Board of Supervisors Regular Meeting

The County of Santa Clara, CA · 2026-08-11 · More The County of Santa Clara, CA meetings · More California meetings

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Agenda

[1:02:14] Public Comment.

[5:16:22] Minutes of Jun 15, 2026 1:30 PM

[5:16:22] Minutes of Jun 16, 2026 1:30 PM

[5:16:22] Minutes of Jun 18, 2026 1:30 PM

[5:16:22] Minutes of Jun 22, 2026 2:00 PM

[5:16:22] Minutes of Jun 23, 2026 9:30 AM

[5:16:22] Approve Agreement with Jewish Family Services of Silicon Valley relating to providing Community Living Connection Program services in an amount not to exceed $400,000 for period July 1, 2026 through June 30, 2027, with four one-year extension options, that has been reviewed and approved by County Counsel as to form and legality. (LA)

[5:16:22] Consider recommendations relating to agreements for Wraparound Services program. (LA)

[5:16:22] Consider recommendations relating to grant funding for the Behavioral Health Services Act.

[5:16:22] Consider recommendations relating to the Santa Clara Valley Medical Center (SCVMC) Project Building K Elevators K1, K2, K4, and K5 Repair and Modernization (Capital Project No. 263-CP24028-69).

[5:16:22] BOS-2026-85 : Adopt Resolution delegating authority to the County Executive, or designee, to negotiate, execute, amend, or terminate certain revenue agreements, physician and other health professional agreements, no-cost agreements, minimal cost agreements, and certain State of California program agreements on behalf of Santa Clara Valley Healthcare hospitals and clinics, effective October 1, 2026, following approval by County Counsel as to form and legality, and approval by the Office of the County Executive. Delegation of authority shall expire on September 30, 2031.

[5:16:22] Approve retroactive First Amendment to Specialty-Specific Agreement with Board of Trustees of Leland Stanford Junior University relating to providing pediatric surgery physician services, increasing the maximum contract amount by $176,799 from $2,513,260 to $2,690,059, with no change to the term of the Agreement, that has been reviewed and approved by County Counsel as to form and legality. (LA)

[5:16:22] Approve retroactive Agreement with University Healthcare Alliance relating to program administration and teaching services for the Family Medicine Residency Program and Sports Medicine Fellowship Program in an amount not to exceed $1,225,512 for period July 1, 2026 through December 31, 2026, that has been reviewed and approved by County Counsel as to form and legality. A single source exception to competitive procurement has been approved by the Office of Countywide Contracting Management pursuant to Board of Supervisors Policy 5.6.5.1(D)(2)(a). (LA)

[5:16:22] Approve Third Amendment to Agreement with Galen Inpatient Physicians, PC and CEP America-Intensivists, PC, both dba Vituity, relating to providing hospitalist and intensivist physician services at O’Connor Hospital and St. Louise Regional Hospital, increasing the maximum contract amount by $1,629,623 from $83,600,000 to $85,229,623, with no change to the term of the Agreement, that has been reviewed and approved by County Counsel as to form and legality. (LA)

[5:16:22] Approve Agreement with Medical Physics Consulting Services, Inc., relating to providing radiation safety services in an amount not to exceed $400,000 for period August 21, 2026 through August 20, 2027, that has been reviewed and approved by County Counsel as to form and legality. (LA)

[5:16:22] Approve Request for Appropriation Modification No. 8 - $172,167, transferring funds from the Public Health Department budget to the Emergency Medical Services Agency budget, relating to adding one unclassified Health Planning Specialist III position in the Emergency Medical Services Agency.

[5:16:22] Adoption of Salary Ordinance No. NS-5.27.05, an Ordinance amending Santa Clara County Salary Ordinance No. NS-5.27 relating to compensation of employees adding one unclassified Health Planning Specialist III position in the Emergency Medical Services Agency. Position shall expire at 11:59 p.m., on February 27, 2028.

[5:16:22] BOS-2026-86 : Adopt Resolution superseding Resolution No. BOS-2026-68 and amending delegation of authority to the County Executive, or designee, to negotiate, execute, amend, or terminate behavioral health service contracts with various entities, for period July 1, 2026 through June 30, 2031, following approval by County Counsel as to form and legality, and approval by the Office of the County Executive. Delegation of authority shall expire on June 30, 2031.

[5:16:22] Receive Fiscal Year 2025-2026 year-end report from the Employee Services Agency Recruitment and Classification Department relating to fourth and fifth step appointments, administrative position add/delete actions, and administrative classification specification revisions.

[5:16:22] Adoption of Master Salary Ordinance No. NS-5.27, an Ordinance relating to offices of the County of Santa Clara fixing the compensation and salary of deputies, assistants, and employees in such offices, and repealing all other ordinances in conflict herewith.

[5:16:22] Adoption of Salary Ordinance No. NS-5.27.01, an Ordinance amending Santa Clara County Salary Ordinance No. NS-5.27 relating to compensation of employees deleting one Program Manager II position and adding one Program Manager III position in the Public Health Department.

[5:16:22] Adoption of Salary Ordinance No. NS-5.27.02, an Ordinance amending Santa Clara County Salary Ordinance No. NS-5.27 relating to compensation of employees deleting 15 Public Health Assistant or Community Worker positions in the Public Health Department and five Public Health Assistant or Community Worker positions in Santa Clara Valley Healthcare, and adding 15 Public Health Assistant positions in the Public Health Department and five Public Health Assistant positions in Santa Clara Valley Healthcare.

[5:16:22] Adoption of Salary Ordinance No. NS-5.27.03, an Ordinance amending Santa Clara County Salary Ordinance No. NS-5.27 relating to compensation of employees amending the Salary Schedule to increase the salary of the Deputy Agricultural Commissioner/Sealer classification by approximately five percent.

[5:16:22] Adoption of Salary Ordinance No. NS-5.27.04, an Ordinance amending Santa Clara County Salary Ordinance No. NS-5.27 relating to compensation of employees amending the Salary Schedule to increase the salaries of various represented and unrepresented classifications.

[5:16:22] Consider recommendations from the Defined Contribution Plans Committee.

[5:16:22] Approve Request for Appropriation Modification No. 17 - $500 transferring funds from the Supervisorial District Two budget to the Office of the County Executive budget, relating to the 2026 Women's Equality Day. (Duong)

[5:16:22] Consider recommendations relating to sponsorship of Growing Hope United Methodist Church. (Arenas)

[5:16:22] Approve County sponsorship of Vovinam Viet-Vo-Dao of America in the amount of $1,000 from the Supervisorial District Two allocation in the Office of the Clerk of the Board Fiscal Year 2026-2027 budget, to support the 35th Children's Moon Festival. (Duong)

[5:16:22] Consider recommendations relating to sponsorship of Center for Employment Training. (Duong)

[5:16:22] Consider recommendations relating to sponsorship of Working Partnerships USA. (Duong)

[5:16:22] Consider recommendations relating to sponsorship of Sunnyvale Neighbors of Arbor Including La Linda Neighborhood Association (SNAIL). (Lee)

[5:16:22] Consider recommendations relating to sponsorship of Gay Pride Celebration Committee of San Jose dba Silicon Valley Pride. (Ellenberg)

[5:16:22] Consider recommendations relating to sponsorship of Japanese American Museum of San Jose. (Abe-Koga)

[5:16:22] Robert Jonsen, Sheriff, will travel to Quantico, VA to attend the National Institute of Corrections / National Sheriffs’ Institute Jail Leadership Course on August 16 through 21, 2026.

[5:16:22] Robert Jonsen, Sheriff, will travel to Milwaukee, WI to attend the Major County Sheriffs of America Annual Conference on September 20 through 23, 2026.

[5:16:22] Jeffrey R. Rosen, District Attorney, will travel to Universal City to attend the California District Attorney Association's Annual Conference on August 30 through September 4, 2026.

[5:16:22] Receive report from the Finance and Government Operations Committee relating to the meeting of May 1, 2026. (Duong)

[5:16:22] Ratify acceptance of donation of supplies and materials from Federation Internationale de Football Association on behalf of the Office of Emergency Management and the Office of Supportive Housing.

[5:16:22] BOS-2026-87 : Adopt Resolution relating to Designation of Applicant's Agent for Non-State Agencies regarding obtaining disaster-related financial assistance through the State of California Governor's Office of Emergency Services.

[5:16:22] Consider recommendations relating to Conflict of Interest Codes.

[5:16:22] Consider recommendations relating to the Final Grand Jury Report - County of Santa Clara Budget Inventory Items: A Matter of Accountability.

[5:16:22] Consider recommendations relating to leasing the premises located at 1650 Technology Drive, 1700 Technology Drive, 50 Skyport Plaza, 90 Skyport Plaza, and 1652 Technology Drive, San José. California Environmental Quality Act (CEQA): Exempt from CEQA pursuant to Section 15301 of the CEQA Guidelines. (LA)

[5:16:22] Receive monthly status report relating to information requests and referrals to Administration.

[5:16:22] Receive report relating to anticipated solicitations.

[5:16:22] Consider recommendations relating to the certification of election results for the consolidated local elections and Statewide Direct Primary Election held on June 2, 2026.

[5:16:22] Approve delegation of authority to the County Executive, or designee, to negotiate, execute, amend, or terminate amendments to existing agreement with Trane U.S., Inc., dba Pacific Coast Trane Service, relating to providing scheduled preventative maintenance services and on-call minor repairs and parts for HVAC equipment, in an amount not to exceed $16,500,000 and a contract term that began May 20, 2024 and ends no later than May 19, 2032, following approval by County Counsel as to form and legality, and approval by the Office of the County Executive. Delegation of authority shall expire on May 19, 2032. (LA)

[5:16:22] Approve Agreement with Southern California Lighting, Inc., dba The Christmas Kings relating to providing Fantasy of Lights event coordination services in an amount not to exceed $4,500,000 for period August 11, 2026 through August 10, 2031, that has been reviewed and approved by County Counsel as to form and legality.

[5:16:22] Approve Agreement with Metals Treatment Technologies, LLC, relating to providing lead reclamation services at Field Sports Park in an amount not to exceed $487,167 for period August 11, 2026 through January 8, 2027, that has been reviewed and approved by County Counsel as to form and legality.

[5:16:22] Approve Agreement No. CW2264705 with CareFusion Solutions, LLC, relating to providing an automated medication dispensing system and related services in an amount not to exceed $32,000,000 for period August 11, 2026 through August 10, 2035, that has been reviewed and approved by County Counsel as to form and legality. An exception to Board of Supervisors Policy 5.4.5.4, Length of Term of Contracts, has been approved by the Office of Countywide Contracting Management.

[5:16:22] Consider recommendations relating to relating to reference laboratory services.

[5:16:22] Approve retroactive Second Amendment to Agreement with Antonio Reza relating to providing criminal defense legal services for indigent defendants, increasing the maximum contract amount by $20,000 from $355,000 to $375,000, with no change to the term of the Agreement, that has been reviewed and approved by County Counsel as to form and legality.

[5:16:22] Approve delegation of authority to the County Counsel, or designee, to submit grant applications and enter into, negotiate, execute, or amend any contracts, agreements, or other documents deemed necessary and appropriate to apply for and accept up to $5,000,000 in grant funding from the Workers’ Rights Enforcement Grant program operated by the State of California Labor Commissioner’s Office for period August 11, 2026 through December 31, 2031, following approval by County Counsel as to form and legality, and approval by the Office of the County Executive. Delegation of authority shall expire on December 31, 2031.

[5:16:22] Consider recommendations relating to changes to Fiscal Year (FY) 2026-2027 Budget Inventory Item No. 232.

[5:16:22] Receive report from Measure A (2016 Housing Bond) Independent Citizens' Oversight Committee relating to the Fiscal Year (FY) 2025-2026 Third Quarter Report and FY 2024-2025 Financial Audit Report from the Independent Auditor.

[5:16:22] Approve Fiscal Year 2026-2027 annual work plan for the Airport Land Use Commission.

[5:16:22] Consider recommendations from the Roads Commission relating to support for Senate Bill 63, the Connect Bay Area Act.

[5:16:22] Consider recommendations from the Commission on the Status of Women (CSW) relating to State legislation affecting women and girls.

[5:16:22] Supervisor Duong:

[5:16:22] Supervisor Lee:

[5:16:22] Supervisor Abe-Koga:

[5:16:22] Supervisor Duong nominates:

[5:16:22] The Clerk of the Board forwards the following nomination:

[5:16:22] Consider recommendations relating to the Office of the District Attorney Bureau of Investigation Body-Worn Camera Surveillance Use Policy.

[5:16:22] Approve County sponsorship of the Gay Pride Celebration Committee of San Jose dba Silicon Valley Pride in the amount of $775 from the Office of the District Attorney Fiscal Year 2026-2027 budget, to support the 2026 Pride Festival and Parade.

[5:16:22] Ratify Grant Application submitted by Office of the District Attorney to the California Department of Justice relating to grant funding for efforts to combat tobacco sales to minors in the amount of $2,697,291 for period April 1, 2027 through March 31, 2030.

[5:16:22] BOS-2026-84 : Adopt Resolution delegating authority to the District Attorney, or designee, to submit grant applications to the California Governor's Office of Emergency Services (CalOES) for Victim Witness Assistance Program (VW) grant funds to provide victim advocacy services and to negotiate, execute, amend, or terminate resulting grant agreements in amounts to be determined based on future grant awards for periods October 1, 2026 through September 30, 2027, October 1, 2027 through September 30, 2028, and October 1, 2028 through September 30, 2029, following approval by County Counsel as to form and legality, and approval by the Office of the County Executive. Delegation of authority shall expire on September 30, 2029.

[5:16:22] BOS-2026-83 : Adopt Resolution delegating authority to the District Attorney, or designee, to submit grant applications to the California Governor's Office of Emergency Services (CalOES) for the Violence Against Women Vertical Prosecution Program grant funds to provide victim advocacy services and to negotiate, execute, amend, or terminate resulting grant agreements in amounts to be determined associated with future grants for periods January 1, 2027 through December 31, 2027, January 1, 2028 through December 31, 2028, and January 1, 2029 through December 31, 2029, following approval by County Counsel as to form and legality, and approval by the County Executive. Delegation of authority shall expire on December 31, 2029.

[5:16:22] Approve Request for Appropriation Modification No. 13 - $514,180 transferring funds from the Office of the County Executive budget to the Office of the Public Defender budget relating to the addition of an unclassified Attorney position, to support the Immigration Unit.

[5:16:22] Adoption of Salary Ordinance No. NS-5.27.06, an Ordinance amending Santa Clara County Salary Ordinance No. NS-5.27 relating to compensation of employees adding one unclassified Attorney III - Public Defender or Attorney II - Public Defender or Attorney I - Public Defender position in the Office of the Public Defender. Position shall expire at 11:59 p.m., on January 30, 2028.

[5:16:22] Approve Request for Appropriation Modification No. 15 - $4,686,212 increasing estimated revenue and expenditure appropriations in the Office of the Sheriff budget, relating to adding 16 Deputy Sheriffs and four Sheriff's Sergeant positions for the Santa Clara Valley Transportation Authority (VTA) supplemental law enforcement services. (4/5 Vote)

[5:16:22] Adoption of Salary Ordinance No. NS-5.27.07, an Ordinance amending Santa Clara County Salary Ordinance No. NS-5.27 relating to compensation of employees adding 16 Deputy Sheriff positions and four Sheriff's Sergeant positions in the Office of the Sheriff.

[5:16:22] Adoption of Ordinance No. NS-1000.76, an Ordinance of the Board of Supervisors of the County of Santa Clara amending Section B12-34 of Article 2 of Chapter II of Division B12 of the County of Santa Clara Ordinance Code relating to Twenty-Five Miles-Per-Hour Speed Zones.

Transcript

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[2:00] Tyslin, checking in with Vietnamese and Spanish interpreters, gweedau, are you able to unmute

[2:22] your mic and test speaking?

[2:25] Thank you very much, and for Spanish interpreter, wo rossadio?

[2:35] Yes, good morning.

[2:37] Thank you very much, Eetu.

[2:55] Thank you very much.

[3:25] Thank you very much.

[3:55] Thank you very much.

[4:25] Thank you very much.

[4:55] Thank you very much.

[5:25] Thank you very much.

[5:55] Thank you very much.

[6:25] Thank you very much.

[6:55] Thank you very much.

[7:25] Thank you very much.

[7:55] Thank you very much.

[8:25] Thank you very much.

[8:55] Thank you very much.

[9:25] Thank you very much.

[9:55] Thank you very much.

[10:25] Thank you very much.

[10:55] Thank you very much.

[11:25] Thank you very much.

[11:55] Thank you very much.

[12:25] Thank you very much.

[12:55] Thank you very much.

[13:25] Thank you very much.

[13:55] Thank you very much.

[14:25] Thank you very much.

[14:55] Thank you very much.

[15:30] Good morning, everybody. Today is August 11th. It is 9.30. Good morning, everybody. I would like to

[15:50] go ahead and call this meeting to order. And if I could please have our clerk heard us to please call

[15:58] the roll. Good morning. Supervisor Avikoga. Supervisor Jung.

[16:07] Supervisor Allenburg. Vice President Aranis is absent, President Lee. Good morning, President. You have

[16:15] a quorum. Yes, Chris. Would you also please read the interpretation announcement?

[16:22] If we could please have our interpreters translate the following into Spanish and then

[16:26] Vietnamese. If you are in chambers and require Spanish or Vietnamese interpretation,

[16:31] interpretation devices are available at the back of chambers. The deputy clerk can assist you

[16:36] with setup. Translation is also available in Zoom using the interpretation button.

[16:42] Additionally, as a gentle reminder for public commenters staff and those on the

[16:46] days, please speak clearly and directly into the microphone to improve the accuracy of translation.

[17:12] In Zoom, we have to click the icon of the global in the bar of Zoom and for the people who

[17:18] are on the phone, the service is available.

[17:43] Thank you. I will go ahead and ask supervisor Allenburg, would you mind leading us to the

[18:01] pledge of allegiance, please? Please join me in standing if you're able.

[18:07] Ready? Again, I pledge allegiance to the flag of the United States of America and to the

[18:13] Republic for which it stands, one nation under God, indivisible with liberty and justice for all.

[18:24] Next is our invocation today. We have an invocation speaker invited by supervisor Abhi Koga.

[18:30] Please.

[18:32] Thank you, President Lee and good morning, everyone. Today we are recognizing August as wellness

[18:38] month through art invocation. Before I introduce our guest, I'd like to talk about what wellness

[18:44] month means to me. This is a time for us to reflect on the holistic well-being of our entire community.

[18:50] This year, I hosted multiple youth mental health town hall meetings with fellow elected officials throughout

[18:56] my district. One of the messages I heard the most from our youth is that they are wary of turning

[19:02] to adults for help. Youth prefer to go to their friends or someone around their age to talk.

[19:08] And that's okay. I'm glad our youth can lean on each other, but we adults must continue to provide

[19:14] compassionate, safe spaces for youth in order to protect their well-being. By listening and being present,

[19:20] this is the gift of love, teens, pre-teens and kids are looking for.

[19:25] Thankfully, we have organizations such as Youth Community Service. This core mission is to

[19:31] activate with love and compassion. YCS achieves us by getting youth involved in service projects

[19:38] to meet the needs of residents. Whether it's making blankets for seniors or boxing up

[19:43] fruit and vegetables for neighbors in need, through these acts young people gain empathy and

[19:49] leadership skills. Showing up and meeting the needs of others also helps residents heal both physically and mentally.

[19:57] Today, I'm honored to introduce more women, Executive Director of Youth Community Service.

[20:03] More of you came YCS's Executive Director in 2020. Before that, she served as Executive Director for

[20:10] Bluffs, Blossom, Birth and Family, a Center supporting new and expecting families. She is also a founding member

[20:17] of Santa Clara Valley Medical Centers. Do love volunteer program.

[20:22] Welcome, Warren. Thank you so much for joining us today. Please let us know how we can all

[20:27] practice and prioritize wellness.

[20:30] Thank you so much. Good morning, Board of Supervisors, staff and community. Today, in recognition of

[20:37] our youth leaders, I want to share a powerful well-being thread that connects three deeply human

[20:45] experiences, mattering, moral injury and revolutionary love.

[20:53] Mattering is the feeling that our lives have significance that our presence makes a difference

[21:00] and that we add value and our valued in this world. When we feel seen, valued and connected,

[21:09] we thrive. When we feel invisible or disposable, our well-being suffers.

[21:16] Many of us carry wounds that go beyond stress and exhaustion. We experience moral injury.

[21:25] The pain that comes when our actions are institutions or our circumstances violate our deepest values.

[21:36] Moral injury can leave us feeling disconnected, disillusioned and questioning our worth.

[21:42] It reminds us that well-being is not just about physical health. It is also about living in alignment with what we

[21:51] believe is right and just. So how do we heal? The Ansemi lie in revolutionary love.

[22:00] Revolutionary love is the courageous choice to see humanity in ourselves and in others even in difficult times.

[22:08] It is love that moves beyond sentiment and becomes action. It asks us to care fiercely.

[22:16] Listen deeply, forgive thoughtfully and work relentlessly for dignity and justice.

[22:24] When we practice revolutionary love, we restore a sense of mattering to ourselves and to our communities and to those who feel forgotten.

[22:33] We create spaces where moral injuries can be acknowledged, where healing becomes possible and where people can reconnect with their values and purpose.

[22:44] Well-being then is not merely the absence of illness. It is the presence of connection. It is knowing that you matter,

[22:53] confronting the wounds that challenge your moral compass and choosing love as a force for transformation.

[23:01] In closing, maybe build lives and communities where every person knows they matter, where moral courage is honored,

[23:10] and where revolutionary love lights the path forward. Thank you.

[23:15] Thank you.

[23:20] Yes, very beautifully, but thank you so much. Now this takes us to item 4, which is a Germans and memoriam.

[23:27] Our German today is led by two lies a young and now by President Renes.

[23:35] Thank you, President Lee. Today, we have an opportunity to celebrate the life of Manuel H. Alvarado.

[23:43] Son of Manuel Alvarado Sr. and Albina Crow. He was born in Thanksgiving Day in the Board of City of Horace Chihuahua, Mexico.

[23:53] Manuel was an active presence in the East Side Community for decades.

[23:57] Teaching citizenship classes to Spanish-speaking seniors at our Lady of Codalupe Church in the May Fair,

[24:03] volunteering as a poll worker and at voter registration drives and working as a community organizer for multiple social justice causes.

[24:12] Manuel loved life. He firmly believed that the secret to happiness was community involvement,

[24:19] participating in joy and events, and that celebrate commitment, progress, and formal education of our communities.

[24:26] Most of all has love of music and dancing as well, cut them alive and well. He was a self-taught man who learned to play the piano,

[24:34] the guitar, and the accordion. He loved romantic songs from every genre such as, I'm going to really mess up the pronunciation, I say,

[24:43] sorry, trio, Los Panchos, Javier Solis, Frank Sinachia, I got that.

[24:50] Knack can call the Beatles and Carlos Santana.

[24:53] Good job.

[24:55] He had an affinity for outdoor camping and areas such as you 70, creator-laken Oregon, and Copper Canyon Sierra,

[25:02] and his native state of Chihuahua.

[25:04] In the early 1960s, Manuel, his wife, Bellum, and their two children, Dolores and Oscar,

[25:10] moved from El Paso, Texas to California, where the family worked picking green beans in Fresno,

[25:15] picking peaches and pears in San Jose, and ultimately working in the iconic canaries of the Valley of Hearts Lake.

[25:22] Manuel also worked in San Francisco for a garment company.

[25:26] It was here that he became acquainted with wonderful people from different cultures.

[25:30] His lifelong love for learning about culture diversity became a core value for his family.

[25:36] Upon retiring from Southern Garden Canary, Manuel became a volunteer community organizer and educator,

[25:42] including teaching prostate cancer prevention to farm workers.

[25:46] He participated in health advocacy events in Sacramento and Washington DC,

[25:51] as a volunteer with community health partnership from 2011 to 2020,

[25:56] and was the leader of the diabetes prevention grass breed group.

[26:00] Not surprisingly, he incorporated dancing and singing after every meeting.

[26:05] He also volunteered on political campaigns supporting candidates that demonstrate his social justice values,

[26:10] voting registration sites and voting polls.

[26:13] Manuel loved to read Mexican classic novels and poetry specifically from the 17th to 18th century.

[26:19] He also taught himself to speak, read and write English.

[26:23] Manuel had a deep respect for higher education and considered college education to be an important pathway to progress and liberation.

[26:32] Manuel's self-taught mechanical engineering and his wife's management skills proved to make them an admired and formidable couple in East San Jose.

[26:40] Their home and what's now a little side gone served as a gathering site for the neighborhood's families.

[26:46] Thank you for being the backbone of our county for caring our values forward.

[26:52] And whenever he had the opportunity to sharing his gifts, his values with the world.

[26:59] And in learning more about him and reading his bio, I'm truly convinced that we all work for Dolores.

[27:09] May he rest in power and peace.

[27:13] Dolores, I'd like to invite you to the lectern to say a few words on behalf of the family.

[27:29] Of course.

[27:30] Please.

[27:31] Absolutely.

[27:33] No, just like you're by the podium.

[27:36] Yes, there's a mic built in our office.

[27:38] Thank you.

[27:39] Good morning, everyone.

[27:41] Thank you very much for taking the time to honor a wonderful man.

[27:46] My father.

[27:47] I'm a little prejudiced, obviously.

[27:49] I want to share with you that there are a couple of things.

[27:52] One is personal.

[27:53] I am who I am.

[27:55] Go to bed.

[27:56] Because of my father, he taught me everything that you described supervisor bed.

[28:00] He taught me that.

[28:02] And secondly, he had an affinity and a love for this building and for the Board of Supervisors.

[28:09] He was always talking about all of you.

[28:11] He was often sitting here next to me.

[28:14] So that's why I thought this would be so important to him.

[28:17] You know, we talked about him here.

[28:20] I want to thank you very much for all the support and the guidance that we've had over the years,

[28:28] which my father partook in, because he was our volunteer.

[28:33] So, I honestly, I can't say much more without losing my control a little bit, so I'm going to stop there.

[28:39] And I'd like to introduce Yadelle, who was one of our community workers, who is one of our community health workers,

[28:46] who worked closely with my father.

[28:48] Okay?

[28:50] Hello, good afternoon.

[28:52] My name is Yadelle Lopez from 2011, who is known as the manuel, as we said.

[28:58] We can recognize that the manuel was a person working for a person with passive,

[29:04] a person who was given everything to his community.

[29:07] A hundred daughters of the father of the organization,

[29:11] he always looked at the love that he had to give to the community.

[29:16] We always said we had to work with the heart, with love and the focus.

[29:21] We never looked at him as a monetary, he always looked at that manuel.

[29:26] We always said that when we give him everything to love, everything is written to us.

[29:30] He was the manuel, where he was, where he was, where he was, where he was,

[29:33] where he was resting, knowing that he was all he was doing, what he was doing,

[29:37] to our community.

[29:39] He was the manuel, he always said that his life always felt,

[29:44] and he always looked at the community to help us.

[29:49] So, where he was, where he was, where he was, where he was,

[29:52] we sent all the gratitude for everything he did for us.

[29:55] Thank you.

[30:00] Thank you to you and to the Audra of Family for sharing him with us for continuing to carry on his legacy.

[30:13] I know we know that he transitioned peacefully on May 9, surrounded by children, grandchildren, the team of mayor gardens, and the you carry on his legacy beautifully and thank you for this gift.

[30:29] I'm a supervisor and I am very honored to be able to jointly offer in honor and memorial in this memory today.

[30:38] And supervisor Arinas, I turn to you for any remarks you'd like to make.

[30:43] Thank you so much. I appreciate him. I apologize for my delay.

[30:48] I also just want to acknowledge the passing of my noilerity, but I'll let you know.

[31:00] Like many other Mexican Americans, I know that your father worked very hard and endlessly in the fields and canneries and it's a story that is very similar to that of my parents.

[31:18] And I know that he played a vital role in your life as as many of our parents who make a sacrifice to leave their country and come to America to reach the American dream.

[31:32] And so it is, it is a great loss.

[31:36] I know in your life and your family's life to have somebody who had such a relentless work ethic who showed you what sacrifice is, what commitment is, and also what what a life that is full of happiness and thriving also is.

[31:56] So I hope that you continue to celebrate his life to believe and root yourself in that resilience that we've seen in our parents as they transcend from one country to another and then of course into this afterlife that allows for us to continue to keep their memories alive.

[32:22] So with that, I just offer you my deepest condolences, my appreciation for his sacrifice and his life and to help you celebrate that as well and acknowledge what he meant not only to you but to the community because he contributed to this country's economy to a thriving community.

[32:48] And of course, produced a leader in you that we are all very, very proud of.

[32:53] And so thank you so much for sharing him with you with us, excuse me, for allowing us to provide this message and this celebration of life as well.

[33:07] Thank you.

[33:08] Thank you.

[33:09] Thank you.

[33:10] And I know we have Dr. Slater ready to translate the early message.

[33:14] Could this.

[33:18] Do we have our Spanish interpreter.

[33:24] Are you able to provide a translation of the comments from a few minutes ago?

[33:30] In English.

[33:34] Oh, from the Canadian idea?

[33:37] Yes.

[33:38] Yes.

[33:39] Oh, yes.

[33:41] Yes.

[33:42] She mentioned that she was very happy to have in work.

[33:46] And Mr. Eva Barable, he always said that everything we do we need to do it without from our hearts.

[33:55] And if we work with our hearts and we work to give to serve others that love and we love that love comes back to us.

[34:04] That love and there is truth.

[34:06] And this is what he taught us.

[34:07] And this is why we remember him.

[34:10] And we are very grateful to have him met him in work with him.

[34:15] And that is what he taught.

[34:17] He taught the list in the lead as he used to call her.

[34:21] And that is what she always mentioned that she was born to serve.

[34:27] She was born to give her some to others.

[34:30] And to the work and that's what she done from him.

[34:32] And we really appreciate everything he taught us.

[34:34] Everything he taught us.

[34:35] Everything he did was our love.

[34:37] And he worked really hard.

[34:39] And he said we always have to be to give ourselves.

[34:43] And to serve him and manage his legs.

[34:48] Thank you very much.

[34:57] Thank you very much.

[34:59] This is my husband by the way.

[35:02] Thank you very much.

[35:05] Welcome.

[35:09] Would you like to ask Dolores to say a few words?

[35:17] Oh, she did.

[35:18] I am late to this party.

[35:21] Of course you did.

[35:22] As a supervisor young.

[35:24] Thank you.

[35:25] Thank you Dolores.

[35:26] Thank you to the family.

[35:27] And does your husband also work for you?

[35:30] Yes.

[35:31] Ha ha.

[35:33] Yes.

[35:34] I see nods.

[35:36] Thank you.

[35:37] Thank you.

[35:44] Thank you.

[35:45] So moving on to our next item on the genders would be item number six,

[35:48] which is public comments.

[35:49] This item is reserved for members of public address of born in any items,

[35:53] not on this agenda.

[35:54] Any public which is big on items, not on the agenda,

[35:57] should request to speak at this time.

[35:59] Please fill out a speaker card in return to your clerk.

[36:01] We'll call up to 30 names now.

[36:03] Then the remainder names will then be called at the end of the agenda.

[36:06] In person's speakers will be called first followed by zoom figures,

[36:10] and no further requests as big will be accepted on the continued public comment.

[36:14] Reminder for the public on the zoom.

[36:16] As soon as the first speaker in chamber starts speaking,

[36:19] no more speakers will be taken.

[36:21] During public comment, to respect everyone's comment,

[36:24] we do not allow applause or booze.

[36:27] So to show your support, you can raise and shake your hands quietly.

[36:31] I just want to thank you for your cooperation in advance

[36:35] to keep our meeting moving orderly.

[36:37] Clerk, how many speakers do we have this money?

[36:41] I currently have 11 cards and chambers.

[36:45] We have, looks like, three hands on zoom.

[36:49] Give it another moment.

[36:51] So currently at 14.

[36:53] Looks like we are holding at 14.

[37:03] Okay, this is two minutes each.

[37:05] Okay.

[37:06] And we'll close the queue at this time.

[37:08] Our first speakers are Kristen Hoffman,

[37:11] Caitlin Dempsey, Mark Trout,

[37:15] Andres Andrade, and Erin McGrady.

[37:46] Hello.

[37:48] All righty.

[37:50] The CDC and childhood vaccination schedule

[37:54] indicates that children are to receive three doses of a hepatitis B vaccine.

[37:59] My child was overdose with four doses.

[38:02] This is a flaw in Kaiser Permanente's

[38:05] Practice Management Software and Business Model.

[38:08] When the happy number one vaccine is pulled from their inventory

[38:13] on the first day of birth, it is injected into a baby

[38:17] without an electronic medical record.

[38:20] It is not until after a parent purchases

[38:23] a health plan for the baby that an electronic medical record is created.

[38:28] It is this software disconnect that is causing the overdose of children.

[38:33] It is also this disconnect that appears that pharmaceutical company GSK

[38:38] is not even collecting vaccine data on four doses of hepatitis B.

[38:42] And this is a CDC FOIA response.

[38:46] Indicating the CDC is not collecting vaccine data on the GSK vaccine

[38:52] PDRX.

[38:53] A vaccine known to cause a sudden infant death syndrome.

[38:58] I would have explained all of this during my recent court hearing,

[39:02] but your judges and your sheriff insist that I be silenced.

[39:07] So this was my only option.

[39:09] Thank you for your time.

[39:11] And I ran another test on your election software,

[39:14] and you can't even accurately calculate one vote.

[39:18] No one should trust any of the other votes.

[39:22] And I am very qualified to read medical records.

[39:26] Thank you.

[39:32] Kristen Hoffman.

[39:34] Thank you.

[39:37] Thank you.

[39:38] Please come in.

[39:40] Yes.

[39:42] Good morning.

[39:43] First of all, I want to thank Uma for her wonderful invocation.

[39:47] Speaking about moral injury that really resonated with me

[39:51] because she talked about living in alignment with what is right in just

[39:55] and that is really a defining philosophy of mind of how I live.

[39:59] So I am here to this morning standing before you.

[40:03] Because county parks allow to operate with the history of lawsuits.

[40:07] It's offered lessons in camps to children without a valid permit in 2020 and 2024.

[40:14] Even after a student was seriously injured and filed a lawsuit.

[40:18] Code enforcement ignored a complaint about a teenager living in a horse stable

[40:24] in a legal trailer with water dripping through electrical fixtures.

[40:29] Now, county planning is hiding from the public and investigation into

[40:33] mid-Penensila regional open space district for offering public programming at

[40:38] Bear Creek Stables without the required commercial stable operation use permit.

[40:44] Mid-Penemits Bear Creek Stables deteriorated during its 26 years of ownership.

[40:50] And then its buildings are structurally unsound.

[40:53] Children including my child regularly entered the 100 year old

[40:58] Tavis barn to retrieve equipment.

[41:01] I later learned that mid-Pen had identified that barn is so unstable that it

[41:06] required an eight foot high chain length fence to protect the public.

[41:11] They also identified that that barn contains as likely contains as best

[41:17] those and lead paint contamination in the barns.

[41:20] 26 years ago the county told mid-Pen that public used required a use permit.

[41:27] In 2015 the county told mid-Pen that millions of dollars in repairs

[41:31] were needed to address safety, hazards, and fire, access,

[41:35] ADA, access, and other code deficiencies.

[41:39] Yet mid-Pen has opened it up to the public.

[41:41] I'm going to submit this because it contains the rest of my comment.

[41:47] Thank you.

[41:51] Thank you.

[41:54] Well, a documentary called NNConvenientStudy.com is I witnessed testimony from parents

[42:01] whose children have been killed and permanently mangled from vaccines.

[42:05] There's a guy named Paul Thomas.

[42:08] He was an MD, a pediatrician for 35 years and he began thinking,

[42:13] you know, it's strange.

[42:14] My unvaccinated children are perfectly healthy.

[42:17] My vaccinated kids are sick.

[42:19] I'm going to do a study and so he did any published that study.

[42:22] Within one week I think it was.

[42:24] He was fired for being a threat to public health.

[42:28] Yeah.

[42:29] I threat to public health.

[42:31] And he's as terrible as going on as the great Kennedy mentioned.

[42:38] And he's trying to start.

[42:41] The HHS is big, man.

[42:43] They make the CDC look like PIP squeaks.

[42:45] This is multi-billion dollars and he's trying to establish double-blind placebo studies.

[42:51] We've got to do this.

[42:53] That's the only way we can outlaw all the vaccines.

[42:55] They want it hidden.

[42:56] Okay.

[42:57] Now, true story.

[42:58] It's a del big three.

[42:59] He got works in mysterious ways.

[43:02] Mysterious ways.

[43:03] Somehow he met Marcos Zervos.

[43:05] He's a top guy at Henry Ford Health.

[43:08] And he met him and he told him, look, you know, I didn't believe you.

[43:12] When I heard on some YouTube speech you gave that there's been no studies.

[43:16] And I did the research.

[43:17] And you know what?

[43:18] You're right.

[43:19] There's been no studies on any of them.

[43:21] So the long and short of it was a had an agreement that they would test.

[43:26] I think it was 18,000 kids.

[43:28] They had records on 2000 or 1957.

[43:31] We're not vaccinated.

[43:32] They just blew them away in regards to health.

[43:36] But he was reluctant.

[43:37] It went two full years.

[43:38] I think went by.

[43:39] And he didn't keep his word about publishing the study.

[43:42] Right?

[43:43] So he flies down there under with a secret microphone.

[43:45] And he records it.

[43:46] And he gets the guy to admit that, you know.

[43:49] He the only reason why he's not publishing the study is because he'd get the ass.

[43:54] He'd get, you know.

[44:05] Hi.

[44:06] My name is Andres.

[44:07] I'm a project manager in program audit.

[44:09] I've worked in DFCS for 19 years.

[44:11] I'm here to support my staff for facing a functional emotion without cause.

[44:16] Losing 6% of their pay.

[44:18] Even though they will continue to do the same work they've done for many years.

[44:21] SSA's implementing a reorder that impacts over 100 people.

[44:25] But about eight individuals are faced with the loss of pay.

[44:28] They lose their DFCS to inferential simply because they have a new boss.

[44:32] They didn't ask for this change.

[44:34] This is not their choice.

[44:35] They're social workers and managers who will continue to do the work they did in DFCS.

[44:39] They served the county by working closely with families and foster youth.

[44:43] And sure that family's most private and privileged information is kept confidential.

[44:47] They support the county and litigation.

[44:50] They respond to complaints.

[44:51] They investigate allegations against staff.

[44:53] And they keep the county compliant with civil rights requirements.

[44:57] Nobody can do what they can do without us all to understand.

[45:00] First day in a child of welfare and DFCS. To take away their differential, erodes the trust that we work for a fair and kind employer. I ask the Board of Supervisors to give Pound the county to keep the DFCS's differential for all eight of the staff facing this pay last. Thank you.

[45:15] Before our next speaker, let me call up some more names. We have Amy Quintero, Rochelle, Yamila, Kendra, Alexander Fillmore, and Jackie Howe.

[45:30] Hello, good morning. My name is Erin McGrady. I'm a social worker 3 with over 10 years of experience in Santa Clara County.

[45:40] I was just informed that as part of the county re-org that I will be separated from my unit and transferred to emergency response, a role that I had previously left behind.

[45:49] I believe that this decision to remove me from program audit was made so that the county could discontinue the DFCS's differential pay for the staff in program audit.

[45:58] I'm deeply concerned with the lack of understanding of my current role and the position that will place not only me but SSA. I currently work under management who understands employees rights and are able to provide me with the support and guidance that I need in order to preserve those rights as well as the rights of the foster children who have alleged abuse or neglect by these very employees.

[46:20] Now, I am being told that I will no longer have that support and instead I may even be investigating staff including supervisors and managers for my own bureau, which feels like a huge conflict of interest for all of us.

[46:37] I am requesting that the Board of Supervisors leave me in program audit and maintain the differential pay that we have all been earning. Thank you.

[46:50] Hi, my name is I'm making Ditto. I'm a social worker too in a program audit and because of this reorganization my pay will be reduced by approximately $6,700 a year.

[47:06] While our organizational structure is changing our responsibilities are not. I will continue doing the same work with the same responsibilities and expectations.

[47:15] The only thing changing is where our unit sits organizational. Yeah, I'm losing 6% of my compensation through no fall of my own.

[47:24] This feels like a functional emotion in pay without cause and without any reduction in my responsibilities.

[47:31] For me, $6,700 is not a just a number. I help care for my mother who has Alzheimer's and this reduction will directly affect my ability to support her care.

[47:41] The county may save approximately $67,000 a year, dollars a year, but at what cost? The trust of employees who continue doing the same work.

[47:51] I respectfully ask the Board of Supervisors to maintain the DFCS differential for all of us both SIEU and SEMA. Thank you.

[48:09] My name is Rochelle and I am a social worker 3. I was notified that I am being functionally demoted without cause and pay and my pay is being cut by $7,800 a year.

[48:21] Even though I will continue to do the same work I have been doing for roughly 3 years.

[48:26] This reduction in pay will cause me to make hard decisions and different everyday choices to stretch my daughter even further to cover living expenses for me and my family.

[48:36] As a social worker and program audit moving under agency office, I will be expected to continue to complete the same job duties, trainings and have the same solid understanding and knowledge of child welfare as the other 300 social workers in child welfare.

[48:51] However, starting August 17, 2026, I will no longer receive the DFCS differential simply because I am being moved under the agency office.

[49:02] SSA claims to value equity inclusion and keeping families strong. This isn't equitable nor does it model the behavior that is expected of us as social workers.

[49:13] It singles out eight people and sends the message that the time and skills are now worth less because the agency decided to restructure the organization.

[49:26] This impacts the families of the very employees who are delivering services on behalf of SSA.

[49:36] I ask the Board of Supervisors to compile the county to keep the DFCS differential for all of us.

[49:45] Thank you.

[49:55] Hi, my name is Yamila Bevaker, I am a social worker 3 who recently notified my pay will be reduced by 7,800 per year, despite continuing to perform the same duties workload responsibilities and maintain the same level of service for the last five years.

[50:13] I feel like this reduction represents a functional emotion without cause.

[50:18] This reduction undervalues the roles and the ten years of experience and dedication to Santa Clara County.

[50:25] It also creates a real financial impact on my family, leaving me with to find ways to cover child care from my children along with financial cost of community.

[50:39] I respectfully ask the Board of Supervisors to maintain the DFCS differential for all affected employees including SCIU, Seema members and recognize the value of our work and experience we continue to provide.

[50:59] Good morning, I am a social worker 3, Kendra Lara, who has probably served the county for six years.

[51:05] Last week I was notified that I was being functionally demoted without cause.

[51:09] My pay is being cut by $7,800 a year with next week's reorganization despite my role in responsibilities being completely unchanged and remaining deeply rooted in ongoing child welfare training and expertise.

[51:21] Something all about the aid of us are proposed to remain compensated for.

[51:25] This is extremely devaluing. On top of the existing financial challenges associated with the current economy and not having our annual raises this year,

[51:33] I'm now forced to also plan for this drastic cut in paying.

[51:36] I personally would have to stop contributing to make his 529 accounts and tell my daughter that she can no longer do gymnastics until my next raise.

[51:44] And it would take several years of raises to get this income back.

[51:48] I cannot fathom that such a small cost savings for the county is worth our trust in the county for our short and long-term livelihoods.

[51:55] I respectfully ask the Board of Supervisors to compel the county to keep the DFCS differential for all aid of us.

[52:01] SCIU and Seema, please. Thank you.

[52:10] I'm Alex Gilmore, a program manager one in program audit.

[52:14] I was informed my pay is being cut with just over a week's notice.

[52:18] I will be losing nearly $10,000 of my annual pay even though I will continue to feel DFCS complaints and conduct DFCS investigations in the same way I've been doing for the past two years.

[52:29] I did not ask for this change. I currently commute from Oakland where I live with my wife who is also a licensed clinical social worker.

[52:37] My wife started a private practice this year. We knew it would require sacrifices but we were confident in the stability of my career with the county.

[52:45] Now we are deciding where to make cuts on an already restricted budget.

[52:49] I've served the county for nine years and I never imagined they could cut my pay through a restructuring.

[52:55] In fact, I've seen the opposite over the years where pay is kept whole when a restructuring happens.

[53:00] The decision to the value my skill set by discontinuing this differential has diminished my trust that the county is a fair and reasonable employer.

[53:09] I ask the Board of Supervisors to compel the county to keep the DFCS differential for all eight of the staff facing this pay loss. Thank you.

[53:25] Good morning. I'm Jackie Hal. I'm here to support my staff whom you heard from before me.

[53:32] I'm also here as the Seema member notified that I'm being functionally demoted without cause and my pay is being cut by about $12,000 a year.

[53:45] In 2021 and again last year when called upon I took on new work.

[53:52] Never did I imagine that putting that effort forward would lead to losing thousands of dollars in pay.

[54:00] Through the meat and confer process both Seema and SCIU proposed side letters to the county that would have allowed why rating of all of us so our pay would not be impacted by this restructuring.

[54:15] Last week the county denied the side letters.

[54:19] My team and I have well over a hundred years of experience serving this county.

[54:26] To have a savings of $67,000 carried on the backs of staff who have done nothing but serve families and children is not just culture it is unjust.

[54:38] Some of us, some of my staff and I work late into the night reading every traumatic word of child fatalities.

[54:49] We watch videos of unspeakable things in the name of gathering evidence.

[54:54] We work closely on sexual litigate sexual abuse litigation.

[55:00] We watch videos. We do all of this to serve the county.

[55:05] We experience secondary trauma just as other DF staff do, but now we're being told our secondary trauma deserves to be paid less.

[55:19] Beyond being unjust, this feels cruel.

[55:22] I have never in all 25 years of my service felt compelled to put in a yellow card.

[55:29] But today, I...

[55:37] Thank you for your message and any message you could not finish due to the time limit please send it to us who will add it to the record.

[55:45] Thank you very much.

[55:48] That concludes our in-person speakers. We'll move now to our Zoom speakers.

[55:52] Our first speaker on Zoom is parent.

[55:56] Please accept the unmute.

[56:01] Yes, hello and good morning to all of you.

[56:06] I've just found out that Jeffrey Epstein and Jeffrey Rosen share more than just the first name.

[56:17] It turns out that Jeffrey Rosen is associated with less waxing her.

[56:22] And he holds a position in his foundation.

[56:26] And this is despite all the allegations that came out after Jeffrey Epstein's second arrest.

[56:38] Jeffrey Rosen continued to partake in his foundation.

[56:44] And also waxing has been implicated in a lot of this abuse.

[56:51] So I just find it inappropriate for our district to associate with this man.

[56:59] I mean, like everywhere else in the country, if you also see it with F.T. or with waxing her, you were fired.

[57:08] I mean, I don't find it to be a coincidence with Mr. Rosen's track record when it comes to HIV.

[57:18] My own kids are being molested and he's helping facilitate and cover up this abuse.

[57:25] And I post a lot of information online because I know that you guys might find it hard to believe.

[57:35] I post a few Google D.A. job rows and petitions extravagant.

[57:39] All those times together.

[57:41] And the first three results you'll see what I'm talking about is just he's not a good person.

[57:47] He's really not a good person.

[57:50] And I think you guys should investigate.

[57:53] And see what's going on.

[57:55] What is doing to children not a county.

[57:58] It's just horrendous.

[57:59] Thank you so much for your time.

[58:02] Thank you. Our next speaker is Ken Horowitz.

[58:13] Good morning.

[58:15] This is Dr. Ken Horowitz from your health advisory commission.

[58:20] And I want to comment about the aquariums that are required for our meetings.

[58:27] And this is not about just the health advisory commission.

[58:31] But this is true for all the commissions.

[58:34] And we're having a hard time getting members to join the commission.

[58:40] So we want to make sure that the Board of Supervisors fill all the positions that are available.

[58:48] It seems like we have a number of applicants that have put in their applications.

[58:55] But they don't seem to get the next step, which is a meeting with the Board.

[59:01] One of the Board members to be appointed.

[59:04] So please, let's fill all the commissions to the extent possible.

[59:10] And the second thing that's also very helpful is that back in November the Governor signed Senate Bill 707,

[59:19] which allowed remote participation.

[59:24] And this will be a very important for our commissions as well to make sure that we can get a corn.

[59:30] Sometimes our members have a last minute conflict and they don't show up and then our meeting has to be counted.

[59:40] So I want to thank you all and hopefully we can move forward on getting full appointments to all our commissions.

[59:48] Have a great meeting and a great day. Thank you.

[59:53] Thank you, our next speaker is Sharon Luna.

[1:00:00] Good morning, supervisors, Sharon Luna, a resident of Samaritini. I am asking supervisor Renes, along with the

[1:00:10] mayor of Gilroy and Morgan Hill, to jointly schedule a south county public forum on data centers,

[1:00:16] hopefully by September 10, 2026. Data centers and infrastructure needed to support them do not

[1:00:24] stop at boundaries. What happens in one south county community can affect another.

[1:00:30] Residents deserve clear, factual information about water use, electricity, and substations,

[1:00:38] well-by, agricultural, road, emergency service, environmental impacts, and cumulative effects of multiple projects.

[1:00:48] Brin, belly, water, utility representatives, county and city health agencies to inform residents together in one form.

[1:00:58] Let residents present their documentation concerns and research. Let the agencies respond.

[1:01:06] Let everyone hear the same information at the same time, done in a respectful manner. This is not about being for against data centers.

[1:01:15] It's about transparency, public participation, correct information in getting the facts before decisions are made.

[1:01:23] I submitted a CPR, a request to the county planning department. I was told in writing that the records would be provided after

[1:01:33] reduction reductions were completed with July 31st as the department stated to me. Today is August 11th

[1:01:43] and I still have not received any information. The delay only reinforces lack of transparency and

[1:01:50] timeliness to a serious matter. There are many important things going on in the south county.

[1:01:56] I respectfully ask you to follow through complete what has been started and bring the community together. Thank you very much.

[1:02:06] Thank you. That concludes public comment.

[1:02:10] Thank you very much, Curtis. Next is item number seven, which is the approval of the consent calendar and then changes to our water services agenda this morning.

[1:02:21] Today, and Curtis, would you please read the update to the consent calendar?

[1:02:28] Yes, we have a request from supervisor Alan Burke to consider item number 14 at no earlier than 1 p.m.

[1:02:36] Item number 14 is to receive report relating to the early learning workforce development programs.

[1:02:42] We have a request from administration to hold item number 16 to November 17 to 2026.

[1:02:48] Item number 16 is to receive report relating to increasing the establishment of new intensive services foster care plus homes in Santa Clara County.

[1:02:59] We have a request from administration to hold item number 62 to August 25th, 2026.

[1:03:05] Item number 62 is an agreement with care fusion solutions LLC relating to providing an automated medication dispensing system and related services.

[1:03:15] We have a request from supervisor Alan Burke to remove item number 69 from the consent calendar.

[1:03:20] Item number 69 is to consider recommendations from the Rhodes Commission relating to support for Senate Bill 63, the Connect Bay Area Act, and that concludes my list.

[1:03:33] Thank you very much, Curtis. Yes, so as I'll be.

[1:03:36] Thank you. I wanted to request that put to pull item 84.

[1:03:43] Yes, it's a approval of the M group contract for the Stanford.

[1:03:52] And then I had a, I don't need to pull the item item 32, but it was so being to ask a clarifying question.

[1:04:02] Thank you. On this item 32, which is a contract for behavioral health services or contracts.

[1:04:12] I'm the surprise to see the significant increase to the delegation of authority from 105 million to 165 million dollars.

[1:04:23] And I know during the budget hearings we discussed here.

[1:04:30] How we would be looking at contracts through our policy committees.

[1:04:36] And I just wanted to confirm that this is a contract or some sample or example of a contract that we can get more information and details on moving forward.

[1:04:48] Absolutely, this is the whole series. It's not one contract. It's the whole series of behavioral health related contracts.

[1:04:54] And there's no change in budget here. This is to account for the fact that the prior delegation was erroneously done in two low and a mile.

[1:05:03] Okay, great. Thank you. So with that, I'm happy to move the rest of the consent calendar.

[1:05:11] Second.

[1:05:12] Second.

[1:05:13] Second.

[1:05:14] So by the time you have any comments?

[1:05:17] Yes, I have no more additional changes. The consent calendar if you have some comments for item number 54.

[1:05:23] That's the county's response. This bill grantures recommendations for the budget inventory grant process.

[1:05:30] I want to note that the FGOC conversation is scheduled for October 26.

[1:05:35] And Vice Chair, Supervisor Ellenberg, if I may speak free. I believe we are looking forward to this conversation.

[1:05:41] And then for item 97, I'd like to congratulate our county-fired district leadership and staff on the recent accreditation by the commission on fire accreditation and international.

[1:05:52] Thank you for the excellent care and service to our county residents. Thank you.

[1:05:56] Thank you.

[1:05:58] All right, we have a motion. A second, but no further changes in comments.

[1:06:02] Let's see if any public will speak on this.

[1:06:06] I have no cards and chambers and one hand raised on them. Two minutes.

[1:06:12] All right, we will close the queue and we will go to our Zoom speaker, parent.

[1:06:22] Yes, I'd like to speak to item 48C.

[1:06:28] I would be regarding Jeff Rosen being able to take a trip to Southern California to attend a seminar or a conference on the county side.

[1:06:44] I know that you guys are very sensitive about the public, but there's a big shortfall.

[1:06:51] I'd like to point out that Jeff Rosen has wasted a lot of the county's money already after he fired a dental term.

[1:07:05] I spent over $450,000 in litigation over this.

[1:07:10] You know, dental term did was to try to protect my children.

[1:07:14] I don't think that's the just cause you're firing and all this money that he's spending.

[1:07:19] I mean, it's just a terrible waste of money and now there are so few.

[1:07:24] As filed a lawsuit against Jeff Rosen, all that money.

[1:07:29] Now with the private attorneys that Jeff Rosen has fired, we're spending a lot of money on that.

[1:07:35] So I just, I don't think that you guys should go to approve this.

[1:07:39] I mean, it's just, I mean, it's almost a week.

[1:07:42] It's probably time to mount for him as a big vacation.

[1:07:47] I mean, he's not doing his job. He's not protecting children. He's allowing people to physically harm parents.

[1:07:55] I mean, it's just a really terrible and we should not be.

[1:07:59] You should go to Southern California on his own back.

[1:08:03] You shouldn't taxpayers shouldn't be paying for his free vacation.

[1:08:07] Thank you so much for your time.

[1:08:09] Thank you. That concludes public comment.

[1:08:12] This close to public speaking portion.

[1:08:14] Oh, sorry, vice president.

[1:08:16] Thank you. I just want to make a comment on item 54, which is on consent.

[1:08:21] And that is, I hear that this will go to FGOC.

[1:08:25] And I ask that we, at one point, as a collective board, talk about the equity formula as I know that that was a concern.

[1:08:35] It is not necessarily part of the grand jury report.

[1:08:41] But I think it's something that we need to address proactively.

[1:08:44] Thank you.

[1:08:47] All right.

[1:08:51] Okay. We have a motion. We're a second. Let's go to go.

[1:08:55] All right. We have a motion from Supervisor Abhay Coga.

[1:08:58] Seconded by Supervisor Allenburg.

[1:09:00] Supervisor Abhay Coga.

[1:09:02] Aye.

[1:09:03] Supervisor Jung.

[1:09:05] Yes.

[1:09:06] Supervisor Allenburg.

[1:09:07] Yes.

[1:09:08] Vice president Aranis.

[1:09:09] Yes.

[1:09:10] President Lee.

[1:09:11] Aye, as well.

[1:09:12] Motion carries a five.

[1:09:13] Thank you.

[1:09:14] Moving to item eight, which is the public hearing.

[1:09:16] To consider the purchase of property on China, North, North, North.

[1:09:20] Avenue was a problem for nothing that word.

[1:09:23] By the parks department.

[1:09:25] And do we have a report from staff, please.

[1:09:34] Good morning, Board.

[1:09:35] Julie Anderson, deputy director from county parks.

[1:09:38] And I'm here if anyone has any questions for this item.

[1:09:43] Okay.

[1:09:45] I'll go ahead and open up the public hearing.

[1:09:49] Yes.

[1:09:50] First, I'm just going to say is maybe we should allow to see if any members of the public

[1:09:56] would like to speak on this item.

[1:09:58] Any cards have we received?

[1:10:01] I've not received any cards and chambers.

[1:10:04] And it doesn't appear that we have any speakers on zoom.

[1:10:08] So we have no public comment today.

[1:10:10] Okay.

[1:10:11] Well, that's the case.

[1:10:12] Then we could go ahead and close us the public hearing.

[1:10:17] And then now the public hearing is closed.

[1:10:19] I would like to ask for any questions and comments from my colleagues.

[1:10:23] Yes.

[1:10:24] Vice President, please.

[1:10:25] Thank you.

[1:10:26] I first just wanted to thank you for all your really hard work and investment in our beloved

[1:10:32] Marshall Cottle Park.

[1:10:35] As many of you have visited.

[1:10:37] And if you haven't please, come by.

[1:10:39] It is a gem.

[1:10:40] It is a neighborhood gem and agricultural gem and a historical gem.

[1:10:45] And this purchasing this property is going to strengthen a really long-needed connection identified

[1:10:51] in our countywide trail master plan.

[1:10:54] And in the greater master plan around the Bay Area Ridge Trail.

[1:10:59] And so it's going to do quite a bit for our community, not only is it going to help maybe

[1:11:05] eliminate some of the blight and dumping that's going that's been happening there.

[1:11:10] And purchasing this will allow us to keep it clean and also restore it for community use.

[1:11:19] And so I'm really proud of the work that Park's has been doing to continue to integrate more

[1:11:27] space into our system.

[1:11:31] Last year we were able to provide a shade structure for the rusty areas community

[1:11:35] Guardia Marshall Cottle.

[1:11:38] And I realize how many dedicated volunteers and gardeners there are out there as well as

[1:11:43] V keypers that produce their own local honey.

[1:11:48] And so for those of you who suffer from allergies, get your local honey from our Marshall

[1:11:54] Cottle folks, it'll do you wonders.

[1:11:58] And then additionally congressman Penetta has secured 250,000 to support the implementation

[1:12:03] of phase one of the historic ranch site plan.

[1:12:06] So there's lots of things coming together for Marshall Cottle.

[1:12:10] I'm just really excited.

[1:12:11] And I'm going to make a motion to approve staff's recommendation.

[1:12:15] Second.

[1:12:16] Move in the second it.

[1:12:18] I just want to say I completely support and agree with what we just said by our vice president

[1:12:24] and that this purchase will certainly expand our park and improve the trail connections

[1:12:29] as mentioned.

[1:12:31] And then actually currently it blocks the access to the park.

[1:12:36] And that's certainly issued with some dumping and whatnot.

[1:12:41] So it will be certainly ways to eliminate a lot of these problems as well.

[1:12:45] I believe.

[1:12:46] And so looking forward to a significant improvement to the access to the park and more exciting things

[1:12:52] happen that this wonderful place.

[1:12:54] Thank you.

[1:12:55] And can I just say not only am I super proud of our parks and wreck department, but I know for our

[1:13:01] shade structure.

[1:13:02] Some of the lighting member is really contributed and this is a recognition for David

[1:13:08] Know who's part of our team just did really lovely work.

[1:13:12] Great.

[1:13:13] Thank you.

[1:13:14] All right.

[1:13:15] If no for the comments as to go take the vote.

[1:13:17] All right.

[1:13:18] Thank you, one of them vice president Aranas seconded by supervisor Abay Coco

[1:13:22] supervisor Abay Coco I supervise of young.

[1:13:25] Yes.

[1:13:26] Supervisor Alan Burke.

[1:13:28] Yes.

[1:13:29] Vice president Aranas yes.

[1:13:31] Presently.

[1:13:32] Ah, as well.

[1:13:33] Motion carries a five.

[1:13:34] Thank you.

[1:13:35] The moving on to item nine public hearing is considered the petition

[1:13:41] the tax sale assessors parcel number 627-23-009 let folks sit down get the mic

[1:13:56] working first for a certain minute

[1:14:26] and do we have staff report please

[1:14:41] let's try again the mic still not working

[1:14:52] thank you so

[1:14:53] good morning board my name is Margaret or I direct or finance agency

[1:15:00] I have with me the Director of Department of Tax and Collections. There are a spinosa, as well as

[1:15:06] Lorraine Filippo Shin, Assistant Director of Department of Tax and Collections with.

[1:15:14] And Robert Fannon, Council for the Finance Agency.

[1:15:20] So this morning you have before you a recession petition from TMS to related to a tax-deforted property sold

[1:15:33] in May of 2025. And we are here to take questions from the board, or if you'd like us to do additional

[1:15:42] information and do some presentation for you. We don't have any PowerPoint.

[1:15:47] I think we've all read the presentation in the letter file, so I don't think we need to do that.

[1:15:52] I just want to see any lights on, so I don't think we have any questions from my colleagues here.

[1:15:57] So if that's the case, I think you have anything you want to add, or no, if not, I'm just going to go

[1:16:02] straight to opening the public hearing to allow a petition to start the presentation.

[1:16:07] Is that okay? All right. So let's go ahead and open public hearing and

[1:16:11] go ahead and provide the petitioner, Univision, seven minutes to present your petition.

[1:16:18] And I believe there is a presentation from the petition. Am I correct? Yeah. Please come, yes.

[1:16:26] Yes, please go ahead, yes.

[1:16:31] Just for the record, we did all receive this, this presentation, talking about yes.

[1:16:36] Yes, correct. And thank you so much for having me here today. It's an honor to be before you.

[1:16:41] Some of the stories that we heard from the citizens are very inspirational. I am Belinda Vega.

[1:16:46] I am a partner of Venable. I represent the Levy Zone, Evision, Univision, to make it easy.

[1:16:52] I have a client representative here today who's going to make a statement, and then I'm going to go

[1:16:57] over the presentation, and I promise to stay within our seven minutes. Thank you. Good morning, President Levy.

[1:17:04] Vice President and arenas, and members of the board. My name is James Vantassel. I'm the director of

[1:17:09] Technology for Tel Aviv Zone, New Zealand Bay Area. For context, Univision is maintained in office

[1:17:14] presence in San Jose since at least the 1980s. Univision radio and particular operator in office and street

[1:17:21] level studio on South Market Street, from approximately 2005 through 2015. Then in 2015 we

[1:17:29] broke ground on our Zanker Road Facility and consolidated our San Francisco in San Jose Television and

[1:17:35] radio operations and production facilities into that location in 2016. Today, KVVF 105.7 FM serves

[1:17:45] more than 190,000 listeners each week providing emergency information, local news and entertainment

[1:17:51] to the Spanish-speaking community. Our FCC licensed transmission facility on Mount Hamilton Road includes

[1:17:57] the transmission tower, large equipment building, backup generator with diesel tank, air conditioning equipment

[1:18:04] and supporting infrastructure. The site is maintained in active Santa Clara County environmental

[1:18:09] health permit that has been renewed annually. We have also consistently made timely payments on the Santa Clara

[1:18:15] County Unsecured Property Tax Assessment that are associated with that facility. However, in my

[1:18:21] review of what happened, I've discovered that the parcel number reflected on the Unsecured Property

[1:18:27] Tax Bill appears to be APN 62723017, which is different from the parcel number at issue here. I'm concerned

[1:18:36] that this discrepancy may have contributed to Univision not being identified or notified as the property

[1:18:42] owner during the county's review process. I respectfully ask the Board to consider that possibility

[1:18:46] as you evaluate this matter. Thank you for your time and consideration.

[1:18:50] I'd like to start with just going over the parcel. This is part of the petition that we

[1:19:02] filed and submitted before you. The parcel, as you can see, is located in an area where you can see

[1:19:08] that there is a radio tower. There's actually a residence next to the parcel. And then the map is

[1:19:15] showing the area where the radio serves our community here in San Jose. I'd like to next go to

[1:19:23] the timeline. Next slide. So the way that the start is in 2002, a Univision subsidiary bought the

[1:19:33] assessor's parcel. This is parcel. I'll just say the last three letters. 009. That is that issue here.

[1:19:40] In 2016, Univision, there was a Univision corporate reorganization. The subsidiary that previously

[1:19:48] owned the parcel was dissolved in December 2016. I think my respondents think it was 2017 and we're

[1:19:58] fine with that. But there was a certificate of surrender listed in a listing a New York address

[1:20:04] for future legal service. And that was filed with the California Secretary of State. In 2023,

[1:20:09] the county began efforts to sell the property at a tax action. A tax auction. Notice a tax

[1:20:18] efficiency was sent on June 2nd, 2023. But it was sent to an outdated and vacant Dallas Texas address.

[1:20:27] If you look up the address, it shows it as a beaten vacant. March 26, 2025, the notice of sale of

[1:20:34] tax decals of property was sent to the same Dallas Texas address. The county received return mail

[1:20:42] as not a good address. In May 5, 2025, in May 5, 2025, Kingdom Capital Partners LLC was registered in

[1:20:51] California. I don't want to speak for Kingdom Capital Properties LLC, but I believe they were formed

[1:20:57] to buy the property that is an issue here. May 16, 2025, the property sold for 116,612,

[1:21:07] 60 in May of 2025 at the auction to Kingdom. Summer of 2025, Univision first became aware of the sale

[1:21:17] when an out of state attorney for the purchaser, contacted Univision seeking a copy of the lease

[1:21:24] for Univision's radio tower. Univision doesn't have a lease. It owns that tower. On October 30, 2025,

[1:21:31] Univision petitioned the board to rescind the tax sale of the property and requested a hearing.

[1:21:37] I should add that in September of 2025, we also sent a letter to the county, letting the no of the issue

[1:21:43] and asking them for the process to petition, and they were very cooperative and provided us with information.

[1:21:50] Now moving on to the facts at issue here, it's very simple. Long time tax payer has been in the

[1:21:56] community for a long time, losses property without ever learning it was at risk. So the facts,

[1:22:03] the property contains a radio transmission, as Jim stated, a radio transmission tower that reaches

[1:22:10] more than 192,000 people weekly across the Bay Area. The property neighbors and adjacent property

[1:22:17] in home owned by Gary Mansberger. We'll call it the Mansberger property. I spoke to Gary,

[1:22:24] very nice gentleman. He never got a call or received a notice or a posting from anybody from the county

[1:22:31] with respect to the property or the fact that the property was going to be sold at action.

[1:22:38] The Mansberger's use of portion of the property to house a chicken coop and observatory. The property

[1:22:44] is only accessible via the Mansberger's properties right away. I should say the property contains

[1:22:49] not just a radio tower, but it also contains a building where you could post a notice if the county

[1:22:57] wanted to do so. The property does not have a mailbox when mail for the property is mistakenly delivered

[1:23:02] to the Mansberger property, Mr. Mansberger notifies the univision of the mail. Mr. Mansberger notifies

[1:23:08] the univision when someone is attempting to access the property. Mr. Mansberger told me that nobody

[1:23:14] from the county contacted him. TMS asks its California a univision subsidiary purchased the property in

[1:23:23] 2002. TMS and univision were separate legal entities, so univision did not have knowledge of TMS's tax responsibilities.

[1:23:33] And all move on because I realize I'm running out of time. With respect to the arguments that

[1:23:42] respondents or criminal capital is making, we believe the issue here is the fact that that

[1:23:51] univision did not get notice. There was no posting. It was clearly a mistake in terms of reorganization

[1:23:57] and cooperation. Thank you so much. Thank you so much. Yes. Thank you so much. Yes.

[1:24:09] And next we will go to the purchase a kingdom capital equivalent seven minutes to present their

[1:24:21] position. Yes. Good morning. Good morning President Lee. Good morning.

[1:24:28] Thank you for the opportunity to present on this. My name is Gabriel Green. I'm a partner with

[1:24:32] the law firm of Buckalter. I am here representing a kingdom capital properties LLC with me here today.

[1:24:41] He is George Masal who is a representative. He is in the back of the purchaser. First and foremost

[1:24:48] I would like to get one thing out of the way. Nothing if the board denies this petition. Nothing

[1:24:56] occurs to affect univision's ability to continue to broadcast. Since my client acquired the property

[1:25:03] they continue to allow the tower to remain on it, continue to allow univision to broadcast from there.

[1:25:11] And that's the intent of the property itself. Remember that we're dealing right now with a petition

[1:25:16] by a defaulting taxpayer who has not paid taxes for over five years on this. This is not an issue

[1:25:25] about the taxpayer not receiving notice of what occurred and the fact that it would be sale. The other

[1:25:32] thing I'd note preliminarily is Council's testifying testimony as to her conversation with the

[1:25:38] adjoining land owner is complete hearsay. Telling the adjoining land owner is not here if she had

[1:25:44] conversations with that adjoining land owner. He could have come here and made a presentation

[1:25:49] but his the fact that he's not here should speak volumes. A couple things I want to identify on the

[1:25:55] problem with this petition. First the Board of Supervisors respectfully lacks authority to recent

[1:26:01] this sale. The provision of the tax code that allows for the resision excludes resision where the property

[1:26:09] has been purchased by a bona fide purchaser which is what occurred here. My client is a third

[1:26:14] party purchaser. Realize that this property was up for sale decided to come in making an investment

[1:26:20] on it and bought it. Since that time my client has been paying taxes on this property has been an

[1:26:26] upstanding model citizen as far as a property owner in your accounting and should be allowed to continue

[1:26:32] to hold title to this property. To the fact that a univision complains that it never received

[1:26:39] notices a relevant for the relevant analysis that the county needs to do on this petition it needs

[1:26:47] to only evaluate did the county exercise reasonable efforts to notify the defaulting tax fair of the

[1:26:54] default and of the impending tax deal. That is what occurred here. In fact what is very helpful is the

[1:27:03] recommendations that were provided and if we go through those recommendations and they were part of

[1:27:08] this transcript. You will see that there are a number of significant events that occurred with regard to

[1:27:14] trying to notify the defaulting tax fair of the fact that it was in a reverse on taxes as well as the fact

[1:27:21] that it would be sold. If you look at it I will go through a number of things. There were multiple

[1:27:27] skip traces or online searches to locate this property owner. One occurred on December 2019. It says

[1:27:35] DTAC performs skip tracing for additional addresses. It located an address in Walnut Creek. It sent

[1:27:42] notice there. It came back as undeliverable. Then again on October 23rd 2020 again another skip trace was

[1:27:49] done and a search was done finding an address in San Francisco again another notification was sent out

[1:27:57] there and throughout this process continual notices are going out to the last known address. On October

[1:28:05] 19th 2023 again another online search has been conducted for the property owner to see if they could find

[1:28:12] an alternative means of notifying it. Then on March 20th 2025 right before the sale the county

[1:28:20] employees a third party assessor to determine whether they can find additional information for this

[1:28:29] tax payer. It's the use curative tax solutions they don't indicate or identify any other

[1:28:36] interested parties. In addition to the skip traces that were done they also sent redemption notices

[1:28:42] to multiple addresses other than the Dallas Texas address which multiple redemption notices were sent.

[1:28:48] They sent it to Walnut Creek address so you can see that in the entry on December 2019. They sent it to

[1:28:55] a San Francisco address on October 23rd 2020 and to a 10th New Jersey address on October 19, 2023.

[1:29:05] You'll note that the petitioners complained that insight to two letters that were returned that were sent

[1:29:13] by certificate or certified mail. Notably those certified mail letters were sent on June 2, 2023

[1:29:22] and on March 26th 2025. I call out those two dates importantly because in the records

[1:29:31] that are indicated on the recommendations the Board of Supervisors will note that in addition to sending

[1:29:39] out those letters and all of the other skip traces that were done there were also publications run in the

[1:29:44] San Jose Post. On June 1, 2023 the same period of time in which that certified letter was sent

[1:29:52] and came back as undeliverable. It ran a publication for three weeks in the San Jose Post.

[1:30:00] Again, in April, 11th, 2025, when that other certified letter went out. Again, it ran for three weeks in the San Jose post.

[1:30:09] Again, the legal analysis that needs to be done is not to confirm that there was actual receipt, but rather was a reasonable efforts on it.

[1:30:17] In addition to all that we have gone through, there was multiple two phone calls that were made to a number that was identified.

[1:30:24] And that did not result in, well, that was extra effort.

[1:30:29] So I would submit to the Board of Supervisors that unlike some of the two other sort of cases that petitioner site in there is where it was just a single notification out to a defaulting taxpayer.

[1:30:41] Here, the county should be applauded for its efforts. It went above and beyond its efforts to go and notify the taxpayer.

[1:30:48] And the laws very clear that a taxpayer is already on notice having owned the property, knows that they need to make tax payments.

[1:30:57] And the division acknowledged that it made tax payments. So it was already on notice.

[1:31:02] The fact that they made various corporate changes is not the fault of the county.

[1:31:09] It's not the fault of my client. It is unovitions on fault and they can't be called here today to have the board going rescind a transaction where my client has spent good money come in to buy this property.

[1:31:23] So with that, I think the Board of Supervisors for this time.

[1:31:28] Thank you.

[1:31:30] All right. Now, the other question I have is for the members of public to ask any potential.

[1:31:45] I mean, like to speak on this item.

[1:31:47] So first is before, okay, so the next item before the after the public gets to speak is that the petitioner will have three minutes to respond.

[1:31:58] Do we have any members of public like to speak on this item?

[1:32:03] Go in once. I have no work on this place.

[1:32:07] Okay. All right. So next would be asking our petitioner. Yes, for the division.

[1:32:13] Now you have three minutes to respond to the earlier comments.

[1:32:18] Yes, I just want to make a couple of points.

[1:32:22] The two notices that were returned to sender was the June 22nd 2023 notice of tax efficiency.

[1:32:29] That was sent to the Dallas Texas address.

[1:32:32] And then in March 26, 2025, the notice of sale of tax defaulted property.

[1:32:37] That was sent to the Dallas Texas address and was also returned.

[1:32:41] Bottom line, you have the authority to rescind the sale.

[1:32:48] The legal standard and we provided the legal authority provides you with the discretion to rescind the sale.

[1:32:57] Based on the fact that there was, you were on notice that the contribution was not getting the notices of the tax sale.

[1:33:08] Do process requires additional notice efforts when a notice is returned and delivered.

[1:33:14] That's the Jones versus Flowers case that we cited in our petition.

[1:33:18] Also, the bank versus Bank of America versus giant inland empire case.

[1:33:23] I would like you to review those cases and urge you to look at those cases because we do think that there's due process violations here.

[1:33:32] The other thing that I'd like to point out is if you look at the exhibit from kingdom capitals exhibit age, I believe it is.

[1:33:42] The deed of the exhibit six.

[1:33:45] The tax deed to the purchasers says that the deed is conveys to the purchasers free volume of any kind existing before the sale.

[1:33:56] Except those referred to in section 3, 7, 1, 2 of the California revenue and taxation code.

[1:34:03] That's exactly the section that we're using here to petition to rescind the sale.

[1:34:08] The bottom line here is that you have.

[1:34:13] You have univision who's been in the property for a very long time.

[1:34:17] They have been paying taxes on the radio tower and it's using the property.

[1:34:24] It's there at least once a month checking on the property.

[1:34:27] There's broadcast operations there.

[1:34:29] It's FCC lines and transmissions that could be threatened.

[1:34:34] The kingdom capitals says that we would still be allowed to use the radio tower.

[1:34:39] We have been in no negotiations with them to try to purchase the property.

[1:34:43] We are too far apart.

[1:34:45] They've also asked us to lease the property for an amount that is not reasonable to univision.

[1:34:50] So we are here today even though we did try to work with the new property owner to see if we could resolve this dispute.

[1:34:57] To ask you to please rescind the sale because we do think that the due process rights of univision were violated.

[1:35:05] Thank you.

[1:35:07] Thank you.

[1:35:12] All right.

[1:35:13] Now the purchaser.

[1:35:16] Yes.

[1:35:17] We'll now have three minutes to do any response.

[1:35:20] Thank you.

[1:35:23] Univision has not paid taxes on the property for over seven years.

[1:35:26] It now comes up and tries to talk about confidential settlement communications that have occurred leading up to it.

[1:35:32] That's inappropriate.

[1:35:33] They're complaining that they don't want to go and pay a lease on it.

[1:35:37] My client has been more than reasonable in this whole process.

[1:35:40] It just bought this property as an investment property.

[1:35:43] There's no basis for them to come up and say that the world's going to cave and come falling down if this is not rescinded.

[1:35:51] The tower remains my client owns a number of properties with radio towers.

[1:35:56] It's in this business of owning property in this regard.

[1:36:00] The cases that they rely on are entirely distinguishable in each of those cases.

[1:36:05] There was only one attempt by the county to go out and reach the property tax owner, the default tax owner.

[1:36:10] And made no follow up effort.

[1:36:13] Here as I cited too and as a recommendation show, there was extensive efforts by the county and a plotable efforts of

[1:36:20] trying to notify this defaulting tax owner.

[1:36:24] This defaulting property tax payer of the fact that they were in a rears and to be done.

[1:36:30] There's no basis to return this and it would be an equitable to rescind this transaction.

[1:36:35] Thank you.

[1:36:36] Thank you.

[1:36:38] All right.

[1:36:43] Now at this point, I just want to say thank you to both parties.

[1:36:46] Both the petition purchaser having concluded the presentations and responses.

[1:36:51] Now I'll look to my colleagues to see if there are any questions for the parties.

[1:36:56] For any questions asked by the board, the party to whom the questions directed will first get the chance to respond.

[1:37:01] And then the other party will get the opportunity to reply.

[1:37:05] So looking at the lights, the advice for the residents.

[1:37:08] Thank you.

[1:37:09] Actually, the party I want to ask questions to is to Amila Presti.

[1:37:14] Is this permissible?

[1:37:17] Yes, of course.

[1:37:18] Okay, wonderful.

[1:37:19] So this seems like this is more than just what a physical notice of tax process is and the delinquency involved in this.

[1:37:36] So can you just for my sake and for the community's sake outline what the options are on the table here?

[1:37:43] And I know there's two of them that we're taking a look at.

[1:37:46] Supervisor, if the board decides to move forward with a decision today, it could either decide to affirm the sale in which case kingdom capital properties would retain the property as is or it could choose to rescind the sale.

[1:38:05] Which would mean that univision would retain the property upon paying all back taxes and filing a change of ownership.

[1:38:16] County would then have to refund the full purchase price that kingdom capital paid to kingdom capital for the property if the board chooses to do that.

[1:38:31] And I should just say that because a decision of the board is best supported by written findings, we would advise any motion either way to direct our office to prepare those findings and then come back at a subsequent meeting for a final decision.

[1:38:50] Thank you.

[1:38:52] I think this is the first time this kind of issue has come to us into the board and I know that it sounds it sounds complex because there's some notices that went out notices that might have not been received and it is.

[1:39:07] I don't feel like this is the role of the board to figure out what that actually is and then to determine what should happen between both parties.

[1:39:19] But yet here we are in in this situation trying to figure out what to do and so I know I have a personal take on what we should do, but I think that it's more important for these two parties to figure it out themselves.

[1:39:39] I don't think that this is I feel like there's still an opportunity for parties to continue to discuss this and to resolve it on your own.

[1:39:50] Because I think both of the options that we have on the table right now.

[1:39:57] I have both impact on this county and in the system and I'm very aware that we have limited resources and so as much as I would like to make a recommendation I'm going to.

[1:40:18] From both of those two options that are on the table right now I'm going to refrain from doing that and what I'm going to ask is that we allow for some additional time so that these two parties can continue to discuss these issues and come to your own agreement.

[1:40:39] This is not a court we we can't really figure some of these things out whether folks.

[1:40:48] I've invited to the true nature of what needed to happen and I think at this point I would like to make a motion to defer this item and it's no later than September 15th so that both parties can hopefully come to a conclusion or to some sort of an agreement.

[1:41:10] So supervisor just as a procedural matter I think if we can continue just this process of allowing for questions to be asked of the parties before a motion is made then there will be a close of the public hearing now if that is the motion that's made and it's voted upon we can continue the board can continue the public hearing.

[1:41:27] So it's a continuous of the hearing and also to a future date no later than September 15th so that we can continue to hear the item and continue to have the hearing.

[1:41:40] Does that work?

[1:41:42] Yes it does but hold off on the motion just until other questions are asked to the parties.

[1:41:50] Thank you and I don't see any further lights and any questions and so I believe your motion is right now.

[1:42:00] That's just to clarify the chair is closing the public hearing.

[1:42:04] Yes I'm sorry.

[1:42:05] Let's go ahead and close the public hearing.

[1:42:07] There we go.

[1:42:08] I'll use the gavel.

[1:42:09] Do you need a second on the motion?

[1:42:13] Let's repeat the motion and the welcome.

[1:42:15] So the motion is to have a continuous on the hearing to know later than September 15th and I hope set the two parties can resolve this issue.

[1:42:28] And just to be clear when continuing a public hearing we do have to identify a specific date so I believe next board meeting would be September 15th so I would specify that particular date.

[1:42:40] I just say no later than September 15th but if you want a specific date then we'll choose September 15th.

[1:42:51] Do I need to restate it?

[1:42:52] No.

[1:42:53] Okay.

[1:42:54] I think we're good and we see the second is on board with the second.

[1:42:56] We're motion second.

[1:42:57] Thank you.

[1:42:59] A couple of things I want to mention is first is the third slide I don't think both parties to make a very comprehensive explanation of a very.

[1:43:09] long procedural.

[1:43:12] Challenge of text selection, text selection, certainly one of the jobs of the county.

[1:43:17] It's never easy and try to chase people when they change the address is of course makes it more difficult.

[1:43:22] I want many of the addresses changes and I'll state and whatnot.

[1:43:26] So certainly I just want to say that I want to thank our.

[1:43:30] Our staff based on the very detailed explanation.

[1:43:35] So how many times they have tried to reach out is not like one or two or three notices.

[1:43:40] This is clearly a multiple notices have been sent in order to try to locate before ultimately a text sale has been declared.

[1:43:49] So this is something that I've been on the board for about six years now.

[1:43:53] It's like the first time something like this happens.

[1:43:56] So this is extremely rare for this to happen.

[1:43:58] The second is that there's been what will not this board has authority and this is early to make this determination.

[1:44:06] And even though there are three of us here have a law license.

[1:44:09] I'm not going to say we are the expert in the planning field of law and not going to agree or disagree with that assertion.

[1:44:15] But certainly can take a vote.

[1:44:17] And this is what we are allowed to do.

[1:44:20] And in this case, the current motion is to have the motion to have this issue being continued to allow the party as further negotiation.

[1:44:30] And also as I said, I haven't been attorney for almost 30 years.

[1:44:34] Often times the judge will tell the litigants to say, you guys need to work closer together.

[1:44:39] Maybe you need to get a fine immediately.

[1:44:41] Sit together and work really hard to try to come up with a solution.

[1:44:46] Because when you don't do that, when the judge rules on something, it might not make one or even both sides happy.

[1:44:54] So I certainly want to urge that I think this is a very important time.

[1:45:00] We have the motion and the second allowed time to happen. One only assertion I want to make with the purchaser, is that during the dependency of this negotiation, that there will be absolutely a promise from you, that there will be absolutely no interruption of the services that universal will be able to use the tower to deliver the signal to all the hundreds of thousands of listeners to this. I just want to make sure that's something that the

[1:45:31] I think that's extremely important because I don't want that public to be hurt in that process.

[1:45:41] All right, that's all I have on this. If no further comments, that's tickable.

[1:45:47] All right, we have a motion from Vice President Aranis, seconded by Supervisor Apecoga.

[1:45:54] Supervisor Apecoga.

[1:45:56] Supervisor Apecoga.

[1:45:57] Supervisor Alonberg.

[1:45:58] Yes.

[1:45:59] Vice President Aranis.

[1:46:00] Yes.

[1:46:01] Presently.

[1:46:02] Hi, as well. Motion carries us five. Thank you.

[1:46:04] My hope is set by September 15th earlier. We have some good news when we don't have to come back.

[1:46:10] Thank you very much.

[1:46:26] Okay, moving on to item number 10, which is receiving report from the county executive.

[1:46:33] Good morning, members of the board.

[1:46:35] A few updates for the board in the public this morning. First, just to share a little bit as the board knows since our last a board meeting, the state

[1:46:44] did announce its final budget agreement for this current fiscal year.

[1:46:50] On the positive side, that final deal delayed or rejected a number of very harmful proposed cuts that would have negatively impacted counties in particular health care related funding cuts and did offer statewide $250 million in one time funding for public hospital systems.

[1:47:12] Several of the delayed items are actually scheduled now in the base budget to go into effect automatically.

[1:47:19] On July 1 of this upcoming year, meaning this next fiscal year.

[1:47:24] And so we will have to focus our efforts in the upcoming legislative session on trying to reverse those from taking effect.

[1:47:32] But we did by time for that engagement.

[1:47:35] In addition, the Department of Finance was directed to bring forward options by March for a potential fair share fee.

[1:47:45] This would be a fee on those very small percentage of very large employers whose employees disproportionately rely on medical for health care.

[1:47:56] In other words, these are large employers where they're not providing health insurance to their employees, but instead taking advantage of the state federal funded medical system to provide health care access.

[1:48:09] The positive piece about that is not only with that fair share fee be directly related to where we see employers essentially free riding on the medical system, but the funding that would result from that would be dedicated to showing up the medical system as well.

[1:48:28] And so that is a proposal that we believe is very promising, even though it would not be sufficient by any means to backfill all of the federal losses from HR1.

[1:48:39] It is one of the few very concrete revenue proposals that the legislature has been actively discussing.

[1:48:47] So that's another item that we anticipate engaging on the upcoming budget system.

[1:48:52] We want to really thank our delegation for being strong advocates related to health care funding.

[1:48:58] But know that we have a long road in front of us and that almost all of the relief that we did get first of all is modest. Let's be clear.

[1:49:06] But second is essentially one time in nature.

[1:49:10] On the bad news front, the final deal did include the governor's proposal to shift the entire unsatisfactory immigration status.

[1:49:21] Population from medical managed care to the state fee for service system beginning January 1 of 2027.

[1:49:29] That means overnight every single medical member who falls into that category.

[1:49:35] These are folks who are on the state only medical program will lose access to managed care.

[1:49:42] In our county, that means over 60,000 patients.

[1:49:47] It'll significantly reduce funding for our health system.

[1:49:51] It'll have a significant impact on Valley Health Plans membership.

[1:49:56] And we'll have ripple effects too because we know that being unmanaged care allows individuals to actually help manage their conditions and access primary care.

[1:50:08] And we also don't have a lot of information on how the state intends to continue to provide any support or outreach to these medical beneficiaries.

[1:50:22] And we are very concerned that the state isn't in a position from an infrastructure and communications standpoint to effectively and seamlessly navigate that overnight shift for that entire population.

[1:50:35] And just as a reminder, this is the same group of families in our community and communities across California that already faced significant cuts in the prior budget year with the freeze on you enrollment with proposed premium increases and copays and other changes.

[1:50:54] And all of that is coming on top of the fact that January 1 is also the date when work rule requirements will be implemented for the entire broader medical program.

[1:51:05] So we're very concerned about all this pieces.

[1:51:08] We are trying to learn more about what is exactly being proposed in terms of the transition process by DHCS.

[1:51:19] And we anticipate coming to the board with a lot of additional information, assuming, of course, we can obtain the information we need.

[1:51:27] But coming to the board later in the fall with with our efforts as a health system to try to do our own communication and outreach to help provide additional support to these patients because we know how significant change that'll be.

[1:51:41] But but this is a very negative piece of the final budget deal that does have big impacts for us.

[1:51:48] So you'll be hearing more, of course, in our monthly legislative updates, but since this is our first meeting back from the recess, I did want to provide that big picture state budget update.

[1:52:00] A couple other items, just to share with the board, one is that the Santa Clara County fair is going to celebrate its 82nd year.

[1:52:08] welcoming visitors from August 19 through the 23rd at our county fairgrounds and we certainly encourage folks to attend those festivities.

[1:52:16] And then on a piece of great news health care related just want to publicly acknowledge that our rehab center at Santa Clara Valley Medical Center for a 30 year in a row.

[1:52:26] It was ranked as one of the top 10 in the United States for rehabilitation care by US News and World Report.

[1:52:33] It remains the highest ranking hospital in the entire West Coast for rehabilitation.

[1:52:38] The MC was also rated as high performing for heart failure, maternity, colon cancer surgery, pacemaker implantations, pneumonia and stroke.

[1:52:48] And this is all just once again reaffirmation that our health system delivers not just access to all, not just access with compassion, but also access to high quality exceptional care to everyone in our community.

[1:53:04] That's our continued commitment and that's exactly why we continue to push for everything we're pushing for in our conversations with the state as well.

[1:53:13] That concludes my report.

[1:53:16] Thank you, James. Yes, yes, Vice-Ombar.

[1:53:18] Thank you for the report. I just want to share a brief comment and then and then a question.

[1:53:24] It really is devastating to hear about the change for the US medical recipients to move to fee for service.

[1:53:34] This was the very program the medical expansion that Governor Newsom touted as a tremendous move toward health equity and it has been incredibly impactful.

[1:53:46] And in fact, between the medical expansion and the Affordable Care Act subsidies, California was getting very very close to achieving universal access to health care.

[1:53:59] And now we know the subsidies are going away.

[1:54:03] We know about the federal dramatic cuts and, you know, frankly, to have state cuts on top of all of this to a program that got so much attention and pride is very disillusioning.

[1:54:21] So I hope that we will get back there.

[1:54:25] It is critically important.

[1:54:27] And I know this can cost us up to a couple hundred million dollars a year in care.

[1:54:34] My question is that what we did not get in the budget was any funding or even framework toward an Indigenous care program,

[1:54:46] which obviously will be very necessary as people inevitably lose their access to medical even if they are legally entitled to it.

[1:54:55] Can you talk about advocacy efforts right now, post budget that are happening around and ask for Indigenous care?

[1:55:03] Sure.

[1:55:04] So you are absolutely right in your comments about the reality that is a state we are approaching universal access and universal insurance through all of these different mechanisms.

[1:55:15] And that we are expecting a huge step backwards.

[1:55:18] And this UIS shift is a piece of that.

[1:55:21] The work world requirements, these are all aimed to actually disenroll individuals from coverage.

[1:55:29] So we do know that directly translates into huge Indigenous care responsibilities on counties.

[1:55:36] That is an obligation that falls on all counties in the state.

[1:55:39] It has been statute since the 1930s.

[1:55:42] Not very many counties however offer the kind of robust direct service provision that we do in this arena.

[1:55:50] But all counties have an obligation for some provision for Indigenous care.

[1:55:55] Unfortunately, and I know you know the supervisor, but just for the context benefit.

[1:56:01] Post the ACA expansion.

[1:56:04] The state shifted funding that previously been given to counties that was directly used to fund county level Indigenous care programs.

[1:56:13] And that funding was taken away and redirected.

[1:56:16] Now in fairness to the state and at that time Governor Brown, that made sense in the context of the uninsured population, for example, in our own health system,

[1:56:28] from 21 to 22 percent down to 2.5 percent.

[1:56:32] So there was reasonable and sensible justification for the state to say, hey wait a minute counties, you don't actually need that funding for that.

[1:56:41] Because there's now coverage.

[1:56:43] So we're going to shift that away and use it for other things to help balance the state budget.

[1:56:48] And that was reasonable.

[1:56:50] Well now the world has changed again.

[1:56:53] And what we need to see from the state is an acknowledgement of that reality.

[1:56:59] And whether it's a restoration of that prior funding mechanism or a new one, the cold hard reality, is that as the uninsured population rises.

[1:57:10] And as counties have to once again grapple with this statutory obligation for Indigenous care, there must be some state funding stream associated with that.

[1:57:22] So that they're actually as resource available.

[1:57:26] And to make things even more challenging for other counties, we're lucky here where one of the counties that has preserved public delivery of healthcare.

[1:57:34] But there's many counties where those former clinics that existed post ACA, they closed their doors.

[1:57:42] They're not in a position to overnight reopen that infrastructure.

[1:57:47] Those facilities may not even be reopenable today, under current licensing or other standards.

[1:57:54] So there has to be some acknowledgement of that as a state too, even though that's not quite the issue here for Santa Clara counties want to acknowledge that reality too.

[1:58:03] So we have not seen and there was no allocation for Indigenous care in the current budget.

[1:58:11] And we continue to advocate for that as part three of our three part state investment.

[1:58:18] So the board will recall, we've urged the state to do three categories of investments in response to HR1.

[1:58:26] The first relates to keeping people enrolled, and we did see some allocation of one-time money across two fiscal years towards that.

[1:58:37] The second is investment for public hospital systems.

[1:58:42] We saw a modest, positive but modest investment there of one-time funding that needs to become a much more substantial and ongoing investment.

[1:58:52] It just must.

[1:58:54] And then the third piece is an Indigenous care piece, and that piece there was no investment.

[1:58:59] So we will continue the advocacy.

[1:59:02] For my part, I continue to believe that all three of those pieces are essential components to the state's response.

[1:59:09] And in the long run, I really about the state responding in a strategic manner that helps preserve federal money coming in and preserve access to care for Californians.

[1:59:24] And there is really a need for, I think, a more comprehensive strategy.

[1:59:30] We will continue the advocacy in the waning days of this session, but they are waning.

[1:59:36] And I think everyone is now putting eyes on the likely incoming gubernatorial administration to see what marker will be laid for what strategy because I think it's going to be a defining issue for the first years.

[1:59:53] Of the new gubernatorial administration.

[1:59:56] What does it mean to have millions of Californians who had access to help?

[2:00:00] What does it mean when the prediction is 80-some odd hospitals in the state closing? What does it mean

[2:00:08] where we've taken this huge step backwards in actually treating the UIS population with equity

[2:00:17] in access to care? And what incredible opportunities there may be with the likely incoming governor

[2:00:25] who's background does actually overlap with the administration of the Federal Emedicade program to actually

[2:00:34] lay down a marker to say California can show a different and strategic way in response. That's our hope

[2:00:42] and we're going to continue every avenue to engage there knowing that the real big focus of that conversation

[2:00:51] is going to end up hitting in the beginning part of calendar 2027.

[2:01:00] Thank you, James. I guess, oh yes, vice president.

[2:01:05] I had a couple of questions so I know that you mentioned that you were looking forward to seeing

[2:01:15] what that transition process is for folks who are beneficiaries who are not going to be on managed care

[2:01:22] any longer. What do you know more or less what the timeline is?

[2:01:30] We know because the legislature's now adopted this that on January 1, every single UIS member is shifting from

[2:01:39] managed care to fee for service. So that clock is coming. What we do not know, we've been promised

[2:01:47] that DHCS and I know the working on a toolkit and other things. I don't want to say that they're not doing

[2:01:52] anything just to be clear. But we've been told that they're going to help ensure that that transition is smooth.

[2:01:59] For example, what about folks who are in active care for chronic conditions and how are those cases

[2:02:06] is going to be managed because managed care plans have certain responsibilities.

[2:02:11] So health system obviously has responsibilities for the direct provision of care.

[2:02:14] That'll continue uninterrupted. We know that because that's what we do. But for,

[2:02:20] but managed care plans have certain responsibilities. For example, they have transportation related

[2:02:25] responsibilities. They have certain case management responsibilities. What's going to happen there

[2:02:30] on January 1, we don't know and those are those particular aspects of the service are not ones

[2:02:36] that the health system provides. Those are ones of managed care plans provide. As well as the

[2:02:39] communication because one of the things that, this is already a pocket, this is the population's

[2:02:45] under attack from the federal government. This is a population where coverage is already frozen.

[2:02:51] So if you lose coverage, you can't get it back. That was the change it was made a year ago in the state budget.

[2:02:57] So our fear is that part of this is an effort to actually accelerate loss of coverage.

[2:03:09] And just so we're clear, this state budget scored about a 1.4 billion dollar general fund savings

[2:03:18] from the shift, even though people were told that the shift shouldn't result in any change in care.

[2:03:24] Well that doesn't make any sense. It can only result in 1.4 billion in savings if people are

[2:03:30] going to lose coverage or what they're going to get in terms of coverage looks different.

[2:03:36] So the math that was associated with the change doesn't square with the rhetoric associated with the change.

[2:03:42] And so we're understandably skeptical. And I just want to assure the board

[2:03:48] the health system and other stakeholders are already inactive discussions around what communication

[2:03:54] we do with these patients to reassure them that we will continue to provide care regardless of what happens

[2:04:02] with the shift. What's hard is of course we can't communicate what we don't know in terms of

[2:04:09] whatever the state's going to be communicating. So we really do need to understand what messages they're

[2:04:15] going to be pushing out so that we can build our communication around that. So we're not saying

[2:04:20] contradictory, things are adding to confusion. But it is likely that that communication will come to

[2:04:27] beneficiaries late, meaning November, December, not September. Is there any way that we can't, well,

[2:04:37] a couple of things. One is wondering if we can anticipate that there's going to be a late notice. And so

[2:04:43] let's, let's, let's not be late. But the second thing is that I was also concerned I was wondering

[2:04:52] what, if there's any way to monitor some of the folks, if we know that there are 60,000 in our

[2:04:59] county, the deaths that are connected with that 60,000, the number of strokes, heart attacks,

[2:05:08] kind of the severe conditions that lessen the quality of health or life. And we already know

[2:05:18] that most of these folks are, you know, probably likely. And from the Latino health assessment, we already

[2:05:26] know that Latinos are living two years less than their counterparts. And so I want to make sure

[2:05:33] that this doesn't get lost in all of that. And really, when people can't keep up with their cancer

[2:05:42] treatment or, you know, they're on the, there may be on the bend or chronic disease management.

[2:05:49] Or chronic disease management. They're going to lose their job. They're going to, I mean,

[2:05:52] there's a whole cycle that in, in domino effect that happens out of it. And so I want us to

[2:05:59] make sure that we keep track of what that means so that we can then reiterate those impacts to the

[2:06:05] state very clearly. Maybe other counties won't be able to do that, but I don't know if there's an

[2:06:11] opportunity for us to collectively talk to other counties and figure out how, how do we, how do we

[2:06:18] monitor and how do we quantify those losses? I think that's a great point. And I think we can try to work

[2:06:23] at least with the other public hospital counties, which, you know, even though it's a small number of

[2:06:28] counties, they actually serve collectively, 80% of the state population. So, you know, counties like

[2:06:34] us and L.A. and others that are very large counties. So, I do think we actually have very good coverage

[2:06:40] from focusing on the systems. The broader research, though, is very, very clear. So, we know,

[2:06:45] in a big picture sense exactly what's going to happen, which is when people lose health coverage,

[2:06:52] people whose lives and people lose length of life and people whose quality of life and people who's

[2:06:57] livelihood. And we don't have to speculate because there were states, for example, that experimented

[2:07:03] with work real requirements in the past. And not only are there direct and very heartbreaking stories

[2:07:11] of impacts that happen, including for folks with chronic conditions. You then, we're not able to

[2:07:17] continue medication and other things. But, but the bigger picture population related impacts that

[2:07:23] occurred, and that's what's happening in large. We have never experienced as a country,

[2:07:29] this kind of retrenchment in people losing coverage. It's historically moved in one direction.

[2:07:34] It's complicated and as messy as the efforts have been for decades to expand access to health care,

[2:07:41] going back from FDR all the way through L.B.J. and continuing with the Affordable Care Act and it's been,

[2:07:47] you know, small baby steps forward and complex systems putting together different

[2:07:51] coverage models with debates about efficiency. The reality is over time, we have moved forward

[2:07:58] as a nation to add coverage. And the state did this incredible thing to provide equity in coverage

[2:08:04] for the UIS population. This is the first time as a country and is a state because the state is doubling

[2:08:11] down on that with the UIS changes that we're seeing millions of people now lose coverage who once had it.

[2:08:18] And it is kind of unbelievable that as a country people are allowing that to occur,

[2:08:27] but it's also unbelievable that as a state because the UIS changes are all state changes. There's no

[2:08:33] federal piece to that. That's a California piece. And I think as much as we're all talking about the

[2:08:39] federal divestment and as horrific as it is, we're not talking enough about the fact that the state

[2:08:45] instead of having stood from around its commitment to equity and access to health care has actually

[2:08:51] doubled down on implementing those same changes and exacerbating them with the UIS population. It's really

[2:09:00] outrageous and we haven't seen enough talk of that. I know there's some legislators who've been

[2:09:08] adamant about it, but we have not seen enough talk about that. And that piece of this puzzle

[2:09:13] is owned by California, not the federal government. Well, I think you mentioned something that's

[2:09:19] really important happening to California and that is a new governor and so there is an opportunity

[2:09:25] to shape what those priorities are going to be for the following year. I hope that this, you know,

[2:09:34] not gone wood and everything, there have solved it over my shoulder across my fingers that we have

[2:09:41] the right kind of governor to lead us because I think what we'll see is a huge inequity among our

[2:09:50] communities and then what will happen is we'll our county systems will pay for it because I don't

[2:09:57] foresee that we are going to turn people away. And I think folks need to understand what their options are

[2:10:04] and then the other piece is something that folks do when they don't have any resources and they default

[2:10:10] to what they know and sometimes in it's okay I think there's different kinds of methods of curing

[2:10:17] diseases but there's folks who who take advantage of others and they have I don't know

[2:10:26] to magnet therapy or some herb that doesn't do anything but they think that it does because it's

[2:10:34] you know a million years old or what have you but I think there's a lot of opportunity for that kind of

[2:10:41] mismanaged healthcare in the streets to happen anytime that there's vulnerable people who are dying

[2:10:50] and fighting for their lives and so I think that there's an opportunity for us one to get ahead

[2:10:55] on message to make sure that folks who are taking advantage of others because that it will happen

[2:11:02] we know what will happen we've seen it happen before with immigration we've seen it with other issues

[2:11:08] that impact these kinds of communities and so I just really would like for us to get ahead as these are

[2:11:16] folks who are in our community that will be coming to us for assistance and I think that was

[2:11:26] the last piece I mean I'll end with just congratulating you on the and the system on the rehab center

[2:11:33] being the top 10 we continue to be the highest ranking rehab center it's because there's been a lot of

[2:11:43] really wonderful leadership and hard work and investment into our systems and I'm glad that we're not

[2:11:49] losing sight of not focusing only on the things that we do well but incur and continuing to lobby and

[2:11:58] ensure that our systems are comprehensive and equitable so thank you for your leadership thank you and

[2:12:05] rest assured we share all the concerns you've expressed about the impacts and what that means for our

[2:12:11] patients who we will continue to serve as best as we possibly can thank you yes Tony there were no

[2:12:25] reportable actions taken at the August 10th 2026 closed session meeting and that concludes my report

[2:12:32] thank you very much so we're moving to item number 12 which is considering recommendations relating to

[2:12:37] our Michael M.E.H.K.O. standing for the micro enterprise home kitchen operation program

[2:12:56] Good morning I see that our public health director here Dr. Sarah Redmond good morning

[2:13:02] good morning Dr. Sarah Redmond public health director and thank you

[2:13:11] these are technical difficulties I'm here joined by Michael Ballier Deputy Director for Environmental Health

[2:13:19] and our fiscal operations and Beatrice Santiago director of our community consumer protection division in

[2:13:26] environmental health branch we're pleased to present today's report in response to the boards

[2:13:32] inquiry and very happy to take any questions thank you thank you let's see I don't see any lights on

[2:13:38] so any but I'd like to speak on the sign-up markers I have never asked to speak for the sign-up

[2:13:47] oh wow okay so we'll go ahead and close the public speaking portion of this yes we'll as a young

[2:13:55] I want to thank the team for their work on the Michael because program I remember it's the first days

[2:14:03] of inception and implementation in really encouraged to see how it's growing I you know I

[2:14:11] I do recognize that we continue to address barriers as they become apparent to us right it's not always

[2:14:19] right off the bat that you realize there may be landlord issues there may be home issues

[2:14:27] but I do want to make sure that this program continues to grow and evolve as a program that people

[2:14:34] want to join and want to be a part of at the same time that our amigos programs developing and growing

[2:14:40] we're also having ongoing challenges of unpermitted sending and I know the priority of the county is to

[2:14:45] make sure that there's always safe food and handling extending from that is also this

[2:14:52] issue of labor trafficking that we've also been seeing on that side of the body of the work

[2:14:58] so I would like

[2:15:00] To ask for more information, I really would love your thought partnership on this in terms of what you're seeing, what your staff is observing.

[2:15:09] So I'd like to make a request for an office and report with the following information.

[2:15:14] And analysis of why there were, um, this is kind of sound harsh, but the fact that there were no successful legal applicants from this latest e-site grown program cohort.

[2:15:26] I know that it was not for any lack of efforts of engagement, but we didn't have, um, folks go through the program and then able to successfully apply for the makeup program.

[2:15:40] Um, would love to get your thoughts on strategies to work with landlords, allow for legal businesses, including recommendations for landlord incentives of any.

[2:15:49] And an analysis of the current legal program parameters, um, can our two restrictive need to be more restrictive.

[2:15:58] And I'd love to be able to clean any recommendations for how we can potentially adjust the parameters to better meet the changing landscapes and community and meet the needs.

[2:16:08] I know for our program this dynamic, it's this dynamic and of itself.

[2:16:13] And it's responding and working, informing, whether and of telling what the dynamic landscape that's ever changing.

[2:16:19] That's been further exacerbated by the federal conversations and, um, just a tack on a lot of communities that we are trying to serve through this program, creating economic pathways and economic inclusion.

[2:16:36] And so we'd love to get your thoughts from your staff on how we can continue to further this, um, this program and a direction that meets the moment.

[2:16:44] Thank you. We have to do that.

[2:16:46] That'll meet since.

[2:16:47] Absolutely.

[2:16:48] Thank you.

[2:16:49] Just to clarify, supervising, is that a motion?

[2:16:51] Yes, I was just going to get there.

[2:16:52] Thank you so much for clarifying.

[2:16:54] I like to make a motion.

[2:16:55] And I'll figure that.

[2:16:56] Oh, I like to make a motion to receive the report.

[2:16:58] What the request for an office and a report back, um, that was inclusive of the questions I just laid out.

[2:17:04] Thank you, um, present for sending the motion.

[2:17:07] Absolutely.

[2:17:08] Yes, vice president.

[2:17:10] Thank you.

[2:17:12] Um, I have questions around language access.

[2:17:15] And so, um, I can also add this to the motion, or maybe you can answer the questions.

[2:17:22] No, either either way, let me ask the questions and then you can figure out whether, where to add those.

[2:17:29] Um, so some of the questions that our language access is, um, you know, the PDF links in the info page pages on the website are only in English.

[2:17:40] And so I wanted to make sure that you know that and I wanted to know why they were only in English.

[2:17:46] Um, and I wanted to know the registration work for this program.

[2:17:51] How much can it be done in Spanish or Vietnamese or any other language that's primarily used?

[2:17:58] Um, and are we set up for, uh, at least a phone based interpretation contractor?

[2:18:05] Um, are there permit applications, uh, themselves translated into English?

[2:18:10] I mean, to Spanish or Vietnamese?

[2:18:13] Um, uh, I know my team wanted to the website for the Spanish language version of the site and still links to English language forms.

[2:18:23] Um, and I think the Vietnamese version is missing the link to the application completely.

[2:18:28] Um, so that was the question about why the PDF links to the pages are only in English.

[2:18:35] Um, this is kind of the beginning of that.

[2:18:38] Is that something that you could answer now?

[2:18:40] Or do you want to put that in an off agenda report?

[2:18:48] There we go.

[2:18:49] Uh, Mike Valley, a deputy director for environmental health.

[2:18:51] Yes, no.

[2:18:52] Thank you for putting that out.

[2:18:53] We actually went through a recent major revamp on our website.

[2:18:56] And so if there are some broken links up there, uh, we will definitely get those fixed right away.

[2:19:01] And you are correct that, uh, the forms themselves are typically are, uh, typically required in English.

[2:19:07] Um, but we have people available to assist to fill them out.

[2:19:11] So we have language capacity throughout the department in at least six languages.

[2:19:15] And, uh, provide language assistance pretty much every day.

[2:19:19] Um, so we would be happy to continue obviously doing that and expanding as the board thinks is appropriate.

[2:19:25] Um, and what we can also do is we'd be happy to add additional information in the off agenda report.

[2:19:30] Just to sort of wrap this up and bring it home, because I do see some areas where we might be able to improve that.

[2:19:35] I appreciate that.

[2:19:36] I think sometimes, um, scheduling an interpreter to help you, uh, on what a form says,

[2:19:42] might not coincide with availability of the person, right?

[2:19:46] Especially if they have a long or a kind of an off, um, uh, job in terms of the hours that they work.

[2:19:52] And they're only available after six.

[2:19:54] Yeah.

[2:19:55] Maybe we probably aren't.

[2:19:56] I'm going to just safely assume we are not.

[2:19:59] Um, and so I think maybe a version where the PDF link goes back to the English version, but in parentheses,

[2:20:09] translates into Spanish, translates into Vietnamese or any other language that's primarily used.

[2:20:14] I think that would be another good option in that way if the facilitates the filling, the filling out of the application,

[2:20:21] without having to have that foam based, um, interpretation, uh, facilitation.

[2:20:28] Um, as I'll also admit these these questions to you, and then I will ask to incorporate those into the motion.

[2:20:37] So for the off agenda report to have, um, language access questions answered and then I can submit those to you.

[2:20:46] And so I'll look to the maker of the motion to see if we can include absolutely happy to include that.

[2:20:53] Um, and as she has some follow up questions about language access to you.

[2:20:56] Yes.

[2:20:57] I'm not finished though.

[2:20:59] Yeah.

[2:21:00] Just really quickly.

[2:21:02] You know what, you go ahead, um, since it's on that topic, because I'm going to change it just a little bit.

[2:21:07] Go.

[2:21:08] And just for the record of second degrees for the addition and the motion as well.

[2:21:12] Yes, absolutely.

[2:21:14] That's correct.

[2:21:15] Yes.

[2:21:16] Um, I'm familiar with the application assistance translation language access.

[2:21:23] Um, service you just described because we've done that in other programs.

[2:21:27] Um, but I'm not so familiar with how, um, does one avail themselves.

[2:21:32] Like for example, the healthy nail salon program.

[2:21:34] You call the number and there's a number for Spanish, there's a number for Vietnamese.

[2:21:39] And then that language specific person comes out on site to the nail salon to help help.

[2:21:44] That's embedded in the process, um, which I'm very grateful for by the way.

[2:21:49] Um, how does one avail themselves as a meco applicant to have that application assistance in language?

[2:21:57] Uh, I think it would be a very similar approach.

[2:21:59] And so we've been working really closely with anybody who's interested in providing the accessible language that they need.

[2:22:05] So they really just call the office request assistance and we'll be happy to help.

[2:22:09] Yeah.

[2:22:10] And how do people know that they can make that request that there's could, I mean, we're not, we're a great county.

[2:22:15] I love our county, you know that.

[2:22:17] But we're not particularly known for that level of hands on application experience yet, right?

[2:22:23] Yeah.

[2:22:24] Well, I hope it's on the website.

[2:22:25] I'm looking at be here to make sure that it's on the website.

[2:22:28] Uh, but, uh, but also through some of our CEO partners.

[2:22:31] And then, of course, when our inspectors go out if they, uh, anybody expresses an interest or need in, uh,

[2:22:37] uh, uh, another language.

[2:22:38] And we make that accommodation.

[2:22:40] Appreciate that, Michael.

[2:22:41] Um, if we can include that, um, the process, the steps, the paths of engagement for two,

[2:22:46] for someone to avail themselves of language access assistance.

[2:22:50] The office and other be really helpful.

[2:22:51] It'll help my staff also understand your procedure to be able to help promote that when we're engaging with our constituents.

[2:22:58] Absolutely.

[2:22:59] Thank you.

[2:23:00] Thank you.

[2:23:01] Yes.

[2:23:02] Thank you.

[2:23:03] Thank you.

[2:23:04] Wonderful.

[2:23:05] Um, so the other piece is, um, I'm wondering why there isn't a Gilroy support contract.

[2:23:11] I'm sorry.

[2:23:12] Say that again.

[2:23:13] I said I'm wondering why there isn't a similar contract in South County, um, to help support folks out there.

[2:23:19] Sure.

[2:23:20] Sure.

[2:23:21] Thank you.

[2:23:22] So, um, we were very fortunate because the way the budget functions for our environmental health branch

[2:23:27] doesn't offer anything beyond what the fees cover to enroll folks in the program itself,

[2:23:34] that our partners at the health trust, when the board raised concerns about the fees for the

[2:23:39] Mecos program and accessibility offered to step in and see what they can do to help understand the barriers better.

[2:23:45] So, it was at the discretion of the health trust to decide how to allocate their own grant funds

[2:23:51] and craft a program, which they ended up doing with Veggie Lucien, which was embedded in and already

[2:23:58] her work going in East San Jose.

[2:24:00] So, my understanding is the decision for, it's not actually a contract.

[2:24:04] It's not paid for by county funds and wasn't sort of a decision made by the public health department or environmental

[2:24:11] health.

[2:24:12] It was a generous fortunate opportunity that the health trust itself presented to offer the contract with Veggie Lucien

[2:24:20] to support applicants in East side.

[2:24:23] Now, in the part my understanding, just as best as I can represent there thinking, was that finding that,

[2:24:30] I think, concerned and interested us to respond to, that while we are fortunate to see just about 20% of all

[2:24:37] Mecos applicants and successful in rollies in District 5 and concentrated in Gilroy and Morgan Hill,

[2:24:44] we don't see that same equitable distribution across East San Jose.

[2:24:50] So, understanding why the barriers might be different in Gilroy compared to East San Jose, despite some of the same

[2:24:56] socioeconomic, racial and ethnic distributions, language barriers, was something that was really important to us to understand.

[2:25:03] So, we're grateful that the health trust made the decision for that reason.

[2:25:06] That said, should the opportunity arise to better support our South County neighbors in being able to address their own

[2:25:14] particular barriers and understand those better in Gilroy?

[2:25:17] We'd be very interested in that opportunity as well.

[2:25:20] So, if any of our partners from the health trust or vigolution are excited to expand, we'd be right alongside them.

[2:25:27] I think that really makes sense for us as there is also a street vendor issue in South County.

[2:25:35] And then, of course, there's access to a lot of agriculture out there.

[2:25:39] And so, there's a lot of creativity, which I truly, truly appreciate and want to encourage.

[2:25:45] And for their upward mobility, economic upward mobility, I want to make sure that we don't continue to have any restraints on their creative way of providing

[2:25:57] all of those yummy goodies that we see in the streets and that we can't help but purchase when we're out there.

[2:26:03] I'm also wondering about the, I'm sorry.

[2:26:11] I'm wondering if there is an opportunity for us to work with folks around the SB 972 build that was authored by Senator Lena Gonzalez.

[2:26:24] And I think that there is some, I think that you've already been open to that.

[2:26:30] I just want to make sure that I have, I say this out loud and into the record that you are aware of it and you are incorporating this into the Miko program.

[2:26:45] Yes, we are. Thank you.

[2:26:47] Perfect.

[2:26:48] Wonderful. So, I think that the rest of the items have to do a lot with just our county code enforcement.

[2:26:59] And if there's trained to in on Miko, so there for fully supportive of folks who are operators and regardless of the zoning codes.

[2:27:13] So are we connecting with planning so that they understand what Miko is.

[2:27:19] Yeah, we actually throughout the county we have had conversations previously with planning offices so that they're aware of this change in law from several years ago.

[2:27:27] And also so that they know that there are actually very few additional limitations that they're allowed to implement on Miko's.

[2:27:35] So in other words, the state law preempts a lot of what locals can do and so all of our cities should be aware of that.

[2:27:42] Wonderful and case they are not. I'd love to see maybe this could be incorporated into the motion maybe an info fact sheet for our cities.

[2:27:53] Especially the smaller cities that may not, you know, keep up with everything not to say that smaller cities just may have less resources and everyone else and not to say they don't stay connected but just in case.

[2:28:07] And FYI that that would be wonderful and so wondering if we can with the maker of the motion.

[2:28:17] Oh, the maker of the motion agrees and we'll turn to my seconder as well.

[2:28:23] More information is always better than less information. Yes, I completely agree.

[2:28:30] And those are my questions I think we have already anticipated some questions through you all and I'm just really grateful for this work and the number.

[2:28:40] I know that there's a very small number of permits so far with well in septic or just in general with the Miko under the Miko program.

[2:28:50] But we're you know we're starting we're starting we're trying to figure out what's going to work and please count on my office myself and the work that we're doing with the agricultural community out there as an opportunity to help support Miko and those operators that are out there that we haven't really connected with.

[2:29:09] So thank you so much.

[2:29:14] So I think I've asked this before in previous presentations, but I'll formalize my request with this an additional addition to the.

[2:29:22] The motion for approval and request for off agenda.

[2:29:26] If possible, I really would like to know how the county can create a pathway for Miko operators to be automatically or streamlined.

[2:29:35] In rolled into our county procurement system as a vendor, considering that we've already vetted them and we've permitted them and we have this procurement department.

[2:29:45] Allowing for departments and staff to be able to cater foods.

[2:29:50] I would love to have our board meals be catered by a Miko operator. I'd love to be able to have that list of menus available.

[2:30:00] Yeah, that'd be cool, right? Yeah. Yeah.

[2:30:03] And Luna. Shout out to Luna right here.

[2:30:08] So I'd like to add that to the agenda's, at the office and report request as well.

[2:30:13] I realize that that may require some collaboration with our procurement department, which is undergoing its own significant

[2:30:19] restructuring to see if this is something that we can dive into as an opportunity.

[2:30:24] Yeah, we can do that. Yeah, thank you so much.

[2:30:26] And I was going to suggest I think that really should be a separate report.

[2:30:29] Because it primarily is not a public health and environmental health responsibility.

[2:30:34] So that'll primary authorship, but that'll be separate.

[2:30:37] So should I make a separate motion at a separate.

[2:30:40] We can be one motion. I'm just indicating it'll be, there'll be two different responses.

[2:30:44] Fantastic. More information is always very, very less.

[2:30:46] And the ultimate goal is for us to have access to yummy food, made righteous way by our residents, participating in accounting

[2:30:54] room program. Okay. Well, thank you so much. I think that's it for my request today.

[2:31:01] Of course, if anything comes to mind, I always know how to reach out.

[2:31:04] But I look forward to in the future, following the off agenda.

[2:31:08] I just want to sunshine for you that I will be asking for a briefing about the makeup program for my office.

[2:31:14] As it ties to so many other programs that were also engaged in, and I welcome your continued collaboration with

[2:31:21] the resolution, any other partners as well as a current potential.

[2:31:24] Michael operators to reduce barriers to entry for this program.

[2:31:27] And thank you again for all the work that department has done.

[2:31:30] I know that sometimes you can do work to get the work done.

[2:31:34] And then sometimes you do work because you really believe in it.

[2:31:38] And there has been no doubt about the belief in this program from our environmental health department.

[2:31:44] Thank you.

[2:31:47] If I could. Yes, Tony. I just wanted to clarify with the make of motion a seconder.

[2:31:52] Did you want to include recommended action be allowing for the department to apply for up to $300,000 in

[2:31:59] grand fun? Yes, yes, absolutely.

[2:32:02] Thank you.

[2:32:03] So moved. Second.

[2:32:06] Thank you, Tony.

[2:32:09] Good. So first I just want to thank the department's effort to secure this funding.

[2:32:14] I think that's a great opportunity to give those temporary funding.

[2:32:17] But in the long term, would there be some type of a proposal coming to us later to try to find ways to make sure that this would be a sustainable funding and not just one time?

[2:32:32] I think we.

[2:32:33] Thank you, President Lee.

[2:32:34] I think we are certainly hopeful that we would be able to find a source for sustainable funding that would allow us to

[2:32:41] offset these costs for especially the folks for whom the fee itself is an important barrier.

[2:32:48] I've both also recognized that what we're learning in our partnership with

[2:32:52] Regolution and the health trust is it is not the only barrier for certain opportunities.

[2:32:57] And we need to be working to overcome those as well.

[2:33:00] That's that I know this body in the context of our fee studies last year had a lot of conversations about how extremely limited we are in

[2:33:07] applying fees that will help offset the cost, especially our lower income or fee burdened community members.

[2:33:16] So it really will take an outside funding source to allow us to do that.

[2:33:20] That is something we continue to to look for look for creative solutions to.

[2:33:25] And I believe we have additional information coming back to the board in a separate OAR in several months helping to keep you updated on how that progresses.

[2:33:34] Good, thank you.

[2:33:37] Then the other thing is regarding the survey, right.

[2:33:39] It shows that less than 20% of operators actually receive public assistance.

[2:33:46] So, suggesting that the target-of-the-fee reduction for the business and role in programs such as Medicare, CalFresh, or the Wake is would be a relatively low way.

[2:33:58] The low cost way to improve the affordability of some outside funding.

[2:34:04] It would not draw just all low income operators but it would only be meaningful first step to making a program even more accessible without much fiscal impact to us.

[2:34:17] There is a mention that and that we look forward to long-term fee reduction.

[2:34:24] I would like to see it is possible to get on the offer agenda we talked about.

[2:34:31] Providing us a list of program services or type of fees that the county has been used to subsidize for public benefit recipients.

[2:34:40] Is that possible?

[2:34:43] May I ask you to clarify that? I want to make sure I understand.

[2:34:46] I think we are just trying to look at the different programs that has been provided for the type of fee reduction that we like multi-departmental and something.

[2:35:01] If this is beyond the scope of this or I may look at Tony to see if I am just trying to figure out what our programs were providing to make sure that we are able to continue.

[2:35:12] These type of good work that we are doing.

[2:35:14] So just clarify you are looking at a list of food service programs that have historically received some kind of subsidies that accurate?

[2:35:23] Yeah, I mean generally I think food services is what we are talking about today but if there are other programs given these type of subsidized outside of the program I think it would be interesting to know.

[2:35:36] Maybe that is a complete separate offer agenda that we need to ask for in the future.

[2:35:41] Yeah, I think it relates to the environmental health branch and this particular permitting I think that would be within the scope of the business.

[2:35:49] Yeah, let's just limit to that. Thank you.

[2:35:53] All right, and that's all we have.

[2:35:55] And without further questions and comments let's go take the vote.

[2:36:00] All right, we have a motion from Supervisor Jung, seconded by President Lee.

[2:36:06] Supervisor Abekoka.

[2:36:08] Hi.

[2:36:09] Supervisor Jung.

[2:36:10] Yes.

[2:36:11] Supervisor Allen Brook.

[2:36:12] Yes.

[2:36:13] Vice President Arenis.

[2:36:14] Yes.

[2:36:15] Presently.

[2:36:16] I as well.

[2:36:17] Motion carries the five.

[2:36:18] Thank you very much.

[2:36:20] All right.

[2:36:21] And now we move to item 13, which is our home visiting expansion feasibility report.

[2:36:37] From our social service agency of officer children family policy and the public health department.

[2:36:42] Regarding this partnership between county and first five.

[2:36:46] Thank you.

[2:36:47] Hello.

[2:36:48] You're stuck with me again.

[2:36:50] So, Dr. Sarah Redman on behalf of the public health department.

[2:36:55] And I'm joined here.

[2:36:57] Let's see if I can get her title right.

[2:36:59] Heidi Emberling is Dr. Heidi Emberling is our.

[2:37:02] As a says director of the office of children and family policy.

[2:37:06] Pretty close.

[2:37:07] Okay.

[2:37:08] And Jennifer Claude Keller her.

[2:37:10] She's executive from first five and close partner in all of this work.

[2:37:14] We're very happy to present today's written report and very happy to take any questions from the board.

[2:37:20] Thank you.

[2:37:21] Thank you.

[2:37:24] Yes.

[2:37:25] So, I don't remember.

[2:37:26] Actually, you know what?

[2:37:27] Anybody in the public likes to speak on Sunday first.

[2:37:31] I have no cards in chambers.

[2:37:33] I do have one hand raised on zoom.

[2:37:35] All right.

[2:37:36] Let's do two minutes.

[2:37:37] All right.

[2:37:38] We'll close the queue at this time.

[2:37:40] Our speaker on zoom.

[2:37:43] All right.

[2:37:44] We have got one additional speakers.

[2:37:46] We'll close the queue at two speakers.

[2:37:48] Our speaker is Brenda Garcia Lujano.

[2:38:01] Brenda, can you accept him mute?

[2:38:04] Thank you.

[2:38:05] Please go ahead.

[2:38:07] Okay.

[2:38:08] Good morning.

[2:38:09] Members of the board.

[2:38:10] My name is Rebecca Garcia Lujano.

[2:38:11] And I'm here presenting.

[2:38:12] We work directly with families to our family.

[2:38:15] We're so centers in our parent child plus home visiting program.

[2:38:18] And we strongly support each other.

[2:38:20] And we strongly support each other.

[2:38:22] Thank you.

[2:38:23] Thank you.

[2:38:24] Thank you.

[2:38:34] And we strongly support each other.

[2:38:36] And we strongly support any home visiting, because we see the benefits first hand.

[2:38:37] When we meet the families in our home.

[2:38:39] We built the trust and for parents as a part children's first teachers.

[2:38:44] And we help children develop and thrive along with providing parents with the resources that they may need.

[2:38:49] But there is a gap that we come across.

[2:38:51] fathers where they are, pregnancy and the plus part of the period can be essentially vulnerable

[2:38:55] time for families and parents needed accessible, just a support that connects to their everyday

[2:39:00] lives. We also know that it's sending home visiting requires building a strong workforce.

[2:39:06] Some of us may first bring in community members into earlier new spaces for writing mentorship

[2:39:10] and hands-on experience and creating pathways into early childhood careers.

[2:39:16] We are from Maklora, who are equipped to do this work. They know our families understand the

[2:39:20] community, speak the languages that families speak and have the trust and relationships needed

[2:39:26] to meet parents where they are. They can provide education, navigation, support and connections to resources.

[2:39:33] The recent death of baby Jackson reminds us that we must continue strengthening the relationships

[2:39:38] and systems surrounding young children and families. No single program can prevent every charity,

[2:39:43] but reaching families or your gives us more opportunities for us to listen, identify needs, connect

[2:39:49] parents to support and intervene before a situation can become a crisis. So we encourage you to

[2:39:55] build on what is already working on our communities and create a continuum that supports parents,

[2:39:59] children and the people who serve them and we urge the county to move forward with the concrete plan

[2:40:05] to expand home visiting and meet the families where they are at. Thank you.

[2:40:10] Thank you, our next speaker is Naili Sedano.

[2:40:19] Good afternoon, Supervisors. My name is Naili Sedano and I'm here today representing Somal's May Fair.

[2:40:24] At Somal's May Fair we work alongside families every single day and we know that the earlier

[2:40:29] we connect families to support the stronger the outcomes are for both parents and their children.

[2:40:34] There is a care gap for families during pregnancy and the early years as specifically families

[2:40:38] experiencing housing and stability, poverty, food insecurity and other challenges.

[2:40:43] And these families need support that is accessible, cultural, responsive and rooted and trust.

[2:40:48] We support the county's efforts to expand home visiting because it is an opportunity to meet families

[2:40:52] where they are at and build relationships early, connect parents to resources they need before challenges become crisis.

[2:41:00] We also encourage the county to recognize and invest in community-based organizations

[2:41:04] and trusted and messengers already doing this kind of work.

[2:41:08] But a lot of those who come from and understand the communities that they serve play an important role in building trust

[2:41:14] which in families who may otherwise be missed and connecting parents to services and resources.

[2:41:19] Expanding home visiting should mean building on what is working not creating parallel systems.

[2:41:24] And as community partners including from a lot of us and other trusted community members,

[2:41:29] we are ready to help build a stronger continuum of support for families and we urge the board to move

[2:41:34] from planning to action and develop a concrete equitable plan to expand home visiting across

[2:41:40] Santa Clara County. Thank you. Thank you.

[2:41:44] Thank you. That concludes public comment.

[2:41:50] Of course, go ahead. Thank you.

[2:41:52] Thank you. Dr. Redmond, Dr. Amirling, Jennifer, you're a jurist doctor.

[2:41:58] So we can do Jennifer. Dr. Keller, her colloid. Thank you all for your work not only on this report,

[2:42:05] but for your ongoing passion for advancing the well-being of our youngest residents.

[2:42:09] I want to begin my comments just by recognizing how far this project has come.

[2:42:16] In 2023, I directed a budget inventory grant to first five Santa Clara County

[2:42:22] to conduct a study of the home visiting services that were then being offered across multiple systems

[2:42:28] in our county. That report was completed in 2024 and provided a detailed analysis of funding

[2:42:34] sources, service needs, gaps in the current landscape and recommendations for expansion.

[2:42:40] The findings were clear and unsurprising. Home visitation services in the county were both

[2:42:48] underfunded and underutilized. The report also underscored that home visitation is a cost effective

[2:42:56] investment bringing together case management, family support, and critical referrals to other health care

[2:43:02] providers. So again, I just want to express my deep appreciation for the research, the collaboration,

[2:43:09] and the thoughtful discussions from county administration and our partners.

[2:43:14] Your commitment and your creativity have been essential to identifying opportunities to keep this

[2:43:20] work moving forward, even in this very challenging fiscal environment. I also appreciate the

[2:43:27] alignment that this work has with the Latino Health Assessment that my colleague Supervisor Irenas

[2:43:33] is leading so beautifully, particularly around expanding the critical work of

[2:43:39] promotoras and community health workers. As a next step, I'm interested in pursuing support

[2:43:46] for a home visiting model using the community health worker and Dula benefits.

[2:43:53] And just for anyone who isn't familiar, Dr. Redmond, can you just share a bit about the Dula Benefit,

[2:43:58] please? Sure, thank you. So those who may or may not be aware, Dula's are experts trained in

[2:44:06] the entire peri-natal birthing process and postpartum period in early infant care and have been

[2:44:15] an absolutely vital element of how we have helped people survive and thrive through pregnancy

[2:44:22] in early postpartum periods for it's often based on learning we've had for decades and maybe centuries.

[2:44:28] But it's only relatively recently that DHCS acknowledges that these experts should be reimbursed

[2:44:35] for the support they offer during pregnancy delivery in postpartum care. And so for those who have

[2:44:41] medical, there is a covered Dula Benefit that just began about three years ago now that includes an

[2:44:49] initial visit and then up to eight follow-up visits in any combination prenatal and postpartum care.

[2:44:55] One of the things we see that this benefit is massively under-utilized.

[2:45:00] Resilies in general, that it can offer a particularly supportive, culturally appropriate and empowering

[2:45:07] experience for birthing parents and the entire family, and that it's especially underutilized

[2:45:13] in the postpartum period, people who do enroll in the benefit and do use it, leading up to

[2:45:19] birth and during labor and delivery, often don't use their unused visits after, during

[2:45:25] the period when, as this legislative report provides, we know that is a critical period when families

[2:45:35] need support. So, one of the many solutions we're pursuing is making sure that that benefit

[2:45:41] is fully utilized by those who have access to it. Have we reached out already to community

[2:45:45] organizations that are billing for duly care? We've begun to do so. On the public health

[2:45:50] side, our main partner is Ruth's and that we work with explicitly on our perinatal equity

[2:45:55] initiative and in making sure that folks have access to the duly benefit in that way. But I'll

[2:46:01] look to my colleagues to see what else we're doing to enhance access to that benefit. Thank you.

[2:46:05] There we go. In our meetings with the managed care plans, we sort of asked about

[2:46:15] dual availability and that is the other challenges there are not nearly enough duales and

[2:46:21] those that are in practice are often solo practitioners. So, there are not a lot of organizations.

[2:46:28] We learn that have duales on staff in the way that Ruth doesn't even, even the Ruth's program

[2:46:34] is a kind of a fairly newly launched and developed program that was actually seed funded through

[2:46:40] the Santa Clara Family Health Plan's Board Innovation Fund. Just sort of try to build a larger

[2:46:45] stable of available duales. So, at the moment there aren't a lot of community-based organizations

[2:46:50] with duala contracts. Sorry to interrupt. Does it have to be community-based? Could we put out a call

[2:46:56] for duales that might like to participate in a program? And is there a workforce development piece

[2:47:03] or our community colleges in Santa's state offering duala certifications? So, I can't answer

[2:47:11] the dual certification. Sure, that's totally fine. I don't know. I'm just using. We did talk about

[2:47:17] the training and certification process with the managed care plans and interestingly, the duala

[2:47:23] certification process is actually a shorter process according to the managed care plan than the

[2:47:29] community health worker certification, which was surprising to me. And we did talk with

[2:47:36] them about their interests and potentially developing their own pathway. But we did not explore

[2:47:44] deeply what is available in terms of the certification and that's somewhere I think we can

[2:47:48] experience. And then to the first question, do they have to be associated with an organization

[2:47:52] or can we partner with individual dualas? And if they're not already billing for Medicaid,

[2:47:58] help them begin to do that? So, my understanding from the managed care plan is they do not need to be

[2:48:04] through an organization. And in fact, the ones they have are often, as I said, sort of solo practitioners.

[2:48:12] I can't answer the question about the billing because that is a heavy lift. Sure. And so, I don't

[2:48:18] know enough about how the individual practitioners are managing that billing process,

[2:48:23] but perhaps because they're also billing insurance and other ways they have some of that infrastructure.

[2:48:29] That's a good question. Okay. Good. So, I don't need anything more specific right now, but I want

[2:48:36] that to be kind of in the next stage exploration to see if we can expand that because there is money for it.

[2:48:44] And it's in fact, we do not believe that it is funding that is threatened in any way, so it feels like

[2:48:52] for the moment a reliable, a reliable source. The report concludes by noting that administration will continue to

[2:49:00] partner with first five and managed care plans to develop a feasibility and cost plan. I think that's what we are

[2:49:08] starting to talk about, but can you talk me through any other next steps in this process, including whether

[2:49:14] there will be an opportunity for CBOs already billing for community health workers to be involved in the plan.

[2:49:24] So, the low is hanging fruit would be to partner with CBOs that are already able to bill medical. So,

[2:49:31] we have the list from the managed health care plans and that is the group that we will convene first.

[2:49:38] To talk about moving this forward. We're working with the managed health care plans to outline what would the cohort

[2:49:44] look like of people taking the community health workers certification. They actually just mentioned the dual benefit

[2:49:53] in our very last meeting that we had with them. So, we haven't really started exploring that, but we were talking about who else

[2:50:00] goes in aside from from a community health workers to see families with new babies in terms of home visiting.

[2:50:07] They were like, well, dual us, they go before and after, you know, during the pregnancy or like, yes,

[2:50:12] what about dual us? So, I think we put it in, but it is initial exploration. That was our very last meeting.

[2:50:20] So, we're very happy to have another area of exploration and they did say the dual benefit

[2:50:27] is higher than the community health worker benefit. So, it is a pathway to a higher reimbursement rate

[2:50:34] than community health workers. So, I think if we pursue both, they will be too avenues to expand home visiting.

[2:50:41] That is covered, you know, partially at least by the medical benefit. Great. Thank you so much.

[2:50:46] And I know that we are anticipating receiving the feasibility and cost plan for this work at the second meeting in January.

[2:50:53] Correct. Exactly. Fantastic. That my motion today is simply to receive the report and thank you once again.

[2:50:59] Second. Thank you for the second. Thank you, move to the second. I think Vice President.

[2:51:08] Thank you. I also just want to start with gratitude. Supervisor Allen Berge brought this in 2024, I believe,

[2:51:16] and 23, oh my gosh. It's been a minute. And so, I'm so sorry, 2023, your vision started many years ago.

[2:51:29] And thank you so much for bringing this and moving this, continuing to move this forward. As these are home visitation

[2:51:36] is one of the ways that we can really mitigate and support, mitigate a lot of issues that our families are facing

[2:51:46] and obstacles that they're facing, as well as be a support system for young families and all families.

[2:51:54] It doesn't have to be just young ones, but anybody who has children that are maneuvering through this society post-pandemic

[2:52:03] and just in this new modern age. And so, this is really amazing to me, the fact that we're looking at different pathways

[2:52:13] to either the community health workers or the dual pathway. And I dare to for you to maybe even think of another pathway

[2:52:23] that could bring in the men. And this is one of the things that I think about when we have babies,

[2:52:32] we have fathers that are involved in the lives of our children. And who is talking to them about their role

[2:52:40] as fathers and how to support moms and how to be supportive dads as they're growing it in their role as well.

[2:52:48] And we talked a little bit about this and I'm excited to see this role actually grow a little bit more than what it normally does.

[2:52:58] I mean, we've come a long way from the 50s where men weren't even allowed into the room when we were having babies and now.

[2:53:06] Yeah, I cut the court three times.

[2:53:09] Well, that's where they smoked cigars out in the hallway and you know, I don't know what they did.

[2:53:16] In the 50s but nowadays men are right there with us, right? And the fathers are taking the level of responsibility

[2:53:25] that is just amazing. And sometimes we unintentionally leave them out because a lot of the program is

[2:53:33] focused on the women and the moms. And so I'd love to hear if there's any thought so far about how to incorporate

[2:53:40] or how to create a pathway for our men to be involved.

[2:53:46] I think it's you Jennifer, you're trying to?

[2:53:48] Yes, thank you for that question and I also was a mom 100% agree.

[2:53:55] One of the great things at least about the Parent Child Plus program, which is the program that's being

[2:54:01] offered for children that are to end up is our providers that are offering that program

[2:54:09] the community Rebecca Children's Services, Catholic Charities and so most may fare.

[2:54:14] Do have some very strong programming in fatherhood initiatives. I think so most in particular has been leading the way

[2:54:21] with fatherhood work for quite some time. And our agencies, one of the reasons why we implemented

[2:54:27] Parent Child Plus in the way that we did through these existing agencies that have

[2:54:32] deep benches of other programming and services and support is that the navigation component of

[2:54:38] Parent Child Plus hopefully really brings in other aspects of the programming. But one of the things that I think

[2:54:45] is especially effective about a home visiting program is sometimes for a dad to raise their hand and sign up for a

[2:54:52] class and show up and oh my god are there going to be any other dads there? Is a big step to ask and

[2:54:59] can be a big stigma? So I think the fact that our home visitors are in the home, you know,

[2:55:05] having dads come on into the room and get involved are really a good entry point for for dads to get

[2:55:12] more involved. We will talk in more depth than we did reach out after your question to Parent Child

[2:55:19] Plus's headquarters to talk about sort of their fatherhood programming and they have actually been

[2:55:25] seeking some specific grants to enhance the curriculum around fatherhood in particular. It's not yet

[2:55:32] built into the curriculum outside of just the normal, you know, when every parent is a parent but I do know

[2:55:38] that's that's something that the national headquarters and it is an evidence-based program are really trying

[2:55:44] to integrate across regardless of which agency is implementing the program. I really love that.

[2:55:52] I know that sometimes inviting the men into the living room or wherever you're at is a really good

[2:55:59] effort but I think that we also need to figure out how to bring in the workforce and I know that Superways

[2:56:05] and Elinburg talked a little bit about the workforce development. We have these paths of community health

[2:56:11] worker. We have a path of the Dula and if Dula, we get reversed that a higher rate and it is an easier

[2:56:18] pathway than I would probably encourage that pathway a little bit more so we can get folks into the field

[2:56:26] and then default to wherever whatever pathway you see best fits home visitation but I'd also like

[2:56:34] love to see a pathway that is explored for the men who are working in the programs and so that it's

[2:56:42] not naturally, you know, an inclination is for women to step into these roles, right? It is not natural for

[2:56:50] the men to step into these roles and so I would really love to see how can we grow that in a very significant

[2:56:56] way not just to invite the men into the living room but then have those workers be the men who actually

[2:57:04] recruit because you work from what you know and people love to see themselves and others and when they are

[2:57:10] served in a culturally appropriate way we already know this will render more participation and that's

[2:57:17] ultimately what I would love to see and also just acknowledge that role that is a very important role.

[2:57:24] Mother's Day is always you know a blast and then here comes June with Mother's Day and is I've heard

[2:57:33] one too many times it is a forgotten holiday almost right and it shouldn't, right? It shouldn't be because

[2:57:42] Father's roles are so important for our children and in whatever the family looks like so in all the

[2:57:52] genders that are included so I hate to just focus on men but I think we haven't so that would be my

[2:58:00] ask and I don't know if maybe I need to integrate this on how into the motion or just ask for that

[2:58:06] direction to be followed wonderful I'm excited I'm really excited I'm excited this is first of all

[2:58:16] financially if it's believed this is so it makes so much sense it is very affordable and it's an

[2:58:23] investment that I think we should continue to make and it would be crazy if we didn't continue to make these

[2:58:29] kinds of investments in home visitation Jennifer did you have something no just trying to turn my

[2:58:35] mic off well I will too and thank you all for the hard work thank you thank you so much thank you for this

[2:58:45] very thorough report I appreciate the background research on existing models and your analysis of the

[2:58:52] options before us as we look to expand home visitation services program programming and in this incredible

[2:58:59] opportunity for workforce development really runs full circle in terms of rooting care and community and

[2:59:04] also economic included empowerment of the folks who are best positioned to have this interaction engagement

[2:59:11] with our families I really appreciate the comments the points brought today especially about the

[2:59:17] the participation of fathers I it reminded me of some feedback I received from some of our healing

[2:59:25] circles that's hosted the vast where fathers and partners are asking for help and guidance of how to

[2:59:31] support their their their partners new moms through post-partum depression so that that was something

[2:59:39] that was that has become more prevalent and the feedback that our office has received recently

[2:59:44] which is a positive thing that that our our male partners and our fathers are leaning in to that

[2:59:51] understanding of care for mom and for baby so I want to highlight that and and I really appreciate the

[2:59:58] conversations about workforce.

[3:00:00] Development, I do want to echo my support of opportunities for expanding and exploring how the

[3:00:08] community health worker hub and model can be a catalyst for careers as community health workers

[3:00:13] in home visitation professionals, including doulas, also I've seen other models and I've seen

[3:00:19] references made to also medical assistance in home support service providers,

[3:00:24] community workers, communities, lawns, peer support, navigators, being able to also

[3:00:31] emanate from the community health worker model. So I'd love to, as we progress on this work,

[3:00:35] like what are the possible avenues of expansion in those areas and other things we may not be listening

[3:00:40] or not thinking of right off the bat, right, as natural progressions.

[3:00:44] Civilizer, I want to really appreciate your comments about questions about the medical building for doulas.

[3:00:50] I know that would have an answer today, and it just right now reminding me of a memory,

[3:00:55] a very VISTA memory I had of meeting and constituent, one of my main greets, and if she is a doulas,

[3:01:02] and I think we spent about 45 minutes, not me talking, me listening, she was giving me the challenges of medical building as a doulas,

[3:01:11] who is in contract with our county health system. So happy to connect if there's an opportunity

[3:01:18] as you look for more engagement and understanding more, the research part of your work.

[3:01:26] That would be helpful to connect her, to connect our constituent to your work in terms of the feedback she's given.

[3:01:32] She's been, she has for medical building and reimbursement building for her doulas services.

[3:01:38] Very passionate.

[3:01:41] And then the, I want to switch over the descriptions of other models in the report,

[3:01:47] and LA in yellow counties, and existing models in Santa Clara County, were very helpful additions for her.

[3:01:53] I want to thank the staff for that. I recognize it's no easy feat to pull that much information and to synthesize it for a board presentation discussion.

[3:02:03] I am curious though, and this, I trust that this will be an ongoing conversation.

[3:02:09] I know that the home visitation doesn't happen automatically. You call the family, you present the program, you ask for permission,

[3:02:18] can we come, provide this home visit, can we coordinate with you, then the mother, the parent,

[3:02:25] the parent, excepts, and then the coordination patterns.

[3:02:29] I have received, um,

[3:02:34] increase, concern for my, some of my constituents, not fully understanding this program, the nature of this program.

[3:02:42] For whatever reason, it's, it's, there may, there is a misconception out there that this is,

[3:02:52] another, acts, another point of, of engagement, but like to, to pull me into the system.

[3:03:01] To pull me into the system, or as one constituent put it, when they reach out to my office,

[3:03:06] as, as is to judge my parenting, or as is to judge my character, we know the benefits of this program.

[3:03:13] We also know that there's a landscape, an environment of misinformation out there, and also a history of the child welfare system,

[3:03:20] not being, let's say, the place to provide support for parents who may be struggling, who may need more prevention and support than they do,

[3:03:29] um, need, um, before the problem, or the challenges become something that's unmanageable.

[3:03:35] So I wanted to share that with you that, that, um, share that with you, and also very curious, very interesting, and your thoughts,

[3:03:43] this conversation continues of how we can ensure that expanded capacity for home visitations,

[3:03:48] doesn't have negative unintended consequences, or have this misperception that this is anything other than providing support,

[3:03:56] making sure the family has, has what, has what they need, and that baby has every opportunity possible.

[3:04:03] I recognize the benefit of this program. I fully support any and all expansion of this program, um,

[3:04:10] to all families, and, and, and we are going to have to, like, continue with some misinformation misperceptions out there.

[3:04:18] Well, if I may, uh, thank you for your questions, if you're as young.

[3:04:21] I, um, I think there are multiple strategies to overcome exactly what you're describing.

[3:04:27] Uh, some of which go all the way back to how do we engender and wrinkly earn trust of government organizations,

[3:04:34] um, enough to not just have the, you know, honor of interacting with someone during the valuable time after they've given birth and are raising baby,

[3:04:41] but to step into their home, and that trust starts long before a referral to these programs happen,

[3:04:48] and needs to be carried through, um, the incredible quality of the services we provide as a county and our reputation as a county government.

[3:04:55] I think some of the ways when we have been successful have happened in where the initial referrals come from,

[3:05:01] often with a trusted healthcare provider saying, I'm going to connect you with this program, um,

[3:05:06] because being a new parent is hard for everyone.

[3:05:10] There is no one with all the resources in the world who has not, you know,

[3:05:14] at three o'clock in the morning, think, what am I doing?

[3:05:17] And so just recognizing that that's why we're there to help you have backup in that opportunity, um,

[3:05:23] and have a trusted nurse or doctor, uh, be the first to tell you or do, uh, be the first to tell you,

[3:05:30] we want to bring the support to you at your home and at time when it's going to be very hard to leave.

[3:05:35] And I think the second is working with community organizations that already are deeply embedded in the community is that, uh,

[3:05:43] that they're working to serve.

[3:05:45] That's why partnerships with first five with Catholic charities with all of our service providers,

[3:05:50] who, uh, don't, as Jennifer was describing, just do this,

[3:05:54] home visitation work in the postpartum period, um, but are out there connected with their community in a wide range of roles.

[3:06:01] Um, that's really how we get it done.

[3:06:03] But I think to your point, we are still fighting an uphill battle to continue to earn that trust as a government agency,

[3:06:11] based on what our community members, uh,

[3:06:15] feel and experience from other governmental agencies.

[3:06:18] Um, and it's a challenge I think we continue to face with partners like first five.

[3:06:23] Jennifer, anything you would add?

[3:06:25] Yeah, one thing I'll add is just talking to our partners, um,

[3:06:29] who operate some of the programs referenced in the report, um,

[3:06:32] that automatic light touch, uh, referral process that they implemented in a couple of other counties,

[3:06:38] have really resulted in lowering the stigma because everyone is offered.

[3:06:44] Um, the home visit. So it's, it's, it's, it's the, it's in the same list as you come back five days from now after you leave the hospital for your first postpartum visit.

[3:06:54] So it really lowered the stigma and they found that the uptake and acceptance of the home visits were almost 100%.

[3:07:02] Uh, so that really, I mean, if we can get there, we can build the infrastructure, um, it really does minimize the stigma and then it also helps us identify,

[3:07:12] you know, the families that really do need more intensive support, um, and we can match them to the right program versus the families that,

[3:07:19] you know, have, have three visits and are, are often running and, and feel secure.

[3:07:23] So it's also a really cost effective way to stratify the intervention.

[3:07:28] Because right now we only have high dosage intervention home visiting, um, so, you know,

[3:07:35] parent child plus is it is almost a two year one and a half year program.

[3:07:39] Similar with, uh, nurse family partnership. Um, so these are really, um, intensive investments. They're hugely valuable,

[3:07:46] but there's so many other families that could benefit from something shorter, lighter, less expensive and, um,

[3:07:53] less stigmatizing. Uh, the other thing our team and our, my first five team that did the report is, is sitting behind me.

[3:07:59] They did all the work.

[3:08:00] Um, thank you. And, uh, one of the, one of the other recommendations, you know, we discovered was,

[3:08:05] when and if we do have, you know, more robust opportunity for home visiting, uh, a public awareness campaign about what it is,

[3:08:13] would really be beneficial, um, to match sort of the availability of the service.

[3:08:19] And that's certainly something, you know, first five in public health could collaborate on, um, just to help people understand.

[3:08:26] It's not a, it is not a monitoring arm of child welfare. Um, it is hopefully preventative arm to keep people out of child welfare.

[3:08:35] But, um, those are all, um, you know, I think opportunities we couldn't build in alignment with the expansion.

[3:08:43] Right now if we did a big, if a big campaign, unfortunately, we'd probably send more people to a wait list.

[3:08:49] Um, but that's absolutely something we think would be beneficial, um, down the road.

[3:08:54] I really appreciate this thoughtful, the thoughtful considerations being made and I'm glad I'm really happy to hear.

[3:08:59] I, I, I, you've affirmed what I was hoping for that we are cognizant of this landscape, this challenge, where there are parents who are afraid to engage the county for help for fear of, of losing their child.

[3:09:15] Um, and, or, or going through, um, a process that they may not belong in, right, when they, what they really need is prevention and support.

[3:09:25] Um, happy ending the constituent that called our office did end the end except the home visitation and they actually let us know that it went really well and they felt better about it.

[3:09:35] Um, so, um, I, I, last thing I'll say is that I really enjoyed reading that strong a connection, so we may be between the proposed community health worker hub and the efforts to expand home visitation services.

[3:09:47] This is exactly the opportunity that I, I had hoped for with previous, uh, comments and discussion at the, uh, before this body.

[3:09:55] Thank you so much, and thank you to the staff for this right there report.

[3:09:58] Look forward to the future.

[3:10:00] As far as I'll be cooking.

[3:10:02] I thank you, President Lee, and, um, thank you so much for the report and all the great work and thank you, sir, for

[3:10:07] your, for your championing, you, this, um, really great initiative, um, I agree.

[3:10:12] I think this is, um, home visit.

[3:10:15] I think about my first experience 25 years ago and how, um, my husband, I'm so scared to go home when they released us.

[3:10:24] But hospital and, um, my older daughter, my first daughter actually ended up, um, having, uh,

[3:10:32] a high bill of ribbon that ended up in a blood transfusion that we didn't know about until we had our six summit.

[3:10:38] We, when we visited and, I think, had we had a home visit or had this opportunity that could have been, you know, caught earlier and, um,

[3:10:47] all of the treatments after could have been prevented.

[3:10:50] So I do think this, in an ideal world, everyone should be able to have this opportunity.

[3:10:56] Um, I do appreciate the comments about the, um, Dula program and this morning, our invocation presenter actually,

[3:11:03] this is a Dula who, um, founded the volunteer program at, um, Claire, I was Santa Clara, Santa Clara Valley medical, um,

[3:11:10] and also as part of, uh, was the blossom, um, nonprofit that looks like a very, um, well-established organization.

[3:11:19] So I see that there's great opportunity for partnership.

[3:11:23] Um, I had asked this question in writing about, uh, workforce development opportunities and working,

[3:11:29] potentially with our community colleges.

[3:11:32] I understand that you are exploring through other health-related, um, certifications,

[3:11:38] and, but also just thinking, can we, even, um, you know, initiate and maybe you already have conversation about, um,

[3:11:49] starting a certification program.

[3:11:52] I know the, uh, like, fiddle dance, uh, and my district has been very, um, uh, supportive and, and really,

[3:12:00] I want looking for opportunities to, um, provide more workforce development, um, programs,

[3:12:08] not to speak for them, but, um, knowing that I, I just wanted to, um, see how those conversations might be going.

[3:12:20] Uh, I'll, I'll, I'll start and then pass that to his doctor.

[3:12:23] I'm really, um, thank you for that, uh, comment doctor.

[3:12:26] I would, I would, I would, supervisor, I would go get, um, also a jurist doctor.

[3:12:32] Doctors everywhere.

[3:12:33] Um, we have a long standing history in the public health department of collaborating with some of our university,

[3:12:39] specifically around nursing, workforce development.

[3:12:41] And I think it's exactly those pathways that we could leverage for thinking about the dual certification.

[3:12:47] Um, I also think there's an opportunity, through the community health worker hub,

[3:12:51] which really is meant to be both a career pathway support system in itself,

[3:12:56] and the opportunity to then benefit the entire community from those, uh, new career community health workers,

[3:13:02] um, to, to forge that kind of, uh, opportunity for career growth and to expand,

[3:13:09] and hopefully resolve the problem we've been hearing about the lack of dual as overall,

[3:13:13] so it is a fabulous career opportunity and one that is certainly under leveraged.

[3:13:17] So, sorry.

[3:13:18] Talk to everybody.

[3:13:21] So in our, in our research, we did look up all the community colleges in Santa Clara County,

[3:13:26] to identify the programs for you in the report.

[3:13:29] Um, the, uh, managed healthcare plans do underwrite cohorts in the community health worker certification.

[3:13:37] Um, I believe right now they're working with mission coach.

[3:13:42] I can't remember, but I, I think it is mission college.

[3:13:45] So I think if, um, again, we're trying to be, uh, innovative and crafty in how we partner with those that might have access to additional funding sources.

[3:13:56] So I think working with the managed healthcare plans around the cohorts.

[3:13:59] There are debonsoring and making sure that our promoters and other home visitors interested in the community health workers certification pathway

[3:14:07] can be folded into these cohorts.

[3:14:09] I think is a connection that we want to build on.

[3:14:13] And the only thing I'll add is this is more related to once folks enter the home visiting field because there isn't necessarily a particular required certificate.

[3:14:23] But one of the things we've been doing at first five through the home visiting collaborative is providing professional development that has been requested by the field as a whole.

[3:14:32] So we've added some additional training and support on early childhood education.

[3:14:38] We've provided some additional training and specific areas that have been requested.

[3:14:43] So we've been doing that through a variety of budget dollars through some funding we were receiving from first five California.

[3:14:49] But that is definitely an articulated need and the field, you know, again varies broadly between folks that are public health nurses and folks that are.

[3:15:00] You know, coming from lived experience, I think, for example, participated in parent child plus and have now been trained in the curriculum and are offering the home visiting themselves.

[3:15:09] So there's a broad range of professional development needs. It isn't necessarily addressing your question about building the pipeline into the field similar to the supervisor or renace as question as well, which I think we can talk about more.

[3:15:24] Okay. Vice President, last question?

[3:15:26] Sure. Lastly, I actually was thinking about it as supervisor Abacogo was talking about 25 years ago. I also, 17 years ago.

[3:15:36] And my son was born really early. And so he stayed in the hospital for two months and I also thought, like, why are you giving this baby over to me?

[3:15:44] Because he's very medically fragile at the moment.

[3:15:48] And he is 63 now. And football on the football team for a couple of years now in high school.

[3:15:58] And in retrospect, I think, and I thought this supervisor I remember about this is like, I would have loved to have a home visitor now. We had early start, but that was more physical therapy and things, you know, just physical things that we needed to address.

[3:16:16] It would have been nice to have something a little bit short term, right? I didn't really need, like, a long term home visitation program. So I think this would have been perfect.

[3:16:25] And so I think about some of those other children and the families who might have, and I know the public health nurses probably would be assigned to the more medically fragile.

[3:16:36] But those there are kind of in between, in the disability community, I think need to have a special focus.

[3:16:44] And so will the community help workers or the duales, or which of the tracks will be more focused on, I don't need severely disabled, but those that might have some issues that need a little bit more support.

[3:17:00] I can take a first pass to say that the, and thank you, Vice President Erinnis, the several of the programs that public health supports do have this focus on medically fragile or children with disabilities, families impacted by disabilities.

[3:17:15] One of them, for example, is the CCS or California Children Services program, which requires is a qualifying criterion not only lower income status, but significant medical conditions or disabilities.

[3:17:29] And with that is a case management, a occupational and physical therapy, and an integration into some of our other home visitation programs for those families.

[3:17:39] Now for the community health worker work at the direction of yourself and the board in our expansion work coming out of the Latino health assessment.

[3:17:48] The community health workers themselves were describing and need and a desire to learn more about supporting families with disabilities.

[3:17:55] And so that is an intention of the Virgin and community health worker hub.

[3:17:59] The training we wish to foster and connect people to to really be able to bring not only our nurse or other professional experts who do home visitation to support these families, but also our community health workers as well.

[3:18:14] Wonderful. I love that they have found that integration, but we also should have it as the North Star somewhere in between, right, not severely disabled or with needs, but somewhere in between that light touch that we talked about.

[3:18:32] And I think that's really important. So we don't forget and in anticipation of some of those issues.

[3:18:39] I think that having somebody in the home can answer questions about what is typical and non-typical, right, and that can range in it of itself depending on what area we're taking a look at.

[3:18:53] So I'm glad that you're thinking about it. I'm glad. And I'm hoping to hear a little bit more about how you will integrate that and how you'll distinguish that from some of the other very well established programs that are meant to support.

[3:19:07] Those are already established programs, but this is a little bit different, right? And so who will we be able to focus on?

[3:19:17] And I'd love to see, as I knew it, and I don't know what it is now, but those kids who are entering our first five system of care.

[3:19:30] There are some of those who may not need a long-term home visitor, right, and that may need a more of a light touch, and I just love to see what that looks like in real life.

[3:19:42] And in real life examples, like how do we distinguish that? And I hear the concerns for a supervisor young to figure out, like, hey, and then it is this to evaluate me or is this to support me, right?

[3:19:55] And I think that you're very cognizant, all of you, all three of you are very cognizant of that need, and I think that the way that we train or the way that folks are going to come through the workforce development tracks, whatever tracks we establish, that they will also be cognizant of this, and we'll use language and interaction and engagement strategies that will hopefully relay that we're there to be supportive.

[3:20:22] And so, you know, knock on wood, everything, I don't even have to knock on wood. I know that you between you three ladies you'll have the foresight to make sure that we have a different kind of engagement, and I'm really excited about this. Thank you.

[3:20:39] Thank you very much. We've got my motion with second. There's a thought of a three daughters. I went through the, I have not fought for it's given birth, but so I've gone through the, the, I guess I cut the court three times to and political court literally. I'm still trying to do that figuratively, but that's a different issue.

[3:20:59] But, but at the same time the word do listen, I really didn't know about until we are first born and my gosh, without that I didn't know what I was doing.

[3:21:09] And at the same time the issue of postpartum is not an issue of economic, it happens to everybody, and we went through that very, very heavily myself, how, how that affected and that many of my friends have as well. So I just want to say this very important issue, and thank you so much for the amazing work you guys are all doing.

[3:21:28] Awesome. Thank you. All right. Well, without further ado, this is clickable.

[3:21:32] All right. We have a motion by a supervisor Allenburg, seconded by vice president Aranas.

[3:21:37] Supervisor Abhay Koga. I. Supervisor Jung. Yes. Supervisor Allenburg. Yes.

[3:21:43] Vice president Aranas. Yes. Presently. Hi, as well. Motion carries this five.

[3:21:47] Thank you. Next item has a time, sir. And of one, then after death, the mental health substance use is public health.

[3:21:53] The crisis report item 15, I believe, Dr. Sheritt Terald and waiting patiently. So I want to try to see if we can get that one out.

[3:22:01] Full lunch.

[3:22:11] Oh, I think I think my colleagues are giving me this look of the hangry look. I think unfortunately, let me take a quick po. I'm sorry.

[3:22:22] Yes. Okay. Let's. Let's see if we can do this. All right. Thank you.

[3:22:29] Hi, everyone. Good afternoon. We're just advisors. Sherry Terald director with our behavioral health services department. I'm a company by Megan Wheelahan, our deputy director. And we will try to get through our presentation. So folks in grab some lunch. Yes.

[3:22:43] All right. And we're going to go ahead and briefly provide an update and then we have some slides to share.

[3:22:50] I think we'll get those pulled up in a second.

[3:23:09] Okay. We have our slides up. You can go ahead and advance to the next slide, please.

[3:23:17] We have provided a listing of the reports that we provided since our last report. There are many updates that we provided through our budget presentations and they're all listed here.

[3:23:28] Our next section. Megan will update provided an update on treatment beds and facilities.

[3:23:35] Okay. So this table is very familiar to you all. I'm told a number of beds. We have added since 7122, we're at 273 right now across all treatment types.

[3:23:51] Since our last report, we added an additional two sub acute beds and two mental health community residential beds. And we have four short term residential treatment program beds in process currently and in it.

[3:24:10] And additional 242 beds in process in addition to those STRTP beds and that includes of course the beach hit projects that were funded with some of our contractors.

[3:24:23] Go to the next slide.

[3:24:26] So you have a visual representation of where we are at in terms of exceeding the 530 bed goal.

[3:24:35] Overall, we are on track to exceed that goal. If you look category by category, we still have a few areas where we need additional planning. And of course in substance use residential in large part because of some of our recent expansions, including Morrison, Maraposa, that's in progress.

[3:24:53] And then the funded beach hit projects we will exceed our substance use treatment withdrawal management and residential bed targets.

[3:25:03] And this slide is to break it down into kind of the human impact of all of these additions where we've added 273 beds that serve an additional 2860 clients per year.

[3:25:17] So that's not just a one time year over year accumulates into many thousands lives changed through these treatment beds.

[3:25:26] Next slide.

[3:25:29] Some updated plans on behavioral health treatment facilities you'll recall both of these county own facilities we had applied for beach hit funds for specific projects for pivoting to a different manner of being able to develop them into treatment programs that are needed in our system.

[3:25:49] We're looking at sort of a contracted operator developer model where we enter into kind of a financing relationship with a contractor that comes through competitive procurement process.

[3:26:02] We do have, you know, we have relationships with many operators that operate these kinds of intensive treatment programs.

[3:26:10] And we understand that there may be contractors in the community who have expertise in treating some of the most difficult to treat patients who would be interested in an opportunity like this in our community.

[3:26:23] And we have a model for this, San Jose Behavioral House is a facility kind of in the southern part of the central county where we own the land and initially the property and we did a ground lease and they've sort of developed into a really beautiful facility if you haven't seen it.

[3:26:42] I know they are open to giving tours to anyone and I'll say I spent many years there as that facility was newly opening and then being redeveloped.

[3:26:52] And I think through that partnership we really now have quite a gem in our community and we hope to be able to expand that model to both the 101 Jose figure as property and Valley Health Center Morgan Health.

[3:27:10] Okay, so we will provide a brief update on our workforce development efforts.

[3:27:16] As you recall, we commissioned the University of California San Francisco to provide a behavioral health workforce study.

[3:27:25] They put forth 18 recommendations that are currently being implemented as well as for that we're currently reviewing.

[3:27:33] Some of the system-wide strategies or priorities include aligning our workforce efforts with the recent statewide guidance provided by H.K., they recently provided and published a five year workforce education and training plan that covers 2026 through 2030.

[3:27:52] As well as strengthening our network sustainability through leveraging local efforts.

[3:27:56] We really appreciate our partners on our workforce committee.

[3:28:01] Our behavioral health contractors association is a strong partner in this work.

[3:28:05] We really appreciate Elisa and the efforts of our providers as well. Next slide please.

[3:28:11] So again, our priority is to align our workforce efforts with our statewide initiatives and leverage all of the opportunities that are being made available by the state.

[3:28:21] One example is the student loan repayment program.

[3:28:26] And for example, a behavioral health practitioner who commits deserving medical members can retain up to $240,000 in loan repayment following two to four years of public service obligation.

[3:28:42] So those are the types of opportunities made available through the state.

[3:28:46] And again, just re-emphasizing strengthening our network sustainability efforts through our partnerships locally here in the county and with our community partners.

[3:28:56] I'm really trying to prepare for better times when funding may be more robust and available and ensuring that we're working on those efforts to be prepared for future funding opportunities.

[3:29:14] And we really hand deputy director again. So looking at the behavioral health children and youth continuum.

[3:29:21] I think for the public, you know, behavioral health serves as the state's specialty behavioral health plan for children youth and families with medical insurance.

[3:29:30] We also serve those who are uninsured and unable to afford their own care.

[3:29:35] In our system, we provide a very robust wide range of mental health and substance use treatment services.

[3:29:43] We also collaborate closely with our local managed care plans.

[3:29:52] As you know, the state has set up our system as sort of a bifurcated, we handle the specialty.

[3:30:00] Mental Health, the managed care plans, handled them more widely experienced mild to moderate symptoms.

[3:30:09] But the state is also pushing us to collaborate more closely and establish stronger ties to make sure

[3:30:15] that children youth families and adults can seamlessly flow between levels of care as their needs change over their lifespan.

[3:30:23] Next slide.

[3:30:26] So some high-level data for the number of unduplicated youth we serve, 14,451 youth in FY26, tremendous number of lives touched.

[3:30:39] The next slide gives you a better visual of the geographic concentration of medical eligible youth.

[3:30:48] So that's just based on eligibility data and then the corresponding geographic concentrations of behavioral health children and youth serve.

[3:30:55] So you can see that we are largely aligned with both where the population centers are and where the concentrations of youth who have medical or are uninsured.

[3:31:07] And we are the option for them to access specialty mental health treatment services.

[3:31:16] Next slide.

[3:31:20] And here you could see kind of the number and percentage of total youth served throughout the kind of separating our county into three areas.

[3:31:29] As you would expect, the number of youth served overall is concentrated in the San Jose area, our population center, but also with high concentrations in both the north and south county.

[3:31:41] And then looking on the right, you have the frequency of services delivered by region.

[3:31:46] So as you would expect outpatient services, that's that high bar there is the most frequent service access by children youth and families.

[3:31:55] And then our crisis intensive programs, prevention and education early intervention programs and intensive treatment kind of almost matching across every region with slight differences between both North County San Jose and South County.

[3:32:10] Next slide. Yes. So we've been improving outcomes.

[3:32:17] You can see by the data for FY 26 that we saw an improvement in successful discharges, meaning at discharge from the program, the youth met their objectives and going into the treatment program.

[3:32:33] We've also been supporting schools to expand school-based wellness centers, which has really provide support for all youth in the county, not just youth who have specialty mental health needs so that they can access kind of a quiet, healing, respite space on busy school campuses that can also connect them to care whether that be through us as the behavioral health plan through the county, whether it be through their own commercial plan or through the.

[3:33:00] These schedule providers that are available at most schools in our county.

[3:33:06] We also continue to expand treatment beds. Importantly, we've access six substance use youth specific substance use treatment residential beds.

[3:33:15] We of course are adding 21 new adolescent acute psychiatric beds at the behavioral health pavilion coming up in November.

[3:33:25] With 14 additional pediatric beds at some point later.

[3:33:29] And then in partnership with DFCS, we have contracted and have an operation to short-term residential therapeutic program beds and an additional four in process right now.

[3:33:48] Okay, and we'll pivot to the report back on the older adult mental health strategies.

[3:33:56] Here you can see that we have seen a decrease in suicidality among older adults, kind of a slight decrease over the five year aggregate data.

[3:34:08] A note here at the bottom around city specific older adult subgroup efforts.

[3:34:14] Those have just begun sort of in 2526 so that kind of measuring the impact of those will take some time.

[3:34:21] But that has been and you'll see in the later signs of focus of our efforts.

[3:34:26] Next slide.

[3:34:29] So these older adult mental health strategies really across system effort to identify, engage and offer access to older adults.

[3:34:38] And each strategy here is targeted at kind of a different stage of connecting older adults to behavioral health services at whatever level of care they might need.

[3:34:51] Whether that be kind of the intensive services we provide through the behavioral health plan, a skilled nursing level of care, or more prevention early intervention.

[3:35:02] Let's go to the next slide.

[3:35:04] So more of our strategies and you can see these are incorporated partners from across our health system.

[3:35:12] So you're looking at the hospital system, social services agency and the public health department.

[3:35:20] I just wanted to point out a couple of the slides in the appendices section one is related to an update related to our overall suicide prevention transition to public health.

[3:35:30] That transition is moving forward as a result of some of our budget decisions related to our fiscal year 27 budget and just a reminder that the public health department has a scheduled update around this transition.

[3:35:46] At the September 2026 CSF C meeting and then another update at the 2026 meeting with the health and hospital committee in December.

[3:35:56] We've included in the appendices our workforce recommendation status updates.

[3:36:02] There's quite media and therefore we put it in the appendices for review.

[3:36:07] And then as we do on a quarterly basis and provide updates on our mobile crisis response program data.

[3:36:15] As well as some additional information related to commercial billing opportunities for mobile crisis.

[3:36:22] So that's something we've added this quarter.

[3:36:25] I think with that we'll take questions.

[3:36:28] Thank you actually, I'm going to say anybody publicly speaking this.

[3:36:32] I have no cards in chambers.

[3:36:34] I do have one hand raised on zoom.

[3:36:37] Two minutes.

[3:36:38] Right.

[3:36:39] We will close the key and our zoom speaker is Michael Rogers.

[3:36:44] Hi, this is Mike Rogers.

[3:36:49] Thanks for this presentation.

[3:36:52] Question I have thinking about this stuff as chair of the health advisory commission.

[3:36:58] We've been working with county entities and respect to expanding integrated and functional medicine.

[3:37:06] In the county health system and food as medicine programs on the medical side of things.

[3:37:14] One of the things last few years is to be very rapid is the new field of medical.

[3:37:19] Psychiatry.

[3:37:21] We have a center here in the Bay Area with a museum group in San Mateo, sponsoring kind of research.

[3:37:27] As well as large entities like metabolic mind is a coordination national resource in this area.

[3:37:35] My question in my thinking about this is to what extent are we using the concepts of metabolic psychiatry and education on therapeutic side of things.

[3:37:43] For behavior health issues in the county or plan to do so.

[3:37:47] Not to visit the future.

[3:37:49] I've seen the result of these types of approaches both with my kids and my grandkids.

[3:37:54] I'm also a teacher of these days in retirement in an include metabolic nutrition.

[3:38:00] Part of my high school biology, class as well as see the results in my students over time that I have through the high school careers.

[3:38:08] So it's kind of an area of interest in it.

[3:38:12] It's relatively young field.

[3:38:14] It's moving very rapidly.

[3:38:16] It's getting a lot of interesting research results.

[3:38:18] Something you consider for the future is how we incorporate that expand that into the educational and therapeutic side of behavior health.

[3:38:26] Just on the medical side.

[3:38:28] It's starting to do the county systems.

[3:38:30] Thank you for your time attention.

[3:38:32] Thank you.

[3:38:33] Closing public speaking portions of the number.

[3:38:36] Thank you so much.

[3:38:38] Sharing and making really appreciate the presentation and following up on my request for options.

[3:38:44] To fund the behavioral health facilities.

[3:38:47] Dr. not received proper on bond support.

[3:38:49] Looking forward to hearing more at FGOC about the upcoming solicitations and how that will help us move closer toward our 530 bed goal.

[3:39:01] I want to also just reflect from moment on the ongoing workforce developments in behavioral health.

[3:39:07] I know we spend so much time talking about beds, but this is really an equally important line.

[3:39:13] And I have heard from many of our system partners that the workforce advisory group meetings have become a meaningful space for county staff providers and our education partners to come together.

[3:39:25] During this period of major transition so just thank you very much for continuing to hold that space and engage our partners.

[3:39:34] Also appreciated the update on the departments applications for the state workforce development grants last month.

[3:39:40] And thank you for your responsiveness in pursuing those activities opportunities.

[3:39:46] And certainly as additional grant cycles are funding avenues emerge I would encourage the department to continue exploring options that can strengthen our workforce pipeline.

[3:39:55] I do understand that some providers were cautious about applying.

[3:40:00] Due to particular parameters and perceived risks and if there's feedback that can help shape future iterations at the state level.

[3:40:10] I would welcome that and certainly you can share directly on your own, but if there's a role that I can play through advocacy there I'd be really glad to do that.

[3:40:20] If it's amenable to the chair of the Health and Hospital Committee, I would appreciate an updated HHC once the award notifications are issued just so we can keep informed of the status.

[3:40:32] Thanks of the workforce development grants.

[3:40:35] Lastly just want to acknowledge the encouraging 18% decline in suicide rates among older adults.

[3:40:43] I think that progress is meaningful. I appreciate the continued implementation of the older adults suicide prevention strategic plan.

[3:40:52] Which I believe supervisor Samidian and I requested through referral in 2024.

[3:40:58] And even as these numbers are encouraging even as suicide prevention responsibilities transition to public health.

[3:41:07] Funding is being slashed by the state. I still have faith in us to do the good work.

[3:41:14] I would like I'll make a motion to receive the report and direct a one year report back on the older adults strategic plan so that we can continue tracking progress and ensure that we're sustaining the momentum that has been built.

[3:41:30] That's the end of the motion. I want to make one other comment. Thank you for the second.

[3:41:36] I noticed that some of the metrics in last year's report.

[3:41:40] Specifically the penetration rates related to older adult access to behavioral health services weren't included in this report.

[3:41:48] I still would like to see those penetration rate metrics included in future reports just so that we're consistent year over year.

[3:41:56] In being able to measure how effectively older adults are accessing our behavioral health services.

[3:42:03] All right. Thank you and thank you for the second supervigently.

[3:42:06] Yes. I'm sorry. I'm sorry, sir. I'll be cold.

[3:42:09] I think you're presently. And thank you so much for the presentation.

[3:42:13] I essentially appreciate the information around you services that I have been looking forward to receiving.

[3:42:23] As you know, youth mental health is been a priority, especially in light of the student deaths in our community that have happened recently.

[3:42:36] But I want to and so I appreciate the breakdowns of youth programs and the school-based wellness centers, geographic service patterns and the new youth psychiatric beds that will come online in November.

[3:42:49] I'll continue to look forward to and I will continue to ask for this information in data.

[3:42:54] I had I have a two specific requests for information.

[3:43:01] I'm hoping maybe that could be instead of a need to be included, but I'll just ask if it could be included in information for the next quarterly report.

[3:43:10] First with all of the 35 youth behavioral health beds coming online in November.

[3:43:17] I would like for BHSD to report on how many youth are still being sent out of the county for behavioral health care since our goal is to try to be able to take care of our own youth.

[3:43:30] I don't know if you well so if you're able to provide that.

[3:43:34] Yeah, just to be clear, we can provide how many youth are being paid for through our department.

[3:43:41] So I'm not sure if there may be more that are sent from commercial and shared use from other hospitals.

[3:43:48] Okay.

[3:43:49] That makes sense.

[3:43:50] Yes.

[3:43:51] And then the second data on youth deaths by suicide in our county.

[3:43:57] So if we could continue to monitor our suicide prevention progress, especially in light of all of this, some of the changes that we've had to make.

[3:44:10] And that department, I would appreciate that data.

[3:44:15] So if that could be included, I would very much appreciate that.

[3:44:19] Those are both points to be added to the motion for the next quarterly report.

[3:44:23] Thank you very much.

[3:44:25] Yes.

[3:44:26] Thank you.

[3:44:27] Thank you, Sherry and Megan for the report.

[3:44:30] I see.

[3:44:31] I thought I saw key.

[3:44:32] Oh, there's key.

[3:44:33] You moved.

[3:44:34] Thank you too as well for your work in this one.

[3:44:38] I do have a few questions and so now that we have to pivot from our original plan of using grant to support the development of the mental health rehabilitation center.

[3:44:49] What is the expected timing to bring beds online and how much delay is expected of any.

[3:45:00] Difficult to project out without having a contractor who has scopes of facility. You know, the idea here is that we procure a contractor that can develop it, ideally, likely on a faster timeline than we would be able to do ourselves, but also that they develop a facility that they're going to operate again to serve some of our most acute folks.

[3:45:25] And you know, rehab in a way that would kind of meet their program design. So difficult to project on that construction timeline for me unless you have an estimate.

[3:45:36] But I would say more on the procurement level, we would expect to accomplish that within the fiscal year.

[3:45:44] Within the fiscal year for the procurement phase of it. Thank you.

[3:45:48] And I know this goes well saying you'll keep us posted on the development of that because we're talking about 57 beds, right?

[3:45:55] At 101 Jose Figueras and then Valley Health Center is currently, but, you know, at a 36 bed MHRC. Again, you know, we would do this in partnership with whatever contractor is selected and kind of follow their expertise.

[3:46:11] Because again, we want to find someone who can really serve the hardest.

[3:46:15] Of course. Thank you, Megan. Thank you for the clarification. I switch the numbers around.

[3:46:21] And how has the transition with staff in going since early July has become that back to school from our board recess here?

[3:46:30] Yeah, I think it's it's been a transition process and we are over the the hardest part of it. I'd say folks are settling in.

[3:46:38] I'm just meeting with all of our managers hearing that there's a lot of surprising positive outcomes from the changes that initially were a little scary.

[3:46:49] So our our clinics all clients are in a transition process. We have a few still making sure they get connected to services.

[3:47:00] I can give you the data on another time. It's over a thousand clients that we transitioned from our clinics to other providers manage care plans or other clinics.

[3:47:09] And we have about a hundred still in process making sure they get connected in the team of staff dedicated to following up to make sure that they landed services.

[3:47:18] So yeah, I'd say, you know, it is not easy. Takes a lot of work a lot of focus, but it was a great opportunity to collaborate across our department and hopefully in the future that across department collaboration is more constructive.

[3:47:32] Yeah, I'm excited about the lessons learned that we can glean from this experience and it's not a light lift at all and I just want to thank you. There are many phone calls on late Friday evenings and weekends to help manage this process forward. So thank you for that.

[3:47:48] I also want to also congratulate and thank you for the increase positive increase in positive graduations for you receiving our services. I think that's a story that's not often told and that's certainly an accomplishment to celebrate. Thank you for that and please relay my appreciation to your team.

[3:48:06] I want to switch gears to the report relating to older adult services and I thank you to rise in number for highlighting that.

[3:48:16] Since we just launched a new training for the connections program to enhance existing older adult services.

[3:48:23] I want to echo supervisor Ellenberg's request for more information about how that's going in the future and how we're meeting the needs of our older adults.

[3:48:31] And then with the launch of my health point patient portal, I know which occurred a year ago.

[3:48:36] We also, you know, I wanted to ask how that was going and really in relation to our older adults.

[3:48:42] Being maybe some of them being technology resistant within the the premise of this report, but I mean I also don't want to be an agency.

[3:48:50] I have a lot of trouble trying to get my health portal access online thing to work and literally my primary care physician had to sit me down and walk me through it during a medical point.

[3:49:00] So this is not a senior specific issue, but there are going to be tech resistant people in demographic. Have we met those challenges? How have we overcome it? How are we managing through that?

[3:49:15] So thank you for the question supervisor. You know, we have a really great dedicated team of health service representatives and case managers that are not only providing information.

[3:49:27] To some clients that may be struggling with the digital aspects, but they are also assisting them with downloading the app helping them sign up assisting them on an individual basis both over the phone and in person to show them how to use the app.

[3:49:43] So we've really assembled really great teams that help support our patients and clients and navigate some of those digital challenges.

[3:49:51] I shouldn't be surprised. It sounds very similar to my experience getting online. And last I just went with gratitude. It's wonderful that our health system has been recognized for it's older adult age friendly program medication, meditation, mobility and what matters.

[3:50:09] I'm also known for it. And thank you to our larger health system for that work and for your participation support that. Thank you.

[3:50:20] Thank you.

[3:50:24] I have a couple of questions around the Valley Valley Health Center, Morgan Hill.

[3:50:32] And that connected to the number of kiddos that get served.

[3:50:40] I noticed that there is a North County San Jose obviously serves the most in North County and then South County.

[3:50:56] Is the issue that what the services that are offered in South County?

[3:51:04] Or is it the number of people that are actually asking for assistance and support?

[3:51:10] I'm guessing wondering is it capacity? Or is it the need?

[3:51:14] Which of the two do you think that has more to do with?

[3:51:17] I know South County doesn't have the same kind of resources that the rest of the county does.

[3:51:22] And so I'm just wondering what do you think it has more to do with?

[3:51:32] So on the slide, that has the bar graphs. One of them shows the client served versus medical eligible individuals.

[3:51:42] Which slide?

[3:51:44] Sorry. My number is a little 16. Thank you.

[3:51:49] Thank you.

[3:51:52] Is that a page number?

[3:51:54] I'm sorry. I have a packet page number.

[3:51:57] A packet page number, 195.

[3:51:59] Okay, thank you.

[3:52:01] Okay, go ahead.

[3:52:03] Yeah, so you can see that the number of medical individuals is pretty close.

[3:52:09] Yeah, well, it looks here to be exactly on.

[3:52:12] I'm sure it's one or two off of the client served.

[3:52:15] And then on the right side is the frequency of services delivered.

[3:52:20] And it's fairly consistent.

[3:52:23] You can see like PEI is actually higher in the South County in terms of like most frequent,

[3:52:32] as opposed to the two other parts of the county.

[3:52:36] I'm sorry. PEI.

[3:52:38] Prevention early intervention services.

[3:52:40] Yes.

[3:52:41] So I'm not quite seeing where this illustrates an access issue.

[3:52:47] Although certainly, yes, we have services for all ages.

[3:52:52] Youth and families included in the South County.

[3:52:55] But there's certainly less of a concentration fewer kind of options.

[3:52:58] But we do, you know, we have county operated programs in addition to some contractors and always looking to experience.

[3:53:05] Thank you.

[3:53:06] And I wondered if the, I know this isn't.

[3:53:10] It's a frequency of services, but also outlines the type of services, right?

[3:53:15] This is only our county services.

[3:53:19] It doesn't have, it doesn't include the SLS, right?

[3:53:22] The schooling services.

[3:53:25] It would include that SLS services that come through our network.

[3:53:29] It would not include the fee schedule services, which we wouldn't be receiving data on.

[3:53:34] Okay.

[3:53:35] That was the next question is.

[3:53:37] I know I've heard from some school board members concern about access to mental health services in their school systems,

[3:53:47] because, you know, they're, they're just not, that's not what their bread and butter is, right?

[3:53:52] The bread and butter is to provide education.

[3:53:54] And so, how are we fairing or how are the systems fairing?

[3:53:59] How are we engaging or monitoring or supporting?

[3:54:02] The schools, so that we can figure out whether there's a gap in service.

[3:54:06] If they're not, I know that there was, during the summer, there's still an opportunity to support kids, but I don't know how that went.

[3:54:15] Do you have an idea if, if the schools were have the capacity in the ability to continue to support the kiddos that we normally would see during summer?

[3:54:31] I don't have data for you right now, and I don't want to speak just on my impressions.

[3:54:35] I'll tell you what I know to be true, which is that we continue to have a team dedicated to schooling services and partnering with our schools to ensure that students throughout the county have access.

[3:54:48] And part of that is partnering with the schools as they roll out the fee schedule to make sure those connections are happening.

[3:54:54] And that if there's a problem if the fee schedule implementation is not going well, which is not something I've heard.

[3:55:00] But I don't have the data to prove it to you.

[3:55:03] Yeah.

[3:55:04] We have people focused on that, meeting with schools on a regular cadence to understand where they're at, what their needs are, and partnering to figure out how to meet them.

[3:55:13] Okay.

[3:55:14] I know if we could, and if I could ask to make a motion, if we could have a breakdown of that, the next available report that it comes back, that if we have a breakdown of what that would look like.

[3:55:27] And an opportunity to kind of see all of this comprehensively together, right?

[3:55:33] So schooling services somewhere in there, but we don't know what that breakdown is.

[3:55:37] I'd love to see that pulled out.

[3:55:39] And then have a comparison of what we normally would see kiddos in schooling services receive and then what they're receiving now.

[3:55:50] So just to kind of gauge what the difference is.

[3:55:53] Obviously, the responsibility is on the school system to provide those services.

[3:55:59] But if there's gaps in services or if they're just not able to do that, I'd love to have that be one.

[3:56:07] I'd love to know and then to how does that fit into our system, or is there any, any opportunity for us to maybe shift in how we're providing services.

[3:56:18] I'm happy to incorporate that.

[3:56:20] I would like to give them some flexibility for either the next quarterly report or the one after that, depending on how much work that is to assemble that information.

[3:56:32] And tell me if that makes if that window makes sense.

[3:56:37] Yeah, it might be both and it certainly is simple enough to pull out that what of the services if you're looking at that graph are schooling services.

[3:56:46] But the bigger question that we've touched on before, which is when the school start or, you know, contractors start to provide services through the fee schedule, which doesn't run through us.

[3:56:56] We won't have data on how we can partner with schools or providers to provide that information to the board.

[3:57:02] It may take us longer to figure that out.

[3:57:05] That's fine, but in the meantime, we'll have kiddos who are not receiving services that we've pushed on to the school system to have.

[3:57:14] And so I'm afraid that time is of the net sense, but in order for us to get that kind of information, I understand first.

[3:57:24] The school needs to start.

[3:57:26] And then they need to be able to actually have this carried out and implemented. This will be the first year that this is actually going to be in place.

[3:57:35] So I'm flexible with that. I just want us to make sure that we don't lose track of it.

[3:57:43] But yeah, I'm open to the flexibility of it.

[3:57:49] Thank you.

[3:57:54] I just want to say thank you so much for the update.

[3:57:57] This has been long time coming.

[3:57:59] Of course, I have to think as well as the homework for leading this effort.

[3:58:03] Many years ago, and your partner on this one has made the tremendous progress.

[3:58:08] Sometimes faster, sometimes slower, sometimes the state cooperates, sometimes they don't.

[3:58:13] But we continue our hard work.

[3:58:17] That being a couple of minor questions.

[3:58:19] One is the regarding the youth sets program.

[3:58:24] I learned that there's one of those clothes in our county.

[3:58:28] And we have to contract that those sets of youth beds outside our county over to, I think,

[3:58:37] was pedoloma.

[3:58:38] So I just want to ask what would be the way we could hopefully increase the possibility of having

[3:58:45] these youth sets beds within the county, so they don't travel so far in the future?

[3:58:52] Yeah, thanks for the question.

[3:58:54] Supervisor Lee.

[3:58:55] It's interesting.

[3:58:57] This issue related to sets youth residential is really a statewide issue.

[3:59:02] So many counties, including ours, are really trying to figure out how do they bring more resources online.

[3:59:10] Just to highlight what we have done here locally.

[3:59:14] So we have had an open procurement for sets youth residential services since October of 2024.

[3:59:23] It's still open and will remain open through 2029.

[3:59:28] Today we have not received any applications or providers coming forward to provide those services.

[3:59:36] So what that has done for us is necessitated, you know, our outreaching to other entities in other counties to ensure that we can have those services available.

[3:59:49] As you've mentioned, we've contracted with four beds with other programs.

[3:59:54] We will continue to do that because we are responsible for ensuring that services made available.

[3:59:59] But this...

[4:00:00] This is a service that I think many counties are struggling to provide, and counties are partnering,

[4:00:08] learning from others about opportunities that may be available.

[4:00:13] You know, locally here in the Bay Area San Francisco has been trying to stand up an operational

[4:00:20] sets youth residential program for the last 20 months. If they're successful, you know,

[4:00:27] we're going to continue to work with them and learn from their, you know, efforts. And then Sonoma County was one

[4:00:36] county that received a B-chip funds to establish a sets youth residential program.

[4:00:43] You know, they anticipate potentially not being able to fill all of those beds, but unfortunately that facility is not

[4:00:52] slated to be open until 2028. So until then, we're working closely with the state, our neighboring counties and partners.

[4:01:00] County behavioral health directors, association is also, you know, looking into this with the state. So we're continuing to try to

[4:01:08] try to work on that and ensure that we have options available to our youth. And we do through contracts, but not in this county.

[4:01:15] Megan, I don't know if there's anything else that you would want to add around that.

[4:01:19] Yeah, the only there pieces we do have a contract.

[4:01:22] Part of the issue is many of the providers that exist are not medical providers and not interested in becoming medical providers.

[4:01:30] So we may be able to contract on a one-off basis for a youth that has a need in that moment, but we don't necessarily get credit from a state perspective.

[4:01:38] So that all the efforts, Sherry, is talking about our underway to make sure we have it sort of in our network and Canada is in our network.

[4:01:45] Yes, since I do share the health and hospital, can this be coming back to us, like at least a quarterly, just an update, any progress on this area, we'll have to find out more and learn.

[4:01:54] Sure, we can provide that on a quarterly.

[4:01:56] Thank you.

[4:01:58] And I think that's the question I have.

[4:02:00] So only want to appreciate the other section of this report, we're grabbing all the doubts on how that has something been happening, you know,

[4:02:12] because we do have a agent population including yours truly.

[4:02:16] And nobody's getting younger, right?

[4:02:18] Let's just say.

[4:02:19] So I just want to say thank you for the continued work on this.

[4:02:23] And on that, I'd be a motion.

[4:02:24] We have a second.

[4:02:25] Oh, I'm sorry.

[4:02:26] So the number.

[4:02:27] I just want to add one piece to the motion regarding workforce development recommendations.

[4:02:34] I'd love to get a six month report back on the status of those recommendations as part of the.

[4:02:41] Not the next quarterly report, but the one after that, please.

[4:02:44] Is that all right as well?

[4:02:46] Yeah, absolutely.

[4:02:47] Thank you.

[4:02:48] Okay.

[4:02:49] Good.

[4:02:53] So those are the.

[4:02:54] One, six months.

[4:02:55] Okay, good.

[4:02:56] Thank you.

[4:02:57] All right.

[4:02:58] That's the case.

[4:02:59] We have a motion.

[4:03:00] Second.

[4:03:01] Thank you.

[4:03:05] Thank you.

[4:03:06] On motion of supervisor Ellenberg, seconded by President Lee.

[4:03:10] Supervisor Abacola.

[4:03:12] Hi.

[4:03:13] Supervisor Yoon.

[4:03:14] Yes.

[4:03:15] Supervisor Ellenberg.

[4:03:16] Yes.

[4:03:17] Vice President Hernandez.

[4:03:18] Yes.

[4:03:19] President Lee.

[4:03:20] All right, as well.

[4:03:21] Motion carries.

[4:03:22] Thank you.

[4:03:23] And we're not going to address any more issues.

[4:03:25] Because that's a lot of hangry colleagues at this point.

[4:03:27] So we will.

[4:03:28] Brick.

[4:03:29] For lunch.

[4:03:31] Oh, yes.

[4:03:32] So so.

[4:03:33] So I don't know.

[4:03:34] I knew.

[4:03:35] Yeah.

[4:03:36] The folks for the time search and item.

[4:03:40] Did a rise at one.

[4:03:41] I understand that everybody needs a break.

[4:03:43] I was just request that it could be as short or brief as this reason.

[4:03:47] Sure for everyone.

[4:03:49] Let's do a quick one.

[4:03:50] Supervisor Ellenberg and President Lee.

[4:03:52] Yes.

[4:03:53] To help with your consideration.

[4:03:54] So for as Abacola nice.

[4:03:56] Doug and Tara's knack packs.

[4:03:57] And we're good now.

[4:03:58] All right.

[4:03:59] Oh, no.

[4:04:01] But if anyone else needs to break.

[4:04:04] So so Richard 145.

[4:04:06] Is that okay?

[4:04:07] 145.

[4:04:08] Yeah.

[4:04:08] Great.

[4:04:09] Thank you very much.

[4:04:10] Thank you.

[4:04:11] With Apologies we are running later than I thought.

[4:04:12] But thank you.

[4:04:13] Thank you.

[4:04:38] Thank you.

[4:05:08] Thank you.

[4:05:38] Thank you.

[4:06:08] Thank you.

[4:06:38] Thank you.

[4:07:08] Thank you.

[4:07:38] Thank you.

[4:08:08] Thank you.

[4:08:38] Thank you.

[4:09:08] Thank you.

[4:09:38] Thank you.

[4:10:08] Thank you.

[4:10:38] Thank you.

[4:11:08] Thank you.

[4:11:38] Thank you.

[4:12:08] Thank you.

[4:12:38] Thank you.

[4:12:39] Thank you.

[4:13:08] Thank you.

[4:13:38] Thank you.

[4:14:08] Thank you.

[4:14:38] Thank you.

[4:15:00] Testing.

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[4:28:24] Yes, we'll be reconvenient, 145, just want to make sure everybody's ready to go.

[4:28:36] Sorry, we were trying to do after one, but we ran a little bit late earlier, but just want

[4:28:41] to be sure everybody's there.

[4:28:42] You can also test your mic to make sure they're working, so we could get rolling distance

[4:28:46] time hits.

[4:29:16] Thank you.

[4:29:46] Thank you.

[4:30:00] Good afternoon. We now have 145 reconvening to our board meeting. Should we get at least

[4:30:25] call the roll again, there may be a stopper's quorum.

[4:30:29] All right, a little roll. Supervisor Abaculca. Supervisor you. Supervisor Alan Berg.

[4:30:36] I'm here. Vice President Aranas is abs here. And President Lee.

[4:30:42] Presidents are good up to noon. And we do have a quorum of five.

[4:30:46] All right, we go. Let's do it. Now we're doing item 14 early learning workforce initiative report. Please proceed.

[4:30:55] All right. Good afternoon. Board of Supervisors.

[4:30:59] No worries, Alan. You want to go first?

[4:31:02] Action, introduce yourself.

[4:31:04] Yes. Good afternoon. Supervisors, Dr. Heidi Emberling Director of the Office of Children and Families Policy.

[4:31:12] I'm here with my colleague Melissa Luz, Senior Management Analyst.

[4:31:16] And with my first five colleagues who I will let them introduce themselves.

[4:31:23] Good afternoon. I'm Alaya Sanchin.

[4:31:26] I'm you with a motto. You with a motto?

[4:31:31] Thank you. I'm Aldero Salis.

[4:31:33] And I'm China Hudson Davis.

[4:31:36] Good afternoon.

[4:31:38] So in June of 2022, the board allocated $5 million in one time funds relating to three first five quality

[4:31:47] matters early childhood education workforce initiatives.

[4:31:50] The initiatives included a apprenticeship program which provides an earn-in learn program

[4:31:55] that brings new providers into the early learning field.

[4:31:59] A shared services alliance that provides small business supports to family child care home providers

[4:32:04] and a transitional kindergarten equity program that removes financial barriers for diverse early educators

[4:32:10] to complete educational coursework culminating in earning a preschool to three credential that allows them to teach

[4:32:18] in a TK classroom. In February 23, the board approved an additional $5 million in one time American Rescue Plan

[4:32:26] Act funds to further bolster the early learning programs.

[4:32:30] And to tell you more about these ECE workforce initiative efforts.

[4:32:35] I am now going to hand it over to Trina Hudson Davis who can share more information about the progress of each of the initiatives.

[4:32:44] Thank you Heidi. I'm actually going to pass it over to Leia to get us started.

[4:32:49] Great. Thank you.

[4:32:52] So good afternoon again Board of Supervisors. And we're here.

[4:32:55] We'd like to thank you for the opportunity to share updates on the early on the workforce development initiatives.

[4:33:02] But let me go ahead and start with the apprenticeship program.

[4:33:06] Apprenticeship program was designed to address one of our greatest workforce challenges.

[4:33:11] Helping educators advance their careers without having to choose between work and school.

[4:33:16] So through the comprehensive earn and learn model our apprentices received paid on the job training.

[4:33:22] College courses, mentorship, wraparound supports that remove barriers to completion.

[4:33:29] Next slide.

[4:33:31] So since the launch in 2022 we have supported 106 apprentices across three different cohorts and serving early educators in center based preschools and family child care homes.

[4:33:43] And this is especially meaningful for our family child care providers because they have historically they have less or fewer opportunities to pursue higher education while pursuing their operations.

[4:33:55] And that is opening their doors for families with young children.

[4:33:59] So each cohort helped us with our partnership.

[4:34:04] It strengthened our partnership and also helped us improve that design as we hear from our participants year after year.

[4:34:12] So that is 106 apprentices and early educators that are staying in the field also are advancing their careers and providing high quality education to the youngest children of our county.

[4:34:27] Next slide.

[4:34:30] So this program is in its fifth year of the six year funding period with approximately 68% invested to support the implementation.

[4:34:39] And the remaining ARPA funds will be expanded by the December deadline and the remaining county general funds will be used to help support and continue to support our other participants through 2028.

[4:34:54] So next slide.

[4:34:56] So I'll talk about the challenges now our greatest lesson for our lessons for this for this program first.

[4:35:04] Their success really requires more than that tuition assistance so our apprentices thrive when there's academic support there's language support there's mentoring.

[4:35:15] There's assistance with permit application when they're applying for their teacher child development permits.

[4:35:22] When there's a child care or food and they're learning among their peers in a cohort style and also in the beginning we were able to send the put them in a community based location where it's less intimidating than a college campus.

[4:35:37] So with that also a strong network of encouragement help them thrive.

[4:35:42] We've also learned that building a successful apprenticeship pathway requires collaboration with colleges with employer partners with their mentors with public agencies.

[4:35:53] While challenges such as low wages and staffing shortages remains this model demonstrated that coordinated investment could create stronger career pathways and also a more stable workforce.

[4:36:09] And perhaps our greatest success is that this work will continue beyond the grant Santa Clara County office of education will assume leadership for future apprentices.

[4:36:21] And apprenticeship program in fact they've already extended and are doing more and with more college partners as well.

[4:36:30] They have special education apprenticeship para educator apprenticeship and also a wellness coach.

[4:36:38] So this transition reflects the strength of the model with help build and ensures that investment will continue.

[4:36:46] Benefit need a county long after the funding ends so ultimately we invest on our early educators its strength is our young children support the working families and contributes to Santa Clara County's long term economic.

[4:37:00] So with the work with apprenticeship program we have developed an advanced workforce now I'll turn you over to the next initiative that supports the businesses that employ this educator so I'll turn you over to my colleague.

[4:37:16] Thank you.

[4:37:18] Good afternoon Board of Supervisors and you laid a motto and one of the directors on the first five teams supporting the shared services alliance program.

[4:37:25] This work was born out of the recognition that family child care home educators serve in dual roles as early educators and as small business owners.

[4:37:33] The program aims to provide business related supports that strengthen educators business practices so that they can keep their doors open for children and families.

[4:37:41] Slide please.

[4:37:45] We have 91 family child care home educators participating in the program currently.

[4:37:49] We started last year by launching the shared service alliance website which is a centralized information hub for our educators.

[4:37:55] We then implemented a tiered coaching model that paired experienced family child care home educators with their colleagues in the shared service alliance.

[4:38:03] We also provided several networking sessions based on the educator interests including business practices licensing health and safety and advocacy.

[4:38:12] In addition we distributed 51 minigrants as a port various business infrastructure needs these grants could be used for technology support business operation tools facility to related costs and similar expenses.

[4:38:23] Finally one of the most popular components of the program is the Family Child Care home leadership conference which provides opportunities for educators to connect with key partners learn new practices and network with one another.

[4:38:35] Slide please.

[4:38:38] We are currently on track to fully expand our art plan county general funds for the remainder of this fiscal year we plan to host one additional conference.

[4:38:46] Distribute two more rounds of infrastructure grants one focused on green energy and another on business planning and continue our partnerships with the Latino business foundation and exciting credit union to provide workshops and office hours for educators.

[4:38:59] Slide please.

[4:39:02] Some of the key learnings from this work include the importance of offering flexible options and solutions to meet family child care home educator business needs.

[4:39:10] Educators bring a wide range of skills and experience and the support they need is not one size fits all.

[4:39:16] Rather than building a lengthy list of resources we work to curate a focus group of partners who either already prioritize working with family child care home educators or where you go to do so.

[4:39:26] These partners are invested in this work for the long term.

[4:39:29] At the request of educators we've also incorporated advocacy opportunities into the program.

[4:39:34] So that regardless of who occupies decision making roles providers are equipped to elevate their needs and perspectives.

[4:39:40] We've worked to build spaces.

[4:39:42] Where our educators can connect with CDSS, CDE, state-elected and local systems partners to share their lived experience.

[4:39:50] Our coaching model has been another important endeavor which we are now incorporating into quality matters first five ongoing quality improvement program funded through quality counts California.

[4:39:59] Slide please.

[4:40:01] And in that vein we have pursued sustainability in several ways.

[4:40:05] As mentioned we are integrating elements of this work into quality matters while we also while also continuing to strengthen our network of community partners focused on family child care home educators and small business owners.

[4:40:16] Most importantly we will continue building provider voice by centering educator needs in any future program.

[4:40:21] I want to take a moment to share some quotes from SSA members which we gathered during listening session this spring.

[4:40:27] Regarding the coaching model quote I had all of this experience yet before coaching it was like all the knowledge was stuck inside me and by taking the coaching certification it really helped me be able to support others in a way that I wasn't able to before and quote.

[4:40:40] And this is support and regarding business supports SSA and power businesses women entrepreneurs usually my husband does everything for our business and I always rely on him.

[4:40:50] But after this training I came home and I was like are we taking this tax credit are we taking this one.

[4:40:55] And now if I need to do my taxes I can't do it all by myself.

[4:40:59] These quotes are just a snapshot of the impact this work as on the ground in our communities the empowerment of these women both as educators and small business owners has been a strong outcome of this work.

[4:41:09] With that I will turn it over to my colleague as mayor of the Rosales who will share more about the TK equity initiative.

[4:41:15] Hello everyone.

[4:41:27] Hello everyone and thank you you.

[4:41:29] The TK equity initiative was created in response to the California expansion of universal pre kindergarten U.P.K.

[4:41:36] creating an urgent need for qualified teachers.

[4:41:39] First five Santa Clara partnered with San Jose State University to help experience early childhood educators earned the new P.K.

[4:41:46] Early childhood education specialist credential.

[4:41:49] This created a pathway for early educators to become credit teachers in transitional kindergarten through third grade while strengthening California's early childhood workforce.

[4:41:59] And February of 2024, California officially approved the long awaited P.K. through credential requirements by May of 2024.

[4:42:07] San Jose State became one of the first universities in the state authorized to offer the new credential.

[4:42:13] At the same time we have first five we really launched outreach across Santa Clara County to recruit educators from licensed family child care.

[4:42:22] Family friends in neighbor and center base California State preschool program slide.

[4:42:29] Through multiple information sessions and targeted outreach 16 early educators enrolled in the P.K. three credential program.

[4:42:36] Participants met university administrative requirements by holding a bachelor's degree with appropriate ECE courses in community to a multi semester program.

[4:42:45] And December of 2025 three of our participants completed the program representing three of only 12 P.K. three credential holders state wide at the time.

[4:42:57] Participants in the initiative earned more than a teaching credential.

[4:43:01] They also had the opportunity to pursue a master's degree and a bilingual authorization in Spanish or Vietnamese expanding access to dual language instructions.

[4:43:11] Participants are completing the programs between fall of 2025 and the anticipated spring of 2027.

[4:43:18] Learning the P.K. three credential in Master's degree and for five participants a language authorization certificate slide.

[4:43:28] Funny help support project implementations by covering key staff roles such as the Prisma investigator program lead coordinator advisors faculty as well as scholarships for the participants.

[4:43:40] Through our partnership with San Jose State participants received 5,900 person master to help cover tuition and any related expenses reducing financial barriers and supporting their success in the program slide.

[4:43:56] Through the implementation of the initiative we gained valuable insight that will help inform future workforce development efforts such as early educator educators specific outreach to personalized recruit.

[4:44:07] Letting educators ask questions the clarity on the credential requirements application process and determine whether transitioning to into a T.K. classroom aligned with a career goals.

[4:44:19] Participants identify the coherent model university faculty program advisors T.K. equities scholarship and peer support as a key contributors to their success participants.

[4:44:31] ECE expertise in play based learning and social emotional development was recognized as a strength.

[4:44:37] The project also provided valuable lessons to strengthen future implementation.

[4:44:42] Many family child care educators were interested but could not afford to pause or close their business to complete the student teaching.

[4:44:49] The 80-20 licensing regulations were created a financial hardship during the program including the credential requirements do not align with the most mixed age family child care set.

[4:45:00] For some, securing strategic coverage during their student teaching presented an additional challenge in balancing work and program requirements.

[4:45:09] Limited awareness of the new credential and recognition of the preschool teaching experience was when transitioning into a school district salaries schedule.

[4:45:18] Slide.

[4:45:21] As we look ahead, our focus is on sustaining and expanding this work.

[4:45:27] That includes increasing awareness of the PK3 credential pathway and recognizing the valuable experience that preschool educators already bring to the profession.

[4:45:36] By exploring financial financial and employer support such as scholarship, stipends, apprenticeship models, workforce partnership and related time and release time to make pathways for more accessible.

[4:45:50] On going data collection will help measure outcome, strengthen workforce planning and increase access to high quality early learning opportunities for children.

[4:45:59] The long-term vision is to create a sustainable PK3 educator pipeline that begins in high school through continues through higher education and prepare diverse workforce to meet to cover this expanding new PK system.

[4:46:12] Thank you and now passing it over to Trina.

[4:46:17] Slide.

[4:46:20] Hi, everyone. I'm Trina Hudson.

[4:46:22] Executive of early learning care here at Versailles Santa Clara.

[4:46:25] As you heard across all three of these initiatives, the lesson is very clear.

[4:46:29] If we want a strong early learning system, we must invest in people who make that system possible.

[4:46:34] Early educators are more likely to enter, remain in and grow within this field when they have the right supports.

[4:46:41] Affordable education and credential pathways, coaching, language access, business resources, financial assistance,

[4:46:48] strong partnerships and a meaningful voice and decisions that affect them.

[4:46:52] This work matters far beyond the early learning fields.

[4:46:56] When we do not have enough educators, we do not have enough early learning spaces.

[4:47:00] When families cannot access reliable care, their ability to work, pursue education and continue to contribute to our locally economy is affected.

[4:47:09] We are committed to carrying these lessons forward.

[4:47:12] We are integrating successful practices into quality matters as you shared.

[4:47:17] We are strengthening partnerships and preserving what has demonstrated the greatest impact.

[4:47:22] But we also want to be very transparent that integrating is not the same as investing.

[4:47:27] We can grade funding, stretch resources, and get very creative making every dollar work.

[4:47:32] It is exceptionally hard, but creativity alone cannot replace the cleaning revenue or meet the full scale of the need.

[4:47:38] The county's investment gave us the opportunity to test these approaches, reduce barriers, elevate provider voice and demonstrate what works.

[4:47:46] Our collective responsibility now is to ensure that this progress in momentum do not end when the funding does.

[4:47:52] So we want to thank you all for your partnership and we are open to questions.

[4:47:57] Thank you. Let's see if the questions from public first.

[4:48:05] I do currently have one speaker in chambers and it looks like two on zoom.

[4:48:12] Two minutes each.

[4:48:13] All right. So we'll call up our speaker in chambers Elizabeth Garcia.

[4:48:27] One second, let's try to make sure the mic works.

[4:48:44] Let's try again.

[4:48:49] Hold down for some reason you're not coming up, but I do have them on.

[4:48:54] Can you try again?

[4:48:55] Sure. There you go.

[4:48:57] Good afternoon. My name is Elizabeth Garcia. I am a licensed family child care provider and an early educator in Santa Clara County.

[4:49:05] First five apprenticeship program and SSA have transformed how I show up as an educator.

[4:49:11] The apprenticeship strength and the quality of my program and how I serve children and families while SSA has strengthened my advocacy and my ability to support and coach other providers.

[4:49:24] These opportunities have propelled me into becoming a teacher, mentor, practicum site for future educators and continuing my own education through first five funded BA pathway at advanced college.

[4:49:39] When we invest in one early educator, that investment reaches children, families, other providers, future teachers and ultimately the larger community.

[4:49:49] Thank you.

[4:49:54] Our first Zoom speaker is a phone number ending in 367.

[4:50:01] We've asked it on mute.

[4:50:06] My name is William, and I have an AF and early childhood and a regular center permit.

[4:50:12] I can relate to the low wages and staffing and family families at home.

[4:50:19] And I'd like to know from their touched and how you feel about incorporating the 51 grants that they mentioned for small family days here to sustain and because in fact they are entrepreneurial.

[4:50:32] And they are the largest by far businesses or holders of early childhood and children.

[4:50:41] So how do we continue with their expertise in this field without actually stating to them that you must go to college, you must get more units, you must continue on, etc.

[4:50:54] As you mentioned, only 3 out of 12 statewide had that particular preparation mentioned, but then you had a specialized potential.

[4:51:04] So we're talking about, in fact, a different family nature owner has to go and continue with these units and continue on.

[4:51:12] How do you possibly fund for substitute to take over in their home and answer for that if they wish to continue.

[4:51:20] But how do we continue with the progress of family nature owners and entrepreneurs have struggled with such as low wages and staffing for many, many years.

[4:51:31] Thank you.

[4:51:34] Thank you, and our final speaker for this item is Otokand Blay.

[4:51:43] Good afternoon, everybody. My name is Otokand Blay. I'm a childcare provider in Santa Clara County.

[4:51:49] I'm asking the parents are living in the county because of high cost of living.

[4:51:56] And the childcare is like number one in the list after the home for payment for parents.

[4:52:04] How is the county going to help us to provide and help the parents to stay in this county?

[4:52:13] Because the expense of childcare could be lower or the county could raise the allocation of support for parents to be a role in childcare.

[4:52:28] So they can stay in this county because we see a lot of parents that are making up.

[4:52:33] They are living the county to go to the valley and elsewhere where they can afford.

[4:52:38] The cost of living is very high as we all can know.

[4:52:42] And also to support the Santa Clara County first part to help us because they are doing a lot.

[4:52:49] Yeah, doing more than what they support to do.

[4:52:52] Inside and outside, they are putting us together. We are learning a lot.

[4:52:57] And there's a lot of time that we are located to help us childcare provider.

[4:53:03] Because we don't have the time to go out.

[4:53:06] And some of us, the rule of 28 is that no helping us.

[4:53:11] How also the county can raise that even to four hours so we can attend or the meaningful meeting and the school.

[4:53:19] That's we can raise our sum of us, you know, that I'm clear that we go to school.

[4:53:25] That I have a good education to help so we can raise those kids that we are taking care of in the county and elsewhere.

[4:53:34] How you guys can help us. Thank you so much.

[4:53:38] And that concludes our public speakers for this item.

[4:53:43] Thank you going close to the public speaking portion of this. So by the number.

[4:53:50] Thank you. I feel like today is sort of a model lesson.

[4:53:53] And if you sit on the board long enough all of your referrals come to fruition.

[4:53:58] This is a program that emerged from the roadmap to recovery referral that I brought in 2022 to help families with young children.

[4:54:07] And child care providers rebound after the pandemic.

[4:54:12] And as you noted, the referral address three urgent needs that had become clear.

[4:54:17] Supporting children who lost a parent or primary caregiver to COVID, expanding wellness centers on school campuses and stabilizing the early learning and child care ecosystem.

[4:54:27] Both through facilities grants and through a range of workforce development programs which are the focus of the reports today.

[4:54:34] And thank you all so much for really just doing a fantastic job with the presentation.

[4:54:41] To backtrack just for a moment, of course, for young children who lost a parent or primary caregiver to COVID,

[4:54:49] their healing will be lifelong and ensuring that they have access to stable high quality learning environments.

[4:54:55] I think is one of the most meaningful commitments that we can make.

[4:54:59] We heard today, of course, about the strain on the child care sector.

[4:55:04] We all know that the pandemic pushed an already fragile system into crisis.

[4:55:09] When child care becomes unstable, families can't return to work.

[4:55:13] Children lose critical developmental support and truly our entire economy suffers.

[4:55:19] So it has become very clear that supporting the early learning workforce is a direct investment in economic recovery and economic growth.

[4:55:28] I want to acknowledge the really thoughtful approach that our team and partners have taken.

[4:55:35] The supports that are being offered, including business coaching, stipends and communities of practice,

[4:55:41] strengthen educators as professionals and as small business owners.

[4:55:46] Certainly they create stability for the families who rely on them and help to rebuild a structure that is foundational to community well-being writ large.

[4:55:56] I want to recognize also that these supports came at a time when universal transitional kindergarten programming was being implemented statewide.

[4:56:05] And while that came with some huge benefits, it also fundamentally shifted the child care economic model.

[4:56:15] So thank you for sharing how the TK teacher equity program has assisted eligible participants to take advantage of this new opportunity.

[4:56:24] But we know that still many, many more child care economic models were negatively impacted as they lost a significant number of older children,

[4:56:35] leaving them a few dollars to support the higher cost requirements of serving children zero to three.

[4:56:42] I heard all of you, including the speakers, the work must be built to last.

[4:56:47] Sustainability is key and thank you for pointing out that integration and braiding is not investment.

[4:56:54] You are right. We need sustainable, sustained on going dollars.

[4:56:59] We need them at the state level.

[4:57:02] Our county, I think is doing a tremendous job and as you'll hear over the coming months, continues to grow in our sense of obligation to support

[4:57:16] this critical sector, but we absolutely don't have the wear with all to do this on our own.

[4:57:22] And truly, because child care is a public good, it shouldn't be on the shoulders of each county or each city to figure out how to navigate it.

[4:57:35] Back to your reports, I appreciate the steps that are being taken to integrate key elements of the shared services alliance into the quality matters program

[4:57:45] and to transition personnel costs along standing funding sources.

[4:57:50] Those are decisions that help us to create a durable structure to help educators over time.

[4:58:04] Sorry, I went off of my script and my smart policy team anticipated what I was going to say.

[4:58:11] So it's kind of fun. I say the same things a lot, which is that child care stabilizes family supports local business and strengthens communities.

[4:58:20] There is a lot of advocacy happening in Sacramento.

[4:58:25] Right now, I feel like over the next two years we really do have a window of opportunity.

[4:58:33] And I know that that may sound counterproductive because we have such a huge crisis around healthcare and the impacts of HR1.

[4:58:43] But that almost, it's almost galvanizing people the way I am hearing it, because here's a chance to do something really positive and tangible for our youngest families and for our businesses and in the name of keeping people in California.

[4:59:03] So I'll finish with a thank you to staff and partners for the work reflected in the update.

[4:59:08] It is thoughtful, it is strategic, it is deeply needed.

[4:59:12] I certainly will remain committed to supporting the sustainability of this program and ensuring that the early learning workforce has the resources it needs to thrive.

[4:59:23] My motion to be to is to receive the report.

[4:59:26] I look forward to seeing how learnings from the work are included in the child care blueprint that is coming to the board on September 15th.

[4:59:36] So much more to come. Again, first five folks, thank you for being absolutely amazing partners in the work.

[4:59:42] Really appreciate you all.

[4:59:44] Second.

[4:59:47] Any further comments?

[4:59:49] Yes.

[4:59:50] I want to also extend my appreciation.

[4:59:52] Thank you so much for this report and thank you supervisor Ellen Berg for your leadership on early childhood care and education.

[5:00:00] The gaps present an opportunity for us as a board to consider the county's important role in work for development.

[5:00:08] Specifically for excluded workers, which is a theme that I feel was alluded to throughout the presentation and the report.

[5:00:15] This is relevant and early childhood education spaces with community health workers, home visitation professionals, and all the support workers and so much more.

[5:00:23] Additionally, many of the same partners that are key to this work are also partners in the city of San Jose, Children and Youth Services Master Plan.

[5:00:31] So I'm going to try to land this plane.

[5:00:33] Start with my appreciation in a proposal vision for the future.

[5:00:37] So, Heidi, because of your work, are cost many areas of renaissance that are closely related and can support one another.

[5:00:43] I'm eager to see how the work force development efforts that we support converge for greater outcomes for youth across the whole county.

[5:00:52] And especially in the demonstration site, so we get to demonstrate and experiment with these models.

[5:00:58] I'd also like to explore together how we better align this work with that of the Children Youth Services Master Plan.

[5:01:04] The San Jose State's Foreign E.C. Promise Initiative and the E.C. co-op hub.

[5:01:09] Really to have you connect them on the timeline engagement in a child or youth's life that really creates a whole continuum of childhood.

[5:01:20] Right, from birth early education through throughout adolescence and then to to San Jose State University or other ghost martens.

[5:01:34] And so really we'd love to get those thoughts as we continue to develop this work where we're available funding can be drawn down where programs can support or dovetail with each other.

[5:01:46] And also to ensure the county as a consistent partner to our CBOs or education partners and our funders.

[5:01:54] Thank you so much for your work, for this presentation.

[5:01:58] And for really just helping us see these horizons and now it's lower the path together towards greater economic inclusion and workforce development that really completes this full circle path.

[5:02:13] Right, that's a theme that comes has come up in multiple presentations today where we are increasingly moving towards initiatives that are full service in braided policy supporting one another.

[5:02:23] Um, Doug telling with one another. So thank you so much and I look forward to the future.

[5:02:31] Thank you. Yes, thank you.

[5:02:33] Thank you.

[5:02:36] I'd also like to just acknowledge the really difficult work that has been done to ensure that there continues to be a pipeline of workforce in this arena.

[5:02:50] It is very difficult.

[5:02:52] I worked for first five for about 12 years and this is.

[5:02:58] Well, then 25 years ago.

[5:03:01] And, um, and it was just no, it can't be 25 years ago.

[5:03:07] It has to be less because I'm super young.

[5:03:11] But about 20 years ago, I was working on child care efforts within first five and I remember how difficult it was.

[5:03:21] I was able to do this in a way that I wanted to make it difficult to return and then three to compensate folks for what they are actually doing.

[5:03:29] And that's investing in the youngest of our citizens, right?

[5:03:33] And so, for that, I just want to acknowledge the difficult work that you have had in front of you and that you'll continue to have because it is a very difficult career path.

[5:03:46] I know that it is not easy and any of the ideas that come before you would love for for us to continue to explore them.

[5:03:55] Including, and this is something that I had worked on previously at the City of San Jose.

[5:04:02] And that is that a lot of the cities have recreation leaders.

[5:04:08] And so they have rec leaders at work within the after school programs or at the community centers and these are kiddos who are still going through college or might be going through.

[5:04:19] You know, maybe a year off or something.

[5:04:21] And I think that is also a really great opportunity to recruit folks who are already working with kids, but may not be completely full time that still have an opportunity to shift into a career that.

[5:04:36] Calls and tugs at their passion, which is children. And so I wonder if that's another opportunity for us to do that and work with some of the cities throughout.

[5:04:45] We have 15 cities in this county and so I know that the city of San Jose continues to employ lots of rec leaders as a matter of fact.

[5:04:55] Because they are part time.

[5:04:58] There is a maximum amount of hours that they can work and they have to actually like sit on the bench if you will until until their contract is over or the new fiscal year begins.

[5:05:12] So I wonder if that's another opportunity.

[5:05:14] But this is just an idea to figure out how can we get more folks into the pipeline because at this point it is really difficult to convince folks who have a model.

[5:05:26] A financial model that works for them at home and they've chosen their home or home childcare providers because it's convenient to them or because they have young children or they have a very well established.

[5:05:38] Business and so for them to take something else on is really difficult.

[5:05:43] But what you have done is is absolutely fabulous and I want to congratulate and acknowledge this is your third term.

[5:05:52] Supervised Ellenberg and I think you should be really proud of the work that you're doing.

[5:05:57] We saw a number of those highlighted today including this. This is quite a amount of money to be invested in our future and our childcare providers.

[5:06:07] And I continue to I know it's it's sometimes up for gotten career or an area where we think somebody's just going to step up to it, but we have to feed the pipeline and we have to.

[5:06:20] How important it is and continue to invest in it otherwise I think that we will never reach that compensation that we are hoping to strive for even when you get out of bachelor's or master's level.

[5:06:38] You know master's might be different, but they might not be working with children directly right you might be more at a director's level or at a center or something like that.

[5:06:47] So congratulations for all the work that you're doing let's continue to figure out how to like I said feed the pipeline.

[5:06:56] Because to me one of the most important side from the early education that is provided through this career path to our children.

[5:07:04] It is also another way to mitigate child abuse.

[5:07:08] It is one of the research I showed is one of the best ways to mitigate child abuse and so for me this is one of the ways that we invest in our children and our families and our community and so congratulations for all the work that has been done.

[5:07:24] I'd love to see what we continue to refine and the way that you want to see in terms of real time today because every day is getting a little worse out there in terms of our economy and what are what are people actually doing are they taking in more children are they hiring more people are they going back to work at a center because they can't.

[5:07:49] You know they've lost their home or they're lost their their place that they usually would be able to afford to provide child care.

[5:07:57] I just would love to see get a sense of what is actually happening out there so we can continue to figure out what is happening in in.

[5:08:07] In regards to this pipeline right and how we continue to shift I know that the money will end at the end of the year but it doesn't mean that our efforts will continue I mean will not continue.

[5:08:17] I I estimate that we'll continue to to invest in this area and hopefully connect it with a lot of the work that we're already doing within the system.

[5:08:27] All right so that that is my my request and I don't know if it's enough for the maker of the motion I just love to see the trends of child care providers like what is actually happening to home child care providers and what is impacting them.

[5:08:45] A lot of the times we saw during the pandemic and then post pandemic obviously a lot of people just shut their doors because of health hazards and also because they had somebody at home who was sensitive and and did they open it up their doors how many folks are struggling with rent which is probably you know everybody struggling with rent that is you know we're in high cost of living.

[5:09:15] area but I just love to see more trends and like what is happening out there with with the majority of the folks who are in early child care and mostly home child care providers.

[5:09:28] So thank you for that I spend time just immersed in all of that data there are so many good.

[5:09:38] Websites at the state levels some that that break down by county I know the county office of ed tracks a lot of this as the are in our.

[5:09:50] Is that called resource and referral.

[5:09:53] Network I think for.

[5:09:57] The county to initiate that and that's a really major.

[5:10:01] No I don't mean major research I just I'm asking for us to anecdotally look at and I mean collect some of the information that's already out there.

[5:10:11] I don't intend for this to be a whole research project but what is it where are we in terms of of a trend.

[5:10:19] Because at this point I'd love to see if we continue to invest where should we invest next right.

[5:10:27] We may not continue to do the TK right because it might not be the path of forward for folks that's not the kind of investment that they want to make in their career choice.

[5:10:38] They might want to I don't know maybe open a center instead of having it at home child care.

[5:10:45] I'll give you a couple of of examples and definitely pop in Heidi one is that we did have data on how many child care providers did close during the pandemic.

[5:10:58] And the facilities grant that we ran through very health foundation we had 15 million dollars to grant and I think we had something like 80 million dollars in is that the right number.

[5:11:14] In requests for funding so we just kind of even from that I think we know that.

[5:11:24] There is need for sure for more facilities and for workforce and there are some providers that have empty spaces because nobody in that neighborhood or area has a.

[5:11:37] And we have kids and other parts of the county predominantly your district that are holding vouchers and have no place to use them so Heidi sorry I get excited that I realize you are the professional so please wait.

[5:11:51] You you are also professionals so.

[5:11:55] A couple of things I wanted to share one is a supervisor Ellen bird mentioned will be coming to the board September 15th with the child care blueprint which will have policy strategies and actions that we could take as a county so that is coming.

[5:12:14] Yes so that and I think my first five colleagues for serving on the child care blueprint advisory committee along with many of our partners from the community so.

[5:12:28] And the family services was there go kids getting go and city of San Jose was there so I tried to pull in everybody that touches the child care community to work with us.

[5:12:39] Over the past seven months when we were pulling together this child care blueprint which we will go into and great detail on September.

[5:12:48] But I think a lot of the questions that you have will come up in the report.

[5:12:55] I just was hoping that this would be a springboard to that discussion and so I'm so glad that that's already scheduled for September 15th.

[5:13:02] I look forward to it.

[5:13:03] I think you'll anticipate what some of my questions are because of actually been pretty detailed about them and then in anticipation of that I'd love to see how that's also connected to our child welfare.

[5:13:16] The system and the needs of those kiddos there but I'm excited about that and look forward to seeing that how long did the committee meet for just five months five months perfect five months wonderful go more into detail of that.

[5:13:32] Yeah and wait a month also I just wanted to share that the family child care home provider leadership conference there are a lot of providers that attend.

[5:13:42] Not sure how many attended but.

[5:13:45] About 150 providers so they congregate once a year to exchange stories and to talk about where we are and I think the team learns a lot about the trends of what's going on in the communities so I think that conference.

[5:14:00] When is it coming.

[5:14:03] We had one in March and we have another one in October actually so.

[5:14:08] So in October they'll be the conference and they will be an opportunity for a lot of the providers to come together for this leadership event.

[5:14:16] Wonderful listen I want to make sure that whatever we find in terms of research or whatever is.

[5:14:23] It is produced at either this summer for 15th or in the conference I mean you all collectively people are in different aspects of child care and child care is very complex and we see child care and we think that is just somebody taking care of your child and then that's it right I mean this.

[5:14:39] The system has a level of complexity.

[5:14:43] You need a master's level to understand it and so what I'm hoping is that when when we hear that child child care blueprint that it also is going to help us.

[5:14:58] Figure out what the next level of it.

[5:15:00] Investments will be, right, with the next version of Investments will be, as I know that we need to continue to invest in child care.

[5:15:09] I just want to know how, how does that look like for the next version of our investment so that it makes sense and the render is the most that we can out of the folks who are here.

[5:15:24] Just lining up money with with with the intention and then with the need.

[5:15:30] So super excited. Thank you so much for the clarification.

[5:15:34] Super as Ellenberg, look forward to that in September 15th. Congratulations for all the work that you've done so far.

[5:15:41] I'd love to continue to see more facilities out in my area, but I know we are not made of magic.

[5:15:50] Although that is a, we could sprinkle, we could sprinkle magic. We have been known to do magic, especially during the pandemic and post pandemic and so now it's about a lot of really hard work, right.

[5:16:06] So congratulations for the work that you've done so far, look forward to the continued conversation and what's right around the bed around the bed for all of us. Thank you.

[5:16:16] Thank you so much and I think we have a motion in the second, but for any questions, we can take the vote.

[5:16:23] Thank you on motion of supervisor Alan Burke, seconded by supervisor you supervisor Abicada.

[5:16:32] I supervisor you. Yes, supervisor Alan Burke. Yes, vice president Aranas. Yes, president Lee.

[5:16:40] Hi, as well motion carries five to zero. Thank you. Moving on to the agenda.

[5:16:45] We have item items removed items removed from the consent calendar. We have a couple versus item 169 removed by supervisor.

[5:16:55] Yes, thank you. I want to thank the roads and roads department for clarifying the intent and purpose of this agenda item from the roads commission.

[5:17:05] I have their collective work on this issue is important and appreciated all of my questions have been answered, so I would make a motion to receive the report.

[5:17:13] Seconded motion. Motion, seconded. Let's see anybody will speak on the sign. I'm 69.

[5:17:22] Yes, sir. I do have the chairperson of the roads commission.

[5:17:27] Before we get there, can I just clarify whether the motion includes item B on the recommended action?

[5:17:35] Just a moment, while like quickly.

[5:17:37] What's the right to report?

[5:17:39] Direction administration review that related to support.

[5:17:42] Yes, Andy. Thank you.

[5:17:47] Move to the seconded. Yes. You have one speaker? Yes, sir.

[5:17:52] Good. Two minutes.

[5:17:54] All right.

[5:17:56] Tim Wei, we've asked you to unmute. Go ahead.

[5:18:01] Thank you very much for considering this.

[5:18:03] I believe my report actually covers all the details.

[5:18:06] This would be asking the Board of Supervisors to endorse the belt measure that will be in the November ballot.

[5:18:11] We believe it will really benefit the roads, Santa Clara County by saving us money, making it safer for residents to get around our county, reduce climate change, and help with equity issues we have.

[5:18:24] People can't afford a car.

[5:18:26] They still need to use our road system to walk in bike and getting more people in transit helps make the road safer for everyone.

[5:18:33] And that's really all I have to say. Thank you.

[5:18:39] Thank you. And that does conclude our public speakers.

[5:18:43] Okay, closing in public speaking portion. Let's go take the vote.

[5:18:48] Thank you. And I'd just like to verify.

[5:18:50] Supervisor Abicoga, where are you the seconder? Yes.

[5:18:53] All right. Thank you.

[5:18:54] On motion of supervisor Ellenberg, seconded by supervisor Abicoga, supervisor Abicoga.

[5:19:01] I supervisor UM, supervisor Ellenberg. Yes.

[5:19:04] Vice President Aranas. Yes.

[5:19:06] President Lee. Yes.

[5:19:07] President Lee. Yes. Well, motion carries five to zero.

[5:19:09] Thank you.

[5:19:10] And moving to item 84.

[5:19:15] Yes.

[5:19:16] Thank you, President Lee. Yes.

[5:19:18] I pulled this item, which is approval of an agreement with the Metropolitan Planning Group,

[5:19:24] relating to providing planning services, consulting services for the Stanford University,

[5:19:30] General Youth Permit application.

[5:19:33] And I appreciate, I was just keep going with other people sit down.

[5:19:39] But I appreciate that the county has officially begun the process of getting ready to review

[5:19:45] the Stanford application, which I understand will be submitted within a few weeks, a couple of weeks.

[5:19:51] And this is as you probably understand meant to say that it's going to be a huge undertaking.

[5:19:57] So it makes a lot of sense for us to expand our planning departments capacity with some outside help.

[5:20:04] I pulled this item because I wanted to learn more about the process of selecting a consultant

[5:20:10] and wanted a public discussion on such a significant land use decision for the county.

[5:20:16] So I understand it was that this is a single source process that was used.

[5:20:24] And I know that the staff of our points out that the M group was selected because of their prior work on the last

[5:20:31] gap application.

[5:20:33] But it's helping staff could walk through it's reasoning and process for how you made this decision.

[5:20:43] Let's try again, Sylvia.

[5:20:46] Good afternoon.

[5:20:47] Here we go.

[5:20:48] Here we go.

[5:20:49] Here we go.

[5:20:50] Here we go.

[5:20:51] Here we go.

[5:20:52] Here we go.

[5:20:53] Here we go.

[5:20:54] Here we go.

[5:20:55] Here we go.

[5:20:56] Here we go.

[5:20:57] Here we go.

[5:20:58] Here we go.

[5:20:59] Here we go.

[5:21:01] The process around this selection of M group as a single source consultant.

[5:21:08] So let me go back a little in time to provide some context.

[5:21:12] So we originally hired M group in April of 2018.

[5:21:17] This is a prior to our current director.

[5:21:19] We are in a transition between our last director and the current director who started in December of 2018.

[5:21:24] of 2018. And at the time, you'll recall Stanford admitted an application in 2016. So we were in the midst of processing it.

[5:21:32] And we lacked the capacity to meet our project timelines. And so I entered into a process, because again our director left.

[5:21:43] And interviewed 7 or 8 perspective consultants, and at the time, we hired end group, because they had both the availability, the technical capacity and expertise in land use planning, as well as project management and community outreach experience.

[5:22:05] So we brought on onboard, they worked at the hip with county staff during that permit application process, including helping us prepare conditions of approval, engage in really robust community outreach, including creating a project website, and inviting interested parties to participate.

[5:22:27] And that includes not only the internal campus community, but also many other external interested parties, including environmental groups, the cities that also work with and have Stanford lands within their jurisdiction, the school district and so forth. So they gained additional knowledge, very specialized knowledge with respect to our policies and how they support and complement each other.

[5:22:54] They bring the technical expertise in land use planning and also environmental review and also do the project management. So then, as you recall, the permit was withdrawn, the application.

[5:23:08] And so then subsequently, and group also spent three years with us updating the Stanford community plan, which are the set of policies that govern growth and development on the Stanford campus. So did get very precisely to your question.

[5:23:24] As you noted in your comments, while the application will be submitted in the next couple of weeks, we've been working with Stanford for the last seven months, getting ready for this.

[5:23:34] And to its credit, we entered and executed a revenue agreement where they helped fund prior to the submission of the application resources so that we could re-engage consultants.

[5:23:48] And so at that time, in response to their demand for more information and to better understand the policies that were adopted in 2023, we re-engaged M group because they were intimately familiar with the development of this policy.

[5:24:04] So we have had a couple of short-term agreements approved on the procurement director. And so in that process, we had team meetings to discuss for the long-term.

[5:24:16] And so this is the actual agreement for the duration of the processing of the application, which as I said is going to be submitted in the next couple of weeks.

[5:24:27] The conclusion was that the firm that had, as I said before, the intimate knowledge of our policies and how they relate to each other, particularly housing transportation.

[5:24:39] The technical expertise, the history, both with the prior projects and the policies, but also with the other interested parties who have played a very significant role in the past.

[5:24:52] We believe that the county's interest and by extension, the public's interest would be best served by the use of M group given all of this that I've just shared with you.

[5:25:03] And if we had gone through a competitive process, that would have taken some period of time, but more importantly, had we selected a different consultant.

[5:25:13] It likely would have taken months to ground them in all of this history going back to the 2000, the current permit, the policies getting acquainted with the various interested parties.

[5:25:25] And so that was the thought process. And the timing really occurred in these seven months leading up to the application submission.

[5:25:34] So would you say then the seven months would not have been enough time for to do a RFP because it took a consultant and get them up to speed?

[5:25:50] So yes, that's generally sufficient time for a competitive process, but immediately when we began setting up these meetings with Stanford.

[5:26:00] We meet with them two to three times a month and then have phone calls and text exchanges. They immediately were interested in diving deep into some of these policies and so we would have not have been able to help be responsive and help them understand these.

[5:26:17] If we didn't have M group immediately available to assist with that. So that really was the impact.

[5:26:26] That you mentioned there are seven to eight firms previously part of it was availability as to why you picked M group. Did you have any sense of whether those other firms or even other firms might have been able to do this round.

[5:26:44] So I we didn't obviously since we proceeded with a single source process didn't reengage the other consultants but at the time in 2018 we interviewed them all and

[5:26:57] M group was hadn't shoulders not only with respect to availability but they had an entire team that could do the full scope of work including it's literally hours upon hours of just project management and then managing the community relations and updating and being responsive and doing environmental clearance.

[5:27:21] There may be firms that are out there but as I said you know our goal and this is really what why you use a single source is that it's most advantageous to the county to proceed with a particular consultant to perform the work.

[5:27:39] Okay, and then are you planning to use single source for the other contracts related to this application.

[5:27:46] We had a discussion earlier today and the only consultant we believe we would still need to hire as an environmental consultant and the board has a separate process for the county to establish a qualified list of environmental consultants.

[5:28:06] That's right that's correct and so the last time we updated the bench was in August of 2025 so we would select a month the consult the qualified consultants on the list.

[5:28:18] And that to our knowledge we believe it's the only other consultant we need to hire.

[5:28:22] Okay, thank you. Well, thank you for that.

[5:28:25] I make sense that we go at the end group given their of past experience with the project.

[5:28:32] I guess my concern was that the actual earlier the previous application was withdrawn so it was never actually taken to through the whole process.

[5:28:42] So I question that part of that part of the experience piece on that so there's that and then I just you know I think I'm good.

[5:28:54] Could very well be the best room but firm but I prefer usually to try to do a bit just to see what else is out there it's always good to see that what's available before we make a decision.

[5:29:08] And then we can really I feel like confirm that decision is the right one.

[5:29:13] So I also wanted to share that with the additional background.

[5:29:21] The end group did present to you in a study session on developing policy options for how Stanford can meet its housing obligation.

[5:29:30] And we talked about in blue fees or building affordable housing on our near the campus and the city session was helpful definitely helpful in developing some high level concepts but I frankly was hoping for more opportunity to dive deeper and greater depth about these options and so.

[5:29:50] The analysis didn't really get into as much detail as I had hoped for regarding the impacts of these potential policies and so.

[5:30:00] That was just my concern that the devil was in the details and I just felt that we needed more information that could have, not we could have benefited from that discussion.

[5:30:11] But given the timeline, I'm not going to oppose this item, I will agree with staff that we want to keep the process moving forward.

[5:30:20] So I'll go ahead and make the motion to approve the agreement with Metropolitan Planning Group relating to providing planning and land use consultants.

[5:30:29] Thank you.

[5:30:31] Okay, move a second there. Let's see any speaker on the issue.

[5:30:37] I currently have no speakers.

[5:30:41] Okay, I'll go ahead and close the speaking queue on this item. If that's not for the comment, let's take the vote.

[5:30:47] And I'm sorry, I did miss the mover and seconder on that.

[5:30:50] I seconded that.

[5:30:51] Thanks.

[5:30:52] And who moved it?

[5:30:55] I have to. My apologies for that.

[5:30:58] On motion of supervisor Abacoga, seconded by President Lee, supervisor Abacoga.

[5:31:05] I supervisor Yoon.

[5:31:07] Yes.

[5:31:08] Supervisor Ellen Berg.

[5:31:09] Yes.

[5:31:10] Vice President and Aranas?

[5:31:11] Yes.

[5:31:12] President Lee.

[5:31:13] Hi, as well.

[5:31:14] Motion carries five to zero.

[5:31:16] Thank you.

[5:31:17] I think that's the last item on the agenda.

[5:31:20] If I am correct.

[5:31:21] Yes.

[5:31:23] And we'll go ahead and adjourn.

[5:31:25] Today's meeting at 246.

[5:31:28] On the next meeting will be August 25th.

[5:31:30] 9.30 same chance in place.

[5:31:32] Thank you, everybody.

[5:31:33] They clerk the security staff administration meeting adjourned.

[5:31:52] Thank you.

[5:32:22] Thank you.

[5:32:23] Thank you.