the smaller lots that were experiencing failures in the septic systems. The larger lots remained because they were supposedly able to function. Environmental Health and they'll probably elaborate that on the next item did fund two studies one for Palomino Road and Tunnel Road Both were somewhat cost prohibitive at the time and the concept is basically that the new beneficiaries or the folks who would benefit from that new sewer extension would pay for those services through an assessment zone, through a sub area where they would fund the construction costs through a bond or some other mechanism. And then pay into the service charges that the existing The services are located, so they'd all be joined together as far as sewer services go.

But for the construction costs, the intent was for those new houses that would be converted from septic to sewer to pay their own way.

CommentAdriana Silvia AlexandrianProposed5:36:25 · ≈ 2:36 PM

Okay, well obviously this is Supervisor Carbajal's district but again I have a similar situation in the Santa Ynez Valley and the concern is that depending on the soils and individual characteristics of a lot that if one of those gets to a situation where their septic fails unlike other places on the south coast where all they have to pay to connect to the sewer if the sewer line is there Thank you Mr. Chair.

not transcribed≈12s of audible speech the AI couldn’t make out▸ listen
UnidentifiedClerk of the BoardProposed · by role5:37:08 · ≈ 2:37 PM

Actually if you notice, go back to the slide that has the figures. 77% of this fee actually goes to the City of Santa Barbara as part of the joint powers agreement that we have with them for the treatment and disposal of the sewage. And actually I would like us to really sit down with the city and this is my direction to do so if I can get support from my board.

To really look at the formula and how they approach this, because my constituents have understand the agreement that's in place. But really want to make sure that we are as comfortable with the figures that are promulgated to come up with this fee. And I just think it's important that we're all on the same page so to the extent you could work with them rather than just this is the way it is.

It would really be beneficial to the constituents that have contacted my office. If you could go to the next slide, this item pertains to the green part. The next item we're going to consider, Item 5, pertains to the septic area which is the orange part. And we've developed an incentive program that we'll get into when we consider the other item. But anyways just wanted to draw that to your attention and the reason the orange part has not...

We haven't extended this sewage infrastructure as Supervisor Farr Has pointed out is because it means everybody in the audience who's affected and benefiting from such an expansion would have to pay for it. And there hasn't been the broad interest to pursue that based on the figures that have come out of the various studies that have been done today, so. Supervisor Wolfe and Supervisor Adam?

not transcribed≈8s of audible speech the AI couldn’t make out▸ listen
UnidentifiedUnidentified speaker 7Proposed5:39:05 · ≈ 2:39 PM

Thank you, Mr. Chair. I was just wondering if you happen to know the last few year increases? Just because this seems rather high and I'm just wondering if the previous years were at that 8.17 level?

5:39 – 5:419 turns

UnidentifiedUnidentified speaker 25Proposed5:39:22 · ≈ 2:39 PM

Mr. Chair, Supervisor Wolf, the percent increase has varied from year to year depending if the city is doing any kind of major capital improvements. So it'll be as little as 4% one year and 10% another. These series of increases that we've been on the receiving end, has probably incurred since early 2000 when the city began an aggressive capital improvement program. I hope that answers your question. It hasn't been consistent and it's been rather variable.

UnidentifiedUnidentified speaker 7Proposed5:39:49 · ≈ 2:39 PM

Okay so the increases are related to their capital improvement?

UnidentifiedUnidentified speaker 25Proposed5:39:55 · ≈ 2:39 PM

Mr. Chair, Supervisor Wolf, that's correct. I'm trying to recall but last year was one of the smaller ones. I believe it was like a 1 or 2 percent but in past years it's

UnidentifiedUnidentified speaker 7Proposed5:40:06 · ≈ 2:40 PM

OK, well I look forward to following up on your suggestion. Supervisor

UnidentifiedClerk of the BoardProposed · by role5:40:12 · ≈ 2:40 PM

Croninger? It's just basically to understand it because I think they also charge us like an out of area fee that might be part of this but it would be great to really delineate and understand the fee and what's comprised of that fee. Supervisor Unum? Well I'm just

UnidentifiedUnidentified speaker 8Proposed5:40:28 · ≈ 2:40 PM

seeing some yellow inside the green and I'm wondering is there Septic tanks still existing in the area that's served by the sewer?

UnidentifiedUnidentified speaker 25Proposed5:40:42 · ≈ 2:40 PM

Mr. Chair, Supervisor Adam that is correct there is a handful that were granted waivers early on this map is somewhat outdated there were four parcels at one time that were on a penalty assessment they collected revenue over time and about two years ago those four parcels were placed on sewer but it's my belief or recollection there's still a couple of them that are in the sewer area that we're granted a waiver and are still on septic generally the larger lots that were in that area

UnidentifiedUnidentified speaker 8Proposed5:41:07 · ≈ 2:41 PM

okay all right thanks

UnidentifiedClerk of the BoardProposed · by role5:41:11 · ≈ 2:41 PM

Not having any public speakers, Madam Clerk? Is there a motion to approve this item? Motion's been made. I'll second it in my district. Not having further discussion? All those in favor? Aye. Opposed? Abstentions? Passes unanimously. We'll go back now to Item Number 5. And I think now you have the stages set for the sewer program, which is what we're going to go over now. It is a rebate program that we've developed that incentivizes the residents to pursue septic inspections and upgrades. Could you read the item, Madam Clerk?

5:41 – 5:4817 turns

CommentSouth CoastProposed5:41:58 · ≈ 2:41 PM

Chairman Carbajal, members of the board. Item number five is from Public Health. It is a hearing to consider recommendations in connection with the report entitled County of Santa Barbara Public Works Department Fixed Charges Assessments for Mission Canyon Septic System Management for Fiscal Year 2013-2014 filed with the Clerk of the Board on June 4th, 2013 which proposes a septic system management charges with no change proposed this year for CSA No. 12 Mission Canyon Sewer District.

UnidentifiedClerk of the BoardProposed · by role5:42:29 · ≈ 2:42 PM

And the key word here is no change proposed. Take it from there Ms. Mickiewicz?

UnidentifiedUnidentified speaker 11Proposed5:42:35 · ≈ 2:42 PM

Mr. Chair, members of the board, Michelle McGeowicz with Public Health and with me is Larry Fay, Environmental Health Services Director. We're here to ask your board to consider adopting a resolution that establishes a septic system management charges for CSA-12. There's a brief presentation and I'll turn it over to Mr. Fay.

UnidentifiedUnidentified speaker 26Proposed5:42:56 · ≈ 2:42 PM

Chairman Carbajal, members of the board, as we had discussed or my predecessors here had discussed this Agenda item is sort of the second half of County Service Area number 12 and this is the part of the service area that is served with septic systems rather than connected to sewer. And we're looking at establishing a rate for those areas. The reason, I mean it's kind of odd to charge a rate for somebody who's on a septic system but we do collect a fee from those properties that are on a septic system and that is intended Maintain a program that assures the septic systems that are still in that service area are maintained properly and that they continue to function without failure. And they remain protective of public health and water quality.

The revenues pay for two primary things, one is the matter The chair referred to the incentive program, the voluntary maintenance program. A significant portion of the money goes to refunds to folks who have had their septic tank pumped. They're eligible for a partial refund at the pumping cost once every five years and five years is the recommended frequency for septic system pumping under general circumstances. The second part of the funds a certain amount of our staff time to do outreach and education in the service area That consists primarily of an annual newsletter that reminds people of appropriate septic system management and septic system maintenance, and probably most critically reminds them that there are refunds available for the costs or part of the cost of pumping the septic tank when it's done.

We are proposing a fee of $24 per system, per year. That's compared to our current fee which is $24 per system, per year no change and the total annual revenue we would expect from the properties in the septic area would be about $5700 a year With that, that concludes my presentation and I'm ready for questions.

UnidentifiedClerk of the BoardProposed · by role5:44:54 · ≈ 2:44 PM

Mr. Fay, if I could just add perspective to the previous item in this item. The reason you're getting this from environmental health in the public health department is that we, environmental health implements this part of District 12's program. We deal with the sewage, the septic system. The city and our public works deals with the actual sewering project. Chairman Carpall that is correct yes. Any public speakers? Madam Clerk?

CommentSouth CoastProposed5:45:30 · ≈ 2:45 PM

There are no requests to speak on this item.

UnidentifiedClerk of the BoardProposed · by role5:45:32 · ≈ 2:45 PM

Having none, Supervisor Wolf?

UnidentifiedUnidentified speaker 7Proposed5:45:35 · ≈ 2:45 PM

Thank you, Mr. Chair. So when a resident who has a sewer, when they get their tax bill there's a $24 charge on their property tax bill along with the other assessment that we just saw?

UnidentifiedUnidentified speaker 26Proposed5:45:51 · ≈ 2:45 PM

Mr. Chair, Supervisor Wolf, this is a $24 per year fee to the folks that are on a septic system. They don't get charged the sewer rate. The sewer folks don't get charged the septic rate. They're separate fees.

UnidentifiedUnidentified speaker 7Proposed5:46:05 · ≈ 2:46 PM

OK. But it comes on their tax roll? And then, OK. And is this the only area where we have that in the county? Are there other areas? That is the only one?

UnidentifiedUnidentified speaker 26Proposed5:46:17 · ≈ 2:46 PM

Yeah.

UnidentifiedUnidentified speaker 7Proposed5:46:19 · ≈ 2:46 PM

And how was it that they vote on it back in 84 or whenever that was?

UnidentifiedUnidentified speaker 26Proposed5:46:25 · ≈ 2:46 PM

Mr. Chair and Supervisor Wolf, we're going a little before my time here but my understanding is when the Regional Water Board really was the driver behind the creation of the community services area for Mission Canyon and that stemmed largely from documented contamination in the watershed there that was attributed to septic system failures I think there were two issues that resulted separation of the district into a sewered and unsewered portion. The lower properties were the more high density development areas that were experiencing more overt septic system failures and documented to contribute more to the pollution, those were all compelled to become sewered. The upper lots tend to be larger The terrain, the geology and the conditions there make connecting to or developing the sewer system if not impossible certainly unfeasible.

And at the same time the densities were lower and we weren't seeing the same kind of contamination from those areas So the regional water board had agreed to this sort of bifurcated district, but with the idea that you would create some kind of funding mechanism to assure a continued ability to do some level of oversight of the functioning of those septic systems in that area.

UnidentifiedUnidentified speaker 7Proposed5:47:47 · ≈ 2:47 PM

Okay thank you.

UnidentifiedUnidentified speaker 26Proposed5:47:50 · ≈ 2:47 PM

Thank you I'm not

UnidentifiedClerk of the BoardProposed · by role5:47:50 · ≈ 2:47 PM

having any public speakers is there motion to approve this item? Motion's been made, seconded. Not having further discussion, all those in favor? Aye. Abstentions? Opposition passes unanimously. We will now

move on to item seven. Madam Clerk if you could read item seven into the record.

5:48 – 5:5113 turns

CommentSouth CoastProposed5:48:09 · ≈ 2:48 PM

Chairman Carbajal, members of the board. Item number seven is from Public Works and before the board as the Board of Directors Flood Control and Water Conservation District. It is a hearing to consider recommendations regarding flood control benefit assessment program for fiscal year 2013-2014.

UnidentifiedClerk of the BoardProposed · by role5:48:27 · ≈ 2:48 PM

Thank you Mr. McAuliffe. Yes, good afternoon again Mr. Chair and board members this is the second of three rate adjustment items today and as the clerk mentioned it's our flood control benefit assessments for fiscal year 13-14 and Tom Ferrum Deputy Director of Water Resources will do the presentation

UnidentifiedUnidentified speaker 27Proposed5:48:44 · ≈ 2:48 PM

Mr. Fravor? Thank you, Mr. Chair and members of the board. Good afternoon. We are here in front of you each year to have our flight control benefit assessments increased by the annual cost-of-living. These benefit assessments were all voter approved assessments and the assessment included a provision that the assessment would be increased annually by the cost-of living or the CPI.

For this coming year, 2013-14 that increase is 1.29%. I'd like to direct your attention to group C or the highlighted column in the center. These are the assessments for a typical single family dwelling based on your area that you live in the county, and that is an annual assessment. And just by way of reference for the South Coast which has an annual assessment of 2258, the increase is less than 30 cents this fiscal year. And of course each zone other zone would be proportionately less.

Mr. Chair, our recommendations is your board approve items A, B and C as the first reading. We will return to you on July 2nd for a second reading and final adoption. Staff's available for any questions that you might have. Thank you.

UnidentifiedClerk of the BoardProposed · by role5:50:02 · ≈ 2:50 PM

Thank you very much. And do we have any public speakers? Madam Clerk?

CommentSouth CoastProposed5:50:06 · ≈ 2:50 PM

We have no requests to speak on this item.

UnidentifiedClerk of the BoardProposed · by role5:50:08 · ≈ 2:50 PM

Having no public speakers, anybody... Supervisor Adam? I

UnidentifiedUnidentified speaker 8Proposed5:50:12 · ≈ 2:50 PM

was just wondering if the The photo in the center there, is that heavy vegetation? Would you define that as heavy or would you define that as light?

UnidentifiedUnidentified speaker 27Proposed5:50:27 · ≈ 2:50 PM

Mr. Chair, Supervisor Adam, I would call that annual and that is the type of material we try to remove every

UnidentifiedUnidentified speaker 8Proposed5:50:34 · ≈ 2:50 PM

year.

UnidentifiedUnidentified speaker 27Proposed5:50:35 · ≈ 2:50 PM

If we did not do the work it would get heavy.

UnidentifiedUnidentified speaker 8Proposed5:50:38 · ≈ 2:50 PM

Thank you very much. Do you want me to make a motion? Certainly you can. I'm going to move as recommended.

UnidentifiedClerk of the BoardProposed · by role5:50:47 · ≈ 2:50 PM

Motion to approve. Is there a second? Second. Further discussion? Having none, all those in favor? Aye. Abstentions? Opposed? Passes unanimously. We will now

move on to item number eight. Madam Clerk if you could read that item into the record.

5:51 – 5:564 turns

CommentSouth CoastProposed5:51:04 · ≈ 2:51 PM

Chairman Carbajal, members of the board. Item number 8 is from Public Works. It is a hearing to consider recommendations regarding solid waste tipping fees, collection rates and parcel fees for fiscal year 2013-2014.

UnidentifiedClerk of the BoardProposed · by role5:51:17 · ≈ 2:51 PM

Thank you very much. Mr. McAulpin?

UnidentifiedClerk of the BoardProposed · by role5:51:19 · ≈ 2:51 PM

Yes, Mr. Chair and board members our final rate adjustment item today is for as the clerk mentioned solid waste tipping fees collection rates and proposed parcel fees. Presentation for this item will be given by Ms. Leslie Wells program business leader in Resource Recovery and Waste Management

UnidentifiedUnidentified speaker 28Proposed5:51:38 · ≈ 2:51 PM

Good afternoon Chairman Carbajal members of the board As Scott mentioned today, I'm going to be presenting information on rates that we're proposing to charge for solid waste management services in the county for fiscal year 2013-2014. So there are four areas that are addressed in this particular board item. The first are tipping fees at solid waste management...county solid waste management facilities. The second are the Kuyama Valley parcel fees The third is a proposed amendment to 3 of the 5 solid waste collection franchise agreements to adjust how the consumer price index is calculated annually.

And the fourth piece is setting rates to be charged to residential and commercial customers by the solid waste collection franchisees. So, the first set of fees presented to your board relates to fees charged for use of county facilities. So what we're proposing today, there are very few changes we are making to the rate schedules for the Tahequs Landfill, the South Coast Recycling and Transfer Station and the San Yanez Recycling and Transfer Station.

The most significant increase is the trash tipping fee proposed at the Tahequs Landfill. It's an increase from $77 to $82 per ton. This increase can be broken into two components. The first component relates to the need to fund the EIR for the resource recovery project, which is part of our long-term solid waste management plan. The second piece is increased capital costs associated with ongoing expansions at the Tahequs facility.

All of these increases are consistent with the long term financial plan that our division has put together and meets the reserve policy. Specific to New Kiyama, the second resolution and set of rates are for parcel fees in the New Kiyama area. These parcel fees are assessed on annual property taxes on our to pay for the operation of both the New Kiyama and Venacopa transfer stations. It's important to note this is the only area of the county where we assess parcel fees rather than charging tipping fees at our facilities.

The most typical rate is $77 per single family dwelling. And today, staff is recommending no changes to the fee schedule. It has been advised in the past that any changes most likely are going to be subject to Prop 218. So the next type of rates are associated with solid waste collection services that are provided by the county's franchisees These franchisees currently are Waste Management and Marburg Industries.

So these rates are going to vary depending on the location of the customer as well as the type of service that the customer subscribes to. These rates are affected annually by two factors, the first is the CPI adjustment on the collection portion of the rate that represents about 60% of the collection And the second piece is any changes in disposal or processing tipping fees. And that typically represents about 30% of the rate.

So a recommendation that we are making today is, as you are aware two years ago, we went through an extensive procurement process for new solid waste collection franchise agreements. As part of those agreements, we inserted new language for calculating CPI A year later when it came time to actually use the new formula, we found it to be not particularly clear. It could be interpreted in different ways and the information necessary for the formula was not readily available. So what we're proposing today is to mirror the language that are in the two older agreements. It's language we've been using since 1997 and has worked very well The information that's necessary is regularly available through the State Department of Finance.

The Auditor-Controller has also looked at this methodology and has approved this change.

5:56 – 6:0113 turns

UnidentifiedUnidentified speaker 7Proposed5:56:22 · ≈ 2:56 PM

I think I jumped the gun a little bit to your next point about the fee for 2.2 for the CPI. We just had an item and I can't remember what it was, if it was from mental health but I thought the CPI was noted at like 1.7 so is that what you're just talking about? That there's different Ways to compute that based on different areas in the state?

UnidentifiedUnidentified speaker 28Proposed5:56:53 · ≈ 2:56 PM

Chairman Carbajal, Supervisor Wolf. CPI is an interesting thing. There are different indices and you want the index that really reflects what the service or the product is that you're procuring. So for example, for solid waste we use a trucking index Because the large part of solid waste collection costs are the cost for fuel, drivers and trucking equipment where other industries use different indices. And so there may be differences in those percentages when you compare different CPIs that are used in say mental health services versus trucking. What I was referring to is actually the physical calculation Where typically what we've done is chosen, for example, a February of 2012 and you compare it to the CPI of the index you're using for February of 2013.

And the percentage difference is going to be your CPI. What we had in our newer contracts was something our consultant called a chained CPI which was a monthly difference And then you took an average of that monthly difference. And frankly, it was very confusing to most of the analysts here. And so what we're wanting and recommending is to go back to the regularly published CPI that the Department of Finance does where you just take the same month for two different years, and you look at the percent difference. And so the index that we use for the hauling contracts is the trucking industry. It's called All Urban Consumers, and it's Los Angeles Riverside.

So there are, it depends on the jurisdiction as well as the industry that you're working in.

UnidentifiedUnidentified speaker 7Proposed5:58:47 · ≈ 2:58 PM

Well thank you for explaining that so well. You did a good job and I think I've got a handle on it. Thank you.

UnidentifiedUnidentified speaker 8Proposed5:58:55 · ≈ 2:58 PM

Supervisor Hattem? So you're using the LA Riverside index and you're not going to...you're using the transportation index, you're not using the general

UnidentifiedUnidentified speaker 28Proposed5:59:08 · ≈ 2:59 PM

Supervisor car are chair Carbajal supervisor Adam. That is correct. Use the transportation index

UnidentifiedUnidentified speaker 8Proposed5:59:15 · ≈ 2:59 PM

Okay, and what you're asking us to do here is just make that so you can just do it annually And so you don't have to go

UnidentifiedUnidentified speaker 28Proposed5:59:22 · ≈ 2:59 PM

that is correct?

UnidentifiedUnidentified speaker 8Proposed5:59:23 · ≈ 2:59 PM

Okay very good. Thank you

UnidentifiedUnidentified speaker 28Proposed5:59:27 · ≈ 2:59 PM

So in terms of the rates we're proposing for next fiscal year there's two I Factors that are affecting them. The first is the CPI adjustment of 2.2% on the collection portion of the rate, and the second piece is the proposed change to the Tahequs landfill tipping fee. So what this means to our ratepayers? We have a table. Again it's important to stress there are different percentages because it's based on what are the tipping fees at the facilities where the waste is being disposed, what are the methods for collection So what we're seeing is a high of 3% in the southern portions of the county and Santa Ynez Valley, and a low of 1% in Santa Maria Valley. This is for the residential rates.

On the commercial side, we're looking at a high of 4% increase again on the south coast in Santa Ynez and a low of 2% in Lompoc and Santa Maria Valleys.

UnidentifiedClerk of the BoardProposed · by role6:00:29 · ≈ 3:00 PM

Supervisor Wolf?

UnidentifiedUnidentified speaker 7Proposed6:00:32 · ≈ 3:00 PM

So it would seem that at a minimum, everyone's rate would be at 2.2 and then you would add on top of that the additional tipping fee to Tejiguas based on where you live. So why isn't that the case?

UnidentifiedUnidentified speaker 28Proposed6:00:51 · ≈ 3:00 PM

Chairman Carbajal, Supervisor Wolff My boss asked for this pie chart and it would be very helpful at this point. So I'm going to have to represent it verbally in a trash rate, 60% of that rate is comprised of the cost to collect the trash.

CommentSanta BarbaraProposed6:01:11 · ≈ 3:01 PM

Excuse me, Leslie. Mark could you put that up on the overhead right next to you for us please? Sorry. Excuse me, Leslie, for the interruption. I just thought since it's such a great chart let's show everyone

6:01 – 6:1026 turns

UnidentifiedUnidentified speaker 7Proposed6:01:50 · ≈ 3:01 PM

You were ready for this one, huh, Les?

UnidentifiedUnidentified speaker 28Proposed6:01:53 · ≈ 3:01 PM

So Supervisor Wolf, that is an excellent question. This kind of describes what your collection rate is made up of. So it's approximately 60%, which is the collection portion. That's what gets elevated by CPI annually. Then an additional 30% is impacted by any changes in disposal fees. Santa Maria City of Santa Maria is not proposing any increase to their trash disposal rate. That's why that says 0% for And when you look at it as a whole, it rounds up down to approximately 1% in the Santa Maria Valley. Thank you. So we can go next.

UnidentifiedClerk of the BoardProposed · by role6:02:39 · ≈ 3:02 PM

Please proceed.

UnidentifiedUnidentified speaker 28Proposed6:02:40 · ≈ 3:02 PM

So to summarize our staff recommendations today, there are four actions that were requesting of you. The first is to adopt the resolution and fee schedule for county facilities The second is to adopt the resolution and parcel fee schedule for the Keyama Valley. The third is to approve amendments to the three franchise agreements, to allow us to modify how the CPI is adjusted. And the fourth is to adopt the resolution and fee schedule for Franchise Collection Services.

UnidentifiedClerk of the BoardProposed · by role6:03:13 · ≈ 3:03 PM

We have no public speakers? Is there a motion discussion? No motions, no discussion. What a quiet board!

UnidentifiedUnidentified speaker 8Proposed6:03:26 · ≈ 3:03 PM

I will move to accept as recommended.

UnidentifiedClerk of the BoardProposed · by role6:03:29 · ≈ 3:03 PM

Supervisor Adam has moved. Second. Having any further discussion? Having none all those in favor? Aye. Opposed? Abstentions? Passage unanimously. We'll go on to item number nine. Madam Clerk if you could read that item

CommentSouth CoastProposed6:03:47 · ≈ 3:03 PM

Chairman Carbajal, members of the board. Item number nine is from Public Works. It is a hearing to consider recommendations regarding prohibiting parking of oversized vehicles on certain county roads.

UnidentifiedClerk of the BoardProposed · by role6:03:59 · ≈ 3:03 PM

This is a

UnidentifiedClerk of the BoardProposed · by role6:04:00 · ≈ 3:04 PM

public works afternoon. Yes, Mr. We'll make it quick and this is our last item for the day as clerk mentioned first reading of a proposed ordinance amendment prohibiting parking of oversized sized vehicles on certain county roads and today this is really just we're asking for your board's approval of an umbrella And we'll come back in the future with different locations or neighborhoods where there could be potential issues with these oversized vehicles.

And staff will go out and do their analysis, and we'll come back with a professional recommendation to your board. So our presentation today will be given by Chris Sneddon, deputy director of transportation.

UnidentifiedUnidentified speaker 29Proposed6:04:42 · ≈ 3:04 PM

Thank you. These are the things we're going to talk about today. I'll start with a background, the purpose and need for this ordinance and then the authority that the county has to create ordinances like this. And then we'll go into the details of this actual umbrella ordinance that Scott mentioned and some recommendations to create the county code that goes along with it.

So oversized vehicles when they're parked in the right-of-way, they can create issues in certain neighborhoods. And this has been exacerbated particularly recently when a lot of the cities have started to do ordinances which is push oversize vehicles into unincorporated areas of the county so it's become much more noticeable that the increase in oversized vehicles in different places But as Scott said, this action today would just create an ordinance that would allow restricting oversized vehicles from parking overnight to actually implement this in any specific area where we come back at a later date with full analysis and everything. Next slide.

Again, more background on the oversized vehicle ordinance and why different agencies use them. Oversized vehicles can impair sight distance. They limit residential parking in a lot of places. They can cause neighborhood blight and they can even create public health and environment hazards. The next bullet shows some of the local agencies around here that have implemented these types of ordinances. As I said, Goleta just implemented one fairly recently and the county is starting to see the effects of that.

The top part of this, I won't read it but is the California Vehicle Code that allows local agencies to create these types of ordinances. The Santa Barbara County code has chapter 23 section 13 which governs parking ordinances or is the ordinance governing parking we already have certain restrictions that are in place So what we're proposing now is sub point 12 to section 13 which adds this additional coverage.

And there it is, 2313.12 Again this would allow your board in the future to impose restrictions for specific streets The third bullet down shows really the meat of what the ordinance is, which is to restrict vehicles over 24 foot long, 8 foot wide or 7 feet high from parking in the right-of-way between 10 p.m. and 6 a.m., so no overnight parking And the examples on the right are kind of what would be restricted and what wouldn't. We'd be restricting the larger vehicles and RVs, but not restricting vehicles like utility trucks that somebody may use for their occupation during the day but park in front of their house at night.

And finally, there would be the full public hearing process and everything before specific locations were restricted. And then they'd be signed and posted and the public would be notified before this went into effect at any location. And with that we'll go to the recommendations and I won't read these all to you but we're open for any questions you might have.

UnidentifiedClerk of the BoardProposed · by role6:08:07 · ≈ 3:08 PM

Thank You Mr. Schneider. Madam Clerk do we have any public speakers on this?

CommentSouth CoastProposed6:08:11 · ≈ 3:08 PM

We have no request to speak on this item.

UnidentifiedClerk of the BoardProposed · by role6:08:13 · ≈ 3:08 PM

Supervisor Farr?

CommentAdriana Silvia AlexandrianProposed6:08:15 · ≈ 3:08 PM

Thank you, Mr. Chair. Well I'm very supportive of this. I've been working with Mr. Sneddon and his department for a while. This is a growing issue for parts of my district not only on the South Coast but in the Vandenberg Village area so I would like to move staff's recommendations.

UnidentifiedClerk of the BoardProposed · by role6:08:33 · ≈ 3:08 PM

Motion has been made.

CommentAdriana Silvia AlexandrianProposed6:08:34 · ≈ 3:08 PM

Is there a second? I'll second.

UnidentifiedClerk of the BoardProposed · by role6:08:35 · ≈ 3:08 PM

Second.

UnidentifiedUnidentified speaker 8Proposed6:08:36 · ≈ 3:08 PM

Discussion, Mr. Adams? Can I get a blanket exemption for commercial livestock transports? I mean, because they just show up once every so often to take a load of cattle someplace and they'll be parked overnight. And you're usually not going to be in an area that's urbanized. You know obviously there's no cattle in the urbanized area. They do show up but I just don't want the guys around.

CommentAdriana Silvia AlexandrianProposed6:09:06 · ≈ 3:09 PM

Mr. Chair, Supervisor Adam, this is only giving the county the ability to sign particular areas so this is not like a blanket ordinance that affects all the unincorporated areas of the county. So unless staff brings back something that we approved that says this particular area on the map we're going to sign then it's going to be okay so it wouldn't affect what you're talking about

UnidentifiedUnidentified speaker 8Proposed6:09:29 · ≈ 3:09 PM

No, I understand. But that just prevents us from having to not drop the ball 20 times in the future. But if you don't want to do it, that's fine.

CommentAdriana Silvia AlexandrianProposed6:09:37 · ≈ 3:09 PM

Well, I think

UnidentifiedUnidentified speaker 8Proposed6:09:38 · ≈ 3:09 PM

that

CommentAdriana Silvia AlexandrianProposed6:09:39 · ≈ 3:09 PM

my expectation is, I don't know about the rest of the board, but I only have about two areas that I'm looking at that I am hoping we can do something about. And I don't know that it's a problem every place. So I think that picking the areas where we might need to put it in is going to be far fewer than the areas that we don't want it in.

UnidentifiedClerk of the BoardProposed · by role6:09:59 · ≈ 3:09 PM

Supervisor Wolf.

UnidentifiedUnidentified speaker 7Proposed6:10:01 · ≈ 3:10 PM

Thank you, Mr. Chair. Mr. Sten, when I saw this, I thought we've already done this in a couple of places in unincorporated Goleta haven't we?

6:10 – 6:129 turns

UnidentifiedUnidentified speaker 29Proposed6:10:16 · ≈ 3:10 PM

We have put up restrictions and signs that are noting that restrictions or ordinances are already on the books, but we haven't done these specific types of restrictions for overnight parking for RVs. So there are very similar restrictions, but there are nuances to them that don't exclude overnight parking for RVs specifically.

UnidentifiedUnidentified speaker 7Proposed6:10:35 · ≈ 3:10 PM

So what were those? Just remind me if you could.

UnidentifiedUnidentified speaker 29Proposed6:10:41 · ≈ 3:10 PM

There are various different nuances. For example, you can't park

UnidentifiedUnidentified speaker 7Proposed6:10:45 · ≈ 3:10 PM

trailers for more than 24 hours. I think that's the one we did initially. Yeah, I think this is good to have an umbrella ordinance and as issues come up we can bring it back to the board. Is there a public hearing that goes on though?

UnidentifiedClerk of the BoardProposed · by role6:11:07 · ≈ 3:11 PM

Thank

UnidentifiedUnidentified speaker 7Proposed6:11:07 · ≈ 3:11 PM

you. I guess just in response to

not transcribed≈11s of audible speech the AI couldn’t make out▸ listen
UnidentifiedClerk of the BoardProposed · by role6:11:08 · ≈ 3:11 PM

Supervisor Adam,

UnidentifiedClerk of the BoardProposed · by role6:11:24 · ≈ 3:11 PM

This is something that's only if it's creating an issue, would you hear about it? I think I have some rural areas in my district that people would be fine with cattle trucks being parked. Nobody's gonna make an issue of it and we wouldn't implement this ordinance even though we could but I think you do have some areas that are semi-rural that are still okay but on occasion you may have You may have neighborhoods, I think of the Toro Canyon area that after a while it might be a little too many.

Even for cattle trucks that might not be the best place to put them at but I think its really only if there's a problem that arises that we would be dealing with those issues and in your district you'd be able Obviously opine on how to solve those challenges. So there's no public speakers, is there a motion to approve this item? We already made a motion to approve it and seconded it.

All those in favor? Aye. Opposed? Abstentions? Passage unanimously. We will now

move on to Item number nine. Number ten right? Yes, item number 10. I think it's our last item. Madam Clerk if you could read it into the record please?

6:12 – 6:2517 turns

CommentSouth CoastProposed6:12:47 · ≈ 3:12 PM

Chairman Carbajal, members of the board, item number ten is from the County Executive Office. It is a hearing to consider recommendations regarding a revised service contract and grant compliance management policy.

UnidentifiedClerk of the BoardProposed · by role6:12:59 · ≈ 3:12 PM

Great thank you very much. Who's leading this item Mr. Buzanich?

UnidentifiedUnidentified speaker 30Proposed6:13:06 · ≈ 3:13 PM

Chair Carbajal, members of the board I appreciate this opportunity to come back. This is a revisiting of a contract policy that we brought to you in January with me again today is Heather Fletcher from the she's the internal audit chief for the auditor controllers department and also with us today is Andrew Myung from the auditor controllers department as well And I do want to take this moment just to personally thank them for all of their work and efforts, and great thinking about this policy.

Particularly after coming back from the meeting in January where we discussed some changes to that policy that we're going to present here today. So again, I do want to recognize and thank Heather and Andrew as well. So today we will provide your board with the scope of monitoring conducted by departments across the organization, some opportunities for process improvements.

An overview of the proposed policy, modifications made in response to your comments last January and then an outline of our proposed training strategy to roll out and make this policy effective. Staff went back and conducted a research in inventory into the number of board contracts. There are 233 of them distributed across multiple different departments. What you see here is a listing of the department, the number of contracts and the percentage of total contracts that that particular department manages on an ongoing basis.

We also conducted a survey with contract managers and department heads to look at what were some of the opportunities for improvement. And what this bar chart identifies is that only one department was able to provide us with their departmental formal written policies and procedures for contract monitoring and contract management. Eight departments conducted some form of on-site monitoring during the course of a contract's terms, Several other departments, ten of them in total had some kind of tools that they used for that contract monitoring.

And six departments had contracts that required some kind of formal audit procedure as a part of the contract terms. Mr.

UnidentifiedClerk of the BoardProposed · by role6:15:24 · ≈ 3:15 PM

Buzanich who was the written policies and procedures department?

UnidentifiedUnidentified speaker 30Proposed6:15:30 · ≈ 3:15 PM

Department of Social Services.

UnidentifiedClerk of the BoardProposed · by role6:15:32 · ≈ 3:15 PM

Okay, before you go I just have one question. Of all our departments or divisions which one or two tend to stand out in contract monitoring reviews kind of making sure that deliverables are being met updates? I know we have a number Substantial divisions that contract out from first five human services, drug and alcohol. Which one stands out?

UnidentifiedUnidentified speaker 31Proposed6:16:03 · ≈ 3:16 PM

Chair Carbajal I would say that the Department of Social Services is one of the departments that would stand out because of the federal monies that they receive. They have more monitoring requirements and thus have developed a department wide contract monitoring policy

UnidentifiedClerk of the BoardProposed · by role6:16:24 · ≈ 3:16 PM

Great, okay.

UnidentifiedUnidentified speaker 30Proposed6:16:30 · ≈ 3:16 PM

So to get into a bit more of the particulars in the policy it is designed to apply to Board of Supervisor approved contracts over $100,000 and we added some specifications that it's recommended for those under $100,000 based on your board's comments from the last time Just to review the purpose of the policy is to provide directions to executives and managers that will increase adherence to rules governing the spending of public monies. It also is designed to help mitigate the risk of loss, improve the enforcement of contract terms and conditions and performance, and ultimately it's designed to achieve...help all contracts achieve the intended contract outcomes.

The policy, all policies that are worth their paper they're written on identify a few things. Why the policy is important? Who's responsible and what they're responsible for? And in this way this policy lays out exactly who's responsible so ultimately the department head is responsible If you turn to page two, policy number five, you can see that we specifically state the department is responsible for contract compliance monitoring.

UnidentifiedUnidentified speaker 8Proposed6:17:46 · ≈ 3:17 PM

Supervisor Adam? Sorry Mr. Saanich to interrupt your flow but one of the things I think is really important is to identify what's going to happen if somebody doesn't fulfill their part of the contract so that would be a fourth bullet point I'd like to add there.

UnidentifiedUnidentified speaker 30Proposed6:18:07 · ≈ 3:18 PM

Very good. Chair Carbajal, Supervisor Adam, we do get to that in very explicit detail a bit later in the policy but we can certainly look at adding that to the purpose and intent at the very beginning of the policy. Yeah,

UnidentifiedUnidentified speaker 8Proposed6:18:20 · ≈ 3:18 PM

we'll be speaking about this in explicit detail in a little while I guess.

UnidentifiedUnidentified speaker 30Proposed6:18:24 · ≈ 3:18 PM

Very good, thank you. It also requires that each contract have an assigned contract manager to perform those contract compliance monitoring duties If you look at policy four on page two, it also lays out specific policy to evaluate and disclose the risk as a part of the board contract approval process in the board letter itself. And this is discussed under procedure number four on page three.

Managers are asked to assess contract terms and conditions based on performance and risk through negotiating financially responsible contracts, making sure that payments are linked to satisfactory performance. That there are clear consequences for the contractor of poor performance or low quality work That there's some recoupment clause built into that for audits and or disallowances from other funding sources.

And that we make sure that all the contractors are maintaining adequate financial records that are available to us in the case of reviews or audits. In order to better see the detail of this, you can turn to the pre-contract procedures number 8 on the bottom of page 3 and it continues onto page 4. As we brought to your attention last time, the policy attachments will include worksheets to assist contract managers in assessing an organization's financial conditions and contract risks before contracting and throughout the operational phase of the contract. These tools will help contract managers to focus on the highest risk areas and maintain high performance throughout the contract terms.

If you'd like, you can turn to pages 4 and 5 where procedures number 2 and 3 detail these out. Fundamental to effective contract management is the maintenance of complete documentation of the actions our staff takes during the screening, initiation, operational, and monitoring phases. For more details about the documentation that's expected of our staff, you can turn to Monitoring Procedures Number 4 on page 5.

The primary goal of contract monitoring is consistent compliance with all contract terms and conditions. The policy before you outlines a formal process when contract non-compliance occurs. Monitoring procedure 4 on page 5 requires that contract managers to report to their department executive staff The goal of this coordinated effort is to return the contract to compliance.

Established operational review meetings, commonly referred to as ORMs which include county executive and auditor controller staff will also be used to follow up on non-compliant contractors including the establishment of formal written corrective action plans. And you can see procedure number 5 at the bottom of page 5 for more details on that. A Contract Compliance Oversight Committee meeting attended by the CEO, Auditor and County Council will review and monitor corrective action plans and determine the best method to communicate noncompliance to the Board of Supervisors. For more detail on that see procedure number six on page six.

The officers listed above will report unresolved instances of noncompliance to the board through the applicable existing channels. Just to review some of the changes that we made since our January meeting. We added some language about monitoring of contracts and the usefulness of this policy for contracts under $100,000. We identified better the evaluation of financial conditions for those entities that are going to be required to provide that evaluation.

There's a clarification of the process to prepare corrective action plans for instances of noncompliance. It establishes a process to review and monitor corrective action plans, and there is now a specified process options to report instances of noncompliance to your board. Finally, a question was asked about how we're going to roll this out. How do we implement this with the departments? We designed and planned for a fairly robust training program that will involve technical assistance to the department. If you recall the pie chart at the beginning, we have a wide variety of departments providing a wide variety of different service contracts And the plan and the commitment that auditor controller, CEO as well as county council staff is that we would be able to take the time to work with those departments on the particular needs that they might have.

But there are some other more general topics that we can create short videos and put those on the intranet. And some of the topics are listed here for example how to conduct a contract risk assessment.

UnidentifiedClerk of the BoardProposed · by role6:23:37 · ≈ 3:23 PM

Mr. Brzenich? Sorry for interrupting. I think this is great. The one thing I would encourage you to do and come back to the board on is give us some timelines. Within a year we hope to have trained X. We're going to conduct how many quarterly trainings? What is the timeline to achieve and implement this? Because if not, we'll be here talking about this in five years and say well we did a couple hearings and a couple trainings. So it would be good to have a compliance implementation training action plan that has timelines of when we hope to achieve certain things. Just like we have all this training for elected officials, every other year we will have certain training done. It gets done and unless we have that it becomes a hollow.

UnidentifiedUnidentified speaker 30Proposed6:24:27 · ≈ 3:24 PM

Chair Carball, I absolutely would be happy to provide that kind of a plan and detail for your board in a follow-up memo. And just so you know one of the advantages of using the videos and placing those on the internet is they're going to be available all the time whenever the staff needs them. So when you have new staff coming on board it'll be a quick and easy primer to how to follow through on these different contract operations. So there will be a very significant advantage. We anticipate really though being able to have that technical assistance and training provided by later on this summer or early fall so we can definitely begin that.

UnidentifiedClerk of the BoardProposed · by role6:25:03 · ≈ 3:25 PM

Supervisor Adam?

UnidentifiedUnidentified speaker 8Proposed6:25:04 · ≈ 3:25 PM

How many of our employees are really engaged in creating contracts, what percentage roughly?

6:25 – 6:3211 turns

CommentSanta BarbaraProposed6:25:20 · ≈ 3:25 PM

Perhaps while they're debating, I'll offer a suggestion as well. Just based upon my wide knowledge of the contracting of various departments, I would say probably fewer than 5% of our staff is probably actively engaged in developing and monitoring contracts. And please feel free Heather or Dennis to correct me.

UnidentifiedUnidentified speaker 8Proposed6:25:40 · ≈ 3:25 PM

Yeah, I'm not looking for order of magnitude and how easy it's going to be to get these people trained. I think it should be pretty easy You know, it can't be that many people that are engaged on an ongoing basis in monitoring or creating contracts.

UnidentifiedUnidentified speaker 30Proposed6:25:58 · ≈ 3:25 PM

Chair, Supervisor Adam, I suspect the CEO's estimation is probably pretty correct when you think about the number. So I would concur with your analysis that it should not be too difficult to be able to move through that training and providing that direct technical assistance to staff on a fairly quick basis so I appreciate that. So that concludes our presentation, just to review our recommended actions that we asked for some to receive and file and provide comment on the existing policy. And then make the determination the above actions are not a project under CEQA. And with that we're available for any questions or follow up.

UnidentifiedClerk of the BoardProposed · by role6:26:42 · ≈ 3:26 PM

Great. There's no public speakers. Supervisor Adam?

UnidentifiedUnidentified speaker 8Proposed6:26:48 · ≈ 3:26 PM

If I could go through this document with you a little bit, Mr. Bucinich, I think you guys did a fantastic job in reflecting a lot of my concerns. Some of them didn't get in a little bit and I don't know if that was because of misunderstanding or because it just didn't go that way but like on page 107 You know, kind of a general theme here in numbers 3 and 4 under purpose is that we're trying to enforce something instead of improve the performance.

You know, it's kind of chicken and egg thing but I like to go two things trying to make them work instead of trying to cram somebody into something. So I'd like to see the real performance in here couple times more than it is Instead of the word provided on Number four and two to number three to improve performance and in force And it's down there below but you know On numbers three and four under purpose page one To improve performance and enforcement.

And then down below on 4 to determine whether vendors adequately performed services.

UnidentifiedUnidentified speaker 30Proposed6:28:30 · ≈ 3:28 PM

Got those?

UnidentifiedUnidentified speaker 8Proposed6:28:32 · ≈ 3:28 PM

Okay, and then down below in number 3 of policy contract grant compliance management is to focus on obtaining the performance of defined services And I really loved on page 207 on item number 5, department directors are ultimately responsible for the contract grant. There's so many times here that we are forced to or we seem to be pushing all the responsibility on the contractor and none of it on ourselves And I think that we need to make sure that we're doing our part and they're doing their part in performing the contracts.

One question that I had on item number 6 there, you see on the second line down towards the end where it says allow for consideration of other vendors. Can you tell me kind of what the context is there?

UnidentifiedUnidentified speaker 30Proposed6:29:51 · ≈ 3:29 PM

Chair, Supervisor Adam, the context there is Frequently, if a contractor believes they are the sole contractor or the best in the field for example. For delivering a certain service there could be a tendency to continually just approve that contractor and so one of the best practices that we identified in our research Was that the county could be in a fairly regular quest for additional contractors that could provide the services at a higher quality level and or a better price point.

And that we would want to empower our contract managers to take that into consideration as part of that monitoring process.

UnidentifiedUnidentified speaker 8Proposed6:30:49 · ≈ 3:30 PM

Okay, okay.

UnidentifiedUnidentified speaker 30Proposed6:30:50 · ≈ 3:30 PM

That's great answers your question.

UnidentifiedUnidentified speaker 8Proposed6:30:52 · ≈ 3:30 PM

Well see that's you know in my world that's always a given and so there's another thing I should say to you guys and that is that you know I primarily look at this stuff from the contract Aspect and not from grant aspect. So some of these comments that I'm making may be inappropriate to grant administration, and we're mixing them together here. Another problem that I had was on pre-contract page 307 item number one I would like to see the sentence added at the end, contract grant managers are responsible and are subject to a full range of disciplinary actions up to and including termination for failure to execute properly.

You know, and I think it goes back to accountability for our end. You know, I just think that everybody should be held accountable. The contractor or the grant receiver should be held accountable without question but so should we. So if one of our people drops the ball there should be some ramifications for them as well.

6:32 – 6:3813 turns

UnidentifiedUnidentified speaker 2Proposed6:32:20 · ≈ 3:32 PM

Mr. Marshall? Mr. Chair, Mr. Chairman the suggested language change in and of itself isn't prohibited language I would just remind the board that there is already existing civil service rules that govern performance And those would still be the rules that would govern any disciplinary action that resulted from staff's performance issues related to contracts.

Without some other processes, this language would not change the civil service rules.

UnidentifiedClerk of the BoardProposed · by role6:32:57 · ≈ 3:32 PM

So it's a given that what you're saying, correct me if I'm wrong, it's a given that any of these policies, if they're violated, it provides recourse for disciplinary by through the chain of

UnidentifiedUnidentified speaker 2Proposed6:33:10 · ≈ 3:33 PM

command? Yes, through the normal performance process. I think what we're doing here is giving employees Specific notice that if they fail, there could be consequences. But it's really not a legal change in the, at least that's my position. It's not a legal change in the status of personnel.

UnidentifiedClerk of the BoardProposed · by role6:33:31 · ≈ 3:33 PM

I think Mr. Adam though is just making sure that and I think it's a given but I think it' s okay to say that it's just a given for our department heads and managers to understand that if they don't manage and do their job We don't just lose dollars. There's got to be some repercussions. CEO Waller?

CommentSanta BarbaraProposed6:33:49 · ≈ 3:33 PM

Thank you, Chair. I would only bring up a slight concern that I have about adding language that makes the policy appear perhaps more onerous than otherwise our regulations would be. And truly my hope with this policy is to give guidance and training to our staff in addition to obviously responsibility, but I wouldn't want it to be perceived such that it was so concerning on the disciplinary action that people then would somehow be reluctant To take action or report so that's not necessarily a legal issue It's certainly not something that your board can't do. It's just more of a Management concern that perhaps you'll want to consider Thank You

UnidentifiedUnidentified speaker 8Proposed6:34:43 · ≈ 3:34 PM

Well, this is a training tool. This is something that you're going to take to everybody that's making or enforcing contracts and train them with. And I think it's reasonable to make them aware that there's going to be ramifications for violating what are elementary principles of good management. So if you don't want to put it in there, I guess we won't put it in there. But I think if you don't tell people that you're going to do something then why should they necessarily do a great job?

So I think people have to have downside. And we're putting in plenty of downside for the contractor. We're not shy about that. So anyway, I think I've said enough about that. Page four or seven second bullet point I would like to add some performance dates. When they're writing contracts, there should be performance dates and I think we should be encouraging the use of progress payments.

You know one case that springs to mind is Colorado Software. If they had achieved some Some kind of a cutoff point in successfully designing their software and then we give them some more money. Instead, we're just giving them more money and we don't see much.

CommentSanta BarbaraProposed6:36:33 · ≈ 3:36 PM

Excuse me, Supervisor. If I could just get clarification as to what particular area you were referring to and maybe some specific language? I think I got a little lost from ya.

UnidentifiedUnidentified speaker 8Proposed6:36:44 · ≈ 3:36 PM

I'm sorry. 407 page 407 second bullet point payments linked to satisfactory performance

CommentSanta BarbaraProposed6:36:54 · ≈ 3:36 PM

Thank you

UnidentifiedUnidentified speaker 8Proposed6:36:55 · ≈ 3:36 PM

So I would add performance dates and percentages of success with incorporation of progress payments. And then, I just love the next one where we're talking about liquidated damages and withholding payments and terminating a contract that's wonderful. And then a suspension or revocation of the contractor, or contracting with the county in the future. You know maybe we put somebody on indefinite hold.

Have it be on the lookout list for... You like that? All right on page five of seven under monitoring number four Last full sentence, continued noncompliance can lead to suspension of funding. Is everybody with me? Sorry I'm moving a little fast there. Continued noncompliance can lead to suspension of funding, termination, non-renewal of contracts You know, I'd just like to add that termination is an option.

And I think a lot of times it's been in my very short experience here, I think people think that once they're in the door you can't get rid of them and I think that should be an idea

UnidentifiedClerk of the BoardProposed · by role6:38:27 · ≈ 3:38 PM

We're all listening very intently to see how many. You're actually making a lot of good points, but if you do make some that are outrageous we'll let you know

UnidentifiedUnidentified speaker 8Proposed6:38:36 · ≈ 3:38 PM

though.

UnidentifiedClerk of the BoardProposed · by role6:38:38 · ≈ 3:38 PM

But I'm hoping that this actually comes back to us as an admin item so that we reread all the changes we made to make sure that nothing sticks out in there that later on we're like no I don't think we... So please proceed Mr. Adam.

6:38 – 6:5038 turns

UnidentifiedUnidentified speaker 8Proposed6:38:54 · ≈ 3:38 PM

I wanted to give you a compliment on putting in this immediately escalating. It's number five on page, it's the first partial paragraph on six of seven. Nicely done. And then I'd add a tenth bullet point On that list right there, six or seven incoming contract grant managers shall become intimately familiar with terms and conditions of contracts they're going to administer.

And that is all.

UnidentifiedClerk of the BoardProposed · by role6:39:48 · ≈ 3:39 PM

That can't be it. Thank you very much, Mr. Adam. I appreciate that. That was actually very good. Supervisor Wolf? Oh, that was only Supervisor Adam.

UnidentifiedUnidentified speaker 7Proposed6:39:56 · ≈ 3:39 PM

Here

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UnidentifiedClerk of the BoardProposed · by role6:39:58 · ≈ 3:39 PM

comes Supervisor Wolf! She's going to go one by one. No, I loved it!

UnidentifiedUnidentified speaker 7Proposed6:40:10 · ≈ 3:40 PM

It was good. One thing, you know, I sometimes will call Dennis about the amounts of liability insurance and they always Refer me it's all you know risk has already looked at it. Is there anything in here? I'm looking at page five of seven maybe number three is that referencing that because I think we want to make sure that when they do these contracts, there's You know workers comp there's liability. There's all all of that weren't them defied on

UnidentifiedUnidentified speaker 30Proposed6:40:43 · ≈ 3:40 PM

Chair Carverhall, Supervisor Wolff. This particular policy in terms of the... there's a number of other existing policies I should say it that way. There are a number of other existing policies that are established countywide about the specifics around liability insurance and additional coverage. County Council provides a boilerplate contract that is utilized by all departments And then that goes through a review and concurrence process, as you well know. As your board well knows, through county council, through auditor control or to look for those exact documents. And any time there is an insurance requirement it is also concurred on by risk management.

So all of that

UnidentifiedClerk of the BoardProposed · by role6:41:24 · ≈ 3:41 PM

is part- Mr. Buzanich if I could just interrupt you but I like what Supervisor Wolf is saying because we could go into a contract where it's required that they have certain I think how we could accomplish that is make that part of our checklist. Excellent point, Supervisor Wolf.

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UnidentifiedUnidentified speaker 7Proposed6:42:03 · ≈ 3:42 PM

Thank

UnidentifiedClerk of the BoardProposed · by role6:42:03 · ≈ 3:42 PM

you so much. Supervisor Farr?

CommentAdriana Silvia AlexandrianProposed6:42:08 · ≈ 3:42 PM

Thank you Mr. Chair. I don't have any changes but my comment again is that it's really helpful when we get revised documents if we have a strikethrough underlying version because you talked about in the board letter what some of those comments were that we made and how you incorporated them but it would've been very helpful We could have seen that and certainly if this is going to come back on the admin agenda, these changes could be in that format so we know exactly what the new language is. Thank you Mr. Chair.

UnidentifiedClerk of the BoardProposed · by role6:42:40 · ≈ 3:42 PM

Thank you. Supervisor Wolf?

UnidentifiedUnidentified speaker 7Proposed6:42:42 · ≈ 3:42 PM

You know it just occurred to me, Mr. Bazonich's, the issue that happened earlier today where a contract had expired and the department didn't bring it back to us. Now would that be something that would be in here or should be in here?

UnidentifiedUnidentified speaker 30Proposed6:42:59 · ≈ 3:42 PM

Chair Carball, Supervisor Wolf, absolutely. I mean part of monitoring a contract is monitoring begin date end date of contracts checking those on a regular basis calendarizing those for regular review so I believe that...

UnidentifiedUnidentified speaker 7Proposed6:43:19 · ≈ 3:43 PM

So will you wait is it in here or will you add it? Chair,

CommentSanta BarbaraProposed6:43:23 · ≈ 3:43 PM

Supervisor, those are the exact sort of things that our checklist should cover. And with what we're doing now, that's exactly the kind of thing that we're looking to include on the checklist to ensure that contracts of a certain amount come back to the board And we tie it to the policy that your board's already established as far as that. So, that would be one of the checklist items.

UnidentifiedUnidentified speaker 7Proposed6:43:49 · ≈ 3:43 PM

And that will come back on admin? We'll see the whole package?

UnidentifiedClerk of the BoardProposed · by role6:43:54 · ≈ 3:43 PM

Yes.

UnidentifiedUnidentified speaker 7Proposed6:43:54 · ≈ 3:43 PM

Okay, thank

UnidentifiedClerk of the BoardProposed · by role6:43:55 · ≈ 3:43 PM

you.

UnidentifiedUnidentified speaker 8Proposed6:43:55 · ≈ 3:43 PM

Supervisor Adam? Well so I'm hearing that everybody is getting done here, so I want to make a motion to receive and file

UnidentifiedClerk of the BoardProposed · by role6:44:04 · ≈ 3:44 PM

with the modifications. With the

UnidentifiedUnidentified speaker 8Proposed6:44:06 · ≈ 3:44 PM

modifications.

UnidentifiedClerk of the BoardProposed · by role6:44:07 · ≈ 3:44 PM

And then it comes back to us in admin. And then it comes

UnidentifiedUnidentified speaker 8Proposed6:44:08 · ≈ 3:44 PM

back to us as an agenda item.

UnidentifiedClerk of the BoardProposed · by role6:44:11 · ≈ 3:44 PM

Great, the motion has been made. Is there a second? Second. Not having further discussion, no public speakers. All those in favor? Aye. Opposed? Abstentions? Passes unanimously. Before we adjourn we have one item that will need to close the loop on. Item A18 County Council Mr. Marshall you're going to give an answer to Mr. Adam if you could just repeat what your understanding of what his question was

UnidentifiedUnidentified speaker 2Proposed6:44:36 · ≈ 3:44 PM

Well, Supervisor Adam had raised a question in connection with A18 which was your board's request for your board to approve the conflict of interest statement for the housing authority of the County of Santa Barbara. The question that came to county council was what is essentially what is the relationship of the housing authority of the County of Santa Barbara County of Santa Barbara County.

The origin of the housing authorities goes back to about 1941, and the legislature created a health and safety code section 34201 which actually created This is odd because it's been so long since I've looked at this. Actually created the housing authorities in cities and in counties, but they're dormant unless the county for unincorporated areas passes a resolution of necessity. Likewise the cities have to empower these agencies.

Once they're empowered by the board or the city council, the city council or the board in their respective housing authorities make appointments of seven commissioners who then govern the authority. Once it's created, the authority and I'll just read the highlight of the statute and the authority constitutes a corporate and politic public body exercising public and essential government functions and having all the powers necessary and convenient to carry out the purpose and provisions of this chapter. The general powers include the right to sue and be sued, a right to a seal, and altering it.

Most importantly, it has perpetual succession. It can make and execute contracts in other instruments, make and amend and repeal bylaws and regulations not inconsistent with state law. And then they have a number of issues, a number of powers to execute their primary function in affordable housing, which includes tax-exempt bonds for example. The question as to the county's role or liability with respect to this entity, I do believe that it is a separate entity.

We have appointing powers. They are liable for their own actions. What I can't analyze at this point or respond to at this point is what contractual relationships the county may enter into or may have entered into with respect To our CSD department that has some housing funds. I don't know where there's an interrelationship, the CEO when we talked briefly indicated that we did have some contractual relations with the Housing Authority and when were those contractual relationships would have the same legal responsibility and duties as we have in any other contract.

So that's the extent of what we gleaned since this morning.

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UnidentifiedClerk of the BoardProposed · by role6:47:40 · ≈ 3:47 PM

Mr. Adam is that suffice or Certainly, Mr. Marshall could follow up with you with more information.

UnidentifiedUnidentified speaker 8Proposed6:47:47 · ≈ 3:47 PM

Well here's the crux of my problem and it kind of goes back to if they can sue and be sued that's nice but are we, my question I guess is are we anyway on the hook for any judgment that they might acquire, because they're out there. I mean, I don't know if anybody bothered to read the minutes of the Housing Authority meeting but here's one little excerpt. Motion was made by Commissioner Flack seconded by Commissioner Clow directing Mark Mannion Legal Counsel and Frederick Lamont Secretary to send a friendly legal letter to Mr. Fink and the Lompoc Record Editor educating them regarding the misstatements in the article, and it goes on to say that they should take some action as this would likely continue.

And you know, I mean we're going to go write somebody a threatening letter? And trying to bridge their free speech? I don't know. Who's Mr. Mannion, Mark Mannion? Do we know who he

UnidentifiedClerk of the BoardProposed · by role6:49:04 · ≈ 3:49 PM

is? He's an attorney.

UnidentifiedUnidentified speaker 8Proposed6:49:05 · ≈ 3:49 PM

He's a private attorney? He not our guy?

UnidentifiedClerk of the BoardProposed · by role6:49:08 · ≈ 3:49 PM

No.

UnidentifiedUnidentified speaker 8Proposed6:49:09 · ≈ 3:49 PM

Okay perfect.

UnidentifiedClerk of the BoardProposed · by role6:49:10 · ≈ 3:49 PM

It's a private firm.

UnidentifiedUnidentified speaker 8Proposed6:49:12 · ≈ 3:49 PM

Alright. That just rubbed me the wrong way.

UnidentifiedUnidentified speaker 2Proposed6:49:18 · ≈ 3:49 PM

Mr. Chairman, what I can do is... The language here speaks and calls this out as a corporate and politic public body that's arcane language which to me means separate legal entity but we can do some further research and identify whether a county or city has ever been held responsible for the debts malfeasance or misfeasance of The entity. I'm unaware of any, but our research and the time we had didn't delve down into any cases.

But we can do that and share it in an opinion letter with your board.

UnidentifiedClerk of the BoardProposed · by role6:49:54 · ≈ 3:49 PM

Thank you.

UnidentifiedUnidentified speaker 8Proposed6:49:54 · ≈ 3:49 PM

Thank you.

UnidentifiedClerk of the BoardProposed · by role6:49:55 · ≈ 3:49 PM

I would say unless Mr. Adams feels it's urgent in the next few weeks, couple weeks or so, unless it's really urgent? No. All right. Is there a motion to approve the item nonetheless? Motion has been made. No, we did it. We trailed it. Second. Further discussion? No public speakers. All those in favor? Aye. Opposed? Abstentions? Great! That concludes our business. I will adjourn our meeting.

¶¶

6:51 – 6:511 turns

UnidentifiedClerk of the BoardProposed · by role6:51:11 · ≈ 3:51 PM

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