[0:02] Good morning. Today is your regular meeting of the Shasta County Board of Supervisors. [0:06] It is Tuesday, May 27th, and the time is 9:00 a.m. We have all board members present [0:11] along with CEO Dave Rickert, County Council, Joe Larmer, and from the clerk of the [0:14] board, Stephanie Blankenship and Marcy Weinstead. We encourage those wishing to participate [0:19] in public comment. Fill out a speaker request card and submit it to the clerk of [0:22] the board's table set up in the foyer with Ms. Winstead. Speaker request cards for [0:26] the items on today's agenda will be submitted to the clerk of the board before public [0:30] comment period begins for each item turn things over to Ms. Blankenship. Thank you. [0:34] Through the chair, I would like to remind everyone in attendance today of the boardroom [0:38] rules of order as outlined in Administrative Policy 1101. Those can be found through [0:42] the clerk of the board's website. This policy includes signage restriction, attendee [0:47] seating, and overall conduct to ensure business is done in an orderly fashion and [0:51] that all have an equal opportunity to observe and participate. Unless addressing [0:55] the board, all those in the audience shall remain sitting in the chairs provided. [0:58] Standing along the back wall of the boardroom is acceptable so long as no person [1:02] blocks the ingress or egress. Media representatives may stand and use equipment to [1:07] record proceedings in the area designated by the CEO near the South windows. Chester [1:12] County remains committed to conducting orderly business in a professional and. Environment [1:17] for anyone wishing to participate, attend, or otherwise engage with the Shasta County [1:20] Board of Supervisors. We kindly ask that all attendees adhere to these rules. I'd [1:25] like to also make a brief announcement regarding chamber capacity and public comment [1:28] procedures. The maximum capacity for this room is 90 people with 62 fixed seats. [1:34] To ensure we remain in compliance, tickets have been distributed for entry. If you [1:38] leave the chambers before the meeting adjourns, we kindly ask that you surrender [1:41] your ticket to the staff at the doors so that they may allow individuals with overflow [1:45] tickets the opportunity to enter. If you leave temporarily for whatever reason, or [1:50] to use the restroom, please make sure to have your ticket with you and be prepared [1:53] to show it upon reentry. For those who have signed up to speak during public comment [1:57] and were issued overflow tickets, please note that speakers will be called in the [2:00] order their requests were received. If you're outside of the chambers when your name [2:04] is called, you will be escorted in to make your public comment. Once you have spoken, [2:09] you will be asked to exit the chamber so others may enter. When your name is called, [2:13] get in queue here to my left, and thank you for your cooperation with that. I'll [2:16] turn things back over to you, Chair. Thank you, Ms. Blankenship. At this time, I'd [2:20] like to ask you to please stand for the invocation led by our pastor from the Anderson [2:24] Seventh Day Adventist Church, as well as Shasta Lake Bible Fellowship, and please [2:27] remain standing for the pledge led by Supervisor Kelstrom. [2:33] Let us bow our heads for the word of prayer. Gracious and almighty God. We gather [2:40] here today in a spirit of service and responsibility. We thank you for the opportunity [2:46] to lead. To guide and especially to shape the well-being of our communities. [2:54] Bless each member of this board of supervisors, the staff, the guests, and the presenters [3:01] today. Bless them, Lord, with wisdom, discernment, and compassion as they carry out [3:07] their duties. Grant them clarity of thought, unity of purpose, and strength of character. [3:17] May their decisions be rooted in justice, fairness, and the common good. Help them [3:24] to listen well. Speak kindly and act courageously. Lord, we ask your presence in [3:31] this meeting today. May this room be filled with productive dialogue. Respectful [3:38] collaboration. And the shared vision and commitment as we continually serve your [3:45] people. May your name be glorified today. We pray all these things in the powerful [3:52] name of our Lord and Savior Jesus Christ. May your name be praised forever. Amen [3:59] and amen. Thank you. [4:04] To the flag of the United States. [4:09] No. One nation, for God, indivisible liberty. [4:20] Thank you, Pastor. Thank you, Supervisor Kelstrom. With that, we're gonna move on [4:23] to our one, adopt the resolution which recognizes Patricia Patty Devine, senior social [4:28] worker of the Health and Human Services Agency as Shasta County's Employee of the [4:31] Month for May 2025. Supervisor plumber. [4:36] Yes, I am gonna go ahead and read the resolution and to congratulate Patricia Devine. [4:42] Uh, whereas the Board of Supervisors of the County of Shasta has adopted the Shasta [4:46] County Employee recognition program to identify exceptional employees who deserve [4:50] to be recognized and honored for their contribution to county service, and whereas [4:55] such recognition is given to employees meeting the criteria of the program, namely [5:00] exceptional customer service, professionalism, high ethical standards, initiative, [5:05] innovation. Teamwork, productivity, and service as a role model for other public [5:11] employees. And whereas the Shasta County Employee Recognition Committee has considered [5:16] all current nominations for the Shasta County Employee of the Month. Whereas Patricia, [5:21] Patty Devine started her career with the Shasta County as an eligibility worker won [5:26] in May of 2022 and has quickly advanced to her current position as a senior social [5:31] worker within the Health and Human Services Agency Adult Protective Services Unit. [5:36] Patty manages to take on a full-time caseload while also training new employees until [5:40] they are able to go out into the field. Patty is also known to take time out of her [5:44] busy day to help staff with difficult cases and provide guidance to her colleagues. [5:48] Community partners have stated that Patty is easy to work with, helpful, passionate [5:53] about the work that she does and is knowledgeable during presentations. When adult [5:57] protective services supervisors are unavailable, Patty steps in to lend a helping [6:01] hand and is adaptable to the constant changes and challenges of the department. Within [6:05] the course of Patty's employment, she was assigned to one of the longest adult protective [6:09] services cases the department has seen. While working on the case, Patty was patient [6:13] and kind, making sure that her client's needs were being met and despite the barriers [6:17] encountered and despite the barriers encountered, even though it can be a stressful [6:21] environment, Patty is clear and concise during difficult conversations and remains [6:25] calm while assisting even the most upset clients to the best of her ability. Patty [6:30] understands the complexities of being empathetic while setting boundaries with her [6:33] clients and excels at creating and maintaining respectful professional relationships. [6:38] Patty arrives to work each morning with a smile and greets everyone around her with [6:41] a positive attitude. Patty is compassionate towards those that she interacts with [6:45] daily and takes time to notice when an individual needs a bit of additional kindness. [6:50] Patty demonstrates health and human services, core values of collaboration. Adaptability, [6:55] respect, and excellence, both internally and externally, as she continues to work [6:59] with her peers, community partners and clients. For the reasons stated above, the [7:03] Employee recognition Committee recommends Patty Devine, senior social worker in the [7:07] Health and Human Services Agency, be selected as the employee of the month for May [7:11] 2025. Now, therefore, be it resolved that Patty Devine, senior social worker in the [7:17] Health and Human Services Agency, is here by name Shasta County Employee of the Month [7:21] for May 2025. And I will make a motion to adopt this resolution. [7:31] Blankenship, do we have any public speakers? [7:37] Sure, we do not. Is Christy coming out? We're gonna take a, yeah, [7:44] uh, uh, uh, OK, come on up. [7:47] Good morning. Um, good morning, Chair Cry and members of the board of supervisors. [7:52] I'm Christina Black, the HHSA deputy branch director for Behavioral Health and Social [7:56] Services. It's an honor to stand here before you today. Thank you so much for recognizing [8:02] Patty Devine. Um, she's our senior social worker. For Shasta County Adult Protective [8:08] Services as employee month for May 2025, Patty began her career with APS in April [8:16] of 2023 as a social worker, excuse me, as a social worker. She quickly promoted to [8:21] a senior social worker in March of 2024. This is a reflection of her dedication, [8:29] professionalism, and exceptional skill set. She's a natural leader who leads by example. [8:35] She communicates clearly and consistently celebrates the successes of her coworkers. [8:41] Her co-workers describe her as a joy to work with and appreciate her positive attitude. [8:46] She arrives each day with a smile on her face and never hesitates to offer kindness [8:52] when someone needs it the most. In her current role, Patty plays a key part in onboarding [8:58] and mentoring new staff. At one point, she has successfully onboarded 4 new team [9:04] members, simultaneously ensuring each were well. prepared to serve in the field. [9:10] Her compassion extends beyond the workplace. She demonstrates the same level of care [9:15] and empathy with her clients as she does with her co-workers. Patty has managed numerous [9:21] complex cases, including various forms of abuse, including challenging conservatorship [9:28] situations as well. She consistently ensures her clients' physical and emotional [9:32] safety, meeting them where they are in life. With an open mind and without judgment. [9:39] Whether it's providing resources, addressing concerns, or simply offering a listening [9:43] ear, she goes above and beyond to make her clients feel heard and validated. In addition [9:51] to her primary responsibilities, she is always willing to step in and support her [9:55] team. She is well spoken and has delivered many presentations in the community. More [10:01] recently, she served as a panelist for Reading Restart. Addressing the sheltering [10:06] of seniors in our community, we are fortunate to have Patty on the APS team outside [10:12] of work. She is a cyclist, a runner. She enjoys spin class. She enjoys pickle ball, [10:19] working out, and most of all spending time with her family. Congratulations, Patty, [10:23] on this well deserved recognition. [10:29] We'll go, we'll go ahead, go ahead and take that vote and supervisor plumber you [10:32] can head down all those in favor I pass this 50. [10:38] Could we invite Patty in [11:00] I want to present you, Patty with this certificate. As well as some awards that we [11:06] want to extend to you. So a Shasta County Rosewood pen, $30 gift certificate donated [11:11] by the department head forum, $20 gift cert gift certificate donated by the sheriff's [11:16] Administrative association, $50 gift certificate donated by the Teamsters Local 137. [11:22] $25 gift certificate donated by the Teamsters Local 137. Another $25 gift certificate [11:28] donated by the Teamsters Local 137 $25 gift certificate donated by the board of supervisors, [11:34] and a $25 gift certificate donated by the United Public Employees of California UPAC. [11:40] So thank you again for your contributions and thank you donors. Patty, [11:48] Patty, you want to say a few words? Yeah, um, so, so thank you for all that came [11:54] to support me in this. Um, I, I love my team. I love um the leadership that we have [12:00] on our team as well. Um, I love my job. I love serving the aging community in Shasta [12:06] County and um I consider myself very lucky to be doing that. So, so thank you for [12:11] this huge honor and thank you for um making it such a special day for me. [12:22] Oh, I'm sorry. [12:27] Yeah [13:19] Thank you, Supervisor Plumber. Moving on to RR2, receive an update from the county [13:23] executive officer on county issues and consider action on specific legislation related [13:27] to Shasta County's legislative platform and receive supervisors reports on county-wide [13:32] issues. CEO Ricker. Good morning, Chairman Crime, members of the board of supervisors, [13:37] Dave Ricker, County Executive Officer reporting. On Friday, May 16th, I spent an [13:42] hour with HHSA leadership staff while they conducted all day financial training with [13:47] expert consultants Leanne Link and Tracy Tedder. I found the information well presented [13:53] and focused on key goals established by the CEO's office and the interim HHSA director [13:58] Christy Coleman. Moving on to federal matters on May 14th, the US House of Agricultural [14:05] Committee advanced a key item for counties by including language to reauthorize the [14:09] Secure Rural Schools program in its portion of its portion of the reconciliation [14:15] package. As you may recall, on April 8th, she asked the county to send a letter of [14:20] support for Bill 1383, Secure Rural Schools Reauthorization Act of 2025. This demonstrates [14:27] that our efforts along with others have impact on our legislature. This concludes [14:32] my report. Thank you, CEO Rickert. We'll start to my left with supervisor Long. [14:39] Thank you, Chair Cry. [14:43] board report consistent with our policy affecting our community, our whole community [14:50] of a substantial nature. I met with the Fire Safe Council, a couple of members on [14:55] that, and also received a letter from a constituent that lives in District 2, and [15:01] they were all discussing. FEMA money that has come through McConnell that it will [15:08] go toward fuels mitigation reduction on the west side. And I had met with Vestra [15:16] for this project back in October, and it sounded like the funds were going to start [15:23] being released to start reducing fuels in our community for a fire hazard and apparently [15:29] that's been hung up a little bit. I'm not sure exactly why that is yet, so that's [15:34] going to be my next steps to take, which is see if I can help expedite the release [15:39] of these funds to. To get some of the, the fuels reduction mitigation on some of [15:43] the private property which is south of 299. So that concludes my report. Thank you. [15:49] Thank you, Supervisor Long supervisor. All right, uh, on the 15th, I was at the Fallen [15:54] Officers Memorial with a few of the other supervisors here, and then, uh, Thursday, [15:59] Friday, and Saturday night, you could have found me at the Reading Rodeo all three [16:02] nights. Um, and then on the 19th, on Monday, we had a Battle Creek watershed meeting [16:06] in Manton. Um, I'll be bringing something at the end of my report here about that. [16:11] Um, they're dismantling all the powerhouses all the way down the Battle Creek Canyon [16:15] and um. So we had a meeting on Monday and then on Tuesday evening, we had another [16:20] meeting uh up in Manton again. Um, I went to that after I'd gone to the CEC windmill [16:25] meeting for the Hatchet Ridge project. And on the 21st, I went to an Anderson High [16:30] School board meeting that I was invited to, but the door was locked when I got there, [16:34] so apparently I was 10 minutes early. I don't know, reached out to somebody that [16:37] didn't know anything about it, so I went home and I guess they did have a meeting [16:40] after all. The 22nd I with Supervisor Long. We attended the wildfire mitigation meeting. [16:46] Um, on the 24th, I did a Memorial Day celebration in Manton again, um, stopped, had [16:51] lunch at Shingletown before I went to the Happy Valley Strawberry Festival. I also [16:55] went to the Strawberry Festival the next day where I was a judge in the car show, [16:59] and then uh yesterday I missed the IO Cemetery, um, Memorial Day event because I [17:03] was speaking at the Anderson VFW Memorial Day event with Doug Walfo. Um, so what [17:08] I want to bring is the, the watershed up in Battle Creek. Um, there Taking the dams [17:15] out, they're taking the powerhouses out to restore the fish habitat, which is all [17:19] great and good and fine. And um I've been going to these meetings for about 2 years [17:22] now. In fact, I did a story with Mike Mangus here about 68 months ago. Um, my concern [17:27] though is, uh, the water starts at North Battle Creek Reservoir. It's stored there. [17:32] There's no power powerhouse there. There's just it's water storage, then it goes [17:36] down into Camp McCumber and Lake McCumber there. Um, the residents around Lake McCumber [17:41] now have realized that their whole lake is threatened, as is North Battle Creek Reservoir. [17:46] Two ditches in between take water to Grayson Nora Lake, which, uh, apparently the [17:50] PGE is filling back up, which surprises me. But I'd like to bring forward, I'd like [17:55] to put it on the agenda and bring forward to the board, um, to send a letter to the [17:59] Department of Interior, um, that we need to maintain, repair, and save the two dams [18:04] at North Battle Creek Reservoir as well as Lake McCumber. So I could do it by myself [18:09] as a District 5 supervisor. But I, I think it would hold more water with the entire [18:13] board. So if we can get that on the agenda and one of the next agendas, I'd like [18:16] to do a letter of support for that. That concludes my report. Do you want that to [18:19] be the like the, the soonest possible or is there a specific date? Uh, as soon as [18:23] possible, yeah, OK. Do I need to make that put down a motion? No, no, thank you. [18:30] Harman. [18:33] Good morning. Uh, on the 15th, uh, I went to the, along with the other supervisors, [18:39] the fallen officers Memorial at the old courthouse on the 16th, uh. flipping pancakes [18:46] at 5 a.m. I was pretty sure there wasn't gonna be anybody but there, but I was surprised. [18:52] They started showing up at 5 a.m. so I put more pancakes than I ever flipped in my [18:58] life, probably more than I'll flip in the rest of my life. But it was great, it was [19:03] great to see the the community come out support of that. And then, uh, on the 17th, [19:10] I think I mentioned this last time we had the barbecue at the ranch for the California [19:15] Deer Association. We have a program for handicapped. Kids to, to be involved in hunting, [19:22] it's pretty. It it's pretty uh. Um, I don't know, heartfelt. They have, they have, [19:29] they go through a lot of effort to make sure these kids can get out there and do [19:32] what they normally wouldn't be able to do other than this group of, of. Oh, [19:41] they have special equipment for them to get, to get them out there, number one, and [19:46] then they, and even uh it's just, it's just amazing to watch what people. Uh, will [19:53] do, will go out of their way to accomplish to and and to watch the smiles on these [19:58] kids' faces is amazing. On the 20th went to the uh Red Lion. The [20:05] CEC, the California Energy Commission. Um, board was there and we, uh, listened to [20:12] them. Pretty much all tell the same story we've told, which is no to the wind farm. [20:18] I'm still not sure. I asked council how come we're still talking about it, but we're [20:24] still talking about it so [20:27] but be assured that we're going to keep pushing as hard as we can to make sure that [20:31] doesn't happen. Um And then the most important thing I did in the last two [20:39] weeks was The Memorial Day yesterday, if you've not, if you've not ever had a chance [20:44] to attend the IO uh Veterans Cemetery, it was, it was pretty impressive. There's [20:52] uh One of the, one of the high schools had a, had a band band there and the different [20:58] ones that got up and spoke was uh I actually have a copy of the. Of the uh memorial [21:04] service, if anybody has any interest in seeing who is all there, there was quite [21:09] a list of um important people in our community that are that support and I think [21:16] there's somewhere along the lines of close to 10,000. Uh, graves there for. Veterans [21:24] with a piece of property on the other side of the road that'll that'll take another [21:29] 25,000 in in our future. Hopefully we won't need those, but. Um, that concludes my [21:35] report. Thank you. Thank you, Supervisor plumber. Thank you and good morning Pablo. [21:41] Uh, was able to attend a multicultural event in Shasta Lake and ended up, um, which [21:48] I didn't necessarily expect, becoming the MC for that, so but it was, uh. Uh, what [21:53] was fun is that we saw, um, residents in Shasta Lake and around the county from probably [21:59] about a dozen different countries, and, and so to see kind of the diversity there [22:04] representing their different cultures was, uh, uh, a kind of, you know, a fascinating [22:09] experience, um, had a number of, uh, items related to, uh, uh. [22:17] What's happening in Visalia. So I did a trip down there, uh, last week where I was [22:23] able to visit the three health systems and this is related to our three, and talk [22:27] to them about their residency programs. They made a big push back in 2010, 2013, [22:32] and so I was able to meet with the three health systems and then on the way back [22:35] up, um, also met with, um, UCSF Fresno, which is in kind of on the way to [22:42] becoming a medical school, uh, there's some nuance there. Uh, and talk with their [22:47] vice dean who was responsible for starting, uh, Kaiser Permanente's Medical School [22:53] and then met with a private medical school, uh, in Clovis, which is right outside [22:56] of Fresno, um, CHSU California Health Sciences University, and so that was really [23:02] helpful. Uh, I won't get into too much of the content of that because we'll be talking [23:05] about that in our three, but, uh, what I will say is that it's, uh, it was very helpful [23:09] to talk with people who have been on the same journey that were headed down. And [23:14] learn from their experiences, understand kind of where the challenges are, where [23:18] the opportunities are, um, and so that was really valuable and a big thanks to the [23:23] team at, um, on the Visalia Board of Supervisors, particularly supervisor Amy Shulian, [23:28] um, who helped set up that trip. And also got to talk with them because when I was [23:32] talking to them about this trip they mentioned that they were doing some interesting [23:35] things in terms of their health care within the jail and so talked with their team [23:39] there uh about how they are um facilitating delivery of health services to uh county [23:46] inmates and learn some things that are different from how we're doing it, not necessarily [23:50] that we should adopt those, but it was a good kind of point of reference to explore. [23:54] The other thing that I wanted to mention is that I've talked with two individuals [23:59] over the past two weeks about different proposals that they're putting forth in terms [24:03] of addressing homelessness, and I think that is, uh, you know, I love to see that [24:08] people are coming forward to, um, bring innovative approaches and related to that [24:13] I'm on the mental health, alcohol and Drug Advisory board and. Um, that board just [24:17] approved, uh, in the innovation dollars, uh, an effort around suicide prevention, [24:22] which is something I've talked, uh, quite a bit about since, uh, January and so I'm [24:26] excited to see that go forward in terms of addressing, uh, you know, basically teaching [24:31] resilience and skills, uh, for young people so that they're able to, um, find alternatives [24:37] to dealing with stressors rather than self harm. And so excited to see if that will [24:42] uh be successful. I think you know some, and I would just encourage the community [24:46] if you have ideas and you wanna get active in addressing these problems to come forward, [24:50] there is uh some innovation dollars still remaining in the Mental Health Services [24:54] Act, um, and, uh, that will be changing as of next July when the Mental Health Services [25:00] Act becomes the Behavioral behavioral Health Services Act so we kind of have this [25:05] window where there's. Still those innovation dollars so just an encouragement to [25:08] to get involved and the last thing I'll say is that we're also continuing to look [25:12] for additional mental health, alcohol and drug advisory board members and specifically, [25:17] uh, according to the bylaws they need to meet certain requirements and we're specifically [25:21] looking for someone under 25 and then an educator. So if you know someone who might [25:26] be interested and who fits those criteria would encourage them to uh apply for that [25:30] position. Thank you. Thank you, Supervisor Plumber. Um, I'll just highlight a couple [25:35] of things here that haven't already been spoken, but I do want to, uh, extend a big [25:38] thank you, uh, on behalf of myself to the Reading City Council. I see that council [25:42] member Danuk is here, so I'm very appreciative that you guys got that deal done, [25:45] uh, for the rodeo. So that, uh, was very positive. Um, had a meeting this last week [25:51] with uh nation's finest around our veterans, uh, homelessness initiative that supervisor [25:56] Plumber originally brought forward. That's going in a really great direction. Nation's [26:00] finest is now at the table. They are the largest facilitator of veterans services [26:04] in Shasta County, so they're looking very forward to being a part of this process [26:10] and doing a lot of the work they've been doing for years. We had I had a meeting [26:14] with the district attorney. And a constituent around uh victim restitution, and that's [26:20] gonna be something that I'll be talking about more in the future. At a youth options [26:25] meeting, we said goodbye to Caitlin, who has been our three-year student rep. So, [26:30] uh, youth Options is going to be looking for a new student rep and They have uh there's [26:35] very, very big shoes to fill because she's great and is going off to college. So [26:40] without going to all the other things, I will say, I will have again the CEC meeting [26:44] we had at the Red Line. It was mostly just for public comment. There was only one [26:49] commissioner in person. I believe there was. I mean, every commissioner had somebody [26:55] there uh from their staff, maybe a senior analyst or public relations person, but [27:01] I think they're getting that message loud and clear that we don't want the wind farms [27:04] here in Shasta County, so hopefully that will continue with that. That concludes [27:08] my report. We will move on to our 3. [27:16] While Ms. Blankenship pulls that up, I'll read it what's in the agenda here. Take [27:20] the following actions. Receive a presentation from healthcare consultant Chris Street. [27:24] 2, consider findings regarding establishing a medical school and residency program, [27:27] and 3, consider providing direction to staff. Mr. Street, great. Well, thank you [27:32] for inviting me today as your uh healthcare consultant. Um, I was retained to identify [27:39] Shasta County medical needs and provide solutions with long-term. Uh, sustainable [27:45] capital plan, um, today we are fortunate to have Doctor Danuca who helped me in this [27:50] process. Um, also we have, uh, Doctor James Postman, uh Posma who is the chairman [27:57] of the board of Simpson University, and, uh, Doctor John Ayabe, who's the provost [28:03] of uh Simpson University that helped me in this process. [28:10] No. [28:13] I guess I'm gonna use the button, no. [28:24] Technology. [28:59] Perfect. There we go. OK, um, so, uh, I, I think what drove this process is there [29:05] was a lot of concern in the in the community and among supervisors that there was [29:09] not enough primary care coverage uh for doctors in Shasta County, so I, I took a [29:15] look and conducted a needs assessment. Variance analysis to primary care physicians [29:21] and the basis of that analysis was the 2022 medical needs uh data analysis produced [29:29] by Dignity Health North. Um this is required under the Patient Protection Act. Um, [29:34] to be produced every 3 years, it justifies the nonprofit status of hospitals, and [29:40] their reported primary care physician coverage was [29:45] 180.5.5 being someone working part time for Shasta County. To [29:53] him it was 119.2%, and California on average was 147.3. Um, and this is built [30:01] off a 100,000 population, um, and what I found was there was about 123%, um, uh, [30:08] the 180 would be about 123% coverage in Shasta County versus the state of California. [30:16] So in my analysis, and this is a little difficult because part of Dignity's footprint [30:22] goes into Northern Tehama County, but, um, what we found is a 64% deficit um [30:30] from uh what was the number of primary care. Positions in Shasta County, the demand [30:37] for the area, um, per 100,000 it would be about a 61% deficit, but with [30:45] the other little community it's about I I found about a 64% deficit. Versus state [30:52] of California, um, so in taking a look at this, I took a look at the current strategies [30:57] and how you know we we're really addressing physician coverage and of course our [31:02] biggest effort was in residencies and looking at the um uh the the national residency [31:10] matching rates you see Reading Mercy and Regional, we had a quota of 10. We this [31:16] is I believe in 23, this is the most recent data, a quota of 10, we match seven and [31:23] we have three shortfall, all of which are in primary care. Now if you look at the [31:28] university hospitals um such as UC Davis, USC, Stanford, what you're gonna find is [31:35] they have a very high quota and, and they generally have a uh a full match, um. So [31:43] you also have Shasta community here. They have, I believe, 8 residencies, but all [31:50] those are filled with international students, you know, Caribbean graduates. I think [31:55] that's not the same as what we're really looking for, but in looking at our population, [32:01] about 180,000, are we getting a fair amount, a fair quota. For residencies of Shasta [32:08] County, my analysis found that we're about 0.5% of the population, and so if you [32:14] divide that through by the number of residencies, we're actually being treated pretty [32:19] fair. Now one of the bigger issues for Shasta County, of course, is that we have [32:24] older physicians. Almost a third of our physicians are 62 and older, and that's a [32:30] big issue because doctors generally retire nationwide on average at age 62. Um, so [32:37] if, if we're, if, if we're say gaining 6 positions and that's very optimistic that [32:43] people would take their residency here in Shasta County, you know, come from an urban [32:47] center, take their residency here, and actually stay, but let's just say 6 of the [32:51] 9 stay that it would take us 33 years to basically cover the shortfall. Now you know [32:59] people have ideas on telemedicine and this was a big push, especially in areas like [33:04] in Tulare County, I think a supervisor plumber was down there. um, telemedicine was [33:11] a big push in 2015, 2016, um, unfortunately it. With such a big push that it [33:19] ran into all kinds of numbers of fraud and issues and the office of the Inspector [33:25] General, the US Inspector General for I believe Health and Human Services found that [33:30] there was a 7% telehealth fraud. In the data he analysis analyzed, which is about [33:37] 60 billion annually, there's there was an effort in 2023 to extend [33:44] telemedicine and build on the base that is stuck in committee since in the Ways and [33:51] Means Committee since 2023, and nobody believes it's going out. I think we even have [33:56] Christy Coleman here who would confirm that. So you know the third issue is um uh [34:03] what about specialty uh physician coverage. So specialty physician coverage, I took [34:09] a look at it, um, uh, and unusual to California, the average age. [34:16] Uh, in Shasta County it's 41.7 versus California's average age of 37.6% and over [34:24] 20% of Shasta County, um, residents are aged 65 or older. So if you look at this [34:31] and you realize that seniors, you know, spend about $11,300 a year on health care [34:37] versus say someone 18 to 34 spends 2 to 3000. Um, you're in a situation where we [34:45] have very, very low coverage and we have very intensive need. So, um, uh, understanding [34:52] it takes 7 to 10 years of postgraduate training and a high cost 250,000 or more um [34:59] to become a doctor, essentially rural America has 20% of population and 10% of physicians. [35:06] Um, for Shasta County and, and this is true, almost let's say 60 to 80 interviews. [35:14] I came to the, the number I think we have a shortage in specialty care needs of 30 [35:20] to 54 positions, and I've laid them out as best I can. Now this is personal interviews. [35:26] This is general understanding for people who are in this position and Doctor Danica [35:31] is here who can, I, I, I think. You know, it gives some sense that these are pretty [35:37] fair numbers of what we need right now. Um, taking a look at analyzing the idea of [35:43] a medical school in Shasta County. Um, and, and this would be, there are two types [35:47] of medical schools. There's allopathic, which are MD degrees, and then there's osteopathic, [35:53] which are DO degrees. Both are recognized medical doctors. Both are highly respected, [35:59] and there's many people I'm sure in the audience here who have a DO. Um, so taking [36:05] a look at this, what about the idea of to address the rural physician shortage, doing [36:11] recruit, educate, and return. And the idea would be, you know, what would it cost [36:18] to do a medical school? What would it be like if Shasta County took its position [36:23] of being the sort of hub and supporting the spokes of 14 counties because everything [36:28] we know about Shasta County, shortage in primary care physician and shortage in specialty [36:34] care physician is much more intense than the other counties. So you know, you've [36:39] got an advantage here you want to get a 5 acre plot in an urban center that's 10 [36:44] to. $20 million you want to get a 50 acre rural location um with existing utility [36:50] access is maybe a million dollars and if and if we were to build a medical school, [36:55] this would be such an economic driver for the area. I think you could get the land [36:59] donated. That's my belief. So what about Shaston Medical School, um, fully accredited, [37:06] um, the difference is for an allopathic doctor or an MD doctor, they tend to focus [37:11] on research. Um, and, and the scientifically based uses of medications and surgery, [37:19] whereas the DO doctor, a doctor of osteopath tends to have more of a holistic approach, [37:24] um, and both are highly respected, both would serve our needs. I went on a road trip [37:30] to Western University in Lebanon, Oregon. This is a mill town that that went from [37:37] about 19,000 people down to 11,000 people built a medical school. They're back up [37:45] to 19,000. They built a second school, a school of physical therapy. They awarded. [37:52] 7 doctors of osteopathic medicine, 47 doctors of physical therapy, they're moving [37:58] from a 55 acre spot to a 132 acre spot where they're partnered with the Linbot Community [38:05] College district, and they're building a bigger campus. Um, they're a small rural [38:12] town punch above its weight. This school is in the top quartile for primary care [38:18] in the United States. Most university hospitals in California do not have that honor. [38:26] I did an analysis, a quick analysis of Um, with the time and the cost to put these [38:32] schools together, obviously 100 students for a DO school is a much smaller effort, [38:40] and one of the problems with building a medical school is you have to put up a large [38:45] escrow account because nobody wants you to start a school and not finish it. So um [38:50] for a DO school that's 30 million for an MD school that's 50 million. Look at the [38:56] process, this is very. What's the right way to say profitable, very lucrative uh [39:03] in intuitions for schools. Um, and this is what we'd be looking at, you know, uh, [39:10] Western University comp entering class of 2024. Wouldn't that be great if that was [39:16] our entering class in the next couple of years? Um, I have a presentation from Doctor [39:22] Hall. [39:38] Hi, everybody. My name is Norm Hall. I'm serving as president of Simpson University [39:43] in my 8th year. In the university's 105th year, and it's a delight to come to you [39:50] by video. I'm sorry I'm not with you personally because I had prior travel engagement [39:56] with our denominational annual meeting on the East Coast. And nonetheless, I want [40:00] to share with you that we've had tremendous momentum at Simpson University in recent [40:05] years with the growth in our degree completion program. You've probably heard about [40:10] the the recent North State Promise where we, uh, where we set up 50% off tuition [40:17] for anybody that's wanting to transfer over from the junior colleges in our region, [40:22] but more importantly recently on top of our excellent reaccreditation and our growth. [40:28] I was approached by um uh representatives from the county of Shasta asking if I'd [40:36] be interested in exploring the idea of a medical school and in fact I am it's uh [40:42] we are where we at Simpson University, you're uh thoroughly accredited uh well established [40:48] institution here in the North state, your hometown university. We're excited about [40:53] exploring this notion of a medical school. I know that Mr. Chris Street has just [40:59] given you a presentation which I'm sure was impressive. And now we need to turn our [41:04] attention to. Uh, funding, uh, partnerships with hospitals and special accreditation [41:10] opportunities, so I've agreed to partner with uh Doctor Paul Danua to take the next [41:16] step in exploration of this, uh, very exciting idea. I hope that you have a great [41:22] conversation tonight and you know you can count on us if it can be done, uh, we'll [41:27] get after it. Uh, hope you have a great meeting. Thanks everybody. [41:36] Can I take you take some questions, please, because, uh, Doctor Deuca wanna, uh, [41:40] Doctor Nua, would you please come forward? I think that'd be great. Doctor Deuca [41:45] can is is a leader in the health care community here. He's been incredibly helpful [41:50] to me, um, you know, a really dedicated person to our community. We are very fortunate [41:55] to, uh, welcome him. [42:00] Thank you, Mr. S Street. Thank you supervisors, CEO Rickard and Mr. Street, and Dr. [42:07] Norm Hall for all your hard work and dedication. [42:12] What we face today are immense challenges, shortage of doctors and healthcare access, [42:19] shortage of well-paying jobs, crisis of mental health and addiction. But I say [42:26] that within those challenges lies an opportunity that presents itself for once in [42:32] a lifetime. The question in front of us is, can we seize the moment? Can we rise [42:39] to the occasion? Can we train our doctors and other healthcare workers locally? [42:47] Can we ignite an engine? Of a new engine of economy that will bring wealth and prosperity [42:54] to our citizens. Can we build an institution that will grow organically and expand [43:01] exponentially. And will have a lasting impact. For the centuries to come. Can we [43:08] do that? I ask all of you. And I say that we can. Because what we need. [43:16] is right here, right here. Bold vision [43:23] Our firm determination to see it through courage to dream and make it a reality. [43:29] We have it right here in you, in you, and all of us. So we can do that. [43:37] Our community is a very kind community. We live in a very kind community. You have [43:42] been very generous to me personally and my family. They've given me everything I [43:46] need and more than I deserve. [43:50] I am absolutely honored to play my part in this endeavor. And I'm fully committed [43:56] to do whatever is necessary to see it through. That is why we have started assembling. [44:05] A community group of dedicated doctors and Eminent educators so [44:13] that we can craft a strategy. And we can engage with the Stakeholders across our [44:20] state. And strong partnerships can be built. For this endeavor. [44:29] Because it will take a village, it is a big effort. It will take time. It will take [44:35] all of our effort. It will take the whole village to do this, so we will need all [44:39] of us. But I say that our work, what is our work, our work [44:47] is to teach. Our work is to heal. Our work is to teach how to heal. [44:56] I invite all of you. To start this journey with faith. With a high aim, [45:03] bold ambition. and unwavering resolve. With God's grace we shall work together and [45:11] we will bring an institution that will become an inspiration for our generations [45:17] and will become a destination for the nation. May God be with all of us. Thank you. [45:26] Yeah [45:28] So we'll open, we'll open for questions. Does anybody have any questions, as this [45:31] is, uh, oh, do we have, we have public comment, Stephanie? Mr. Street, don't you [45:35] go ahead and take a seat, we'll take public comment. So Doctor Paul Danuka was actually [45:41] our first speaker. I don't know if he wants to come back up. I think he's good, yeah. [45:47] Then next we have David Halligan followed by Dolores Lucero, followed by Leslie and [45:52] then Eris. How many do we have? If I called your name, please get in queue. We have [45:56] 4 speakers, so they'll get 3 minutes each. Thank you. Good morning board. Mr. Street, [46:03] that was quite the presentation. The numbers, I mean, it's gonna take me a week or [46:08] two to digest those things. I don't know when the board received this packet because [46:12] I didn't see it available online for this meeting today, so. Uh, just want to remind [46:18] everyone that Mr. Street is the gentleman that had a CEO offer rescinded on April [46:23] 6th of 2023. In fact, it was a 5-0 vote to rescind that offer. Mr. Cry, Mr. Kelstrom, [46:29] you were part of that vote. I don't know the reasons why, but, uh. Anyway, it must [46:35] have been something very relevant. I do. Thank you. I am aware that this presentation, [46:41] a lot of it has already been presented to the city council on 121 of 25, and I believe [46:49] there were some other presentations maybe to a Reading Rotary group as well. So, [46:54] uh, the presentation on the state of the uh medical uh providers as well as the possibility [47:01] of a medical school here in Shasta County. Um, it just appears that these were all [47:09] presented free and very much appreciated to this county and to these organizations, [47:14] but not to us today. Today's offer was $40,000 to present this offer and in fact, [47:22] Mr. Lamour at one of the meetings when this was being discussed, he said, hm, yeah, [47:26] it probably should have went out to an RFP, but but it didn't, and to me, um. Uh, [47:33] just, it's another display of cronyism of, of you, Mr. uh Kevin Kry rewarding your [47:39] buddy Mr. Street and not sending this out for others to review other organizations [47:45] that are really given a lot to this community and continue to do so. The bid should [47:50] have gone out. It was the right thing to do and it's about doing the right thing, [47:55] gentlemen, thank you. [47:59] Thank you. [48:05] Sorry, Dolores Lucero, followed by Leslie, then Eris. [48:12] You have [48:16] First thing I like to say is I feel sorry for those veterans who fought for our country. [48:22] Because [48:24] they fought for justice for all. [48:28] Oh, you have, you're being disrespectful for what I'm saying. I am. You know what [48:34] I'm going to say. No clue. Yeah, then, then be quiet. [48:40] You you appointed. Mr. Chris Street here who has no experience, [48:48] no knowledge yet. Yet you have him do a presentation on [48:55] license medical advice billing opinion he's giving medical advice without a license. [49:03] We have so many of you are public officials, including the deputy of the sheriff. [49:08] How many more officials do we have here? We have doctors. Who actually don't even [49:14] care about by uh enforcing the law. In other words, they break the law. They're here [49:20] breaking the law, giving an opinion about medical when actually it's a conflict of [49:27] interest for Mr. Danuka to be involved in this whole thing, and you guys don't care, [49:32] you three don't give a shit about the laws and. Yet you're breaking the laws and [49:37] you're supposed to be holed up to the highest but yet you don't you actually are [49:43] so sad and I'm so mad I can't even say what I need to say because you constantly [49:49] breaking the law every meeting we come here you cause chaos chaos. You have people [49:55] here all the time to give opinion. You pay people with no experience. Chris Street [50:02] here. Chris doesn't have no experience, yet you allowed him to come up here. Why [50:08] are you breaking the law? I want to know why do you think you have the authority [50:13] and to break the law and to constantly just bring people here to do the same. And [50:19] nobody here has the guts to have to be all these people who come up here and they [50:25] clap, you know, thinking, oh, so cool we got Doctor Danuka. They're a bunch of sheep. [50:31] That's what they are. Do you understand what sheeps are people just follow to kiss [50:35] your ass. That's the. Bottom line, I'm not one of them. I believe in justice and [50:41] I believe in doing what's right and I'll fight what's right and I'll say the truth [50:45] when people like it or not. You'll have lessons come up here and she'll say, Oh, [50:49] Dr. Denua, I love Doctor Danuka. You have people coming up here kissing butt. They [50:56] sound so disgusting because that's what they do. I speak the truth and justice will [51:01] prevail in the end after what we do, I will file complaints against the doctors uh [51:07] for on the state medical. Next up, Leslie, followed by Ari. Thank you. [51:17] Thanks for that introduction. Um, I missed the part where you diagnosed anybody or [51:22] gave medical um advice, but, um, as a parent of a child who has special needs and [51:29] needs a specialty service, I'm grateful for something like this. I go to UC Davis [51:34] 4 times a year, um, at a minimum, and then once she's 18, the closest place she can [51:40] get those services is Chico so I appreciate the idea of bringing something here. [51:45] Um, during that presentation he talked about how Shasta Community Health's residencies [51:51] are filled with international students versus local students was the point of that. [51:57] So when you look at division in our community, search no further than those in the. [52:02] Audience who reach for a reason to yell out racist and create an issue where none [52:09] exists. He wants to boost our local economy. This committee wants to boost our local [52:15] community takes students who need and deserve those. Options and those choices [52:23] who can come here go here and then stay here so it's not a racist comment to say [52:29] that we want to grow our local um and then Monique had some comments to make and [52:34] she was late on putting in her thing so I want to yield my time and share with her [52:38] if that's OK. Yeah, you, you can't, yeah, yeah, you can't. Next up, [52:49] Eris, and that is our last speaker chair. [52:57] Healthcare infrastructure matters. A local medical school could definitely be transformative, [53:03] but only if it's led by people who are qualified, transparent, and accountable. Chris [53:08] Street is none of these. He has no medical credentials, and a judge found that he [53:13] has misused public funds when he was the treasurer in Orange County. Now he's vice [53:18] president of New California, a far-right secessionist movement. Still, this board [53:24] gave him a $40,000 no-bid contract despite rules requiring open bidding. [53:31] $7000 has already been billed for conversations and research. That's public money. [53:36] It's our money. Chris Street is not alone. The new register of voters has similar [53:42] ties. Supervisor Kelstrom is linked to the Cottonwood militia. Chairman Kry has been [53:47] flanked by known militia members on multiple occasions. This is not isolated. It's [53:52] a pattern. You can dress it up, but these groups are sanitized fronts for authoritarianism. [53:59] And this board is quietly building power through them. And as I name this, I also [54:05] must hold space for Gaza, where over 15,000 children have been killed by bombs, starvation. [54:11] It's tied to it. It is tied to it. It is connected. Don't cut my mic. This is my [54:15] time and I'm reclaiming my time. It's connected. Let me finish. I'm reclaiming my [54:19] time. Where over 15,000 children have been killed by bombs, starvation, and military [54:24] violence. The genocide in Palestine is not random. It happens when fascist ideologies [54:29] go unchecked, when human lives become disposable. We say the names, their names. [54:37] Rajab, age 6 shot, and many more. Silence is complicity. Memory is resistant. I oppose [54:42] Chris Street, California. The Cottonwood militia, the state of [54:47] Jefferson, [55:01] and any group rooted in hate or authoritarianism. [55:04] I oppose. And the new. This is your 2nd warning. This is your 2nd [55:11] warning. From holding contracts for power here. Not all who hear me are listening. [55:16] All right, we're gonna go ahead and clear the room. We're going to go ahead and clear [55:20] the room. So go ahead, we're going to remove you. You're not imagining you're not [55:23] alone. The alarm bells are not anxiety. They're your instinct. OK. [55:39] For the record, the Cottonwood Militia is a great organization and I love each and [55:42] every one of those guys and gals. [56:05] We have, we have direct orders from the sheriff on how these things have to be handled. [56:12] You didn't have one. [56:16] Please clear the room. I [57:05] That's on red. [59:21] You guys do that. [59:26] I like [59:31] Yeah. [59:37] Per. [59:49] It's like saying. [59:52] Neurologist. [1:00:08] Yeah, but can I make a slight direction? [1:00:17] OK. [1:00:47] Yeah [1:00:52] When you spoke about residents from the Caribbean. [1:00:59] but I'm on the board. [1:01:04] to the right. [1:01:10] That [1:01:22] different OK [1:01:40] All right, returning back to our 3. That's the last. Do we have one more public comment [1:01:45] or is that it? Uh, that was it, chair. OK, we'll bring it back for board discussion [1:01:49] and possible action. There is no cue, so supervisor Kelstrom. Yeah, great presentation, [1:01:57] Mr. Street. That was awesome and um Doctor Danuka as well. um I don't know if he's [1:02:01] still here or not, um, but I talked to a couple Anderson City council members yesterday [1:02:06] at the Memorial Day event down here on this subject here, and, uh, one of them was [1:02:09] going to try to be here, but they were both totally in favor of this thing. In fact, [1:02:12] uh, one of them said that if you want to put it in Anderson, they would, uh, facilitate [1:02:16] the permitting and licensing to get you down there. So, uh, Anderson's on board with [1:02:20] you, as am I. Thank you. Supervisor long. Oh no. Oh, are you ready? [1:02:30] Yeah, a plumber. [1:02:33] Uh, Mr. Shi, could you talk us through how, uh, starting a medical school will lead [1:02:38] to more, uh, local physicians, uh, in the research I've done, we know that [1:02:46] increasing, uh, you know, if somebody goes to school here and is from here that does [1:02:51] increase the chances that they will stay. Um, but oftentimes, uh, where they go and [1:02:57] do their residency is a more powerful driver of where they end up practicing than [1:03:01] where they went to medical school and so. Uh, is the idea that this will increase [1:03:08] retention within our current residency programs and thereby increase the number of [1:03:11] physicians that will remain in the community? Well, absolutely. I think that, you [1:03:17] know, if, if you're from here and you went to high school here, you know, how would [1:03:21] you like to be there at the high school graduation and say that Shasta County has [1:03:26] reserved 10 number of positions that they'll find. Or support, you know, if you go [1:03:33] off to college past the med cats, qualify for medical school, and come back to our [1:03:37] medical school, I mean that kind of educational nexus is what's going on right now [1:03:44] in Lebanon, Oregon. Lebanon actually has every kindergartener come to the medical [1:03:51] school. They put on the little, you know, the, the earphones. They. Wear a little [1:03:57] uh coat. They, they get the idea and teach these kids within the school system and [1:04:02] also the community college district Linbot that this is available to you. This is [1:04:08] about you. We want you we want you here in the community to, to stay here in the [1:04:13] community and serve the people you know and you like to know. Um, I've had several [1:04:17] parents who are applying to medical school and Doctor Duca can tell you about that, [1:04:21] um. That you know are applying all over the country and have very little confidence [1:04:27] that they'll even get into a California school um and the chances if you go to an [1:04:32] urban center you're gonna have relationships maybe you never come back, but if you [1:04:37] go across the country I think Doctor Danica's daughter right now is I, I believe [1:04:41] she's in New York, right, she's in New York. She couldn't get into a school here [1:04:45] in California, so, um. It's not fair to say that rural students are are discriminated [1:04:52] against. But it's a much easier pathway and you know it's, it speaks to why only [1:04:57] 10% of doctors are in rural communities, yet 20% of residents are in rural communities. [1:05:04] So I, I think that it's all about local, it's all about solving that that that shortage [1:05:09] in primary care, that shortage in in specialties and really building on this idea [1:05:16] because we're gonna get very high in doctors. We're gonna choose to move to Shasta [1:05:22] County. The reason I'm gonna choose to move here, it's very intellectually rewarding [1:05:27] to be a professor in a medical school, but you also, you know, you spend 20 or 30% [1:05:32] of your time at the medical school and you set up a very powerful practice, your [1:05:38] name, your representation with, with the medical school, that's a powerful poll, [1:05:43] and they expect to pull people pull patients in from. These 14 counties I keep talking [1:05:48] about, you know, they used to be part of what Shasta County, Shasta County Reading [1:05:53] was always the hub when I was a little kid here, and, and, and this is where it all [1:05:58] came. I think if we put this together, we'll not only come from here and come back [1:06:03] from here, but we'll also bring in kids, you know, coming in from the other counties, [1:06:07] Siski, Butte, and areas will be the center that, you know, the hub that we want to [1:06:13] be. And uh so if we, if we you know have you know a number of [1:06:21] medical students graduate but we don't increase our residency program, then we might [1:06:25] increase retention a bit by having some local students go and graduate and then they [1:06:30] want to stay here but otherwise we'll be sending a lot of those graduates to other [1:06:34] places around the state or the country to do their residency program, in which case [1:06:39] they might not come back. So one of the things that you know you and I have talked [1:06:44] about and others is having a two part strategy of considering to test the feasibility [1:06:49] of a medical school while also seeing how can we expand our residency programs as [1:06:54] well to ensure that there are sufficient opportunities that if we do have a bunch [1:06:58] of graduates who are local, they have a spot to do a residency program here. Uh, [1:07:02] and so. The other thing that um I wanted to uh talk about and I don't know if we [1:07:09] can bring up the slide again with the numbers, that's possible. [1:07:21] But uh the clearly there is an upfront investment uh but then getting to a sustainable [1:07:27] where you are either generating a profit or breaking even is is important uh and [1:07:34] could you talk us through kind of that analysis of how we are estimating kind of [1:07:40] revenue when you are at full capacity and versus what we expect the operating expenses [1:07:45] to be. Uh, so, and I know we are, we are in the preliminary phases on this front, [1:07:50] but I think that's helpful in terms of understanding the finances of something like [1:07:55] this. OK [1:08:01] Hold on one second, we're gonna turn your mic on. Right, OK, it's obviously a huge [1:08:06] jump to go from, you know, a DO school to an MD school. MD schools are known for [1:08:12] research and other issues, but in, in, in, uh, Lebanon, uh, when I, uh, went on my [1:08:19] tour, they talked about their strategy to, you know, to put money up front and, and [1:08:25] not have such a huge burden, you know, on, on the dollars. Now you have to get. You [1:08:30] know, this escrow account, this $30 million escrow account, but it's, it, it, it [1:08:35] breaks when you hit break even, um, and how many years it can take you to get to [1:08:40] break even. Um, I used $50,000 for tuition for a DO school and $60,000 [1:08:48] for an MD school. That seems extremely conservative. Um, I did make one error and, [1:08:54] and I think you called me out. On it, um, and then I, uh, in the on to the right [1:09:00] side 2nd row down 25, 30 and 7. I, I guess I didn't add the 7 in there, um, but you [1:09:07] can see I think we came to the same sort of numbers, your analysis we came out with [1:09:11] the same sort of numbers, um, for the, you know, time we break even, uh, and pay [1:09:17] off the school, um, but, uh, you, you really start cash flowing very, very early. [1:09:24] Um, in, in the medical school, these kids pay big tuition. These are not your, you [1:09:30] know, um, what would you call it, college kids running around town. These are very [1:09:34] serious students. Their parents are behind them. They're paying big money. They're [1:09:38] gonna be living here, according to Lebanon, they just, you know, they spend money. [1:09:43] It's been a great experience for Lebanon, but they went through the process by leveraging [1:09:49] a relationship with another DO school in Pomona. So when you go to medical school, [1:09:55] your first two years are, are sort of like serious hard science. And and you take [1:10:02] anatomy class physiology, biology, these are hard science classes and uh uh the school [1:10:09] in Lebanon leveraged a relationship with Pomona, uh, Western University Pomona, and [1:10:16] so they were um doing teleeducation for many of those classes or actually sharing [1:10:22] back and forth. um I've had similar conversations I think we would probably. One [1:10:28] investigate how that process worked, but they told me that they went directly into [1:10:34] revenue, um, and you know, off the start, but they, they enrolled 100 kids in their [1:10:41] first class and then moved through the process so they went from 100 to 200 to 300 [1:10:47] to 400 in the school in their first graduation, um, and they have tremendous. You [1:10:54] know, a number of students applying and they don't think that, you know, finding [1:11:00] students are willing to pay isn't isn't the challenge. It's probably the start up [1:11:04] and, and really more importantly, they said it was their own, you know, trying to [1:11:09] get the commitment of the community to believe that they could do this, you know, [1:11:13] everybody knows we have incredible kids they go to school here. I've been to some. [1:11:18] You know, some, uh, scholarship events. I mean, they're just terrific kids and they [1:11:25] leave and you see the same thing and Leslie just told you her Leslie just told you [1:11:30] her story about, you know, her daughter has to go to UC Davis. Annie couldn't be [1:11:35] with us today. Her mother, 106 year old mother had an event and, and she's on the [1:11:40] way to Davis right now. Didn't go to the local hospital, you know, we got transferred [1:11:45] to the local hospital for surgery down to Davis. Um, I think that all should stay [1:11:50] here and I think that that revenue would stay here. So I think we can do this. Early [1:11:57] on and make the numbers work. Um, obviously we'll have to do a lot more analysis. [1:12:03] Yeah, yeah, absolutely. I mean, because I think you know in this current model you [1:12:07] net out at if your tuition stays at 50,000 with 100 students, you get to 5 million [1:12:12] in revenue and based on the staff numbers, your operating expenses at that point [1:12:18] would be, you know, roughly over 10 million so you wouldn't be making money kind [1:12:23] of even at the 6th year, uh, and so that would be concerning but that can be something, [1:12:28] you know that we. You know, would look into and would want more detail in terms of [1:12:32] the assumptions of how you got to the staff numbers and uh but I think the other [1:12:37] things and this is something we've talked about, you know, at length is when we think [1:12:41] about a medical school and I appreciate the, you know, bold vision uh from Doctor [1:12:46] Danuka uh but um you know and and I'm, you know, I find that inspiring at the same [1:12:51] time if we need to make sure that we're, uh, approaching it in a way that addresses [1:12:56] the key hurdles to making this viable. And there I've talked about, uh, and in my [1:13:01] kind of research and conversations that there's 4 key hurdles that uh it comes to [1:13:06] when it comes to starting a medical school. The first is getting enough high quality [1:13:11] students as of this last year we're at the lowest medical school student enrollment [1:13:16] that there's been in 10 years, um, in the, um, the Clovis school they mentioned that [1:13:22] it's getting harder for them to get kind of the crop of students that they want. [1:13:27] As they've gotten to their full capacity number now I think part of what you mentioned [1:13:31] earlier in terms of partnering with an established school so you get that reputational [1:13:35] bump right away can help with that. Uh, the other piece is faculty. I know that in [1:13:41] um the school down there as well they've had trouble and they still have vacancies [1:13:44] in terms of faculty and there are now 1 million, you know, population center. And [1:13:49] so I think that is a key assumption that we need to test is can we attract the faculty [1:13:54] and if we're pulling them from our existing physician practices we'll actually make [1:13:58] the problem worse in the short term, uh, for our current, uh, you know, practices [1:14:04] because we'll be pulling them out of practice even if it's 50% and they will be taking [1:14:08] a pay cut, uh, in fact, in in Clovis they talked about that's often a 50% pay cut [1:14:13] to go to teaching fully. Uh, and then the third thing, and this is when I was talking [1:14:18] with the vice dean of UCSF Fresno who started the Kaiser one, he said, what's make [1:14:23] or break is do you have enough clinical rotations? And what you were describing earlier [1:14:27] is for 3rd and 4th year students, they don't, uh, they're not necessarily sitting [1:14:32] in a classroom learning, they have to go and rotations and 3rd year there's 7 key [1:14:35] rotations that they have to satisfy. And then in 4th year there's elective rotations [1:14:40] and that equates to about 10 rotations per student per year. So if we had 50 students [1:14:46] in 3rd and 4th year or 100 total students, that would be 500 rotations. That means [1:14:51] that we would have to either find the locally 500 rotations, uh, which means we would [1:14:58] have to convince physicians, surgeons, pediatric, OBGYN to take on medical school [1:15:06] students, which will be a drag on their productivity and their revenue, uh, and so. [1:15:11] It's not necessarily insurmountable, but it's something that we need to really make [1:15:14] sure it is possible before we head down the road to, you know, to quote again, it's [1:15:19] make or break and the challenge there too is that the hospitals don't control the [1:15:23] physicians, so. They can't tell their physicians, oh, you have to take a medical [1:15:29] school student and we'd have to go to the physician groups and ask them and see if [1:15:34] we can get a sufficient number of them. uh, and then the final thing is in terms [1:15:38] of residency programs there again I think we, we currently have a family medicine [1:15:43] residency program and internal medicine program we don't have any of these 5 other [1:15:48] residency programs that are part of the core 7. And so I think that they're to in [1:15:53] order to retain those folks and give them the sufficient rotations, the other benefit [1:15:57] is that the residents can train the 3rd and 4th year medical students and so as we [1:16:03] look forward, I think it's great to, you know, I think this could be, you know, particularly [1:16:08] if we partner with an existing institution that has done this before and that we [1:16:13] could leverage their experience and potentially their reputation. that there could [1:16:17] be a pathway to it, but I think we have to be open-eyed about the real challenges [1:16:21] to this, uh, and do our homework to ensure that we've both gotten the support from [1:16:26] the local community in terms of physician groups, the health systems, um, and also [1:16:33] that we have, uh, run the numbers to ensure that this is feasible. May I respond? [1:16:40] Uh, sure, I stopped I've had a lot of discussions with Doctor Danua, and, uh, they've [1:16:47] just formed a committee and exploration committee of, of, uh, physicians and academics [1:16:55] to flesh out a lot of these issues, um, but my role was to, is this possible to do [1:17:01] so what I present you today is, you know, is a discussion that we weren't going to [1:17:06] have three months ago. This is a very powerful statement for, you know, what, what [1:17:12] is Shasta County. When I was a kid, as I said, it was the hub of the North. I mean, [1:17:18] I, I talked to talked to Lebanon economically, all the stores that were all closed [1:17:24] and paint was all, you know, falling off on the side of the buildings, all painted, [1:17:29] all new, got a couple for lease, but you know they're leasing for good numbers. It, [1:17:34] it brings in about 45 to 50 million per year. Just in their little community, so [1:17:41] I, I think the next step is, is just as you said, we need to have those discussions, [1:17:46] we need to do those projections. Thank you. Super. [1:17:51] Can I just make one follow up point on uh the, the Lebanon Oregon example because [1:17:56] I think it's important to have kind of some of the broader context there which is [1:18:00] in 2004 they started a program called Northwest Track which was to try to. Uh, basically [1:18:07] take 3rd and 4th year students from Pomona and have them go into clinical rotations [1:18:12] in the Northwest and so they were testing the feasibility of that. They did that [1:18:16] for 4 years before in 2008 they announced that they were going to start the medical [1:18:20] school, uh, and so they went through this process of testing the viability. The school [1:18:24] in Clovis did the same thing. They partnered with the school in Missouri which I [1:18:27] know you, you've, uh, looked into as well, um, to test the viability because that's [1:18:32] such a central point, um, as well and so. The other thing that's important to note [1:18:37] about the uh the Lebanon Oregon example is that they were able to have a great partnership [1:18:43] with Samaritan Health Services which which is a massive health system that's like [1:18:48] many times bigger than any health system in our community and uh provided the land [1:18:53] I believe or at least the 15 million up front for the capital expenditures and so. [1:18:59] Um, there are some things that they had really going for them and they had taken [1:19:03] the time uh to to test the viability and build the rotational slots up before launching [1:19:09] into the medical school. Thank you, super long. [1:19:13] Thank you, Chair. Thank you, Mr. Street for the presentation. Appreciate that. Um, [1:19:19] so, As I understand it, and, and I echo the sentiments of residency programs are [1:19:26] critical and I don't see that work into this presentation too much other than what [1:19:32] we already have with the three entities. Residency is the key to retention of doctors [1:19:38] once they, because there's about a 50% chance that they're 50% difference um if they [1:19:45] do a residency somewhere else and that they're going to come back versus when they're [1:19:49] in the community and they're going to just stay where they finish their residency. [1:19:55] So I, I think there's, it, it's missing the second component to this. Um, and another [1:20:00] thing that um I'm trying to figure out is that, and I'm, I'm a strong advocate for [1:20:05] a medical school, but you're looking for a partnership with a county. And the county [1:20:11] will have to fund this upfront to the tune of 30 to $50 million you said for the [1:20:17] escrow account, which could eventually get returned if you meet accreditation and [1:20:23] some of the different features to this, but then you throw on the cost of building [1:20:28] the building, acquiring the land, all the other things. This could easily be a $60 [1:20:32] million. Uh, venture up front that the county, if you're looking for a partnership [1:20:37] with the county that we're going to have to debt service that, and I have great concerns [1:20:42] with that. Would I'd love to have a medical facility and a training facility for [1:20:47] doctors in our community? Absolutely. I'm just not sure it's the right combination [1:20:52] for the county to be funding this exploration and so that's where I come. And [1:21:00] uh the debt service and some of those issues are critically important to me because [1:21:06] $60 million is a lot of money and I don't know, there's a lot of hurdles to clear [1:21:11] like Supervisor Plumber had talked about, uh, rotations and doctors already in short [1:21:17] supply and having to take themselves out of the picture to train um somebody in the [1:21:23] residency program. There's a lot of issues and I'm just not sure that the county [1:21:27] is is prepared to get into this business, um, albeit a medical school would be wonderful [1:21:35] for our community. I, I will not take that away from anything and in combination [1:21:39] with the residency, we could, we could start to solve some of these problems. So [1:21:43] I worry about cash flow. I'm very conservative with the county's dollars and cautious, [1:21:49] and you're asking for a $60 million plus debt service right up front, and I just, [1:21:56] I, I don't see that we can afford that. Thank you. Thank you, Supervisor Long. Supervisor [1:22:00] Harman. So just a quick question, can you, can you just maybe summarize a little [1:22:06] bit? What uh Sorry. What you've done, and I know you've researched it or you've [1:22:13] got interests out there, um, what, what do you see as uh maybe philanthropic or, [1:22:20] or other grants that are, that we're looking at that might Take care of some of these [1:22:28] concerns. The next step for me is to, to start looking at federal dollars, right? [1:22:33] and state and federal dollars that we're just going in that process. We, we need [1:22:37] to have an idea. I'm not here to be the advocate of the school. I'm here to be the [1:22:42] consultant to say that it it appears to me you can do this school. You can you at [1:22:47] least have an opportunity to go to the next level seriously to address these issues [1:22:53] that Supervisor Long and Supervisor Plumber have have been talking about, but. It's [1:23:00] now on the table. It's a discussion that needed to happen. It's now a discussion [1:23:05] that, you know, it's going to take leadership. I, you know, [1:23:10] CEO Rickert and I have had conversations about this, you know, it's, it's your opportunity [1:23:16] to address a need that now is clearly not being addressed, but we need primary care [1:23:23] physicians, we need specialty care physicians. Right, but so I, I, [1:23:30] I'm sure there's grants, there's uh Shasta County by moving itself into a rural county, [1:23:39] it is now, um, the healthcare is under the USDA, US Department of Agriculture, um, [1:23:46] and they have very special programs for facility financing for, you know, grants [1:23:51] and such like that. It's unusual for, you know, a county the size of Shasta. To be [1:23:58] looking at these grants, I think you have real opportunities, um, and those discussions [1:24:04] about specific dollars, you know, I'm gonna finish in the next month. So my belief [1:24:10] is that um my role was to say, is this doable? here's how you can think about it [1:24:17] and then put it, you know, here's the financing or or the way to treat it and then [1:24:21] it really it's up to you as to whether you want to move forward or move on. And then [1:24:26] that one last thing, then that. Advan the specific advantages of Simpson College [1:24:33] being interested in being involved in. Well they're rather unique in that here's, [1:24:39] here's a small, you know, rural college that's #1 or #2 rated in the state for nursing [1:24:46] school. I mean, being a doctor isn't that far. Different from being a nurse. I mean, [1:24:52] it has a lot of the same background, a lot of the same training, it's much more advanced, [1:24:56] but you know, they're, they're already first and best as a small school and nursing [1:25:01] in the state. Um, I, I, I think you gotta consider them as, as Norm Hall said, you [1:25:08] know, they're the local, they're your local university, you know, they're already [1:25:12] doing the program with, you know, the, the community college to offer half tuition [1:25:17] for transfers. I mean they're pretty committed to this being their future. They'd [1:25:21] like to be, they'd like to be a partner if that made sense. Sure, right, thank you. [1:25:26] last, last comment, um, super long, so. If, if my timeline is correct, correct me [1:25:34] if I'm wrong, but it would be approximately 4 years till the the program is [1:25:42] up and running, about 8 years before the new doctors were graduating, uh, 11 years [1:25:48] before you actually had practicing physicians coming out of the program to start [1:25:54] to recover some of these costs that Supervisor Plumberer was outlined. So that's [1:25:58] 11 years by my calculations that we're gonna be servicing debt or potentially. Now, [1:26:04] if you have a proposal for federal funding to take care of the medical facility, [1:26:09] I'm all ears because if we can get this paid for with other than county dollars, [1:26:14] that's. a whole different story because I'd love to have a a a new medical training [1:26:18] facility in in Reading, absolutely. But when we're talking about by my calculations, [1:26:23] 11 years before we're producing actual practicing physicians, that's a, that's a [1:26:29] decade out. And that's a significant time for us to be kind of on the hook for this [1:26:35] debt service and try and, and we couldn't even get back the escrow funds until 6 [1:26:42] years, right? Um, I, I think those years, I think it'd be a little shorter than that, [1:26:47] but the, the issue that's important is, you know, we, we need to investigate federal [1:26:52] funding. Federal funding wants to investigate us. I mean this is the kind of project [1:26:58] we would be really, I'm looking to be if we move forward on this, what's called the [1:27:03] National Development grant because what we're doing here in Shasta County is a real [1:27:08] county is going to be a framework. That other counties, other rural parts of America [1:27:15] that have a problem as bad as ours or worse, you know, could, could copy we're, we're [1:27:20] being forward because we can't and you know if that makes sense to move forward, [1:27:26] that's a choice that you're gonna make, um, but I I I do believe that. You have incredible [1:27:33] kids here. I think you'd have a tremendous gene pool to draw from. I think that you [1:27:40] have physicians would come to the school, important, you know, especially physicians [1:27:46] would come to the school, build a practice here, you know, build uh specialty capacity [1:27:53] that we don't have. So I think we just need to have all those issues fleshed out. [1:27:59] Thank you. All right, so I got a few comments then we're gonna wrap this up and move [1:28:03] on. Um, so, uh, I appreciate a lot of the information that everybody shared. One [1:28:09] of the things is we have to remember this was an exploratory process. We're $7000 [1:28:14] in there, uh, it, it, it's, it's actually become kind of comical to me that we're [1:28:19] beating this up as if we're contributing $200 million today uh to a project. I mean, [1:28:26] our, our consultant. was asked to bring some items back and let's not forget, Doctor [1:28:32] Danuka won by a far greater margin than any of us up here, and he ran partially on [1:28:39] wanting to do big things as it relates to medical care in our community. When I first [1:28:44] heard that, I said, well, what would that look like? And that really spurred a lot [1:28:49] of this conversation. Um, I remember uh supervisor Long, you were in Tahoe this week [1:28:53] and I was in Reno in 1995. I had one of two AAU teams that were playing Memorial [1:28:58] Day weekend in '95. Now all these years later, there's about 400 teams, you know, [1:29:04] um, in our region from Chico to Reading. Um, Supervisor plumber, you moved across [1:29:08] the country with your entire family coming here for Bethel Church. That was tiny, [1:29:14] tiny and, you know, in Weaverville, and now it's a mecca. We can talk about it taking [1:29:20] 4 years, 10 years, 11 years, but you know what gets done if you don't do anything? [1:29:25] Nothing. And all we're doing, all we're doing right now is saying, can it be done? [1:29:31] Can it be done? And when we talk about people taking pay cuts they have to teach, [1:29:35] there's a physician in the back of the room, our health officer that took a pay cut [1:29:38] to do this. I'm taking a pay cut. Harmon's taking a pay cut. I believe there's a [1:29:42] lot of people in this community that will step up, take pay cuts, do whatever it [1:29:46] takes to make this community better. And if we don't talk about doing big things, [1:29:50] this area is never going to grow. With that, we're going to move on to our 4. There's [1:29:56] no emotion. Up next we have uh public comment open time followed by consent. Oh, [1:30:02] OK. Sure. Yes. I'd actually like to make a motion. Oh, yes, go ahead. If you, if [1:30:08] you'd like to make a motion and, you know, I'm not sure. [1:30:13] Good. Oh, so I'd like to make a motion to include, uh, uh, 4 things in the scope [1:30:21] of work for the consultant, uh, going forward, and you know it sounded a little bit [1:30:26] like you were being defensive. Frustrated or frustrating, sure, uh, not sure, frustrated. [1:30:31] I'm frustrated. OK, you're frustrating. Uh, I'm frustrated. [1:30:40] Oh no, I said frustrated. It might have sounded different. No, it sounded, it was [1:30:42] frustrating. You just misspoke. So I'm frustrated. Yes, go ahead. Wow, OK. No, no, [1:30:48] no, hold on. Not well, the passive aggressive stuff doesn't work. We're on, we've [1:30:53] had this discussion. We're $7000 in to a process of saying can we do it. The hundreds [1:30:59] of hours that have been spent, make your motion. Go ahead. [1:31:06] To be clear, I said frustrated. It might have sounded like frustrating, but the other [1:31:09] thing is that you know my goal is to uh continue to support this process [1:31:16] and answering the questions we need to answer to ensure that it is successful in [1:31:21] the long term and I think by asking the hard questions, digging into the details, [1:31:27] looking at other examples, testing them, that's how we'll actually get to something [1:31:31] that is successful. It's not to undermine it, it's actually to strengthen it. Uh, [1:31:35] and so with that I'd like to make a motion that uh throughout the uh through this [1:31:39] process that we include in the scope of work for the consultant that he uh reach [1:31:44] out to the local physician groups and request a letter of support and intent to support [1:31:52] this effort in the future that he reach out to the three health systems and request [1:31:57] a letter of support and intent to support this process that he create a clinical [1:32:02] rotations feasibility model. Uh, and that there is, uh, plans around a clinical rotation [1:32:09] testing pilot that are developed. [1:32:15] I would be willing to second that motion if you would like to add, I'd also like [1:32:18] him to explore some of the grants out there, that possible grant funding. That's [1:32:22] already part of it. Yes, uh, yes, Mr. Chairman, I, because this is the direction [1:32:28] the staff, the most this can be is that, uh, direct staff to bring an amended contract [1:32:32] for approval by the board. OK, supervisor or supervisor, uh, Councilman Danua or [1:32:37] Doctor Danica, come on up, I have a couple of questions. Because here's, here's my [1:32:41] concern, and supervisor Harman, I'll speak to you when it comes to amending contracts. [1:32:46] Uh, when you, when you empower somebody in your company and you move in a direction, [1:32:50] you set the course and there's nothing wrong with modifying it. I just don't want [1:32:54] to slow this process down in terms of where we're getting to. So uh Doctor Danuca, [1:33:00] um, you're already speaking to physicians, correct? Yeah, can I, may I clarify a [1:33:05] couple of things? Yes, uh, yeah, absolutely. I'm actually president of North Valley [1:33:09] Medical Association. I have, uh, been in close contact with a lot of physicians around [1:33:14] our area, including those in Chico who are super interested in building a medical [1:33:18] school. In fact, they would like to build in Chico, and we have a friendly competition [1:33:23] that no we'll bring it in Shasta, but really it will be a consortium. So we have [1:33:28] been talking with people all over the North state including Partnership Health, Mercy [1:33:33] Medical Center, Shasta Community Health Center. So as the president of North Valley [1:33:37] Medical Association, you have my full commitment to make that happen. I'm also talking [1:33:41] with the actually they approached us, a large group of doctors who run the ER and [1:33:47] the hospitalist group in our state and the serve dignity by duty. They reached out [1:33:52] to us and asked us, Hey, can we partner with this project? So that's one concern [1:33:56] I want to address. Second, I just, you had mentioned earlier about the shortage of [1:34:00] quality students in our area. I would say absolutely we have absolutely great students [1:34:07] in our area. In fact, uh, we have students who have had nearly perfect MCAT score [1:34:13] and from top university had to go across the state. Uh, so in terms of faculty development, [1:34:20] this in fact I foresee this. As building a partnership with the residency programs, [1:34:27] and we absolutely want more residency program. I'm a big advocate of that. I was [1:34:32] part of one of the people who brought internal medicine residency in Shasta Regional [1:34:37] here. We want to bring surgery, OBGYN, psychiatry, those residencies, and many more [1:34:43] fellowships we want to bring to this area. This will be actually a bilateral program [1:34:48] which should be in residency are absolutely essential to a medical training, and [1:34:53] this will be a synergistic symbiotic relationship between the medical school and [1:34:58] the residency and the hospitals. So what I would say here is. I county should do [1:35:04] what they need to do. My perspective is completely independent of the county or the [1:35:11] city or the state or the federal government. We as doctors and educators will make [1:35:18] this community group and we'll advance this agenda, we'll advance this project and [1:35:23] we partner with the county as the county deems necessary and helpful. So we will [1:35:28] do this and you do decide that, but we are going to do a lot of that work. Which [1:35:33] you have been asking for. Thank you. Thank you, Doctor Nka. Well, yeah, I was gonna [1:35:38] say with and with that answer, and you know sorry supervisor, but I think they're [1:35:42] already going in that direction, so I'm gonna withdraw my second. OK. Well, uh, you [1:35:47] know, and what I, what I'm trying to establish, and we know a lot more now to the [1:35:51] point of many people have said that than we did at the beginning and so that's where [1:35:55] why I think it justifies modifying a contract. And the reason I am doing that is [1:35:59] because when we come to the end of this process and I imagine that there is going [1:36:04] to be some type of ask for the county to continue to partner in some capacity. And [1:36:09] I'm labeling those four things because in order for me to be comfortable with approving [1:36:14] it, it will have to go further than having heard from you and others saying we are [1:36:18] having conversations. I would like to actually have that work done by that point [1:36:23] to ensure that you know those institutions have publicly said they are supporting [1:36:27] moving forward. So that is the reason for my uh. Desire to clarify that in the work [1:36:34] going forward. Supervisor Plumber, can you, uh, clarify again what the four amendments [1:36:39] were? Uh, letters of support from local physician groups, letters of support from [1:36:45] the three main health systems in, uh, Shasta County, a clinical rotation feasibility [1:36:50] model, and a clinical rotation testing pilot plan. What was the last one? That's [1:36:56] uh to uh figure out uh basically to pilot how we would do 3rd and 4th year rotations [1:37:02] and have a sufficient number of them, whether that's partnering with another institution [1:37:06] or we we already do that a little bit with UC Davis so figuring out how could we [1:37:10] accommodate that number of clinical rotations and how can we test that to see if [1:37:14] it will work. OK, I will uh make a second to your motion. May I just say [1:37:21] this that you're absolutely right, we need to do all this work and it will be incumbent [1:37:25] upon the doctors and educators group to do that work. That's all I just want to say [1:37:31] I think with the amount of work that has already been done and the amount of research [1:37:35] that has been done for $7000 I'll make a subsequent motion to just continue on as [1:37:40] as we're going now. So we, we would, we wouldn't actually need a motion for that [1:37:45] because they've already got a contract, so they would just they would just carry [1:37:47] on as is vote on this one. Yeah, I, I would just like to ask a question and you can [1:37:53] give it a head nod from the back of the room, but Doctor Danuka and Mr. Street, um, [1:37:59] if you guys can come up to the podium, is that, does that, does that seem reasonable? [1:38:05] being that you've already been given marching orders and I know you got your hands [1:38:10] full. Well, I, I, I'm trying to get the finish line and I, I was instructed that [1:38:15] we needed to have a shovel, shovel ready example by the end of July. I'm on that [1:38:21] track. I think look at the progress we've made, you know, with small steps and, and [1:38:26] now we're in the these discussions. I really appreciate. Uh, supervisor Clover's [1:38:31] input and Supervisor Long's input because that tells me what I need to come back [1:38:36] with, um, as far as some of these issues, of course, Doctor Vinuca has, you know, [1:38:41] gone to the next level is forming an exploratory committee that in itself is progress. [1:38:48] But I, I have an a I had a a plan. I said I'd get from here to there and David Rickert [1:38:56] gave me very explicit, you know, instruction that he wants things to finish. He, [1:39:01] he wants to have a completed study, uh, and we're on track to complete. Yeah, another [1:39:06] thing Supervisor Harman is, uh. There's, there's other counties like Wanaka, the [1:39:12] chair for uh Rossman, Glen County. I mean, we'll put these letters together. There's [1:39:17] a lot more coming that is not even stated in terms of other, other counties that [1:39:22] are looking at leaning in, how they're gonna lean in. I don't want to slow it down. [1:39:26] We're gonna go ahead and take the vote before we take a vote, I'd like one last comment. [1:39:30] So I was not in favor of the contract to begin with. I made that very vocal. Um, [1:39:36] so that has been legitimately decided by our board and I respect that process. So [1:39:41] that is why I am voting to second supervisor plumbers motion to put [1:39:48] these additional uh alterations to the contract. Act originally, so doesn't mean [1:39:53] I supported the original contract. I still don't, but going forward, I support his [1:39:59] and I respect our board's decision at the prior time. So just out of curiosity, go [1:40:04] ahead, you're gonna say something. Just out of curiosity, I mean, is there, um, what [1:40:09] I guess we don't have to beat it up. I'm just, I, I'm, I'm a little surprised at [1:40:13] the. Uh, what this group and Supervisor plumber's been a part of that. I've been [1:40:18] a part of that. Doctor Danuka, Doctor Hall at Simpson, I mean, the amount of stuff [1:40:22] that's been done in such a short amount of time, do you, do you think it's been a [1:40:25] wasted $7000? Well, that's, that's a question you're asking for my opinion, so I [1:40:32] like it. I will give you my opinion. My opinion is that this is a very complex issue [1:40:38] and a matter. Um, I'm not in favor of the county partnering to develop a medical [1:40:44] school uh with the debt service that I've outlined of $60 million that we're going [1:40:49] to start paying debt service in a 10 year, 11 year lag time before we are producing [1:40:54] physicians. That's the numbers don't make sense to me. I was not in favor of this [1:40:59] to begin with because I didn't feel Mr. Street had the qualifications, so you're [1:41:05] asking the question, the qualifications, and I, I think there are other avenues of [1:41:11] people in our community that have been looking at the doctor shortage and recruitment [1:41:16] crisis which is legitimate. We have, we don't. have enough doctors here and physicians [1:41:21] and we don't cover all across all specialties. We tend to have, you know, more family [1:41:27] care providers than we do some of our specialists. So it's a really complex problem, [1:41:32] and I don't think this contract is going to produce something that's Um, going to [1:41:38] meaningfully move the needle in that direction. So, but, but is it, is it troubling [1:41:42] to you that the medical community had that study saying that we have 123% of the [1:41:47] doctors needed? I mean, those are the experts you're leaning on and yet they were [1:41:50] so off, it's embarrassing. It's embarrassing 123%. So I mean those are the experts [1:41:56] you're leaning on and we're bringing something different. I'm just, I, what I'm excited [1:42:00] about because again we haven't even talked about uh CEO Rickert myself going back [1:42:04] to the USDA during NATO and having those conversations with or with uh Congressman [1:42:09] the Mals office about a demonstration project and the and the possible, um, hundreds [1:42:14] of millions of dollars that are out there for rural healthcare and again we got all [1:42:17] of this for $7000 so [1:42:21] I can I put you on the spot, CEO Rickard. And, and hear what you have to say. Before [1:42:28] we go to a vote. Uh, well, what specifically would you like to hear, Supervisor Harman? [1:42:34] Well, in regards to what uh Mr. Street was talking about, you specifically gave him [1:42:40] marching orders. Yes, so we were given very clear direction from the board as far [1:42:45] as coming back with a shovel ready project by the end of the term of his project. [1:42:49] We've had a number of meetings, uh, a lot of research done by both Mr. Street and, [1:42:54] uh, Supervisor, Plummer on this topic. I think we've made significant progress. I [1:42:59] think some of the recommendations made and support, I think that's important is one [1:43:03] of the biggest hurdles we have isn't the $60 million. Uh, target which we're hopeful [1:43:09] that worst case scenario would involve uh participation by the county, but we're [1:43:14] looking at grants, we're looking at state funding, federal funding, other participation [1:43:18] from other entities, not just us, so those are all questions that have to be asked [1:43:22] and will be brought back to the board for consideration, but um. Uh, there's some [1:43:28] valid points and some good ideas I thought Supervisor Plummer brought forward as [1:43:32] far as residencies and other very technical aspects that we have to look at, consider, [1:43:37] and bring back for consideration. And at this point I think we're ready to bring [1:43:41] in the the educational medical experts to bring it to the next level because there's [1:43:46] only so far we can go with a limited amount of material we have. Thank you. Yeah. [1:43:54] All right. We'll start to my left with uh Ms. Blankenship. OK, Supervisor Long. So [1:44:00] we're taking a vote then on supervisor plumber's motion and you seconded it. Uh, [1:44:05] yes, I support it. Supervisor Kelstrom. So I don't think there's any reason to amend [1:44:09] the contract. I think they're already doing the work that is being asked here, so [1:44:12] I'm going to vote no. Supervisor cry. Yeah, it's no, it's more bureaucracy. Supervisor [1:44:17] Harman? No, and supervisor plumber. Fails 2 to 3. OK, moving on to public comment. [1:44:25] Thank you, Doctor Danuka. Thank you, Chris. Thank you, Doctor Moo. [1:44:31] OK, so, uh, chair, we have, um, let's see, we have 20 speakers, so they'll be limited [1:44:39] to 2 minutes. Is that correct? Correct. OK. First up is Laurie Bridgeford, followed [1:44:44] by Susan Wies, then Jayden Treadway, then Rich Glardo. If I called your name, if [1:44:49] you could please get in queue. Thank you. [1:44:54] I know it's the wrong [1:45:14] Good morning Cha chair and board. Uh, I would like to thank the, uh, Shasta Lake, [1:45:18] um, City for, uh, sponsoring and hosting us, and I'm sure I can speak for everyone, [1:45:23] uh, on the gratefulness that we had a place to, uh. [1:45:28] I'm so sorry that we've had to have some disruptions. I had to make an official complaint [1:45:35] on the conduct behavior because of the disturbances, so that was sent to several [1:45:41] of you. I don't know if I need to put one more in the box just for the heck of it, [1:45:44] but um. Uh, I'm glad you, you are giving people warnings. It's, it's a hard thing [1:45:50] to do, but it's, uh, it's we, we make a room safe. And business being safe when you [1:45:56] feel safe coming up here and you don't need to have a sheriff person escort you. [1:46:00] I, I, I hope I never need to have that. In fact, my last thing I want to say about [1:46:04] conduct and behavior is we had at the other locations Stephen King outburst. Well, [1:46:09] he's now in jail for what, attempted murder. There are people that do not know how [1:46:13] to control themselves, and so I'm very grateful when we have sheriff or security. [1:46:19] Uh, I'd like to just address in a little bit of time left on. Regarding the budgets [1:46:24] coming up and um last week we had Doctor Moo give a presentation on COVID vaccine [1:46:30] adverse reactions. Uh there is a meeting the day after last meeting, it was a seven [1:46:35] hour meeting by the FDA um. 7 hours and we had one of our local persons uh won the [1:46:41] lottery to be one of the uh public speakers and that was Doctor Brian Hooker and [1:46:46] uh Ron Owens was also one of the lucky lottery winners. So it's a 7 hour thing. It's [1:46:51] a toxic product. It should have a class one. [1:46:55] Recall, it's dangerous. It's not safe. It's called the Class One, most severe reactions, [1:47:00] which include death. So lots of people have been harmed and died from it. So I want [1:47:06] this to be a warning to our county that we have been told alerted many, many, many [1:47:10] times for years. This thing is still on the market for 5 years. Thank you, thank [1:47:16] you. [1:47:20] Susan Wiese, followed by Jayden Tredway, followed by Richardo, then Kim Moore. Yes, [1:47:26] um, [1:47:29] I'm here to talk to you again, 3 years into this talking to you, the board again [1:47:36] about how you make decisions, your policies. I've been saying for 3 years now, over [1:47:42] and over again. That it appears that there's a lot of backdoor deals going on here [1:47:48] and I think it's very obvious to anybody that pays attention that this is the case [1:47:54] and it's somebody mentioned it's a pattern, yeah, you have a pattern. Of hiring people [1:48:01] that are not qualified, of getting rid of people who don't agree with your political [1:48:05] agenda, at least that I've got to speak to Mr. Kelson, Mr. Cry and about that because [1:48:11] that's your the past. We have new board members now, but You get rid of people. You [1:48:16] have many people who are so qualified and because they don't meet your goals of being [1:48:22] super conservative, you vote them out, you choose somebody else who agrees with your [1:48:26] policies politically, and that is not where a board of supervisors should be directing [1:48:31] their energies on politics, and that's what happens over and over again here, you [1:48:36] know, you hired Mr. Clint Chris Street, he had no medical background. [1:48:44] And I think there were only two people that were on the committee to choose him, [1:48:48] I think, correct me if I'm wrong, Mr. Rickard and one other person, and you know, [1:48:54] to spend $40,000 on someone without opening it up to the public of people who want [1:49:01] to join or apply for the job is unthinkable. I'm not saying he can't do the work. [1:49:07] That's not my point. I'm not complaining about him. I'm complaining about your policies [1:49:12] and how you hire. [1:49:15] Clint Curtis, I went to his speech on Saturday. He might, he probably has, he has [1:49:20] some good ideas and I, I'm, as someone said next to me, we're all for fair elections, [1:49:24] all of us in this room and [1:49:30] Next up, Jayden Treadway followed by Richardo, then Kim Moore, then Delbert Davis. [1:49:39] What's the timer? I can't see this. You're going. And the number of homeless of Shasta [1:49:46] County at our last count in 2023 was just about 1200 more than [1:49:54] the previous year, and almost half of those were unsheltered encampments on the and [1:50:00] on the streets. We do not yet have access to the 2025 count, so how many more do [1:50:06] you suppose do we have now? The developing diamonds community plan to heal homelessness [1:50:11] has determined through research and personal experience that the vast majority of [1:50:16] the chronic homeless who are out of the loop for an appropriate shelter are neurodivergent. [1:50:22] People that are inherently very intelligent, very creative, very focused on problem [1:50:28] solving, but do not think and respond to their environment in the typical way. For [1:50:34] that reason, they have been maligned and degraded for the whole of their lives and [1:50:38] possibly and often generations prior. They do not fit into the typical shelter and [1:50:45] developmental programs and refuse to be driven into them. Anti-camping laws typically [1:50:51] cost the public up to $17,000 to dismantle for for 200 people, for our [1:50:59] 600 encamped homelessness, that's $10.2 million for each suite [1:51:07] plus the cost of locating the scattered remnants to provide mental health and basic [1:51:12] life support services. In California to relocate them cost up to $44,000 per tent, [1:51:20] and the neurodivergent that were forced into these shelters only returned to their [1:51:25] encampments because the program's social environment and demands trigger their mental [1:51:31] health crises. Data on the successes in homeless housing reports only show. [1:51:40] Richard, followed by Kim Moore, then Delbert Davis, then Larry S. [1:51:52] Uh, good morning. Whoa. Um It's a little highly unorthodox that you're using Mr. [1:52:00] Larmer as your sergeant in arms. I think that's very irregular and actually very [1:52:05] inappropriate. If you want to call a disturbance, have him issue his legal opinion, [1:52:09] and that gentleman over there, that highly paid professional law enforcement officer, [1:52:13] he's the muscle. Nothing else should be happening. Mr. Larmer should not be getting [1:52:18] out of his seat. The militia 3 years ago. Supervisor Les Baugh talked about the militia [1:52:24] at a meeting in a very positive light. The militia is constitutional at the state [1:52:28] level and the federal level, 2nd Amendment, and we have a proud militia that I'm [1:52:33] a member of in this county, proudly, by the way. Um, I know Mr. Uri is really good [1:52:39] about following laws and bills, so Assembly Bill 331, he probably is already following [1:52:43] it, and I hope he continues to report on that. I hope this board could do a letter [1:52:48] of opposition to the state of California if maybe I've missed it to in order to oppose [1:52:53] Assembly Bill 331. We have a local election petition going around now, perfectly [1:52:57] constitutional, perfectly lawful, and the people that are lying saying that the things [1:53:02] in there are illegal or gaslighting you. There are things in this petition that are [1:53:07] perfectly legal and if there are some things that are um Controversially legally, [1:53:12] they will be put into court through the severability process. So perfectly legal [1:53:19] and constitutional to petition your government. This petition is in place because [1:53:23] we don't like what the state is doing. That's the point. That is exactly the point. [1:53:30] So no more lies about that. I would appreciate it, um. And I have one last thing, [1:53:35] but I'll save it for our 4. Thank you. Moore, followed by Delbert Davis, followed [1:53:42] by Larry S, then David Halligan. Kim, I'm gonna throw this in real quick, um, regarding [1:53:47] Mr. Street's presentation, um, I want to state that I, I was in that category where [1:53:54] you guys pay $11,000 annually, but I left because my doctor left Shasta Regional [1:53:58] Medical Center and he went into a private practice. So now instead of the state or [1:54:03] the feds having to pay $11,000 for me annually, I pay $1150 for myself, and [1:54:10] I can go to the doctors whenever I want and I don't face these programs, and I think [1:54:14] both of you two are lizards anyway. Residency program can be used at the Woodlands [1:54:20] and I believe that every project, housing project, residential project that is receiving [1:54:26] state or federal funding should have to participate in the residency program, and [1:54:30] I'd like to see you guys using the existing campus of Simpson College. I'm not into [1:54:35] spending a bunch of money on a new facility. I understand that big scam and how it [1:54:40] works by when we had the builder come in Palm communities out of Irvine, California [1:54:44] and build the woodlands. It's a Ponzi scheme. It's not helping the people and anybody [1:54:49] who tells you it is, it's full of shit. So we need a meeting. Um, after arriving [1:54:55] here, I realized that the section D, it's the right title, the right date that the [1:55:01] wording has been changed. The good news is I have a copy of the original at home [1:55:05] and I'm gonna go home and dissect it, and I'll be putting it on the projector during [1:55:08] the next meetings. So, um, We, my biggest concern is that we have one tenant who's [1:55:15] about ready to die, not because of a health condition, but because the county isn't [1:55:19] doing their job and so I want a meeting with you guys. I wanna, I wanna try to save [1:55:23] her life, but you need to pay attention. So we have another MHSA tenant who's running [1:55:28] around right now. She's the one who's like leading to this other woman's death, and [1:55:33] she's presenting herself as a peer support specialist to RPD, and she isn't. She's [1:55:38] not a county employee. So this is dangerous crap. 2 minutes doesn't cover it. I need [1:55:44] a meeting with you guys before this die. Oh. Delbert Davis, followed by Larry S, [1:55:51] then David Halligan, followed by Dolores Lucero. Um, I lived in the Woodlands apartment [1:55:57] for 8 years now. OK, ever since Pam took over, that's when the harassment started. [1:56:04] Jeff has been targeting me for the last 6 years. He's making false claims against [1:56:10] me and trying to get me evicted. I have a meeting with him tomorrow about my eviction. [1:56:16] OK, HUD has told him to fix my. OK, my dishwasher has been broke for 5 years. [1:56:24] My smoke detector for 3 years. HUD has told them to fix it and they refused. [1:56:38] I need an app and I need with you able a meeting with you to be able to tell you [1:56:45] more. [1:56:48] Thank you. Larry S followed by David Halligan, then Dolores Lucero, followed by Jeffter. [1:56:56] Morning board. In keeping with your jurisdiction to send letters, and I know you [1:57:00] like to send letters, I want to recommend two quick letters that you might send to [1:57:04] President Trump. [1:57:07] Of the $5 trillion that the federal government receives. In taxes and revenue from [1:57:13] the 50 states, California pays almost 13% of that. President Trump wants to withhold [1:57:19] federal funding from the state of California. [1:57:24] So tell President Trump. That he can keep his 610 billion. That the federal government [1:57:31] sends California and we'll keep the $700 billion that we send to the federal government [1:57:37] and we'll be $90 billion ahead. So tell Mr. Trump to put that in his pipe and smoke [1:57:41] it. [1:57:45] The other letter would go something like this. We heard glowing accolades from you [1:57:50] yesterday at Arlington National Cemetery in terms of our fallen warriors. Honor valor. [1:57:59] Love of country, defending of the Constitution. You read a teleprompter speech that [1:58:04] was written by someone else and you read it very Wrote And without passion. [1:58:12] You spoke of characteristics that you do not possess. You are unfit to be the commander [1:58:18] in chief of the United States. We call for you to resign immediately. We're referring [1:58:24] to our veterans and fallen comrades as losers and suckers and what was in it for [1:58:30] them. And while you're at it, take that white supremacist Pete Hegseth with you. [1:58:38] David Halligan, followed by Dolores Lucero, followed by Jeff Gorder, then Leslie. [1:58:43] Thank you board. I want to go back to the scene of the train wreck at the last board [1:58:47] meeting, the designated marketing organization, you know, uh, Nigel Skeets Group, [1:58:53] the Shasta County Chamber, Mr. Cry, your, your donor, your election, uh, consultant. [1:59:00] Well, let's, let's back that up and go to the 12:10 board meeting when the award [1:59:04] was supposed to happen on the tourism and marketing branding. Reading Chambers scored [1:59:08] 83A. Shasta Chambers scored 68.3%, well below 19.5% below that. The [1:59:16] board met on 12/10, and they discussed the award. They decided to go another direction. [1:59:22] Here's Mr. Cry with his change of mind. [1:59:38] To say that I Put this on And then look at Budget [1:59:45] adjustment of tourism and [1:59:51] So that's just where I am. Sure you want to put that in the motion I'll put that [1:59:56] in. So Mr. Kry decided to put that in a motion which passed 50 to revisit it at the [2:00:02] June budget meetings, which I totally agree with you there, Mr. Cry, but what you [2:00:06] did by saying that is you told all the other groups, you told the board, you told [2:00:10] the community that you were putting this on pause and then you get on them because [2:00:13] they didn't send this letter that was dated April 1st, that that's just totally BS. [2:00:17] And then for you, Mr. uh Cry, to stand up here at the last board meeting and say [2:00:22] that the uh the uh. [2:00:27] Scores were sabotaged. That's what you said the scores were sabotaged. Where did [2:00:31] that come from, Mr. Kelstrom? You were the one of the three that were on there. You're [2:00:35] still sitting up there. What was sabotaged? I never heard you say anything about [2:00:39] the votes or the scores were sabotaged, really sabotaged. Thank you, followed by [2:00:44] Jeff Border. Followed by Leslie, followed by Judy Salter. [2:00:54] I hate these meetings. I actually do. I hate you 3. I can't stand that you are [2:01:02] part of the problem in this county. You make bad decisions. You have 4ky like a little [2:01:07] puppet. He doesn't even know what he talks about or what he says. All he has to, [2:01:12] all you have to do is Kevin pull his little strings. More dumber than he is now when [2:01:17] he speaks and he acts like he's not gonna vote on what your vote because it's a done [2:01:23] deal before you attend these meetings and that's that's the bottom line. This place [2:01:28] is corrupt you waste and abuse and you commit fraud in this county. That's what you [2:01:33] do, um, this, um, Mr. Clint Curtis. On the the town [2:01:40] hall meeting they had and he announced his campaign during a private town hall meeting, [2:01:47] you know, he violated multiple laws just being there and announcing him running for [2:01:54] the registered voter, he actually violated some laws that you should be aware if [2:02:00] he's an attorney. He actually violated multiple laws on that alone. So the laws he [2:02:05] violated is actually uh let me see, there's multiple here. The first one is I'm gonna [2:02:12] think it's very important is the First Amendment equal protection of viol equal protection [2:02:19] of violation. You can't discriminate people to come and. Attend in the meeting he's [2:02:24] talking about elections elections. The first thing he said he's gonna bring to to [2:02:30] the counties transparency. How can he call transparency when he actually attended [2:02:35] the meeting and he knows that he actually what Richard called it Richard called it [2:02:41] something to do with black list. Uh, but I'll go out into it, but anyways, [2:02:49] he broke multiple laws and you actually allowing him to break laws. Jeff Porter, [2:02:57] followed by Leslie, followed by Judy Salter, then Suzie. Yeah, hire a liar. Thank [2:03:04] you. [2:03:12] Of. [2:03:15] Yeah. So, please sit down. [2:03:21] Uh, you may board may recall, um, in January of this year, Supervisor Cry spoke before [2:03:26] a crowd of Trump supporters at the Capitol in Sacramento, and his, his final quote, [2:03:32] his rousing quote to the throng was, quote, Our little county is as corrupt as anything. [2:03:38] Um, now I, I suggested that we not appoint Chair Cry as our tourism and marketing [2:03:44] director for that comment, but unfortunately his comment has turned out to be true. [2:03:49] Uh, but it's projection on Mr. Kry's part. It describes the action that's occurred [2:03:54] with this three member majority. Uh, the street contract was just one example. There [2:03:59] are many more that I could name, but 2 minutes is not enough. The most recent was [2:04:04] the tourism and designation contract, tourism marketing designation contract. Mr. [2:04:09] Halligan said the motion by Mr. Cry in December was. Bring the matter back before [2:04:15] the boards when 3 new members would be able to weigh in as to whether new bids would [2:04:20] be given out. Then Mr. Cry said he's been talking to James Mazada of the chamber. [2:04:26] Mazada writes Cry a letter on April 1st asking to be designated as the official marketing [2:04:33] director. It's directed to cry. Well, apparently cry didn't want to address the situation [2:04:39] because Nigel Street is his man and he didn't want to be connected, so he gives it [2:04:44] to Mr. Kelstrom to bring up. It's just three little letters, folks, that's all it [2:04:49] is. Was Reading Chamber. No. Were the other organizations that won out over [2:04:57] Shasta Chamber notified? No. We just go forward and we give the contract or the designation [2:05:03] to somebody that's contributed to cry or has done something. Think about that. Thank [2:05:11] you. Leslie followed by Judy Salter, then, then Steve Hahn. [2:05:17] And his lawsuit's gonna cost us how much? OK. So, um, long. [2:05:24] We need to get together. We said we'd meet, get together and discuss. We haven't [2:05:29] had that happen, so unfortunately this is how I get to talk to you. Your behavior, [2:05:34] you got to do better. This the last couple of meetings I got up here after that Shasta [2:05:41] no video and I told you that I thought that was out of bounds and unacceptable, but [2:05:45] then your behavior has been the same. You have character assassinated multiple people [2:05:51] that come up here to do business for the county. And people who live in glass houses [2:05:57] shouldn't throw rocks. I'm sorry, I don't respect that. That was not that not OK. [2:06:01] Think about things before you do it. It's, it's not a good look. Um. Anyway, [2:06:10] I today today was an example of it and that's why I put it on there when you started [2:06:15] your board report and you opened with the this is, you know, my county only business [2:06:21] I appreciate every single thing they talk about in their board reports. I appreciate [2:06:26] Chris Kelstrom's ability. And availability for the community to connect with him [2:06:31] at every one of those events he attends. He is one of the most reachable supervisors [2:06:37] that we have. I appreciate every Friday's Kevin's Coffee where people can come and [2:06:42] approach him. I've been asking you for months for a meeting. This is where I get [2:06:46] to talk to you, so I appreciate that they talk about meals they go to and meetings [2:06:51] they attend and quirky attending different events on his ranch and hosting people [2:06:56] and bringing people in because they're accessible. I appreciate that every time I've [2:07:00] reached out to Matt I got a response, so. Maybe fix that. Um, and then also Clint [2:07:07] Curtis, it's my honor, our honor that we actually got to host the interview where [2:07:12] you announced your candidacy on Mountaintop Media. So, thank you. Judy Salter, followed [2:07:19] by Moe, followed by Steve Kahn, then Benjamin. [2:07:28] Um, I may be the one who's confused, but I just wanted to make sure that it was clear [2:07:35] that Shasta Community Health has a residency program and has for 10 years, and all [2:07:42] of their residents are locals. It's um [2:07:49] SRMC has an internal residency program and those are foreign residents, so it's [2:07:56] not community health and I think that distinction was not clear in the presentation [2:08:03] so. Actually, Shasta Community Health has family practice residency [2:08:11] and a nurse practitioner and physician's assistant fellowship. Mercy has a family [2:08:18] practice residency and SRMC has an internal medicine residency. [2:08:26] So if I were looking to go forward, I would want to expand those programs [2:08:34] to meet the possibility that we could go, you know, to a medical school, but if we're [2:08:39] going to put money anywhere, I would certainly want to see these residencies expanded, [2:08:45] and I know conversation has been going on with UC Davis in an attempt to do this, [2:08:51] so I hope that would end up being followed. Uh, you know, I was honestly hoping that [2:08:57] when the board changed its composition that we as citizens might see some real [2:09:05] progress on some critical issues. Instead, I find that favoritism is still taking [2:09:13] place, taking precedence over experience and in some case qualifications. The pastor [2:09:20] eloquently asks for wisdom for this board and fairness from you. [2:09:29] Followed by Steve Kahn, followed by Benjamin No Wane, then C. Garnier. Last time [2:09:36] I touched this I got shocked. Good morning board. Hello fellow constituents. My name [2:09:41] is Monique Wile. Um, I've been coming in since September 19, 2017 and I just wanted [2:09:47] to let you guys know, um. May 4th, 1992, my sister was kidnapped, raped, and murdered, [2:09:54] and I wanted to come in here and say something completely different. And then I watched [2:09:59] a very wise man with discernment, Dr. Danuka, come up here and he gave me goosebumps [2:10:05] and he made me so happy for our vast future. This is a man laying the foundation [2:10:11] for a future community of educated individuals, and I freaking love it. After my [2:10:17] sister passed, I became a medic, a flight medic, a fire medic. Now my children are [2:10:21] following in their mother's footsteps and hopefully in 11 years my son will decide [2:10:26] to be a doctor because at one point I was studying for MCATs trying to get into Stanford [2:10:31] because I wanted to be a vein harvester, cardiology. And um I had a stroke so my [2:10:37] life completely went in a different direction, but I believe this school is something [2:10:41] that can be tangible and, and it's, it's a, it's a notion of, it's a beautiful thing [2:10:47] talking about educating a future of children to become our physicians. When I came [2:10:53] in here, I got a phone call from Shas Community Health Center and I went out there [2:10:57] while you were talking to Chris Street. I went out there to. Call them back because [2:11:00] they called me about some other individual for a pediatric appointment. So I was [2:11:05] trying to get a hold of him. I was on hold for 15 minutes just to tell them they [2:11:09] called the wrong person. So they do have a program, but you gotta understand they [2:11:13] switch positions every other year. So you're constantly seeing somebody new when [2:11:18] you've got a chronic issue. I have gout in my right hip and I've already seen 3 physicians [2:11:23] who have no idea what I'm going through. And my point being is that is not a residency [2:11:29] that is efficient to help individuals with chronic situations. We need a school to [2:11:33] educate the youth of today for the future. [2:11:39] Steve Conn, followed by Benjamin No Wane, followed by C Gardner, followed by Laura, [2:11:44] then Michelle. If I called your name, please get in queue. [2:11:52] Um, good morning, board, community members. Um, I, uh, [2:12:01] this whole medical situation, I think it's great, you know, that years from now we [2:12:06] possibly could have a medical school. I think there's a whole lot of ifs that were [2:12:11] stated by street and a whole lot of estimates that are questionable. Um, but we're [2:12:17] talking, I think a minimum of 11 years from now, and what I am concerned with is [2:12:22] the lack of positions right now. I think we need, and maybe they're going to, we're [2:12:26] only $7000 into it, which also, by the way, I think that even Street mentioned that [2:12:32] some of the things mentioned here today is going to adjust his approach. So the fact [2:12:37] that you don't want the public talking about it and you don't want the supervisors [2:12:40] questioning it, I think is well. Not correct. Anyway, um. I'm [2:12:48] very concerned about getting doctors here now and something that's going to affect [2:12:51] and help people's health soon. So this may be part of the process, but I want to [2:12:58] emphasize this point against perhaps Christ's will as far as affecting things going [2:13:04] forward because he doesn't think that should be happening right now. But it's important [2:13:09] to me, and I think it's important to most of these people that are not concerned [2:13:12] mostly with what the health we start to get health or increased number of residents [2:13:19] 11 years from now, but we get some more doctors very soon. So that's my concern. [2:13:25] A lot of what Street did in his presentation was state what we already know, which [2:13:29] was that we need doctors. So a lot of that, everybody was praising the presentation, [2:13:34] but I didn't see a lot of meat there. Um, so anyway, I hope that things come out [2:13:41] better and that we can head into a direction of getting more medical professionals [2:13:46] soon. Thank you. Thank you. Benjamin No Wane, followed by C. Garnier, followed by [2:13:52] Laura, then Michelle, then Casey. All right, so, um. I'm gonna speak about an item [2:13:59] on the consent calendar. Um, I didn't think it would get a lot of attention and it [2:14:03] is uh a letter that's being written to the state, so I just, I just kind of wanted [2:14:07] to bring this to the public's attention. Um, so on the consent calendar is item C7 [2:14:13] is an item uh opposing Senate Bill 681. Uh, the letter claims the bill would reduce [2:14:18] transparency by forcing landlords to bury costs inside rent. Now it's misleading [2:14:24] and honestly kind of a bit backwards. SB 681 was designed to stop deceptive rental [2:14:30] practices. It prevents landlords from advertising a low rent and tacking on special [2:14:34] fees and essentials like trash, water, and air conditioning. It doesn't remove transparency, [2:14:39] it actually creates it. It was actually not transparent it's how this item ended [2:14:43] up here. So someone decided it was a good idea to draft this letter, but it's not [2:14:47] on the regular calendar. It's buried in the agenda, hundreds of pages deep where [2:14:52] members of the public will never see it unless they're digging through every file. [2:14:56] Well, fortunately that's part of what I do. If you're going to speak on behalf of [2:14:59] the public on a statewide housing bill, especially using language that distorts the [2:15:02] intent, the public conversation should happen, not behind the scenes. Now SB 681 [2:15:09] is not limiting landlords, it's about protecting tenants from misleading pricing, [2:15:13] and this letter doesn't reflect that, it reflects something else entirely. The public [2:15:17] deserves better transparency from this board and whoever is shaping its messaging. [2:15:22] Thank you. [2:15:25] Gardiner followed by Laura, then Michelle, then [2:15:32] clowns are really in full gear. Let's take a guy who was walking around town telling [2:15:39] everybody, hey, I got the CEO job. Yeah, he is also a leader of an organization that [2:15:46] does not recognize the state of California as legitimate. Oh, then this little YMCA [2:15:52] thing happened. Oh, what's up with that? Yeah, evidently, uh, there was little allegation [2:16:00] of sexual impropriety with a minor. Well, you know, we took a look at that evidently [2:16:07] and oh, had pulled his nomination. But Mr. Street knows Mr. Street knows an awful [2:16:13] lot about sexual functions and dysfunctions. He had a relationship with the cleaning [2:16:18] cart in a hotel that damaged according to the court report, his sexual ability. Oh, [2:16:26] OK. But then let's look at the financials. He was stripped of his financial uh abilities [2:16:34] by a county after losing in court twice. To try and reclaim his position. [2:16:43] This is a great guy. [2:16:45] To lead Shasta County's endeavor. Wow. So you know what, Mr. Cry, [2:16:53] we're gonna call it cronyism. It's blatant, just like your buddy Mr. Street, lost [2:16:58] a million dollars. Don't worry, don't worry. I'm gonna fix you up. We'll get you [2:17:05] a little thing, you can put a logo on your uh on your website saying, hey, Come to [2:17:12] us. We are the representatives of. Yeah, he's the representative of Shafts County, [2:17:17] all right, the representative of cronyism of corrupt business practices that continue [2:17:24] to this day. And by the way, Kevin, you charged the county what, [2:17:29] $3800 and deliver a Thank you. Laura, followed by Michelle, followed by Casey, then [2:17:37] Ghost, then Dan. Um, good morning, board. Just briefly, I also oppose our [2:17:45] county council getting up out of his seat to shush a member of the audience when [2:17:50] in the back of the room we had anarchists that were completely out of control, whooping, [2:17:56] hollering, and jeering people, mocking people. That's unacceptable to me that he [2:18:01] targeted an elder who wasn't able to hear properly, who was talking at a loud volume [2:18:07] instead of the true distractors in the back of the room. Also, I'd like to address [2:18:11] some lies that are coming from folks on this board. I won't name names, but I'm here [2:18:15] to discuss the Shasta citizen petition that would enact election reform at the local [2:18:20] level. The ability of citizens to redress their grievances is within the purview [2:18:24] of the US and the California state constitution, and the petition is is proceeding [2:18:30] lawfully within the provisions of our constitutionally guaranteed rights. Furthermore, [2:18:36] the petition. Um, process for charter counties is afforded for by the California [2:18:43] government code. Article 11 of the California Constitution provides charter counties [2:18:48] control over municipal affairs, and elections are defined in this article as a municipal [2:18:53] affair. This amendment will restore the rights that were taken from citizens by citizens [2:18:59] of Shasta County by tyrannical state overreach when AB 969 was passed in retaliation [2:19:05] for ending the Dominion contract and moving towards hand counting. The effort of [2:19:10] the citizens of Shasta County. It is well within the rights guaranteed them by law. [2:19:16] What they are asking for has been legal in the state of California for 175 years. [2:19:22] It is well within line of what the direction of the rest of the country is going [2:19:26] and moving towards under the Trump administration. Thank you. [2:19:32] Michelle, followed by Casey, then Ghost, followed by Dan. Good afternoon. I just [2:19:39] wanted to say that um [2:19:44] I mean it's been discussed enough about the problems with electronic ballots and [2:19:49] in the short time that Clint Curtis has been here, he's, uh, saved us will be about [2:19:55] $80,000 just in ballots alone. Uh, we were paying $2.20 a ballot, and we're doing [2:20:02] it, we'll be doing it locally for 77 cents, 7.9 cents, and that figures out to be [2:20:09] about. So thank you and uh my concern has been since the beginning. That that um [2:20:15] it's so easy to uh manipulate things electronically and I've said it many times it's [2:20:22] not a partisan issue for me or or for anyone. We just wanna make it as safe as possible [2:20:28] and Clint Curtis has that knowledge. He's, uh, you know, been a, um, a programmer. [2:20:34] He's a specialized as an attorney in that field, and he's, he's the only one that [2:20:39] has that knowledge, so we're fortunate to get somebody like that. And then the last [2:20:45] thing I wanted to say, um, at the last meeting that debacle with the people in the [2:20:50] masks and everything, I spoke to Mr. Larmer and Mr. Rickett about that and Mr. Rickett, [2:20:55] you were very um Kind to spend the time with me, um, and I heard that there was nothing [2:21:01] we could do about it but it just so happened that same day RFK was uh starting um [2:21:07] a conference I think with Congress and somebody in mass jumped up and he was startled [2:21:13] and the sheriff. Or whoever was in charge took her immediately out and I understand [2:21:18] that's a 403 law or something and if they're entitled to that, why can't we as just [2:21:25] a small county be entitled to the same process and have the same respect? I want [2:21:30] to come to a respectable meeting and um, you know, get things done and not be disrupted. [2:21:39] Casey followed by Ghost, then Dan. [2:21:45] Good morning. Um, I want to first of all, um, speak to Matt Plummer on, um. [2:21:55] When he ran for the seat, he ran, uh, speaking about a Pew, [2:22:02] uh, according to Pew, 20% of the public trust our government. This was with an interview [2:22:09] with Chris Valton of Bethel Church. Yet since he's been on this board, he's [2:22:16] consistently gas lit dozens of veterans and other patriots who've spent thousands [2:22:21] of hours observing Shasta County elections, who observed a plethora of violations [2:22:27] and a severely compromised system, and who demand change. You speak out of two sides [2:22:34] of your mouth. You and long consistently voting against our fair elections here in [2:22:40] Shasta County. And twice you used faulty data with no scientific evidence for your [2:22:45] decisions to make, to make excuses for a very clear corrupt anti-God agenda. [2:22:54] Our election system is not just broken, it's betraying us. The sacred rights of we [2:22:59] the people are being trampled underfoot. Our voices, our votes, our very freedoms [2:23:05] are under attack, silenced by a system that's failing to uphold the principles in [2:23:10] which it was built to protect us. Think about this not so long ago, slavery was legal. [2:23:17] Discrimination was legal, laws written by those. In power justify the oppression, [2:23:22] but laws don't make something right. History has shown us that time and time again. [2:23:28] So I ask you today, how long will we hide behind unjust laws? How long will we let [2:23:34] our rights be eroded by a system that serves itself instead of the people? To those [2:23:40] who say it's the law, so we must follow it, I say grow a backbone. Ghost followed [2:23:47] by Dan. [2:23:53] Hi, um, so I'm speaking right now because something deeply wrong and concerning happened [2:23:58] earlier in this room. Uh, you silenced a constituent before she even had the chance [2:24:03] to get to her point. Uh, she was removed without regard for her First Amendment right [2:24:07] to speak as a member of this community. So I ask you, what was the reason for this? [2:24:13] Uh, what threat did her words pose, uh, before she was even allowed to speak them. [2:24:18] This wasn't about decorum as you so claim. This was about control. This council is [2:24:23] supposed to represent all of us, not just the people that you agree with, and not [2:24:27] those who have perspectives that make you comfortable. But time and time again, we [2:24:32] see a pattern. Three members who hold a monopoly silencing dissent. Uh [2:24:40] And uh shut down opposing views and consistently intimidate and bully both members [2:24:46] on the board and the public that you serve. This is not a democracy. This is an abuse [2:24:52] of power. And let's be honest, we know why you're doing it. We know about your open [2:24:56] ties to extremist organizations, groups that promote white supremacy, division, and [2:25:01] hateful ideologies that have absolutely no room in our community. [2:25:07] When you align yourselves with hate, you lose any moral ground to talk about civility [2:25:12] or order. You don't get to demand respect while silencing those that you were elected [2:25:18] to serve. You don't get to talk about unity while aligning yourselves with division [2:25:22] and people who dehumanize others. And you don't get to hide behind procedures when [2:25:26] it's clear you're using them as weapons. The truth is that we see you, each and every [2:25:31] one of you. We see through your tactics, your alliances, and the fear mongering. [2:25:36] We will not be silenced as a community. You may control this mic, but you absolutely [2:25:41] do not control the truth. [2:25:45] Dan and Dan is your last speaker. [2:25:50] I believe these are your glasses up here. Um, hello board. It's good to be back and [2:25:55] be able to see you. I pulled in Shasta County earlier this morning and uh had another [2:26:00] adventure across town to take care of, and now I'm here. The hostility in this room [2:26:05] is unbelievable, and one of the guys mentioned Trump, and I've heard about Trump [2:26:10] derangement syndrome, but there's a strong basis of Trump derangement back there [2:26:15] inability to stay quiet while other people are discussing and giving information [2:26:20] and sharing their opinions. They can't keep quiet. I appreciate what you're doing. [2:26:24] I didn't plan on speaking on public comment, but I heard those comments and I couldn't [2:26:28] be quiet. I was here for R4 and because of some other things that have come up, I'm [2:26:33] going to need to take off. The 100,000 quote for the R4 is ridiculous. Have that [2:26:38] substantiated. They're charging. For billing hours for [2:26:43] county employees that are already on the clock, that the number for the attorneys [2:26:49] was inflated because we used outside attorneys instead of using in-house, so the [2:26:54] election commission should stand. So thank you for your listening. I'm sure that [2:27:00] was our last speaker. [2:27:04] All right, moving on to R4. Well, with that, I'll make a motion to approve the consent [2:27:08] calendar. Second, we have a first by Supervisor Kelstrom. Second by Supervisor plumber. [2:27:13] Thank you, Supervisor Kelstrom. All those in favor? I passes 50. Moving on to R4. [2:27:23] Mr. Curtis, you would like to come on up. [2:27:30] This is your item, so I'll let you. Uh, yes, well, originally I was proposing that [2:27:36] we temporarily, you know, disbanded it, but I'm told we can't temporarily do anything, [2:27:41] you have to completely repeal or not and um. Oddly enough, everything you do here, [2:27:48] apparently everybody in California watches because I was at a meeting on Friday with [2:27:52] other ROVs that had election commission to go up and said, don't let them suspend [2:27:57] the commission, it will affect ours. So you guys have a lot more power than you might [2:28:01] know you have out there. Every everybody's watching you. Um, but I have talked with [2:28:05] other people. I talked with Mr. Plummer, and he made some good points that maybe [2:28:10] instead of getting rid of it, we can just change the meeting schedule to like once [2:28:15] a year or once every 6 months, and that way because their job is to report to you, [2:28:21] not to me, they're actually watching me, right? They're watching me and telling you [2:28:26] if I'm doing a good job or not. So it might be better to go with that route and then [2:28:31] you don't have to try and bring it back and you don't throw out a commission that [2:28:34] might be worthwhile, um. And it might have been a little arrogant on my part to think [2:28:40] that since I don't need it because I'm gonna talk to every citizen who wants to talk [2:28:43] to me that it wouldn't be needed in the future. In the future I can get hit by a [2:28:49] truck tomorrow. You never know. So in the future you may go back to where the ROV [2:28:52] office doesn't speak to the citizens and the opposite of what I'm doing now and so [2:28:58] maybe it's worth keeping, but you can save the money by simply pushing the schedule [2:29:03] out they can do their thing. They can meet with me one on one. I was looking to try [2:29:08] and meet with groups and the Brown Act would kind of keep that from happening. So, [2:29:14] um, you know, I thought getting rid would be easier a little quicker, but it might [2:29:19] be a problem down the road. So I have, uh, I've accepted your proposition, sir. [2:29:28] Any questions? Um, What was supervisor plumber? I mean, how many public comments [2:29:33] do we have? 7? 12 chair. Um, just maybe it'd be good to state what Supervisor Plumber's [2:29:40] proposition was before we take public comment just so people understand where this [2:29:44] is possibly going. Oh, he just said that, you know, maybe getting rid of it is not [2:29:49] a good idea because technically they wanna watch me as well. And so by getting rid [2:29:55] of the election commission, I'm kind of destroying the process that's supposed to [2:29:59] be watching me. And that's because I simply thought I would do it on my own, just [2:30:03] run in there and talk to everybody and get everything accomplished because I'm gonna [2:30:07] address everybody's concern. But Like he mentioned, you know, it's better to have [2:30:13] it in position to actually report that I'm doing that as opposed to just telling [2:30:18] you and I guess you are supposed to believe me, so it is better to have it in place. [2:30:23] Um, there's a cost involved, but if you push back to the reporting period to 6 months [2:30:29] or a year, once a year, they don't draw salaries, you know. Um, if I were you, [2:30:37] I would probably take it off the suspension because it doesn't have any sort of legislative [2:30:43] effect. It doesn't have a budget. All it does is collect data and give it to you. [2:30:47] So if you're suspending it, all you're doing is keeping it from talking to you. Which [2:30:52] doesn't really make any sense if that's its function. But that's my position. It's [2:30:57] your board. They just watch me, so you can do whatever you feel like with it. Supervisor [2:31:01] Plumber, if we were to keep this around, would you be appointing somebody? You have [2:31:05] yet to do that. Yes, and the reason that I haven't is because it has been suspended, [2:31:11] so I haven't prioritized um finding a candidate to appoint to it, but I do plan to [2:31:16] do that. Want to take public comment. Stephanie will take public comment. Mr. Kurt, [2:31:23] you want to take a seat? and chair, since last time I had looked at it, we do have [2:31:26] 2 additional speakers. So altogether we have 14. We will start with Laurie Bridgeford [2:31:30] followed by Rich Gardo, then Dolores Lucero. If I called your name, please get in [2:31:34] you. [2:31:52] Yes, regarding our 4, and the election commission, it's, it's too bad it's been on [2:31:56] such a long suspension. We all know that we have some uh. Inappropriate people that [2:32:01] were put there not to focus and help, and so they've already lost some time. I, I [2:32:06] think once a year is not sufficient at all for the long standing uh ignorance and [2:32:12] neglect and abuse that some of us had to take at the last election, so um. I don't [2:32:18] see why if we did it once a month, that's 7 meetings and then maybe have it go into [2:32:23] a 6 month span or something quarterly, but right now there's just so much to catch [2:32:28] up with and um I, I really feel bad for the people that did a lot of the work and [2:32:33] they were on the ad hoc committees and so on and so forth so um. Lots has been exposed [2:32:39] and uh I'm glad Mr. Kurtz explained with more clarity as to them being able to report [2:32:45] to the board as I understand it, if you're going to appoint someone, they can be [2:32:49] in any district. I don't know that that changed, but is that correct? You can appoint [2:32:54] anybody, right? OK, right, thank you. [2:32:58] Rich Gallardo, followed by Dolores Lucero, followed by Patty Plum, then Bev. If I [2:33:03] called your name, please get in queue. [2:33:07] Stephanie, just out of curiosity, uh, council Larmer, when the, when the speaker [2:33:12] is done, and then a speaker decides to come up, when does their clock officially [2:33:15] have to start? [2:33:19] There's nothing in the rules. The chair essentially can uh all that. Give it 5 seconds [2:33:23] from the time the person vacates the, the, the mic to start the clock on the next [2:33:27] speaker. Thank you. [2:33:33] Thank you. Of course, I do agree with reinstating the commission. The 2 year election [2:33:38] cycle goes extremely quickly. I would recommend at least quarterly meetings year [2:33:44] round because that's only 8 meetings in a 2 year cycle, and I, and so off year on [2:33:51] your elections, I think that doesn't matter quarterly, minimally. Um And yes, it's [2:33:58] the voice in the will of the people. Thank you, Mr. Curtis, for realizing that it [2:34:02] is, it is the voice of the people in a republic. That's how we are supposed to governors [2:34:06] from the bottom up. Uh, if you want to get rid of some committees, how about the [2:34:10] Committee on Aging? Take your wheat germ. Take your vitamins. Stop taking, yeah, [2:34:17] I'm serious. Stop taking the flu shots and vaccines, that'll get rid of the Alzheimer's. [2:34:22] How, how about that? Let's get rid of that one. OK, let's save some money there. [2:34:26] Um, without a fair and transparent election, nothing else matters. And I sent to [2:34:32] this board recently because I heard Mr. Long, uh, Lie to the people, say there's [2:34:37] no fraud. You now have the you have the link, election fraud at heritage.org. There [2:34:43] is fraud convictions all over the country. There are dozens in the state of California. [2:34:50] Election fraud exists, so please don't say that anymore. It makes you look ignorant. [2:34:56] OK. And I appreciate uh appreciate a good relationship with our, our registrar who [2:35:02] I believe is going to allow for a much more fair and transparent election, and that's [2:35:08] really all we want. Thank you so much. [2:35:11] Dolores Lucero, followed by Patty Plum, followed by Bev, then Laura. If I called [2:35:16] your name, please get in queue. [2:35:22] What shall we start? [2:35:28] To have someone to over to oversee the new ROV it's important because we don't trust [2:35:36] him. I don't trust him. He already violated people's rights, he already discriminated [2:35:42] other citizens by not allowing them to attend the meeting. They had a private meeting, [2:35:49] so he violated those rights of those citizens. So, for someone to be appointed, [2:35:57] who's going to be when you appoint You're the person that you want. Are you you three [2:36:02] are going to be dictators to make sure that person that you don't like to be appointed [2:36:08] by those, those other people who are going to be say I want this person. Are you [2:36:12] gonna have the citizens to come up here to actually to slander them and say bad things [2:36:19] about them so you don't appoint them and you're gonna vote no on them? Because that's [2:36:24] what it's gonna come down to. You're gonna make. Sure that you vote against whoever [2:36:28] they want. It's not an easy process. It's actually you violate people's rights and [2:36:34] you constantly do that. You get frustrated, Chris. You act like you don't like your [2:36:39] damn job. Stop breathing like if you don't like hearing me talk because that's how [2:36:45] you act. This, it's important because we need, we need to make sure that he doesn't [2:36:51] break the law. He already broke the law. We, I don't, we, I don't understand why [2:36:56] you, you keep on picking people that keep on breaking laws. You don't are not here [2:37:02] for transparency. That first meeting he did was not transparency. That's discrimination. [2:37:09] He didn't allow people to attend that meeting. Don't you guys care or should I say [2:37:15] you don't care because you don't. It's all about you're a. [2:37:20] Big Cotty Plum followed by Bev, followed by Laura, followed by Antonia. [2:37:27] Welcome. Thank you. I can't tell you how excited I am about what we experienced on [2:37:32] Saturday and so many people here in the room from both sides, we gathered together [2:37:37] and it was unifying and it was an opportunity for us to be educated and to see a [2:37:42] path forward rather than complaining about the past and our current situation. And [2:37:46] if you haven't figured out by now, you're a little bit late to dinner, but the kitchen [2:37:50] is still open, get your plate. There's plenty of information to educate you about [2:37:54] our condition with the election system. But going forward, I see us be able to um [2:38:00] combine our efforts to meet with our ROV to get the information we need to create [2:38:04] a path that makes sense not only for our county but also a template for others and [2:38:09] um just people like Jeff and David and Susan that were there at the town hall meeting [2:38:14] with uh Clint Curtis and Doctor Frank, it was exceptional to see us all be together [2:38:19] and there was no yelling. Everyone was getting. Information that they need and it's [2:38:23] understandable why people are upset because we get upset to think that we've been [2:38:27] lied to, we have been betrayed. It's very insulting what's happened to us, but the [2:38:32] idea of going forward with the election commission, um, we can have that in place [2:38:36] and also an election committee that could be more, um, with the ROV and the ability [2:38:41] without the restrictions to meet together and to uh provide uh solutions for all [2:38:46] of us. OK, thank you. [2:38:49] followed by Laura, followed by Antonia, followed by Michelle, then Jim Burnett. Welcome, [2:38:54] Beth. Thank you. Um, I am here today to ask you not to dissolve the election commission [2:39:01] since this is all started because of a lie, it was said that two of the commissioners [2:39:06] were part of a lawsuit. Wrong. Was this being said deceitfully um to the [2:39:13] citizens of Chasta County, they filed declarations as to what they observed, as did [2:39:19] many others. What, what if a department. Had stole someone's money and employees [2:39:27] so the entire crime. Do you feel that the employee should remain silent and there [2:39:33] are no consequences for that supervisor um if our votes are stolen, is that not [2:39:41] worse than anything physical that can be stolen? Our votes being stolen cannot be [2:39:46] replaced and will eventually put us in danger of our freedom. It is not the victim [2:39:53] that should be punished. It should be the one that did the crime. Um, it's been said [2:39:58] that the commission has not done anything. That is wrong. Reports have been submitted. [2:40:03] If you have not received them, then maybe you should need to find out why. Um, you [2:40:09] need to keep the election commission. Thank you very much. Laura, followed by Antonia, [2:40:15] followed by Michelle, followed by Jim Burnett. [2:40:21] OK, good good morning again. Um, I just wanted to say that one thing that Clint Curtis [2:40:27] said that really stuck out was that the purpose of the board was to or the purpose [2:40:32] of the election commission was to report back to the board what the citizens have [2:40:37] said and um for that reason I completely agree that we need to keep. This election [2:40:44] commission going. There's been a number of reports made. The election commission [2:40:49] brought forth out of town experts to speak and explain about the corrupted audit [2:40:54] logs and the suspected breach in the voting system that we're using, as well as unauthorized [2:41:00] time changes that occurred in 62nd increments that were um indicative of a possible [2:41:07] breach in the system which needs to be investigated and um. [2:41:14] So these reports, most of them have not even gone before the board with the exception [2:41:19] of one of them, and I would highly recommend that you take those reports that have [2:41:24] already been submitted and actually bring them forth for a hearings for the public [2:41:29] to weigh in and to hear what. You know, the commission produced. It's just respectful [2:41:34] of the commissioners who volunteer their time and spent so many hours producing those [2:41:39] reports, um, to actually utilize them instead of just letting them collect dust, [2:41:44] um. So that for one, but also we need to keep this going. um, what has happened is [2:41:50] that Joanna Francesca has broken over a half a dozen election laws and nobody is [2:41:56] held to account. Um, that's a problem right now. um, we're faced with a situation [2:42:01] that nobody wants to hear even of these violations when laws are broken. There should [2:42:07] be accountability. We are a country of law and order. I firmly believe that we need [2:42:11] to abide by the California election code, and I think that the citizens need to have [2:42:17] a forum where they can express those grief. Thank you. Thank you. [2:42:28] Antonio followed by Michelle, then Jim Burnett followed by Casey. [2:42:34] Good morning board. [2:42:37] Um, the election commission serves as the voice of people and plays a vital role [2:42:42] in ensuring transparency and fairness in our election process. With the appointment [2:42:47] of a new register of voters, ROV Glenn Curtis, the public must hear. Must hear [2:42:55] finalized meaningful employment. Here his perspective on the commission before any [2:43:02] decisions are finalized, which we already heard. What he has said, so we got that. [2:43:09] Meaningful public engagement will be necessary. To implement much needed election [2:43:17] reform, and the election commission can serve as an In valuable reform for [2:43:24] those discussions, disbanding the commission before the public is fully assured of [2:43:31] a fair and transparent electoral process would be premature. I strongly urge the [2:43:37] board to reconsider this matter and allow the commission to continue its essential [2:43:44] work in the safeguarding electoral integrity. Thank you. Thank you. Michelle, followed [2:43:51] by Jim Burnett, followed by Casey, then Dan. I just wanted to say that this, I, I [2:43:57] agree with Patty, it's we wanna just move forward in a positive way and to um [2:44:04] investigate and look at how we can um do things better and really weigh this [2:44:11] electronic um balloting versus just the hand counting. And I wanted to, I didn't [2:44:17] get enough time, but not only, uh, was, uh, Clint Curtis saving us money but we have, [2:44:22] I think we already 450 people that are volunteering to, uh, account. So, um, I heard, [2:44:30] um. Joanna said that she had to hire several uh extra people 10 hour days for a month, [2:44:37] so, uh, and we're doing this for the future for our children. I mean, most of you [2:44:43] have children, grandchildren we want the votes to be as clean as possible and that's [2:44:49] what we're after we're, I am not here for a fight. I, I want something to be improved [2:44:54] for everyone. Thank you. Thank you. Jim Burnett, followed by Casey, followed by Dan, [2:45:01] followed by Ronin. If I called your name, please get in queue. [2:45:05] Good morning board. I too wish that the election commission can continue because [2:45:12] the term we the people is only a phrase until you apply it to people supervising [2:45:19] their own government. The people are the power. It should be bottom up, and nothing [2:45:24] is exemplifies that as much as a committee to. Oversee the office of the ROB. [2:45:32] Clint Curtis makes a great point in that he may, he may be great, he may be just [2:45:38] what we need, but if something happens and we get somebody else in there, we're back [2:45:43] square one. So unless we have the mechanism in place that will govern. The next ROB [2:45:51] is for naught. People forget that ballots are as valuable, if not more valuable than [2:45:57] money, because everything in our government starts with the vote of the people. The [2:46:03] will of the people needs to prevail, and if the elections are in any way compromised. [2:46:09] Then all of that breaks, but there are people that are getting enormously rich and [2:46:14] powerful ostensibly based on what the results of an election are, but we don't trust [2:46:19] the results of the elections unless we have full transparency and accountability. [2:46:26] At every single level, and I believe that Mr. Curtis is going to provide that for [2:46:30] us, but we still need to be watching like a hawk at every step of the way. Otherwise [2:46:36] we're just delegating where we shouldn't be delegating. That's the reason we've got [2:46:41] in this mess in the first place. We delegate our Our ability to hold elections to [2:46:47] somebody that we don't know. Some people say they do know, but we really don't know [2:46:53] unless there's hard, fast evidence in what we have now up until this point is a statement [2:46:59] of vote, which means nothing to me. It's just a report that somebody thank you. [2:47:07] Casey followed by Dan, followed by Ronine, then Margaret Hanson. [2:47:15] Good morning again. Our election process is in dire need of reform. To rebuild trust [2:47:22] and restore integrity, we must act together with urgency and determination. This [2:47:29] is no small task. It demands hard work, dedication, and the support of every one [2:47:35] of us who cares about fair and honest elections. We are fortunate enough to have [2:47:40] devoted individuals like the 3 election commissioner volunteers who give their time [2:47:45] so selflessly to serve this county. Their noble efforts show us what's possible when [2:47:51] we commit to doing what's right. Dissolving the election commission would be a grave [2:47:56] mistake. The recent election certified under duress by this board was marred by significant [2:48:03] violations and troubling irregularities. This cannot stand. We deserve better. Our [2:48:09] elections must be transparent, secure, and beyond reproach. So I urge you today to [2:48:17] set aside political divides and focus on what should. Unite us, the shared commitment [2:48:23] to a fair and trustworthy election system. Reconsider any approach that weakens our [2:48:29] process. Stand with us to ensure Shasta County's elections reflect the true will [2:48:36] of the people. Together we can rebuild the system we all take pride in. Thank you [2:48:41] for listening and let's get to work. Thank you. Dan followed by Ronin, followed by [2:48:48] Margaret Hanson, and lastly C Gardner. [2:48:53] Well I'm back. I didn't think I was going to be back, but I thought public comment [2:48:56] was before R1, 2 and 3, and I didn't want to wait. My customer can wait a little [2:49:02] bit. We need to reinstate the election commission. Everybody in the room wants a [2:49:06] fair, transparent election. There's no way to score argue against that. We've got [2:49:11] a consensus right now. We all agree. Even Dolores wants the election commission back [2:49:16] so you guys can keep eyes on it. The ROV is here. He wants it to be. We're going [2:49:22] to hear shortly from the two of the commissioners we already heard from a third one. [2:49:27] They want the commission there. The deceitful numbers about the cost of the commission, [2:49:31] a volunteer commission needs to be. Welched and we need to look at the opportunity [2:49:38] for the people to speak to the election commission and tell them what they want. [2:49:42] We want a fair and transparent election. Everybody in the room agrees with that. [2:49:48] So thank you. Thank you. [2:49:52] followed by Margaret Hanson, and lastly C. Gardner. [2:49:57] Hi there board. Um, as the last chair of the election commission, I agree with what, [2:50:02] uh, Mr. Curtis said. For the record, there is um a budget for the commission, just [2:50:08] for the record. Uh, I would recommend that there be a minimum of 3 to 4 meetings [2:50:15] a year, uh, so that we can uh provide pertinent information and [2:50:22] recommendations to the board in a timely manner, especially with elections, you know, [2:50:28] pretty frequently. Uh, the board went to all the hassle and effort to appoint Mr. [2:50:34] Curtis to the ROV position. It's not time to let up on election integrity issues, [2:50:39] so please do not discontinue the commission. I would also like to reiterate that [2:50:45] the commission should be reinstated immediately because the argument that two of [2:50:49] the existing commissioners are party to a lawsuit against the county is not true. [2:50:55] They have not been named in the lawsuit, and one of the supervisors and Mr. Rickert [2:51:02] can be subpoenaed in the case, which is no different. Then the declarations submitted [2:51:06] in the case that were written by two of the commissioners. So that argument is just [2:51:11] totally bogus. So anyway, that's what I have to say. Thank you. Margaret Hanson, [2:51:17] followed by C Gardner. [2:51:22] Good morning. I'm speaking on my behalf, not for any of the group. So my [2:51:30] recommendation would be to keep the um elections commission uh there's a lot of work [2:51:37] going on behind the scenes individually and with um another person I would highly [2:51:45] suggest that you appoint somebody and you as well uh when we had our conversation [2:51:53] the first time that you know you were sworn in and you wanted to talk to me. And [2:51:58] you asked me what was important about this or why not just the citizens coming up [2:52:03] here and I told you I said that we are investigating things we bring these forward [2:52:10] and the citizens aren't being listened to as much as we should be listened to because [2:52:15] of you guys, I also asked you to appoint somebody that's not an activist but somebody [2:52:19] that wants to work with the commission. So in all honesty it would be a good idea [2:52:24] to keep it. It's an honor to serve. It was really an honor to serve um it's a lot [2:52:31] of time consuming things, but I will say to you there's a lot of interesting stuff [2:52:36] coming up. Thank you. [2:52:39] And gardener is our last speaker. A lot of interesting stuff, but the fact of the [2:52:46] matter is we've had an election commission for the last 4 years. People come before [2:52:51] this board and spew at least 45 minutes, maybe an hour, every meeting about this [2:52:58] and that, this and that, reams of data, reams of information that today was thrown [2:53:04] out, at least halfway thrown out by the judge. Hobbs's cases are ridiculous, costing [2:53:11] our county $107,000. The election commission costing $120,000 that we know about, [2:53:19] but hey, you got money to burn on propaganda, and that's all. It frigging is right [2:53:25] out propaganda. Hey, Clint was on to an idea. The election commission stands to be [2:53:31] a legal liability. You're wasting money that could be possibly taken to a court. [2:53:39] When you have the uh chair of the election commission get up and say, we demand that [2:53:44] the county break laws. Well, guess what? That's illegal. That's flat out illegal. [2:53:51] So we've got one commissioner who is the leader or a co-leader of a secessionist [2:53:58] group trying to secede from the state of California because she believes that the [2:54:03] state is an invalid entity where we get our money from, where we get our laws from, [2:54:09] and by the way, we live in the state of California under the California Constitution. [2:54:13] But hey, maybe we should keep that election commission because then Because basically [2:54:19] you have no jurisdiction over elections. You should have been shutting this down, [2:54:22] but you love propaganda and you want the taxpayers to pay for it. So you listen to [2:54:27] all this crap what that should have been deferred over to the election commission. [2:54:32] What a joke. It's a big propaganda. That's all it is. And taxpayers need to go understand [2:54:40] that they are paying for this propaganda, this propaganda, see this. [2:54:49] All right, bring it back to board discussion. Uh, Mr. Curtis, would you like to come [2:54:53] up in case anybody has any other questions? I just wanted to clarify. Uh, just that, [2:55:00] uh, I think the work we did in, uh, January and then, you know, in the following [2:55:05] months around restricting the number of meetings, uh, was an adequate step in that [2:55:10] direction, uh, as far as now and so, uh, I don't recommend any additional changes [2:55:16] to a meeting frequency. [2:55:22] Yeah, I don't have a problem with the what we had worked out in in January either. [2:55:27] So, um, I'll make a motion to continue on and with the caveat that I would like Supervisor [2:55:32] plumber to appoint someone to that commission and, uh. Well, I don't think supervised [2:55:38] long is going to, but uh, so I'd be more than happy for him to do it also, [2:55:44] but um, so what's on the agenda today is is to approve and repeal the the ordinance. [2:55:50] So if you want to bring something else back at a later time, we can do that, but [2:55:53] the only thing that is on. is to uh adopt an ordinance repealing. OK, got you. And, [2:55:58] and under this agenda item the way it's listed, I'll get right to you supers along. [2:56:02] Um, we can, we can have this discussion still right as it relates to the ordinance [2:56:06] in this topic because I think that was one of the things when Mr. Curtis talked about [2:56:10] bringing this forward, um. You know, we can only talk to one of their supervisors, [2:56:14] so I think he wanted us all to, you can have the discussion about whether you want [2:56:18] whether you want to adopt this and if you don't want to adopt it, what the other [2:56:21] options are. OK, supervisor. Thank you, Chair Cry. Um, well, it's [2:56:28] interesting. [2:56:31] I was surprised when Mr. Curtis and Faircry came to me independently and recommended [2:56:37] that this commission be dissolved and I was like, well, I've been advocating for [2:56:43] that from before when I was on the campaign trail and also when I was newly [2:56:50] seated in office, this issue has come up many times, um. The The [2:56:58] Commission has has cost us a significant amount of money and we've [2:57:06] proven unproven conspiracy theories bringing forward illegal recommendations, all [2:57:12] those kinds of things, so it has never made sense to me. If there was something that [2:57:17] was founded and there was evidence, then I could, I could get behind it, of course, [2:57:23] because I want the free and transparent elections as much as anyone does. Um, so [2:57:30] what has changed? I, I've thought a lot about this and we've elected Mr. Curtis, [2:57:36] um, to the ROV position or appointed him, and, uh, by his own words he uh believes [2:57:44] there is fraud and conspiracy theories and um wants to uh [2:57:51] kind of uh fix uh something that was working and in my opinion. And so where do we [2:57:58] go from here? So I consulted with a number of subject matter experts that are versed [2:58:04] in this field, and the commission members have no authority. It's an [2:58:11] advisory committee only. They cannot make any binding decisions. They cannot make [2:58:17] any decisions at all. All they can do is make recommendations. And they as citizens [2:58:24] do not have any investigative background or training to detect election irregularities. [2:58:31] They can just say what their opinions are and they furthermore do not have any increased [2:58:39] access into the internal areas of the ROVs office any more than any other [2:58:46] citizen would. So I looked at the commission and thought to myself, this is [2:58:54] not the, the platform to be an effective watchdog for good things or improper [2:59:02] things in the election's office because of everything I just stated. Um, so with [2:59:09] that in mind, I was, I was shocked that this made it as an agenda item. I did not [2:59:14] bring this forward, but I am in support of disbanding the commission at this time, [2:59:20] and that would, that's my statement. motion. [2:59:27] Well, we, we've got this regularly for it's, it's being brought to a vote. Are you, [2:59:33] are you putting that in the motion to Well, I think we're voting on it, right? there's [2:59:38] not a motion. Well, OK, I'll make the motion that we dissolve the elections commission [2:59:45] at this time. [2:59:49] OK, in a second. Um, uh, council Lamor, do you also want to weigh in? I'll I'll weigh [2:59:55] in. We'll move on. Supervisor Armor, do you want to weigh in? You're good. Uh, councilor [2:59:59] Larmer, um, Supervisor Long just mentioned something about the, the commission. How [3:00:04] many, we have like roughly I think 87 commissions. How many of the 83 to 87 in the [3:00:08] county, how many of those supersede the board's vote? [3:00:14] To be honest with you, I don't, I don't think any of them supersede. OK, so really, [3:00:18] I mean, basically by your statement we should get rid of the planning commission. [3:00:21] We should get rid of this, you know, everything, every commission should be gone [3:00:25] based on what your statement was. So do you think we should get rid of the planning [3:00:27] commission's budget? No, I do not, of course, because this commission has made illegal [3:00:33] recommendations, has cost us a fortune, and we have not had any productive measure. [3:00:39] From this and we've got someone that believes these theories that has been appointed [3:00:44] by this board and is currently sitting as our register of voters. He can cover it. [3:00:48] When in fact, when I had the conversation with Mr. Curtis after our board meeting [3:00:53] uh some time ago when he was talking about this should be disbanded, he told me it's [3:01:00] redundant. So you know this is and this is the conversation. I want to make sure [3:01:04] everybody understands what supervisor or I'm sorry, what our ROV Clint Curtis was [3:01:08] referring to when this was originally brought up was talking about holding a mock [3:01:12] election I think within 90 days, correct? Right. Somewhere in there 90 to 120 days [3:01:16] and I'm in full support of that when we start looking at costs of facilities, buildings, [3:01:21] where can we trim anywhere we can within what we're already doing in elections. So [3:01:25] that was one of the things that did come up. It is currently suspended and I do. [3:01:29] Uh, support Supervisor Long or supervisor plumber or Supervisor Long putting somebody [3:01:34] on that. What we don't have is we haven't had the election commission rowing in conjunction [3:01:39] with any of our past two ROVs. What I've already seen with this group and yourself, [3:01:44] it sounds like I wasn't in town, but it sounds like you had a town hall this Saturday, [3:01:50] people were working together because that's really what it's about is we'd like to [3:01:53] see the election commission. Uh, working in conjunction with the ROV and having those, [3:01:59] uh, meetings be streamlined. I do agree with Supervisor Kelstrom about and Supervisor [3:02:03] Plumber, I think actually said it originally that we did that work in January of [3:02:06] what that schedule would look like. Um, I think you've been here a very short time, [3:02:10] so I think we just play that out and see how that goes. So, and obviously our 4 failed, [3:02:15] didn't have a second. So, I have a question for you. How did this? Uh, motion or [3:02:22] how did this become agenized to dissolve the elections commission? Who put this on [3:02:27] the Mr. Mr. Curtis, uh, originally asked to put it on and like any elected official [3:02:33] of Noda Short, Laurie Scott, Leslie Morgan, Stephanie Bridget, she has one on here [3:02:38] today. So, so this, this was brought by Mr. Curtis to you, the chair. Who agreed [3:02:44] to put it on the agenda to dissolve the commission. Oh, absolutely. Yeah. Any time [3:02:48] an elected official wants to bring anything forward, I'm going to let him whether [3:02:51] I support it or not, but I'm not going to for sure and the conversation you had with [3:02:56] me that this was going to be brought forward and basically you wanted to. [3:03:04] Uh, make sure that it was known to be your motion, your position, so that I would [3:03:11] not get sullied in the vote. Well no, it was strictly with with with the ROB just [3:03:17] let you know I mean like for me I, I would 100% like I hate, I mean, uh, the bureaucracy [3:03:24] of having, um, now that I've done this as long as I have, um, it's, it's really, [3:03:29] it's really tough, but one thing I'll tell you is if we had a commission. That and [3:03:32] we had a really big group of people that were against the sheriff, or we had a really [3:03:35] big group of people that were against the assessor, the recorder, the treasurer, [3:03:39] or the district attorney. If a citizen group felt strong enough to bring something [3:03:43] forward and the election commission was created by uh at the time Supervisor Jones [3:03:47] because there was a large number and a growing number of people very um. Unhappy [3:03:52] and, and quite honestly, uh very uh well there was very a lot of distrust, so I think [3:03:58] it's good to have citizen oversight. So if there's a group out there that thinks [3:04:01] the sheriff isn't getting it done, by all means start a group and say, hey, let's [3:04:06] have a citizen oversight committee on the sheriff. Other counties have those types [3:04:09] of things. Here in Shasta County, we really only have one group that oversees an [3:04:13] elected. Individual, I don't't say overseas, but has a committee that would report [3:04:17] to the board, um, as it relates to another elected official, and that's the elections [3:04:20] commission. And if, uh, Clint Curtis, our new ROV, said he wanted to get rid of it, [3:04:24] I'm always gonna let any or any elected official bring something forward and not, [3:04:28] not stop that, that movement. So, so originally I was, I would, if he said he wanted [3:04:33] to get rid of it at this point, um, I would probably support it, but Right now, well, [3:04:39] and that's where I'm going because we were at the employee appreciation luncheon [3:04:43] and you and I had a private conversation with Mr. Rickert also and you brought it [3:04:48] to my attention that this was going to come forward and was going to be dissolved [3:04:53] and so no, I just said that it was coming forward and my thought originally was if [3:04:58] Clint Curtis wanted to dissolve it, I thought there would be probably a lot less [3:05:01] pushback, but obviously there's been some pushback, and I don't blame him. He says, [3:05:04] hey, I think there's a lot of good. Um, you know, there's a, there's a lot of good [3:05:09] conversations because again, when something comes forward to this body, we have no [3:05:14] ability to do anything as it relates to the ROV. That's why for me, the planning [3:05:19] commission, we have a lot of say so. That's why I would never get rid of the, I mean [3:05:22] my answer to what you said is completely opposite. The planning commission gives [3:05:26] us input and we can actually act, but the elections commission can give us input [3:05:31] and there's very little we can do, almost nothing if the. ROV isn't on board. So [3:05:35] that's why I think this committee, although I support their effort and I support [3:05:38] their work, it's, it's, it's tough because we don't have the ability to actually [3:05:43] carry anything out that the ROB doesn't support. Well, and in regards to the planning [3:05:47] commission, they make a lot of decisions. Um, it's just when it comes to rezoning [3:05:52] and some of those things that it comes up to the board for their recommendation with [3:05:56] our decision. So there, there are a lot of recommendations and there are a lot of [3:06:01] decisions so. Uh, that, that comparison is not the same and so I guess, I guess what [3:06:08] my point is, is how, why are we here even discussing this. It sounded like this was [3:06:15] something that you wanted to to do, and Mr. Curtis told me independently he wanted [3:06:21] to dissolve this. So I'm just confused as a former detective, I stated quite clearly [3:06:26] that an elected official wanted to bring it forward, and I'm going to bring it forward, [3:06:30] so I did. No, I said you're a former detective, so I'm trying to help you connect [3:06:33] these dots that he told me he wanted to bring it forward, so I brought it forward. [3:06:39] Right, and in your defense, I did want to dissolve it because I thought it was just [3:06:43] an impediment to me actually speaking to people like because I'm gonna talk to everybody, [3:06:49] but that was arrogance on my part because I didn't consider, well, what if I'm not [3:06:53] here? Then they have nobody that will actually work with them and nobody to watch [3:06:59] them. So and then Mr. Plumber brought up, well, maybe they wanna watch you too. You [3:07:04] know, which is good. That's a good thing. I didn't consider that, you know, most [3:07:08] times you figure, oh, I'm perfect. No one want to watch me, but he brought it up [3:07:11] and he's absolutely correct. So we're gonna, maybe they won't watch me too. So that's [3:07:14] why I changed my position. We beat this up. We're gonna move on to our 5 at this [3:07:18] point. We've taken a vote, Mr. Doctor Moo, if you'd like to come on up, I would like. [3:07:22] Right to your presentation before lunch. We're moving on. Thank you, sir. 5. We haven't [3:07:26] taken the vote. There was no second. OK. A motion gets made and then it has to have [3:07:31] a second type of vote. OK. Doctor Moo, come on up to R5 receive a presentation from [3:07:35] the Shasta County Health Officer regarding alcohol and other drug services funding [3:07:38] legislation service numbers. Welcome and Bailey Cocker, and just to be really quick, [3:07:45] we are going to get through this item quickly and then we're gonna take uh uh not [3:07:50] open comment, we're going to take public comment for our closed session items and [3:07:54] we will adjourn for lunch. Uh procedural question for for counsel. Does the board [3:07:58] need to take a vote to take no action on R4? It would be it would be cleanest if [3:08:03] they take no action. Yeah, we can't we don't. Yeah, I mean, if I, I was ready to [3:08:10] take a vote if Council Larmer. OK, that's fine. I'll make a motion to take no action [3:08:14] on our four. All right. All those in favor? I oppose. 41. [3:08:23] Good afternoon, uh, Chair Cry and the members of the board. Uh, previous board had [3:08:28] asked me to have a presentation on nitrous oxide and other substance usage in Shasta [3:08:34] County. Um, traditionally this type of information is managed by alcohol and drug [3:08:41] department, not necessarily public health. Uh, and also one of the responsibility [3:08:46] for alcohol and drugs is to have an annual report to the board regarding, uh, substance [3:08:53] abuse in Shasta County. So I'd like to introduce again uh Bailey Cocker, who is the [3:09:00] administrator for alcohol and drug and also uh deputy branch director for behavior [3:09:06] health, and she knows much more about the subject and uh I'm gonna have her uh present [3:09:13] yeah. Uh, this issue. I am going to just talk about just one slide. Uh, this is about [3:09:19] nitrous oxide. Uh, nitrous oxide is a gas that's mostly used for culinary and medical, [3:09:26] mostly dental for their, uh, dental procedures. Uh, however, uh, it could be misused, [3:09:33] and it has been misused for a long time, however, recently, Uh, through heavy social [3:09:39] media promotion, lots of young, mostly young people are using it and unfortunately, [3:09:45] uh, chronic usage or heavy usage could cause severe neurological disorder, [3:09:53] hematological as well as uh heart and lung conditions. So this is a uh uh rising [3:09:59] problem not just in our county but throughout California and other counties are discussing [3:10:05] this as well. Uh, it's mostly sold in smoke shops where they're not dental office [3:10:12] or uh honorary kitchen supply office, so. I'm gonna have the net. [3:10:21] Good afternoon, chair, members of the board. So kicking off the rest of the presentation, [3:10:25] I'm gonna go into Shasta County's model, which is a drug medical organized delivery [3:10:30] system. Um, Partnership is our administrative resource in that model. Um, so I'll [3:10:36] talk a little bit about beneficiaries serve. Some of the primary diagnoses and substance [3:10:42] use used. So in 2020, Shasta County opted into the regional model with seven other [3:10:49] counties. This is a way to address network adequacy in smaller rural counties to [3:10:55] ensure that beneficiaries have access to appropriate. Levels of care based on their [3:10:59] screening scores. So in this model we partner with Humboldt, Lassen, Mendocino, Modoc, [3:11:05] Shasta, Siski, and Solano Counties. Um, Prior to this model, there were a lot of [3:11:10] resources that weren't available through the state plan. Um, for example, um, residential [3:11:16] services through medical beneficiaries were, um, was solely for perinatal clients. [3:11:27] So looking at this slide, this gives a little bit of a snapshot point in time for [3:11:32] fiscal year to date when this was pulled the services that are being provided. And [3:11:37] so on the left side there you will see all of the different members and the services [3:11:42] that they've received. The unduplicated count at that point in time was 1,308. And [3:11:48] then on the right side is the total number of visits. Um, so as you can see, so NTP [3:11:53] and OTP is narcotic treatment provider and opioid treatment provider, and so that [3:12:01] would be your mat services, things like that, and so those are going to be something [3:12:04] that clients are accessing more frequently as opposed to recovery or discharge services. [3:12:10] Um, prior to our regional model, um, we did not offer recovery, discharge, crisis [3:12:17] intervention, um, or anything of that nature, so opting in opting in enabled us to [3:12:24] expand services. [3:12:29] On our next slide here, you can see um the primary and secondary diagnosis. So this [3:12:34] is based off of partnership claims data. So anyone coming into the system of care, [3:12:41] whether it's for substance use as their primary or they're coming in for something [3:12:46] medical related with a secondary diagnosis of substance use disorder. Um, these numbers [3:12:52] aren't aligned or they don't match the other page because this is a shorter period [3:12:56] of time, but the other page or the other set of data was July through March, and [3:13:03] then this is only January through March data. And again, we can look at um opioid [3:13:10] being the highest diagnosis, and so that relates back to the other page as well with [3:13:16] why we are seeing such a high number of the NTP and OTP services. [3:13:23] This is from our internal tracking, and so this the data set ends as of last fiscal [3:13:29] year just because claims data can have a 12 month lag, that's the time frame that [3:13:34] they have to submit claims and then. Some of the reasonings that we [3:13:42] could kind of correlate the increases for is at the time that this model was going [3:13:46] live, it was also around the time that fentanyl was coming on board. I think also [3:13:52] with any program as you start to see and have more knowledge on what's available [3:13:57] in services, things tend to grow as well. This is not an unduplicated client count. [3:14:03] This could be somebody receiving services in multiple months. [3:14:11] This slide shows just a brief snapshot of all of our different funding streams, um, [3:14:16] and so this, uh, we have our substance use block grant funding, our mental health [3:14:21] block grant funding, and then the partnership health plan, which is the per user [3:14:24] per month funding. Um, and so this is just a very high level oversight of at the [3:14:31] point in time what our spending look like to date. [3:14:37] And then this slide is our county programs, and so this is everything that we provide [3:14:42] through our licensed facilities within Shasta County mental health and drug and alcohol [3:14:48] services. And so we have our collaborative court programs, which is the Addicted [3:14:53] offender program and the behavioral health court. Those referral sources come through [3:14:57] the court and probation. And then clients have the option to receive services um [3:15:03] internally or contract or referred out, um, depending on their needs. Um, CalWorks [3:15:09] behavioral health team that is through Cal Works, um, they are referred over. Um, [3:15:15] if they meet criteria, so everyone going through cow Works orientation gets um the [3:15:20] application so that they can opt into those services if they need them. Um, the core [3:15:26] program is co-occurring recovery enhancement. So what was noticed by previous county [3:15:32] staff in about 2021 is that we had clients coming into our access department for [3:15:37] mental health services that were being turned away because they had um co-occurring [3:15:42] substance use disorder services as well. So They were being told to go get sober [3:15:47] first and then come back for mental health. So that program was really tailored to [3:15:52] identify those clients to be able to connect them immediately because sending somebody [3:15:56] out to get help is that just does not work well for anyone. The other really great [3:16:03] thing about our programs is that we currently have uh clients or staff that were [3:16:10] former participants in these programs now working for us. So being able to bring [3:16:15] that lens to the to the table is really helpful to support. [3:16:23] Support our clients because they've been through it and they understand what it looks [3:16:27] like and what the needs are. This is just a brief overview of the number of graduates [3:16:34] for each of these programs over the last 3 years. We did see a dip in some referrals [3:16:40] for certain programs, and so we expect that for women's recovery in particular, because [3:16:46] they were hit by COVID, that that should increase going forward. And then lastly, [3:16:53] just really quick, here are some new initiatives and legislation coming out. SB 43 [3:16:58] expands the definition of grave disability to include substance use disorder, behavioral [3:17:05] health transformation, or MHSA to BHSA will allow us to pay and fund programs that [3:17:11] are just for substance use disorder. is essentially another collaborative court process [3:17:18] that we've been working with the DA and other county agencies to set up a referral [3:17:22] process for that and alignment with our other services, and then we did just close [3:17:27] an RFP for our sober living so that we will be getting additional beds and resources [3:17:33] for our specific clients as well. So we're in the contracting phase for that. And [3:17:39] that is all, and I'm happy to answer questions. [3:17:45] To about plumber. Thank you Bailey and Doctor Mou, uh, and it's been great to see, [3:17:52] uh, a good bit of this information at the Mental Health Alcohol and Drug Advisory [3:17:55] board meetings as well. Uh, the, I had two questions. One was regarding on that, [3:18:01] uh, one slide with the horizontal bars, uh, where there's 1300 members or so. The, [3:18:09] what I was wondering is, um, do is that out of the total partnership members for [3:18:15] Shasta County and what is, what is the total partnership members? I believe that [3:18:22] is 66,000. Let me see. [3:18:33] Yeah, 66,676 were um enrolled in the um the partnership health plan, [3:18:41] um, and that was as of December of 2024. OK, so it's actually quite a small percentage, [3:18:46] uh, who are participating in SUD services out of that total. Yes, looking back on [3:18:53] previous years of data, so right now the data for 24, 25 is a little bit volatile, [3:18:58] for lack of better words, just because there is such a long lag time, but looking [3:19:02] back at 23, 24, um, we finished that year out with serving 1,827 [3:19:10] beneficiaries. OK, thank you. And then the one slide where you had uh funding sources [3:19:17] with remaining balances. Mhm. The, is that for this fiscal year, meaning it will [3:19:23] uh it will end in June 30th? Yes, um, and with budget hearings starting next month, [3:19:30] there will be updated data for that as well, um, because we are pretty on trend to [3:19:35] be spending uh those full allocations. And the ones that we have been a little bit [3:19:40] uh less than a lot of that is tied to staffing. OK, yeah, because it looked like [3:19:45] there was a decent portion of each of those balances that were still remaining. I [3:19:49] don't know when that was as of February or March I wanna say, so OK. But what you [3:19:55] are saying is that we are on track to spend those full amounts or we are able to [3:19:58] roll them over into a future year. Um, so they don't roll over for the grant funding, [3:20:04] um, but we do have another allocation. So both of those grants are non-competitive [3:20:08] by annual grants, um, and so, Uh, so we applied last year. This [3:20:16] is our first year of funding, and then we will have that same amount of funding for [3:20:20] the next year. Um, but like I said, I think that during budget hearings we'll have [3:20:25] a lot more, um, updated information on where our true projections are. OK, thank [3:20:32] you. Mhm. Supervisor Arman. Hi Bailey. So that the chart, if we go [3:20:40] back [3:20:42] and it was trending up that one and you, you mentioned, you mentioned that that um [3:20:51] That wasn't necessarily more people because some of them are coming back every month [3:20:58] several times but that's not necessarily showing a an alarming. I know everything's [3:21:05] pretty alarming but uh. It's not as alarming as it looks. No, our number of beneficiaries [3:21:11] have been pretty stable over the last couple of years. The change with this that [3:21:16] I anticipate, you know, again with any changes we can tie it back to all different [3:21:20] kinds of Environmental factors or community things like that. For this, the 2121, [3:21:28] 22, 22, 23, that's really when fentanyl was hitting and coming into the systems and [3:21:34] so with that or any opioid use disorder, that's going to increase the services. Because [3:21:39] it's a daily, weekly, um, more regular thing than, say, you know, uh outpatient or [3:21:45] recovery services, those types of things, because that includes not services. So [3:21:50] I think that that is likely tied to why there's such a significant increase with [3:21:54] the actual services. Is that, is that an indicator of the, the addiction being so [3:22:02] strong that they're, I know you're building the clientele, but for lack of a better [3:22:07] description. So with opioid use disorder, um, you know somebody that [3:22:15] does engage in medically assisted treatment, that is something that they could be [3:22:19] on for the rest of their life just because, you know, and I'm not the doctor is still [3:22:24] here and has any input, but you know that's something that changes them physiologically [3:22:31] and so. That type of medication may be something that their systems need to function [3:22:38] for the remainder of their life. It's so the the addictions. Very strong. [3:22:45] Yes or get away from. Yeah. Thank you. Thank you. [3:22:54] No, I think, one quick. What's, uh, what's PUPM stand for? Per user per month. OK, [3:23:01] thank you, Doctor, Ms. Carter, thank you both very much. Appreciate you coming in. [3:23:06] Thank you. And just to confirm, we don't have any requests to speak for this item. [3:23:10] OK. All right, so we're gonna take um Public comment or closed session items are [3:23:18] 12 and 13. Do we have any speakers? We do not share. Where are we going for closed [3:23:25] session? Uh, the board will be headed into the community room. OK. With that are [3:23:30] adjourned, we will be, we will not be back, or not adjourned, sorry, we are at recess. [3:23:36] We'll be back not before, uh, looks like one o'clock. We will not be back before [3:23:43] one. With that, we're recess. [3:23:50] Returning from closed session, Councilors in reportable action. Thank you, Mr. Chairman. [3:23:57] On item R12. Uh, no reportable action on Rood versus Lockwood, uh, Littlefield [3:24:05] versus County of Shasta, uh, permission to hire counsel and defend the claim has [3:24:09] been given. Border versus David J. Rickert and County of Shasta, uh, hire outside [3:24:16] counsel and defend the claim permission is given. And our 13 no portable action. [3:24:24] All right, thank you. Moving on to our 6. This is out of the CAO's office. I'll let [3:24:31] Stuart Newel introduce it. Chair, I'm actually gonna defer to Deputy CEO Erin Britain. [3:24:38] OK. [3:24:45] Hold on one second, your microphone's not on. Stewart's already 0 for 1. There's [3:24:50] a demerit for Stuart. OK, one more time. Stephanie's not here and the wheels just [3:24:54] totally fall off. Go ahead. Good afternoon, chair crime members of the board and [3:24:58] retained Deputy County Executive Officer. On January 7, the Board of Supervisors [3:25:03] voted unanimously to establish an ad hoc committee to draft a strategic plan and [3:25:08] assigned supervisors plumber and Long to that committee. On March 25th, the board [3:25:12] heard a presentation on the activities of this group and considered a recommendation [3:25:16] by the ad hoc committee to hire a consultant to complete the strategic plan, including [3:25:21] public engagement activities to ensure the strategic plan reflects the priorities [3:25:24] of the public. The board expressed a desire to have the strategic plan be developed [3:25:29] in-house rather than by a consultant with the exception of the public engagement [3:25:33] and information gathering. The board agreed the public engagement and information [3:25:38] gathering piece should be completed by an objective neutral third party to ensure [3:25:42] there is no undue influence by the members of the board or staff. The board voted [3:25:47] 50 to have the ad hoc committee draft an RFP for the board to consider. Before you [3:25:52] for consideration today is this draft RFP. The RFP does not include a maximum compensation [3:25:57] as the committee felt it was best to leave the amount for the board to consider and [3:26:01] give direction on. The board could choose to have staff issue the RFP without a max [3:26:05] compensation. However, it's generally a better idea to include a max compensation [3:26:10] so applicants can submit proposals that align with the resources the board is willing [3:26:14] to commit to this process. With that, that is the end of my presentation. I will [3:26:20] turn it over to supervisors plumber and long for any additional information. [3:26:26] We have any public comments? No, chair, we have no public comment for this item. [3:26:32] All right, Supervisor Plumber Long, either one of you wanna go first? So I just say [3:26:38] that we worked on uh refining the scope of this, I think to to be in a good place [3:26:42] where it defines clearly what we are looking for and has a clear set of deliverables [3:26:46] that uh we are hoping will be produced through there and so I feel comfortable with [3:26:51] the direction of this. So max compensation. Max compensation, uh, so we're gonna, [3:26:59] the idea is to see what comes in, uh, and then we can, that's one of the rating criteria [3:27:04] that we use to evaluate uh is cost, so that will go into the factor of which one [3:27:11] we ultimately select. Is there anybody that's um Supervisor long is there anything [3:27:15] you want to add to that? No, I was just gonna ask, uh, you mentioned it's advisable [3:27:20] to have the upper ceiling. What would you set that up for what we've Considered. [3:27:28] So I mean I would say if I were going in I would probably set it at $50,000 as a [3:27:33] max compensation at the high end. um I don't advise that we go in without a max compensation [3:27:38] because what we could get is these great proposals that are $200,000 and well, not [3:27:44] just that, it wastes people's time. Like the people that created it. I mean, we create [3:27:48] RFPs for my company and I mean we'll have 80+ hours of 2 or 3 people into one. Yeah, [3:27:55] I mean, my recommendation if we're gonna get, sorry if we're gonna get something [3:27:58] that is within what we can afford rather than getting kind of the Cadillac version [3:28:03] we're like we love that but we can't really afford that that setting kind of our [3:28:07] max, you know, ceiling, not to say that somebody couldn't come in lower than that [3:28:11] max ceiling, obviously that would be a consideration which a supervisor plumber put [3:28:15] um. I mentioned is one of the criteria on rating it. Yeah, I mean, one of the um [3:28:21] CEO Ricker, do you have any thoughts about, about this? Other than what Mr. Berin [3:28:26] has shared, I mean, I know I haven't got to speak to either supervisors plumber or [3:28:29] long about it because they're on the ad hoc committee, so. [3:28:33] Yes, Mr. Chairman, my, my, my general focus is on, uh, long-term capital projects [3:28:38] and efficiently use the resources and focusing on that specific aspect of it, the [3:28:43] community engagement portion, um, if the board feels that's a component they want [3:28:48] to add to this project, that's at the board's discretion. I mean, um. So, supervisor [3:28:55] uh lumber Long is, is the next steps for this, the com the, we, we do the community [3:29:01] engagement component and then something is brought forth, is that Yes, as, uh, [3:29:09] as part of this process, the key deliverable would be that they would present a set [3:29:13] of priorities for goals for the county out of this process that is derived from both [3:29:18] the community department heads, uh, staff as well, and that that would be used as [3:29:24] kind of the foundation for the strategic plan and that that would help us understand [3:29:29] kind of what are the key priorities of the county. And and Supervisor Plumber, um, [3:29:33] and I haven't asked you this before, but. Where would you cap this based on your [3:29:37] professional expertise because I don't want to go in too high and I don't want to [3:29:40] go in too low because addressing the problems that we could have where we get Cadillac [3:29:46] plan and all kinds of stuff that we don't want to pay for. So where would you professionally, [3:29:53] does 50 sound reasonable to you? [3:29:57] I'm sorry, sorry. Yeah, I think we had talked about this likely being a 3 month process, [3:30:01] uh, and so if we assume, uh, $15,000 a month, uh, I think [3:30:08] that's likely to be reasonable for this. Yeah, so I'm gonna make a motion that we [3:30:13] cap it at $10,000 because I, I think I mean we're already almost we're going into [3:30:18] our 6th month of working on this, right, 5th month, and we're talking about another [3:30:22] 3 months. We're gonna have a strategic plan. Uh, in a year, and I think our strategic [3:30:27] plan, I mean, capital projects that we have like a possible medical school, we have [3:30:30] the sheriff's alternative custody program, we have some uh things coming around, [3:30:35] uh, homelessness and the veterans in, I mean, What else is there? I mean, what are [3:30:39] the big other issues that you guys are working on the strategic plan with? I'm just [3:30:42] curious. I, I can't imagine it taking a year and $50,000 to tell us what we already [3:30:47] know. I, I, I'm, I'm, I'm just curious and I'm not saying. That people that do that [3:30:53] work, you know, that's great, but we're That's my motion. I'm gonna say, cause I [3:30:58] would like to see Noa Short, Aaron Britain, and Dave Rickert knock this out. And [3:31:03] if someone wants to come, I mean, maybe the Reading Chamber wants to step up or somebody [3:31:07] wants to step up and lead the community engagement thing who's already integrated [3:31:10] in the community. So I'll make my motion really clear. I say we cap it at $10,000 [3:31:15] and then we turn this over to Noda, Aaron and Dave, Matt and Allen, you guys stay [3:31:20] involved if you, if you would like and let's get something brought back. You know, [3:31:24] by early August. That's when. And you know, just, I just want to say that, you know, [3:31:30] we're certainly willing to work on this. I think that this direction was from the [3:31:34] board to have somebody that was, you know, not already involved in county business [3:31:38] and so that they could get, you know, a view from the public like what the public [3:31:43] wants to see that could help. this process that wouldn't be, I mean, I would try [3:31:47] not to be biased, but I will tell you I, you know, I'll give one example I look at [3:31:52] the rodeo. The rodeo has been screaming for that for years. They've spent hundreds [3:31:56] of thousands of dollars getting to a place that everybody was screaming about 5 to [3:32:01] 8 years ago when this came up. Like, it's ridiculous spending that kind of money [3:32:06] getting to a destination that everybody already knew. So I mean that that's my motion. [3:32:11] Well, in, in discussion if we're doing board, it's been seconded right, so I think [3:32:17] we stay with the 50 because it was the express clear intent of this board that we [3:32:24] did not want the boards. Thumbprint all over this and any kind of potential leaning [3:32:29] on anybody to develop a project, so we wanted to spend adequate resources to get [3:32:36] it done professionally because we're going to be living with this, you know, if it's [3:32:40] going to be something that's put together with a lot of Internal biases, then it's, [3:32:45] it could be worse product than not having one at all. So I would stay with the 50 [3:32:51] and that's why I asked Matt's question or supervisor plumber, the question as to [3:32:55] what would be reasonable because we've already agreed and I think right now we would. [3:33:04] We've got an estimated cost of 150,000 written in here, and we cannot change it up [3:33:10] at this point. The board already voted and we would be, this would be a question [3:33:16] for council. I believe we are prohibited from coming back. Within one year under [3:33:22] Rosenberg's to modify terms of what we already voted on and we need to stand tall [3:33:29] with what we already voted on because we can't bring this back for another board [3:33:34] decision. We've already decided this. So, so that, that wouldn't be correct. If, [3:33:40] if the board uh lets an RF a contract, you can always bring it back and modify the [3:33:45] terms of that. I mean, I, I, I think $10,000 is not sufficient to have a professional [3:33:52] outfit do this, uh, so I think, you know, $7000. Well, first of all, that invoice [3:33:59] only carried through a short portion of the time, right, not even the full duration [3:34:03] of the time period in which he's done the work leading up to this. Now it'll be 40,000, [3:34:09] uh, and that's for a very specific area. We're talking about a county-wide strategic [3:34:13] plan which is much broader and we're saying we're asking them to do it in half the [3:34:17] time that we're asking that consultant to do it. So I think to even be on par with [3:34:22] that consulting effort that it makes sense to uh make it around 50,000. And so I'll [3:34:28] make a substitute motion that we approved the RFP as stated with a cap of $50,000 [3:34:33] and I will second that motion. [3:34:37] OK, and, and, and. Just correct me, just I'm trying to clarify this, but Rosenberg [3:34:43] says we can't bring this back within a year unless it's a 4-fifth vote, right, to [3:34:47] suspend Rosenberg. No, no, that's not correct. So, what you guys are approving here [3:34:53] is, is an RFP. If you wanted to bring it back and modify its terms because you didn't [3:34:58] get any responses, that's not a violation of any rule. What would be a violation [3:35:02] of a rule is if you, you put a certain item on, you guys voted that you did not want [3:35:07] to move forward with. A particular item and then you place it on another agenda shortly [3:35:13] afterwards. That's what Rosenberg is trying to prevent, essentially taking multiple [3:35:18] bites at the same apple, um, but modifying a contract or modifying an RFP after the [3:35:25] fact is completely appropriate. So you're, you're saying the only thing Rosenberg [3:35:31] would cover with the 4 5th vote within a year would be the elimination of all discussion [3:35:37] about having an outside RFP, right, and Rosenberg is a is essentially rules of order, [3:35:44] um, you know, it's not, doesn't have the the power of government code. Yeah, and, [3:35:51] and my, are you guys? Yeah, and, and my thing is when I see all the sheriff deputies [3:35:55] and the sheriff himself here, I just think, man, I don't want to spend $50,000 when [3:36:00] we're trying to get the DHE program and because this, this, this money comes from [3:36:03] the general fund, correct? See, uh. Uh, CEO, what's that? Yes, correct, yeah, so [3:36:09] I, I mean $10,000 was really just if there's a community organization or somebody [3:36:13] that says, hey, I want to pitch in and help out the community and I can lead the [3:36:16] citizen group because we know it's going to be the same 50 to 75 people they're gonna [3:36:20] show up somewhere. They're gonna put Post-it notes up, which I think is great, but [3:36:24] the more I've worked with auditor controller Noa Short, Mr. Berta, and Dave Rickert, [3:36:28] I think. The process you guys have been under with the amount of knowledge and back [3:36:33] history of the money that uh Aaron and Nova possess, I think we can get a great direction [3:36:38] and if someone wants to step up in the community for that money and it's really them [3:36:42] pitching in as much as it as it is anything else. A lot of people ask, how can I [3:36:46] get involved? Well, here's a way a civic organization could get involved. Um, and, [3:36:51] and lead the community uh component of that. So we, we'll take the substitute motion [3:36:55] of the 50001st and depending on how that goes, we'll take the 1 for 10. We'll start [3:37:01] to my uh left with uh. Nice. Good catch. We'll, we'll start to my left with supervisor. [3:37:08] Supervisor Wong. So this is the subsequent motion by Supervisor plumber. Yes, correct. [3:37:14] Supervisor Kellstrom. Supervisor cry. Supervisor Harman. [3:37:19] Supervisor plumber. Yes. All right, fails 23. We'll take the substitute motion. Uh, [3:37:24] we'll start to my right with supervisor plumber. Supervisor plumber. No. Supervisor [3:37:29] Harman. There's the substitute motion for the 10,000 authorizing of the 10,000. [3:37:37] So [3:37:39] Wasn't that a primary motion? This, this is, oh, I'm sorry, the prime, the primary, [3:37:43] the primary motion. I'm sorry, yeah, it was my original that's the original motion. [3:37:47] You're, you're back to your primary motion. Sorry primary that's what it got, yeah, [3:37:50] supervisor. Yes. Supervisor cry. Yes, Supervisor Kelstrom. Sorry. Supervisor long. [3:37:57] No, OK. Passes 32. And then, uh, CEO Ricker, when do you think, uh, how fast can [3:38:02] that get out and we can turn that around and get moving on it. I will work with staff. [3:38:06] We'll get out as soon as we possibly can, and uh we'll try to shift the end of August [3:38:10] deadline to bring up the proposals. I know we had spoken a little bit very briefly [3:38:16] about, you know, some counties have like these 7 binders up on the shelf that collect [3:38:20] dust. So this is, uh, gonna be very it's gonna be very financially focused, very [3:38:25] financially focused, very outcome driven, yes, with metrics. Thank you, sir. All [3:38:29] right, moving on to uh R 7. District attorney discussing consider directing [3:38:37] staff to create alternately staff legal secretary, 1 and 2 classifications. Welcome, [3:38:42] Ms. Bridget. Thank you. Good afternoon, Chairman Cry, members of the board of supervisors, [3:38:48] Stephanie Bridget, District attorney. Yes, so we're here to talk about changing the [3:38:52] legal secretary classification for the county. Um, as it stands right now, there [3:38:57] is one classification, and that's just simply legal secretary. The request is to [3:39:03] consider to add alternate classifications to have a legal secretary 12 position. [3:39:10] Um, while this impacts my office, it also impacts other offices. It impacts the public [3:39:15] defender, uh, probation department, HHSA, the Public Guardian, um, as well as County [3:39:22] council. Um, all of those impacted departments are supportive of having this classification [3:39:29] for Legal Secretary 12. Um, so that's going to be the request. I can't speak for [3:39:35] the other departments, but just to, to speak to, to my office just a little bit on [3:39:40] this issue. Um, the legal secretaries is really a very critical position in the office. [3:39:48] Um, every single case in my office literally begins and ends with the legal secretaries. [3:39:54] Um, and it takes a lot of time to become proficient in that position. Um, as it stands [3:40:02] right now, with legal secretary not having an alternatively staffed 12, and just [3:40:06] having legal secretary, that position will top out at 4.5 years. So there really [3:40:13] is no career advancement offered for that position. And in my office, as I said, [3:40:20] it impacts every single case. Just uh to give you an example, um, our legal secretaries [3:40:26] starting from our intake, they are responsible for filing every single criminal case. [3:40:32] They're typing up all of the criminal cases, um, where attention to detail is paramount. [3:40:38] I mean, it's so important for the rights of our citizens that we have. People who [3:40:43] are properly trained and have been in those positions for a long time. Uh, they're [3:40:48] responsible for warrants, for getting people arrested and to show up in court, getting [3:40:53] those ready. Um, every piece of evidence that we need to prove a case goes through [3:40:58] their hands. They're responsible for ordering, for uh obtaining, for marking, for [3:41:05] delivering everything to defense counsel, every photo, every video, um, every Birth [3:41:12] certificate, death certificate, medical records, anything that we have to have to [3:41:17] prove a case goes through them. It, it, and I know I've presented here before about [3:41:23] how many cases we have. We get close to 10,000 cases per year that this legal secretary [3:41:30] team is in charge of every single piece of evidence involved, and that takes a substantial [3:41:37] amount of time. To really learn and become proficient in all of that, um, every witness [3:41:42] that we need for court, they're responsible for doing all the subpoenas, handling [3:41:48] the phone calls, explaining to not only witnesses and victims and the public different [3:41:54] parts of the legal process, knowing the difference between if they're coming up for [3:41:59] a preliminary hearing or a trial to make sure that they're answering those types [3:42:03] of questions. Um, our motions, all the motions that we're filing before court, before [3:42:09] trial, during in trial, they're the ones that are handling that, that they're getting [3:42:13] them all in final form, getting them approved, getting them filed. Um, they are doing [3:42:20] all the motion work that we need during trial, assist really being the right hand [3:42:25] person to the attorney in trial with their exhibits, their jury instructions. I mean, [3:42:30] it's a really an integral part of the office is the legal secretary position. It [3:42:35] takes years for a person to learn that job, to be proficient in that job, so that [3:42:40] we can make sure that they, you know, they're not making mistakes because they don't [3:42:45] have the years of experience. They don't have the training, they don't, they haven't [3:42:49] seen every type of motion, every type of case. It takes them years to go from handling. [3:42:56] You know, a small misdemeanor case load, working their way through intake, low-level [3:43:01] felonies, and then ultimately up to where they can handle serious and violent felonies, [3:43:07] where they can handle child molest cases and, and murder cases. So this is a very [3:43:12] important, very extremely important uh position in my office, and really, the success [3:43:19] of every single one of our prosecutions depends on those positions. Um. But with [3:43:26] 4.5 years until they are talked out at a legal secretary, unfortunately it causes [3:43:31] retention issues. We have people who they look for other positions. They maybe move [3:43:37] somewhere within the county or once they've got the experience, they move out into [3:43:41] the private sector um and work as a legal secretary there. So as a county, I want [3:43:47] us to be um more enticing not only to bring these people in, but also to retain them [3:43:54] once they're here. Um, it would help with recruiting. Uh, there are many counties [3:43:59] that offer multiple layers of legal secretary position. We'd be competitive with [3:44:04] them, with the private legal secretary, um, For private firms in our county as well, [3:44:11] um, a person right now when they look at the, the job flyer for legal secretary, [3:44:17] they don't see any career advancement. Legal secretary, and that's it. So we would [3:44:23] be not only more enticing for recruitment, but we'd be more enticing for retention [3:44:29] and we'd be able to differentiate those. Secretaries who are in the 1st 123 years [3:44:34] of their career really learning the technical skills that they need and still have [3:44:40] career advancement up to a legal secretary too. Um, so that, that's how it is from [3:44:44] my office and I'm just hopeful that you guys will approve our ability to go from [3:44:50] Legal Secretary 1 to Legal secret 12. Thank you, um, supervisor Long. [3:44:59] I just saw him click his first I, sorry, did I, did I, no, I, I just looked down, [3:45:05] so, OK. Hello, DA, um, thank you for the presentation. Um, so if, if, uh, it takes [3:45:12] 4 years to go through the full steps of a legal secretary, how many steps would that [3:45:19] include? How many years would it take to get to the top of a legal 2? Well, it's [3:45:23] going to depend on how quickly a person can be promoted. Um you know, some people [3:45:28] may work their way through all of those steps through a legal secretary one before [3:45:33] they ultimately make it to a 2, so then they would have the same steps A through [3:45:38] F, I believe, a legal secretary too, or you could have someone who You know, trains [3:45:44] much quicker, becomes much more proficient, and they get promoted when they're step [3:45:50] 1E or step 1B up to a 2. So it's going to vary depending on each individual persons [3:45:57] and their ability, but it is going to add additional years. And then, and then they [3:46:01] could come into the next rank 2. Um, at a mid-step, or would it always go to the [3:46:08] bottom of the next range? It depends on where they're at when they promote to a tube [3:46:12] because if, yeah, that's what I was going to say is there overlap then with the minimum [3:46:18] for a tube being below the top for a 1. Because that could cause them to go in at [3:46:23] a higher step and where I'm going with all this is you had said, um, I think it was [3:46:28] in there 34,000 was going to be the total cost to implement. Um, that's for my office [3:46:33] because there are other other offices that are impacted. I believe the total is just [3:46:39] under 70,000. Um, for all the impacted. Yeah, there were 34, 23 for the public defender [3:46:46] or for the probation and 8200 bucks for county council. And it would depend on each [3:46:52] of those departments who they feel is uh at the ability to promote to a 2. OK. Thank [3:46:59] you. Certainly. It was part of your question, OK, um. Any anybody else [3:47:07] Well, yeah, I, I'll just chime in and I mean. And I, you know, this Bridget, it sounds [3:47:13] good. I'm just right now I'm looking at, you know, Reading is claiming a $5 million [3:47:18] deficit, which is about $8 million. Um, I think Anderson has about $2 million deficit [3:47:23] and Haman County has about a $5 million deficit. So the one thing I always brag on [3:47:28] is our CEO has kept us, you know, fluid and, and, and in the black, and I mean, So, [3:47:35] I, I, you know, I'm, I'm probably gonna lean towards his recommendations, which, [3:47:39] you know, is, once we change this classification, we're going to open up the floodplas [3:47:43] to change a lot of classifications and a lot of departments, so. Um, I, I looked [3:47:48] at your budget yesterday, um, I'm that far in that, um, there was a lot of asks in [3:47:53] there. This was one of them, um, but there was, I mean, quite a few asks, so I'm [3:47:58] probably gonna decide on the, on the side of leaving the status quo at this point. [3:48:02] So thank you though. Uh, yeah, absolutely. Um, just to One thing I want you to consider [3:48:08] would be the cost of not doing it would be, um, you know, the turnover that we have [3:48:15] and the hiring, retraining, um getting a person trained and qualified up to the position [3:48:22] to hold the cases and it's not just a Internal impact on my office. Unfortunately, [3:48:29] it's an impact to people who are charged with a crime. It's impact of victims, it's [3:48:33] an impact to witnesses when we're dealing with positions, um, especially that are [3:48:37] this crucial in the office. So, I, I feel like there's a financial impact of not [3:48:42] doing it, maybe not as um tangible or his ability to um quantify it so easily, um, [3:48:48] but it is, you know, it's a, it's a position I've advocated for for a while, so, [3:48:53] but thank you, thank you. I'll just, uh, I'll, I'll say that I'm not necessarily [3:48:57] opposed to it, but I definitely, I'm not gonna vote for it today because we have [3:49:01] the budget hearings in a couple of weeks and I would rather have all the asks. In [3:49:07] one bucket and kind of go through them because to, to bring this one out then if [3:49:11] something else comes up in the office that we want to adjust, then we can't go back. [3:49:16] No, but what I'm saying is I want to discuss this at budget time with all the other [3:49:19] positions across all the different, so I'll be voting no. To budget plumbing. Yeah, [3:49:27] I appreciate the relatively inexpensive approach to trying to increase retention [3:49:33] because I do think a lot of the other strategies for bringing more people are much [3:49:38] more expensive. Uh, so you know I, I generally support this. I do see the sense in [3:49:44] kind of having this as part of the budget conversation which I, you know, is in a [3:49:48] week or two, so. Um, that feels appropriate to me, but I, I think finding innovative [3:49:54] strategies that are relatively inexpensive, uh, like this, uh, makes sense and are [3:49:59] a good way to address the cost of turnover that we are experiencing. Right. [3:50:06] Is there uh, anybody that wants to, um, I'll, I'll just say. I agree with you guys [3:50:13] that it's, it needs to wait. So we with the rest of the budget. I mean, I, I think, [3:50:21] I mean, that's the, I know the, the budget hearings are gonna be, I mean, there's [3:50:25] a lot of departments that are looking for a lot of positions and there's gonna be, [3:50:28] and I would personally, this is just me, this goes to any department head that would [3:50:31] be listening as I think it's uh I want to invite them into that process to say, look, [3:50:37] this is what we have who, not everyone's gonna be happy, obviously. I'm talking about [3:50:43] even in departments or offices, so, uh, counsel Larmer, do we have to, I know this [3:50:48] is discussed and consider directing staff, do we have to take a We have to take a [3:50:53] motion. You do not on this, OK. Anybody else have any questions for district attorney? [3:50:57] I really appreciate you coming in, and I know we'll run this back in 2 weeks. Sure, [3:51:01] yeah, I, I'll just incorporate this piece into my presentation at that time. OK, [3:51:06] I'm going to make a motion. Um, I would make a motion that we approve the reclassification [3:51:12] of Legal Secretary 1 and 2. I think it's important for Recruitment for retention [3:51:19] for all the reasons I understand budgets and but this is a reclassification at this [3:51:25] time and I think it's critical to stabilize a department that is historically been [3:51:30] facing a lot of turnover and a lot of a lot of issues within there and I think um [3:51:37] some of the questions I had were. Where would you start? Where would you stop some [3:51:42] of those kinds of things? I think it'll be a little more seamless than than we might [3:51:46] be considering, and I don't even know if the 34 is is accurate that it would cost [3:51:51] that much, but um so I will make that motion that we reclassify at this time our [3:51:57] 7, Legal secretary 1 and 2. [3:52:02] Uh, question, uh, [3:52:05] if this is brought up through the budgetary process, is, uh, would that then and [3:52:12] say that was approved as part of the budget, would that then have to come back later [3:52:17] or the legal classification to be created or would that happen as one step in the [3:52:22] budgetary process? So Monica and the HR staff would bring a resolution reclassifying [3:52:28] those. Have to approve it um as a resolution. Separately from the budgetary process. [3:52:36] And then, um, say we were to approve this resolution now, does this authorize funding [3:52:42] for the subsequent fiscal year or would that still have to come through the budgetary [3:52:45] process? You do not have a resolution in front of you right now, right now you only [3:52:49] have a direction and a possible or a discussion and direction of staff. So, um, Monica [3:52:54] would uh bring something back if that is what you directed staff to do. So just so [3:53:00] that I can clarify real quick, as part of the budget process, if you guys made a [3:53:03] decision at the budget hearings, we bring back for budget adoption at the end of [3:53:08] June, any sort of reclasses or new positions comes as part of a salary resolution [3:53:12] that comes with the budget adoption papers. OK. [3:53:19] Yes, I'm OK waiting then if that's part of kind of a comprehensive process. So is [3:53:23] there a second to supervisor Long's motion? Seeing none, motion fails. Thank you, [3:53:28] A Bridget. Appreciate it. See you in a week or two. Thank you. All right, moving [3:53:34] to our 8. [3:53:41] Jessica, yes. [3:53:45] This is a presentation from Well Path on inmate healthcare and Services in Shasta [3:53:49] County's jail brought to me by Sheriff Johnson, asked me to sponsor it, so of course [3:53:54] I did because he's the sheriff. I'd be crazy not to. Welcome Jessica. Thank you. [3:53:58] Thank you very much. Um, good afternoon, Chair Cry and members of the board. We are [3:54:03] grateful for the opportunity to be here today to present and introduce ourselves [3:54:07] to you and additionally provide a few level high-level company updates. My name is [3:54:13] Jessica Maslam. I'm the vice president of Partnership Development for California [3:54:17] For Well Path, um, and I'm based out of Sacramento. I'm also joined today by my colleague [3:54:22] Velvet Hood. Um, I'll start a little bit with a little history on our organization [3:54:27] and our company. Um, WellPA has been a long, long-term correctional healthcare provider [3:54:33] in California. We've been doing this since 1984 with our first contract under the [3:54:39] California Forensic Medical Group, which is still part of our organization. Um, we [3:54:44] started in Monterey County in 1984. Currently today we work in 30 of the 58 counties [3:54:51] in California, providing adult correctional healthcare and behavioral health through [3:54:56] the state. 18 of those include partnerships with probation, providing services to [3:55:03] those, um, the county's youth population. At Wellpath, we work hard to achieve the [3:55:08] highest standards in the business. [3:55:12] We have accreditation in 10 counties throughout California through the National Commission [3:55:16] on Correctional Healthcare. We've had a 100% success rate in obtaining accreditation [3:55:22] and have a team of professionals dedicated to achieving and maintaining the standard. [3:55:27] We've been a proud partner with Shasta County since 2016, and we do remain dedicated [3:55:32] and focused to improving and delivering compassionate, high quality care to underserved [3:55:38] and vulnerable populations in a very challenging clinical environment. We have a [3:55:43] strong partnership with Sheriff Johnson and his team and appreciate all of the collaboration [3:55:48] and support we received from the sheriff's office. Our team of dedicated professionals [3:55:53] led by Ms. Hood over here ensures the core values of the organization are put to [3:55:58] practice daily. And with that, I will turn it over to Velvet to provide an operational [3:56:03] update. [3:56:06] So shit, I'm done. h. Thank you, Jessica for the introduction. So again, my name [3:56:14] is Velvet Hood. I, I serve as the regional vice president for Northern California. [3:56:20] I have the privilege of overseeing operations in 21 facilities, including Shasta [3:56:24] County. I would like to begin by acknowledging that it is no secret that providing [3:56:29] healthcare today is more challenging than ever in delivering care in a custodial [3:56:33] environment as yet another layer of complexity. Despite these challenges, our organization [3:56:39] remains steadfast in our commitment to maintain our core principles. Everything we [3:56:44] do is guided by our five Ps. That's to invest in our people, collaborate with our [3:56:49] partners, optimize our processes, all to provide exceptional care to our patients [3:56:56] and deliver outstanding performance. We recognize that no organization is without [3:57:00] its challenges, and we embrace the importance of continuous improvement. I am personally [3:57:06] committed to advancing initiatives that reinforce our core principles and ensure [3:57:10] that our healthcare delivery aligns with the evolving needs of Shasta County. The [3:57:15] county has been a trusted and valuable partner to us, providing essential support [3:57:20] and resources that have enabled us to deliver medical services. As we look to the [3:57:26] future, we see meaningful opportunities to strengthen this partnership. Working together [3:57:31] to optimize healthcare delivery, promote the health and well-being of those in our [3:57:35] custody, reduce risk and liability exposure, and remain responsible stewards of public [3:57:42] resources. We have institutional knowledge that gives us a strong understanding of [3:57:47] facility operations. The culture, the capabilities and limitations, and historical [3:57:53] perspective on past challenges, all of which enable us to best align efforts, make [3:57:58] informed decisions, and provide strategic direction. We would like to extend our [3:58:03] sincere appreciation to Sheriff Johnson and his team for their continued transparency [3:58:08] and collaboration. Their commitment to regular meetings and active engagement has [3:58:13] fostered a strong solution-oriented partnership that continues to support the success [3:58:18] of our shared mission. There have been ongoing productive discussions around opportunities [3:58:24] to enhance care and service delivery. One such example is the shared recognition [3:58:29] to improve operational efficiency in the high-risk booking area. This effort is focused [3:58:36] on reduction of booking times to expedite the return of arresting officers to duty, [3:58:43] minimize risk exposure, and above all improved care outcomes. A potential solution [3:58:49] under consideration is the addition of a dedicated registered nurse during peak booking [3:58:54] hours to support timely medical clearance and reinforce safety for both staff and [3:59:00] individuals in custody. These discussions reflect our shared commitment to continuous [3:59:05] improvement, implementation of best practices, and achieving better outcomes for [3:59:10] those in our care. We also want to recognize and thank our health service administrator, [3:59:15] Melissa Gibson and our regional director of operations, Dave Garzoli. They have been [3:59:19] an integral part of the team. In closing, I'm going to turn it back over to Jessica. [3:59:26] I get the fun one that may be on everybody's mind, but no secret some of the challenges [3:59:31] our organization has gone through in the past year regarding the bankruptcy, and [3:59:35] we know that's been a concern with the partners and what's going to happen at Wellpath. [3:59:41] Are we going to stick around or are we going to be out? So I do have some good news [3:59:44] to share on that front. I will say last November we filed for Chapter 11, which is [3:59:51] a reorganization. With that our operations remained the same. We didn't reduce any [3:59:57] footprints. We maintained our contracts with all of our partners and staffing levels. [4:00:02] Everything remained the same. We were having issues with payments to some of our [4:00:06] providers in the community. I think at this point most have been addressed through [4:00:11] the bankruptcy. Everybody's been paid up. If not, that is happening. Everybody is [4:00:16] getting paid. I will say on May 8th, here's the good news, we successfully completed [4:00:22] our financial restructuring processes and emerged from Chapter 11, so we are officially [4:00:28] out as of May 8th and no longer in bankruptcy. Um, through this process, uh, we've [4:00:35] strengthened our financial structure to support our business for the long term, which [4:00:40] that last year, we were not there. So it was something that was necessary in order [4:00:45] for us to continue to remain in business moving forward. Um, we continue to be committed [4:00:50] to the core values that define us, unwavering quality and patient care, stability, [4:00:55] relationships, and trust. Um, I will say we are better positioned than ever to be [4:01:00] a strong partner for years to come and a stable organization. We value our relationship [4:01:07] with you and are committed to continuing to innovate how we deliver correctional [4:01:10] medical and mental health care in Shasta County. Serving you and your patients remains [4:01:15] our top priority. As a financially stable and stronger company, you can expect Wellpath [4:01:21] to continue. Invest in the welfare of your patients. We're committed to support Shasta [4:01:25] County by developing solutions that improve overall service delivery, patient outcomes, [4:01:31] and the big one, reducing risk and lawsuits to ensure county dollars are maximized [4:01:36] when it comes to jail healthcare. Again, we thank you for allowing us the opportunity [4:01:41] on your very, very busy agenda today to be here, and we welcome any further discussions. [4:01:48] I know that data is a really important thing to see, and we are open to sharing and [4:01:54] would like to be more actively involved in those conversations with you all and transparent [4:02:01] with the county. I think this is the first time our organization has been to a board [4:02:06] of supervisors meeting to present. Um, and we hope that it's the first of many more [4:02:11] to come because we want you to know that we are open to being transparent, to answering [4:02:17] any questions, um, and anything you might need from us. So thank you again. [4:02:24] Absolutely. Does anybody have any questions? Uh, supervisor plumber. [4:02:30] My understanding is that the challenge that led to the bankruptcy had to do with [4:02:35] lawsuits which you alluded to, uh, one, I guess, is that correct? And, and if it [4:02:39] is, uh, you mentioned being on a stronger footing now, what, uh, you know, what structural [4:02:45] changes have been made that will, you know, protect against that risk in the future [4:02:51] or try to minimize that risk? That's a great question. Um. From [4:02:58] the the kind of downfall of where we ended up where we were, it actually was really [4:03:03] a lot of it had to do with the COVID-19 pandemic because we are a private organization [4:03:09] that was funded and ran through public equity firm. We were not given funding from [4:03:17] the federal government that many other folks were able to obtain and receive, so [4:03:21] we were taking that out of hide for a long time, so COVID was a big one. Um, in addition [4:03:26] to inflation and then just the labor market in general, um, it wasn't sufficient [4:03:32] enough for us in our contracts, um, so those were the real three main reasons why [4:03:39] we ended up where we were. And then in terms of addressing that, is that, it sounds [4:03:44] like you know those drove up your costs and so does that mean that you are asking, [4:03:49] you know, I mean the natural thought in my head is that that means that then you [4:03:52] you need more money in terms of the contract with the county, am I? Connecting the [4:03:57] dots there. You, you are, sir. Yes, you are. Um, one of the things that we're trying [4:04:03] to do is be more innovative and how we look at correctional healthcare. I know it's [4:04:07] hard to replace people with technology, um, but we do telehealth as well. We're looking [4:04:13] at ways to cut costs, but not, not cut costs of what we're paying staff. That is [4:04:19] something we will never do because we see that with many other companies that do [4:04:24] that. And then you get a contract and you can't staff it. So we look at the labor [4:04:29] market, we look at your specific labor market, and we fall in line with that. I would [4:04:36] say that we have gone to counties and we've talked about these costs increase. We're [4:04:42] trying to keep it as reasonable as we can as we can and also try and find different [4:04:47] solutions and not go above and beyond where we need to be, but You know, try to keep [4:04:54] it to contain the cost for you all. I would say that's not so much related to the [4:04:59] bankruptcy though, it's just the wage inflation in general, especially in uh medical [4:05:04] services that would drive those conversations. And then are you all involved in the [4:05:11] conversations around um the Cal aim justice involved initiative with where inmates [4:05:18] can re-enroll in Meal 90 days pre-release? [4:05:25] Yes, um, we have went live with Cal Aim in a couple of our counties already. Um, [4:05:31] we have been working actively with the consultants if, if the counties have went [4:05:35] through consultants. Such as what HMA I I will say I was part of the earlier conversations [4:05:43] um with the sheriff's office and HMA a bit. um, we have made ourselves available [4:05:49] if the consultants of the county um that are handling counting, we, we are equipped, [4:05:54] we're ready, whatever you guys need. We're trying to not say, well, the medical contract [4:05:59] needs. A ton of staff, but what can we do within the current staffing that we have [4:06:04] with discharge planning and try and maximize what the foundational contract has to [4:06:11] maximize those dollars for accounting. But we are very involved as Velvet said, we [4:06:16] do have some experience because we are in Yuba County and that was one of the first [4:06:20] counties that went live so. We're learning all of the tweaks, so when it gets to [4:06:25] you guys, um, we'll have some probably invaluable experience as as the provider with [4:06:31] case notes required. I think we're having a pretty good success rate with the claims [4:06:36] that have been submitted to the federal government. We were actually pretty surprised [4:06:40] thinking that. So many of them would be kicked back and I don't know if you know [4:06:44] the percentage. I think it was 60% were approved, so there were 40 that that 40% [4:06:50] that needed minor tweaks though with the case notes that I think we cleared up and [4:06:55] we're able to get a good good success rate on turnaround on invoicing. Thank you. [4:07:01] Welcome. Thank you, Supervisoraltro. Yeah, um, you guys used to be in our juvenile [4:07:05] hall here in Chessa, Ninja, and then you no longer are now. That's correct. OK. All [4:07:10] right. And who did they use out of curiosity? I mean, I'm sure you don't want to [4:07:12] say competition's name, but Right. I'm Juvenile Hall uses Community [4:07:20] Health Center. OK. All right. Thank you. Harman. So can I assume by all by all them [4:07:27] officers sitting behind you that they're supportive of you? That's what I'm sorry. [4:07:32] They're supporting you. I would say so, yeah. I hope so. He's he's [4:07:39] typing about it right now. No, that I, I appreciate. That you didn't go chapter 13 [4:07:48] as a businessman, that's, that 13 is the easy way to go and you guys did 11 and I [4:07:53] commend you for that. Took took care of your obligations and kept going and and uh [4:08:00] and you should be commended for that. Thank you. Thank you sir. Well, I'm, I'm glad [4:08:04] Sheriff Johnson um talked about bringing you guys up, glad he did. I know, um. Healthcare [4:08:11] doesn't matter if it's uh citizenry of any type, those incarcerated, etc. it's very, [4:08:17] very crucial and very important I think to have those conversations. So I appreciate [4:08:21] this first effort in coming and sure we'll be in touch in the future. So thank you. [4:08:27] Can I add one more thing? Supervisor plumber. Um, I do think in to speak to your [4:08:32] comment about transparency and data, I think it would be interesting to see some [4:08:36] data at a future date around uh cost per inmate in terms of healthcare costs and [4:08:41] what are the key drivers of those costs in terms of different conditions and ailments, [4:08:46] uh. And also in particular um we heard earlier about um opioid use disorder and how [4:08:53] with our medical population that is a really significant portion in the primary diagnosis [4:08:58] and so understanding a bit more of your treatment protocol for that and uh what the [4:09:03] costs are associated with that so um that would be really helpful to hear in the [4:09:08] future, I think you. Absolutely, thank you. Thank you. Thank you as a plumber. All [4:09:12] right. Thank you. Thank you for your guys' time. [4:09:17] All right, moving on to R9. This is a presentation sponsored by Supervisor Plumber. [4:09:24] From the Shasta Substances Coalition regarding opioid overdose deaths in the county. [4:09:29] Hello, Ms. Phillips. How are you doing? [4:09:33] I'm doing great, thank you so much. I have a PowerPoint, so it's right there. [4:09:42] I always get nervous. [4:09:45] Stewart. Right there. Great. OK. [4:09:54] Well, good afternoon, um, Chairman Cry supervisors. I really appreciate the opportunity [4:10:00] to come before you again. Um, my name is Jill Phillips, and I am, uh, the facilitator [4:10:07] for the Shasta Substance use Coalition. Um, Let me see this here. [4:10:16] Hey. [4:10:21] Can you help me here a little bit here this? I'm sorry. Just the arrows, right, yeah. [4:10:29] There we go. [4:10:32] OK. that one that one should be the next one. OK, so I'm sort of couching this as [4:10:38] a progress report and a good news report too. So, um, uh, the SASA Substance use [4:10:44] Coalition is comprised of three primary uh committees on the screen you see there. [4:10:51] We have over 35 participating organizations. I think last year it was 25. Um, I [4:11:00] wanna give a shout out to our community volunteers and a special shout out to our [4:11:04] community volunteers and the Health Alliance in Northern California that acts as [4:11:08] our fiscal agent. We have 4 main areas of our work plan. Um, today I'm gonna talk [4:11:16] to you about 2, primarily about 2 of those areas um related to overdose-related deaths [4:11:22] and also um improving access to treatment. So the good news is that in 2024, [4:11:30] we had a 43% reduction in overdose deaths due to fentanyl. And [4:11:38] um The first quarter looks like we're going to stay down, so the numbers are too [4:11:45] small, the first quarter to be able to report. So uh we're, we think that we're still [4:11:51] going on a good trajectory as far as overdose deaths. [4:11:56] I'm gonna talk about some of those um activities that we think has made it have made [4:12:01] a difference um one is that we have formed the naloxone action team. And we work [4:12:09] together to coordinate our overdose, I mean our naloxone distribution. We have [4:12:17] delivered delivered at least 8100 boxes of naloxone that includes information [4:12:24] along with the naloxone so that people know where to get treatment and that sort [4:12:28] of thing. We have the little red bags I'm going to bring up here that we distribute. [4:12:33] We are tracking weekly or overdose data. We have a monthly, weekly report. We know [4:12:41] when we have spikes in overdoses, where they are, and then we go and address those. [4:12:47] One thing that I'm really excited about is that we now have over 100 business locations [4:12:53] throughout Chesa County, including many. uh, gas stations, etc. that um carry uh [4:13:00] naloxone and educational material and will provide it for free to people in the community [4:13:06] to come in and these are in even the most isolated areas. We've uh provided training [4:13:13] in naloxone to 22, soon to be 24, all 24 school districts. Talking a little bit about [4:13:21] the continuum of care for those with opioid use disorder, uh, we developed a survey [4:13:27] and we had 29 respondents. We gave the survey to those who are providing opioid treatment [4:13:34] services and recovery support. Anyone who's working with individuals who have opioid [4:13:41] use disorder. And you can see we've asked several questions, but uh this one question [4:13:48] was uh what are the missing or under available services and uh unsurprisingly, medical [4:13:54] detox uh came to the top. We also have um need for housing co-occurring treatment, [4:14:02] residential treatment, and so on. One of the things we've done is put together a [4:14:09] continuum, a diagram here so that we can see, you know, how we are working together, [4:14:15] what, where the routes of entry are, um. Where some of the gaps in services are, [4:14:22] we have known that we have needed more residential and intensive outpatient treatment, [4:14:28] and I'm happy to have learned recently that both Good News Rescue Mission and Visions [4:14:34] on the Cross have received funding from the state which will increase those services. [4:14:39] We're very, very anxious to see and support more services in the jail, um, and we [4:14:47] think that's a really important place for services to be provided and we're very [4:14:55] ready, willing and able to connect uh through the community connections so service [4:15:01] providers in the community are very interested in connecting with the jail so we [4:15:05] have smooth transitions. And uh we're very interested in seeing a medical detox crisis [4:15:12] stabilization that has yet to be funded, although I think the tribe is preparing [4:15:17] to do some of those services. Um, we've identified keys to successful treatment of [4:15:25] opioid use disorder, and I think these are really important to kind of keep in mind [4:15:29] as we all are working together between the prevention all the way through the treatment [4:15:34] and recovery, um, preventing overdose deaths, building relationships, increasing [4:15:40] opportunities for effective engagement. Removing any barriers, this is really one [4:15:45] of the areas that we're looking at. We want to reduce wait time for service access, [4:15:50] reducing withdrawal symptoms through the medical detox services, treating mental [4:15:56] health that's co-occurring with substance use disorder, and providing ongoing supportive [4:16:01] services for the needed level of care. Um, we're working to gather some data that [4:16:08] can really help us to identify the areas, the gap areas and those areas that we can [4:16:15] improve in. Um, here's some examples of some of the data that we're looking at. We [4:16:21] have received some data from partnership that is helping us to sort of see the picture [4:16:26] here, so you can see that in Bullet two, only half of those who were diagnosed with [4:16:33] opioid use disorder in 2024 received the medications required to effectively treat [4:16:39] that disorder. So those are areas that we'd like to get the numbers to improve. Um, [4:16:47] we see some, some pretty good changes in housing instability, um, improvements in [4:16:52] housing instability when there's treatment, and, um, we see that in general the the [4:17:00] the 10 day guidance for access to residential outpatient treatment was met 95% of [4:17:07] the time, but we think that that should be narrowed to a smaller amount of time. [4:17:13] And and so on, so. Next, we're looking at continuing to work and develop [4:17:21] and strengthen the treatment recovery continuum of care. We want to improve access [4:17:27] to naloxone and information for the highest risk populations, and we want to provide [4:17:34] data driven information to assist in decision making for whoever is making those [4:17:38] decisions, whether it's providers or policy makers, and we. Want [4:17:46] to establish progress goals and here's some examples from some areas that we're looking [4:17:50] at, uh, promote service development where needed and increase community information [4:17:56] and points of connection. [4:18:01] That's it. [4:18:04] To Plumber. Thank you Jill for being here and presenting on this. Um, the reason [4:18:08] I had asked you to share this is because, you know, a lot of times we're talking [4:18:13] about the challenges that our community faces and uh we don't always celebrate the [4:18:18] progress that we're making and so it's exciting to hear that overdose deaths has [4:18:21] gone down significantly, uh, uh, from 2023 to 2024 and then it seems to be, uh, you [4:18:28] know, staying there and it's, it's helpful to also learn from. The uh strategies [4:18:33] that you, you found to be effective there and see how we can both increase those [4:18:38] but also uh replicate them in other areas as well. So, thank you. Welcome. Thank [4:18:45] you, Joe. I appreciate it. Joe. Joe, Joe Campbell [4:18:50] uh sent us a uh email in between, so I remember reading that. So Joe's watching, [4:18:54] Joe, I read it and thank you. Thank you very much. Yes, thank you, Joe. All right, [4:18:59] moving on. [4:19:02] Is this gonna be OK. So we have a scheduled hearing. How many uh public commenters [4:19:07] do you have on this one? So for the hearing for our time we have no public uh commenters [4:19:14] hearing OK. [4:19:16] It's all correspondence on file with the clerk of the board. the hearing first, then [4:19:20] I guess to tell you, that's right. [4:19:25] I'll take them, sure. [4:19:50] The area to which we all think. [4:19:54] Welcome, sir. Um, good afternoon, Chair Cry, members of the board. Brandon Magby, [4:19:58] I'm the County Real Property and right agent. Um, That's it. Thank you for coming. [4:20:04] That was close. That was quick. Thank you. That's OK. So, uh, before you have [4:20:12] this afternoon is a proposed abandonment for a portion of Tamarack Avenue in, in [4:20:17] the Bernie area. Um, in front of you is an aerial aerial map of the southern portion [4:20:25] of Tamarack Avenue as it intersects Highway 299 East. Um, we just go to the next [4:20:32] one. So, If you see the red um hatched area, that is the previous [4:20:40] alignment of Tamarack Avenue prior to 2006. 2006, Caltrans are part of a [4:20:47] uh safety project. Acquired the necessary right away to realign Tamarack Avenue as [4:20:53] it intersects 299 at a 90 degree angle. With doing that, that provided better sight [4:20:59] distance for the traffic from Tamarack onto Highway 299 going both east and west [4:21:05] directions. As you can see previously it had a very obscure angle, especially for [4:21:09] the westbound traffic from Tamarack on the 299. Um, the tribe has recently, in the [4:21:16] last few years have purchased the property um there south of Tamarack Avenue and [4:21:23] the property there, that corner property on the north side of Tamarack Avenue. Um, [4:21:27] the tribe are the ones that asked for the abandonment, the, the. [4:21:34] The area is no longer used. There is, um, I have heard from utility companies that [4:21:42] PG&E does have facilities in that area. And I believe there is a waterline too. The [4:21:48] abandonment resolution does hold a reservation for those any existing utilities that [4:21:54] are in that easement area. Those utility companies will retain the right to maintain [4:22:00] and keep those utilities in place, so that. I know the reason why the [4:22:07] tribe has asked for this to be abandoned is they're in the process of trying to move [4:22:13] the property into their trust, and this is an encumbrance on the property that is [4:22:17] currently prohibiting that moving the property into their trust. Um, that is my [4:22:24] presentation for today. I will note that the chairman for the tribe, um, is in the [4:22:30] is in the audience if you have any questions, um, as well, but if you have any questions [4:22:34] for me, I'm available. This is that little section that, um, it kind of comes around [4:22:40] the gas station, right and goes back to. And I'm that's how the road currently goes, [4:22:43] and this is the old one that used to go, yes sir, so you can see on this slide you [4:22:47] can see where the gas station is further up, uh, there at the intersection of park [4:22:52] in Tamarack, and then the casinos on the other side. Yes sir, that's correct. So [4:22:56] this is down by by Tamaracks uh by 299. And here's a, here's a photo photo of showing [4:23:03] where it currently is lined and the previous alignment that the payment's been removed [4:23:10] and it's been returned to be a good place for a casino sign, I would guess. They [4:23:14] already have their casino sign there. So there is already a sign there, so, um, but [4:23:21] yes, sir. Super long. Oh, I wasn't, I wasn't, uh, in line. I just, I just saw you [4:23:28] had your head. OK. No, the only thing is, and I've spoken with you at length about [4:23:33] this, so I had, you answered all my questions, and one of the things that maybe you [4:23:37] could just bring out would be that there is no monetary worth to this property as [4:23:43] as you described it to me, so it's not an abandonment of something that we could [4:23:46] negotiate anything. Yes, sir. I mean for the use for the county was for uh public [4:23:52] road and public utilities. The public road is no longer there, so there is no need [4:23:57] for the county to retain the right in the future to build a road. There is we have [4:24:02] no plans and the current alignment is the best alignment for the public for the safety. [4:24:08] Thank you. You're welcome. But, but you're preserving the utility. Yes, sir. That [4:24:12] is correct. The utilities will will retain the right to use that area. If I remember [4:24:17] right, that's just kind of an odd size 17-inch water line, lot of pressure. You don't [4:24:22] want to hit it. The, the tribe is aware of it. I've spoken with their attorneys and [4:24:27] made them aware that there are existing facilities, and they, they are OK with the [4:24:32] reservation uh of the rights for the utility companies. We, we found it right in [4:24:37] front of the casino. You remember that? Yeah. [4:24:44] I gotta open the public, make a motion that we accept. Well, yeah, we have to open [4:24:50] the public hearing, but, but we can, we can, we can take that motion. I'll second [4:24:55] it, but let's now, we're gonna open the public hearing. Mr. Buttell, is there any [4:24:59] correspondence on file with the clerk of the board? Yes, chair, any and all correspondence [4:25:04] related to this, uh, scheduled hearing is on file with the clerk of the board and [4:25:07] available for inspection upon request. Great. Do we have any public commenters for [4:25:10] this item? We do not, chair. With that, we'll close the public hearing. We'll bring [4:25:15] it back. We have a first and a second. Is there any other board discussion? All those [4:25:20] in favor? I passes 50. Thank you, Brandon. You're up here for the next one too. OK, [4:25:26] go ahead, R 11. [4:25:47] Uh, chair crime, member of the board, Brandon Magby County Property and right of [4:25:51] agent, um, before you today on this abandonment, this abandon, um, here's [4:25:59] one of the sheets from uh track map out on Bear Mountain Road. If you Look at lots [4:26:07] 9 and 10. I don't know if I can really zoom it in, but they have a shared, they have [4:26:12] a shared driveway at the lot line of 9 and 10, um. So the rest of [4:26:20] the access, the frontage along Bear Mountain Road per this track map, those access [4:26:25] rights were relinquished and dedicated to the public, relinquishing, so they only [4:26:29] had one area to access Bear Mountain Road. Um, so since then, [4:26:37] The current owner, when he purchased the property, the previous owner had put in [4:26:43] a secondary access that is technically an illegal encroachment, but the current owner [4:26:50] is in the process of obtaining a building permit to make improvements on his property [4:26:56] with building the shop there on this. Around the southeasterly corner of his property [4:27:01] there, and it's the one in the middle. I, oh no I can't show you. So [4:27:09] You probably asked [4:27:12] Hm. [4:27:16] OK. So this is the secondary access right here. You probably ask why can't he just [4:27:22] use his existing access and discontinue his driveway on down. To do that would cross [4:27:28] his leach field, so that's where his leach field is located on his property. So that's [4:27:33] really not a feasible access to continue on to the access of his new proposed shop [4:27:39] for his property. So the abandonment is to abandon the the relinquished access [4:27:46] rights for the existing uh secondary driveway on the property. This would allow him [4:27:53] to finalize his building permit um and and continue the improvements on his property [4:27:59] which would increase the property values. um, so that is my presentation if you have [4:28:06] any other questions. Supervisors, yeah, so they put that that property or the, the [4:28:12] road to the west of the house is the one they're currently using, but it's a secondary [4:28:17] access. They're using the, the shared driveway as their main access. The secondary [4:28:23] access will provide access to the southern portion of the property to allow the improvements [4:28:28] to be built. OK, and it's just the fact that they didn't have permission to put it [4:28:31] in there. They didn't have any. Yes sir, that's right. This came up during the building [4:28:35] permit process that they that they realized something that always does. It does. [4:28:40] Yes, sir, and, and talk and speaking with the property owner, this was something [4:28:43] that was in place prior to him buying the property, so he's just trying to correct [4:28:48] everything so he can move forward with his building permit. Well, I like to see people [4:28:52] move forward with their building projects, so, but it's not my district, so I won't [4:28:55] make a motion. Troy. [4:29:01] All right, we're gonna go ahead and open the public hearing. Mr. Britell. Yes, chair, [4:29:07] uh, any and all correspondence related to the scheduled hearing is on file with the [4:29:10] clerk of the board and available for inspection upon request. And with that, uh, [4:29:13] with your permission, we do have one public commenter, um, Mario Caligari. Great. [4:29:22] Hello, gentlemen. Um, I'd like to thank Brandon for his guidance through this. It [4:29:26] was crazy. Um, that I am the property owner. My name is Mario Caligari. It's the [4:29:31] one to the east there, and it was in, I, I didn't, I'm not here with a mea copa. [4:29:35] I didn't put it in. I always thought it was, um, a legal right away, and all the [4:29:39] rest of it. Um, one thing that I'd like some clarification from Brandon is the adjacent [4:29:43] property and, and I'm gonna tell you some of the uses for this right away is in addition [4:29:47] to what I'm looking for, uh, the property to, um, the east of it, I also own that [4:29:52] property. It has an easement, um, access easement. Are you? You said there were no [4:29:58] further ones in this subdivision. I believe that's [4:30:03] on this, OK, yeah, I just wanna talk. I just, I got property that doesn't have an [4:30:06] easement now. I'm gonna be back before you. Um, some of the uses for this, and I [4:30:10] think it's important for you to note, um, when there was a fire out there Bear Mountain, [4:30:14] um, the, uh, Cal Fire, uh, put a strike team on the property adjacent to me that [4:30:19] I own. The access through that access road as well. PG&E stacked a bunch of stuff [4:30:26] out there to replace on my property on the right hand side as well, and they used [4:30:30] it as well to access their stuff. But the real thing is, and I think another benefit [4:30:35] for this is I have a large pool, 22,000 gallons access for fire protection for if [4:30:41] they needed it. That would be where they would access my property to actually pull [4:30:45] the water from that line from my pool if they wanted to do that, and I've granted [4:30:50] them that when they were in the strike team. So just trying to be a good, good person [4:30:56] in the community and trying to get this thing all rectified and all done. So I thank [4:30:59] you for your time. Thank you. All right, with that, here, being our only public commenter [4:31:05] we'll close the public hearing. I'll make a motion to approve abandon. We have a [4:31:12] motion by Supervisor plumber to approve, seconded by Supervisor Kels from any other [4:31:15] board discussion. Seeing none, all those in favor, uh, passes 50. Thank you. Troy [4:31:22] never got in and out that fast. That's that's, that's fantastic. [4:31:31] That's right. [4:31:33] I, I stopped by his office was strictly to tell him thank you, and he almost closed [4:31:37] the door and locked it all. That's right. Before you can get in there. Yeah. That's [4:31:40] right. [4:31:43] All right. We're gonna temporarily adjourn as the Shasta County Board of Supervisors. [4:31:50] We are now going to reconvene as the Shasta County in-home Support Services Public [4:31:54] Authority Board. This board does not receive any extra compensation for this, so [4:31:59] we'll go ahead and call that meeting to order. Mr. Bell, do we have any public commenters [4:32:05] for this item? No, chair, we do not. OK. We have, uh, one item and we have two items [4:32:11] on consent, 1 and 2. I'll entertain a motion to approve. We have a motion Ellstrom, [4:32:19] seconded by Supervisor Long. All those in favor I passes 50. You're going to adjourn [4:32:27] the meeting as the in-home support services public authority, and we are now reconvening [4:32:32] as the Shas County Board of Supervisors. We will now [4:32:36] go to recess for that, and we will now convene as the Shasta County Water Agency, [4:32:41] calling that meeting to order. We did not receive any additional compensation for [4:32:45] this. Do we have any public commenters uh for the Shasta County Water Agency, Mr. [4:32:50] Bull? No, chair, we do not. OK. So we have, I think it's 2 or 3 on this one. [4:32:58] We have two items on consent. I'll make a motion that we approve. You have a second [4:33:04] by Supervisor Kelstrom. All those in favor. I passes 50. We are going to adjourn [4:33:10] as the Shasta County Water Agency, reconvening as the Shasta County Board of Supervisors. [4:33:15] CEO Rickert, is there anything on the agenda that we have not, uh. Made it to [4:33:25] or that I missed. But, why I'm asking you. I already asked the CEO. With that, this [4:33:28] meeting is adjourned.