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All rights.

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We're going to call the meeting of September 1st to order

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please.

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So roll call to the clerk of the board please.

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[calling roll]

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>> Yes.

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John, is it okay if you do the salute to the flag?

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I'm so happy that you are here.

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And a moment of silence.

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Think of our men and women fighting overseas.

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Thank you.

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>> Please join me in the pledge to our flag.

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I pledge allegiance to the flag of the United States of America

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and to the Republic for which it stands, one nation under God

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indivisible with liberty and justice for all.

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Thank you.

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Madam clerk would you please read the agenda item number one

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and call for public comment?

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I probably didn't say that loud enough.

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Your microphone wasn't -- >> Okay.

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Do I need to repeat myself?

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>> No Ma'am.

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>> Adopt and present a resolution recognizing September

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26th as National Preparedness Month.

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Do I have a motion?

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And Ma'am I have no callers for this item.

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Please vote.

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Sorted by a vote of 5-0.

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>> Good morning.

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It is an honor to do this resolution of Solano County

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Board of Supervisors recognizing September 2026

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as National Preparedness Month in Solano

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County, whereas National Preparedness Month is

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a nationwide effort held each September

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and Whereas the mission of Solano Office of Emergency

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Services is to protect lives, property and the environment

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by preparing for and responding to,

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recovering from and mitigating the effects of natural and human

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caused emergencies.

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I'm not going to read the rest.

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I do want to say it's been 21 years since Hurricane Katrina

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hit New Orleans.

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And at that time I was a college student,

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where we had to prepare to be evacuated

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by the way of Shreveport Louisiana

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and then to Fort Worth before I made it back home.

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So after a week and a half of trying to not only prepare

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for that natural disaster but also evacuating, making it

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back home and then recovering after that,

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it is important that we do prepare.

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And I will yield the rest of my time

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to Robin, because I know how passionate she

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is about making sure that we are prepared in our local county.

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>> Yes.

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That's an understatement.

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>> I know.

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They're giving me a soapbox which

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is always fun on this topic.

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Good morning.

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I'm Robin of the Emergency Services Manager.

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Thanks for having me.

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We are here to talk about preparedness.

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September is National Preparedness month

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but we should be preparing all year round.

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We should be preparing for lots of different things

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that can happen.

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In this county, we talk a lot about fires and --

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there's lots of other things that can happen that we have

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to be ready for.

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If you're preparing for one, there's generally --

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preparedness there's levels of preparedness.

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First thing is you need to receive emergency notifications

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and you do that by signing up for alerts Solano.

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You can go to alert solano.com or the county website

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and just search for Alert Solano.

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You will see emergency alerts in a text message, email --

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I think we can fax you still.

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For different locations, your home,

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I sign up for my parents home so I

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can wake them up for an emergency

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because their phones are off.

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I don't recommend that.

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You won't get them if your phones are off.

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But signing up for emergency alerts

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is the first thing we need to do to make sure you're getting

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those emergency messages.

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Make sure you're only following information

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from trusted sources.

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The number one distraction in emergencies is misinformation.

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Don't share misinformation and don't take action based off

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of misinformation.

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If you're not looking at trusted sources,

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verify that information before you do anything with it.

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That's really important.

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Most people won't take action until they

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see information 2 or 3 times.

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Then they'll take action.

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So if everything being shared is wrong,

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then that can be dangerous for the community.

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So I -- following trusted sources.

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Make sure you're following us on social media.

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We do share all of our emergency information there.

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On emergency alerts, the other thing good to know

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is when we send emergency messaging, which

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we as Solano send for unincorporated areas

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in the county, for the Sheriff's office and the fire districts,

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the cities send messaging for their own residents.

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We are only going to send you messages

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if you have to take a protective action for yourself.

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And that means that there's an evacuation Warning

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and evacuation order or shelter in place.

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Those are the only reasons you would receive a message for us

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and it's only going to go to the people that have

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to take that protective action.

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If you live across the street from the evacuation,

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you are not going to receive that message.

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That's the way the system is designed

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because if people are in safety danger,

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we don't want to over alert the community

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and have everyone clogging the roads

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and evacuating that don't need to because they are not

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in immediate danger.

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That being said, if you receive an evacuation Warning

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and you have special needs or you

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have animals or any kind of situation

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that means it's going to take you longer to evacuate, a 20

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something with no responsibilities,

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then you can leave at that evacuation Warning.

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You don't have to wait for an order.

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My grandmother, before she passed,

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she was encouraged always to leave at a Warning because she

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was in her 90s and walks very slow.

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So take those things in consideration.

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If you ever feel unsafe, you don't

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have to wait for an evacuation Warning to evacuate.

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You can evacuate anytime you feel unsafe.

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That's your choice.

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You can leave anytime you want to.

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If there's an evacuation order and you leave,

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you can't come back in.

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You better be ready when you leave.

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And that is what this is.

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So this is a go back.

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This is my go back.

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Does it have to be this big?

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No.

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But I am bougie.

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I have an aluminum blanket in here

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but I also have a regular blanket

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because who wants to sleep with an aluminum blanket?

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All you need is an aluminum blanket.

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If you ever want to see what's in here,

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you're welcome for storytime.

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Let me know.

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I can live out of this for a week if I have to.

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There's food, there's water.

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I can saw things and cut things and change my clothes

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and clean my body and I have seven days worth of medication.

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I have seven days worth of medication.

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One more time.

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Seven days of medication.

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If you take medication, make sure you have some on hand.

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I understand that's a complicated thing to ask.

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My mother is a double lung transplant patient.

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The amount of medication she takes daily is like --

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her go bag has a go bag for her medications.

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So I understand what that means and it's never

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going to be more critical than in a disaster

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because your access to get that medication

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if you need it is potentially going to be limited.

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Especially depending on the type of disaster.

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We talk about fire and floods.

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Very few are prepared for an extended power outage.

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Whether that's intentional or accidental.

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So think of all the things that require electricity

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to make the world go round.

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You should have cash and not $100 bill

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because no one is taking that.

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You should have -- you should have fuel because you need

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electricity to get fuel out of the ground.

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Your cars should be full.

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If it's half tank or lower, you need to go to the gas station.

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My car was on E yesterday.

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It's a do as I say situation.

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Okay?

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So think all of the things through across any kind

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of disaster that could come across.

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And prepare for those things.

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This is a go bag.

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It's in my car all the time.

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If it doesn't go with you, it's not a go bag.

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There are levels of preparedness.

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In my purse I have personal care.

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If I get stuck somewhere, I might be hungry and thirsty

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but I'm not going to smell bad.

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Okay?

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But at home, I have --

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I'm not a hoarder.

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I'm not like a prepper.

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Not a full prepper like a YouTube prepper.

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But I have food.

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Okay?

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I have water.

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It takes a gallon of water per person

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per day plus your animals.

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That's a lot of water.

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Find the best way to store it.

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So what does your family need and how

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best are you going to prepare?

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This is an expensive venture.

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I have been crazy for a long time.

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So I have been preparing for a long time.

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Do it slowly over time if that's what it takes.

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When you talk about people who are struggling

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to make ends meet, just paycheck to paycheck,

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and you talk about having emergency food on hand,

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that is not a realistic thing they can think through.

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But if you have $20 a month -- and I remember $120 a month was

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a lot of money -- you can buy -- you can buy a pound of rice

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and put it in a box in the closet.

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You can buy one gallon of water for $0.99

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and put it in the closet.

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Guess what?

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An emergency for your family might not

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be an emergency for everybody else.

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You might need to dip into that emergency food

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because that emergency is just for you guys.

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But that's what it's there for and it's

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only there if you do the work to put it in.

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Okay?

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Seven days of medication.

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Sign up.

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Know your zone.

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There are evacuation zones.

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If you don't know it, shame on you.

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I talk about it all the time.

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Go to our website and you can find that there too.

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We all have a responsibility for our own preparedness.

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Our first responders are amazing people.

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Our community is amazing and in a disaster,

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we stand up and help each other in ways

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that give me hope for humanity.

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It's just -- you guys know because we've all seen it.

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There's only so much first responders can do

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and they're going to prioritize life safety in a disaster.

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And they're also members of the community and they are impacted.

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A lot of us live here.

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When there's a disaster, we are impacted.

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Our families are impacted.

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We have to deal with that as well.

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You are responsible for yourself and your family.

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We will do everything we can to support you and help you.

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Understand that we cannot save you every time.

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Okay?

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>> Thank you.

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[applause]

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>> My bag is so heavy!

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>> The other thing is know your medications.

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>> Have a list of your medications.

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Have a list of your medications.

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Seriously.

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If you're not conscious of whatever --

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(inaudible) somebody should know that.

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>> Five days, right?

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Five days.

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[laughter]

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>> There's so many things I missed.

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Paperwork and plastic bags.

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00:14:23,252 --> 00:14:25,252
[laughter]

270
00:14:51,220 --> 00:14:51,647
>> Madam clerk?

271
00:14:51,647 --> 00:14:53,190
If you would please read the title

272
00:14:53,190 --> 00:14:56,272
and see if anybody wishes to speak under public comment

273
00:14:56,272 --> 00:14:58,672
for item number three?

274
00:14:58,920 --> 00:15:01,310
>> Adopt and present a regulation recognizing September

275
00:15:01,310 --> 00:15:04,760
2026 as National Food Safety Education Month.

276
00:15:04,760 --> 00:15:07,760
Can I entertain a motion?

277
00:15:08,160 --> 00:15:10,160
>> Second.

278
00:15:11,440 --> 00:15:15,000
>> I have no callers on the line and no cards for this item.

279
00:15:15,000 --> 00:15:17,000
Please vote.

280
00:15:19,120 --> 00:15:25,120
So ordered by a vote of 4-0, or 5-0, sorry.

281
00:15:33,782 --> 00:15:38,582
>> I think we're still back on number seven.

282
00:15:47,549 --> 00:15:48,632
>> Did I not do something?

283
00:15:48,632 --> 00:15:49,440
Oh.

284
00:15:49,440 --> 00:15:52,382
Is it my turn already?

285
00:15:52,382 --> 00:15:54,400
Oh God.

286
00:15:54,400 --> 00:15:54,860
Sorry.

287
00:15:54,860 --> 00:15:57,260
No wonder everybody --

288
00:16:03,638 --> 00:16:05,638
[inaudible conversation]

289
00:16:19,198 --> 00:16:20,529
>> This has to do -- sorry.

290
00:16:20,529 --> 00:16:22,902
It is trippy if you think about it

291
00:16:22,902 --> 00:16:26,552
because what about 2 or 3 months we couldn't eat lettuce?

292
00:16:26,552 --> 00:16:28,760
This is a resolution of the Solano County

293
00:16:28,760 --> 00:16:33,560
Board of Supervisors recognizing September 2026 as National food

294
00:16:34,310 --> 00:16:36,310
safety Education Month.

295
00:16:37,360 --> 00:16:39,920
And who would like to talk about the fact

296
00:16:39,920 --> 00:16:42,306
that we're not going to get any money from the feds

297
00:16:42,306 --> 00:16:44,800
to keep the FDA alive?

298
00:16:44,800 --> 00:16:46,800
We are not.

299
00:16:47,560 --> 00:16:49,560
>> That's true.

300
00:16:49,800 --> 00:16:51,253
>> Okay.

301
00:16:51,253 --> 00:16:52,706
All right.

302
00:16:52,706 --> 00:16:56,460
Thank you chair Brown, board members for your time.

303
00:16:56,460 --> 00:16:59,148
I'm the Solano county environmental health manager.

304
00:16:59,148 --> 00:17:02,830
The main objective of our environmental health mission

305
00:17:02,830 --> 00:17:05,224
statement is to protect public health.

306
00:17:05,224 --> 00:17:07,826
We do that through a variety of programs

307
00:17:07,826 --> 00:17:10,980
covering hazardous materials common solid waste common water

308
00:17:10,980 --> 00:17:14,530
wells common septic systems common public pools and food

309
00:17:14,530 --> 00:17:16,800
facilities among others.

310
00:17:16,800 --> 00:17:19,656
While most of our programs are regulatory in nature,

311
00:17:19,656 --> 00:17:23,400
we strive to correct deficiencies and improve

312
00:17:23,400 --> 00:17:24,906
public health and safety through education

313
00:17:24,906 --> 00:17:27,944
and voluntary compliance rather than enforcement.

314
00:17:27,944 --> 00:17:31,430
We are here to recognize our consumer protection team

315
00:17:31,430 --> 00:17:33,900
and through their efforts to protect public health

316
00:17:33,900 --> 00:17:35,624
during national food Safety Month,

317
00:17:35,624 --> 00:17:39,130
and of course they are doing it every day out in the field.

318
00:17:39,130 --> 00:17:41,960
In addition to reviewing food facility plans come issuing

319
00:17:41,960 --> 00:17:45,560
operating permits, investigating foodborne illness complaints,

320
00:17:45,820 --> 00:17:47,520
our team conducts regular inspections

321
00:17:47,520 --> 00:17:49,456
of food facilities and special events

322
00:17:49,456 --> 00:17:51,580
to ensure they are meeting standards

323
00:17:51,580 --> 00:17:53,240
to help protect public health.

324
00:17:53,240 --> 00:17:55,640
I'd like to turn it over to Connie.

325
00:17:55,640 --> 00:17:58,383
She has been with Solano County Environmental Health

326
00:17:58,383 --> 00:18:00,236
for over 19 years.

327
00:18:00,236 --> 00:18:02,853
She has been our consumer protection supervisor

328
00:18:02,853 --> 00:18:06,453
since the beginning of this year.

329
00:18:10,336 --> 00:18:12,253
>> Good morning chair Brown and board members.

330
00:18:12,253 --> 00:18:15,500
I am Connie Howard supervisor for the Consumer Protection

331
00:18:15,500 --> 00:18:18,410
Program in the Environmental Health.

332
00:18:18,410 --> 00:18:20,740
Our consumer protection program consists

333
00:18:20,740 --> 00:18:25,560
of four primary programs which are food, pools, housing

334
00:18:25,560 --> 00:18:26,112
and land.

335
00:18:26,112 --> 00:18:30,000
The food program is our main program and our food facility

336
00:18:30,000 --> 00:18:33,840
inspections cover multiple areas of food safety including

337
00:18:33,840 --> 00:18:36,840
sanitation, personal hygiene, vermin elimination,

338
00:18:38,400 --> 00:18:42,240
cross avoidance and maintaining safe food temperatures.

339
00:18:42,826 --> 00:18:46,720
This September and recognition of National Food Safety Month,

340
00:18:46,720 --> 00:18:50,200
Solano Counties Consumer Protection Program team members

341
00:18:50,200 --> 00:18:53,640
are conducting focused inspections at food facilities

342
00:18:53,640 --> 00:18:57,770
on assessing food temperature, food temperatures and their food

343
00:18:57,770 --> 00:19:01,186
cooling practices permit the goal is to remind and educate

344
00:19:01,186 --> 00:19:05,800
food facility employees to keep food out of the temperature

345
00:19:05,800 --> 00:19:10,800
danger zone, to keep the food cold enough and the hot food

346
00:19:10,800 --> 00:19:11,000
hot enough.

347
00:19:11,000 --> 00:19:14,360
This campaign is our way of taking a preventative approach

348
00:19:14,360 --> 00:19:19,460
to food safety by rewarding our facilities that apply good food

349
00:19:19,460 --> 00:19:22,640
safety practices and educating the facilities that

350
00:19:22,640 --> 00:19:26,520
need to improve their food temperature, best management

351
00:19:26,520 --> 00:19:27,930
practices.

352
00:19:27,930 --> 00:19:31,380
Our overall objective is to help our food facility protect

353
00:19:31,380 --> 00:19:35,800
public health by keeping our food safe.

354
00:19:35,800 --> 00:19:38,280
Thank you for your time and thank you to our consumer

355
00:19:38,280 --> 00:19:40,280
protection team.

356
00:19:43,679 --> 00:19:45,679
[applause]

357
00:19:49,443 --> 00:19:50,651
>> So is it good to work for?

358
00:19:50,651 --> 00:19:54,560
You guys know we love Star Wars, right?

359
00:19:54,560 --> 00:19:56,413
Because if you don't --

360
00:19:56,413 --> 00:19:57,186
I'll write.

361
00:19:57,186 --> 00:19:59,832
Is there anybody else who wants to say something?

362
00:19:59,832 --> 00:20:04,874
It's not -- it's cool not to if you don't -- too early.

363
00:20:04,874 --> 00:20:08,280
So since you got to speak in front of everybody,

364
00:20:08,280 --> 00:20:13,680
you get to -- and let's go take pictures.

365
00:20:15,360 --> 00:20:18,360
You're not going to come?

366
00:20:22,772 --> 00:20:23,564
>> Wash your hands.

367
00:20:23,564 --> 00:20:26,800
>> Is that what I have to do?

368
00:20:26,800 --> 00:20:28,800
>> That's very true.

369
00:20:47,486 --> 00:20:48,690
>> Here we go.

370
00:20:48,690 --> 00:20:48,569
On three.

371
00:20:48,569 --> 00:20:50,569
One, two, three.

372
00:20:55,317 --> 00:20:57,317
>> Thank you.

373
00:21:12,191 --> 00:21:14,191
[inaudible conversation]

374
00:21:42,328 --> 00:21:42,828
>> Okay.

375
00:21:42,828 --> 00:21:44,780
Madam clerk, item number four.

376
00:21:44,780 --> 00:21:46,173
If you could read the title.

377
00:21:46,173 --> 00:21:48,573
Are we on three?

378
00:21:51,400 --> 00:21:53,340
>> I did too far.

379
00:21:53,340 --> 00:21:58,740
There we >> Adopt and present a resolution recognizing September

380
00:21:59,369 --> 00:22:03,718
7th 2026 as World Duchenne Awareness Day in Solano County.

381
00:22:03,718 --> 00:22:05,600
Do I have a motion?

382
00:22:05,600 --> 00:22:06,720
>> So moved.

383
00:22:06,720 --> 00:22:10,920
If I have no colors and cards.

384
00:22:19,534 --> 00:22:20,659
>> That helps if I vote to.

385
00:22:20,659 --> 00:22:21,159
Sorry.

386
00:22:21,159 --> 00:22:24,759
Sorted by a vote of 5-0.

387
00:22:26,322 --> 00:22:28,322
>> (inaudible)

388
00:22:34,432 --> 00:22:36,359
>> And joining me today is going to be Thomas,

389
00:22:36,359 --> 00:22:39,359
Chris and Doctor Maya Evans.

390
00:22:39,540 --> 00:22:43,353
Thank you for all being here today.

391
00:22:43,353 --> 00:22:48,920
For some of you who may not know, two of my children

392
00:22:48,920 --> 00:22:52,520
was diagnosed with Duchenne's muscular dystrophy.

393
00:22:52,760 --> 00:22:56,440
They are no longer here with me today.

394
00:22:56,440 --> 00:23:03,400
However, I am so honored and so thankful for Shriner's Hospital.

395
00:23:03,346 --> 00:23:08,160
And for some who may not know, Shriner's Hospital

396
00:23:08,160 --> 00:23:10,560
is located in Sacramento.

397
00:23:11,800 --> 00:23:15,000
But they service all the residents here

398
00:23:15,000 --> 00:23:18,600
with neuromuscular diseases in Solano County.

399
00:23:20,440 --> 00:23:26,000
So I just felt it's only fitting that we recognize them today

400
00:23:26,000 --> 00:23:29,272
and that they accept this resolution.

401
00:23:29,272 --> 00:23:32,726
I won't read the whole thing because I want to give them

402
00:23:32,726 --> 00:23:38,816
a chance to speak and share with you the great work they are

403
00:23:38,816 --> 00:23:40,816
doing in Shriner's.

404
00:23:41,426 --> 00:23:46,826
But whereas Duchenne's Muscular dystrophy is a rare, progressive

405
00:23:48,664 --> 00:23:52,740
and life limiting genetic disorder typically diagnosed

406
00:23:52,740 --> 00:23:56,340
in early childhood, affecting approximately one

407
00:23:57,800 --> 00:24:03,800
in every 5000 live male births, and whereas duchenne's is caused

408
00:24:03,800 --> 00:24:08,640
by mutations in the dystrophin gene located along the X

409
00:24:08,640 --> 00:24:11,400
chromosome, and primarily affecting

410
00:24:11,400 --> 00:24:15,600
boys across all racial and ethnic backgrounds,

411
00:24:15,600 --> 00:24:20,320
and whereas the absence of severe deficiency in dystrophin,

412
00:24:20,320 --> 00:24:25,120
a protein essential for maintaining healthy muscle cells

413
00:24:25,200 --> 00:24:27,600
causes progressive muscle weakness.

414
00:24:28,720 --> 00:24:31,516
And degeneration throughout the body.

415
00:24:31,516 --> 00:24:35,784
Whereas the world Duchenne's Awareness Day was established

416
00:24:35,784 --> 00:24:40,584
in 2014 and is observed annually on September 7th,

417
00:24:40,940 --> 00:24:46,100
to unite communities around the world in raising awareness

418
00:24:46,100 --> 00:24:49,610
of Duchenne's and Becker muscular dystrophy.

419
00:24:51,720 --> 00:24:54,853
Whereas world Duchenne's Awareness Day has grown

420
00:24:54,853 --> 00:24:59,530
into a global movement involving families, advocates,

421
00:24:59,400 --> 00:25:02,400
healthcare professionals, researchers and organizations,

422
00:25:03,620 --> 00:25:08,420
and in 2026 -- of 2026 theme, access changes lives,

423
00:25:09,880 --> 00:25:13,500
calls attention to the importance of removing physical,

424
00:25:13,500 --> 00:25:18,600
medical and social barriers and ensuring equitable access

425
00:25:18,600 --> 00:25:21,600
to early diagnoses, specialized care,

426
00:25:22,560 --> 00:25:26,160
clinical trials and opportunities for full

427
00:25:26,760 --> 00:25:29,160
participation in daily life.

428
00:25:30,840 --> 00:25:33,293
I'm also going to present to them --

429
00:25:33,293 --> 00:25:35,350
and I'm not going to read this all out --

430
00:25:35,350 --> 00:25:41,880
but I'm presenting to them also a proclamation from our office.

431
00:25:41,880 --> 00:25:47,200
Just highlighting all the work, the assistance, the equipment,

432
00:25:47,200 --> 00:25:50,710
specialized care teams, financial support and therapy

433
00:25:50,710 --> 00:25:54,910
that they provide children at no cost.

434
00:25:55,413 --> 00:25:58,413
And it's truly a blessing.

435
00:25:58,440 --> 00:26:03,210
If you know any parents that just had the diagnoses,

436
00:26:03,210 --> 00:26:07,953
please tell them about Shriners Hospital at this time I would

437
00:26:07,953 --> 00:26:09,953
like to --

438
00:26:10,930 --> 00:26:11,266
Wendy, are you coming?

439
00:26:11,266 --> 00:26:15,533
I'd like to have Wendy come forward and speak.

440
00:26:15,533 --> 00:26:17,533
>> Thank you.

441
00:26:17,709 --> 00:26:19,709
Good morning.

442
00:26:19,800 --> 00:26:23,970
Thank you Supervisor Williams and members of the Solano County

443
00:26:23,970 --> 00:26:26,533
Board of Supervisors for recognizing

444
00:26:26,533 --> 00:26:29,344
Duchenne muscular Dystrophy Awareness Day

445
00:26:29,344 --> 00:26:33,168
and for helping more families understand this rare condition.

446
00:26:33,168 --> 00:26:36,760
My name is Wendy Thomas and I'm the Director of Patient Care

447
00:26:36,760 --> 00:26:39,920
Services and the nurse executive for Shriners Children's

448
00:26:39,920 --> 00:26:41,780
in Northern California.

449
00:26:41,780 --> 00:26:45,553
Supervisor Williams, we know how deeply personal

450
00:26:45,553 --> 00:26:48,480
this is for you and it was an honor and privilege

451
00:26:48,480 --> 00:26:50,910
to love and care for your family.

452
00:26:50,910 --> 00:26:53,840
We are forever grateful for your ongoing support

453
00:26:53,840 --> 00:26:55,832
of our mission in the hospital.

454
00:26:55,832 --> 00:27:00,800
We are proud that all services are provided,

455
00:27:00,800 --> 00:27:03,316
regardless of the family's ability to pay or insurance

456
00:27:03,316 --> 00:27:03,816
status.

457
00:27:03,816 --> 00:27:06,840
You may be surprised to know that last year we

458
00:27:06,840 --> 00:27:09,800
served hundreds of children from Solano County

459
00:27:09,800 --> 00:27:13,000
and we are honored to be a trusted pediatric specialty care

460
00:27:13,000 --> 00:27:16,600
resource for families throughout the region.

461
00:27:22,299 --> 00:27:24,757
>> Good morning supervisor Williams and Solano County Board

462
00:27:24,757 --> 00:27:25,799
of Supervisors.

463
00:27:25,799 --> 00:27:28,720
I'm Doctor Maya Evans, a physical medicine

464
00:27:28,720 --> 00:27:30,170
and rehabilitation physician.

465
00:27:30,170 --> 00:27:34,120
I've been caring for children at Shriners Children's in Northern

466
00:27:34,120 --> 00:27:36,600
California for the last ten years

467
00:27:36,600 --> 00:27:39,000
specializing in neuromuscular conditions.

468
00:27:39,600 --> 00:27:43,560
Duchenne muscular dystrophy is a genetic condition

469
00:27:43,560 --> 00:27:47,560
that causes muscles to become weaker over time.

470
00:27:47,560 --> 00:27:50,150
It primarily affects boys and can eventually

471
00:27:50,150 --> 00:27:52,500
affect the child's mobility, heart

472
00:27:52,500 --> 00:27:55,264
and muscles used for breathing.

473
00:27:55,264 --> 00:27:58,693
Because a child's need changes as they grow,

474
00:27:58,693 --> 00:28:02,893
Duchenne's requires ongoing coordinated care and support

475
00:28:03,800 --> 00:28:06,680
across many specialties at our hospital.

476
00:28:06,920 --> 00:28:09,760
At Shriners Children's northern California,

477
00:28:09,760 --> 00:28:13,760
our dedicated team provides specialized pediatric care

478
00:28:13,760 --> 00:28:16,480
centered on each child and family.

479
00:28:16,480 --> 00:28:19,380
Families choose Shriners knowing they

480
00:28:19,380 --> 00:28:23,580
will receive compassionate, individualized care from people

481
00:28:23,608 --> 00:28:26,690
who understand that a complex diagnosis affects

482
00:28:26,690 --> 00:28:28,480
the whole family.

483
00:28:28,480 --> 00:28:32,360
And thank you for elevating Duchenne's awareness

484
00:28:32,360 --> 00:28:35,960
and recognizing children, families, clinicians, caregivers

485
00:28:37,660 --> 00:28:40,550
and advocates who face this condition with courage

486
00:28:40,550 --> 00:28:42,550
every day.

487
00:28:50,622 --> 00:28:51,872
Thank you supervisor Williams.

488
00:28:51,872 --> 00:28:54,205
And members of the board for this important recognition.

489
00:28:54,205 --> 00:28:57,817
My name is Chris and I'm the Vice chair

490
00:28:57,817 --> 00:29:00,460
of the Shriners Children Northern California Board

491
00:29:00,460 --> 00:29:01,800
of Governors.

492
00:29:01,800 --> 00:29:05,224
I also have a daughter who was born with a rare genetic disease

493
00:29:05,224 --> 00:29:09,540
and was treated at Shriners and how important it is.

494
00:29:09,540 --> 00:29:12,560
I became a Shriner because I believe a life of service

495
00:29:12,560 --> 00:29:16,120
should be measured by how we care for others, especially

496
00:29:16,120 --> 00:29:16,706
children.

497
00:29:16,706 --> 00:29:19,100
Supporting Shriners Children's is

498
00:29:19,100 --> 00:29:21,280
an extraordinary medical teams allows

499
00:29:21,280 --> 00:29:25,346
us to help children receive the best care, encouragement

500
00:29:25,346 --> 00:29:27,746
and opportunities they deserve.

501
00:29:28,000 --> 00:29:32,200
Shriners commitment to service and helping children

502
00:29:32,835 --> 00:29:35,664
and families through some of their most difficult moments

503
00:29:35,664 --> 00:29:38,200
is an essential part of our community.

504
00:29:38,200 --> 00:29:40,697
I'm honored to accept this recognition

505
00:29:40,697 --> 00:29:42,864
and have the Shriners Children's Northern California

506
00:29:42,864 --> 00:29:47,120
and we are grateful to Solano County for recognizing

507
00:29:47,120 --> 00:29:48,730
Duchenne awareness and the importance

508
00:29:48,730 --> 00:29:51,540
of compassionate, accessible pediatric care.

509
00:29:51,540 --> 00:29:53,540
Thank you.

510
00:29:58,950 --> 00:30:00,950
[applause]

511
00:30:04,203 --> 00:30:06,203
>> (inaudible)

512
00:30:09,566 --> 00:30:11,566
>> The parade.

513
00:30:40,720 --> 00:30:40,655
>> Here we go.

514
00:30:40,655 --> 00:30:42,655
On three.

515
00:30:55,800 --> 00:30:58,200
We can have races.

516
00:31:06,300 --> 00:31:10,903
>> I can hear the sounds of the go carts.

517
00:31:10,903 --> 00:31:15,703
>> I'm just moving that out of the way.

518
00:31:51,240 --> 00:31:54,240
Do you need some time?

519
00:31:54,706 --> 00:31:56,706
Okay.

520
00:31:57,760 --> 00:31:59,760
All right.

521
00:32:10,320 --> 00:32:16,500
So we are going to move to item number five right now.

522
00:32:16,500 --> 00:32:19,740
Is everybody here for item number five?

523
00:32:19,740 --> 00:32:21,740
Okay.

524
00:32:21,800 --> 00:32:23,800
Number five?

525
00:32:26,930 --> 00:32:27,920
>> No.

526
00:32:27,920 --> 00:32:28,890
>> No.

527
00:32:28,890 --> 00:32:30,345
It is cool.

528
00:32:30,345 --> 00:32:33,900
This is why I have a support staff.

529
00:32:33,900 --> 00:32:35,447
Okay?

530
00:32:35,447 --> 00:32:38,720
>> Receive a presentation from the auditor comptroller's office

531
00:32:38,720 --> 00:32:40,666
on the selection of Rosalind Mendoza for employee

532
00:32:40,666 --> 00:32:43,666
of the month for September 2026.

533
00:32:49,810 --> 00:32:50,664
>> So who is here to help on that one?

534
00:32:50,664 --> 00:32:55,213
>> I think I see Rosalind but I don't think I see the auditor

535
00:32:55,213 --> 00:32:56,920
comptroller's office.

536
00:32:56,920 --> 00:32:59,800
They may be making their way down.

537
00:32:59,800 --> 00:33:00,592
There she is.

538
00:33:00,592 --> 00:33:01,440
Slight stall.

539
00:33:01,440 --> 00:33:03,800
Thank you.

540
00:33:03,800 --> 00:33:07,757
>> We just wanted to see if you were watching us >> Good.

541
00:33:07,757 --> 00:33:09,965
And also come on the person who gets the parking lot,

542
00:33:09,965 --> 00:33:11,548
you pick the best time because they're

543
00:33:11,548 --> 00:33:17,548
supposed to be an El Nino and you get undercover.

544
00:33:19,800 --> 00:33:21,192
Maybe I'll get started.

545
00:33:21,192 --> 00:33:23,980
Sorry we were -- beam and don't worry about it.

546
00:33:23,980 --> 00:33:25,240
Maybe a little delay.

547
00:33:25,240 --> 00:33:28,386
So good morning Chair Brown and members of the board.

548
00:33:28,386 --> 00:33:30,000
Janine, auditor Comptroller.

549
00:33:30,000 --> 00:33:33,280
Thank you for recognizing Rosalind Mendoza as September's

550
00:33:33,280 --> 00:33:34,408
employee of the month.

551
00:33:34,408 --> 00:33:37,480
Rosalind has been an invaluable and knowledgeable member

552
00:33:37,480 --> 00:33:40,104
of the property Tax division for 12 years.

553
00:33:40,104 --> 00:33:42,880
Her dedication and teamwork and excellent customer service

554
00:33:42,880 --> 00:33:45,744
have made her an outstanding lead for her coworkers

555
00:33:45,744 --> 00:33:47,786
and tremendous support to her supervisors.

556
00:33:47,786 --> 00:33:50,120
Rosalind worked in the property tax division

557
00:33:50,120 --> 00:33:54,680
prior to the implementation of our new property tax system.

558
00:33:54,680 --> 00:33:56,460
There she is.

559
00:33:56,460 --> 00:33:59,360
I didn't even see you.

560
00:33:59,360 --> 00:34:03,208
Prior to the implementation of our new property tax system,

561
00:34:03,208 --> 00:34:05,200
and her deep knowledge of the legacy

562
00:34:05,200 --> 00:34:08,400
system continues to be an incredible benefit to her team

563
00:34:08,400 --> 00:34:09,293
and supervisor.

564
00:34:09,293 --> 00:34:12,440
As we know the property tax implementation

565
00:34:12,440 --> 00:34:14,576
has been several years now and she

566
00:34:14,576 --> 00:34:18,340
is our last remaining from our legacy system on our team.

567
00:34:18,340 --> 00:34:20,380
We have a very new team.

568
00:34:20,380 --> 00:34:22,650
We've had a lot of promotions and retirements comet

569
00:34:22,650 --> 00:34:24,177
and Rosalind is fantastic.

570
00:34:24,177 --> 00:34:26,685
I just want to take this opportunity

571
00:34:26,685 --> 00:34:31,660
to thank her and recognize her as the employee of the month

572
00:34:31,660 --> 00:34:33,824
or the parking spot of the month which is exciting.

573
00:34:33,824 --> 00:34:36,662
I'm truly grateful for your support and your expertise.

574
00:34:36,662 --> 00:34:40,440
I want to make sure you know the entire department is

575
00:34:40,440 --> 00:34:44,256
so grateful for the leadership and expertise you bring

576
00:34:44,256 --> 00:34:46,350
and especially from your supervisor who

577
00:34:46,350 --> 00:34:47,906
wasn't able to be here today.

578
00:34:47,906 --> 00:34:49,666
You've been a wonderful support to her.

579
00:34:49,666 --> 00:34:50,760
Thank you.

580
00:34:50,760 --> 00:34:54,240
Would you like to say a few words?

581
00:34:54,240 --> 00:34:55,546
>> Sorry.

582
00:34:55,546 --> 00:34:56,200
Sorry.

583
00:34:56,200 --> 00:34:56,853
Hi.

584
00:34:56,853 --> 00:35:00,384
I am Sarah, the assistant auditor Comptroller.

585
00:35:00,384 --> 00:35:05,184
I just want to reiterate what Janine said.

586
00:35:05,680 --> 00:35:09,288
We've got a lot of change in leadership, a new auditor

587
00:35:09,288 --> 00:35:13,190
and assistant auditor com a new property tax manager.

588
00:35:13,190 --> 00:35:17,890
And Rosalind is our senior member of the property tax team

589
00:35:17,890 --> 00:35:20,548
and she has been a huge support to us

590
00:35:20,548 --> 00:35:23,130
and I just want to say thank you.

591
00:35:23,130 --> 00:35:25,426
She makes sure that we meet our deadlines

592
00:35:25,426 --> 00:35:28,912
and that we even know what our deadlines are and doesn't

593
00:35:28,912 --> 00:35:31,560
let anything fall through the cracks.

594
00:35:31,560 --> 00:35:37,656
Just a few words, Rosalind is a very kind, very thoughtful,

595
00:35:37,700 --> 00:35:39,800
meticulous.

596
00:35:39,800 --> 00:35:41,430
Anything she has reviewed and signed off on,

597
00:35:41,430 --> 00:35:46,568
I know that she's checked every single number to the penny.

598
00:35:46,568 --> 00:35:52,411
She's very knowledgeable and she's done a lot of training.

599
00:35:52,411 --> 00:35:55,170
And I just want --

600
00:35:55,170 --> 00:35:59,200
I want to share what her team Mates described.

601
00:35:59,200 --> 00:36:04,600
As an employee, Rosalyn is dedicated, ethical and committed

602
00:36:05,566 --> 00:36:07,413
and works tirelessly to get the job done.

603
00:36:07,413 --> 00:36:11,365
As an individual she's compassionate and warm, caring,

604
00:36:11,365 --> 00:36:14,440
thoughtful but will never bend the rules.

605
00:36:14,440 --> 00:36:16,440
Thank you, Rosalyn.

606
00:36:23,162 --> 00:36:23,662
>> Hello.

607
00:36:23,662 --> 00:36:25,412
I am the Chief Deputy Auditor Comptroller.

608
00:36:25,412 --> 00:36:27,128
I was the previous property tax manager.

609
00:36:27,128 --> 00:36:30,653
I work with Rosalind for over ten years

610
00:36:30,653 --> 00:36:33,720
and just some things that come to mind.

611
00:36:33,720 --> 00:36:37,320
She is dedicated, professional, very kind,

612
00:36:38,400 --> 00:36:41,853
almost saying what Janine and Sarah said,

613
00:36:41,853 --> 00:36:44,853
she goes above and beyond.

614
00:36:44,976 --> 00:36:46,368
She's reliable.

615
00:36:46,368 --> 00:36:50,992
I can always know that she will be there every day.

616
00:36:50,992 --> 00:36:54,368
Rarely taking vacations, because as you know,

617
00:36:54,368 --> 00:36:56,320
property tax never ends.

618
00:36:56,320 --> 00:36:58,120
I just want to say thank you.

619
00:36:58,120 --> 00:37:00,512
You've made a difference to the auditor Comptroller's office

620
00:37:00,512 --> 00:37:02,480
and the county.

621
00:37:02,480 --> 00:37:04,460
I appreciate everything you've done.

622
00:37:04,460 --> 00:37:06,460
Congratulations.

623
00:37:10,726 --> 00:37:12,726
[applause]

624
00:37:13,919 --> 00:37:14,419
>> Wow.

625
00:37:14,419 --> 00:37:16,294
I wasn't expecting to hear so much kind words

626
00:37:16,294 --> 00:37:20,160
and it's just an honor to have my hard work be recognized.

627
00:37:20,160 --> 00:37:23,640
I think you board, I think you department and also especially

628
00:37:23,640 --> 00:37:25,942
my division, because without my division,

629
00:37:25,942 --> 00:37:29,971
we all in a team and we're all just --

630
00:37:29,971 --> 00:37:33,360
we're as well deserving as this acknowledgment as I am.

631
00:37:33,360 --> 00:37:35,360
Thank you.

632
00:37:39,790 --> 00:37:41,790
[applause]

633
00:37:45,328 --> 00:37:45,995
>> Come on down.

634
00:37:45,995 --> 00:37:48,264
Everybody come on down.

635
00:37:48,264 --> 00:37:54,264
Even if you're a shy, we want your picture anyway.

636
00:37:57,360 --> 00:37:59,360
Yeah.

637
00:38:08,129 --> 00:38:10,129
[inaudible conversation]

638
00:38:20,978 --> 00:38:22,920
>> One, two, three.

639
00:38:22,920 --> 00:38:24,920
Congratulations.

640
00:38:28,913 --> 00:38:30,913
[applause]

641
00:38:57,203 --> 00:38:57,703
>> Okay.

642
00:38:57,703 --> 00:38:59,245
Madam clerk, item number four please?

643
00:38:59,245 --> 00:39:05,245
If you would read the title and for public comment.

644
00:39:06,698 --> 00:39:08,990
Adopt and present a resolution recognizing September 15

645
00:39:08,990 --> 00:39:08,998
through October 15, 2026, as National Hispanic Heritage

646
00:39:08,998 --> 00:39:12,202
Month in Solano County do I have a motion?

647
00:39:12,202 --> 00:39:16,402
I have no callers and no cards.

648
00:39:16,480 --> 00:39:18,480
>> Thank you.

649
00:39:20,880 --> 00:39:22,880
So ordered.

650
00:39:26,544 --> 00:39:28,544
5-0.

651
00:39:38,880 --> 00:39:44,200
Listen, it's an honor to present this resolution acknowledging

652
00:39:44,200 --> 00:39:47,800
Hispanic Heritage Month, and I was

653
00:39:48,200 --> 00:39:51,200
intentional to acknowledge Communicare all,

654
00:39:52,200 --> 00:39:54,200
for multiple reasons.

655
00:39:54,784 --> 00:39:58,960
But first, I will read the resolution and share

656
00:39:58,960 --> 00:40:01,920
why they were selected for this presentation when

657
00:40:01,920 --> 00:40:07,230
I read a little excerpt from my proclamation to them.

658
00:40:07,230 --> 00:40:11,640
Whereas each year our nation observes national Hispanic

659
00:40:11,640 --> 00:40:16,440
Heritage Month from September 15th through October 15th,

660
00:40:16,583 --> 00:40:20,960
to celebrate the histories, cultures come a traditions

661
00:40:20,960 --> 00:40:25,760
and contributions of Hispanic and Latino Americans whose

662
00:40:26,280 --> 00:40:29,880
heritage is rooted in Spain, Mexico,

663
00:40:30,140 --> 00:40:35,300
Central America South America and the Spanish speaking nations

664
00:40:35,300 --> 00:40:40,240
of the Caribbean, and whereas the national Hispanic Heritage

665
00:40:40,240 --> 00:40:45,640
Month began in 1968 as Hispanic Heritage Week under President

666
00:40:47,376 --> 00:40:52,776
Lyndon B Johnson and was expanded in 1988 under President

667
00:40:53,288 --> 00:40:57,976
Ronald Reagan to a 30 day observance from September 15th

668
00:40:57,976 --> 00:41:03,376
to October 15th, and as enacted by public law,

669
00:41:03,670 --> 00:41:07,870
and whereas September 15th holds special significance

670
00:41:07,880 --> 00:41:12,176
as the anniversary of independence for Costa Rica,

671
00:41:12,176 --> 00:41:15,776
El Salvador Guatemala Honduras Nicaragua followed

672
00:41:17,186 --> 00:41:20,990
by Mexico's Independence Day on September 16th

673
00:41:20,990 --> 00:41:25,190
and Chile's Independence Day on September 18th.

674
00:41:27,400 --> 00:41:31,840
Whereas Hispanic and Latino communities encompass a rich

675
00:41:32,560 --> 00:41:34,880
diversity of cultures, history and experience,

676
00:41:34,880 --> 00:41:37,320
by sharing traditions and values,

677
00:41:37,320 --> 00:41:40,560
that continue to contribute to the social,

678
00:41:40,560 --> 00:41:45,900
cultural and economy by -- and the vitality of Solano County,

679
00:41:45,900 --> 00:41:50,700
whereas the 2026 National Hispanic Heritage Month is --

680
00:41:51,853 --> 00:41:58,453
I cannot say the Spanish word here -- (inaudible) somos Mas.

681
00:42:01,990 --> 00:42:03,240
Together, we are more.

682
00:42:03,240 --> 00:42:07,440
Celebrates the strength that comes from unity

683
00:42:08,300 --> 00:42:10,600
and recognizes the collective contribution

684
00:42:10,600 --> 00:42:15,400
of Hispanic and Latino communities across our nation.

685
00:42:15,453 --> 00:42:22,530
And I just wanted to share just from the proclamation, why

686
00:42:23,240 --> 00:42:25,240
they were selected.

687
00:42:26,800 --> 00:42:30,280
Communicare offers fully bilingual and bicultural care

688
00:42:30,704 --> 00:42:36,150
across all health centers where most providers and staff are

689
00:42:36,150 --> 00:42:38,856
bilingual, primarily in English and Spanish,

690
00:42:38,856 --> 00:42:43,656
as well as languages like Dari, and Vietnamese.

691
00:42:47,160 --> 00:42:51,360
And they also provide multiple health care

692
00:42:53,000 --> 00:42:56,653
and I chose them because they do service

693
00:42:56,653 --> 00:43:00,500
a lot of the Hispanic community because they've

694
00:43:00,500 --> 00:43:06,220
offered the bilingual care that is needed in this county.

695
00:43:06,220 --> 00:43:10,656
I'm going to stop here because I want to give them an opportunity

696
00:43:10,656 --> 00:43:11,560
to share.

697
00:43:11,560 --> 00:43:14,936
I'm not sure if they're translating in Spanish

698
00:43:14,936 --> 00:43:21,536
but I definitely want to give them an opportunity to speak.

699
00:43:25,420 --> 00:43:27,628
>> Good morning, I'm Sonia, chief development officer

700
00:43:27,628 --> 00:43:30,460
for Communicare LA and Supervisor Williams,

701
00:43:30,460 --> 00:43:34,232
we thank you so much for including us and being honored

702
00:43:34,232 --> 00:43:36,700
as part of Hispanic Heritage Month.

703
00:43:36,700 --> 00:43:39,860
It's actually a really important month for our organization

704
00:43:39,860 --> 00:43:43,888
because we opened our doors on September 17th 1972.

705
00:43:43,888 --> 00:43:49,780
And we were founded to provide primary care for migrant farm

706
00:43:49,780 --> 00:43:50,280
workers.

707
00:43:50,280 --> 00:43:53,222
Fast forward today, 54 years later, we still

708
00:43:53,222 --> 00:43:55,800
hold true to that value of making sure

709
00:43:55,800 --> 00:43:58,820
that everybody in the communities that we serve

710
00:43:58,820 --> 00:44:01,792
is able to access quality healthcare regardless

711
00:44:01,792 --> 00:44:04,680
of their ability to pay, their immigration status

712
00:44:04,680 --> 00:44:07,800
or their insurance status.

713
00:44:07,336 --> 00:44:10,336
In Solano County specifically, we

714
00:44:10,680 --> 00:44:13,180
take care of nearly ten thousand patients every year

715
00:44:13,180 --> 00:44:16,408
at three health centers in Fairfield

716
00:44:16,408 --> 00:44:23,800
and our staff really reflects the patients that we care for.

717
00:44:23,884 --> 00:44:28,684
We pride ourselves on offering bilingual, culturally competent

718
00:44:29,380 --> 00:44:30,170
care.

719
00:44:30,170 --> 00:44:36,170
And stay rooted to that initial founding of making sure

720
00:44:36,568 --> 00:44:38,920
that most importantly our agricultural workers

721
00:44:38,920 --> 00:44:43,400
and our essential workers that help fuel all of our economies

722
00:44:43,400 --> 00:44:46,920
have access to the health care that everybody deserves.

723
00:44:46,920 --> 00:44:51,925
We thank you very much for this and I know many of our staff

724
00:44:51,925 --> 00:44:56,800
will be very honored when they take this back.

725
00:44:56,800 --> 00:44:59,720
Maybe I'm all right.

726
00:44:59,720 --> 00:45:00,320
Okay.

727
00:45:00,320 --> 00:45:05,120
We're going to come down and take photos.

728
00:45:05,720 --> 00:45:06,300
>> Okay.

729
00:45:06,300 --> 00:45:07,600
Thank you.

730
00:45:07,600 --> 00:45:09,600
Okay.

731
00:45:35,333 --> 00:45:35,833
>> On three.

732
00:45:35,833 --> 00:45:37,760
One, two, three.

733
00:45:37,760 --> 00:45:39,760
>> Thank you.

734
00:45:43,214 --> 00:45:45,214
[applause]

735
00:46:17,184 --> 00:46:17,198
>> Items from the public -- it is time for us to take public

736
00:46:17,198 --> 00:46:17,698
comment.

737
00:46:17,698 --> 00:46:21,506
For those of you here in person, please complete the speaker card

738
00:46:21,506 --> 00:46:24,233
and submit it to the clerk on my right

739
00:46:24,233 --> 00:46:26,396
to permit the clerk will call your name.

740
00:46:26,396 --> 00:46:28,280
Please come forward to the podium

741
00:46:28,280 --> 00:46:29,864
promptly and be ready to speak.

742
00:46:29,864 --> 00:46:33,127
For those attending the meeting virtually,

743
00:46:33,127 --> 00:46:38,722
please press *3 to raise your hand to alert the clerk that you

744
00:46:38,722 --> 00:46:40,180
wish to speak under public comment.

745
00:46:40,180 --> 00:46:42,493
The clerk will call out the last two digits

746
00:46:42,493 --> 00:46:44,400
to let you know it's time for you.

747
00:46:44,400 --> 00:46:46,413
If you're not present when your name is called,

748
00:46:46,413 --> 00:46:49,300
we'll move on to the next speaker.

749
00:46:49,300 --> 00:46:51,700
Madam clerk, public comment.

750
00:46:52,460 --> 00:46:54,816
>> I have no callers but I do have one card.

751
00:46:54,816 --> 00:46:56,816
Susan B Anthony?

752
00:47:02,376 --> 00:47:02,918
>> Oh my God.

753
00:47:02,918 --> 00:47:05,318
She showed up yesterday.

754
00:47:06,775 --> 00:47:09,670
>> For allowing me this opportunity to speak before you

755
00:47:09,670 --> 00:47:09,567
chair.

756
00:47:09,567 --> 00:47:12,224
Chair Brown and members of the supervising board

757
00:47:12,224 --> 00:47:17,000
and the esteemed members of the service of the community as well

758
00:47:17,000 --> 00:47:18,800
as the public.

759
00:47:18,800 --> 00:47:21,848
I am Susan Anthony from Vallejo California

760
00:47:21,848 --> 00:47:25,817
and I have small business and I'm here

761
00:47:25,817 --> 00:47:29,940
to ask for help in a couple of areas

762
00:47:29,940 --> 00:47:32,680
that I have been faced with.

763
00:47:32,680 --> 00:47:35,150
I wanted to bring this information

764
00:47:35,150 --> 00:47:38,160
before the board in case you weren't aware

765
00:47:38,160 --> 00:47:43,202
that I do raise our native dog called the Carolina Dog

766
00:47:43,202 --> 00:47:46,810
and they are a native dog of North America.

767
00:47:46,810 --> 00:47:52,290
I have asked to exhibit them at the Exploratorium in San

768
00:47:52,290 --> 00:47:54,960
Francisco and they have also been

769
00:47:54,960 --> 00:47:58,128
featured on the National Geographic movie

770
00:47:58,128 --> 00:48:01,248
comet in the movie, search for the first dog.

771
00:48:01,248 --> 00:48:05,804
I just wanted to bring that to your attention.

772
00:48:05,804 --> 00:48:10,450
I had an issue back in 2017 and I

773
00:48:10,450 --> 00:48:13,744
was forced to look for a larger piece of property

774
00:48:13,744 --> 00:48:16,291
to put my dogs I want keep my dogs on.

775
00:48:16,291 --> 00:48:21,286
I have been a Steward of this native dog since about 1999.

776
00:48:21,286 --> 00:48:26,416
I went back to South Carolina and found them

777
00:48:26,416 --> 00:48:30,540
and they asked me to keep a genetic strain here

778
00:48:30,540 --> 00:48:32,820
in California so that if something happens

779
00:48:32,820 --> 00:48:35,433
to their dogs in the eastern United States,

780
00:48:35,433 --> 00:48:41,808
that I would have a genetic strain that would be continuing.

781
00:48:41,808 --> 00:48:46,280
Since most of the native dogs that were in the Americas have

782
00:48:46,280 --> 00:48:50,376
passed, these dogs have very strong genetic ties with

783
00:48:50,376 --> 00:48:53,434
themselves and they are not --

784
00:48:53,434 --> 00:48:57,828
they are not dog aggressive and they are not --

785
00:48:57,828 --> 00:49:00,742
in the wild if they get injured, they know they will die

786
00:49:00,742 --> 00:49:02,680
and so they want to avoid danger.

787
00:49:02,680 --> 00:49:07,730
I had a problem because most fencing in the neighborhood that

788
00:49:07,730 --> 00:49:12,346
kept animals in was only like 3 or 4ft tall and if you've ever

789
00:49:12,346 --> 00:49:16,100
watched any of the homestead movies about how to homestead,

790
00:49:16,100 --> 00:49:19,260
you have to be able to keep your animals safe.

791
00:49:19,260 --> 00:49:24,326
These dogs have been a problem and had gotten out

792
00:49:24,326 --> 00:49:30,800
and I tried to remediate but anyway, I'm faced with a problem

793
00:49:30,800 --> 00:49:33,248
with maybe possibly these all being destroyed

794
00:49:33,248 --> 00:49:38,136
and I'm asking great appreciation for any help you

795
00:49:38,136 --> 00:49:41,560
could possibly give me to prevent this from happening.

796
00:49:41,560 --> 00:49:46,395
The property I purchased was two and a half acres

797
00:49:46,395 --> 00:49:50,173
and it was in dire need of being cleaned up.

798
00:49:50,173 --> 00:49:52,418
It was being used as an illegal dump.

799
00:49:52,418 --> 00:49:54,515
I thought this would be a property

800
00:49:54,515 --> 00:49:57,773
that I could be an asset to the community to clean up.

801
00:49:57,773 --> 00:50:03,464
So I spent the better part of eight months totally focused

802
00:50:03,464 --> 00:50:08,220
on just cleaning up the debris on this property and I

803
00:50:08,220 --> 00:50:11,460
worked on the fencing and whatever.

804
00:50:11,460 --> 00:50:15,800
But anyway, I was faced with fixing up the property

805
00:50:15,800 --> 00:50:16,714
to live in it and I have a permit

806
00:50:16,714 --> 00:50:18,506
that I have been working on for eight years

807
00:50:18,506 --> 00:50:21,200
that I need help with.

808
00:50:21,200 --> 00:50:23,800
>> Everybody gets three minutes.

809
00:50:23,800 --> 00:50:24,320
>> Am I done?

810
00:50:24,320 --> 00:50:25,280
>> Yes you are.

811
00:50:25,280 --> 00:50:27,428
Thank you very much.

812
00:50:28,680 --> 00:50:29,946
>> Okay.

813
00:50:29,946 --> 00:50:36,546
I have no other callers and I have no other cards.

814
00:50:41,537 --> 00:50:43,537
>> We're aware of a lot of the different things.

815
00:50:43,537 --> 00:50:43,662
I appreciate that.

816
00:50:43,662 --> 00:50:44,156
Thank you very much.

817
00:50:44,156 --> 00:50:44,800
I'm sorry.

818
00:50:44,800 --> 00:50:47,800
I have no other cards.

819
00:50:48,120 --> 00:50:49,440
All right.

820
00:50:49,440 --> 00:50:55,440
We will go to additions or deletions from the agenda.

821
00:50:56,320 --> 00:50:58,493
>> No additions or deletions today.

822
00:50:58,493 --> 00:51:00,493
Thank you.

823
00:51:03,000 --> 00:51:06,600
>> It's been properly moved and seconded.

824
00:51:07,600 --> 00:51:10,418
To approve the agenda comment in case somebody

825
00:51:10,418 --> 00:51:12,824
wasn't sure what we were doing.

826
00:51:12,824 --> 00:51:14,000
Okay.

827
00:51:14,000 --> 00:51:17,600
Ordered by a vote of 5-0.

828
00:51:26,640 --> 00:51:27,393
Okay.

829
00:51:27,393 --> 00:51:33,300
So is there any public comment on the consent calendar?

830
00:51:33,300 --> 00:51:35,430
Anybody from the board?

831
00:51:37,360 --> 00:51:37,936
>> Okay.

832
00:51:37,936 --> 00:51:39,408
Anybody from the board?

833
00:51:39,408 --> 00:51:40,624
All right.

834
00:51:40,624 --> 00:51:44,490
It's been properly moved and seconded to approve the consent

835
00:51:44,490 --> 00:51:46,490
calendar.

836
00:51:47,200 --> 00:51:52,600
We are so ordered by a vote of 5-0.

837
00:51:58,623 --> 00:51:59,123
>> Okay.

838
00:51:59,123 --> 00:51:59,135
I'm not going to say anything because I'm going to jinx it

839
00:51:59,135 --> 00:52:01,600
so I will keep on going.

840
00:52:01,600 --> 00:52:06,400
Okay, item number 13, board of supervisors regular calendar.

841
00:52:08,360 --> 00:52:14,360
To the clerk of the board, please Receive a presentation

842
00:52:17,999 --> 00:52:20,499
on the transition of Solano County's Drug Medi-Cal Organized

843
00:52:20,499 --> 00:52:22,874
Delivery System (DMC-ODS) from the Partnership HealthPlan

844
00:52:22,874 --> 00:52:28,274
of California regional model to Solano County Behavioral Health

845
00:52:44,241 --> 00:52:45,991
administration, effective January 1, 2027,

846
00:52:45,991 --> 00:52:46,822
including an update regarding implementation planning,

847
00:52:46,822 --> 00:52:47,441
continuity of the existing substance use disorder (SUD)

848
00:52:47,441 --> 00:52:48,490
provider network, administrative and information technology

849
00:52:48,490 --> 00:52:51,800
infrastructure, and preliminary fiscal >> So we found out where

850
00:52:51,800 --> 00:52:51,830
the backpack went.

851
00:52:51,830 --> 00:52:51,860
I'm just teasing.

852
00:52:51,860 --> 00:52:51,930
So this is a presentation only, which

853
00:52:51,930 --> 00:52:53,343
is just information that's always needed and thank you

854
00:52:53,343 --> 00:52:55,400
both for sitting here in front of us

855
00:52:55,400 --> 00:52:57,928
without having to wait for 100 speakers.

856
00:52:57,928 --> 00:53:00,328
So go ahead, Emory.

857
00:53:02,400 --> 00:53:04,404
>> Thank you chair Brown and members of the board.

858
00:53:04,404 --> 00:53:07,110
I'm the health and social services director

859
00:53:07,110 --> 00:53:11,960
and I'm accompanied by deputy Director of Behavioral Health.

860
00:53:11,960 --> 00:53:17,326
And I wanted to call out -- our director is going to get the day

861
00:53:17,326 --> 00:53:17,826
off.

862
00:53:17,826 --> 00:53:20,360
She's retiring at the end of the month.

863
00:53:20,360 --> 00:53:21,786
We're very happy for her.

864
00:53:21,786 --> 00:53:23,701
She gets to take a break.

865
00:53:23,701 --> 00:53:26,256
We appreciate all she's done for behavioral health.

866
00:53:26,256 --> 00:53:28,251
I'll give a history and Nathan who's

867
00:53:28,251 --> 00:53:30,660
had a lot of experience implementing this delivery

868
00:53:30,660 --> 00:53:33,500
system in other places and we'll talk about what's

869
00:53:33,500 --> 00:53:35,800
happening right now.

870
00:53:35,800 --> 00:53:39,560
And so we will start with the background.

871
00:53:39,560 --> 00:53:43,160
So drug Medi-Cal organized delivery system,

872
00:53:45,140 --> 00:53:50,540
what is it other than a long acronym, DMC-ODS?

873
00:53:51,253 --> 00:53:56,584
It's medical program for people with alcohol or drug use

874
00:53:56,584 --> 00:53:58,376
that we refer to as substance use disorders

875
00:53:58,376 --> 00:54:00,480
and it operates as the county's current plan

876
00:54:00,480 --> 00:54:03,344
which is what we do right now in the Behavioral Health division.

877
00:54:03,344 --> 00:54:06,126
What this does is that it matches up people

878
00:54:06,126 --> 00:54:08,624
to the right level of treatment based on their needs

879
00:54:08,624 --> 00:54:11,380
and according to the American Society of Addiction

880
00:54:11,380 --> 00:54:14,000
Medicine or the Asam criteria.

881
00:54:14,000 --> 00:54:16,650
It is validated evidence based treatments

882
00:54:16,650 --> 00:54:18,450
required for this population.

883
00:54:18,450 --> 00:54:23,580
In most counties now operate drug Medi-Cal directly and this

884
00:54:23,580 --> 00:54:27,106
one has an array of treatment programs like residential

885
00:54:27,106 --> 00:54:31,253
treatment withdrawal management previously known as detox common

886
00:54:31,253 --> 00:54:32,893
medication assistant treatment --

887
00:54:32,893 --> 00:54:35,937
you can't hear me -- thank you.

888
00:54:35,937 --> 00:54:38,800
Can you hear me better?

889
00:54:38,800 --> 00:54:39,510
>> Yes.

890
00:54:39,510 --> 00:54:42,600
And so it funds an array of treatment programs

891
00:54:42,600 --> 00:54:45,760
like residential withdrawal management or detox medication

892
00:54:45,760 --> 00:54:47,146
assisted treatment and outpatient

893
00:54:47,146 --> 00:54:51,346
and intensive outpatient treatment and other services.

894
00:54:52,240 --> 00:54:53,580
>> All right.

895
00:54:53,580 --> 00:54:57,520
And so state reform changes have been

896
00:54:57,520 --> 00:55:00,200
making us move in this direction for a number of years.

897
00:55:00,200 --> 00:55:03,349
A lot of other states already integrate mental health

898
00:55:03,349 --> 00:55:04,800
and substance use.

899
00:55:04,800 --> 00:55:08,220
California was a little behind that and so with the evolution,

900
00:55:08,220 --> 00:55:12,407
we've been required every single county that has to integrate

901
00:55:12,407 --> 00:55:17,760
mental health and substance use services by January 1st 2027.

902
00:55:17,760 --> 00:55:19,600
That means key administrative functions

903
00:55:19,600 --> 00:55:22,326
have to be brought together under one behavioral health

904
00:55:22,326 --> 00:55:22,826
system.

905
00:55:22,826 --> 00:55:25,826
Currently our partnership regional model,

906
00:55:26,120 --> 00:55:28,145
they organized that network for us.

907
00:55:28,145 --> 00:55:30,608
We passed the money to them and they contract

908
00:55:30,608 --> 00:55:32,620
with that network of providers.

909
00:55:32,620 --> 00:55:34,906
That doesn't really fit well with the structure

910
00:55:34,906 --> 00:55:39,832
that's required under -- to integrate the mental health

911
00:55:39,832 --> 00:55:40,332
system.

912
00:55:40,332 --> 00:55:43,520
The goal is to reduce separate and duplicative processes

913
00:55:43,520 --> 00:55:45,573
and create simpler access screening

914
00:55:45,573 --> 00:55:48,240
referrals and oversight for our residents.

915
00:55:48,240 --> 00:55:51,000
Prop one, if we were to remember that,

916
00:55:51,000 --> 00:55:55,496
also has included substance use as part of the requirements.

917
00:55:55,496 --> 00:55:58,800
It moves us to more fully integrate

918
00:55:58,800 --> 00:56:00,306
behavioral health planning, funding, accountability

919
00:56:00,306 --> 00:56:01,130
and outcomes.

920
00:56:01,130 --> 00:56:04,760
The opportunity we have is that now we

921
00:56:04,760 --> 00:56:07,560
get to run all of these things under our behavioral health

922
00:56:07,560 --> 00:56:09,960
system for simpler access.

923
00:56:09,992 --> 00:56:11,704
All right.

924
00:56:11,704 --> 00:56:15,480
And so a little bit of the history for Solano.

925
00:56:15,480 --> 00:56:19,600
In the past, Solano County provided substance use disorder

926
00:56:19,600 --> 00:56:22,400
services directly through county, staff

927
00:56:22,400 --> 00:56:25,888
and county direct contracts and under the state plan.

928
00:56:25,888 --> 00:56:28,288
And then around 2017 through 2019,

929
00:56:28,960 --> 00:56:33,480
the board agreed to move towards a regional implementation

930
00:56:33,480 --> 00:56:36,000
for the organized delivery system.

931
00:56:36,000 --> 00:56:38,333
This is when the state was moving to managed care

932
00:56:38,333 --> 00:56:41,108
and so partnership came about and said we'd

933
00:56:41,108 --> 00:56:43,240
like to propose original model.

934
00:56:43,240 --> 00:56:45,876
So we partnered with six other counties

935
00:56:45,876 --> 00:56:48,908
to be part of this region to deliver services.

936
00:56:48,908 --> 00:56:52,786
It was kind of The only one of its kind in the state.

937
00:56:52,786 --> 00:56:55,253
Other counties decided they could do it on their own

938
00:56:55,253 --> 00:56:58,120
and some counties weren't in that system yet.

939
00:56:58,120 --> 00:57:02,430
So fast forward, they've been providing that service

940
00:57:02,430 --> 00:57:06,000
since 2019, July 2020 is when they kicked off

941
00:57:06,000 --> 00:57:09,520
delivering that under the model, the regional model.

942
00:57:09,520 --> 00:57:14,256
In 2022 -- these are some other things that have happened.

943
00:57:14,256 --> 00:57:17,232
We started receiving opioid settlement funds also

944
00:57:17,232 --> 00:57:20,280
from the federal settlements to start

945
00:57:20,280 --> 00:57:22,960
strengthening opioid response substance use

946
00:57:22,960 --> 00:57:24,776
infrastructure and services.

947
00:57:24,776 --> 00:57:27,776
In 2023, the Board of Supervisors

948
00:57:28,448 --> 00:57:32,428
agreed to come together and combine both the separate Mental

949
00:57:32,428 --> 00:57:34,720
Health Advisory board and the separate Alcohol and Drug

950
00:57:34,720 --> 00:57:37,630
Advisory Board into one behavioral advisory board

951
00:57:37,630 --> 00:57:38,880
with new bylaws.

952
00:57:38,880 --> 00:57:42,384
And that was all in plans for what we have to do now.

953
00:57:42,384 --> 00:57:45,700
And so today, partnership manages our current network

954
00:57:45,700 --> 00:57:47,400
of providers.

955
00:57:47,400 --> 00:57:49,936
They do the administration and billing and oversight

956
00:57:49,936 --> 00:57:54,226
and they serve about 1800 or so residents annually.

957
00:57:54,226 --> 00:57:58,960
So partnership has said we no longer can do this.

958
00:57:58,960 --> 00:58:00,960
All seven counties are having to figure out

959
00:58:00,960 --> 00:58:02,760
what they're going to do and Solano

960
00:58:02,760 --> 00:58:05,586
has to come up with our plan to implement it directly.

961
00:58:05,586 --> 00:58:09,820
So as of December 31st, partnership will no longer be

962
00:58:09,820 --> 00:58:11,480
providing the regional model.

963
00:58:11,480 --> 00:58:14,132
They've already notified the contractors

964
00:58:14,132 --> 00:58:17,482
and the state has been working with us

965
00:58:17,482 --> 00:58:20,000
and we'll talk a little bit about that.

966
00:58:20,000 --> 00:58:22,672
So starting January 1st we have to take on all

967
00:58:22,672 --> 00:58:26,440
of the administration and make sure there's continuity

968
00:58:26,440 --> 00:58:27,146
of services.

969
00:58:27,146 --> 00:58:28,780
That's really important so clients

970
00:58:28,780 --> 00:58:31,730
can continue to get the care they've already been receiving.

971
00:58:31,730 --> 00:58:34,880
This is a transition of responsibility,

972
00:58:34,880 --> 00:58:37,784
not necessarily creating a whole new treatment system.

973
00:58:37,784 --> 00:58:39,856
It exists and we just have to keep maintaining it

974
00:58:39,856 --> 00:58:42,320
and build the infrastructure internally.

975
00:58:42,320 --> 00:58:44,320
Okay.

976
00:58:46,600 --> 00:58:49,440
>> Since April this year, the state has been meeting with each

977
00:58:49,440 --> 00:58:52,248
of the counties in the regional model to successfully transition

978
00:58:52,248 --> 00:58:53,808
them out of that model.

979
00:58:53,808 --> 00:58:57,424
And more recently since July, Solano County

980
00:58:57,424 --> 00:59:00,491
has been meeting on a bi weekly basis with the state

981
00:59:00,491 --> 00:59:04,346
and I just want to share that it's been a very strong working

982
00:59:04,346 --> 00:59:04,986
relationship.

983
00:59:04,986 --> 00:59:07,740
The state has been very supportive and provided a lot

984
00:59:07,740 --> 00:59:12,119
of guidance so that we are on track to go live on January 1st.

985
00:59:12,119 --> 00:59:15,640
What you see here is a simplified timeline

986
00:59:15,640 --> 00:59:18,270
of our major deliverables for the transition.

987
00:59:18,270 --> 00:59:23,112
Starting on the left, in July we submitted our county transition

988
00:59:23,112 --> 00:59:27,840
plan to the state and this is essentially a document that

989
00:59:27,840 --> 00:59:31,566
articulates what the system will look like come January 1st.

990
00:59:31,566 --> 00:59:33,909
As well as the existing resources

991
00:59:33,909 --> 00:59:37,360
we have and the new resources that we will need

992
00:59:37,360 --> 00:59:39,640
to make the system go live.

993
00:59:39,640 --> 00:59:44,136
Moving to the right, we are currently on that red dot

994
00:59:44,136 --> 00:59:45,864
now in September.

995
00:59:45,864 --> 00:59:48,813
We're engaged currently in a readiness review with the state

996
00:59:48,813 --> 00:59:52,680
and for that, we are simply updating our policies

997
00:59:52,680 --> 00:59:54,560
and procedures that are primarily

998
00:59:54,560 --> 00:59:58,260
ready for the mental health plan and integrating substance use

999
00:59:58,260 --> 01:00:00,426
requirements into those policies.

1000
01:00:00,575 --> 01:00:04,410
We've also developed -- excuse me --

1001
01:00:04,410 --> 01:00:09,930
provider contracts and templates and member notification letters

1002
01:00:09,930 --> 01:00:12,386
that explain the changes to the system that we mailed out

1003
01:00:12,386 --> 01:00:16,480
to Medi-Cal members over the next several months.

1004
01:00:16,480 --> 01:00:22,200
We're also working right now on our electronic health record

1005
01:00:22,200 --> 01:00:25,440
system to update that so that it's able to bill and claim

1006
01:00:25,440 --> 01:00:28,952
for services come at January 1st.

1007
01:00:28,952 --> 01:00:29,984
Okay.

1008
01:00:29,984 --> 01:00:34,784
So with this transition to county administered DMC-ODS

1009
01:00:40,368 --> 01:00:42,576
behavioral health will -- it's important to know that

1010
01:00:42,576 --> 01:00:45,888
in general, what we're talking about here is maximizing

1011
01:00:45,888 --> 01:00:50,880
and augmenting our current managed care infrastructure

1012
01:00:50,160 --> 01:00:52,800
to accommodate these new responsibilities.

1013
01:00:52,800 --> 01:00:55,710
Many of these are parallel requirements

1014
01:00:55,710 --> 01:00:57,240
on the mental health plan.

1015
01:00:57,240 --> 01:00:59,944
We're not building a new system from scratch,

1016
01:00:59,944 --> 01:01:04,853
we are working with the system we already have and adapting it.

1017
01:01:04,853 --> 01:01:10,260
So access to care is one of those important responsibilities

1018
01:01:10,260 --> 01:01:11,490
right now.

1019
01:01:11,490 --> 01:01:13,940
One of the major things there is we're

1020
01:01:13,940 --> 01:01:15,740
converting our mental health access

1021
01:01:15,740 --> 01:01:18,392
into an integrated behavioral health call

1022
01:01:18,392 --> 01:01:21,780
center that will accept mental health and substance use

1023
01:01:21,780 --> 01:01:22,980
calls from the public.

1024
01:01:22,980 --> 01:01:26,176
We plan to maintain our current access line phone number

1025
01:01:26,176 --> 01:01:29,520
and hire additional staff to respond to the increased

1026
01:01:29,520 --> 01:01:30,816
volume of calls.

1027
01:01:30,816 --> 01:01:35,232
We're also going to cross train staff so any staff member who

1028
01:01:35,232 --> 01:01:38,600
answers that phone is able to handle

1029
01:01:38,600 --> 01:01:41,140
either mental health or substance use.

1030
01:01:41,140 --> 01:01:43,920
For utilization management, this is essentially

1031
01:01:43,920 --> 01:01:47,120
a program that ensures beneficiaries are being served

1032
01:01:47,120 --> 01:01:50,360
the right level of care based upon their needs

1033
01:01:50,360 --> 01:01:52,200
and symptoms in the moments.

1034
01:01:52,200 --> 01:01:54,930
Our county staff member will review and make

1035
01:01:54,930 --> 01:01:57,664
authorization decisions for the highest level of care

1036
01:01:57,664 --> 01:01:59,893
which is residential treatment.

1037
01:01:59,893 --> 01:02:03,120
We're going to be building upon our existing quality

1038
01:02:03,120 --> 01:02:04,973
program which includes monitoring

1039
01:02:04,973 --> 01:02:07,350
the oversight for regulatory compliance

1040
01:02:07,350 --> 01:02:12,150
through tools such as audits and site reviews.

1041
01:02:12,640 --> 01:02:15,780
And our quality and Contracts program tool

1042
01:02:15,780 --> 01:02:18,920
monitor provider performance as well as patient outcomes.

1043
01:02:18,920 --> 01:02:21,860
Our staff will be training our providers

1044
01:02:21,860 --> 01:02:24,000
and providing technical assistance

1045
01:02:24,000 --> 01:02:28,400
for a variety of things such as documentation standards,

1046
01:02:28,400 --> 01:02:30,900
implementing evidence based practices,

1047
01:02:30,900 --> 01:02:33,900
a number of different things.

1048
01:02:33,140 --> 01:02:36,933
A new dimension for the quality and compliance

1049
01:02:36,933 --> 01:02:40,170
program for substance use records in particular.

1050
01:02:40,170 --> 01:02:43,770
These records have a higher standard

1051
01:02:43,848 --> 01:02:46,248
of patient confidentiality protections

1052
01:02:46,253 --> 01:02:48,928
as compared to mental health.

1053
01:02:48,928 --> 01:02:52,200
A number of different electronic systems as well as

1054
01:02:52,200 --> 01:02:54,319
forms and information sharing practices

1055
01:02:54,319 --> 01:02:59,551
we'll need to be updated to comply with federal law

1056
01:02:59,551 --> 01:03:03,384
on patient confidentiality measures for substance use.

1057
01:03:03,384 --> 01:03:07,125
On the physical side, the staff will support direct

1058
01:03:07,125 --> 01:03:11,420
billing and claiming to state for drug Medi-Cal billable

1059
01:03:11,420 --> 01:03:13,240
services and activities.

1060
01:03:13,240 --> 01:03:15,640
These responsibilities also involve

1061
01:03:15,920 --> 01:03:18,720
accounting for different sources of revenue,

1062
01:03:18,720 --> 01:03:21,416
tracking and reporting expenditures as well

1063
01:03:21,416 --> 01:03:23,859
as budgeting and revenue projections.

1064
01:03:23,859 --> 01:03:29,800
And last thing the important on this slide is network adequacy.

1065
01:03:29,800 --> 01:03:33,200
The county must maintain a sufficient size or network

1066
01:03:33,200 --> 01:03:37,530
of qualified providers to meet the Medi-Cal population's

1067
01:03:37,530 --> 01:03:38,640
need for services.

1068
01:03:38,640 --> 01:03:43,000
Substance use programs must be geographically accessible with

1069
01:03:43,000 --> 01:03:48,950
no more than -- that is located no more than 30 miles or 60

1070
01:03:48,950 --> 01:03:51,392
minutes from Medi-Cal members where they live.

1071
01:03:51,392 --> 01:03:53,792
So timeliness is crucial.

1072
01:03:53,800 --> 01:03:56,740
When someone presents to the county requesting help,

1073
01:03:56,740 --> 01:04:00,640
ready to start treatment, we can't wait.

1074
01:04:00,640 --> 01:04:02,944
We can't have them waiting a long time.

1075
01:04:02,944 --> 01:04:04,800
That window of opportunity is short.

1076
01:04:04,800 --> 01:04:08,456
Having an adequate network means we'll get people in the door

1077
01:04:08,456 --> 01:04:10,456
right away.

1078
01:04:11,399 --> 01:04:15,591
So network adequacy as I mentioned is key to our success.

1079
01:04:15,591 --> 01:04:20,354
To gain the network we need in a relatively short amount of time,

1080
01:04:20,354 --> 01:04:24,600
we plan to use an expedited procurement process to contract

1081
01:04:24,600 --> 01:04:27,720
with existing organizations that are currently

1082
01:04:27,720 --> 01:04:31,386
under contracts with Partnership Health of California.

1083
01:04:31,386 --> 01:04:35,744
The resulting contracts will be short term contracts lasting

1084
01:04:35,744 --> 01:04:40,866
for a total of 18 months and the plan is to start them December

1085
01:04:40,866 --> 01:04:42,308
1st of this year.

1086
01:04:42,308 --> 01:04:46,272
We use three criteria to pick vendors

1087
01:04:46,272 --> 01:04:48,700
and those criteria are as follows.

1088
01:04:48,700 --> 01:04:51,950
Number one, providers must have served a significant amount

1089
01:04:51,950 --> 01:04:53,390
of Solano County beneficiaries.

1090
01:04:53,390 --> 01:04:56,920
Number two is located in Solano County

1091
01:04:56,920 --> 01:04:59,660
for our neighboring county and number three,

1092
01:04:59,660 --> 01:05:03,600
the contractor must be needed in order to fill network adequacy

1093
01:05:03,600 --> 01:05:04,292
requirements.

1094
01:05:04,292 --> 01:05:08,492
At this point we have identified 11 contractors

1095
01:05:09,200 --> 01:05:12,973
that have expressed desire to contract with behavioral health.

1096
01:05:12,973 --> 01:05:17,173
These organizations operate at approximately 19 different sites

1097
01:05:17,580 --> 01:05:21,600
either in Solano County or neighboring counties.

1098
01:05:21,600 --> 01:05:24,920
And together represent all the required levels

1099
01:05:24,920 --> 01:05:27,320
of care within the system.

1100
01:05:27,320 --> 01:05:31,520
The selection strategy really helps facilitate continuity

1101
01:05:31,890 --> 01:05:37,600
of care by maintaining service with the same programs that --

1102
01:05:37,600 --> 01:05:39,552
currently enrolled in now.

1103
01:05:39,552 --> 01:05:41,260
We are projecting that there could

1104
01:05:41,260 --> 01:05:43,680
be a small number of Solano beneficiaries

1105
01:05:43,680 --> 01:05:47,592
who are enrolled in programs far away from Solano County

1106
01:05:47,592 --> 01:05:50,240
that we don't intend to have long term contracts with,

1107
01:05:50,240 --> 01:05:52,314
so for example in Shasta County we

1108
01:05:52,314 --> 01:05:54,922
may have 1 or 2 members there who

1109
01:05:54,922 --> 01:05:57,420
need to be continuing their services.

1110
01:05:57,420 --> 01:06:00,800
If that's the case we'll do signal case agreements

1111
01:06:00,800 --> 01:06:02,666
to be able to provide continued care for them

1112
01:06:02,666 --> 01:06:04,693
and they can finish their treatment.

1113
01:06:04,693 --> 01:06:10,456
At the end of 2027 when the system is stable and running,

1114
01:06:10,456 --> 01:06:14,210
we'll conduct a formal competitive bidding process

1115
01:06:14,210 --> 01:06:17,210
in accordance with county --.

1116
01:06:24,615 --> 01:06:25,157
>> All right.

1117
01:06:25,157 --> 01:06:27,865
Operating cost estimates -- this is one of the few things that is

1118
01:06:27,865 --> 01:06:29,280
actually a funded mandate.

1119
01:06:29,280 --> 01:06:34,320
This is something we do provide funding from the state

1120
01:06:34,320 --> 01:06:36,580
to partnership to manage this for us.

1121
01:06:36,580 --> 01:06:39,560
There are some changes with this coming back to the county.

1122
01:06:39,560 --> 01:06:42,840
One of the significant changes is the payment model

1123
01:06:42,840 --> 01:06:44,773
is going to be different.

1124
01:06:44,773 --> 01:06:47,620
We are moving from a per member per month

1125
01:06:47,620 --> 01:06:49,200
to a fee for service model.

1126
01:06:49,200 --> 01:06:52,800
Fee for service is how we operate on that plan now.

1127
01:06:52,800 --> 01:06:55,131
So it's not foreign to us.

1128
01:06:55,131 --> 01:06:57,476
But what that complicates things is

1129
01:06:57,476 --> 01:07:00,346
that it's hard to estimate what it's

1130
01:07:00,346 --> 01:07:03,653
going to cost us because it was valued

1131
01:07:03,653 --> 01:07:06,640
in a different way in that process.

1132
01:07:06,640 --> 01:07:09,280
One of the other hiccups is we've never

1133
01:07:09,280 --> 01:07:12,532
had cost data reconciliation between partnership

1134
01:07:12,532 --> 01:07:14,248
in the state.

1135
01:07:14,248 --> 01:07:20,312
So through that whole time, the network has been operating --

1136
01:07:20,312 --> 01:07:23,000
they haven't fully received validated historical cost

1137
01:07:23,000 --> 01:07:23,560
baseline.

1138
01:07:23,560 --> 01:07:27,824
So we have some estimates of what the providers are getting

1139
01:07:27,824 --> 01:07:32,840
paid and what the contracts look like and we also have new rates.

1140
01:07:32,840 --> 01:07:35,120
The rates are higher and so we are

1141
01:07:35,120 --> 01:07:38,760
losing that plus historical data to estimate

1142
01:07:38,760 --> 01:07:40,288
what this will cost us ongoing.

1143
01:07:40,288 --> 01:07:44,260
With the money that we already see from the state.

1144
01:07:44,260 --> 01:07:46,126
So we have a very preliminary budget.

1145
01:07:46,126 --> 01:07:51,526
We expect this to be higher, sort of 12, 13, 1415 million

1146
01:07:53,440 --> 01:07:54,440
or so.

1147
01:07:54,440 --> 01:07:57,800
We're not putting anything solid yet

1148
01:07:57,800 --> 01:07:59,896
but we'll come back to the board and give you more updates as we

1149
01:07:59,896 --> 01:08:01,320
go along through the process.

1150
01:08:01,320 --> 01:08:05,520
And 15% of whatever allocation we are receiving

1151
01:08:05,800 --> 01:08:07,820
can go to administration.

1152
01:08:07,820 --> 01:08:09,706
We're estimating about $2 million

1153
01:08:09,706 --> 01:08:11,960
for initial administrative costs.

1154
01:08:11,960 --> 01:08:16,280
And the funding sources are typically our drug Medi-Cal

1155
01:08:16,280 --> 01:08:19,480
reimbursement so we get to bill for these services.

1156
01:08:19,480 --> 01:08:21,800
We have also substance use block grant funding

1157
01:08:21,800 --> 01:08:24,260
and then required nonfederal match funding

1158
01:08:24,260 --> 01:08:26,260
which is primarily 2011.

1159
01:08:26,680 --> 01:08:29,680
And administrative reimbursement is eligible,

1160
01:08:30,200 --> 01:08:34,352
so anything we do for quality assurance utilization management

1161
01:08:34,352 --> 01:08:37,352
can be claimed for Medi-Cal.

1162
01:08:38,840 --> 01:08:44,720
So the key next steps -- we need to complete our readiness review

1163
01:08:44,720 --> 01:08:48,620
with the state and we are meeting bi weekly and making

1164
01:08:48,620 --> 01:08:52,984
sure that we are working in tandem to align with all

1165
01:08:52,984 --> 01:08:54,820
of the requirements for policies,

1166
01:08:54,820 --> 01:08:56,224
network and compliance.

1167
01:08:56,224 --> 01:09:01,160
We also have to execute the number of contracts that Nathan

1168
01:09:01,160 --> 01:09:05,330
mentioned with the providers, which means also coming up with

1169
01:09:05,330 --> 01:09:10,660
estimated costs per contract, negotiating all of that

1170
01:09:10,660 --> 01:09:16,392
and so we'll be coming back to the board to accept a group

1171
01:09:16,392 --> 01:09:20,424
of contracts that need to be ready, ideally by December 1st.

1172
01:09:20,424 --> 01:09:23,680
So providers can have time to transition their systems

1173
01:09:23,680 --> 01:09:28,320
and ready to go billing us for services January 1st.

1174
01:09:28,320 --> 01:09:30,620
And staffing is also a need.

1175
01:09:30,620 --> 01:09:33,248
We need to finalize the staffing plan

1176
01:09:33,248 --> 01:09:36,553
and there are some staff that we will be cross training and some

1177
01:09:36,553 --> 01:09:39,672
that we will be using across mental health and substance use

1178
01:09:39,672 --> 01:09:41,125
but there's some new stuff that we

1179
01:09:41,125 --> 01:09:44,376
will have to add because of the significant load

1180
01:09:44,376 --> 01:09:47,660
the work requires in terms of compliance

1181
01:09:47,660 --> 01:09:48,957
and all of the items mentioned.

1182
01:09:48,957 --> 01:09:52,786
Will be returning to the board with FTE requests

1183
01:09:52,786 --> 01:09:54,613
for some of these activities.

1184
01:09:54,613 --> 01:09:58,610
Also most importantly is the client transition.

1185
01:09:58,610 --> 01:10:01,536
We're working with both partnership, the providers,

1186
01:10:01,536 --> 01:10:04,720
the state to make sure we know how many clients

1187
01:10:04,720 --> 01:10:08,560
need to continue services and make sure they get noticed.

1188
01:10:08,560 --> 01:10:12,610
One of the things that Nathan and the team's coordinating

1189
01:10:12,610 --> 01:10:14,793
is also potential town hall, so we

1190
01:10:14,793 --> 01:10:16,813
make sure the community is aware of that change

1191
01:10:16,813 --> 01:10:18,836
so that there's no surprises.

1192
01:10:18,836 --> 01:10:22,800
This has been discussed in Drug safe Solano meetings

1193
01:10:22,800 --> 01:10:24,106
and our partners and all of the partners

1194
01:10:24,106 --> 01:10:26,608
that we have in the community.

1195
01:10:26,608 --> 01:10:31,976
We don't expect a lot of change for people other than now

1196
01:10:31,976 --> 01:10:34,973
that provider needs to build a partnership.

1197
01:10:34,973 --> 01:10:37,760
So the client shouldn't feel changed.

1198
01:10:37,760 --> 01:10:40,520
The contractors, they will feel a change

1199
01:10:40,520 --> 01:10:42,486
because the county systems are at different.

1200
01:10:42,486 --> 01:10:46,492
There's a little bit of a nuance --

1201
01:10:46,492 --> 01:10:50,400
so we want to just be thoughtful and create space for discussion

1202
01:10:50,400 --> 01:10:53,724
if there's any concerns about that transition.

1203
01:10:53,724 --> 01:10:58,434
So past the go live January 1st, we have to be really good

1204
01:10:58,434 --> 01:11:01,268
provider monitoring to make sure things are operating the way

1205
01:11:01,268 --> 01:11:04,800
they need to and make sure our electronic health records are

1206
01:11:04,800 --> 01:11:09,462
tracking all of the reports that we need --

1207
01:11:09,462 --> 01:11:12,346
and all of those things.

1208
01:11:12,346 --> 01:11:17,746
Continue training, fiscal training and testing and then as

1209
01:11:17,920 --> 01:11:21,130
mentioned, procurement of all the things that happened.

1210
01:11:21,130 --> 01:11:23,768
So it's a huge undertaking.

1211
01:11:23,768 --> 01:11:27,240
I don't want to undervalue that.

1212
01:11:27,240 --> 01:11:30,943
It is something that we've been planning now for some time.

1213
01:11:30,943 --> 01:11:34,320
I feel like we have the plan we just have to operationalize

1214
01:11:34,320 --> 01:11:36,320
all these things.

1215
01:11:36,576 --> 01:11:38,485
It's a process.

1216
01:11:38,485 --> 01:11:42,400
But it will happen and I think it will be okay.

1217
01:11:42,400 --> 01:11:47,560
But it is a big step at the community is taking.

1218
01:11:47,560 --> 01:11:51,780
Do you want to open for questions?

1219
01:11:51,780 --> 01:11:56,759
>> When you kept saying it will be okay, it will be okay --

1220
01:11:56,759 --> 01:11:59,406
it's like when you're brushing your teeth in the morning.

1221
01:11:59,406 --> 01:12:00,163
Good.

1222
01:12:00,163 --> 01:12:02,163
Supervisor Williams?

1223
01:12:02,840 --> 01:12:04,813
>> Thank you chair.

1224
01:12:04,813 --> 01:12:06,280
Thank you.

1225
01:12:06,280 --> 01:12:08,280
Thanks for this.

1226
01:12:08,776 --> 01:12:12,192
Thanks for this in-depth report and update.

1227
01:12:12,192 --> 01:12:13,728
It's very important.

1228
01:12:13,728 --> 01:12:20,928
I know we've met previously, but just hearing it more than once

1229
01:12:23,290 --> 01:12:25,654
-- and I want to thank you for making sure that we stay abreast

1230
01:12:25,654 --> 01:12:26,504
of things.

1231
01:12:26,504 --> 01:12:29,616
But I do have two questions.

1232
01:12:29,616 --> 01:12:34,320
And this question is on the network adequacy.

1233
01:12:34,320 --> 01:12:40,632
I know you indicated that it could be a provider --

1234
01:12:41,554 --> 01:12:44,940
could be 30 miles away up to 16 minutes.

1235
01:12:44,940 --> 01:12:50,500
When I thought of that, I wanted to know,

1236
01:12:50,500 --> 01:12:53,160
are we partnering with Solano Transit Authority

1237
01:12:53,160 --> 01:12:56,626
or any agencies for those individuals who

1238
01:12:56,626 --> 01:12:59,592
may need to go that distance?

1239
01:12:59,592 --> 01:13:02,592
But do not have transportation?

1240
01:13:09,683 --> 01:13:10,766
>> Do you want to take it?

1241
01:13:10,766 --> 01:13:12,400
>> One of the benefits of the managed care plans is

1242
01:13:12,400 --> 01:13:13,400
transportation.

1243
01:13:13,400 --> 01:13:17,600
Both partnership and Kaiser offer medical transportation

1244
01:13:19,260 --> 01:13:23,226
to appointments including out of county appointments.

1245
01:13:23,333 --> 01:13:26,719
That's the primary means of transportation that --

1246
01:13:26,719 --> 01:13:30,733
many of the providers also have their own bands for out

1247
01:13:30,733 --> 01:13:36,306
of county, so they would be picking folks up as well.

1248
01:13:36,306 --> 01:13:39,194
>> As a resort, we also have a contract with --

1249
01:13:39,194 --> 01:13:42,660
and so if we need to get some bus passes we'll make sure

1250
01:13:42,660 --> 01:13:44,250
people can get there.

1251
01:13:44,250 --> 01:13:47,850
Because Shriners have their own vans.

1252
01:13:48,900 --> 01:13:53,986
They pick up clients here and take them back to the hospital.

1253
01:13:53,986 --> 01:13:56,226
And I thought what are we going to do?

1254
01:13:56,226 --> 01:14:01,260
That's good to hear and since we're transitioning,

1255
01:14:01,680 --> 01:14:06,480
will they continue to still provide other transportation,

1256
01:14:06,520 --> 01:14:08,520
even though --?

1257
01:14:09,373 --> 01:14:11,626
All right, thank you.

1258
01:14:11,626 --> 01:14:14,626
That makes me feel better.

1259
01:14:14,760 --> 01:14:17,306
>> That's a Medi-Cal benefit for anybody with anything.

1260
01:14:17,306 --> 01:14:18,920
Just so you know.

1261
01:14:18,920 --> 01:14:20,653
>> That's good to know.

1262
01:14:20,653 --> 01:14:26,488
And then my last question is on the client transition.

1263
01:14:26,488 --> 01:14:32,400
I did hear you mentioned you will be providing a town hall.

1264
01:14:32,400 --> 01:14:33,640
I commend you.

1265
01:14:33,640 --> 01:14:37,840
What I wanted to know is outside of the town hall,

1266
01:14:37,840 --> 01:14:41,260
how many touch points will they have

1267
01:14:41,260 --> 01:14:46,330
to make sure that they truly understand one, they're not

1268
01:14:46,330 --> 01:14:51,170
going to lose their services, and number two, how that's going

1269
01:14:51,170 --> 01:14:53,333
to be a smooth system for them?

1270
01:14:53,333 --> 01:14:56,536
I know sometimes it takes multiple touches

1271
01:14:56,536 --> 01:14:59,536
before it will really resonate.

1272
01:15:00,800 --> 01:15:03,651
>> I know where we'll start is also with the providers.

1273
01:15:03,651 --> 01:15:05,776
If these are existing clients you want to make sure

1274
01:15:05,776 --> 01:15:09,760
their providers can use their minds through that process

1275
01:15:09,760 --> 01:15:12,500
of just keep coming and don't worry,

1276
01:15:12,500 --> 01:15:14,904
you're not going to lose a benefit --

1277
01:15:14,904 --> 01:15:16,333
they will still have Medi-Cal.

1278
01:15:16,333 --> 01:15:19,320
They just need to know I need to keep coming to my provider

1279
01:15:19,320 --> 01:15:21,977
and then we'll have to worry on our end to make sure

1280
01:15:21,977 --> 01:15:23,352
that provider has everything they

1281
01:15:23,352 --> 01:15:25,896
need to build for that service.

1282
01:15:25,896 --> 01:15:29,960
So the communication through the provider to the member --

1283
01:15:29,960 --> 01:15:32,745
there's the member letters that they'll receive.

1284
01:15:32,745 --> 01:15:34,612
The letters can be a little intimidating.

1285
01:15:34,612 --> 01:15:37,260
I think in the past we've also done

1286
01:15:37,260 --> 01:15:40,320
a little bit of that extra marketing to people

1287
01:15:40,320 --> 01:15:42,804
and just educate them with social media.

1288
01:15:42,804 --> 01:15:45,160
Will do some other communications

1289
01:15:45,160 --> 01:15:47,380
through our different partners to make sure

1290
01:15:47,380 --> 01:15:52,184
that the letters just come as a supportive letter.

1291
01:15:52,184 --> 01:15:53,968
It's not a scary letter.

1292
01:15:53,968 --> 01:15:56,617
It comes from the county -- oh no.

1293
01:15:56,617 --> 01:15:59,384
So I think the language is going to be important.

1294
01:15:59,384 --> 01:16:03,216
I don't know if there's any other avenues that we

1295
01:16:03,216 --> 01:16:06,816
can make sure people are aware?

1296
01:16:07,200 --> 01:16:10,520
>> The providers themselves -- that would be really important

1297
01:16:10,520 --> 01:16:13,400
when they're actually in treatment.

1298
01:16:13,400 --> 01:16:15,176
Providers need to articulate what's going on

1299
01:16:15,176 --> 01:16:16,264
and answer questions.

1300
01:16:16,264 --> 01:16:20,120
So we're in good communication with providers.

1301
01:16:20,120 --> 01:16:24,440
>> Will they be providing you their strategy on how

1302
01:16:24,440 --> 01:16:26,736
they're going to communicate out?

1303
01:16:26,736 --> 01:16:31,920
It's one thing to -- and another thing to make sure

1304
01:16:31,920 --> 01:16:33,240
they're following through.

1305
01:16:33,240 --> 01:16:35,660
Not to say they wouldn't, but how

1306
01:16:35,660 --> 01:16:38,440
do they then relate back to the county

1307
01:16:38,440 --> 01:16:45,640
that they have took the steps to ensure that our Medi-Cal clients

1308
01:16:46,293 --> 01:16:48,293
are aware?

1309
01:16:49,493 --> 01:16:50,848
>> That's a good question.

1310
01:16:50,848 --> 01:16:52,993
I think we'll need to build that into our plan

1311
01:16:52,993 --> 01:16:55,472
and make sure they are strongly communicating with us

1312
01:16:55,472 --> 01:16:58,680
and that there's that feedback loop.

1313
01:16:58,680 --> 01:17:02,840
That's something we'll want to make sure to address.

1314
01:17:02,840 --> 01:17:04,880
>> I thank you for that suggestion.

1315
01:17:04,880 --> 01:17:08,924
We don't want to lose anyone in the cracks if we can.

1316
01:17:08,924 --> 01:17:09,848
Thank you.

1317
01:17:09,848 --> 01:17:12,848
That was all my questions.

1318
01:17:19,321 --> 01:17:19,988
>> Anybody else?

1319
01:17:19,988 --> 01:17:22,988
Any comments from the public?

1320
01:17:25,952 --> 01:17:26,827
>> I have no callers.

1321
01:17:26,827 --> 01:17:29,600
>> So -- I beg your pardon.

1322
01:17:29,600 --> 01:17:31,600
Okay. >> (inaudible)

1323
01:17:37,579 --> 01:17:38,121
>> All right.

1324
01:17:38,121 --> 01:17:38,792
>> Thank you chair.

1325
01:17:38,792 --> 01:17:39,440
Quick question.

1326
01:17:39,440 --> 01:17:43,900
Just following up in regards to communication with community

1327
01:17:43,900 --> 01:17:46,900
and partnership with transportation --

1328
01:17:47,472 --> 01:17:54,196
is there a one Solano, one message in regards to like this

1329
01:17:54,196 --> 01:17:54,696
transition?

1330
01:17:54,696 --> 01:17:58,984
There's a lot of things that are happening with Medi-Cal over

1331
01:17:58,984 --> 01:18:02,260
the next few months and I know specifically,

1332
01:18:02,260 --> 01:18:05,576
like in my district, public transportation --

1333
01:18:05,576 --> 01:18:09,473
you see a message on the bus or the ferry or whatever the case

1334
01:18:09,473 --> 01:18:13,716
may be, those avenues, have they been explored?

1335
01:18:13,716 --> 01:18:14,216
>> Yeah.

1336
01:18:14,216 --> 01:18:15,980
I'm thinking through that now.

1337
01:18:15,980 --> 01:18:17,706
You mentioned something --

1338
01:18:17,706 --> 01:18:20,720
P we don't want people to confuse us with --

1339
01:18:20,720 --> 01:18:22,506
and all the things.

1340
01:18:22,506 --> 01:18:25,480
We could probably follow up with a press release

1341
01:18:25,480 --> 01:18:30,336
if that's helpful and also, I think to your point,

1342
01:18:30,336 --> 01:18:34,968
we have scripts to all of our providers of what they consider,

1343
01:18:34,968 --> 01:18:39,100
what they can use but also -- the providers will have letters

1344
01:18:39,100 --> 01:18:43,710
from us with why and when and all that information.

1345
01:18:43,710 --> 01:18:47,946
They have met with all of the providers.

1346
01:18:47,946 --> 01:18:51,628
They meet regularly through the negotiation and the contract --

1347
01:18:51,628 --> 01:18:56,704
so we will ramp up a little bit more on the marketing side.

1348
01:18:56,704 --> 01:18:59,890
And to your point on transportation,

1349
01:18:59,890 --> 01:19:02,986
we have talked with STA also about some of the transportation

1350
01:19:02,986 --> 01:19:05,340
needs related to HR one.

1351
01:19:05,340 --> 01:19:09,200
This might be another avenue -- some of those funds --

1352
01:19:09,200 --> 01:19:13,720
if for some reason -- they might need to lean on other

1353
01:19:13,720 --> 01:19:17,920
transportation, so some of that transportation responsibility

1354
01:19:18,240 --> 01:19:21,800
because of their need for mental health or substance use services

1355
01:19:21,800 --> 01:19:23,811
does fall on the county as well.

1356
01:19:23,811 --> 01:19:25,460
We will work on some of that messaging.

1357
01:19:25,460 --> 01:19:27,400
So it's less confusing.

1358
01:19:27,400 --> 01:19:29,400
It is complicated.

1359
01:19:30,266 --> 01:19:32,266
>> No problem.

1360
01:19:32,434 --> 01:19:34,834
Go ahead, supervisor Williams.

1361
01:19:36,200 --> 01:19:40,820
I thought she said I have a question.

1362
01:19:41,320 --> 01:19:43,142
Are we good?

1363
01:19:43,142 --> 01:19:43,750
Okay.

1364
01:19:43,750 --> 01:19:47,335
So it was a really good presentation

1365
01:19:47,335 --> 01:19:51,400
and there's no public comments or anything like that?

1366
01:19:51,400 --> 01:19:56,980
And -- I'm tired and I just listened to what you guys have

1367
01:19:56,980 --> 01:19:58,733
to do.

1368
01:19:58,733 --> 01:20:05,333
>> Thank you for your >> I don't think Jennifer should be allowed

1369
01:20:05,932 --> 01:20:06,807
to go when she comes.

1370
01:20:06,807 --> 01:20:07,593
Can't go right now, my friend.

1371
01:20:07,593 --> 01:20:08,375
Okay.

1372
01:20:08,375 --> 01:20:11,375
Thank you guys very much.

1373
01:20:19,800 --> 01:20:20,180
Okay.

1374
01:20:20,180 --> 01:20:22,180
All right.

1375
01:20:22,380 --> 01:20:28,380
We are at board member comments and reports on meetings.

1376
01:20:31,720 --> 01:20:32,368
Anybody?

1377
01:20:32,368 --> 01:20:35,200
Let's start from the left.

1378
01:20:35,200 --> 01:20:37,100
We should go to the left.

1379
01:20:37,100 --> 01:20:39,100
Okay.

1380
01:20:42,120 --> 01:20:43,560
Yeah.

1381
01:20:43,560 --> 01:20:45,560
That's all right.

1382
01:20:45,864 --> 01:20:50,664
It takes a village to go through this.

1383
01:20:57,418 --> 01:20:58,100
>> Let me see.

1384
01:20:58,100 --> 01:21:00,706
The only thing that I have to report back

1385
01:21:00,706 --> 01:21:04,906
is JPA meeting next month instead of

1386
01:21:05,848 --> 01:21:07,140
the last Thursday of the month.

1387
01:21:07,140 --> 01:21:10,800
It will be the third Thursday, September 17th.

1388
01:21:10,800 --> 01:21:12,746
Instead of the 24th.

1389
01:21:12,746 --> 01:21:17,340
And also, I have my fifth stop on my community engagement.

1390
01:21:17,340 --> 01:21:20,940
It will be at tackle --

1391
01:21:21,213 --> 01:21:23,613
Taylor Chapel at 1203 Louisiana.

1392
01:21:24,920 --> 01:21:31,720
And we are partnering with -- or we have invited the City Council

1393
01:21:31,720 --> 01:21:33,720
members Brett Kinzer.

1394
01:21:34,300 --> 01:21:36,593
That's all I have to report.

1395
01:21:36,593 --> 01:21:38,593
Thank you.

1396
01:21:39,800 --> 01:21:40,760
>> Anything?

1397
01:21:40,760 --> 01:21:47,360
So I would like to adjourn in memory of Robert Fuentes.

1398
01:21:48,760 --> 01:21:50,794
If you need --

1399
01:21:50,794 --> 01:21:54,144
I knew him through Faith in action.

1400
01:21:54,144 --> 01:21:57,360
And I'm happy to run into his husband who told me he passed

1401
01:21:57,360 --> 01:21:59,554
away, which I did not know.

1402
01:21:59,554 --> 01:22:01,500
I said I would adjourn in his memory.

1403
01:22:01,500 --> 01:22:07,360
He was a founder and executive director of the nonprofit and --

1404
01:22:07,360 --> 01:22:12,733
let me go through the obituary and pick up --

1405
01:22:12,733 --> 01:22:18,240
he was actively involved in the broader community as a member

1406
01:22:18,240 --> 01:22:21,780
of the Solano Coalition for Better Health and the Senior

1407
01:22:21,780 --> 01:22:23,536
Coalition for Solano County.

1408
01:22:23,536 --> 01:22:28,400
And he wrote columns for the daily Republic's religion page

1409
01:22:28,400 --> 01:22:34,400
and he was born in Central Valley Valley of California

1410
01:22:34,500 --> 01:22:36,560
and graduated from the University of the Pacific

1411
01:22:36,560 --> 01:22:39,610
with a degree in International Relations.

1412
01:22:39,610 --> 01:22:43,646
He founded and launched Faith in action in 1998

1413
01:22:43,646 --> 01:22:47,520
and the agency as a volunteer based with the mission

1414
01:22:47,520 --> 01:22:50,160
to serve the home band, elderly of Solano

1415
01:22:50,160 --> 01:22:54,360
County through a continuum of service to foster independence,

1416
01:22:54,360 --> 01:22:59,210
connection to the community and a positive outlook on life.

1417
01:22:59,210 --> 01:23:04,100
And prior to putting together Faith in action,

1418
01:23:06,928 --> 01:23:11,288
he was the Executive director for the Pacific Center

1419
01:23:11,288 --> 01:23:15,256
in Berkeley, the third oldest LGBTQ center

1420
01:23:15,256 --> 01:23:18,256
in the nation founded in 1972.

1421
01:23:19,320 --> 01:23:21,936
Fuentes and Faith in action partnered

1422
01:23:21,936 --> 01:23:26,168
in support of Solano Pride Center on various levels.

1423
01:23:26,168 --> 01:23:30,130
And he worked many years for Seneca Center

1424
01:23:30,130 --> 01:23:32,776
as a group home counselor.

1425
01:23:32,776 --> 01:23:35,176
He was always busy.

1426
01:23:35,192 --> 01:23:37,304
It didn't matter with Robert.

1427
01:23:37,304 --> 01:23:38,453
He was always busy.

1428
01:23:38,453 --> 01:23:41,484
If you saw him it was at a meeting.

1429
01:23:41,484 --> 01:23:43,220
So yeah.

1430
01:23:43,220 --> 01:23:47,660
I thank you guys for letting me share with him

1431
01:23:47,660 --> 01:23:51,120
and it was knowledge for a lot of us that he had passed away.

1432
01:23:51,120 --> 01:23:54,240
We just didn't know which is why we do this,

1433
01:23:54,240 --> 01:23:55,776
to let everybody know.

1434
01:23:55,776 --> 01:23:57,000
Thank you.

1435
01:23:57,000 --> 01:24:01,726
Yeah, give me a second to turn to the right page.

1436
01:24:01,726 --> 01:24:03,726
There we go.

1437
01:24:06,600 --> 01:24:08,600
So hold on.

1438
01:24:09,805 --> 01:24:14,605
So we don't have -- so Supervisor Williams,

1439
01:24:16,160 --> 01:24:19,160
do you have anything? >> (inaudible)

1440
01:24:30,209 --> 01:24:32,420
>> I told you he was always around (laughs).

1441
01:24:32,420 --> 01:24:33,792
If you found him at home he was on his way

1442
01:24:33,792 --> 01:24:35,400
out probably, knowing Robert.

1443
01:24:35,400 --> 01:24:36,253
No problem.

1444
01:24:36,253 --> 01:24:42,880
I just happened to run into his husband and did not know.

1445
01:24:42,880 --> 01:24:44,440
So I said I would.

1446
01:24:44,440 --> 01:24:45,520
All right.

1447
01:24:45,520 --> 01:24:49,720
So we are then, county council, I

1448
01:24:49,984 --> 01:24:52,440
believe we go to closed session?

1449
01:24:52,440 --> 01:24:56,160
>> That's correct and we may have a report out.

1450
01:24:56,160 --> 01:24:59,232
>> So there probably will be a report out,

1451
01:24:59,232 --> 01:25:04,413
so for closed session -- madam clerk, could you please ask --

1452
01:25:04,413 --> 01:25:05,960
read the title?

1453
01:25:05,960 --> 01:25:07,800
Excuse me.

1454
01:25:07,800 --> 01:25:09,800
I'm sorry.

1455
01:25:18,441 --> 01:25:19,858
1) CONFERENCE WITH LEGAL COUNSEL -

1456
01:25:19,858 --> 01:25:22,660
ANTICIPATED LITIGATION (Pursuant to Government Code §

1457
01:25:22,660 --> 01:25:24,675
54956.9(d)(4)) - Initiation of litigation:1 and I do not have

1458
01:25:24,675 --> 01:25:24,679
any callers or cards.

1459
01:25:24,679 --> 01:25:24,681
>> Okay.

1460
01:25:24,681 --> 01:25:26,562
So pursuant to all of that, I get to not hit an itch today.

1461
01:25:26,562 --> 01:25:27,411
I'm so sorry.

1462
01:25:27,411 --> 01:25:35,211
But I do have to gavel that we are going into closed session.