UnGovr Transcript
iHow this transcript is madeUnGovr transcribes the official recording with automated speech-to-text, separates speakers by voice, and matches voices to the seated roster. Names and attributions are AI estimates and may contain errors.Verify any quote yourself: click anywhere in the transcript and the official video jumps to that exact moment, so you can check any quote against the recording.0:02 – 0:057 turns
Good morning and welcome to our October 10th, 2017 meeting of the Santa Barbara County Board of Supervisors here in the Santa Maria Hearing Room. And Mr. Allen would you call the roll please?
Mr. Williams. Here. Ms. Wolfe. Here. Mr. Adam. Here! Mr. Lavinino. Here Mrs. Hartman.
And may I have a motion to approve the minutes of October 3rd, 2017?
So moved.
Second? All in favor say aye. Aye. Any opposed? The minutes are passed. Do we have a CEO's report today, Ms. Miyasato?
Chair Harmon and board members we do just some quick announcements for this week before we start the meeting there's several public meetings coming up we wanted everyone to be aware of the County Water Agency is holding two meetings this week to receive input on its preparation of the integrated stormwater resource plan That's a meeting tonight and a meeting on Thursday in Santa Barbara and then one in Santa Maria. Tomorrow, Community Services is hosting a first-time homebuyers workshop for anyone living in the South County. It's at 5 p.m. in the hearing room in Santa Barbara. Attendees must RSVP. Planning & Development is presenting the draft EIR for the Cannabis Land Use Ordinance and Licensing Program this Thursday in Santa Barbara.
next Tuesday in Santa Maria. And County Parks held the first workshop to envision a new park near Highway 154 and Foothill Road. Two more master planning workshops are scheduled for the San Marcos Park on Saturday, the 21st and Saturday October 28th and you can see information on the parks webpage. Just to remind everyone to stay informed on our county news, the public can join our mailing list or follow us on social media which are all linked at the top right of our website and our homepage. Thank You!
Thank you. Any questions for CEO Miyasato? Okay, turning to our honorary resolutions we have four A10 through A13 with two to be presented today may I have a motion to approve? Second? All in favor say aye. Any opposed? So would you read A12 into the record Mr. Allen
0:05 – 0:116 turns
Chair Hartman, members of the board. Item A-12 is sponsored by our chair Supervisor Hartman this is a resolution reclaiming the week of October 8 2017 through October 14 2017 as National Fire Prevention Week in Santa Barbara County and our chief Eric Peterson is here and I'll go ahead read the resolution into the record Whereas October 8-14 has been declared National Fire Prevention Week as a time to reflect on our nation's past fire history, remembering the Great Chicago Fire of 1871 and how out of that tragedy a national interest in fire prevention and safety emerged.
And whereas in 2017 National Fire Prevention Week theme is Every Second Counts Plan Two Ways Out. This is so important it reinforces why everyone needs to have an escape plan. And whereas, a home fire escape plan includes two exits from every room in the home, a path to the outside from each exit, smoke alarms in all required locations and a meeting place outside where everyone in the home can meet upon exiting.
And whereas practicing home fire escape plan twice a year ensures that everyone in the household knows what to do in a real fire situation. And whereas the Santa Barbara County Fire Department is dedicated to the safety of life and property from all harmful effects of fire. Now therefore, I hereby order and resolve that this Board of Supervisors proclaims the week of October 8th through 14 as National Fire Prevention Week throughout Santa Barbara County and encourages everyone to participate in fire prevention activities at home, at work, at school, in all locations making this fire prevention week the beginning of a year-long effort to improve fire safety passed and adopted today.
Chair Harmon, board members I want to thank you for recognizing Fire Prevention Week in this really nice way. We have our fire marshal Steve Oaks here who has some remarks about what we're going to do for Fire Prevention Week and before I have him up here I just wanted to talk about the fires that we have going in the north of the state and down there in Anaheim.
You've heard us mention the California State Mutual Aid System and how effective it is. It really truly is the best in the nation We're lucky to be a part of it. At this point, we have 20 fire trucks out of the OP area at various locations in the state assisting in those incidents as they have come to assist with our incidents. Eight of those fire trucks are from County Fire.
We have various people from our Type 3 Incident Command Team that are integrated in the fires north and south so they're being fully utilized We are at drawdown right now so we won't be sending anything else out. As far as the weather goes, today is a transition day. We're expecting the weather to improve considerably over the next couple of days in the north of the state.
So hopefully that will have an impact on those incidents. Steve Oaks
Hi Madam Chair, members of the board. Thank you for this recognition and for the resolution. Our fire department mission statement says that we safeguard the community against fires, medical emergencies and natural disasters And we do this through leadership in planning, prevention, education, code enforcement and all hazard emergency response. And four of the five of those are part of my responsibilities as the fire marshal.
With the ever-increasing cost of fire suppression, it's upon us to look for fire prevention measures and things that we can do to help reduce that liability for us. This week is Fire Prevention Week however throughout the year we go out into the community and put on education programs such as the fire safety trailer where we take a a small home essentially on wheels to community, to the schools and to let them, the kids crawl around look for fire hazards and then practice getting out of smoke-filled rooms.
We participate in numerous career day and health fair activities at schools, and then also classroom tours at any of the 16 fire stations. And at many of the local elementary schools as well. For the adults we have a CERT training or Community Emergency Response Team. Training I'm And this year, the 26th annual Buellton, a little plug here, Buellton Fire Prevention Breakfast that we have. It's at 9 o'clock on Saturday.
It's central in the county. Everybody can be there. Everybody is welcome and we have that going on and it starts at nine o'clock goes till about 12. This year, the fire prevention week theme, as we saw from the resolution, Every Second Counts Plan Two Ways Out. It focuses on escape plans and home exiting but in light of all of the events that have happened over this last week or so it also speaks to just having an overall situational awareness and being cognizant of your escape route wherever you are, wherever you happen to be.
So I do appreciate and I thank you for this resolution.
Thank you, any questions? Where is the Buellton Saturday event?
It's at the Albertson Center right there off the highway.
Thank you Turning to A13, would you read that into the record Mr. Allen?
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Chair Hartman, members of the board item A13 is sponsored by Supervisor Lavinino this is a resolution proclaiming the month of October 2017 as Energy Awareness Month in Santa Barbara County and Dave Cross... Is Dave here? Dave is here from the Santa Barbara County Energy Watch Partnership and also Glenn Morris from the Santa Maria Valley Chamber. Anybody else you have come on up?
And I'll read the resolution into the record. Whereas, the county is an active member of the Santa Barbara County Energy Watch Partnership which is a partnership between local governments in Santa Barbara County, Pacific Gas and Electric Company, the Southern California Gas Company, and the cities of Santa Maria, Buolton, Guadalupe, Santa Maria and Solvang.
And whereas the Santa Maria Valley Chamber of Commerce serves as the implementer of the Santa Barbara County Energy Watch Partnership. And whereas citizens and businesses spend substantial amounts of money and resources for energy, it makes economic sense in good public policy to encourage energy awareness in Santa Barbara County. And asking individuals to take five minutes to review their daily routine to conserve energy empower others to take action and join together to save energy and money.
And whereas energy efficiency programs enhance our environment by improving air quality, reducing greenhouse gases and other pollutants and conserving natural resources. It's vital for communities to incorporate energy efficiency into everyday business practices in their personal lives. And whereas Santa Barbara County seeks to promote innovative methods to advance technologies in the design and construction of new residential and commercial buildings within the county And whereas energy efficiency improvements can be realized through the wise use of wise energy attitudes, behaviors and organizational decisions.
And whereas Energy Awareness Month is a national effort first proclaimed by the White House in October 2010. Now therefore it is hereby ordered and resolved that this month October 2017 is declared to be Energy Awareness Month to be celebrated in Santa Barbara County as employees residents of all ages and businesses throughout the community pass and adopted today.
We appreciate the recognition and the acknowledgment of our efforts on this area. I want to introduce with me Dave Cross, who is our program manager for the program here in North County, John Schultz with PG&E and Alma Briseno with Southern California Gas. The utilities are partners in this program in addition to the municipalities. The chamber has been involved in this program for eight or nine years now as the administrator You know often we're here with folks like these guys asking you to help us figure out ways to deliver more power, more energy to consumers and businesses in the community. But we believe in a balanced approach and so we also are here today to talk about Good morning. I'm very proud of this
Recognition and I just want to say that on behalf of Southern California Gas Company, I want to thank you for the collaboration that we've had. It's been great working with the supervisors in this area in order to bring our programs to those folks that are in most need. There has been a lot of work through you know, Energy Watch to provide some of the services to those who are more income qualified in areas of need. And so I really want to applaud the efforts that this organization has done as well as the collaboration that we've received from all of the supervisors in this county. So thank you and I look forward to having more of that in the near future.
Thank you. Good morning Supervisors, John Scholes I'm with Public Affairs of Pacific Gas and Electric Company. Thank you so much for this recognition. I would like to just say that PG&E appreciates the partnerships that we've got in Santa Barbara County starting with Glenn Morris and Dave Cross they do a great job with this program And then working with the supervisors, you've all been very important in the decisions that you make. We believe that the best kilowatt saved is a kilowatt not used and so we are strong advocates of energy efficiency. So just want to say thank you very much for this recognition today and look forward to continuing to work with yourselves as well as our partners in Santa Maria.
Thank you. Thank you for being here and Supervisor Williams?
I'm going to just take the liberty to say first of all, appreciate the resolution. Because John's up there, I'm gonna try and give you a softball question because we've been talking a lot about lately the ramifications of the difference of $10-$14 difference in your bill. A lot of people don't realize they could save $10 to $14 in their bill already if they just give you a call and ask for an energy audit or to take advantage of one of your other many efficiency programs. So maybe you might be able to pitch folks your website, or your phone number, or just direct them where on their bill that they can look.
0:17 – 0:198 turns
Madam Chair, members of the board, Dave Cross. I manage the program. It's very easy simply contact the Santa Maria Valley Chamber of Commerce and we'll get them headed in the right direction. Very easy to contact them but just an update just to let you know that since 2010 we've helped over 400 businesses in North Santa Barbara County and just this year over 30 businesses with over 1.3 million kilowatt hours saved That's enough to power 120 homes. So we're doing a lot of work, we're continuing on and we really appreciate working with the supervisors so thank you
Thank you, well done.
And I'll just add for those who are either here or at home, you know for residential customers we want you to take charge of your energy conservation and so you can certainly call us and basically my phone number is 805-595-6451 get it to me then i will give you to our customer reps and they can assist you in those efforts
thank you very much
I did want to pitch our customer assistance programs for both SoCalGas and PG&E. There is that 20% customer discount for those customers that are qualified on an income basis, there's also...and that's 20% off of their monthly customer bill on both utilities There's also a energy savings assistance program and that is a program that comes into a customer's home and looks at various You know, systems within their home both on the electric and the gas. And you know through this partnership something that we did that I feel is very important is we partnered with one contractor. That's almost impossible to do when you're you know with two utilities but we were successful at partnering with a contractor so that when folks are being visited they're not you know being Visited by two different contractors, because that sometimes causes confusion or lack of credibility.
So we've been able to do that in this area and that's something that we consistently promote while we're out there doing the outreach events that we do so successfully with you know with the supervisors and in their areas. So thank you.
Thank you.
Turning to the remainder of our administrative agenda, does any supervisor have an item he or she wishes to pull? Do we have any public items that people want to comment on?
No requests to speak this morning on the administrative agenda from the public.
0:19 – 0:279 turns
OK. May I have a motion to approve the balance of the administrative agenda? So moved. Second? Second. All in favor say aye. Aye. Any opposed? approved so now we're turning to the time in our agenda when any member of the public can comment on items that are not on today's departmental agenda do we have any speaker slips mr. Allen
chair Harmon and members of the board we have two requests this morning from Santa Barbara so we're going to go there remotely for Ed Kolaski to be followed by Brian Rosen
I need to put my drawing up, Ken. Can you hear me?
We can.
You can hear me?
We can and we can see your drawing as well.
Okay, thank you. When I started this off, I got a chance to meet with General Wolfe, my 2nd District Supervisor and I pointed out to her that there were on numerous occasions that SBAR had violated the law. I expected her to be somewhat embarrassed by the fact that you're running a group down there that has no respect for the law She wasn't the least bit embarrassed.
I asked her to explain why we were kicked out of the meeting in 15 seconds. We had a 5-2 vote in our favor for our project prior to this meeting and yet they kicked us out. I asked her to explain why Dylan kept jumping up and screaming at us that we couldn't even ask a single question. She not only hasn't explained any of this, she came into the appeal in the next day or so and praised SBAR for their actions.
Which implies that perhaps she was responsible for those actions. And yet she has not explained how we violated guideline 4.7 By locating our second story solely over the garage. When it's over the garage, the kitchen, the dining room and part of the living room in a laundry room? How can we fix it? I've talked to other architects and they think I'm crazy to even suggest that it's solely over the garage.
You are the leaders here! The five of you! We got like one leader, one corrupt and three Put the other drawing on, Ken. See no evil, hear no evil and speak no evil. You are our leaders. You are supposed to take some action. When we get kicked out of a meeting that we paid for within 15 seconds this is clearly against several laws. It's basically now called a scam.
You charge us to show up and then you kick us out and you collect our money. When is somebody going to correct the situation? You know, I hear from a lot of people that no, I would never fix our house or remodel our house because I would never want to go through what you are going through. It's well known. I had people come up to me before I even started and they said wow they're all corrupt. Well, I find out they're not all corrupt but we got the three monkeys there When is somebody going to take some action?
This has been going on for years. Thank you. Silence is consent.
Our next speaker is Brian Rosen
Hello members of the Board of Supervisors. Every meeting you start with a Pledge of Allegiance and quite frankly I don't like it. I was listening to Dennis Kucinich and Jesse Ventura and gave me, I really liked what they had to say that Jesse Ventura forced patriotism is not patriotism at all its nationalism And there's no law that says we have to pledge the flag.
But there is a constitution which constantly gets weakened, our law of the land by our government. We need to uphold the constitution. I don't believe in forced prayer. In the old days people had to pray in a certain way or they'd get in big trouble. Now they're supposed to be patriotic in a certain way. Perhaps Samuel Johnson said, patriotism is the last refuge of the scoundrel. Well I believe in patriotism but I think we have to and there's truth in that because a lot of our politicians are betraying their country while they're saluting the flag.
But I believe in patriotism and we need to do it in an appropriate way. in our own way that we feel led to. But your first and foremost duty is to defend the Constitution, and all these little resolutions are coming up, and that's well and good, but look what's happening in Washington. Our Constitution's being attacked. We're on threat of a war with North Korea or a bomb killing a lot of people, maybe a nuclear exchange. You should be doing, it's your first duty to defend the Constitution. You should be speaking out against Trump and every city in the country should be doing the same. Here is the Constitution I'd be glad to give you a copy of it.
You know, if you're too busy, you're doing, I think you all mean well. I was maybe a little mean on Doss last week. He's really good on the environment. And that's very important and I'm going to go on with some good points about Doss. He was very weak on the Constitution, and I'd like to talk with him about that sometime The environment is extremely important.
I wanted to talk about conservatorship, in our own county our constitutional rights are being, the elderly and others are being trampled on so it's your duty and my duty as a citizen to put a stop to this, to speak out and this poor William Entay has been wrongfully put under conservatorship for so long And he's completely independent, he's not barely allowed to see his mother. She had to spend like $200 an hour to see him supervise visitation. It's crazy! It's a gang of thieves. They're trampling on our constitutional rights and freedom. This man is completely independent.
So let's start defending our constitutional rights, our rights to life, liberty and the pursuit of happiness. This is your highest duty and please for God's sake speak out against Trump. We need your help we need divine intervention I'm sure in a lot of these things. Thank you very much
0:27 – 0:315 turns
We have one additional public comment speaker.
And before you, if you could just come up and speak and then fill out the slip later.
Sorry I'm late. In February 2010, my son William's plans for the future were halted abruptly when he was kidnapped by my former spouse Dr. Philip Enti and Tri-Counties Regional Center. William was secretly placed into a level 4 group home for developmentally disabled youth against his will and without the evaluation and hearing required by state law. This placement was also in violation of our divorce agreement, which stated that any such placement must be approved by both parents. Tri-County's Regional Center also violated state law and are guilty of a misdemeanor by approving and funding this placement having the knowledge that I was the primary caregiver and that we shared custody of William. Most importantly, William's rights were violated by this involuntary confinement.
Dr. Ente's pattern of isolation and abuse continues unabated, and I've been isolated from William for the past seven years. As William approached his 18th birthday, Dr. Ente filed a petition to become the Liberty Conservator at William. These actions were concealed from me as was the notice of having hearing received by my daughter and I two days after the hearing had taken place. The position for conservators violated the probate code four times by not giving notice to the relatives in a required time period, and by not facilitating William's mandatory presence at his hearing. The court investigator said he was unable to make contact with me although I've lived at the same address for over 30 years therefore I was not interviewed as required.
However in the report issued after we had interviewed William the court was made aware of that I was not interviewed. William opposed the conservatorship and asked to speak to an attorney William's preference was for me to be the conservator. William opposed his placement in the Groove home. William's sister opposed and described the home as a punishment home. Tri-County's regional center described William as overall self-sufficient, then in complete disregard of his findings Daniel McNamara recommended to the court that William be placed under the conservatorship of Dr. Enti. Judge Art Garcia, the initial judge, recused himself from the case but prior to his recusal He dictated that prior to the granting of conservatorship, proof of service shall be...
that notice of the hearing had been served and shall be shown. And also William's preference for me to be the conservator should be addressed. Approximately 45 minutes later Judge Staffel was assigned to the case He placed William under temporary conservatorship and approved ex-party permanent conservatorship. By the immediate granting of conservatorships without investigation, Judge Stafford proved at least 11 violations and irregularities. He also disregarded the probate code five times. Now the conservatorship has been placed seven years and although California's Assembly Bill 1085 clearly states that every adult in the state has a right to visitation, I am still fighting this issue. William has been violated- William has been isolated from me despite requests to see me noted and served to the court via the court appointed investigator.
Judge Staffel continues to restrict my visitation allowing only restricted supervised visits in the dismal resident for one hour every week I better go because I've done my three minutes. Thank you.
That concludes public comment.
Thank you, so turning to our departmental agenda today are we ready to go with item number one? Okay. We're going to start with item number two would you read that into the record Mr. Allen?
0:31 – 0:418 turns
Chair Hartman and members of the board item 2 is from social services this is a hearing to consider recommendations regarding the Child Welfare Services 2017 annual update
Thank you Mr. Nielsen
Good morning Chair Hartman and Supervisors As I promised in 2016 when Terry Nisich and I presented our response to the Child Welfare Safety Net Task Force Report, the department is now making an annual presentation to your board on the performance improvements, outcomes, challenges, and systemic issues we have in child welfare. To include our activities and outcomes associated with the California Child and Family Services Review.
This is our second annual presentation. With me today is Deputy Director Amy Krueger. Amy will be making today's presentation.
Here's the clicker. Is there a way to do it on
the clicker?
Thank you. Good morning Chair Hartman and Supervisors, today we will cover a snapshot of updated Child Welfare Services statistics as well as an overview of the Child Welfare Services System Improvement Plan Additionally, we would like to provide an update to the board on two critical issues continuing to impact child welfare services. The continuum of care reform and commercially sexually exploited children We will also give an overview of the California Child Welfare Core Practice Model This is a snapshot of some of our recent caseload data from calendar year 2016 The good news is that the number of children in foster care continues to decrease, averaging 406 down from an average of 431 in 2015. Another area of improvement is the average time children and youth spend in foster care, averaging 14.7 months down from 18.1 months in 2015.
Finally, the majority of children in foster care continue to be placed in family-based settings with the highest number of them in placements with relatives and nonrelated extended family members. The number of children in group homes continues to decline and we will discuss our efforts in that area more fully later in our presentation Here is an update on our CWS staffing levels.
Although the number of social worker positions were reduced from fiscal year 15-16 to 16-17, the reductions were in unfilled positions. In addition there were reductions in administrative support positions including administrative office professionals and department business specialists. As the reductions were to support staff it did not increase caseloads directly.
However, increased time spent on administrative tasks does mean less time available for primary case management responsibilities including face-to-face contacts. The Child
Welfare Services... Can I just ask a question about that slide? Who does recruitment of those? Who recruits resource parents? Which of those categories does
that? A department business specialist in our Child Welfare Services staff is the primary person responsible for that activity, and we also have some contracted community-based recruiters who he works with. The Child Welfare Services Outcome and Accountability Act of 2001 required the establishment of the California Outcome and Accountability System. Through this system, the state is able to ensure conformity with federal child welfare requirements, determine what is happening to children and families as they are engaged in child welfare services, and assist counties with enhancing their capacity to help children and families achieve positive outcomes.
The act also increased oversight of child welfare services by requiring all system improvement plans be approved by the respective Board of Supervisors every five years and be made available for public comment. This item will be coming before your board in November. The System Improvement Plan is the culmination of the California Child and Family Services Review process, which consists of a county self-assessment and a peer quality case review.
Child Welfare conducted its self-assessment in partnership with the Probation Department between September 2016 and February 2017 We focused on obtaining extensive input from our many public and private partners, believing that their knowledge and experience were critical in identifying the strengths, needs, and gaps in our service delivery system. The process focused on soliciting feedback from the stakeholders who are integrally involved in promoting the safety and well-being of children and families in our community from groups such as the Kids Network, Child Abuse Prevention Council, community-based organizations, service providers and child welfare and probation staff.
In addition several focus groups were held during the peer review including transition age youth, parents and parent partners and the Child Welfare Services Leadership Team The Peer Quality Review process is conducted by child welfare and probation peers from neighboring counties, as well as state social services representatives. Our peer quality review focused on timely reunification and was conducted in January of 2017.
In total more than 100 people representing the public private and consumer sectors participated in the process which was used to inform the self-assessment. We extend our deep appreciation to the many people and agencies that devoted considerable time and effort to this process. As can be seen by this slide, the California Outcome and Accountability System provides a robust system of federal and state oversight in order to measure these seven outcomes.
There are seven federal measures associated with the outcomes. In the area of safety we strive to ensure children are first and foremost protected from abuse and neglect and safely maintained in their homes whenever possible and appropriate. In the area of permanency, that children have permanency and stability in their living arrangements. And there is continuity in family relationships and connections.
And in the area of well-being, that families have the capacity to provide for their children's needs, and that children receive the services they need to meet their educational, physical, and mental health needs. In addition to the federal measures, there are also 15 California data measures. We will be covering three of those measures here today. This slide shows our performance on the seven Federal Children and Family Services Review Measures, as well as the three key California measures.
Performance on these measures reflects the critically important work that our social workers and supervisors perform on a daily basis. We consistently prioritize the safety and permanency of children in these key areas. In the two safety measures, maltreatment in foster care and recurrence of maltreatment we consistently exceed the federal standard. In the area of permanency although we have not been able to meet the standard for permanency in 12 months we consistently meet it in the 12-23 month and over 24 month time periods This is largely due to systemic factors such as court continuances, as well as time frames associated with complex issues such as substance abuse and mental health treatment.
In the area of reunification in particular moving to permanency too early can also lead to an increase in the fourth permanency measure which looks at re-entry to foster care another area that we are exceeding the federal standard The final permanency measure, placement stability is another area where we have struggled to meet the federal standard. While we strive to minimize the number of placement moves for a child systemic factors such as the practice of placing children in shelter care initially before being placed with a relative or long-term placement contribute to the number of moves We also consistently exceed the performance standards on the three key state measures for timely investigations and permanency.
This is another top priority for our staff, as timely investigations and visits to children in foster care placements are an important component of ensuring child safety.
0:41 – 0:5616 turns
Supervisor Wolf. Thank you Madam Chair, so this first of all these last three measures this was obviously a good thing to see but Is this just as it relates to visits to foster care homes? In other words, do we have a measure of timeliness if there is an abuse or neglect case that's not necessarily in foster care?
A measure for visits to children who are still with family. The timely investigation. So the timely investigations are the timeliness to our first response to an allegation that we've received of abuse or neglect? Okay, so it's not just related to foster care
placements.
No, the first two are related to investigations whether they're an immediate response or a 10-day response. So that's those first two reflect our timeliness in those two areas when we're responding to allegations of child abuse and neglect. Okay yes thank you.
Supervisor Adam?
Thank You. Ms. Krueger can you tell me How these, especially these last three, we'll get to those first and then we'll talk about the others. How do we get over 100% on those?
The federal and state standards for those, the last three are the 90% and 95%. And since we exceed those thresholds our performance is actually considered over 100%.
It's 110% of the standard. Yeah Yeah, they're comparing it to the standard.
It's just a way to try and make our performance uniform so you can see because they all have different thresholds so it's hard to put in context so that performance related as a percentage just kind of shows where we are either if we're not meeting it that were at 80-90 percent of meeting it or if we've met it have we met it or exceeded
it? So 110% would actually equal 99 That's the, okay so now I get it. The Santa Barbara County performance is 99.1 so that gives you 110% of that? Okay all right good deal thank you.
The focus areas chosen for the System Improvement Plan are based upon the information learned from the County Self-Assessment, the Peer Quality Case Review and aligned with the strategies of the State of California's Program Improvement Plan. Many of the strategies included in the System Improvement Plan are also in alignment with the recommendations of the Child Welfare Safety Net Task Force report.
In particular, strategies which address the need for strengthened collaboration and communication, support for increased trauma-informed training, promotion of reconciliation, and increased resource family recruitment, retention, and support. Our first focus area of the System Improvement Plan, Permanency Within 12 Months is about achieving permanency for children in the form of reunification, adoption or guardianship.
The federal goal is that 40.5% of the children will achieve permanency in less than 12 months. Although we are not meeting the federal standard, we have continued to make improvements in this area specifically in the area of reunification. Our second focus area of the System Improvement Plan, Placement Stability is about keeping children in stable placements and minimizing the number of placement moves in the selected 12 months.
The federal goal is that the rate of placement moves will be less than 4.12%. It is important to note that this standard does not represent 4.1 2 placement moves per child rather it is a calculated rate based on several data points It is also important to note that while this measure considers stability, it does not take into consideration positive placement moves that may improve the overall outcome for children.
For example when a child in a group home is stabilized and placed with a relative or when a child who was taken into custody and placed in emergency shelter is placed with a resource family. The outcome is positive for the child however the placement move has a negative impact in terms of the county's performance in relation to this outcome measure Having completed our county self-assessment process, we are in the midst of preparing our system improvement plan with the Board of Supervisors approved five year system improvement plan due to the state December 1st of 2017. This item will be before your board in November.
One of the updates we want to give you today is regarding commercially sexually exploited children. Since 2014, our department has been working to address the emerging and critical concerns of the commercially sexually exploited children's population, a concern shared by the Child Welfare Safety Net Task Force. With the passing of SB 855, Child Welfare Services has been able to better assist exploited children.
When a referral alleging commercial sexual exploitation is received at the child abuse hotline, Child Welfare Services conducts an assessment to identify the risks and needs to the child and or their families When a child has been identified as a possible victim of sexual exploitation, a multidisciplinary case staffing involving the district attorney, juvenile court and behavioral wellness occurs to assess how to best meet the child's needs.
I cannot emphasize enough the incredible collaboration between our various departments and community-based organizations in this critically important issue. SB 794 passed in 2016 added new requirements focused on implementation of policies and procedures to identify, document and determine appropriate services for children and youth who are victims of or at risk of commercial sexual exploitation.
Further, it requires child welfare to implement protocols to locate missing children and youth as well as new reporting requirements to law enforcement for any known or suspected instance of commercial sexual exploitation of children or youth in foster care. We continue to participate in the District Attorney's Human Trafficking Task Force and have established a commercially sexually exploited children steering committee. The Steering Committee, led by Child Welfare and comprised of Probation, Public Health, Behavioral Wellness, the District Attorney, Rape Crisis, and the Juvenile Court have finalized an MOU to further help serve this population as required by SB 855 The current focus of the Steering Committee is to operationalize the First Responder Protocol.
We are in the process of training first responders on the use of screening tools and protocols. The Steering Committee also sees the CSEC allocation expenditures in alignment with identified areas of need such as specialized staffing or services. In our county, a diverse group continues to work together to address this incredibly important issue. This has been a huge undertaking and impressive demonstration of how multiple agencies are able to come together and focus on the needs of this critical population.
Various collaborations and programs such as the Human Trafficking Task Force, Resiliency Interventions for Sexual Exploitation known as RISE, Rape Crisis, Victim Witness, and CALM continue to work together to this end. Development of local services and placement resources continue to be a top priority. Placements for this population are extremely limited throughout the state, and we are very fortunate that through all of these collaborative efforts plans for a specialized CSEC program in our county are nearing completion.
A letter of support has been provided for the program, and the application for the short-term residential therapeutic program has been submitted to Community Care Licensing for review. Another update we have for you today is regarding Assembly Bill 403, which implemented continuum of care reform. The continuum of care reform draws together a series of existing and new reforms to child welfare services, probation and mental health programs designed out of an understanding that children who must live apart from their parents have better outcomes when cared for in committed nurturing family homes.
Continuum of Care Reform seeks to further improve California's child welfare system outcomes through increased engagement, limiting congregate care and increasing the availability of services and supports in home-based family care settings. As of January 1, 2017 all children who enter the child welfare system and require a foster care placement are required to have child and family team meetings at regular intervals.
Child and family teams are comprised of caring individuals committed to support the child, youth, and their families to meet their identified needs and goals. One of the guiding principles of CCR is that children shouldn't have to change placements to get the services they need. As such, there has been an increase in the array of services available to children and youth in their home-based family settings.
With the passage of Continuum of Care Reform a new rate structure for home based family care was created In response, a level of care assessment has been developed using five domains – physical, behavioral-emotional, health, educational and permanency in family services. The level of care assessment allows social workers to use a strength based approach to identify the individual needs of children and determine appropriate rate to support their placement in a family setting.
Children who cannot be safely placed in a family can receive short-term residential care with specific care plans and intensive therapeutic interventions and services to support transition to a family. In order to meet the challenges of continuum of care reform, the department has formed internal and interagency work group structures to develop a framework for cross agency teaming In order to ensure adequate capacity, we are working closely with Behavioral Wellness to support our local providers as they transition from a group home to a short-term residential therapeutic program.
This strategy aligns with the Child Welfare Safety Net Task Force's recommendation for development of short term mental health placements within the county for children with greater needs.
Supervisor Wolf.
You know, one of the recommendations or concerns that was raised by the task force as it relates to mental health services and I'm just reading from part of their report Mental Health Services and Occupational Therapy for Foster Youth and Families there was a suggestion that there be a blanket consent for services to be signed by the birth parents to avoid additional steps that serve only to slow down the process So as you're talking about the cooperative relationship with behavioral wellness, I don't know that this is the answer. But are you seeing any interruptions in ensuring that foster youth get the care they need without interruption?
Or are we seeing some problems with that kind of smooth transition to getting treatment?
In terms of, Supervisor Wolf through the Chair, in terms of consent we've worked with our juvenile court on the issue of the blanket consent and they're not willing to go to that at this time but they have agreed if we are unable to obtain a consent from a parent at the first hearing then we can ask for the order And the judge will authorize that. And that's what we've done so far and it's been working, and we haven't had any delays in getting that consent from the court when we need it. Okay thank you very much.
This slide reflects that the number of youth in group homes has steadily declined from 40 in September 2015 to 23 in July of 2017. Although we have made excellent progress in this area, we continue to see children and youth with high needs for support due to the severe complex trauma that they have experienced. Due to the high level of care needed they cannot safely be maintained in a family-based setting.
Another critical element for successful continuum of care reform implementation is increased capacity for home-based family care. Santa Barbara County was an early implementer for the Resource Family Approval Program, which created a unified approval process for relatives, guardians and adoptive parents. Effective January 2017, Resource Family Approval was rolled out statewide and now includes foster family agencies.
We have also increased the availability of trauma-informed parenting for resource families in our county in alignment with the Child Welfare Safety Net Task Force recommendations.
Supervisor Wolf?
I'm so glad. I just want to compliment you because that was a big issue from the task force, uh, that the resource families did need more support and training. So to see this, um, I just want to express appreciation. I think for the task force folks who worked so hard on this to actually see something come of it. And, um...so are you seeing? So they're being offered our Are they attending? Are folks attending these groups?
0:56 – 1:025 turns
Yes, Supervisor Wolf through the chair. It's very popular and it's something that our resource family community has asked for as well And so we've opened it up to every resource parent whether they're a new Resource parent or even if they've adopted and they're no longer resource parents We've opened that up to any caregiver That's caring for children in the system or who have left the system to support them in that
Excellent. And I you know, I think as also the positive line of seeing additional resource homes or foster homes, I think having this support is critical as well.
Yes. Thank you. Great. Thank you. We continue to see success with the Our County, Our Kids media campaign focused on resource family recruitment. Awareness of the need for resource families in our county continues to increase and we've seen a three-fold increase in the number of approved resource families. So Daniel's going to bring you up some of our outreach materials that we use from our Our County, Our Kids recruitment campaign.
So we've seen a positive response from our website with an increasing number of visits to our webpage, which we continue to improve with a detailed calendar of events, information and resources for both prospective and current resource parents. We've recently added an online orientation video and introduced a new online application process. We have also teamed with our local business community on the Inspire program, which provides a variety of discounts for resource families in order to support them in caring for children and youth.
We have over 35 businesses participating locally at this point and that's included in the folder there. There is a listing of businesses that have signed up so far. We continue to work to meet the challenges of continuum of care reform and overall believe that child welfare services is moving in a very positive direction. However, expectations around new mandates and improved outcomes must be carefully aligned with social worker practice as well as adequate funding in order to be successful.
Although we feel confident with our current levels of preparation for continuum of care reform implementation, we recognize that significant policy and funding decisions are still pending at the state level which will impact decisions as we continue to move forward in collaboration with all of our partners. We continue to track our progress in reaching implementation milestones Our final update is on the California Child Welfare Core Practice Model.
The core practice model is a statewide effort developed through an extensive vetting process with a wide range of stakeholders to develop and implement a framework to support child welfare practice, and allow child welfare professionals to be more effective in their roles. The core practice model is intended to guide practice, service delivery and decision-making to improve outcomes for children and integrates existing initiatives and practices such as those outlined in the KDA Core Practice Model and Child Welfare's Safety Organized Practice.
The core practice model defines practice at all levels and provides a framework for our underlying values and casework components. Further, it delineates how we do the work and provides examples of common practice behaviors. Finally, it provides guidance for behaviors at the organizational level to ensure supportive leadership for our staff. There are several reasons for developing and adopting the core practice model.
It allows us to define our work clearly, and align any new practices with what we currently do in order to more effectively serve children and families. The core practice model will also help us to identify what practice changes we want to make more carefully and systemically cutting down on initiative fatigue. Finally, it builds on the great work already taking place across the state by integrating common key elements of existing initiatives and proven practices such as the ones listed on the screen.
This concludes our presentation. We are happy to answer any additional questions you have at this time. Supervisor
Williams?
Well thank you for this meeting. One is the question of caseloads. In reading the task force recommendations, they seem to believe that the caseloads were too high and what's sort of happened since that time? And that may be affecting retention of our best employees. Getting worse, getting better since the task force recommendations. What is the state of things?
1:02 – 1:107 turns
Supervisor Williams to the Chair. I would need to look at our exact caseload numbers at this point, but generally I would say they've stayed about the same or declined slightly. We've seen as I had pointed out earlier in the presentation that our caseloads have declined with us improving on our permanency efforts and more children exiting care as well as our strong voluntary family maintenance strategy for keeping kids out of care. So as a result we have seen, we haven't had growth in caseloads.
And then their recommendation 10, the encouraged development of short-term mental health placements within the county dealing with children with greater needs Have we been able to do anything on that issue? This is a term of art, they put in parentheses level 13. That must be a designation of type of facility so tell me what have been the discussions about that or actions on that?
Yes, that came out of the task force's concern about the number of children that are placed in group homes outside of our county because within our county we have few group homes and the group homes we do have are not the higher level group homes, the 13 and above. So that was, that recommendation was a concern for those children. With continuum of care reform and then transition to the short-term residential treatment program that I had referenced earlier all of our local providers are having to convert to that short-term residential treatment program and so that is the highest level now through the state just short of any child that would need to be hospitalized So, we will now have our local providers will now all be at that level.
Assuming that they all convert. At this point we've had two providers who submitted their applications to Community Care Licensing with their...to convert to the STRTP We have one more that we're working with, who's on track to submit it by the end of the year. And then we have the new specialized CSEC program which is actually a new program to our county that has submitted an application as well so we anticipate that will actually even have greater capacity in our county for those types of placements and that'll allow us to serve the children in our community rather than having to send them outside of the community to get that level of care
And I was really pleased to see the numbers of improvement of interest in being a foster parent or resource parent. What is necessary to place all of our kids in county? It seems to me strange that, you know I know we're a county with one of the lower median incomes but we have, you know, a lot of people with disposable time in this county. You know, a lot of people with big hearts What's wrong with us if we can't place 500, 600 kids in a county of our size?
What do we need to do?
Supervisor Williams, through the Chair. We do have kids placed out of county but a number of them are placed outside of county for not because we couldn't place some here but because either they may be placed with a relative who lives outside the county and they're on track for permanency with that relative Some of the kids out of county are currently the ones who are in those group homes because we don't yet have the capacity here in our county.
A number of them are our older youth, our extended foster care over 18 population. A lot of them are outside of our county because they're attending a college or again living with their relatives in another area so it's...they're not all placed outside of county because we don't have you know the capacity in our county And that said, we certainly are working to improve the number of placements in our county.
That said, we still don't have enough foster parents to place in-county the ones that should be placed in county and I guess that's part of my crux of my question is that obviously you're making progress in that so you must know something about what is needed to improve that. And I guess what would be useful to me would be a breakdown of those out-of-county numbers, how many are those? Hey, if they're going to college, that's great. That should be us marked as a success not as a blot on our reputation.
But to me, It does make me a little bit question whether our big heart is real when we can't provide a good home for this small number of kids. And so I really want to understand what you guys think
we could do? Supervisor Williams to the chair if I may, to just interject a little bit additionally regarding your question and I think a piece that's tied into your question. Continuum of care reform throughout the state has caused counties to step it up a notch and really do everything possible regarding trying to find appropriate residential placements for children to keep them out of group homes and to get the ones that are in group homes stepped down if at all possible. But there is an element to the reality of the nature of some of the children that we currently have in group homes that will be transitioning into short-term residential treatment programs And yes, ideally our goal is to have as many of those as possible in county so that even if they're in that level of care they're still in our county.
But there are some of the children in our care that have issues that when we approach a family or even a relative and say you know are you willing to take this on with all of these supportive services You know, there's not always a yes at the end of that question or you know as an answer to that question because the nature of some of these children's problems.
And so the design of the short-term residential treatment program is that a child should be there no longer than six months and that intensive work should be going on during that time To get the child moved out to a residential family setting of some sort, and any extension of the child in that care requires the director's approval to go beyond six months. So there is going to be...
We believe in our system that we are always going to have some children that are going beyond those six months simply because They're doing the best they can be doing with treatment, but there's not a home willing to take on those issues. But it will always be a high priority to continue to work to achieve that goal because of that six month time limit and the requirement of a director review.
1:10 – 1:1712 turns
Supervisor Wolf? Thank you Madam Chair. On page three of your presentation, this was the CWS statistics snapshot. I appreciate seeing this. What might be helpful when you come back next year is to give us previous years data on these same items so we have an opportunity to compare. So if you could do that that would be great. The other thing I just wanted to Well you know Supervisor, well now Congressman Carbajal. You know he and I had recommended this task force and I know he would be very pleased to know that there is this follow-up.
It's a little...I mean we are...you are coming back in November with the update on the system improvement plan but I think it is important to have this update on the task force recommendations So I want to again express appreciation for that. One thing that just stands out and you know came up during budget because I really was concerned about the number of social workers that we had, particularly working with our kids.
And that was also an issue that was raised in the task force. They noted obviously the importance of caseloads and the probability that they would be doing much more paperwork which I think you mentioned in your opening comments. They also talked about the opportunities or the possibility of getting more efficient technology in the department. Is that something that has occurred, or has everything pretty much remained static?
And if so are there opportunities to enhance technology in your department?
I will, Supervisor Wolf through the chair. I'll start the answer to that question and let Deputy Director Krueger finish the answer but the child welfare system case management system that we've been living with for many many years and that Most considered to be pretty dysfunctional in many ways is in the process of being replaced. So there is at a statewide level, a child welfare new system that is being implemented with the gear of creating efficiencies in our system.
So that's one aspect of improved technology and then I'll let Deputy Krueger address what else she sees
Yes, Supervisor Wolf through the Chair. That was one of their primary concerns was the CWS system and we had at the time let them know that we were participating along with the rest of the counties in the state in trying to move that forward. The intake module is in production right now. They're testing it and it's scheduled to be released within the next six months It is an agile development process, so they'll be rolling out different modules as they're ready. But that will be the first one and we expect that will really improve efficiencies on our front end for our investigators. Very good thank you. Thank you for that.
Supervisor Lavagnino.
Thank you Madam Chair, I really want to thank you for the depth of the presentation. For me the number one is the timely investigation immediate response and having that over 99%. To me that's the most critical that first response that assessment that if a child is and I appreciate Supervisor Wolf flushing that out because I kind of was under the same assumption that was just in our foster care homes, so appreciate that.
This is this and I'm kind of linking number one we're going to hear in a little bit as well is I think both of these are really probably item three as well tracking information and finding areas improvement and then identifying those and measuring again and again and again Is where we get to progress, everything can't be seen in this statistic. But the fact that we're seeing over 99% of these kids in a timely manner when we first hear that there's a problem makes me feel better.
I know that 1% is the one we're going to hear about and it's 1% more than needs. We can't have one kid fall through the crack but social workers that are out there visiting these folks and making sure that these kids needs are being met so thank you.
Supervisor Williams?
So, sorry I'm still on recruitment do we have enough either in-house staff or people that we contract with to do the kind of recruitment that you think should be done
Supervisor Williams through the chair, at this point I feel pretty comfortable with the level we have. Like I said we have one full-time county DBS who's in charge of our recruitment and then we have two contracted recruiters. We also have other team members who step in and help as needed on big events from just from our Child Welfare Services staff. We're getting a lot of awareness through our consortium media Our County Our Kids recruitment campaign We're still kind of in the phase of building awareness. We're still seeing to continue to be reaching out and seeing more people, so eventually we may need additional staffing and will continue to monitor that but for now I feel very comfortable where we're at with our outreach efforts.
Maybe a supervisor or two, we can use our public relations to help too. Absolutely! Let me ask you Maybe a possible realm of disconnect. Could you venture a guess? I mean, I think one of my constituents asked for Santa Barbara School District how many these foster kids is in the Santa Barbara School District and like the answer they got was 14 and I don't understand how that's mathematically possible so either they don't know the ones that are there or Our kids aren't in school, I mean what's going on there?
I certainly couldn't venture a guess as to the Santa Barbara School District. At the end of September we had 366 children in care in our county and the majority are placed in North County. It tends to be probably close to 75% North County versus South County.
So maybe if I'm questioning whether we live up to our ideals, it may be a regionalized problem of not living up to our ideals. Wow. That's important. issue. I mean, in the South we really view ourselves as real compassionate people that do good things and if we're having a problem getting resource parents particularly in the South County, I think that's a real problem.
We'll try to get you out of the building safely.
1:17 – 1:2413 turns
And to be fair, the majority of youth come from North County so we do try as much as possible to keep them in their communities and their schools. So it might not be that there aren't maybe more homes there that could possibly take a placement but if we're able to keep them placed in their communities we strive to do that. So I'm sure there's a balance there between the two
I had a question about the community-based organizations and their role, and the county in its role. Particularly as it has to do with social workers. I served as a CASA for six years and in that role I was involved with an older child, but she was placed through a community-based organization and she had a social worker from that organization on a regular basis as well as the county social worker as well as the supervising social worker. And at least at her age it seemed she didn't like so many and then with the CASA as well it got to be burdensome in her mind. So could you address that for me?
I'm sorry, Chair Hartman. We have about 25% of our youth placed in foster family agencies and I think that's what you're referring to where they have their own social workers as well and typically that adds a little higher level of support because of the additional staffing that those agencies provide and you're right some Youth find that to be a lot. Some families also prefer not to have so many social workers and agencies involved, and that's why they choose to come to the county directly via County Resource Home. But some people really like the additional support especially with kids with higher needs. So we just try and factor that into our decision whether that placement is the best fit for the child or not.
But we really rely on those partnerships with our foster family agencies. A lot of them provide special kinds of placement services for either older youth, independent living types of settings or the intensive treatment settings so it's really important that we have a wide variety of different types of specialized settings. So
you set the number of visits and the number of workers involved based on the needs of the child or the family? Or is it standard across the board?
We're still required to visit regardless of the setting. Our mandate is always to visit them at least monthly. We try and coordinate with those when we have multiple social workers, we try and coordinate as much as possible so that the child and family aren't having to have two separate visits or tell this story twice you know to two people. So we try and coordinate so we have one visit between both agencies in the child and family.
Do we have a success measure for them for the How long a particular social worker stays with the child? In my experience, that was a really difficult thing for the child I was working with because not only did she have many different social workers from the different supervising and then the different agencies but they kept changing every three to six months so she had to keep telling her whole story and meeting more often as a result of that.
So do we have a success measure for stability in social workers or... 10-year duration?
Chair Hartman, that is not a measure that we have. It's not state or federal measured and we do not have an internal measure. We do strive to minimize changes in social workers but it is challenging because...
And a function of many external factors. Exactly. Administrative overhead and just the stress of the job, the pay etc.
And as well as programmatically, they specialize in different areas. Child Welfare Services is such a complex system and it takes so long to learn the different roles within Child Welfare Services that it's divided up into investigations or those working with older youth. They all have their areas of specialization. So as a child and family move through the system, in order to provide them the services they need, a lot of times the social worker will change depending on where the family is in the process.
And just one final question, what are the drivers? I've been listening a lot about the opiate epidemic and what an impact that is having across the nation. Can we identify what some of the key reasons are for families having to give up their children or take their children away?
Chair Harmon, yes. The majority of families that are involved in our system are involved as a result of neglect as opposed to abuse and primarily that's regarding substance abuse mental health domestic violence and other factors related to those issues, but that's primarily what we see. And those are chronic complex issues and that's why we have such difficulty in reunifying within 12 months is because it takes a long time to work through all of that and get a family stable and in a place where they're able to safely care for their child again. Thank
you Supervisor Williams
Yeah, I mean this is only one person's experience. My wife did her internship at Casa Pacifica which down in Ventura County and every one of her clients every single one for a year and a half it was back to parental substance abuse, crystal meth, heroin some opiates but mostly those two I was going to just follow up on Supervisor. Mr. Hartman's point, I mean how difficult would it be to really track the changes in social workers and the continuity between social workers?
Obviously there are times when you've got to switch staff but of course you have some staff that are trained in doing more than one function that could follow in some cases and at very least it would tell us Whether we're getting better at it or getting worse at it. I would think that could be really valuable, especially the kids that have a large amount of trauma going through their whole story again does re-traumatize them. It's not all good always to talk about it and it seems to me that would be something that we should follow.
1:24 – 1:3920 turns
Okay seeing no more lights up here you can think about that we may come back to that next time. Are there any public comments on this item?
No speaker slips.
Supervisor
Wolf and then Lavinino.
I was just
going to make a motion, well first of all thank you again to both of you and all the folks that are back in their offices and out in the community serving all of our kids in the county You're doing an excellent job and a difficult job. So I thank you, and with that I would like to move acceptance of this report.
All in favor say aye. Aye. Any opposed? Report accepted. So turning now to item number one on our agenda, would you read that into the record Mr. Allen?
Chair Hartman and members of the board, item number one is from behavioral wellness. This is a hearing to consider recommendations regarding a psychiatric health facility update.
Dr. Glykar?
Good morning Supervisors. Before I get started here this morning, I want to take a moment to recognize some of our partners that are in the room here today. First I'd like to do an introduction with Marianne Baranueva who is our Director of Nursing and oversees the majority of staff at the Psychiatric Health Facility She joined us in April and we're very pleased to have her as a member of our PUF staff and of our department overall.
I also, before I begin want to acknowledge the participation of a number of people who are in the room. Here they are, they're all here actually. Puff Governing Board, yes! So I want to recognize Assistant CEO Terry Mosnicich who is the chair of the Puff Governing Board and in addition we have all of our members here If you guys could stand maybe so people know who you are. Jeanette Powell from General Services, Vincent Wasilewski from the Sheriff's Office, Yvonne DeRionosa from Public Health is here and then our supervisor appointee Steve Lavagnino and then our alternate is Janet Wolfe and did I get everyone? I did okay very good I'm here today.
because our objective in the department is always to get our clients to the highest functioning level possible in the least restrictive setting. Sometimes, in periods of crisis, the psychiatric health facility is the least restrictive setting possible for people and we're here today to give you an overview of the activities overseen by the PUF Governing Board at the PUF in the last year This item is on the agenda because your board established a PUF Governing Board a year ago, August 30th 2016 and required the PUF Governing Board affectionately known as PGB to make annual reports back to the full Board of Supervisors which retains the authority to set general policy on fiscal and personnel matters within the county.
This presentation will provide information about specific activities undertaken by the PUF Governing Board that improved operations and policies at the PUF in the past year. We will also ask that the Board of Supervisors expand the PUf Governing Board from five to seven members today. Let's see, there we go. So today we're going to cover general activities of the PGB, PUF medical staff issues, quality of care, program activities and concerns, and facilities operations and improvement.
So what is the PUF? The PUF is a 16-bed acute psychiatric inpatient hospital facility serving severely mentally ill Santa Barbara County residents. PUF stands for Psychiatric Health Facility and our PUF is licensed by both the Federal Centers for Medicare and Medicaid Services, also known as CMS, and the State Department of Healthcare Services so this is one of the few puffs that is duly certified in the state of California. So we're known as a super puff because of that certification and so essentially, we have a license from the State Department of Health Care Services and then additional designation eligible under the health and safety code to participate as a hospital in the federal Medicare program if we meet all of the conditions of participation for that So what this means is we can take people in our facility that are over 65 and that are covered by Medicare.
If we didn't have that designation, we wouldn't be able to take people over 65 in a PUF facility in our county. To maintain our eligibility to participate in that Medicare program, we're subject to inspection approximately every five years by CMS. And we also have ongoing reviews about four to six unannounced visits every single year. This means that we have to maintain kind of a constant state of readiness to be able to participate in an inspection at any time. So we have invested a lot of time and energy in being able to be prepared for these unannounced visits, and have this ongoing state of readiness.
PUF has about a 50-50 mix between North and South County in terms of the patients that we see. And about one-third of our clients have either Medicare only or both Medicare and MediCal, which comes to about a third of clients overall totaling about $800,001 million each year in revenue from that source. What happens at the PUF? What is it like at the PUF. Well a day at the PUF involves a number of different activities for the clients who are there At 8 a.m., we begin our multidisciplinary team meetings, which will involve doctors, social worker, recovery staff meeting individually with each client and that's the activity that begins the day. Treatment planning is done, updates on progress, interactions with clients about their medications and other issues would happen during that time.
We have structured meal times and snack times There is outside recreational time in our puff yard. We have a community meeting with patients both in the morning and in the evening, and then we have a lot of different holistic group activities that may include stress management, pet therapy, art music therapy. education about medication and legal rights, participation in AA and sobriety support as well as information on discharge planning and other kinds of activities.
That didn't go anywhere let's try again Okay, I also wanted to touch a little bit about how our patient acuity interacts with our staffing patterns. Because I'm sometimes asked well how many people work at the PUF or are on at any given time and the answer is well it depends. We really staffed to the level of acuity of the patients and we conduct a daily, twice daily actually calculation on the level of acuity of the patients in the PUF at that time and then the level of staffing needed based on that census. So, acuity is the measurement of the intensity of nursing care that is required for each patient's individual level of need. So when we have an increase in patient level of need, our staffing needs also increase. So different things can impact the level of staffing that's required so a client who has a seizure disorder or requires one-to-one observation, clients who are medically noncompliant with their medication regime anyone who has wound care requirements specific risks with suicide aggression elopement victimization, risk of falling.
All of these things could influence whether we require a higher level of staffing during a particular shift.
And Supervisor Adam has a question. Oh I'm
sorry. When you say elopement what exactly do you mean by that?
If a client wants to leave the facility against medical advice and attempts to escape from the facility, that's what we mean by elopement.
Okay they're not going to run off and get married?
They're not going to run off and get married necessarily but trying to leave... It could happen I'm not saying it's not possible but no we don't mean that sorry. So anyway, we complete our acuity reports twice daily once for each 12 hour shift and if we find that our acuity has risen then we will actively bring in additional staff to meet that need. And we do have to remain nimble because as I say that can change at any time
Supervisor Wolf. Thank you, Madam Chair. One thing I've come to learn but I'm not sure if it's fact or not and maybe you can help me with this that sometimes if there is a greater need at the PUF for nursing staff that you might look to the other unit, the crisis stabilization and bring nursing staff from there over to the PUF which then means that the crisis stabilization doesn't have enough nursing staff.
Hence you're not going to necessarily see enough people coming into the crisis stabilization unit. So first of all is that accurate? And if it is accurate is there a way that That there's another option available, such as on-call nursing or something like that. That would ameliorate that potential problem if it is a problem.
Supervisor Wolf through the Chair what we have done is cross trained our staff in our crisis system so that there is the ability to flex staffing according to need but what typically happens when we have need for additional staff is that we will go through our call list and we will also call our locums agencies to try to bring staff in to meet the immediate need of that shift.
On very rare occasions, we've had to shut down one unit in order to maintain staffing at the hospital. And that is in part due to the fact that we don't have a ready pool of per diem nursing staff. We have a number of staff who are hired as extra help, but during critical times like the holidays or if there is a flu epidemic and many staff are out sick simultaneously and even sometimes you know during high vacation periods in the summer it is a scramble sometimes to make sure that we have enough staff to meet the acuity needs. Per diem staffing has been something that we've tried to pursue because we do have a number of retired staff in the area that would be willing to come in on a per diem basis, but we haven't been able to accomplish that yet.
Thank you, if I could follow up. CEO Miyasato is that something that we can look into? What are what what is holding up that process because I'm at a loss as to why we can't right why Director Glaghorn can't move forward with getting per diem nursing staff and and honestly the notion that we might be closing another facility to staff I don't think this is, especially if we have a possible opportunity to solve the problem. So is that something you could look into?
Supervisor Wolfe to the Chair, I believe this has been brought up with HR and they've been looking at it and if it hasn't happened I can talk to them. One issue we always have to be mindful of is working with our labor unions on some of these changes so that I believe is maybe one of the factors.
Okay, if we could just get a follow-up on that, that would be helpful thank you
1:39 – 1:457 turns
Supervisor Wolfe through the chair, I do understand that the director of HR Lori Gentles has a work group and some of the topic involved in that is this kind of staffing pattern. Okay. Involved with renewed...I believe it's part of the renewed 22.
Okay
well
let's not let's hopefully not wait till 2022 thank you
okay all right let me get organized here All right, so one of the significant improvements to the operation of the PUF over the last 18 months was the establishment of the PUF Governing Board and the improved government governance structure overall. Essentially a governing board was formed with the offices listed on the slide, I've already introduced the individuals who are filling that role for the PUF Governing Board And today we are also requesting, or the governing board is requesting that two additional members be added. As you can see from the list of membership, we've really tried to pull in county partners who have a direct investment and interest in proper functioning of the psychiatric health facility. So certainly the Sheriff's Office, Public Health, General Services works very closely with us and of course the Assistant CEO and a member of your board.
The PUF Governing Board is requesting that we include two other members one representative from the public guardians office because many of the patients who come through the PUF end up working or being clients of the Public Guardian's Office and also a public health medical doctor so that we have additional medical expertise actively participating as a PUF Governing Board member.
We also are, we also have as part of our governance structure the PUF Medical Practice Committee which has oversight to the functions of infection control, pharmaceuticals and therapeutics, utilization review and credentials. This new structure which also includes QAPI as you'll see on the next slide has really significantly increased our efficiency. Sorry I'm getting confused with my buttons here.
Alright, so this gives you a schematic of how the different pieces of the governance structure relate to each other. So we begin at the top with the Board of Supervisors which designated the PUF Governing Board to oversee operational issues of fiscal, human resources, nursing, social work and facilities. The PUF Medical Practice Committee reports up to the governing board And they are responsible for performance and peer review, functional duties utilization review, infection control credentialing, privileging pharmacy and therapeutics. And then QAPI which now I'm going to forget what QAPIs stands for so Marianne will tell us it's Quality Assurance Performance Improvement Committee.
They review issues of patient care and safety Quality of Care and Program Improvement Projects. The PUF Governing Board has overseen a number of additional improvements over the past year. We really expanded our investment in various resources, fiscal time, education, staff training and outside guidance. We expanded our staffing resources to include a dedicated PUF dietician, infection control expertise, a PUF manager, our director of nursing and a PUF specific QCM coordinator.
We made changes in our data collection and analysis procedures. We formed a more robust quality assessment and performance improvement program with indicator tracking We amended or developed policies and procedures for addressing specific pharmacy services, infection control and dietary services concerns. And we made immediate and ongoing facility plant enhancements in addition to implementing the new governance structure. The pictures that you're seeing up here on the upper part shows our raised planter beds that we have a little bit of gardening in our outside yard there where our recreational activities take place and the second slide is a slightly different orientation on the outside facility that shows our basketball hoop as well as our storage sheds that contain our disaster supplies.
And you can kind of make out some of our bicycles or stationary bikes I should say, and if you look real hard you can see the, what is that called? The circle thing. Oh it's a little maze. So we have a little labyrinth maze walking that's painted on our outdoor facility as well. I wanted to give you an overview of some of the things that we do as part of QAPI. We select specific areas where we would like to see improvement and then we implement the projects, and then we review them. And if they are effective, we will keep the projects. If they're not effective, we will modify and move to another project. This is an example of the implementation of what we call the comfort rooms.
which is a safe space for clients that involves a number of different therapeutic activities that clients can engage in while they're using the comfort room. Including art therapy, music therapy, just quiet time alone in the space, journaling and also weighted blankets. The comfort room allows clients to engage in their own de-escalation activities and help prevent crisis from occurring. Also promotes self recovery and has reduced the use of seclusion and restraints at the PUF.
Upon admission to the POF, clients are presented with a comfort room card which they can Which describes the purpose of the room when to use it and how to request use and what is available in the room so clients when they feel the need to Self de-escalate can present those cards to staff.
Supervisor Adams
Can you tell me what that says on that picture?
1:46 – 1:5719 turns
Nope. I can't really read it. That's a chalkboard wall, so it's a blank wall and clients have the opportunity to draw and you know write things on the wall make poetry whatever and then we can erase it and have it clear for the next client to use. I don't know Marianne if you can read that?
I
can
really but those are pictures of flowers so they look positive
Well, I have an Arabic speaker on my staff and I'll tell you what that says which is Allahu Akbar and some other stuff at the end.
It's a wall for self-expression so that very well may be the case.
Okay. So
when we reviewed the data for this we did see that it The use of the room did reduce the use of seclusion and restraints, and it affirmed our hypothesis that it would have positive impacts on patient care. So this is just an example of one of our performance improvement projects at the PUF.
Okay. Do you have any idea what those flowers look like?
I'm not much of an artist.
Okay, well if you look up opium poppies there's some that are very similar in likeness to an opium poppy. As I said this is a board for self-expression. You've got some plants over there.
I also want to point out, however if you look at the furniture in the room this is some of our new furniture that is anti ligature risk and so those are those are new pieces of furniture we have in that room as well.
And they're heavy on purpose so they can be picked up and tossed for the obvious reasons for safety
We wanted to highlight the many, many, many policies that have been revised or reviewed or developed over the last year and reviewed by the PUF Governing Board. So this shows the number of policies in a number of different categories where we have augmented our policies and or implemented new policies There were a number of physical plant changes as well. I'm not going to read through all of these, but the pictures on the right show at the top our improved laundry facility and on the bottom you can see the new flooring and paint and other improvements in the hallways of The Puff.
Alice, can we go back one slide?
Yes.
This was something I just didn't want to pass over quickly, we have a staff member, Unaris? Munoz. 75 policies developed or amended and they are not Yeah, they're not just basic little tiny things. These are very well thought out and each one of them comes with a tracking mechanism. I think to me this is one of the major developments that came out of the PUF governing board is a change and a look at what our policies really look like. Because if you don't have the correct policies in, and your... The other thing is you can have all the policies in the world if your staff isn't trained in those policies which I think at the beginning that was one of our major problems. We had a lot of policies that really nobody really knew too much about. And so I think the major transformation is Development of policies that cover just about everything you could possibly imagine down to the temperature of somebody's meal and how many calories are in that meal.
And if you substituted out a brownie instead of a cookie, is it the same caloric intake? But all staff are trained on all these and they get pop quizzed throughout the day on different policies and why are you cleaning this countertop What chemical are you cleaning it with? And what is the policy that goes to that, and how are we following that. So I just didn't want to pass over this because this is something that Yanaris and big props to her. This was a huge change I think that's happened at The Puff and I think the policies play a big role in that as well.
Thank you. All of these policies meet the regulatory standards and that is state and CMS, and they're all researched very very well before approved by the board.
And Mary Ann does an excellent job in making sure the staff are trained and can respond to the policies so thank you for that. So we also wanted to spend a little bit of time talking about how the PUF monitors our practices and requirements. This is the report back mechanism for everything that we do at the PUF, is the QAPI committee which operates through our quality care management team. And they monitor the state and federal regulatory requirements for a PUF. So this includes multiple indicators for measuring different practice standards, outcomes and improvements. And so we regularly monitor 40 primary indicators and 16 secondary indicators So the primary indicators are really the areas that we've prioritized as very, very important and we either want to improve our functioning in them or just by the nature of them they are important indicators that we want to constantly monitor.
Secondary indicators are areas maybe that we have repeatedly consistently shown that we've met the targeted standards so we have advanced those to less frequent monitoring. We do, in every PUF Governing Board meeting have a schedule of which indicators we're going to monitor that session and I'll show you how we do that on the next slide. And then we look for each of our variables as to whether we are on target with that indicator and if we are not on target, we have a strategy for immediately addressing that indicator.
This is really hard to read, so I apologize for that in advance. But let's just get an overview of kind of what we look at each PUF Governing Board. You can't see it on this slide but some of the sections will have a gray background. If it's grayed at a particular meeting that means we're not focusing on that meeting because it's not in the scheduled timing.
But this shows the different indicator categories. This one shows complaints and grievances at the top. It also shows how we measure the different items. So the top one is the total number of grievances, then it shows what the description of that category so it's the number of patient grievances over the total bed days per month and our target is I can't even read that I believe it's 10% and you can see that we were on target for that And it shows that out of the total number of bed days, we had one grievance. So it's 1 over 484 which is less than one percent right? So we're well within our on target and then we also compare to how we were doing the previous quarter on those same indicators so you can see we have different categories of indicators Infection prevention control, patient care services and safety.
So there's lots of different things that we monitor as I said on a monthly basis and on a scheduled basis depending on whether they're primary or secondary. We developed the descriptions and the targets and the way of analyzing this through consultation with experts in the different areas. So for example, our Infection Prevention and Control was developed with the expert that was hired to help us design our infection control program.
And so there are various categories. That's what the report looks like that gets reviewed each month at the PGB. And then this is a summary example of a corrective action, so if you have an indicator that is off target, this shows what we would do in that month. So we would pull that item. This one shows an example on the environment of care, that we had work orders completed Our objective is to have them all done within 30 days. This shows that one work order was over the 30 day period and actually was completed within 35 days. It shows our corrective action, that the facility staff worked with the contractor on timeliness of work orders and review.
So this is how we monitor how we're doing now and how it compares to previous quarters. This report was really intended to give you an overview of the work of the PUF Governing Board and all the activities it oversaw in the past year. It has met 18 times since it was formed in 2016 September. We've developed really over 75 PUF policies and procedures developed or amended in the past years.
All of our PUF measurement indicators are reviewed regularly by the PGB, and the majority of these are reflecting as on target. We take immediate corrective action if any indicator is off target. And we've also had the benefit of many upgrades and improvement made to the facilities and to the organization overseen by the PUF Governing Board in the last year.
This is a snapshot of some of our PUF staff showing off their behavioral wellness mugs And we do have one request for the board today, well two really. Receive and refile this report on the psychiatric health facility providing an annual update from the Puff Governing Board regarding operations including medical staff issues quality of care and other program activities And also to adopt and authorize the chair to execute a resolution amending membership of the PUF Governing Board to include a public health, sorry, a public guardian representative and a public health doctor superseding Resolution 16-223 that was adopted and authorized by the Board of Supervisors on September 20, 2016. And also determine that the above actions are exempt from CEQA.
We'd be happy to answer any further questions.
1:57 – 2:1419 turns
Seeing no lights, do we have any public comments on this item? I
have no request to speak Madam Chair.
Supervisor Lavanino.
Thank you Madam Chair. You know when I got this assignment, I didn't know that much about the PUF and on first blanch it wasn't something I was really looking forward to getting involved in but I have to say we've met 18 times over the last year and amazingly enough I think each one of the meetings has been very productive You don't normally see that, a lot of times you feel like you're wasting time in some of these meetings. But these have all been very productive and I think it's based on the formula and the model that we're using. And a model that I think would be advantageous for us to use elsewhere in the county.
I've never seen something transform so quickly and so substantially as I have right now in the PUF. The whole team is committed to identifying areas of improvement, and it really reminds me of private sector days. You find a problem, you identify it, you start tracking it and measuring what's important. And most importantly is when something is off track, you implement a corrective action so that you don't make the same mistake again. Like I said, I really think this should be duplicated throughout the county And I do want to identify the good work of Dr. Gleghorn, also the assistance of Terry Nisich as our chair has been outstanding, our board members, the PUF staff, County Council's also been there at every meeting assisting us making sure we're following the Brown Act and doing what we need to do and all the way down to Karen Campos who keeps us all On schedule and where we need to be at our meetings.
This is also the most expensive way to deal with those that are suffering in crisis. We didn't talk about what the cost is, but these are for our most acute cases. The one thing that I'd like to see now that I'm involved in the on the end of this is also. I'd like to see additional meetings presentations and I think I saw one on the long range calendar of our Inpatient, all the way from how does this system work because I learned so much more about being on this governing board is how do clients come to us.
I know how most of them get there but how do we do our assessments of them and where they need to fall in our range of options that now you're developing different levels of care? Also, very importantly how do we discharge people and what do we do as far as follow up? So I'd like to see both in the inpatient model and the outpatient model come back to us. And also as it goes through the Mental Health Commission and come with recommendations from them as well so that we can get a broad I know this was just to talk about the PUF, and I think we're doing outstanding work there now. But I would like to see that the entire spectrum come to us so that maybe break it up in chunks so that we kind of get a better feel of what everything's there. And I appreciate Supervisor Wolff.
I think that's also very important. It doesn't help us to close down one section, even though it's a lower level to backfill the higher section. So whatever we need to do there to make that work, I'll be supportive of. One thing I would like you to touch on and I didn't bring this up ahead of time but the reduction of safety restraints and seclusions to me was very, very important. And I'd just like either one of you to touch on that and how we're performing in that.
Sure, so in September we had two episodes of seclusion which is a huge improvement from previous months and it's just getting better. We're on a downward trend in the number of episodes and minutes that patients are in seclusions. We had zero mechanical restraints. We had two physical holds which means when we have to give injections When patients are refusing PO or oral medications and they're absolutely in need of it because of behavior and other symptomologies, we give it as an IM. And there were two episodes of that last month which is also a huge improvement from previous months. So it's just getting better.
Every month, and it's good use of the comfort rooms that we discussed earlier. It's truly effective and there's been many studies of success with the use of comfort rooms and we're experiencing it very very closely at the PUF. It's a good trend going.
Lastly, I want to thank the board because we did add staff and you don't get these results without a PUF manager and a director of nursing and somebody running the pharmacy. I don't really know how the PUF operated prior to us adding staff so it's something that probably saves us money in the long run and obviously leads to better care for those who are in most need. Thank you.
Supervisor Wolf and then Adam.
Thank You Madam Chair You know, I can go on and on. And just praising all of you but I think Supervisor Lafagnino just really said it all except for the fact that I just want to thank him for his work and leadership on this. The amount of time that he's put in with all of you is exceptional so I just want to thank you supervisor for taking this on. I guess the one thing that Supervisor Lavagnino brought up was the duplication of what we have.
Because we talk all the time about the number of beds and that it's not enough, sending folks out-of-county. And we're a super puff. Have you talked about internally the notion of duplication in another part of the county? And if not, a super puff, a regular puff and I'm assuming that the difference is that we don't take Medicare but what is your take on that or your input?
Supervisor Wolf through the chair It's clear to all of us that we have a greater need for inpatient care in county than we currently have capacity for. So, that has been something that many of us have been trying to plan for and design over the past several years. We've been actively pursuing where could we open additional inpatient capacity I've come to this board before with reports on other things we need in county, like mental health rehab facilities.
And we're hopeful that some of those partnerships that we've pursued will come to fruition soon whether it's through the forensic MHRC that we've discussed with the Community Corrections Partnership or some other option for inpatient care In terms of whether we need an additional superpuff, I think we probably do not need an additional superpuff. I think it's important that you have a facility that can take Medicare in a county So that you provide that level of service, certainly a third of our clients have that and were able to provide that benefit. But we would probably do well to pursue just a regular psychiatric health facility without that extra CMS designation and we'd have to look very closely at the cost-benefit having a county-run facility versus a contracted facility.
There are many contracted PUFs throughout the state and implementing one of those would probably be economically more viable than trying to implement another civil service PUF, but we'd have to look at the costs and benefits of those as well. And certainly having a step down from an acute facility like that in county is also something we've been hoping to achieve in county. So I'm hopeful that we'll be able to move forward with something soon.
Well, and I appreciate that continuum of care and the step down. We do have one in South County. Did the one in North County open? The crisis residential? Supervisor
Wills through the Chair, again what we have available in county now are crisis residential programs. We have a 12 bed facility in the north and an 8 bed facility in the south. The mental health rehab facilities would be locked facilities and we don't have those.
And like you said that's what we're looking at through realignment? Yes. Okay thank you. Supervisor Adam.
Yeah, I realize the necessity of tracking what we're doing to make sure that we're compliant and using the best practices and all that. But my favorite is to be able to track how we're doing for people. And so how are our patients benefiting from our labors? And so, you know I don't want to lose sight. I know that this stuff's really important and But I think it can Get taken over in an institution or take over an institution when everybody's focused on Checking all the boxes that need to be checked and we can forget about why we're actually there in the end. So I would encourage you to keep that as a metric that we want to focus on, and we've talked about that a lot in the past Looking at our results and our effectiveness.
And now we're kind of going back to checking the boxes again, which maybe we need to do and that's fine but let's make sure we don't lose sight of the reason we were there in the first place.
Absolutely not. So one of the things we do track is patient care treatment teams, so the treatment team meetings that we discussed earlier is engaging the patients on a daily basis upon admission to the unit. We involve family members who are interested as allowed by the patients themselves, so it's very integrated. And we take in any advice that they like or anything that they prefer, how they can be involved in the care of all patients. We do this throughout the continuum of their stay in the PATH and also through discharge.
And once discharged, we do have a patient survey where we call it a patient engagement tool So we track all of those from the beginning to discharge so we know if there's any opportunities to improve the care that we have provided with our patients and their families.
Well, and I'm really talking about Moore's and Ken's evaluations of the patients themselves so that we can see if we're having an effect on the mental health of these people. And that's what I'm talking about because if you ask them You know, some people are not in a position to be able to contribute in a meaningful way. I think you're dealing with 5150s and so if you get them to de-escalate a little bit that's great but I think in a clinical setting you have to be able to Evaluate those people and say, you know he's better than he was last time I saw him.
Exactly so those are things we do care very deeply about as a person who is there at the POF on a daily basis I engage in my I'm there in every meeting in the mornings and I meet all the patients and their family members And I can tell you that we track improvements from the very beginning until the end. That is really the core of our treatment planning, which is really a if you take a look at what construction is, you have planned from the beginning it can evolve. It's very fluid. throughout the continuum of stay and we evaluate, were we effective? How effective were we? What are the symptomologies that the patient arrived at when they were just here the first day and what is it the third day, the fourth, the fifth, and what is it upon discharge.
So we do look at those very very closely and I take that very seriously.
Great thank you
And
Supervisor Adam through the chair, the acuity ratings that we were talking about again. That's something when the patient walks in the door they have a rating and we monitor twice daily what's happening how that's changing if it goes up we note what happened and why that's going so we do this on every patient every single day regularly so we have that ongoing Some of the things that are, as you say, kind of checking the boxes are actually very important in terms of client outcomes and care.
Even if it seems sort of routine or rote, it's important for us to know as a hospital that we're keeping levels of acquired infections down. We don't want to have someone come into a hospital and then get sick because they're around a bunch of other people. So monitoring physical health and infections is very important for us. And then the other things that we put into place to improve Client coping and care is also very important. As Marianne talked about earlier, not having frequent seclusion and restraint episodes is really quite huge for a facility like this.
And I talk to my partner at the Sheriff's Office all the time that these folks, many of them are coming to us from safety sales in the jail where they're doing all kinds of acting out behaviors throwing all kinds of things everywhere all the time and the fact that we can bring them into our setting and not have to engage in use of seclusion or restraints is a testament to the level of care that they're getting, and it's a better outcome for those clients overall. So really from our perspective, it's great to have this kind of facility. It would be wonderful to have more of it available in county so that folks who are mentally ill and in jail wouldn't have to be in the jail setting because we see on a daily basis how just being there de-escalates them and helps them improve individually.
2:14 – 2:188 turns
And they gather that data, and they compare it to all psychiatric hospitals in the country. So we know where we fall according to the statistics nationwide and also within the county and statewide. And so we're able to track how well we're doing compared to our area and nationally as well.
Okay and then what I'm talking about is not just on a puff basis, but as this person leaves the puff and they're not going to get out of our care. We're gonna still be seeing these people And so we can integrate that information into their treatment in the future and follow them through and watch how much better they get over time. And that's the important part, not that the rest of it is not.
Supervisor Williams?
Well I just wanted to voice my agreement with Supervisor Wolf's point about staffing. And I was looking forward so much to the boxes, not the boxes that Supervisor Adams talking about but your green red and orange boxes that sort of show us where people are coming from and therefore how much reimbursement is coming with them. And hoping that we'll see that at some point soon, but maybe that would be the kind of thing to integrate with what Supervisor Lavinino is talking about if we're talking about where they're coming from. Where they're going to and it would be even better to improve our understanding in the public's if that was also paired with our alternate facilities in the continuum of care. So, our crisis residential, how many people we were able to divert there and maybe even a little bit of what it would cost us then if we hadn't had that which is abetted Mr.
Del Mar, so that kind of might be a good way to track our progress in better patient outcomes and saving money which in this case go hand-in-hand.
Chair Hartman, just to let you know we have scheduled now coming to the board November 14th which is the PUF options update to address Supervisor Lavinino's question. The department did present a whole facilities report I don't know if that was maybe the end of last year? It's a blur. Yeah, that talked about all our facility needs but you did ask us to come back particularly on the PUF and what are options and our intent is to come back with all that information basically on inpatient care.
And at that same meeting we were bringing our quarterly report and that's where we show the graphs of the different colors and how we're doing with our inpatient costs
Well, thank you. It's so great to get good news about things that are improving and I appreciate Supervisor Lavinino and the whole governing board 18 meetings in 12 months is a huge commitment. And I think pointing out the importance of policies and policies that really are pointing in the right direction so then we can put the system in place to measure things, to track things then to feedback and change That really is how good hospitals, airplanes, space launches. I mean that's what you have to do is you have to have procedures that everybody follows and so you've done that and the question is how can we replicate that elsewhere? And congratulations!
So, Supervisor Lavagnino.
Yes Madam Chair I'd like to make a motion that we receive and file with the report on the PUF and that we also adopt and authorize the chair to execute the resolution adding the public guardian representative in the public health doctor and then also determine that the above actions are exempt from CEQA.
Second? All in favor say aye. Aye All opposed? Motion passes. And again, thank you very much and let's take a 10 minute break, convene back at 1130. Thank you.
2:21 – 2:241 turns
Hi. Yeah. you
2:31 – 2:4210 turns
So good morning,
we're reconvening the October 10th Santa Barbara County Board of Supervisors meeting and trying to bring some order here. Turning to item number three in our departmental agenda. Would you read that into the record Mr. Allen?
Chair Hartman and members of the board, Item 3 from the County Executive Office is a hearing this is our fiscal year 2018-23 five-year forecast. Mr. Fropwell
Thank you Madam Chair, members of the board. I'm pleased to present to you today our initial look at where we are looking from financially as we move forward into the next five year period. It's important to note as we look at this what is the purpose of a forecast? The forecast really is take a snapshot in time looking where are we today with what we know today and what the trends are on both the expense side and revenue side looking forward into the forecast period.
We know that the assumptions we've made to build these numbers are just that. We know that things continue to change on a daily, if not sometimes weekly basis and will continue to monitor those big drivers of both the expenses and the revenues as we monitor the county's fiscal performance moving forward and continue to refine these numbers as we move through the budget development process In developing the forecast that we're presenting today, there are really two pieces and our office worked closely with our operating departments as well as the audit controller on the two main components that we focus on in this forecast.
Departments were asked and tasked with the responsibility of taking a look at their operations on the expense side as well as their operating revenue and make those projections into the five-year period. They were given several key assumptions as it relates to major drivers and both expenses and revenues, as well as given a target of a status quo operations, as well as a status quo contribution for those departments that get some of the general fund discretionary revenues. And so with those elements, they made their projection on the five-year basis and created and identified their funding gaps into that period.
In addition, our office worked closely with the Auto Controller's Office as we looked at the county's discretionary revenue. Our discretionary revenue with the general fund you'll recall is primarily made up of property taxes, our largest source of discretionary revenue, as well as DOT and sales tax and a variety of other smaller taxes as all rolls up. And those, as the name implies, those are the revenues your board has the greatest level of discretion on how to allocate between departments.
Our estimates obviously will be, continue to be refined as I mentioned throughout the budget development process for the 18-19 fiscal year and it's really intended to facilitate discussion and really provide a backdrop for all of our conversations moving forward. Knowing that the numbers will continue to change but the trends are the most important things to look at as we look at this forecast Let me go over a few of our assumptions both on the expenditure side and the revenue side.
So obviously salaries and benefits, if you look at salaries and benefits as the county expense relative to the total county budget it exceeds more than 50% of our total cost so obviously this is our largest cost driver and one that we focus on primarily as we look for our forecast going forward. In our forecast, we've assumed a salary increase roughly on average of 3% increase each year. And that's really due to negotiated salary increases as well as expected step and merit increases for our employees.
Within retirement costs certainly your board has had numerous reports and understand the drivers that are driving our retirement cost going forward. We've taken the assumptions and the projections provided to us by SB CSRS with respect to this year, next four and five years of retirement contribution rate increases. And this has driven our assumed retirement costs about 6% a year on average over this five-year forecast period.
In working closely with HR, we've looked at and made projections on our total health care costs, health insurance cost for our employees. And this over the forecast period averages about 7% per year.
Mr. Fratwell, Supervisor Wolf has a question. Thank you Madam Chair. On the retirement contribution, I know that in your PowerPoint you say 6% on average but in your board letter the actual numbers go 5,6,7,9 percent and then there's a decrease 7%, 3%. So it's not so what I think when people see the six percent average they don't actually see the actual percent Which I think is important as you're looking at a five-year forecast. So, I just wanted to bring that up. Thank you Madam Chair.
Thank You Supervisor Wolfe. I think that's through the chair, I think that is important and the report as you mentioned on page two has a graph that looks at the salary increases and the other major drivers here on the slide on each year basis. And so you're right as in specific as relates to retirement contribution You see that 5, 6, 9, 7 and 3 percent in the successive years increase. And those mirror the projections that SPSRS was able to provide us in their last report. Important to note here though, and I guess it helps describe everything really in the forecast, we know that at the end of this month or next month we'll probably see some preliminary indicator rates from SPSRS what our contribution rates will be in the next fiscal year.
Now, they were fortunate in that their return on investments were higher than their assumed return on investments. That's great news but realize and not to be a wet blanket but realized that the okay I am a wet blanket but realized that the benefit of that increased earnings above assumed earnings rate will roll in over five year period just as years where they don't make the assumed earnings rates so and I think that's SBCER's way and certainly I think appropriate to kind of smooth out the budgetary impact on the plan sponsors. So I appreciate the comment, that's a really good observation.
And I wasn't commenting on what SB CSRS might do in the next month. I'm commenting on what we know to expect. I'm not even sure that it will change, even with the better or improved rate of return for one year. Because as you say we usually just don't base a decision on one-year returns. Supervisor Lavinino.
Thank you Madam Chair and so the reason it goes 5, 6, 7, 9, 3 is that because of PEPRA or why does it go down? Why do we see a decrease?
Supervisor Lavinino for the chair. So we know in the when the SPSR has changed the assumer rate to seven percent They did a five-year roll in of the impact of that change. And so what you see is a steep incline, or relatively steep incline as that rate rolls in and then returning to more normal contribution. Continuing with expenditure assumptions, our other growth in general discretionary revenue.
We also have set aside according to your board's adopter plan our continuing increase in our contribution to the Northern Branch Jail Operations Fund. You'll recall in the current fiscal year we're contributing about 9.1 million dollars this grows to 19.3 in our out-year of our forecast period so it grows roughly 2 million dollars a year Within the maintenance funding 18% policy, for purposes of our forecast we've assumed an increase in the ongoing portion of our contribution to the maintenance funding of 10 percent a year.
You recall in the current fiscal year we have a combined contribution to the main 18 percent maintenance policy roughly three and a half million dollars in ongoing general fund resources And for, but we did a total of including one time monies of 6.4 million toward that so what we've done for the forecast is assume a 10% growth in the ongoing component of that contribution.
The other important considerations I think as we're looking at the forecast is that you know, we can only forecast what we know today. And we know there are things on the horizon that were not able to quantify or certainly are not certain enough to be able to assume in the forecast and so we will continue to monitor those. Some of those things obviously include here on the last bullet point share forward time cost, capital needs of the main jail, inpatient psych beds as well as Galea Beach remediation. So we don't have dollars that we can put to this but we know that these issues are on the radar and we're continuing to monitor them
Supervisor Wolf. Thank you Madam Chair. You know Mr. Frappel there was something in, it was a statement in your board letter about the Northern Branch jail operations that the CEO and the Sheriff are going to be bringing us an updated funding plan I'm concerned because I don't know what what that updated funding plan is going to be. And that goes to kind of things that are unquantifiable, but I guess what we do know is that they're coming back with a new plan.
When will we be seeing that?
2:42 – 2:5124 turns
CEO Misato.
Supervisor Wolf to the Chair, I think we were just merely saying that we know that we want to take another look at the costs and if the costs are beyond what we first projected which we did what two years ago when we did the lengthy study? We wanna look at the costs to see if they're still in line And if they're not in line because of some of the expenses Mr. Frapples talked about like the additional retirement costs, if they weren't included in some way in our original cost estimate a couple years ago we would need to update those costs and bring it to your board and ask you should we change the funding plan? But we haven't done that yet. We're just putting that on your radar that we know that's something that we want to do.
Yeah well it is concerning but I thought the funding plan was the amount of money that we put in every year for the North County Jail, is that right? That's
correct.
Okay and then the other piece of this that I'm not really seeing is where it says a capital needs of the main jail I think we still have not received from the Sheriff what his plans are for the main jail. We know that there are capital needs, things that we are required to do but with the opening of the Northern Branch Jail it was always the assumption that there were going to be some closure of the main jail and so I would ask CEO Miyasato that when you come back with the Sheriff on the Northern Branch jail operations, that we get a clearer picture from the Sheriff on what he plans to do with the current jail.
Thank you Madam Chair.
Turning now to our revenue assumptions, the general fund contribution allocations at the operating departments were really held as status quo as I mentioned earlier as part of the forecast exercise but we know that our discretionary general revenues continue to grow And so as our office worked closely with the Auditor-Controller's Office on these revenue sources, we looked revenue by revenue and made estimates on where we saw growth. As important to know, we are not in a period of revenue decline. We are in a period of revenue growth. That's not the issue. The issue is that our expenses are outpacing our revenues.
And so within, and we did a most likely case scenario. We also did a worst case and best case and those are outlined in the report in front of you but for purposes of our presentation today, we used the most likely case scenario. And under that scenario, secured property taxes increased by a gross of four-and-a-half percent.
Supervisor Adam?
Mr.
Frapp, well that is lipstick on a pig. If you're in a period of revenue growth, but it doesn't cover your expenditure growth then It's still a deficit by any other name. It's still a deficit and it smells just as bad To bastardize a little Shakespeare for you.
Supervisor Adam to the Chair, we're going to get to the gap and we'll talk about where the net is because that's as you point out that's really where the issue is.
Yeah thank you.
So on our revenue assumptions we assume security property taxes at are 49% gross increase each year We know that the end of the board's policy on the fire tax shift, we expect to hit that 17% at the conclusion of the 19-20 fiscal year. And so not having to shift 25% of our growth is built into our forecast. We're assuming our sales tax increases by roughly 3% a year, and our TOT increases overall by 3% per year. There's pluses and minuses in those TOT.
Obviously we looked at some of our major contributors or major hotels that are either currently producing TOT or will be in the forecast period. And so those were taken into consideration in developing our assumptions.
Madam Chair? So Mr. Frapp, you're saying even with the new STR $2 million coming out that we would still increase TOT 3% a year and I'd like to know how that would be possible?
So there's anything called voodoo? The only thing I see out there is the
Miramar.
Timing is such that when Miramar is rolling on, it's about time we're rolling off these short-term rentals. So instead
of an increase we would just see status quo?
Correct so we're more at a historical
growth level
Supervisor Williams.
I'd also add that some estimates basically put the amount of people that are paying TOT, that should be paying TOT at under 50 percent and if therefore we keep half of the STRs out there but we actually have a permit requirement we may be capturing still significant amount of the TOT Okay,
I will believe that one when I see it. So if they're not paying now, I don't know why they would pay in the future. I think we well we've argued STRs but so what you're saying is the Miramar will replace which you think has lost revenue and that? Yeah, it's about 1.9 million dollars here. Thank you very much.
Supervisor Wolff. Thank you. Well then I guess I need clarification on page 4 of the staff report. It says that the TOT revenue is expected to increase by approximately 3%, so not status quo. And then it says, and this will be with an anticipated short-term rental losses of 1.9 offset by the Miramar in the State Street Hotel. So is it status quo or is it increasing three percent?
Supervisor Wolf, through this chair I'm sorry if I was unclear. The status quo on as far as its growth plane about 3% average growth but it is certainly continues to grow but it would have seen an even steeper incline had we not been here. With respect to our other revenues, Prop 172 we're assuming as this is a statewide sales tax based revenue that we receive increases by historical 3% a year. We have very limited growth on some of our other realignment revenues as the state has made adjustments on how the realignment growth is allocated between programs at statewide and we have not assumed any additional revenues or expenses from cannabis so obviously that continues to be one of those expensive revenues that we have yet to be able to put a number to.
And so as we know those numbers or things take place and voters approve or not approve ballot measures, then it will be able to quantify that net impact. I'm sorry for the smallness of print, but here what we've tried to capture for you is a breakdown of where the gaps occur by department. What you have here on this first slide are the general fund departments. Those departments that operate at the general fund and do rely primarily rely on some amount of discretionary general fund resources in order to continue operations each year.
If you look, let me draw your attention first to the fiscal year 2018-19 forecast column. That's the first column of numbers and if you look at the four largest negative numbers those are the gaps they have that those departments identified. You'll see probation, sheriff General Services and the deficit in general accounting programs making up a roughly two-thirds of the total gap. So let me just kind of walk you through this chart, and then the next one as well. So what we have here is a rollup of all county general fund departments. You'll see the general fund gap in the fiscal year 18-19 equates to a 12.2 million dollar gap.
Assuming We followed a historical policy of covering a portion of the gaps within county departments caused by salary increases. That would offset about 6.3 million dollars, so even if we were to allocate a portion of our growth in general fund discretionary dollars to these general fund departments there's still a six million dollar gap in the first year of the forecast period Moving to the right, you can see how that number grows over time.
So looking at the general fund gap subtotal, you'll see it grows from 12.2 in fiscal year 18-19 to 55.2 in the out year of the forecast. Again, if we allocated some of our general fund discretionary growth to those departments to offset a portion of those costs you'll still see a net gap growing from six million in the 18-19 year to 15.1 in the 22-23 fiscal year.
2:51 – 2:5718 turns
Supervisor Lavagnino and then Supervisor Wolff.
Thank you just for context what is our general fund total? 250?
Yeah, about $250 million.
Okay thank
you. So as a percentage... What's that? Discretionary.
Supervisor Wolff. Thank You Madam Chair in the 2020-2021 forecast I think you had mentioned that would be the year that the fire tax shift would end so is that taking into account that?
So Supervisor Wolf and the Chair, the answer is yes. And I can unfortunately point to three numbers on this chart to kind of show where that hits but the answer to that is yes. That assumption's built into probably I think the next chart or so where you'll see an increase in discretionary general fund revenue. You'll see a large increase and that's because of not having to shift a portion of our growth each year to the fire fund.
And then the general fund allocation, is that also assuming allocations to strategic reserve? All those other line items that we talk about during budget. Mental health... roads, things like that.
Supervisor Wolf of the Chair yes this forecast does continue each year boards policies in a historical manner so you have Northern Branch Shale our strategic reserve is currently funded it doesn't assume additional funding for strategic reserve although that's something that your board will consider as part of the budget development process in December It includes continued funding for the 18% growth, it continues funding for the Northern Branch Jail. So all of that's built into the forecast and so you'll see all that in these numbers in front of you today.
Madam Chair, if I could. The general county program seems to jump...seems to increase or decrease however you want to look at it from 18-19 to 20-21 what is the reason for that? From 1.7 to 4.4
Supervisor Wolf for the chair, there's a number of factors that go into that. One of the major drivers in that line item is your continued contribution into the Northern Branch Jail fund. It comes out of the general fund it's funded out of 990 and so that contribution each year isn't and so as that's growing as I mentioned earlier by about two million dollars a year now there's some other fund other ins and outs of that 990 account that offsets some of that If that was the only thing, you'd see that number start at 2 million and go to 4 to 6 to 8 to 10. And so obviously there's some positives that are offsetting a portion of that.
Yeah well that's what I'm not clear about because between 18-19 and 19-20 the amount is not significant and then all of a sudden if there's a big increase. So it's...and of course we're always paying for the Northern Branch Jail so it's just not clear why it is the way it is
And Supervisor Wolf, we can provide additional breakdown of 990 of what the ins and outs are. There are pluses and minuses. This is a roll-up in the entire budget but you'll recall 990 is where we move funds in and out of other funds so it's kind of a wash whether it's funding into litigation reserves or whether there's other types of things that aren't expected if they're one time expenses will not continue to occur over the forecast period.
We're happy to work with your office. Yeah,
I would like to know that. Another question that I have Madam Chair is on Public Works and I know that there is general fund that goes into public works for salaries and other expenses so why is it lined out there?
Supervisor Wolf, to the Chair. Public works in the general fund portion of public works is a relatively small portion of the entire budget you recall that The vast majority of public works are on enterprise funds internal service funds or special revenue funds roads water etc and so the general fund component of the entire public works department is a very small piece and so What they have done in their forecast is to continue their historical assumption that most of those costs get charged out to those other programs. And so that creates a wash for them here in their general fund component. You'll see on the next slide, they are showing a potential deficit in the out years in the Public Works roads component but for the general fund component which is a very small piece there remaining flat
But in reality though, whatever the general fund contribution is should increase because it is mostly salaries. But it sounds like they're taking that extra cost and putting it into the next slide that we're going to see Because every department is showing this is mostly made up of salary increases and benefits. So it still doesn't make sense why it wouldn't be shown, but okay thank
you. Supervisor Wolf?
No but like Ag Commissioner's office has I mean I'm looking out they have zero, zero and then its 200,000 all the way on into 2020 so there are some that are
2:57 – 3:051 turns
As we move forward into the other major special revenue funds, you'll see here in similar format but in larger font a same format. So you've got in fiscal year 18-19 if you accumulate all these major operating funds, you'll sow a Special Revenue Fund gap of $11.5 million dollars in the fiscal year 18- 19 forecast period And then growing to 52.8. Again, the next line down assuming we offset a portion of the cost increases related to salaries So with us using discretionary general fund dollars to offset a portion of the 11.5, you see $400,000 leaving a remaining gap within these special revenue funds of $11.1 million in the 18-19 year growing to 50.3 in the out year. The important thing I think on this slide is that it's not been your board's historical practice to backfill all these funds for the vast majority of these funds operate within their own means and adjust their operations to live within their resources But, what we asked departments to do was to build a status quo operations and assuming the status quo operations would create some of these negatives.
Obviously as we move forward in the budget development process for the upcoming fiscal year this is the challenge these departments have to close these gaps. It is obviously within your board's discretion though, should your board decide and we have available discretionary general fund dollars if you wanted to backfill some of these for some purpose. That's available to you as well.
So as we look forward, the five-year forecast really just serves as a backdrop for the 18-19 budget year. And it really outlines and gives a compelling reason to look at and challenge departments as well as our office on the board ultimately in developing policies and programs to align revenues and expenses in the coming year. We know we have increasing retirement costs. We know we have increase in other personnel costs. We continue to face uncertain state and federal revenues, and we have exchanging service demands built on from both the customers we serve as well as caused by the changing demographics.
So we have an opportunity to evaluate operations and develop rebalancing strategies to enhance both service delivery and alignment with needs within our community and obviously your board's priorities. In looking at that, we've started an initiative which we're referring to as Renew22. And I think your board is familiar with this but let me just briefly go over a couple slides with respect to this important initiative.
Now we're really calling this the Five-Year Transformation Plan and I think that's in recognition that we can no longer nibble around the edges of our budget gap. We have got to make important decisions and critically look at both the services we provide and how we provide those services. So it really is about transformation, not simply transition or eking by each year.
We really have a compelling need to look at holistically how we're doing business and how we want to look in five years from now. Let's not be a victim of our circumstances, let's identify it and make changes appropriately. So the Renew22 initiative is really fully integrated countywide. We're working with every county department on these types of ideas and the idea is to position the county to thrive as an organization, and employees throughout the organization including our labor unions are involved in have been involved in this process. And it's really those two main components, two main elements there's a county-wide element so it's looking at countywide across departmental lines what are things that we can do as an organization to make a difference, to be able to do things better in a better way and make sure that we are doing what is essential for us to do on a countywide basis.
And then there's a component that's really at the department level so we've given the same challenge to our county departments to look at their operations, evaluate their operations with respect to the need of their changing demographics they serve as well as the programs they must continue to provide and think differently about how we do business. So departments, you know my experience and I've had an opportunity to meet with many departments on this program.
They're very excited and I'm taking this very seriously with respect to looking at their operations New 22 really is looking at five key elements, and we have them out here in five colors. And it's really about revisioning our organization, how to rebalance the resources that we have, how to redesign the work that we do, and how do we make sure that we're responding to citizens and customers at the highest quality of service within our means? And finally, and importantly We are not going to be successful as an organization unless we are focused on retaining high-performing employees. And so that's the yellow group is really all about retain, so how do we retain those high performing employees and you can see there on the right That each of these color teams has a lead person from the County Executive Office working with a variety of folks from our department management as well as mid-management in looking at how we do these things on a countywide basis.
And then within departments, I know that they're looking at in these five kind of same areas things that they can do within their operational department. So we're exploring strategies for consolidation, multi-department cooperative agreements, information technology innovations, multi-agency partnerships, revenue enhancements, new workforce initiatives and employment models as part of this Renew22.
So many things are already underway and some of these, all these have come to your board in a variety of ways. Centralized the hiring review process is a process your board put in place at the end of last fiscal year We've eliminated outside agency funding as part of the current year adopted budget. We're continuing to explore space consolidations and how we are most effective with the space we have to lease versus the space we own.
We're looking at full cost recovery services contracts throughout the organization, and your board has had several departments come before you with respect to fee increases as well. So what's next? So next is we will be reviewing specific action plans and timelines that each of these groups have come up with, and vetting those for practicality, for ability to be implemented in the timeline it can be implemented in. And the measures that will take, the hurdles in order to implement them. Evaluating all those action plans. We're bringing that back to your board in December.
So, that kind of concludes our forecast. The action before you and recommended on your agenda is to receive and file the fiscal year 18-23 five-year forecast including an early estimate funding gaps and impending financial challenges facing the county in coming fiscal years and also make their CEQA finding. With that I'd be happy to answer any additional questions your board might have.
3:05 – 3:1011 turns
Supervisor Lavenino?
Thank you, Madam Chair. Do we have a timeline of when we're going to get the cannabis economic impact report? And I know it's still going to be dependent on whether people vote in a tax next June but it would be nice to see if they did and at what level. What could it possibly mean?
Supervisor Lavagnino through the chair. I believe Mr. Bozanich is planning to come back to the board in November, if not November then just early December.
Seeing no other lights do we have some public comment slips?
Chair Hartman, members of the Board, we have one request to speak. Mr. Caldwell
Madam Chair, members of the board. I'm Andy Caldwell representing CoLab. One of my favorite sayings is even a blind squirrel can find a nut occasionally but unfortunately that doesn't hold true with this board or some of the other boards I've been talking to for the last 20 years because we keep hearing these financial updates and what's completely missing every single year is where does your money come from?
It comes from property taxes primarily for your general fund, and it comes from the state and the feds. There's no analysis of what's happening with those funding sources. Now you can't control the state and the feds but you can control where you're getting your property tax monies from because that is a function of land use. Secondly, the biggest hole in your budget, the $50 million happens to be in the social services areas which is a symptom of poverty.
So let me spell this out for the Blind Squirrel Society here. If you help get out of the way of our economy, the economy will grow. Less people will be in poverty. They won't need the social services because they will be gainfully employed and your revenue stream will increase. That is economics and real-world economics one. We're not even in 101, it's one!
And yet it never makes it on your slides and more importantly does it make it to your deliberations? Right now, in this last year you've got oil companies, wineries, short-term rentals, marijuana. The ability to just simply split a property for inheritance purposes? Denied, denied, denied, denied, denied. And now we're gonna wring our hands because we're gonna have a 50 to $70 million budget gap within five years. And that is dependent on the stock market not crashing in the next five years, where's that scenario?
Is it only gonna keep going up for the next five years? The other thing you've never done, I keep asking you this every year. When are you going to ask the state to change the California rule on pensions? So you can implement something like PEPRA for current employees. It's business as usual analyzing the deck chairs on the Titanic without looking where your money is coming from, the risks associated and what is in your power to change.
Thank you.
That concludes public comment.
Back to the board, any more questions or comments? Supervisor Adam?
Ditto.
Seeing no more...
I'll chime in. It's appropriate, I'm sure Mr. Frabwell was preparing a presentation in brief because most of our agendas have been pretty impacted and I do think revenue information included is a good idea to include when we have the ability and the time to do it so I don't think it was An oversight really, but I could venture to guess probably a perceived need for brevity that we didn't quite need as bad as we thought we might today.
And I'm sure something that will be rectified in our budget deliberations going into next year.
3:10 – 3:155 turns
Supervisor Adam.
Well, I will say that you know revenue generation is not a part of the budget deliberations. You know we do expenditures at budget deliberations and then we do revenue generation or lack thereof for the rest of the year And so we make a series of bad decisions all throughout the year and then we roll into the budget negotiations and budget deliberations. You know, we try and act like we've done the right thing and we continue to do the same thing.
And we've run ourselves out of money and you can see this thing and it's been going on basically this way since I've been here. This is the fifth year for me and it just gets worse and worse and worse every single year. And I think it's gonna continue as long as we shun revenue generation. And you know, for some reason we just can't quite see our way clear to allow the things that generate revenue to be done here in the county because there's a number of different people that don't want to see these things but it's why we're not healthy.
Is because we haven't physically healthy because we haven't taken advantage of these resources that we have and people that are willing to produce them and You know if as long as you keep doing the same thing you can get the same result
Supervisor Williams
I mean, I do think you indicate and Mr. Caldwell indicates assault searching that we should all always be exercising in but I don't think there are any of us that are immune from that. I would say he or she who was without sin cast the first stone. I mean, I do remember a month ago that you wanted to ban a crop in Ag 1 that is worth more tax revenue than all your oil projects put together. So, you know I think we all have to look at that and all have to look ourselves in the mirror and say are we doing enough for revenue given the scale of the problem?
And so I want to be in agreement with you with caveats
Supervisor Wolf and then Supervisor Adam. Thank you Madam Chair, well we have been in a significantly worse financial situation after I think it was 2007-2008 when we were seeing I think it was a 0.5% increase in property value. We were the only county in the state that showed a positive so those were significantly worse times. Every budget year, it's always a challenge. There is no doubt about it so I don't think what we heard today is anything different than I've been hearing for 11 years since I've been on the board. It's the degree of challenge that seems to change.
You know there was a comment that we deny, deny, deny. Well maybe there are decisions that occur before they come to the Board of Supervisors where there is approve, approve, approve and that happens at the Planning Commission. Items that don't even reach our level and I will just say you know I think there seems to be a focus on whether it be cannabis or oil or certain other industries but I just know, and I've said this before and it was mentioned today that we have the new hotel going up in my district. We have 135 new homes in just one development out of a few that are going up in my district. Out of the 135 homes 14 have been designated for affordable housing. The rest are going to be Probably an average of 1.5 million dollars some are a little less and certainly many are more than that so And and that never reached the Board of Supervisors, so there's a lot of revenue generating sources I think to monetize our land uses which I hear so often up here is It's something that I think we need to look critically at what we do in our county.
And for me, I don't want to just approve things just because they may bring in money because usually it's at the expense of either health and safety, environmental concerns and many other things. I don't think blanket statements necessarily work. I think critical evaluation of projects is what we've done in this county and one of the reasons why we've been successful, and why I believe we will continue to be successful. Thank you Madam Chair
3:15 – 3:204 turns
Clearly we need a long-term economic development strategy, but the county began by first looking internally to see how it could streamline its operations. But Santa Barbara County isn't the only public institution in California suffering from these problems. It's a structural problem based on our pension and health costs, and we're not alone. We're trying to deal with it in some unique ways, and we're also dealing with it in some ways that the California state institutions across the board are dealing with it.
It's not some failure of this board and this board previously. But I'm excited by the Renew 22, and I think first looking inward on how we can do our business more efficiently. I think over time government does accrete and accrete and accrete. We don't have bankruptcies in the typical way that the private sector does, and that means We can keep growing, and every now and then we do need to have a crunch to look how we can be more efficient in our own operations.
But just to approve random projects that come through because we want to grab at any source of revenue I think really undercuts our overall strategy. We're known for a tremendous quality of life here We have the county based on tourism and agriculture, which are really low-paying jobs for most people who work in those industries. So we need to think about how we can create better paying jobs and give some careful thought to that. And I think after we get through Renew 22 perhaps starting next year, we can really begin to look at where should we have more housing for workforce? What kinds of industries? How do we bring them in? What leverages the assets that we have?
And so that's a conversation that I'm very eager to have. Supervisor Lavinino?
Thank you, Madam Chair. Well, I guess... You know, I was gonna try to stay out of this but now... I think we just determine successful as two different things because the way I see success, I don't think we are successful. I think we're very unsuccessful. I mean our roads aren't in state of disrepair I just found out this week that I've got 788 identified people in Santa Maria that are wanted on felony warrants.
We've got homeless all over the place that we're not taking care of to the extent that we should. We're sending people out of the county for mental health services. I don't think it's successful. So, I think that's probably...I feel more panic that we aren't successful and that's why I'm reaching for straws to try to bring more revenue in. I guess if I was looking at it and saying we're successful, I would be able to reject projects and say okay, I don' like this or I don't like that and I'd get a lot more particular about What I see as a trade-off, but maybe that's the fundamental difference is I just don't think we are successful. And it's not because I'm blaming our employees.
I think it's because we just don't give them the tools needed to be successful. So that's the difference I guess.
Supervisor Williams?
And I guess I think it's both a bad, there are some things that we've been successful in and some things that we've been very unsuccessful in. And it should lead us to Maybe not completely fiscalized land use. That's usually a bad planning practice as my colleagues to my left have indicated, but that we still need to figure out a way to allow our economy to thrive because we are successful in having a wonderful place to live, a place that's desirable to live, but we still have one of the lowest median incomes You know, suburban or urban county in the state.
We have people sandwiched between no availability of rental housing and the total unaffordability of our housing market. And of course businesses are squeezed by that too and so you know I think there is a balance to achieve here where we are not being you know trying to get do get rich schemes with our land use But that we are still making sure that there are economic drivers.
And I will agree that we have done a poor job of that in the past and we need to do a better job of it.
3:20 – 3:418 turns
Seeing no more lights, may I have a motion?
I'll make a motion that we accept the report, file the report and appreciate Mr. Frapwell and CEO's office for putting it together. Yeah you're going to get some love over there too.
And Supervisor Williams, did you have more to say? All in favor say aye. Aye. Any opposed? Motion passes. Would you describe closed session Mr. Gazzone?
Chair Herman and Supervisors today should be a fairly short closed session there are two items agendized both conference with legal counsel for anticipated litigation two separate cases.
Okay and so you figure we'll be back in an hour or
less
okay thank you
Music Background music playing. Background music playing. Background music playing. Background music playing. You. Yeah. Yeah.
3:52 – 3:561 turns
♪ We're reconvening the October 10, 2017 meeting of the Santa Barbara County Board of Supervisors and reporting back from closed session. Mr. Gazzone?
3:56 – 3:583 turns
Chair Hermann and supervisors today for closed session the board was agendized to consider two matters of conference with legal counsel significant exposure to civil litigation those were two separate cases there are no reportable actions
Thank you, meeting adjourned until October 17th in Santa Barbara.
Hey.