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Tyslin, checking in with Vietnamese and Spanish interpreters, gweedau, are you able to unmute

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your mic and test speaking?

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Thank you very much, and for Spanish interpreter, wo rossadio?

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Yes, good morning.

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Thank you very much, Eetu.

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Thank you very much.

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Thank you very much.

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Thank you very much.

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Thank you very much.

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Thank you very much.

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Thank you very much.

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Thank you very much.

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Thank you very much.

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Thank you very much.

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Thank you very much.

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Thank you very much.

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Thank you very much.

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Thank you very much.

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Thank you very much.

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Thank you very much.

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Thank you very much.

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Thank you very much.

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Thank you very much.

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Thank you very much.

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Thank you very much.

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Thank you very much.

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Thank you very much.

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Thank you very much.

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Thank you very much.

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Thank you very much.

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Good morning, everybody. Today is August 11th. It is 9.30. Good morning, everybody. I would like to

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go ahead and call this meeting to order. And if I could please have our clerk heard us to please call

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the roll. Good morning. Supervisor Avikoga. Supervisor Jung.

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Supervisor Allenburg. Vice President Aranis is absent, President Lee. Good morning, President. You have

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a quorum. Yes, Chris. Would you also please read the interpretation announcement?

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If we could please have our interpreters translate the following into Spanish and then

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Vietnamese. If you are in chambers and require Spanish or Vietnamese interpretation,

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interpretation devices are available at the back of chambers. The deputy clerk can assist you

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with setup. Translation is also available in Zoom using the interpretation button.

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Additionally, as a gentle reminder for public commenters staff and those on the

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days, please speak clearly and directly into the microphone to improve the accuracy of translation.

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In Zoom, we have to click the icon of the global in the bar of Zoom and for the people who

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are on the phone, the service is available.

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Thank you. I will go ahead and ask supervisor Allenburg, would you mind leading us to the

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pledge of allegiance, please? Please join me in standing if you're able.

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Ready? Again, I pledge allegiance to the flag of the United States of America and to the

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Republic for which it stands, one nation under God, indivisible with liberty and justice for all.

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Next is our invocation today. We have an invocation speaker invited by supervisor Abhi Koga.

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Please.

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Thank you, President Lee and good morning, everyone. Today we are recognizing August as wellness

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month through art invocation. Before I introduce our guest, I'd like to talk about what wellness

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

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This year, I hosted multiple youth mental health town hall meetings with fellow elected officials throughout

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my district. One of the messages I heard the most from our youth is that they are wary of turning

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to adults for help. Youth prefer to go to their friends or someone around their age to talk.

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

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compassionate, safe spaces for youth in order to protect their well-being. By listening and being present,

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this is the gift of love, teens, pre-teens and kids are looking for.

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Thankfully, we have organizations such as Youth Community Service. This core mission is to

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activate with love and compassion. YCS achieves us by getting youth involved in service projects

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to meet the needs of residents. Whether it's making blankets for seniors or boxing up

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fruit and vegetables for neighbors in need, through these acts young people gain empathy and

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leadership skills. Showing up and meeting the needs of others also helps residents heal both physically and mentally.

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Today, I'm honored to introduce more women, Executive Director of Youth Community Service.

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More of you came YCS's Executive Director in 2020. Before that, she served as Executive Director for

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Bluffs, Blossom, Birth and Family, a Center supporting new and expecting families. She is also a founding member

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of Santa Clara Valley Medical Centers. Do love volunteer program.

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Welcome, Warren. Thank you so much for joining us today. Please let us know how we can all

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practice and prioritize wellness.

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Thank you so much. Good morning, Board of Supervisors, staff and community. Today, in recognition of

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our youth leaders, I want to share a powerful well-being thread that connects three deeply human

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experiences, mattering, moral injury and revolutionary love.

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Mattering is the feeling that our lives have significance that our presence makes a difference

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and that we add value and our valued in this world. When we feel seen, valued and connected,

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we thrive. When we feel invisible or disposable, our well-being suffers.

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Many of us carry wounds that go beyond stress and exhaustion. We experience moral injury.

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The pain that comes when our actions are institutions or our circumstances violate our deepest values.

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Moral injury can leave us feeling disconnected, disillusioned and questioning our worth.

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

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believe is right and just. So how do we heal? The Ansemi lie in revolutionary love.

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Revolutionary love is the courageous choice to see humanity in ourselves and in others even in difficult times.

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It is love that moves beyond sentiment and becomes action. It asks us to care fiercely.

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Listen deeply, forgive thoughtfully and work relentlessly for dignity and justice.

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

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

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

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confronting the wounds that challenge your moral compass and choosing love as a force for transformation.

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In closing, maybe build lives and communities where every person knows they matter, where moral courage is honored,

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and where revolutionary love lights the path forward. Thank you.

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Thank you.

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

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Our German today is led by two lies a young and now by President Renes.

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Thank you, President Lee. Today, we have an opportunity to celebrate the life of Manuel H. Alvarado.

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

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Manuel was an active presence in the East Side Community for decades.

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Teaching citizenship classes to Spanish-speaking seniors at our Lady of Codalupe Church in the May Fair,

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volunteering as a poll worker and at voter registration drives and working as a community organizer for multiple social justice causes.

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Manuel loved life. He firmly believed that the secret to happiness was community involvement,

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participating in joy and events, and that celebrate commitment, progress, and formal education of our communities.

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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,

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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,

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sorry, trio, Los Panchos, Javier Solis, Frank Sinachia, I got that.

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Knack can call the Beatles and Carlos Santana.

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Good job.

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

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and his native state of Chihuahua.

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In the early 1960s, Manuel, his wife, Bellum, and their two children, Dolores and Oscar,

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moved from El Paso, Texas to California, where the family worked picking green beans in Fresno,

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picking peaches and pears in San Jose, and ultimately working in the iconic canaries of the Valley of Hearts Lake.

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Manuel also worked in San Francisco for a garment company.

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It was here that he became acquainted with wonderful people from different cultures.

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His lifelong love for learning about culture diversity became a core value for his family.

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Upon retiring from Southern Garden Canary, Manuel became a volunteer community organizer and educator,

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including teaching prostate cancer prevention to farm workers.

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He participated in health advocacy events in Sacramento and Washington DC,

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as a volunteer with community health partnership from 2011 to 2020,

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and was the leader of the diabetes prevention grass breed group.

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Not surprisingly, he incorporated dancing and singing after every meeting.

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He also volunteered on political campaigns supporting candidates that demonstrate his social justice values,

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voting registration sites and voting polls.

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Manuel loved to read Mexican classic novels and poetry specifically from the 17th to 18th century.

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He also taught himself to speak, read and write English.

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Manuel had a deep respect for higher education and considered college education to be an important pathway to progress and liberation.

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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.

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

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Thank you for being the backbone of our county for caring our values forward.

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And whenever he had the opportunity to sharing his gifts, his values with the world.

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

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May he rest in power and peace.

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

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Of course.

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Please.

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Absolutely.

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No, just like you're by the podium.

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Yes, there's a mic built in our office.

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Thank you.

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Good morning, everyone.

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Thank you very much for taking the time to honor a wonderful man.

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My father.

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I'm a little prejudiced, obviously.

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I want to share with you that there are a couple of things.

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One is personal.

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I am who I am.

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Go to bed.

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Because of my father, he taught me everything that you described supervisor bed.

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He taught me that.

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And secondly, he had an affinity and a love for this building and for the Board of Supervisors.

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He was always talking about all of you.

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He was often sitting here next to me.

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So that's why I thought this would be so important to him.

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You know, we talked about him here.

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

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which my father partook in, because he was our volunteer.

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

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And I'd like to introduce Yadelle, who was one of our community workers, who is one of our community health workers,

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who worked closely with my father.

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Okay?

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Hello, good afternoon.

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My name is Yadelle Lopez from 2011, who is known as the manuel, as we said.

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We can recognize that the manuel was a person working for a person with passive,

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a person who was given everything to his community.

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A hundred daughters of the father of the organization,

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he always looked at the love that he had to give to the community.

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We always said we had to work with the heart, with love and the focus.

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We never looked at him as a monetary, he always looked at that manuel.

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We always said that when we give him everything to love, everything is written to us.

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He was the manuel, where he was, where he was, where he was, where he was,

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where he was resting, knowing that he was all he was doing, what he was doing,

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to our community.

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He was the manuel, he always said that his life always felt,

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and he always looked at the community to help us.

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So, where he was, where he was, where he was, where he was,

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we sent all the gratitude for everything he did for us.

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Thank you.

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Thank you to you and to the Audra of Family for sharing him with us for continuing to carry on his legacy.

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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.

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

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And supervisor Arinas, I turn to you for any remarks you'd like to make.

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Thank you so much. I appreciate him. I apologize for my delay.

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I also just want to acknowledge the passing of my noilerity, but I'll let you know.

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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.

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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.

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And so it is, it is a great loss.

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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.

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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.

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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.

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And of course, produced a leader in you that we are all very, very proud of.

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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.

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Thank you.

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Thank you.

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Thank you.

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And I know we have Dr. Slater ready to translate the early message.

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Could this.

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Do we have our Spanish interpreter.

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Are you able to provide a translation of the comments from a few minutes ago?

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In English.

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Oh, from the Canadian idea?

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Yes.

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Yes.

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Oh, yes.

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Yes.

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She mentioned that she was very happy to have in work.

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

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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.

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That love and there is truth.

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And this is what he taught us.

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And this is why we remember him.

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And we are very grateful to have him met him in work with him.

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And that is what he taught.

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He taught the list in the lead as he used to call her.

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And that is what she always mentioned that she was born to serve.

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She was born to give her some to others.

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And to the work and that's what she done from him.

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And we really appreciate everything he taught us.

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Everything he taught us.

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Everything he did was our love.

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And he worked really hard.

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And he said we always have to be to give ourselves.

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And to serve him and manage his legs.

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Thank you very much.

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Thank you very much.

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This is my husband by the way.

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Thank you very much.

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00:35:05,000 --> 00:35:08,000
Welcome.

225
00:35:09,000 --> 00:35:17,000
Would you like to ask Dolores to say a few words?

226
00:35:17,000 --> 00:35:18,000
Oh, she did.

227
00:35:18,000 --> 00:35:21,000
I am late to this party.

228
00:35:21,000 --> 00:35:22,000
Of course you did.

229
00:35:22,000 --> 00:35:24,000
As a supervisor young.

230
00:35:24,000 --> 00:35:25,000
Thank you.

231
00:35:25,000 --> 00:35:26,000
Thank you Dolores.

232
00:35:26,000 --> 00:35:27,000
Thank you to the family.

233
00:35:27,000 --> 00:35:30,000
And does your husband also work for you?

234
00:35:30,000 --> 00:35:31,000
Yes.

235
00:35:31,000 --> 00:35:33,000
Ha ha.

236
00:35:33,000 --> 00:35:34,000
Yes.

237
00:35:34,000 --> 00:35:35,000
I see nods.

238
00:35:36,000 --> 00:35:37,000
Thank you.

239
00:35:37,000 --> 00:35:38,000
Thank you.

240
00:35:44,000 --> 00:35:45,000
Thank you.

241
00:35:45,000 --> 00:35:48,000
So moving on to our next item on the genders would be item number six,

242
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which is public comments.

243
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This item is reserved for members of public address of born in any items,

244
00:35:53,000 --> 00:35:54,000
not on this agenda.

245
00:35:54,000 --> 00:35:57,000
Any public which is big on items, not on the agenda,

246
00:35:57,000 --> 00:35:59,000
should request to speak at this time.

247
00:35:59,000 --> 00:36:01,000
Please fill out a speaker card in return to your clerk.

248
00:36:01,000 --> 00:36:03,000
We'll call up to 30 names now.

249
00:36:03,000 --> 00:36:06,000
Then the remainder names will then be called at the end of the agenda.

250
00:36:06,000 --> 00:36:10,000
In person's speakers will be called first followed by zoom figures,

251
00:36:10,000 --> 00:36:14,000
and no further requests as big will be accepted on the continued public comment.

252
00:36:14,000 --> 00:36:16,000
Reminder for the public on the zoom.

253
00:36:16,000 --> 00:36:19,000
As soon as the first speaker in chamber starts speaking,

254
00:36:19,000 --> 00:36:21,000
no more speakers will be taken.

255
00:36:21,000 --> 00:36:24,000
During public comment, to respect everyone's comment,

256
00:36:24,000 --> 00:36:27,000
we do not allow applause or booze.

257
00:36:27,000 --> 00:36:31,000
So to show your support, you can raise and shake your hands quietly.

258
00:36:31,000 --> 00:36:35,000
I just want to thank you for your cooperation in advance

259
00:36:35,000 --> 00:36:37,000
to keep our meeting moving orderly.

260
00:36:37,000 --> 00:36:41,000
Clerk, how many speakers do we have this money?

261
00:36:41,000 --> 00:36:45,000
I currently have 11 cards and chambers.

262
00:36:45,000 --> 00:36:49,000
We have, looks like, three hands on zoom.

263
00:36:49,000 --> 00:36:51,000
Give it another moment.

264
00:36:51,000 --> 00:36:53,000
So currently at 14.

265
00:36:53,000 --> 00:37:03,000
Looks like we are holding at 14.

266
00:37:03,000 --> 00:37:05,000
Okay, this is two minutes each.

267
00:37:05,000 --> 00:37:06,000
Okay.

268
00:37:06,000 --> 00:37:08,000
And we'll close the queue at this time.

269
00:37:08,000 --> 00:37:11,000
Our first speakers are Kristen Hoffman,

270
00:37:11,000 --> 00:37:15,000
Caitlin Dempsey, Mark Trout,

271
00:37:15,000 --> 00:37:19,000
Andres Andrade, and Erin McGrady.

272
00:37:46,000 --> 00:37:48,000
Hello.

273
00:37:48,000 --> 00:37:50,000
All righty.

274
00:37:50,000 --> 00:37:54,000
The CDC and childhood vaccination schedule

275
00:37:54,000 --> 00:37:59,000
indicates that children are to receive three doses of a hepatitis B vaccine.

276
00:37:59,000 --> 00:38:02,000
My child was overdose with four doses.

277
00:38:02,000 --> 00:38:05,000
This is a flaw in Kaiser Permanente's

278
00:38:05,000 --> 00:38:08,000
Practice Management Software and Business Model.

279
00:38:08,000 --> 00:38:13,000
When the happy number one vaccine is pulled from their inventory

280
00:38:13,000 --> 00:38:17,000
on the first day of birth, it is injected into a baby

281
00:38:17,000 --> 00:38:20,000
without an electronic medical record.

282
00:38:20,000 --> 00:38:23,000
It is not until after a parent purchases

283
00:38:23,000 --> 00:38:28,000
a health plan for the baby that an electronic medical record is created.

284
00:38:28,000 --> 00:38:33,000
It is this software disconnect that is causing the overdose of children.

285
00:38:33,000 --> 00:38:38,000
It is also this disconnect that appears that pharmaceutical company GSK

286
00:38:38,000 --> 00:38:42,000
is not even collecting vaccine data on four doses of hepatitis B.

287
00:38:42,000 --> 00:38:46,000
And this is a CDC FOIA response.

288
00:38:46,000 --> 00:38:52,000
Indicating the CDC is not collecting vaccine data on the GSK vaccine

289
00:38:52,000 --> 00:38:53,000
PDRX.

290
00:38:53,000 --> 00:38:58,000
A vaccine known to cause a sudden infant death syndrome.

291
00:38:58,000 --> 00:39:02,000
I would have explained all of this during my recent court hearing,

292
00:39:02,000 --> 00:39:07,000
but your judges and your sheriff insist that I be silenced.

293
00:39:07,000 --> 00:39:09,000
So this was my only option.

294
00:39:09,000 --> 00:39:11,000
Thank you for your time.

295
00:39:11,000 --> 00:39:14,000
And I ran another test on your election software,

296
00:39:14,000 --> 00:39:18,000
and you can't even accurately calculate one vote.

297
00:39:18,000 --> 00:39:22,000
No one should trust any of the other votes.

298
00:39:22,000 --> 00:39:26,000
And I am very qualified to read medical records.

299
00:39:26,000 --> 00:39:27,000
Thank you.

300
00:39:32,000 --> 00:39:34,000
Kristen Hoffman.

301
00:39:34,000 --> 00:39:37,000
Thank you.

302
00:39:37,000 --> 00:39:38,000
Thank you.

303
00:39:38,000 --> 00:39:40,000
Please come in.

304
00:39:40,000 --> 00:39:42,000
Yes.

305
00:39:42,000 --> 00:39:43,000
Good morning.

306
00:39:43,000 --> 00:39:47,000
First of all, I want to thank Uma for her wonderful invocation.

307
00:39:47,000 --> 00:39:51,000
Speaking about moral injury that really resonated with me

308
00:39:51,000 --> 00:39:55,000
because she talked about living in alignment with what is right in just

309
00:39:55,000 --> 00:39:59,000
and that is really a defining philosophy of mind of how I live.

310
00:39:59,000 --> 00:40:03,000
So I am here to this morning standing before you.

311
00:40:03,000 --> 00:40:07,000
Because county parks allow to operate with the history of lawsuits.

312
00:40:07,000 --> 00:40:14,000
It's offered lessons in camps to children without a valid permit in 2020 and 2024.

313
00:40:14,000 --> 00:40:18,000
Even after a student was seriously injured and filed a lawsuit.

314
00:40:18,000 --> 00:40:24,000
Code enforcement ignored a complaint about a teenager living in a horse stable

315
00:40:24,000 --> 00:40:29,000
in a legal trailer with water dripping through electrical fixtures.

316
00:40:29,000 --> 00:40:33,000
Now, county planning is hiding from the public and investigation into

317
00:40:33,000 --> 00:40:38,000
mid-Penensila regional open space district for offering public programming at

318
00:40:38,000 --> 00:40:44,000
Bear Creek Stables without the required commercial stable operation use permit.

319
00:40:44,000 --> 00:40:50,000
Mid-Penemits Bear Creek Stables deteriorated during its 26 years of ownership.

320
00:40:50,000 --> 00:40:53,000
And then its buildings are structurally unsound.

321
00:40:53,000 --> 00:40:58,000
Children including my child regularly entered the 100 year old

322
00:40:58,000 --> 00:41:01,000
Tavis barn to retrieve equipment.

323
00:41:01,000 --> 00:41:06,000
I later learned that mid-Pen had identified that barn is so unstable that it

324
00:41:06,000 --> 00:41:11,000
required an eight foot high chain length fence to protect the public.

325
00:41:11,000 --> 00:41:17,000
They also identified that that barn contains as likely contains as best

326
00:41:17,000 --> 00:41:20,000
those and lead paint contamination in the barns.

327
00:41:20,000 --> 00:41:27,000
26 years ago the county told mid-Pen that public used required a use permit.

328
00:41:27,000 --> 00:41:31,000
In 2015 the county told mid-Pen that millions of dollars in repairs

329
00:41:31,000 --> 00:41:35,000
were needed to address safety, hazards, and fire, access,

330
00:41:35,000 --> 00:41:39,000
ADA, access, and other code deficiencies.

331
00:41:39,000 --> 00:41:41,000
Yet mid-Pen has opened it up to the public.

332
00:41:41,000 --> 00:41:46,000
I'm going to submit this because it contains the rest of my comment.

333
00:41:47,000 --> 00:41:51,000
Thank you.

334
00:41:51,000 --> 00:41:54,000
Thank you.

335
00:41:54,000 --> 00:42:01,000
Well, a documentary called NNConvenientStudy.com is I witnessed testimony from parents

336
00:42:01,000 --> 00:42:05,000
whose children have been killed and permanently mangled from vaccines.

337
00:42:05,000 --> 00:42:08,000
There's a guy named Paul Thomas.

338
00:42:08,000 --> 00:42:13,000
He was an MD, a pediatrician for 35 years and he began thinking,

339
00:42:13,000 --> 00:42:14,000
you know, it's strange.

340
00:42:14,000 --> 00:42:17,000
My unvaccinated children are perfectly healthy.

341
00:42:17,000 --> 00:42:19,000
My vaccinated kids are sick.

342
00:42:19,000 --> 00:42:22,000
I'm going to do a study and so he did any published that study.

343
00:42:22,000 --> 00:42:24,000
Within one week I think it was.

344
00:42:24,000 --> 00:42:28,000
He was fired for being a threat to public health.

345
00:42:28,000 --> 00:42:29,000
Yeah.

346
00:42:29,000 --> 00:42:31,000
I threat to public health.

347
00:42:31,000 --> 00:42:38,000
And he's as terrible as going on as the great Kennedy mentioned.

348
00:42:38,000 --> 00:42:41,000
And he's trying to start.

349
00:42:41,000 --> 00:42:43,000
The HHS is big, man.

350
00:42:43,000 --> 00:42:45,000
They make the CDC look like PIP squeaks.

351
00:42:45,000 --> 00:42:51,000
This is multi-billion dollars and he's trying to establish double-blind placebo studies.

352
00:42:51,000 --> 00:42:53,000
We've got to do this.

353
00:42:53,000 --> 00:42:55,000
That's the only way we can outlaw all the vaccines.

354
00:42:55,000 --> 00:42:56,000
They want it hidden.

355
00:42:56,000 --> 00:42:57,000
Okay.

356
00:42:57,000 --> 00:42:58,000
Now, true story.

357
00:42:58,000 --> 00:42:59,000
It's a del big three.

358
00:42:59,000 --> 00:43:02,000
He got works in mysterious ways.

359
00:43:02,000 --> 00:43:03,000
Mysterious ways.

360
00:43:03,000 --> 00:43:05,000
Somehow he met Marcos Zervos.

361
00:43:05,000 --> 00:43:08,000
He's a top guy at Henry Ford Health.

362
00:43:08,000 --> 00:43:12,000
And he met him and he told him, look, you know, I didn't believe you.

363
00:43:12,000 --> 00:43:16,000
When I heard on some YouTube speech you gave that there's been no studies.

364
00:43:16,000 --> 00:43:17,000
And I did the research.

365
00:43:17,000 --> 00:43:18,000
And you know what?

366
00:43:18,000 --> 00:43:19,000
You're right.

367
00:43:19,000 --> 00:43:21,000
There's been no studies on any of them.

368
00:43:21,000 --> 00:43:26,000
So the long and short of it was a had an agreement that they would test.

369
00:43:26,000 --> 00:43:28,000
I think it was 18,000 kids.

370
00:43:28,000 --> 00:43:31,000
They had records on 2000 or 1957.

371
00:43:31,000 --> 00:43:32,000
We're not vaccinated.

372
00:43:32,000 --> 00:43:35,000
They just blew them away in regards to health.

373
00:43:36,000 --> 00:43:37,000
But he was reluctant.

374
00:43:37,000 --> 00:43:38,000
It went two full years.

375
00:43:38,000 --> 00:43:39,000
I think went by.

376
00:43:39,000 --> 00:43:42,000
And he didn't keep his word about publishing the study.

377
00:43:42,000 --> 00:43:43,000
Right?

378
00:43:43,000 --> 00:43:45,000
So he flies down there under with a secret microphone.

379
00:43:45,000 --> 00:43:46,000
And he records it.

380
00:43:46,000 --> 00:43:49,000
And he gets the guy to admit that, you know.

381
00:43:49,000 --> 00:43:54,000
He the only reason why he's not publishing the study is because he'd get the ass.

382
00:43:54,000 --> 00:43:55,000
He'd get, you know.

383
00:44:05,000 --> 00:44:06,000
Hi.

384
00:44:06,000 --> 00:44:07,000
My name is Andres.

385
00:44:07,000 --> 00:44:09,000
I'm a project manager in program audit.

386
00:44:09,000 --> 00:44:11,000
I've worked in DFCS for 19 years.

387
00:44:11,000 --> 00:44:16,000
I'm here to support my staff for facing a functional emotion without cause.

388
00:44:16,000 --> 00:44:18,000
Losing 6% of their pay.

389
00:44:18,000 --> 00:44:21,000
Even though they will continue to do the same work they've done for many years.

390
00:44:21,000 --> 00:44:25,000
SSA's implementing a reorder that impacts over 100 people.

391
00:44:25,000 --> 00:44:28,000
But about eight individuals are faced with the loss of pay.

392
00:44:28,000 --> 00:44:32,000
They lose their DFCS to inferential simply because they have a new boss.

393
00:44:32,000 --> 00:44:34,000
They didn't ask for this change.

394
00:44:34,000 --> 00:44:35,000
This is not their choice.

395
00:44:35,000 --> 00:44:39,000
They're social workers and managers who will continue to do the work they did in DFCS.

396
00:44:39,000 --> 00:44:43,000
They served the county by working closely with families and foster youth.

397
00:44:43,000 --> 00:44:47,000
And sure that family's most private and privileged information is kept confidential.

398
00:44:47,000 --> 00:44:50,000
They support the county and litigation.

399
00:44:50,000 --> 00:44:51,000
They respond to complaints.

400
00:44:51,000 --> 00:44:53,000
They investigate allegations against staff.

401
00:44:53,000 --> 00:44:57,000
And they keep the county compliant with civil rights requirements.

402
00:44:57,000 --> 00:45:00,000
Nobody can do what they can do without us all to understand.

403
00:45:00,000 --> 00:45:15,000
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.

404
00:45:15,000 --> 00:45:30,000
Before our next speaker, let me call up some more names. We have Amy Quintero, Rochelle, Yamila, Kendra, Alexander Fillmore, and Jackie Howe.

405
00:45:30,000 --> 00:45:40,000
Hello, good morning. My name is Erin McGrady. I'm a social worker 3 with over 10 years of experience in Santa Clara County.

406
00:45:40,000 --> 00:45:49,000
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.

407
00:45:49,000 --> 00:45:58,000
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.

408
00:45:58,000 --> 00:46:20,000
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.

409
00:46:20,000 --> 00:46:37,000
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.

410
00:46:37,000 --> 00:46:48,000
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.

411
00:46:50,000 --> 00:47:06,000
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.

412
00:47:06,000 --> 00:47:15,000
While our organizational structure is changing our responsibilities are not. I will continue doing the same work with the same responsibilities and expectations.

413
00:47:15,000 --> 00:47:24,000
The only thing changing is where our unit sits organizational. Yeah, I'm losing 6% of my compensation through no fall of my own.

414
00:47:24,000 --> 00:47:31,000
This feels like a functional emotion in pay without cause and without any reduction in my responsibilities.

415
00:47:31,000 --> 00:47:41,000
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.

416
00:47:41,000 --> 00:47:51,000
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.

417
00:47:51,000 --> 00:48:09,000
I respectfully ask the Board of Supervisors to maintain the DFCS differential for all of us both SIEU and SEMA. Thank you.

418
00:48:09,000 --> 00:48:21,000
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.

419
00:48:21,000 --> 00:48:26,000
Even though I will continue to do the same work I have been doing for roughly 3 years.

420
00:48:26,000 --> 00:48:36,000
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.

421
00:48:36,000 --> 00:48:51,000
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.

422
00:48:51,000 --> 00:49:02,000
However, starting August 17, 2026, I will no longer receive the DFCS differential simply because I am being moved under the agency office.

423
00:49:02,000 --> 00:49:13,000
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.

424
00:49:13,000 --> 00:49:26,000
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.

425
00:49:26,000 --> 00:49:36,000
This impacts the families of the very employees who are delivering services on behalf of SSA.

426
00:49:36,000 --> 00:49:45,000
I ask the Board of Supervisors to compile the county to keep the DFCS differential for all of us.

427
00:49:45,000 --> 00:49:55,000
Thank you.

428
00:49:55,000 --> 00:50:13,000
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.

429
00:50:13,000 --> 00:50:18,000
I feel like this reduction represents a functional emotion without cause.

430
00:50:18,000 --> 00:50:25,000
This reduction undervalues the roles and the ten years of experience and dedication to Santa Clara County.

431
00:50:25,000 --> 00:50:39,000
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.

432
00:50:39,000 --> 00:50:59,000
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.

433
00:50:59,000 --> 00:51:05,000
Good morning, I am a social worker 3, Kendra Lara, who has probably served the county for six years.

434
00:51:05,000 --> 00:51:09,000
Last week I was notified that I was being functionally demoted without cause.

435
00:51:09,000 --> 00:51:21,000
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.

436
00:51:21,000 --> 00:51:25,000
Something all about the aid of us are proposed to remain compensated for.

437
00:51:25,000 --> 00:51:33,000
This is extremely devaluing. On top of the existing financial challenges associated with the current economy and not having our annual raises this year,

438
00:51:33,000 --> 00:51:36,000
I'm now forced to also plan for this drastic cut in paying.

439
00:51:36,000 --> 00:51:44,000
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.

440
00:51:44,000 --> 00:51:48,000
And it would take several years of raises to get this income back.

441
00:51:48,000 --> 00:51:55,000
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.

442
00:51:55,000 --> 00:52:01,000
I respectfully ask the Board of Supervisors to compel the county to keep the DFCS differential for all aid of us.

443
00:52:01,000 --> 00:52:09,000
SCIU and Seema, please. Thank you.

444
00:52:10,000 --> 00:52:14,000
I'm Alex Gilmore, a program manager one in program audit.

445
00:52:14,000 --> 00:52:18,000
I was informed my pay is being cut with just over a week's notice.

446
00:52:18,000 --> 00:52:29,000
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.

447
00:52:29,000 --> 00:52:37,000
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.

448
00:52:37,000 --> 00:52:45,000
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.

449
00:52:45,000 --> 00:52:49,000
Now we are deciding where to make cuts on an already restricted budget.

450
00:52:49,000 --> 00:52:55,000
I've served the county for nine years and I never imagined they could cut my pay through a restructuring.

451
00:52:55,000 --> 00:53:00,000
In fact, I've seen the opposite over the years where pay is kept whole when a restructuring happens.

452
00:53:00,000 --> 00:53:09,000
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.

453
00:53:09,000 --> 00:53:25,000
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.

454
00:53:25,000 --> 00:53:32,000
Good morning. I'm Jackie Hal. I'm here to support my staff whom you heard from before me.

455
00:53:32,000 --> 00:53:44,000
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.

456
00:53:45,000 --> 00:53:52,000
In 2021 and again last year when called upon I took on new work.

457
00:53:52,000 --> 00:54:00,000
Never did I imagine that putting that effort forward would lead to losing thousands of dollars in pay.

458
00:54:00,000 --> 00:54:15,000
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.

459
00:54:15,000 --> 00:54:19,000
Last week the county denied the side letters.

460
00:54:19,000 --> 00:54:26,000
My team and I have well over a hundred years of experience serving this county.

461
00:54:26,000 --> 00:54:38,000
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.

462
00:54:38,000 --> 00:54:49,000
Some of us, some of my staff and I work late into the night reading every traumatic word of child fatalities.

463
00:54:49,000 --> 00:54:54,000
We watch videos of unspeakable things in the name of gathering evidence.

464
00:54:54,000 --> 00:55:00,000
We work closely on sexual litigate sexual abuse litigation.

465
00:55:00,000 --> 00:55:05,000
We watch videos. We do all of this to serve the county.

466
00:55:05,000 --> 00:55:18,000
We experience secondary trauma just as other DF staff do, but now we're being told our secondary trauma deserves to be paid less.

467
00:55:19,000 --> 00:55:22,000
Beyond being unjust, this feels cruel.

468
00:55:22,000 --> 00:55:29,000
I have never in all 25 years of my service felt compelled to put in a yellow card.

469
00:55:29,000 --> 00:55:31,000
But today, I...

470
00:55:37,000 --> 00:55:45,000
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.

471
00:55:45,000 --> 00:55:46,000
Thank you very much.

472
00:55:48,000 --> 00:55:52,000
That concludes our in-person speakers. We'll move now to our Zoom speakers.

473
00:55:52,000 --> 00:55:56,000
Our first speaker on Zoom is parent.

474
00:55:56,000 --> 00:56:01,000
Please accept the unmute.

475
00:56:01,000 --> 00:56:06,000
Yes, hello and good morning to all of you.

476
00:56:06,000 --> 00:56:16,000
I've just found out that Jeffrey Epstein and Jeffrey Rosen share more than just the first name.

477
00:56:17,000 --> 00:56:22,000
It turns out that Jeffrey Rosen is associated with less waxing her.

478
00:56:22,000 --> 00:56:26,000
And he holds a position in his foundation.

479
00:56:26,000 --> 00:56:38,000
And this is despite all the allegations that came out after Jeffrey Epstein's second arrest.

480
00:56:38,000 --> 00:56:44,000
Jeffrey Rosen continued to partake in his foundation.

481
00:56:44,000 --> 00:56:51,000
And also waxing has been implicated in a lot of this abuse.

482
00:56:51,000 --> 00:56:59,000
So I just find it inappropriate for our district to associate with this man.

483
00:56:59,000 --> 00:57:08,000
I mean, like everywhere else in the country, if you also see it with F.T. or with waxing her, you were fired.

484
00:57:08,000 --> 00:57:18,000
I mean, I don't find it to be a coincidence with Mr. Rosen's track record when it comes to HIV.

485
00:57:18,000 --> 00:57:25,000
My own kids are being molested and he's helping facilitate and cover up this abuse.

486
00:57:25,000 --> 00:57:34,000
And I post a lot of information online because I know that you guys might find it hard to believe.

487
00:57:35,000 --> 00:57:39,000
I post a few Google D.A. job rows and petitions extravagant.

488
00:57:39,000 --> 00:57:41,000
All those times together.

489
00:57:41,000 --> 00:57:47,000
And the first three results you'll see what I'm talking about is just he's not a good person.

490
00:57:47,000 --> 00:57:50,000
He's really not a good person.

491
00:57:50,000 --> 00:57:53,000
And I think you guys should investigate.

492
00:57:53,000 --> 00:57:55,000
And see what's going on.

493
00:57:55,000 --> 00:57:58,000
What is doing to children not a county.

494
00:57:58,000 --> 00:57:59,000
It's just horrendous.

495
00:57:59,000 --> 00:58:02,000
Thank you so much for your time.

496
00:58:02,000 --> 00:58:05,000
Thank you. Our next speaker is Ken Horowitz.

497
00:58:13,000 --> 00:58:15,000
Good morning.

498
00:58:15,000 --> 00:58:20,000
This is Dr. Ken Horowitz from your health advisory commission.

499
00:58:20,000 --> 00:58:27,000
And I want to comment about the aquariums that are required for our meetings.

500
00:58:27,000 --> 00:58:31,000
And this is not about just the health advisory commission.

501
00:58:31,000 --> 00:58:34,000
But this is true for all the commissions.

502
00:58:34,000 --> 00:58:40,000
And we're having a hard time getting members to join the commission.

503
00:58:40,000 --> 00:58:48,000
So we want to make sure that the Board of Supervisors fill all the positions that are available.

504
00:58:48,000 --> 00:58:55,000
It seems like we have a number of applicants that have put in their applications.

505
00:58:55,000 --> 00:59:01,000
But they don't seem to get the next step, which is a meeting with the Board.

506
00:59:01,000 --> 00:59:04,000
One of the Board members to be appointed.

507
00:59:04,000 --> 00:59:10,000
So please, let's fill all the commissions to the extent possible.

508
00:59:10,000 --> 00:59:19,000
And the second thing that's also very helpful is that back in November the Governor signed Senate Bill 707,

509
00:59:19,000 --> 00:59:24,000
which allowed remote participation.

510
00:59:24,000 --> 00:59:30,000
And this will be a very important for our commissions as well to make sure that we can get a corn.

511
00:59:30,000 --> 00:59:40,000
Sometimes our members have a last minute conflict and they don't show up and then our meeting has to be counted.

512
00:59:40,000 --> 00:59:48,000
So I want to thank you all and hopefully we can move forward on getting full appointments to all our commissions.

513
00:59:48,000 --> 00:59:53,000
Have a great meeting and a great day. Thank you.

514
00:59:53,000 --> 00:59:58,000
Thank you, our next speaker is Sharon Luna.

515
01:00:00,000 --> 01:00:10,000
Good morning, supervisors, Sharon Luna, a resident of Samaritini. I am asking supervisor Renes, along with the

516
01:00:10,000 --> 01:00:16,000
mayor of Gilroy and Morgan Hill, to jointly schedule a south county public forum on data centers,

517
01:00:16,000 --> 01:00:24,000
hopefully by September 10, 2026. Data centers and infrastructure needed to support them do not

518
01:00:24,000 --> 01:00:30,000
stop at boundaries. What happens in one south county community can affect another.

519
01:00:30,000 --> 01:00:38,000
Residents deserve clear, factual information about water use, electricity, and substations,

520
01:00:38,000 --> 01:00:48,000
well-by, agricultural, road, emergency service, environmental impacts, and cumulative effects of multiple projects.

521
01:00:48,000 --> 01:00:58,000
Brin, belly, water, utility representatives, county and city health agencies to inform residents together in one form.

522
01:00:58,000 --> 01:01:06,000
Let residents present their documentation concerns and research. Let the agencies respond.

523
01:01:06,000 --> 01:01:15,000
Let everyone hear the same information at the same time, done in a respectful manner. This is not about being for against data centers.

524
01:01:15,000 --> 01:01:23,000
It's about transparency, public participation, correct information in getting the facts before decisions are made.

525
01:01:23,000 --> 01:01:33,000
I submitted a CPR, a request to the county planning department. I was told in writing that the records would be provided after

526
01:01:33,000 --> 01:01:43,000
reduction reductions were completed with July 31st as the department stated to me. Today is August 11th

527
01:01:43,000 --> 01:01:50,000
and I still have not received any information. The delay only reinforces lack of transparency and

528
01:01:50,000 --> 01:01:56,000
timeliness to a serious matter. There are many important things going on in the south county.

529
01:01:56,000 --> 01:02:06,000
I respectfully ask you to follow through complete what has been started and bring the community together. Thank you very much.

530
01:02:06,000 --> 01:02:10,000
Thank you. That concludes public comment.

531
01:02:10,000 --> 01:02:21,000
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.

532
01:02:21,000 --> 01:02:28,000
Today, and Curtis, would you please read the update to the consent calendar?

533
01:02:28,000 --> 01:02:36,000
Yes, we have a request from supervisor Alan Burke to consider item number 14 at no earlier than 1 p.m.

534
01:02:36,000 --> 01:02:42,000
Item number 14 is to receive report relating to the early learning workforce development programs.

535
01:02:42,000 --> 01:02:48,000
We have a request from administration to hold item number 16 to November 17 to 2026.

536
01:02:48,000 --> 01:02:58,000
Item number 16 is to receive report relating to increasing the establishment of new intensive services foster care plus homes in Santa Clara County.

537
01:02:59,000 --> 01:03:05,000
We have a request from administration to hold item number 62 to August 25th, 2026.

538
01:03:05,000 --> 01:03:15,000
Item number 62 is an agreement with care fusion solutions LLC relating to providing an automated medication dispensing system and related services.

539
01:03:15,000 --> 01:03:20,000
We have a request from supervisor Alan Burke to remove item number 69 from the consent calendar.

540
01:03:20,000 --> 01:03:33,000
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.

541
01:03:33,000 --> 01:03:36,000
Thank you very much, Curtis. Yes, so as I'll be.

542
01:03:36,000 --> 01:03:42,000
Thank you. I wanted to request that put to pull item 84.

543
01:03:43,000 --> 01:03:52,000
Yes, it's a approval of the M group contract for the Stanford.

544
01:03:52,000 --> 01:04:01,000
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.

545
01:04:02,000 --> 01:04:12,000
Thank you. On this item 32, which is a contract for behavioral health services or contracts.

546
01:04:12,000 --> 01:04:23,000
I'm the surprise to see the significant increase to the delegation of authority from 105 million to 165 million dollars.

547
01:04:23,000 --> 01:04:30,000
And I know during the budget hearings we discussed here.

548
01:04:30,000 --> 01:04:36,000
How we would be looking at contracts through our policy committees.

549
01:04:36,000 --> 01:04:48,000
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.

550
01:04:48,000 --> 01:04:54,000
Absolutely, this is the whole series. It's not one contract. It's the whole series of behavioral health related contracts.

551
01:04:54,000 --> 01:05:03,000
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.

552
01:05:03,000 --> 01:05:11,000
Okay, great. Thank you. So with that, I'm happy to move the rest of the consent calendar.

553
01:05:11,000 --> 01:05:12,000
Second.

554
01:05:12,000 --> 01:05:13,000
Second.

555
01:05:13,000 --> 01:05:14,000
Second.

556
01:05:14,000 --> 01:05:17,000
So by the time you have any comments?

557
01:05:17,000 --> 01:05:23,000
Yes, I have no more additional changes. The consent calendar if you have some comments for item number 54.

558
01:05:23,000 --> 01:05:30,000
That's the county's response. This bill grantures recommendations for the budget inventory grant process.

559
01:05:30,000 --> 01:05:35,000
I want to note that the FGOC conversation is scheduled for October 26.

560
01:05:35,000 --> 01:05:41,000
And Vice Chair, Supervisor Ellenberg, if I may speak free. I believe we are looking forward to this conversation.

561
01:05:41,000 --> 01:05:52,000
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.

562
01:05:52,000 --> 01:05:56,000
Thank you for the excellent care and service to our county residents. Thank you.

563
01:05:56,000 --> 01:05:57,000
Thank you.

564
01:05:58,000 --> 01:06:02,000
All right, we have a motion. A second, but no further changes in comments.

565
01:06:02,000 --> 01:06:06,000
Let's see if any public will speak on this.

566
01:06:06,000 --> 01:06:12,000
I have no cards and chambers and one hand raised on them. Two minutes.

567
01:06:12,000 --> 01:06:22,000
All right, we will close the queue and we will go to our Zoom speaker, parent.

568
01:06:22,000 --> 01:06:28,000
Yes, I'd like to speak to item 48C.

569
01:06:28,000 --> 01:06:44,000
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.

570
01:06:44,000 --> 01:06:51,000
I know that you guys are very sensitive about the public, but there's a big shortfall.

571
01:06:51,000 --> 01:07:05,000
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.

572
01:07:05,000 --> 01:07:10,000
I spent over $450,000 in litigation over this.

573
01:07:10,000 --> 01:07:14,000
You know, dental term did was to try to protect my children.

574
01:07:14,000 --> 01:07:19,000
I don't think that's the just cause you're firing and all this money that he's spending.

575
01:07:19,000 --> 01:07:24,000
I mean, it's just a terrible waste of money and now there are so few.

576
01:07:24,000 --> 01:07:29,000
As filed a lawsuit against Jeff Rosen, all that money.

577
01:07:29,000 --> 01:07:35,000
Now with the private attorneys that Jeff Rosen has fired, we're spending a lot of money on that.

578
01:07:35,000 --> 01:07:39,000
So I just, I don't think that you guys should go to approve this.

579
01:07:39,000 --> 01:07:42,000
I mean, it's just, I mean, it's almost a week.

580
01:07:42,000 --> 01:07:47,000
It's probably time to mount for him as a big vacation.

581
01:07:47,000 --> 01:07:55,000
I mean, he's not doing his job. He's not protecting children. He's allowing people to physically harm parents.

582
01:07:55,000 --> 01:07:59,000
I mean, it's just a really terrible and we should not be.

583
01:07:59,000 --> 01:08:03,000
You should go to Southern California on his own back.

584
01:08:03,000 --> 01:08:07,000
You shouldn't taxpayers shouldn't be paying for his free vacation.

585
01:08:07,000 --> 01:08:09,000
Thank you so much for your time.

586
01:08:09,000 --> 01:08:12,000
Thank you. That concludes public comment.

587
01:08:12,000 --> 01:08:14,000
This close to public speaking portion.

588
01:08:14,000 --> 01:08:16,000
Oh, sorry, vice president.

589
01:08:16,000 --> 01:08:21,000
Thank you. I just want to make a comment on item 54, which is on consent.

590
01:08:21,000 --> 01:08:25,000
And that is, I hear that this will go to FGOC.

591
01:08:25,000 --> 01:08:35,000
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.

592
01:08:35,000 --> 01:08:41,000
It is not necessarily part of the grand jury report.

593
01:08:41,000 --> 01:08:44,000
But I think it's something that we need to address proactively.

594
01:08:44,000 --> 01:08:47,000
Thank you.

595
01:08:47,000 --> 01:08:50,000
All right.

596
01:08:51,000 --> 01:08:55,000
Okay. We have a motion. We're a second. Let's go to go.

597
01:08:55,000 --> 01:08:58,000
All right. We have a motion from Supervisor Abhay Coga.

598
01:08:58,000 --> 01:09:00,000
Seconded by Supervisor Allenburg.

599
01:09:00,000 --> 01:09:02,000
Supervisor Abhay Coga.

600
01:09:02,000 --> 01:09:03,000
Aye.

601
01:09:03,000 --> 01:09:05,000
Supervisor Jung.

602
01:09:05,000 --> 01:09:06,000
Yes.

603
01:09:06,000 --> 01:09:07,000
Supervisor Allenburg.

604
01:09:07,000 --> 01:09:08,000
Yes.

605
01:09:08,000 --> 01:09:09,000
Vice president Aranis.

606
01:09:09,000 --> 01:09:10,000
Yes.

607
01:09:10,000 --> 01:09:11,000
President Lee.

608
01:09:11,000 --> 01:09:12,000
Aye, as well.

609
01:09:12,000 --> 01:09:13,000
Motion carries a five.

610
01:09:13,000 --> 01:09:14,000
Thank you.

611
01:09:14,000 --> 01:09:16,000
Moving to item eight, which is the public hearing.

612
01:09:16,000 --> 01:09:20,000
To consider the purchase of property on China, North, North, North.

613
01:09:20,000 --> 01:09:23,000
Avenue was a problem for nothing that word.

614
01:09:23,000 --> 01:09:25,000
By the parks department.

615
01:09:25,000 --> 01:09:28,000
And do we have a report from staff, please.

616
01:09:34,000 --> 01:09:35,000
Good morning, Board.

617
01:09:35,000 --> 01:09:38,000
Julie Anderson, deputy director from county parks.

618
01:09:38,000 --> 01:09:43,000
And I'm here if anyone has any questions for this item.

619
01:09:43,000 --> 01:09:44,000
Okay.

620
01:09:45,000 --> 01:09:49,000
I'll go ahead and open up the public hearing.

621
01:09:49,000 --> 01:09:50,000
Yes.

622
01:09:50,000 --> 01:09:56,000
First, I'm just going to say is maybe we should allow to see if any members of the public

623
01:09:56,000 --> 01:09:58,000
would like to speak on this item.

624
01:09:58,000 --> 01:10:01,000
Any cards have we received?

625
01:10:01,000 --> 01:10:04,000
I've not received any cards and chambers.

626
01:10:04,000 --> 01:10:08,000
And it doesn't appear that we have any speakers on zoom.

627
01:10:08,000 --> 01:10:10,000
So we have no public comment today.

628
01:10:10,000 --> 01:10:11,000
Okay.

629
01:10:11,000 --> 01:10:12,000
Well, that's the case.

630
01:10:12,000 --> 01:10:17,000
Then we could go ahead and close us the public hearing.

631
01:10:17,000 --> 01:10:19,000
And then now the public hearing is closed.

632
01:10:19,000 --> 01:10:23,000
I would like to ask for any questions and comments from my colleagues.

633
01:10:23,000 --> 01:10:24,000
Yes.

634
01:10:24,000 --> 01:10:25,000
Vice President, please.

635
01:10:25,000 --> 01:10:26,000
Thank you.

636
01:10:26,000 --> 01:10:32,000
I first just wanted to thank you for all your really hard work and investment in our beloved

637
01:10:32,000 --> 01:10:35,000
Marshall Cottle Park.

638
01:10:35,000 --> 01:10:37,000
As many of you have visited.

639
01:10:37,000 --> 01:10:39,000
And if you haven't please, come by.

640
01:10:39,000 --> 01:10:40,000
It is a gem.

641
01:10:40,000 --> 01:10:45,000
It is a neighborhood gem and agricultural gem and a historical gem.

642
01:10:45,000 --> 01:10:51,000
And this purchasing this property is going to strengthen a really long-needed connection identified

643
01:10:51,000 --> 01:10:54,000
in our countywide trail master plan.

644
01:10:54,000 --> 01:10:59,000
And in the greater master plan around the Bay Area Ridge Trail.

645
01:10:59,000 --> 01:11:05,000
And so it's going to do quite a bit for our community, not only is it going to help maybe

646
01:11:05,000 --> 01:11:10,000
eliminate some of the blight and dumping that's going that's been happening there.

647
01:11:10,000 --> 01:11:19,000
And purchasing this will allow us to keep it clean and also restore it for community use.

648
01:11:19,000 --> 01:11:27,000
And so I'm really proud of the work that Park's has been doing to continue to integrate more

649
01:11:27,000 --> 01:11:30,000
space into our system.

650
01:11:31,000 --> 01:11:35,000
Last year we were able to provide a shade structure for the rusty areas community

651
01:11:35,000 --> 01:11:38,000
Guardia Marshall Cottle.

652
01:11:38,000 --> 01:11:43,000
And I realize how many dedicated volunteers and gardeners there are out there as well as

653
01:11:43,000 --> 01:11:48,000
V keypers that produce their own local honey.

654
01:11:48,000 --> 01:11:54,000
And so for those of you who suffer from allergies, get your local honey from our Marshall

655
01:11:54,000 --> 01:11:58,000
Cottle folks, it'll do you wonders.

656
01:11:58,000 --> 01:12:03,000
And then additionally congressman Penetta has secured 250,000 to support the implementation

657
01:12:03,000 --> 01:12:06,000
of phase one of the historic ranch site plan.

658
01:12:06,000 --> 01:12:10,000
So there's lots of things coming together for Marshall Cottle.

659
01:12:10,000 --> 01:12:11,000
I'm just really excited.

660
01:12:11,000 --> 01:12:15,000
And I'm going to make a motion to approve staff's recommendation.

661
01:12:15,000 --> 01:12:16,000
Second.

662
01:12:16,000 --> 01:12:18,000
Move in the second it.

663
01:12:18,000 --> 01:12:24,000
I just want to say I completely support and agree with what we just said by our vice president

664
01:12:24,000 --> 01:12:29,000
and that this purchase will certainly expand our park and improve the trail connections

665
01:12:29,000 --> 01:12:31,000
as mentioned.

666
01:12:31,000 --> 01:12:36,000
And then actually currently it blocks the access to the park.

667
01:12:36,000 --> 01:12:41,000
And that's certainly issued with some dumping and whatnot.

668
01:12:41,000 --> 01:12:45,000
So it will be certainly ways to eliminate a lot of these problems as well.

669
01:12:45,000 --> 01:12:46,000
I believe.

670
01:12:46,000 --> 01:12:52,000
And so looking forward to a significant improvement to the access to the park and more exciting things

671
01:12:52,000 --> 01:12:54,000
happen that this wonderful place.

672
01:12:54,000 --> 01:12:55,000
Thank you.

673
01:12:55,000 --> 01:13:01,000
And can I just say not only am I super proud of our parks and wreck department, but I know for our

674
01:13:01,000 --> 01:13:02,000
shade structure.

675
01:13:02,000 --> 01:13:08,000
Some of the lighting member is really contributed and this is a recognition for David

676
01:13:08,000 --> 01:13:12,000
Know who's part of our team just did really lovely work.

677
01:13:12,000 --> 01:13:13,000
Great.

678
01:13:13,000 --> 01:13:14,000
Thank you.

679
01:13:14,000 --> 01:13:15,000
All right.

680
01:13:15,000 --> 01:13:17,000
If no for the comments as to go take the vote.

681
01:13:17,000 --> 01:13:18,000
All right.

682
01:13:18,000 --> 01:13:22,000
Thank you, one of them vice president Aranas seconded by supervisor Abay Coco

683
01:13:22,000 --> 01:13:25,000
supervisor Abay Coco I supervise of young.

684
01:13:25,000 --> 01:13:26,480
Yes.

685
01:13:26,480 --> 01:13:28,000
Supervisor Alan Burke.

686
01:13:28,000 --> 01:13:29,000
Yes.

687
01:13:29,000 --> 01:13:31,000
Vice president Aranas yes.

688
01:13:31,000 --> 01:13:32,000
Presently.

689
01:13:32,000 --> 01:13:33,000
Ah, as well.

690
01:13:33,000 --> 01:13:34,000
Motion carries a five.

691
01:13:34,000 --> 01:13:35,000
Thank you.

692
01:13:35,000 --> 01:13:41,000
The moving on to item nine public hearing is considered the petition

693
01:13:41,000 --> 01:13:56,680
the tax sale assessors parcel number 627-23-009 let folks sit down get the mic

694
01:13:56,680 --> 01:13:58,680
working first for a certain minute

695
01:14:26,680 --> 01:14:41,680
and do we have staff report please

696
01:14:41,680 --> 01:14:51,680
let's try again the mic still not working

697
01:14:52,680 --> 01:14:53,680
thank you so

698
01:14:53,680 --> 01:14:59,680
good morning board my name is Margaret or I direct or finance agency

699
01:15:00,000 --> 01:15:06,400
I have with me the Director of Department of Tax and Collections. There are a spinosa, as well as

700
01:15:06,400 --> 01:15:14,000
Lorraine Filippo Shin, Assistant Director of Department of Tax and Collections with.

701
01:15:14,000 --> 01:15:20,560
And Robert Fannon, Council for the Finance Agency.

702
01:15:20,560 --> 01:15:33,040
So this morning you have before you a recession petition from TMS to related to a tax-deforted property sold

703
01:15:33,040 --> 01:15:42,320
in May of 2025. And we are here to take questions from the board, or if you'd like us to do additional

704
01:15:42,320 --> 01:15:47,040
information and do some presentation for you. We don't have any PowerPoint.

705
01:15:47,040 --> 01:15:52,880
I think we've all read the presentation in the letter file, so I don't think we need to do that.

706
01:15:52,880 --> 01:15:57,200
I just want to see any lights on, so I don't think we have any questions from my colleagues here.

707
01:15:57,200 --> 01:16:02,640
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

708
01:16:02,640 --> 01:16:07,840
straight to opening the public hearing to allow a petition to start the presentation.

709
01:16:07,840 --> 01:16:11,760
Is that okay? All right. So let's go ahead and open public hearing and

710
01:16:11,760 --> 01:16:17,920
go ahead and provide the petitioner, Univision, seven minutes to present your petition.

711
01:16:18,560 --> 01:16:23,760
And I believe there is a presentation from the petition. Am I correct? Yeah. Please come, yes.

712
01:16:26,560 --> 01:16:27,600
Yes, please go ahead, yes.

713
01:16:31,280 --> 01:16:36,000
Just for the record, we did all receive this, this presentation, talking about yes.

714
01:16:36,000 --> 01:16:41,200
Yes, correct. And thank you so much for having me here today. It's an honor to be before you.

715
01:16:41,200 --> 01:16:46,560
Some of the stories that we heard from the citizens are very inspirational. I am Belinda Vega.

716
01:16:46,560 --> 01:16:52,960
I am a partner of Venable. I represent the Levy Zone, Evision, Univision, to make it easy.

717
01:16:52,960 --> 01:16:57,920
I have a client representative here today who's going to make a statement, and then I'm going to go

718
01:16:57,920 --> 01:17:04,720
over the presentation, and I promise to stay within our seven minutes. Thank you. Good morning, President Levy.

719
01:17:04,720 --> 01:17:09,200
Vice President and arenas, and members of the board. My name is James Vantassel. I'm the director of

720
01:17:09,200 --> 01:17:14,960
Technology for Tel Aviv Zone, New Zealand Bay Area. For context, Univision is maintained in office

721
01:17:14,960 --> 01:17:21,440
presence in San Jose since at least the 1980s. Univision radio and particular operator in office and street

722
01:17:21,440 --> 01:17:29,920
level studio on South Market Street, from approximately 2005 through 2015. Then in 2015 we

723
01:17:29,920 --> 01:17:35,840
broke ground on our Zanker Road Facility and consolidated our San Francisco in San Jose Television and

724
01:17:35,840 --> 01:17:45,280
radio operations and production facilities into that location in 2016. Today, KVVF 105.7 FM serves

725
01:17:45,280 --> 01:17:51,280
more than 190,000 listeners each week providing emergency information, local news and entertainment

726
01:17:51,280 --> 01:17:57,840
to the Spanish-speaking community. Our FCC licensed transmission facility on Mount Hamilton Road includes

727
01:17:57,840 --> 01:18:04,240
the transmission tower, large equipment building, backup generator with diesel tank, air conditioning equipment

728
01:18:04,320 --> 01:18:09,520
and supporting infrastructure. The site is maintained in active Santa Clara County environmental

729
01:18:09,520 --> 01:18:15,360
health permit that has been renewed annually. We have also consistently made timely payments on the Santa Clara

730
01:18:15,360 --> 01:18:21,680
County Unsecured Property Tax Assessment that are associated with that facility. However, in my

731
01:18:21,680 --> 01:18:27,280
review of what happened, I've discovered that the parcel number reflected on the Unsecured Property

732
01:18:27,280 --> 01:18:36,960
Tax Bill appears to be APN 62723017, which is different from the parcel number at issue here. I'm concerned

733
01:18:36,960 --> 01:18:42,240
that this discrepancy may have contributed to Univision not being identified or notified as the property

734
01:18:42,240 --> 01:18:46,960
owner during the county's review process. I respectfully ask the Board to consider that possibility

735
01:18:46,960 --> 01:18:50,160
as you evaluate this matter. Thank you for your time and consideration.

736
01:18:50,160 --> 01:19:02,240
I'd like to start with just going over the parcel. This is part of the petition that we

737
01:19:02,240 --> 01:19:08,800
filed and submitted before you. The parcel, as you can see, is located in an area where you can see

738
01:19:08,800 --> 01:19:15,120
that there is a radio tower. There's actually a residence next to the parcel. And then the map is

739
01:19:15,120 --> 01:19:23,360
showing the area where the radio serves our community here in San Jose. I'd like to next go to

740
01:19:23,360 --> 01:19:33,200
the timeline. Next slide. So the way that the start is in 2002, a Univision subsidiary bought the

741
01:19:33,200 --> 01:19:40,480
assessor's parcel. This is parcel. I'll just say the last three letters. 009. That is that issue here.

742
01:19:40,480 --> 01:19:48,960
In 2016, Univision, there was a Univision corporate reorganization. The subsidiary that previously

743
01:19:48,960 --> 01:19:58,000
owned the parcel was dissolved in December 2016. I think my respondents think it was 2017 and we're

744
01:19:58,000 --> 01:20:04,080
fine with that. But there was a certificate of surrender listed in a listing a New York address

745
01:20:04,080 --> 01:20:09,840
for future legal service. And that was filed with the California Secretary of State. In 2023,

746
01:20:09,840 --> 01:20:18,480
the county began efforts to sell the property at a tax action. A tax auction. Notice a tax

747
01:20:18,480 --> 01:20:26,320
efficiency was sent on June 2nd, 2023. But it was sent to an outdated and vacant Dallas Texas address.

748
01:20:27,120 --> 01:20:34,240
If you look up the address, it shows it as a beaten vacant. March 26, 2025, the notice of sale of

749
01:20:34,240 --> 01:20:41,280
tax decals of property was sent to the same Dallas Texas address. The county received return mail

750
01:20:42,320 --> 01:20:51,760
as not a good address. In May 5, 2025, in May 5, 2025, Kingdom Capital Partners LLC was registered in

751
01:20:51,760 --> 01:20:57,920
California. I don't want to speak for Kingdom Capital Properties LLC, but I believe they were formed

752
01:20:57,920 --> 01:21:07,280
to buy the property that is an issue here. May 16, 2025, the property sold for 116,612,

753
01:21:07,280 --> 01:21:17,600
60 in May of 2025 at the auction to Kingdom. Summer of 2025, Univision first became aware of the sale

754
01:21:17,600 --> 01:21:24,000
when an out of state attorney for the purchaser, contacted Univision seeking a copy of the lease

755
01:21:24,000 --> 01:21:31,440
for Univision's radio tower. Univision doesn't have a lease. It owns that tower. On October 30, 2025,

756
01:21:31,440 --> 01:21:36,560
Univision petitioned the board to rescind the tax sale of the property and requested a hearing.

757
01:21:37,360 --> 01:21:43,680
I should add that in September of 2025, we also sent a letter to the county, letting the no of the issue

758
01:21:43,680 --> 01:21:49,760
and asking them for the process to petition, and they were very cooperative and provided us with information.

759
01:21:50,320 --> 01:21:56,400
Now moving on to the facts at issue here, it's very simple. Long time tax payer has been in the

760
01:21:56,400 --> 01:22:03,760
community for a long time, losses property without ever learning it was at risk. So the facts,

761
01:22:03,760 --> 01:22:10,080
the property contains a radio transmission, as Jim stated, a radio transmission tower that reaches

762
01:22:10,080 --> 01:22:17,040
more than 192,000 people weekly across the Bay Area. The property neighbors and adjacent property

763
01:22:17,120 --> 01:22:23,360
in home owned by Gary Mansberger. We'll call it the Mansberger property. I spoke to Gary,

764
01:22:24,240 --> 01:22:30,800
very nice gentleman. He never got a call or received a notice or a posting from anybody from the county

765
01:22:31,760 --> 01:22:37,280
with respect to the property or the fact that the property was going to be sold at action.

766
01:22:38,080 --> 01:22:44,000
The Mansberger's use of portion of the property to house a chicken coop and observatory. The property

767
01:22:44,080 --> 01:22:49,440
is only accessible via the Mansberger's properties right away. I should say the property contains

768
01:22:49,440 --> 01:22:56,160
not just a radio tower, but it also contains a building where you could post a notice if the county

769
01:22:57,200 --> 01:23:02,400
wanted to do so. The property does not have a mailbox when mail for the property is mistakenly delivered

770
01:23:02,400 --> 01:23:08,720
to the Mansberger property, Mr. Mansberger notifies the univision of the mail. Mr. Mansberger notifies

771
01:23:08,720 --> 01:23:14,640
the univision when someone is attempting to access the property. Mr. Mansberger told me that nobody

772
01:23:14,640 --> 01:23:23,680
from the county contacted him. TMS asks its California a univision subsidiary purchased the property in

773
01:23:23,680 --> 01:23:33,360
2002. TMS and univision were separate legal entities, so univision did not have knowledge of TMS's tax responsibilities.

774
01:23:33,440 --> 01:23:40,880
And all move on because I realize I'm running out of time. With respect to the arguments that

775
01:23:42,880 --> 01:23:51,040
respondents or criminal capital is making, we believe the issue here is the fact that that

776
01:23:51,040 --> 01:23:57,920
univision did not get notice. There was no posting. It was clearly a mistake in terms of reorganization

777
01:23:57,920 --> 01:24:08,160
and cooperation. Thank you so much. Thank you so much. Yes. Thank you so much. Yes.

778
01:24:09,200 --> 01:24:20,080
And next we will go to the purchase a kingdom capital equivalent seven minutes to present their

779
01:24:21,760 --> 01:24:26,800
position. Yes. Good morning. Good morning President Lee. Good morning.

780
01:24:28,240 --> 01:24:32,560
Thank you for the opportunity to present on this. My name is Gabriel Green. I'm a partner with

781
01:24:32,560 --> 01:24:41,120
the law firm of Buckalter. I am here representing a kingdom capital properties LLC with me here today.

782
01:24:41,120 --> 01:24:48,480
He is George Masal who is a representative. He is in the back of the purchaser. First and foremost

783
01:24:48,480 --> 01:24:56,160
I would like to get one thing out of the way. Nothing if the board denies this petition. Nothing

784
01:24:56,160 --> 01:25:03,920
occurs to affect univision's ability to continue to broadcast. Since my client acquired the property

785
01:25:03,920 --> 01:25:11,440
they continue to allow the tower to remain on it, continue to allow univision to broadcast from there.

786
01:25:11,440 --> 01:25:16,960
And that's the intent of the property itself. Remember that we're dealing right now with a petition

787
01:25:16,960 --> 01:25:25,200
by a defaulting taxpayer who has not paid taxes for over five years on this. This is not an issue

788
01:25:25,200 --> 01:25:32,400
about the taxpayer not receiving notice of what occurred and the fact that it would be sale. The other

789
01:25:32,400 --> 01:25:38,720
thing I'd note preliminarily is Council's testifying testimony as to her conversation with the

790
01:25:38,720 --> 01:25:44,480
adjoining land owner is complete hearsay. Telling the adjoining land owner is not here if she had

791
01:25:44,480 --> 01:25:49,600
conversations with that adjoining land owner. He could have come here and made a presentation

792
01:25:49,600 --> 01:25:55,600
but his the fact that he's not here should speak volumes. A couple things I want to identify on the

793
01:25:55,600 --> 01:26:01,600
problem with this petition. First the Board of Supervisors respectfully lacks authority to recent

794
01:26:01,600 --> 01:26:09,440
this sale. The provision of the tax code that allows for the resision excludes resision where the property

795
01:26:09,440 --> 01:26:14,160
has been purchased by a bona fide purchaser which is what occurred here. My client is a third

796
01:26:14,160 --> 01:26:20,560
party purchaser. Realize that this property was up for sale decided to come in making an investment

797
01:26:20,560 --> 01:26:26,720
on it and bought it. Since that time my client has been paying taxes on this property has been an

798
01:26:26,720 --> 01:26:32,560
upstanding model citizen as far as a property owner in your accounting and should be allowed to continue

799
01:26:32,640 --> 01:26:39,200
to hold title to this property. To the fact that a univision complains that it never received

800
01:26:39,200 --> 01:26:47,680
notices a relevant for the relevant analysis that the county needs to do on this petition it needs

801
01:26:47,680 --> 01:26:54,720
to only evaluate did the county exercise reasonable efforts to notify the defaulting tax fair of the

802
01:26:54,720 --> 01:27:02,160
default and of the impending tax deal. That is what occurred here. In fact what is very helpful is the

803
01:27:03,040 --> 01:27:08,480
recommendations that were provided and if we go through those recommendations and they were part of

804
01:27:08,480 --> 01:27:14,640
this transcript. You will see that there are a number of significant events that occurred with regard to

805
01:27:14,640 --> 01:27:21,040
trying to notify the defaulting tax fair of the fact that it was in a reverse on taxes as well as the fact

806
01:27:21,040 --> 01:27:27,120
that it would be sold. If you look at it I will go through a number of things. There were multiple

807
01:27:27,120 --> 01:27:35,840
skip traces or online searches to locate this property owner. One occurred on December 2019. It says

808
01:27:35,840 --> 01:27:42,560
DTAC performs skip tracing for additional addresses. It located an address in Walnut Creek. It sent

809
01:27:42,560 --> 01:27:49,920
notice there. It came back as undeliverable. Then again on October 23rd 2020 again another skip trace was

810
01:27:49,920 --> 01:27:57,040
done and a search was done finding an address in San Francisco again another notification was sent out

811
01:27:57,040 --> 01:28:05,280
there and throughout this process continual notices are going out to the last known address. On October

812
01:28:05,280 --> 01:28:12,800
19th 2023 again another online search has been conducted for the property owner to see if they could find

813
01:28:12,800 --> 01:28:20,720
an alternative means of notifying it. Then on March 20th 2025 right before the sale the county

814
01:28:20,720 --> 01:28:28,480
employees a third party assessor to determine whether they can find additional information for this

815
01:28:29,600 --> 01:28:36,000
tax payer. It's the use curative tax solutions they don't indicate or identify any other

816
01:28:36,000 --> 01:28:42,640
interested parties. In addition to the skip traces that were done they also sent redemption notices

817
01:28:42,640 --> 01:28:48,560
to multiple addresses other than the Dallas Texas address which multiple redemption notices were sent.

818
01:28:48,560 --> 01:28:55,520
They sent it to Walnut Creek address so you can see that in the entry on December 2019. They sent it to

819
01:28:55,520 --> 01:29:04,640
a San Francisco address on October 23rd 2020 and to a 10th New Jersey address on October 19, 2023.

820
01:29:05,360 --> 01:29:13,520
You'll note that the petitioners complained that insight to two letters that were returned that were sent

821
01:29:13,520 --> 01:29:22,880
by certificate or certified mail. Notably those certified mail letters were sent on June 2, 2023

822
01:29:22,880 --> 01:29:31,120
and on March 26th 2025. I call out those two dates importantly because in the records

823
01:29:31,120 --> 01:29:39,120
that are indicated on the recommendations the Board of Supervisors will note that in addition to sending

824
01:29:39,120 --> 01:29:44,800
out those letters and all of the other skip traces that were done there were also publications run in the

825
01:29:44,800 --> 01:29:52,640
San Jose Post. On June 1, 2023 the same period of time in which that certified letter was sent

826
01:29:52,640 --> 01:29:58,960
and came back as undeliverable. It ran a publication for three weeks in the San Jose Post.

827
01:30:00,000 --> 01:30:09,000
Again, in April, 11th, 2025, when that other certified letter went out. Again, it ran for three weeks in the San Jose post.

828
01:30:09,000 --> 01:30:17,000
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.

829
01:30:17,000 --> 01:30:24,000
In addition to all that we have gone through, there was multiple two phone calls that were made to a number that was identified.

830
01:30:24,000 --> 01:30:29,000
And that did not result in, well, that was extra effort.

831
01:30:29,000 --> 01:30:41,000
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.

832
01:30:41,000 --> 01:30:48,000
Here, the county should be applauded for its efforts. It went above and beyond its efforts to go and notify the taxpayer.

833
01:30:48,000 --> 01:30:57,000
And the laws very clear that a taxpayer is already on notice having owned the property, knows that they need to make tax payments.

834
01:30:57,000 --> 01:31:02,000
And the division acknowledged that it made tax payments. So it was already on notice.

835
01:31:02,000 --> 01:31:09,000
The fact that they made various corporate changes is not the fault of the county.

836
01:31:09,000 --> 01:31:23,000
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.

837
01:31:23,000 --> 01:31:28,000
So with that, I think the Board of Supervisors for this time.

838
01:31:28,000 --> 01:31:30,000
Thank you.

839
01:31:30,000 --> 01:31:45,000
All right. Now, the other question I have is for the members of public to ask any potential.

840
01:31:45,000 --> 01:31:47,000
I mean, like to speak on this item.

841
01:31:47,000 --> 01:31:58,000
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.

842
01:31:58,000 --> 01:32:03,000
Do we have any members of public like to speak on this item?

843
01:32:03,000 --> 01:32:07,000
Go in once. I have no work on this place.

844
01:32:07,000 --> 01:32:13,000
Okay. All right. So next would be asking our petitioner. Yes, for the division.

845
01:32:13,000 --> 01:32:18,000
Now you have three minutes to respond to the earlier comments.

846
01:32:18,000 --> 01:32:21,000
Yes, I just want to make a couple of points.

847
01:32:22,000 --> 01:32:29,000
The two notices that were returned to sender was the June 22nd 2023 notice of tax efficiency.

848
01:32:29,000 --> 01:32:32,000
That was sent to the Dallas Texas address.

849
01:32:32,000 --> 01:32:37,000
And then in March 26, 2025, the notice of sale of tax defaulted property.

850
01:32:37,000 --> 01:32:41,000
That was sent to the Dallas Texas address and was also returned.

851
01:32:41,000 --> 01:32:48,000
Bottom line, you have the authority to rescind the sale.

852
01:32:48,000 --> 01:32:57,000
The legal standard and we provided the legal authority provides you with the discretion to rescind the sale.

853
01:32:57,000 --> 01:33:08,000
Based on the fact that there was, you were on notice that the contribution was not getting the notices of the tax sale.

854
01:33:08,000 --> 01:33:14,000
Do process requires additional notice efforts when a notice is returned and delivered.

855
01:33:14,000 --> 01:33:18,000
That's the Jones versus Flowers case that we cited in our petition.

856
01:33:18,000 --> 01:33:23,000
Also, the bank versus Bank of America versus giant inland empire case.

857
01:33:23,000 --> 01:33:32,000
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.

858
01:33:32,000 --> 01:33:42,000
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.

859
01:33:42,000 --> 01:33:45,000
The deed of the exhibit six.

860
01:33:45,000 --> 01:33:56,000
The tax deed to the purchasers says that the deed is conveys to the purchasers free volume of any kind existing before the sale.

861
01:33:56,000 --> 01:34:03,000
Except those referred to in section 3, 7, 1, 2 of the California revenue and taxation code.

862
01:34:03,000 --> 01:34:08,000
That's exactly the section that we're using here to petition to rescind the sale.

863
01:34:08,000 --> 01:34:13,000
The bottom line here is that you have.

864
01:34:13,000 --> 01:34:17,000
You have univision who's been in the property for a very long time.

865
01:34:17,000 --> 01:34:24,000
They have been paying taxes on the radio tower and it's using the property.

866
01:34:24,000 --> 01:34:27,000
It's there at least once a month checking on the property.

867
01:34:27,000 --> 01:34:29,000
There's broadcast operations there.

868
01:34:29,000 --> 01:34:34,000
It's FCC lines and transmissions that could be threatened.

869
01:34:34,000 --> 01:34:39,000
The kingdom capitals says that we would still be allowed to use the radio tower.

870
01:34:39,000 --> 01:34:43,000
We have been in no negotiations with them to try to purchase the property.

871
01:34:43,000 --> 01:34:45,000
We are too far apart.

872
01:34:45,000 --> 01:34:50,000
They've also asked us to lease the property for an amount that is not reasonable to univision.

873
01:34:50,000 --> 01:34:57,000
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.

874
01:34:57,000 --> 01:35:05,000
To ask you to please rescind the sale because we do think that the due process rights of univision were violated.

875
01:35:05,000 --> 01:35:07,000
Thank you.

876
01:35:07,000 --> 01:35:12,000
Thank you.

877
01:35:12,000 --> 01:35:13,000
All right.

878
01:35:13,000 --> 01:35:16,000
Now the purchaser.

879
01:35:16,000 --> 01:35:17,000
Yes.

880
01:35:17,000 --> 01:35:20,000
We'll now have three minutes to do any response.

881
01:35:20,000 --> 01:35:22,000
Thank you.

882
01:35:23,000 --> 01:35:26,000
Univision has not paid taxes on the property for over seven years.

883
01:35:26,000 --> 01:35:32,000
It now comes up and tries to talk about confidential settlement communications that have occurred leading up to it.

884
01:35:32,000 --> 01:35:33,000
That's inappropriate.

885
01:35:33,000 --> 01:35:37,000
They're complaining that they don't want to go and pay a lease on it.

886
01:35:37,000 --> 01:35:40,000
My client has been more than reasonable in this whole process.

887
01:35:40,000 --> 01:35:43,000
It just bought this property as an investment property.

888
01:35:43,000 --> 01:35:51,000
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.

889
01:35:51,000 --> 01:35:56,000
The tower remains my client owns a number of properties with radio towers.

890
01:35:56,000 --> 01:36:00,000
It's in this business of owning property in this regard.

891
01:36:00,000 --> 01:36:05,000
The cases that they rely on are entirely distinguishable in each of those cases.

892
01:36:05,000 --> 01:36:10,000
There was only one attempt by the county to go out and reach the property tax owner, the default tax owner.

893
01:36:10,000 --> 01:36:13,000
And made no follow up effort.

894
01:36:13,000 --> 01:36:20,000
Here as I cited too and as a recommendation show, there was extensive efforts by the county and a plotable efforts of

895
01:36:20,000 --> 01:36:24,000
trying to notify this defaulting tax owner.

896
01:36:24,000 --> 01:36:30,000
This defaulting property tax payer of the fact that they were in a rears and to be done.

897
01:36:30,000 --> 01:36:35,000
There's no basis to return this and it would be an equitable to rescind this transaction.

898
01:36:35,000 --> 01:36:36,000
Thank you.

899
01:36:36,000 --> 01:36:38,000
Thank you.

900
01:36:38,000 --> 01:36:43,000
All right.

901
01:36:43,000 --> 01:36:46,000
Now at this point, I just want to say thank you to both parties.

902
01:36:46,000 --> 01:36:51,000
Both the petition purchaser having concluded the presentations and responses.

903
01:36:51,000 --> 01:36:56,000
Now I'll look to my colleagues to see if there are any questions for the parties.

904
01:36:56,000 --> 01:37:01,000
For any questions asked by the board, the party to whom the questions directed will first get the chance to respond.

905
01:37:01,000 --> 01:37:05,000
And then the other party will get the opportunity to reply.

906
01:37:05,000 --> 01:37:08,000
So looking at the lights, the advice for the residents.

907
01:37:08,000 --> 01:37:09,000
Thank you.

908
01:37:09,000 --> 01:37:14,000
Actually, the party I want to ask questions to is to Amila Presti.

909
01:37:14,000 --> 01:37:17,000
Is this permissible?

910
01:37:17,000 --> 01:37:18,000
Yes, of course.

911
01:37:18,000 --> 01:37:19,000
Okay, wonderful.

912
01:37:19,000 --> 01:37:36,000
So this seems like this is more than just what a physical notice of tax process is and the delinquency involved in this.

913
01:37:36,000 --> 01:37:43,000
So can you just for my sake and for the community's sake outline what the options are on the table here?

914
01:37:43,000 --> 01:37:46,000
And I know there's two of them that we're taking a look at.

915
01:37:46,000 --> 01:38:05,000
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.

916
01:38:05,000 --> 01:38:16,000
Which would mean that univision would retain the property upon paying all back taxes and filing a change of ownership.

917
01:38:16,000 --> 01:38:31,000
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.

918
01:38:31,000 --> 01:38:50,000
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.

919
01:38:50,000 --> 01:38:52,000
Thank you.

920
01:38:52,000 --> 01:39:07,000
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.

921
01:39:07,000 --> 01:39:19,000
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.

922
01:39:19,000 --> 01:39:39,000
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.

923
01:39:39,000 --> 01:39:50,000
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.

924
01:39:50,000 --> 01:39:57,000
Because I think both of the options that we have on the table right now.

925
01:39:57,000 --> 01:40:18,000
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.

926
01:40:18,000 --> 01:40:39,000
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.

927
01:40:39,000 --> 01:40:48,000
This is not a court we we can't really figure some of these things out whether folks.

928
01:40:48,000 --> 01:41:10,000
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.

929
01:41:10,000 --> 01:41:27,000
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.

930
01:41:27,000 --> 01:41:40,000
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.

931
01:41:40,000 --> 01:41:42,000
Does that work?

932
01:41:42,000 --> 01:41:50,000
Yes it does but hold off on the motion just until other questions are asked to the parties.

933
01:41:50,000 --> 01:42:00,000
Thank you and I don't see any further lights and any questions and so I believe your motion is right now.

934
01:42:00,000 --> 01:42:04,000
That's just to clarify the chair is closing the public hearing.

935
01:42:04,000 --> 01:42:05,000
Yes I'm sorry.

936
01:42:05,000 --> 01:42:07,000
Let's go ahead and close the public hearing.

937
01:42:07,000 --> 01:42:08,000
There we go.

938
01:42:08,000 --> 01:42:09,000
I'll use the gavel.

939
01:42:09,000 --> 01:42:12,000
Do you need a second on the motion?

940
01:42:13,000 --> 01:42:15,000
Let's repeat the motion and the welcome.

941
01:42:15,000 --> 01:42:28,000
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.

942
01:42:28,000 --> 01:42:40,000
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.

943
01:42:40,000 --> 01:42:51,000
I just say no later than September 15th but if you want a specific date then we'll choose September 15th.

944
01:42:51,000 --> 01:42:52,000
Do I need to restate it?

945
01:42:52,000 --> 01:42:53,000
No.

946
01:42:53,000 --> 01:42:54,000
Okay.

947
01:42:54,000 --> 01:42:56,000
I think we're good and we see the second is on board with the second.

948
01:42:56,000 --> 01:42:57,000
We're motion second.

949
01:42:57,000 --> 01:42:59,000
Thank you.

950
01:42:59,000 --> 01:43:09,000
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.

951
01:43:09,000 --> 01:43:12,000
long procedural.

952
01:43:12,000 --> 01:43:17,000
Challenge of text selection, text selection, certainly one of the jobs of the county.

953
01:43:17,000 --> 01:43:22,000
It's never easy and try to chase people when they change the address is of course makes it more difficult.

954
01:43:22,000 --> 01:43:26,000
I want many of the addresses changes and I'll state and whatnot.

955
01:43:26,000 --> 01:43:30,000
So certainly I just want to say that I want to thank our.

956
01:43:30,000 --> 01:43:35,000
Our staff based on the very detailed explanation.

957
01:43:35,000 --> 01:43:40,000
So how many times they have tried to reach out is not like one or two or three notices.

958
01:43:40,000 --> 01:43:49,000
This is clearly a multiple notices have been sent in order to try to locate before ultimately a text sale has been declared.

959
01:43:49,000 --> 01:43:53,000
So this is something that I've been on the board for about six years now.

960
01:43:53,000 --> 01:43:56,000
It's like the first time something like this happens.

961
01:43:56,000 --> 01:43:58,000
So this is extremely rare for this to happen.

962
01:43:58,000 --> 01:44:06,000
The second is that there's been what will not this board has authority and this is early to make this determination.

963
01:44:06,000 --> 01:44:09,000
And even though there are three of us here have a law license.

964
01:44:09,000 --> 01:44:15,000
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.

965
01:44:15,000 --> 01:44:17,000
But certainly can take a vote.

966
01:44:17,000 --> 01:44:20,000
And this is what we are allowed to do.

967
01:44:20,000 --> 01:44:30,000
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.

968
01:44:30,000 --> 01:44:34,000
And also as I said, I haven't been attorney for almost 30 years.

969
01:44:34,000 --> 01:44:39,000
Often times the judge will tell the litigants to say, you guys need to work closer together.

970
01:44:39,000 --> 01:44:41,000
Maybe you need to get a fine immediately.

971
01:44:41,000 --> 01:44:46,000
Sit together and work really hard to try to come up with a solution.

972
01:44:46,000 --> 01:44:54,000
Because when you don't do that, when the judge rules on something, it might not make one or even both sides happy.

973
01:44:54,000 --> 01:44:59,000
So I certainly want to urge that I think this is a very important time.

974
01:45:00,000 --> 01:45:29,000
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

975
01:45:31,000 --> 01:45:41,000
I think that's extremely important because I don't want that public to be hurt in that process.

976
01:45:41,000 --> 01:45:47,000
All right, that's all I have on this. If no further comments, that's tickable.

977
01:45:47,000 --> 01:45:54,000
All right, we have a motion from Vice President Aranis, seconded by Supervisor Apecoga.

978
01:45:54,000 --> 01:45:55,000
Supervisor Apecoga.

979
01:45:56,000 --> 01:45:57,000
Supervisor Apecoga.

980
01:45:57,000 --> 01:45:58,000
Supervisor Alonberg.

981
01:45:58,000 --> 01:45:59,000
Yes.

982
01:45:59,000 --> 01:46:00,000
Vice President Aranis.

983
01:46:00,000 --> 01:46:01,000
Yes.

984
01:46:01,000 --> 01:46:02,000
Presently.

985
01:46:02,000 --> 01:46:04,000
Hi, as well. Motion carries us five. Thank you.

986
01:46:04,000 --> 01:46:10,000
My hope is set by September 15th earlier. We have some good news when we don't have to come back.

987
01:46:10,000 --> 01:46:11,000
Thank you very much.

988
01:46:26,000 --> 01:46:33,000
Okay, moving on to item number 10, which is receiving report from the county executive.

989
01:46:33,000 --> 01:46:35,000
Good morning, members of the board.

990
01:46:35,000 --> 01:46:44,000
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

991
01:46:44,000 --> 01:46:50,000
did announce its final budget agreement for this current fiscal year.

992
01:46:50,000 --> 01:47:12,000
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.

993
01:47:12,000 --> 01:47:19,000
Several of the delayed items are actually scheduled now in the base budget to go into effect automatically.

994
01:47:19,000 --> 01:47:24,000
On July 1 of this upcoming year, meaning this next fiscal year.

995
01:47:24,000 --> 01:47:32,000
And so we will have to focus our efforts in the upcoming legislative session on trying to reverse those from taking effect.

996
01:47:32,000 --> 01:47:35,000
But we did by time for that engagement.

997
01:47:35,000 --> 01:47:45,000
In addition, the Department of Finance was directed to bring forward options by March for a potential fair share fee.

998
01:47:45,000 --> 01:47:56,000
This would be a fee on those very small percentage of very large employers whose employees disproportionately rely on medical for health care.

999
01:47:56,000 --> 01:48:09,000
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.

1000
01:48:09,000 --> 01:48:28,000
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.

1001
01:48:28,000 --> 01:48:39,000
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.

1002
01:48:39,000 --> 01:48:47,000
It is one of the few very concrete revenue proposals that the legislature has been actively discussing.

1003
01:48:47,000 --> 01:48:52,000
So that's another item that we anticipate engaging on the upcoming budget system.

1004
01:48:52,000 --> 01:48:58,000
We want to really thank our delegation for being strong advocates related to health care funding.

1005
01:48:58,000 --> 01:49:06,000
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.

1006
01:49:06,000 --> 01:49:10,000
But second is essentially one time in nature.

1007
01:49:10,000 --> 01:49:21,000
On the bad news front, the final deal did include the governor's proposal to shift the entire unsatisfactory immigration status.

1008
01:49:21,000 --> 01:49:29,000
Population from medical managed care to the state fee for service system beginning January 1 of 2027.

1009
01:49:29,000 --> 01:49:35,000
That means overnight every single medical member who falls into that category.

1010
01:49:35,000 --> 01:49:42,000
These are folks who are on the state only medical program will lose access to managed care.

1011
01:49:42,000 --> 01:49:47,000
In our county, that means over 60,000 patients.

1012
01:49:47,000 --> 01:49:51,000
It'll significantly reduce funding for our health system.

1013
01:49:51,000 --> 01:49:56,000
It'll have a significant impact on Valley Health Plans membership.

1014
01:49:56,000 --> 01:50:08,000
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.

1015
01:50:08,000 --> 01:50:22,000
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.

1016
01:50:22,000 --> 01:50:35,000
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.

1017
01:50:35,000 --> 01:50:54,000
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.

1018
01:50:54,000 --> 01:51:04,000
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.

1019
01:51:05,000 --> 01:51:08,000
So we're very concerned about all this pieces.

1020
01:51:08,000 --> 01:51:19,000
We are trying to learn more about what is exactly being proposed in terms of the transition process by DHCS.

1021
01:51:19,000 --> 01:51:27,000
And we anticipate coming to the board with a lot of additional information, assuming, of course, we can obtain the information we need.

1022
01:51:27,000 --> 01:51:41,000
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.

1023
01:51:41,000 --> 01:51:48,000
But but this is a very negative piece of the final budget deal that does have big impacts for us.

1024
01:51:48,000 --> 01:52:00,000
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.

1025
01:52:00,000 --> 01:52:08,000
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.

1026
01:52:08,000 --> 01:52:16,000
welcoming visitors from August 19 through the 23rd at our county fairgrounds and we certainly encourage folks to attend those festivities.

1027
01:52:16,000 --> 01:52:26,000
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.

1028
01:52:26,000 --> 01:52:33,000
It was ranked as one of the top 10 in the United States for rehabilitation care by US News and World Report.

1029
01:52:33,000 --> 01:52:38,000
It remains the highest ranking hospital in the entire West Coast for rehabilitation.

1030
01:52:38,000 --> 01:52:48,000
The MC was also rated as high performing for heart failure, maternity, colon cancer surgery, pacemaker implantations, pneumonia and stroke.

1031
01:52:48,000 --> 01:53:04,000
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.

1032
01:53:04,000 --> 01:53:13,000
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.

1033
01:53:13,000 --> 01:53:15,000
That concludes my report.

1034
01:53:16,000 --> 01:53:18,000
Thank you, James. Yes, yes, Vice-Ombar.

1035
01:53:18,000 --> 01:53:24,000
Thank you for the report. I just want to share a brief comment and then and then a question.

1036
01:53:24,000 --> 01:53:34,000
It really is devastating to hear about the change for the US medical recipients to move to fee for service.

1037
01:53:34,000 --> 01:53:46,000
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.

1038
01:53:46,000 --> 01:53:59,000
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.

1039
01:53:59,000 --> 01:54:03,000
And now we know the subsidies are going away.

1040
01:54:03,000 --> 01:54:21,000
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.

1041
01:54:21,000 --> 01:54:25,000
So I hope that we will get back there.

1042
01:54:25,000 --> 01:54:27,000
It is critically important.

1043
01:54:27,000 --> 01:54:34,000
And I know this can cost us up to a couple hundred million dollars a year in care.

1044
01:54:34,000 --> 01:54:46,000
My question is that what we did not get in the budget was any funding or even framework toward an Indigenous care program,

1045
01:54:46,000 --> 01:54:55,000
which obviously will be very necessary as people inevitably lose their access to medical even if they are legally entitled to it.

1046
01:54:55,000 --> 01:55:03,000
Can you talk about advocacy efforts right now, post budget that are happening around and ask for Indigenous care?

1047
01:55:03,000 --> 01:55:04,000
Sure.

1048
01:55:04,000 --> 01:55:15,000
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.

1049
01:55:15,000 --> 01:55:18,000
And that we are expecting a huge step backwards.

1050
01:55:18,000 --> 01:55:21,000
And this UIS shift is a piece of that.

1051
01:55:21,000 --> 01:55:29,000
The work world requirements, these are all aimed to actually disenroll individuals from coverage.

1052
01:55:29,000 --> 01:55:36,000
So we do know that directly translates into huge Indigenous care responsibilities on counties.

1053
01:55:36,000 --> 01:55:39,000
That is an obligation that falls on all counties in the state.

1054
01:55:39,000 --> 01:55:42,000
It has been statute since the 1930s.

1055
01:55:42,000 --> 01:55:50,000
Not very many counties however offer the kind of robust direct service provision that we do in this arena.

1056
01:55:50,000 --> 01:55:55,000
But all counties have an obligation for some provision for Indigenous care.

1057
01:55:55,000 --> 01:56:01,000
Unfortunately, and I know you know the supervisor, but just for the context benefit.

1058
01:56:01,000 --> 01:56:04,000
Post the ACA expansion.

1059
01:56:04,000 --> 01:56:13,000
The state shifted funding that previously been given to counties that was directly used to fund county level Indigenous care programs.

1060
01:56:13,000 --> 01:56:16,000
And that funding was taken away and redirected.

1061
01:56:16,000 --> 01:56:28,000
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,

1062
01:56:28,000 --> 01:56:32,000
from 21 to 22 percent down to 2.5 percent.

1063
01:56:32,000 --> 01:56:41,000
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.

1064
01:56:41,000 --> 01:56:43,000
Because there's now coverage.

1065
01:56:43,000 --> 01:56:48,000
So we're going to shift that away and use it for other things to help balance the state budget.

1066
01:56:48,000 --> 01:56:50,000
And that was reasonable.

1067
01:56:50,000 --> 01:56:53,000
Well now the world has changed again.

1068
01:56:53,000 --> 01:56:59,000
And what we need to see from the state is an acknowledgement of that reality.

1069
01:56:59,000 --> 01:57:10,000
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.

1070
01:57:10,000 --> 01:57:22,000
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.

1071
01:57:22,000 --> 01:57:26,000
So that they're actually as resource available.

1072
01:57:26,000 --> 01:57:34,000
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.

1073
01:57:34,000 --> 01:57:42,000
But there's many counties where those former clinics that existed post ACA, they closed their doors.

1074
01:57:42,000 --> 01:57:47,000
They're not in a position to overnight reopen that infrastructure.

1075
01:57:47,000 --> 01:57:54,000
Those facilities may not even be reopenable today, under current licensing or other standards.

1076
01:57:54,000 --> 01:58:03,000
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.

1077
01:58:03,000 --> 01:58:11,000
So we have not seen and there was no allocation for Indigenous care in the current budget.

1078
01:58:11,000 --> 01:58:18,000
And we continue to advocate for that as part three of our three part state investment.

1079
01:58:18,000 --> 01:58:26,000
So the board will recall, we've urged the state to do three categories of investments in response to HR1.

1080
01:58:26,000 --> 01:58:37,000
The first relates to keeping people enrolled, and we did see some allocation of one-time money across two fiscal years towards that.

1081
01:58:37,000 --> 01:58:42,000
The second is investment for public hospital systems.

1082
01:58:42,000 --> 01:58:52,000
We saw a modest, positive but modest investment there of one-time funding that needs to become a much more substantial and ongoing investment.

1083
01:58:52,000 --> 01:58:54,000
It just must.

1084
01:58:54,000 --> 01:58:59,000
And then the third piece is an Indigenous care piece, and that piece there was no investment.

1085
01:58:59,000 --> 01:59:02,000
So we will continue the advocacy.

1086
01:59:02,000 --> 01:59:09,000
For my part, I continue to believe that all three of those pieces are essential components to the state's response.

1087
01:59:09,000 --> 01:59:24,000
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.

1088
01:59:24,000 --> 01:59:30,000
And there is really a need for, I think, a more comprehensive strategy.

1089
01:59:30,000 --> 01:59:36,000
We will continue the advocacy in the waning days of this session, but they are waning.

1090
01:59:36,000 --> 01:59:53,000
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.

1091
01:59:53,000 --> 01:59:56,000
Of the new gubernatorial administration.

1092
01:59:56,000 --> 02:00:01,000
What does it mean to have millions of Californians who had access to help?

1093
02:00:00,000 --> 02:00:08,720
What does it mean when the prediction is 80-some odd hospitals in the state closing? What does it mean

1094
02:00:08,720 --> 02:00:17,360
where we've taken this huge step backwards in actually treating the UIS population with equity

1095
02:00:17,360 --> 02:00:25,600
in access to care? And what incredible opportunities there may be with the likely incoming governor

1096
02:00:25,600 --> 02:00:34,800
who's background does actually overlap with the administration of the Federal Emedicade program to actually

1097
02:00:34,800 --> 02:00:42,000
lay down a marker to say California can show a different and strategic way in response. That's our hope

1098
02:00:42,640 --> 02:00:51,520
and we're going to continue every avenue to engage there knowing that the real big focus of that conversation

1099
02:00:51,520 --> 02:00:57,520
is going to end up hitting in the beginning part of calendar 2027.

1100
02:01:00,560 --> 02:01:04,560
Thank you, James. I guess, oh yes, vice president.

1101
02:01:05,840 --> 02:01:15,760
I had a couple of questions so I know that you mentioned that you were looking forward to seeing

1102
02:01:15,760 --> 02:01:22,800
what that transition process is for folks who are beneficiaries who are not going to be on managed care

1103
02:01:22,800 --> 02:01:29,040
any longer. What do you know more or less what the timeline is?

1104
02:01:30,080 --> 02:01:39,040
We know because the legislature's now adopted this that on January 1, every single UIS member is shifting from

1105
02:01:39,040 --> 02:01:46,400
managed care to fee for service. So that clock is coming. What we do not know, we've been promised

1106
02:01:47,280 --> 02:01:52,960
that DHCS and I know the working on a toolkit and other things. I don't want to say that they're not doing

1107
02:01:52,960 --> 02:01:58,400
anything just to be clear. But we've been told that they're going to help ensure that that transition is smooth.

1108
02:01:59,120 --> 02:02:06,960
For example, what about folks who are in active care for chronic conditions and how are those cases

1109
02:02:06,960 --> 02:02:11,040
is going to be managed because managed care plans have certain responsibilities.

1110
02:02:11,040 --> 02:02:14,320
So health system obviously has responsibilities for the direct provision of care.

1111
02:02:14,320 --> 02:02:19,360
That'll continue uninterrupted. We know that because that's what we do. But for,

1112
02:02:20,880 --> 02:02:25,440
but managed care plans have certain responsibilities. For example, they have transportation related

1113
02:02:25,440 --> 02:02:30,720
responsibilities. They have certain case management responsibilities. What's going to happen there

1114
02:02:30,720 --> 02:02:36,160
on January 1, we don't know and those are those particular aspects of the service are not ones

1115
02:02:36,160 --> 02:02:39,840
that the health system provides. Those are ones of managed care plans provide. As well as the

1116
02:02:39,840 --> 02:02:45,840
communication because one of the things that, this is already a pocket, this is the population's

1117
02:02:45,840 --> 02:02:51,360
under attack from the federal government. This is a population where coverage is already frozen.

1118
02:02:51,360 --> 02:02:56,400
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.

1119
02:02:57,120 --> 02:03:08,400
So our fear is that part of this is an effort to actually accelerate loss of coverage.

1120
02:03:09,120 --> 02:03:18,960
And just so we're clear, this state budget scored about a 1.4 billion dollar general fund savings

1121
02:03:18,960 --> 02:03:24,800
from the shift, even though people were told that the shift shouldn't result in any change in care.

1122
02:03:24,800 --> 02:03:30,880
Well that doesn't make any sense. It can only result in 1.4 billion in savings if people are

1123
02:03:30,880 --> 02:03:35,280
going to lose coverage or what they're going to get in terms of coverage looks different.

1124
02:03:36,240 --> 02:03:41,440
So the math that was associated with the change doesn't square with the rhetoric associated with the change.

1125
02:03:42,480 --> 02:03:47,600
And so we're understandably skeptical. And I just want to assure the board

1126
02:03:48,560 --> 02:03:54,960
the health system and other stakeholders are already inactive discussions around what communication

1127
02:03:54,960 --> 02:04:02,240
we do with these patients to reassure them that we will continue to provide care regardless of what happens

1128
02:04:02,240 --> 02:04:09,840
with the shift. What's hard is of course we can't communicate what we don't know in terms of

1129
02:04:09,840 --> 02:04:15,520
whatever the state's going to be communicating. So we really do need to understand what messages they're

1130
02:04:15,520 --> 02:04:20,240
going to be pushing out so that we can build our communication around that. So we're not saying

1131
02:04:20,240 --> 02:04:27,600
contradictory, things are adding to confusion. But it is likely that that communication will come to

1132
02:04:27,600 --> 02:04:37,120
beneficiaries late, meaning November, December, not September. Is there any way that we can't, well,

1133
02:04:37,120 --> 02:04:43,120
a couple of things. One is wondering if we can anticipate that there's going to be a late notice. And so

1134
02:04:43,120 --> 02:04:52,160
let's, let's, let's not be late. But the second thing is that I was also concerned I was wondering

1135
02:04:52,160 --> 02:04:59,360
what, if there's any way to monitor some of the folks, if we know that there are 60,000 in our

1136
02:04:59,360 --> 02:05:08,000
county, the deaths that are connected with that 60,000, the number of strokes, heart attacks,

1137
02:05:08,960 --> 02:05:18,320
kind of the severe conditions that lessen the quality of health or life. And we already know

1138
02:05:18,320 --> 02:05:26,960
that most of these folks are, you know, probably likely. And from the Latino health assessment, we already

1139
02:05:26,960 --> 02:05:33,360
know that Latinos are living two years less than their counterparts. And so I want to make sure

1140
02:05:33,360 --> 02:05:42,160
that this doesn't get lost in all of that. And really, when people can't keep up with their cancer

1141
02:05:42,160 --> 02:05:49,520
treatment or, you know, they're on the, there may be on the bend or chronic disease management.

1142
02:05:49,520 --> 02:05:52,720
Or chronic disease management. They're going to lose their job. They're going to, I mean,

1143
02:05:52,720 --> 02:05:59,760
there's a whole cycle that in, in domino effect that happens out of it. And so I want us to

1144
02:05:59,760 --> 02:06:05,920
make sure that we keep track of what that means so that we can then reiterate those impacts to the

1145
02:06:05,920 --> 02:06:11,760
state very clearly. Maybe other counties won't be able to do that, but I don't know if there's an

1146
02:06:11,760 --> 02:06:18,560
opportunity for us to collectively talk to other counties and figure out how, how do we, how do we

1147
02:06:18,560 --> 02:06:23,680
monitor and how do we quantify those losses? I think that's a great point. And I think we can try to work

1148
02:06:23,680 --> 02:06:28,320
at least with the other public hospital counties, which, you know, even though it's a small number of

1149
02:06:28,320 --> 02:06:34,240
counties, they actually serve collectively, 80% of the state population. So, you know, counties like

1150
02:06:34,240 --> 02:06:39,360
us and L.A. and others that are very large counties. So, I do think we actually have very good coverage

1151
02:06:40,320 --> 02:06:45,600
from focusing on the systems. The broader research, though, is very, very clear. So, we know,

1152
02:06:45,600 --> 02:06:51,040
in a big picture sense exactly what's going to happen, which is when people lose health coverage,

1153
02:06:52,480 --> 02:06:57,520
people whose lives and people lose length of life and people whose quality of life and people who's

1154
02:06:57,600 --> 02:07:03,280
livelihood. And we don't have to speculate because there were states, for example, that experimented

1155
02:07:03,280 --> 02:07:11,760
with work real requirements in the past. And not only are there direct and very heartbreaking stories

1156
02:07:11,760 --> 02:07:17,440
of impacts that happen, including for folks with chronic conditions. You then, we're not able to

1157
02:07:17,440 --> 02:07:23,760
continue medication and other things. But, but the bigger picture population related impacts that

1158
02:07:23,760 --> 02:07:29,040
occurred, and that's what's happening in large. We have never experienced as a country,

1159
02:07:29,040 --> 02:07:34,720
this kind of retrenchment in people losing coverage. It's historically moved in one direction.

1160
02:07:34,720 --> 02:07:41,280
It's complicated and as messy as the efforts have been for decades to expand access to health care,

1161
02:07:41,840 --> 02:07:47,280
going back from FDR all the way through L.B.J. and continuing with the Affordable Care Act and it's been,

1162
02:07:47,280 --> 02:07:51,680
you know, small baby steps forward and complex systems putting together different

1163
02:07:51,760 --> 02:07:58,720
coverage models with debates about efficiency. The reality is over time, we have moved forward

1164
02:07:58,720 --> 02:08:04,960
as a nation to add coverage. And the state did this incredible thing to provide equity in coverage

1165
02:08:04,960 --> 02:08:11,040
for the UIS population. This is the first time as a country and is a state because the state is doubling

1166
02:08:11,040 --> 02:08:17,760
down on that with the UIS changes that we're seeing millions of people now lose coverage who once had it.

1167
02:08:18,720 --> 02:08:27,200
And it is kind of unbelievable that as a country people are allowing that to occur,

1168
02:08:27,200 --> 02:08:33,360
but it's also unbelievable that as a state because the UIS changes are all state changes. There's no

1169
02:08:33,360 --> 02:08:39,360
federal piece to that. That's a California piece. And I think as much as we're all talking about the

1170
02:08:39,360 --> 02:08:45,440
federal divestment and as horrific as it is, we're not talking enough about the fact that the state

1171
02:08:45,440 --> 02:08:51,920
instead of having stood from around its commitment to equity and access to health care has actually

1172
02:08:51,920 --> 02:09:00,480
doubled down on implementing those same changes and exacerbating them with the UIS population. It's really

1173
02:09:00,480 --> 02:09:08,720
outrageous and we haven't seen enough talk of that. I know there's some legislators who've been

1174
02:09:08,720 --> 02:09:12,880
adamant about it, but we have not seen enough talk about that. And that piece of this puzzle

1175
02:09:13,600 --> 02:09:19,120
is owned by California, not the federal government. Well, I think you mentioned something that's

1176
02:09:19,120 --> 02:09:25,760
really important happening to California and that is a new governor and so there is an opportunity

1177
02:09:25,760 --> 02:09:34,960
to shape what those priorities are going to be for the following year. I hope that this, you know,

1178
02:09:34,960 --> 02:09:41,280
not gone wood and everything, there have solved it over my shoulder across my fingers that we have

1179
02:09:41,280 --> 02:09:50,400
the right kind of governor to lead us because I think what we'll see is a huge inequity among our

1180
02:09:50,400 --> 02:09:57,360
communities and then what will happen is we'll our county systems will pay for it because I don't

1181
02:09:57,360 --> 02:10:04,640
foresee that we are going to turn people away. And I think folks need to understand what their options are

1182
02:10:04,640 --> 02:10:10,560
and then the other piece is something that folks do when they don't have any resources and they default

1183
02:10:10,560 --> 02:10:15,600
to what they know and sometimes in it's okay I think there's different kinds of methods of curing

1184
02:10:17,840 --> 02:10:25,680
diseases but there's folks who who take advantage of others and they have I don't know

1185
02:10:26,640 --> 02:10:34,480
to magnet therapy or some herb that doesn't do anything but they think that it does because it's

1186
02:10:34,480 --> 02:10:40,320
you know a million years old or what have you but I think there's a lot of opportunity for that kind of

1187
02:10:41,440 --> 02:10:49,440
mismanaged healthcare in the streets to happen anytime that there's vulnerable people who are dying

1188
02:10:50,480 --> 02:10:55,280
and fighting for their lives and so I think that there's an opportunity for us one to get ahead

1189
02:10:55,280 --> 02:11:02,960
on message to make sure that folks who are taking advantage of others because that it will happen

1190
02:11:02,960 --> 02:11:08,080
we know what will happen we've seen it happen before with immigration we've seen it with other issues

1191
02:11:08,080 --> 02:11:16,000
that impact these kinds of communities and so I just really would like for us to get ahead as these are

1192
02:11:16,000 --> 02:11:25,840
folks who are in our community that will be coming to us for assistance and I think that was

1193
02:11:26,640 --> 02:11:33,120
the last piece I mean I'll end with just congratulating you on the and the system on the rehab center

1194
02:11:33,120 --> 02:11:43,520
being the top 10 we continue to be the highest ranking rehab center it's because there's been a lot of

1195
02:11:43,520 --> 02:11:49,200
really wonderful leadership and hard work and investment into our systems and I'm glad that we're not

1196
02:11:49,200 --> 02:11:58,400
losing sight of not focusing only on the things that we do well but incur and continuing to lobby and

1197
02:11:58,400 --> 02:12:05,040
ensure that our systems are comprehensive and equitable so thank you for your leadership thank you and

1198
02:12:05,680 --> 02:12:11,920
rest assured we share all the concerns you've expressed about the impacts and what that means for our

1199
02:12:11,920 --> 02:12:25,520
patients who we will continue to serve as best as we possibly can thank you yes Tony there were no

1200
02:12:25,520 --> 02:12:31,200
reportable actions taken at the August 10th 2026 closed session meeting and that concludes my report

1201
02:12:32,160 --> 02:12:37,680
thank you very much so we're moving to item number 12 which is considering recommendations relating to

1202
02:12:37,680 --> 02:12:43,440
our Michael M.E.H.K.O. standing for the micro enterprise home kitchen operation program

1203
02:12:56,880 --> 02:13:02,240
Good morning I see that our public health director here Dr. Sarah Redmond good morning

1204
02:13:02,960 --> 02:13:09,600
good morning Dr. Sarah Redmond public health director and thank you

1205
02:13:11,040 --> 02:13:19,440
these are technical difficulties I'm here joined by Michael Ballier Deputy Director for Environmental Health

1206
02:13:19,440 --> 02:13:26,640
and our fiscal operations and Beatrice Santiago director of our community consumer protection division in

1207
02:13:26,640 --> 02:13:32,000
environmental health branch we're pleased to present today's report in response to the boards

1208
02:13:32,000 --> 02:13:38,640
inquiry and very happy to take any questions thank you thank you let's see I don't see any lights on

1209
02:13:38,640 --> 02:13:47,840
so any but I'd like to speak on the sign-up markers I have never asked to speak for the sign-up

1210
02:13:47,840 --> 02:13:54,320
oh wow okay so we'll go ahead and close the public speaking portion of this yes we'll as a young

1211
02:13:55,280 --> 02:14:03,360
I want to thank the team for their work on the Michael because program I remember it's the first days

1212
02:14:03,360 --> 02:14:10,560
of inception and implementation in really encouraged to see how it's growing I you know I

1213
02:14:11,840 --> 02:14:19,600
I do recognize that we continue to address barriers as they become apparent to us right it's not always

1214
02:14:19,680 --> 02:14:25,680
right off the bat that you realize there may be landlord issues there may be home issues

1215
02:14:27,120 --> 02:14:34,560
but I do want to make sure that this program continues to grow and evolve as a program that people

1216
02:14:34,560 --> 02:14:40,400
want to join and want to be a part of at the same time that our amigos programs developing and growing

1217
02:14:40,400 --> 02:14:45,760
we're also having ongoing challenges of unpermitted sending and I know the priority of the county is to

1218
02:14:45,760 --> 02:14:52,320
make sure that there's always safe food and handling extending from that is also this

1219
02:14:52,320 --> 02:14:57,120
issue of labor trafficking that we've also been seeing on that side of the body of the work

1220
02:14:58,080 --> 02:15:01,120
so I would like

1221
02:15:00,000 --> 02:15:09,000
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.

1222
02:15:09,000 --> 02:15:14,000
So I'd like to make a request for an office and report with the following information.

1223
02:15:14,000 --> 02:15:26,000
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.

1224
02:15:26,000 --> 02:15:40,000
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.

1225
02:15:40,000 --> 02:15:49,000
Um, would love to get your thoughts on strategies to work with landlords, allow for legal businesses, including recommendations for landlord incentives of any.

1226
02:15:49,000 --> 02:15:58,000
And an analysis of the current legal program parameters, um, can our two restrictive need to be more restrictive.

1227
02:15:58,000 --> 02:16:08,000
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.

1228
02:16:08,000 --> 02:16:13,000
I know for our program this dynamic, it's this dynamic and of itself.

1229
02:16:13,000 --> 02:16:19,000
And it's responding and working, informing, whether and of telling what the dynamic landscape that's ever changing.

1230
02:16:19,000 --> 02:16:36,000
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.

1231
02:16:36,000 --> 02:16:44,000
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.

1232
02:16:44,000 --> 02:16:46,000
Thank you. We have to do that.

1233
02:16:46,000 --> 02:16:47,000
That'll meet since.

1234
02:16:47,000 --> 02:16:48,000
Absolutely.

1235
02:16:48,000 --> 02:16:49,000
Thank you.

1236
02:16:49,000 --> 02:16:51,000
Just to clarify, supervising, is that a motion?

1237
02:16:51,000 --> 02:16:52,000
Yes, I was just going to get there.

1238
02:16:52,000 --> 02:16:54,000
Thank you so much for clarifying.

1239
02:16:54,000 --> 02:16:55,000
I like to make a motion.

1240
02:16:55,000 --> 02:16:56,000
And I'll figure that.

1241
02:16:56,000 --> 02:16:58,000
Oh, I like to make a motion to receive the report.

1242
02:16:58,000 --> 02:17:04,000
What the request for an office and a report back, um, that was inclusive of the questions I just laid out.

1243
02:17:04,000 --> 02:17:07,000
Thank you, um, present for sending the motion.

1244
02:17:07,000 --> 02:17:08,000
Absolutely.

1245
02:17:08,000 --> 02:17:10,000
Yes, vice president.

1246
02:17:10,000 --> 02:17:12,000
Thank you.

1247
02:17:12,000 --> 02:17:15,000
Um, I have questions around language access.

1248
02:17:15,000 --> 02:17:22,000
And so, um, I can also add this to the motion, or maybe you can answer the questions.

1249
02:17:22,000 --> 02:17:29,000
No, either either way, let me ask the questions and then you can figure out whether, where to add those.

1250
02:17:29,000 --> 02:17:40,000
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.

1251
02:17:40,000 --> 02:17:46,000
And so I wanted to make sure that you know that and I wanted to know why they were only in English.

1252
02:17:46,000 --> 02:17:51,000
Um, and I wanted to know the registration work for this program.

1253
02:17:51,000 --> 02:17:57,000
How much can it be done in Spanish or Vietnamese or any other language that's primarily used?

1254
02:17:58,000 --> 02:18:05,000
Um, and are we set up for, uh, at least a phone based interpretation contractor?

1255
02:18:05,000 --> 02:18:10,000
Um, are there permit applications, uh, themselves translated into English?

1256
02:18:10,000 --> 02:18:13,000
I mean, to Spanish or Vietnamese?

1257
02:18:13,000 --> 02:18:22,000
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.

1258
02:18:23,000 --> 02:18:28,000
Um, and I think the Vietnamese version is missing the link to the application completely.

1259
02:18:28,000 --> 02:18:35,000
Um, so that was the question about why the PDF links to the pages are only in English.

1260
02:18:35,000 --> 02:18:38,000
Um, this is kind of the beginning of that.

1261
02:18:38,000 --> 02:18:40,000
Is that something that you could answer now?

1262
02:18:40,000 --> 02:18:47,000
Or do you want to put that in an off agenda report?

1263
02:18:48,000 --> 02:18:49,000
There we go.

1264
02:18:49,000 --> 02:18:51,000
Uh, Mike Valley, a deputy director for environmental health.

1265
02:18:51,000 --> 02:18:52,000
Yes, no.

1266
02:18:52,000 --> 02:18:53,000
Thank you for putting that out.

1267
02:18:53,000 --> 02:18:56,000
We actually went through a recent major revamp on our website.

1268
02:18:56,000 --> 02:19:01,000
And so if there are some broken links up there, uh, we will definitely get those fixed right away.

1269
02:19:01,000 --> 02:19:07,000
And you are correct that, uh, the forms themselves are typically are, uh, typically required in English.

1270
02:19:07,000 --> 02:19:11,000
Um, but we have people available to assist to fill them out.

1271
02:19:11,000 --> 02:19:15,000
So we have language capacity throughout the department in at least six languages.

1272
02:19:15,000 --> 02:19:19,000
And, uh, provide language assistance pretty much every day.

1273
02:19:19,000 --> 02:19:25,000
Um, so we would be happy to continue obviously doing that and expanding as the board thinks is appropriate.

1274
02:19:25,000 --> 02:19:30,000
Um, and what we can also do is we'd be happy to add additional information in the off agenda report.

1275
02:19:30,000 --> 02:19:35,000
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.

1276
02:19:35,000 --> 02:19:36,000
I appreciate that.

1277
02:19:36,000 --> 02:19:42,000
I think sometimes, um, scheduling an interpreter to help you, uh, on what a form says,

1278
02:19:42,000 --> 02:19:46,000
might not coincide with availability of the person, right?

1279
02:19:46,000 --> 02:19:52,000
Especially if they have a long or a kind of an off, um, uh, job in terms of the hours that they work.

1280
02:19:52,000 --> 02:19:54,000
And they're only available after six.

1281
02:19:54,000 --> 02:19:55,000
Yeah.

1282
02:19:55,000 --> 02:19:56,000
Maybe we probably aren't.

1283
02:19:56,000 --> 02:19:59,000
I'm going to just safely assume we are not.

1284
02:19:59,000 --> 02:20:09,000
Um, and so I think maybe a version where the PDF link goes back to the English version, but in parentheses,

1285
02:20:09,000 --> 02:20:14,000
translates into Spanish, translates into Vietnamese or any other language that's primarily used.

1286
02:20:14,000 --> 02:20:21,000
I think that would be another good option in that way if the facilitates the filling, the filling out of the application,

1287
02:20:21,000 --> 02:20:28,000
without having to have that foam based, um, interpretation, uh, facilitation.

1288
02:20:28,000 --> 02:20:37,000
Um, as I'll also admit these these questions to you, and then I will ask to incorporate those into the motion.

1289
02:20:37,000 --> 02:20:46,000
So for the off agenda report to have, um, language access questions answered and then I can submit those to you.

1290
02:20:46,000 --> 02:20:53,000
And so I'll look to the maker of the motion to see if we can include absolutely happy to include that.

1291
02:20:53,000 --> 02:20:56,000
Um, and as she has some follow up questions about language access to you.

1292
02:20:56,000 --> 02:20:57,000
Yes.

1293
02:20:57,000 --> 02:20:59,000
I'm not finished though.

1294
02:20:59,000 --> 02:21:00,000
Yeah.

1295
02:21:00,000 --> 02:21:01,000
Just really quickly.

1296
02:21:02,000 --> 02:21:07,000
You know what, you go ahead, um, since it's on that topic, because I'm going to change it just a little bit.

1297
02:21:07,000 --> 02:21:08,000
Go.

1298
02:21:08,000 --> 02:21:12,000
And just for the record of second degrees for the addition and the motion as well.

1299
02:21:12,000 --> 02:21:14,000
Yes, absolutely.

1300
02:21:14,000 --> 02:21:15,000
That's correct.

1301
02:21:15,000 --> 02:21:16,000
Yes.

1302
02:21:16,000 --> 02:21:23,000
Um, I'm familiar with the application assistance translation language access.

1303
02:21:23,000 --> 02:21:27,000
Um, service you just described because we've done that in other programs.

1304
02:21:27,000 --> 02:21:32,000
Um, but I'm not so familiar with how, um, does one avail themselves.

1305
02:21:32,000 --> 02:21:34,000
Like for example, the healthy nail salon program.

1306
02:21:34,000 --> 02:21:39,000
You call the number and there's a number for Spanish, there's a number for Vietnamese.

1307
02:21:39,000 --> 02:21:44,000
And then that language specific person comes out on site to the nail salon to help help.

1308
02:21:44,000 --> 02:21:49,000
That's embedded in the process, um, which I'm very grateful for by the way.

1309
02:21:49,000 --> 02:21:56,000
Um, how does one avail themselves as a meco applicant to have that application assistance in language?

1310
02:21:57,000 --> 02:21:59,000
Uh, I think it would be a very similar approach.

1311
02:21:59,000 --> 02:22:05,000
And so we've been working really closely with anybody who's interested in providing the accessible language that they need.

1312
02:22:05,000 --> 02:22:09,000
So they really just call the office request assistance and we'll be happy to help.

1313
02:22:09,000 --> 02:22:10,000
Yeah.

1314
02:22:10,000 --> 02:22:15,000
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.

1315
02:22:15,000 --> 02:22:17,000
I love our county, you know that.

1316
02:22:17,000 --> 02:22:23,000
But we're not particularly known for that level of hands on application experience yet, right?

1317
02:22:23,000 --> 02:22:24,000
Yeah.

1318
02:22:24,000 --> 02:22:25,000
Well, I hope it's on the website.

1319
02:22:25,000 --> 02:22:28,000
I'm looking at be here to make sure that it's on the website.

1320
02:22:28,000 --> 02:22:31,000
Uh, but, uh, but also through some of our CEO partners.

1321
02:22:31,000 --> 02:22:37,000
And then, of course, when our inspectors go out if they, uh, anybody expresses an interest or need in, uh,

1322
02:22:37,000 --> 02:22:38,000
uh, uh, another language.

1323
02:22:38,000 --> 02:22:40,000
And we make that accommodation.

1324
02:22:40,000 --> 02:22:41,000
Appreciate that, Michael.

1325
02:22:41,000 --> 02:22:46,000
Um, if we can include that, um, the process, the steps, the paths of engagement for two,

1326
02:22:46,000 --> 02:22:50,000
for someone to avail themselves of language access assistance.

1327
02:22:50,000 --> 02:22:51,000
The office and other be really helpful.

1328
02:22:51,000 --> 02:22:58,000
It'll help my staff also understand your procedure to be able to help promote that when we're engaging with our constituents.

1329
02:22:58,000 --> 02:22:59,000
Absolutely.

1330
02:22:59,000 --> 02:23:00,000
Thank you.

1331
02:23:00,000 --> 02:23:01,000
Thank you.

1332
02:23:01,000 --> 02:23:02,000
Yes.

1333
02:23:02,000 --> 02:23:03,000
Thank you.

1334
02:23:03,000 --> 02:23:04,000
Thank you.

1335
02:23:04,000 --> 02:23:05,000
Wonderful.

1336
02:23:05,000 --> 02:23:11,000
Um, so the other piece is, um, I'm wondering why there isn't a Gilroy support contract.

1337
02:23:11,000 --> 02:23:12,000
I'm sorry.

1338
02:23:12,000 --> 02:23:13,000
Say that again.

1339
02:23:13,000 --> 02:23:19,000
I said I'm wondering why there isn't a similar contract in South County, um, to help support folks out there.

1340
02:23:19,000 --> 02:23:20,000
Sure.

1341
02:23:20,000 --> 02:23:21,000
Sure.

1342
02:23:21,000 --> 02:23:22,000
Thank you.

1343
02:23:22,000 --> 02:23:27,000
So, um, we were very fortunate because the way the budget functions for our environmental health branch

1344
02:23:27,000 --> 02:23:34,000
doesn't offer anything beyond what the fees cover to enroll folks in the program itself,

1345
02:23:34,000 --> 02:23:39,000
that our partners at the health trust, when the board raised concerns about the fees for the

1346
02:23:39,000 --> 02:23:45,000
Mecos program and accessibility offered to step in and see what they can do to help understand the barriers better.

1347
02:23:45,000 --> 02:23:51,000
So, it was at the discretion of the health trust to decide how to allocate their own grant funds

1348
02:23:51,000 --> 02:23:58,000
and craft a program, which they ended up doing with Veggie Lucien, which was embedded in and already

1349
02:23:58,000 --> 02:24:00,000
her work going in East San Jose.

1350
02:24:00,000 --> 02:24:04,000
So, my understanding is the decision for, it's not actually a contract.

1351
02:24:04,000 --> 02:24:11,000
It's not paid for by county funds and wasn't sort of a decision made by the public health department or environmental

1352
02:24:11,000 --> 02:24:12,000
health.

1353
02:24:12,000 --> 02:24:20,000
It was a generous fortunate opportunity that the health trust itself presented to offer the contract with Veggie Lucien

1354
02:24:20,000 --> 02:24:23,000
to support applicants in East side.

1355
02:24:23,000 --> 02:24:30,000
Now, in the part my understanding, just as best as I can represent there thinking, was that finding that,

1356
02:24:30,000 --> 02:24:37,000
I think, concerned and interested us to respond to, that while we are fortunate to see just about 20% of all

1357
02:24:37,000 --> 02:24:44,000
Mecos applicants and successful in rollies in District 5 and concentrated in Gilroy and Morgan Hill,

1358
02:24:44,000 --> 02:24:50,000
we don't see that same equitable distribution across East San Jose.

1359
02:24:50,000 --> 02:24:56,000
So, understanding why the barriers might be different in Gilroy compared to East San Jose, despite some of the same

1360
02:24:56,000 --> 02:25:03,000
socioeconomic, racial and ethnic distributions, language barriers, was something that was really important to us to understand.

1361
02:25:03,000 --> 02:25:06,000
So, we're grateful that the health trust made the decision for that reason.

1362
02:25:06,000 --> 02:25:14,000
That said, should the opportunity arise to better support our South County neighbors in being able to address their own

1363
02:25:14,000 --> 02:25:17,000
particular barriers and understand those better in Gilroy?

1364
02:25:17,000 --> 02:25:20,000
We'd be very interested in that opportunity as well.

1365
02:25:20,000 --> 02:25:27,000
So, if any of our partners from the health trust or vigolution are excited to expand, we'd be right alongside them.

1366
02:25:27,000 --> 02:25:35,000
I think that really makes sense for us as there is also a street vendor issue in South County.

1367
02:25:35,000 --> 02:25:39,000
And then, of course, there's access to a lot of agriculture out there.

1368
02:25:39,000 --> 02:25:45,000
And so, there's a lot of creativity, which I truly, truly appreciate and want to encourage.

1369
02:25:45,000 --> 02:25:57,000
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

1370
02:25:57,000 --> 02:26:03,000
all of those yummy goodies that we see in the streets and that we can't help but purchase when we're out there.

1371
02:26:03,000 --> 02:26:11,000
I'm also wondering about the, I'm sorry.

1372
02:26:11,000 --> 02:26:24,000
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.

1373
02:26:24,000 --> 02:26:30,000
And I think that there is some, I think that you've already been open to that.

1374
02:26:30,000 --> 02:26:45,000
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.

1375
02:26:45,000 --> 02:26:47,000
Yes, we are. Thank you.

1376
02:26:47,000 --> 02:26:48,000
Perfect.

1377
02:26:48,000 --> 02:26:59,000
Wonderful. So, I think that the rest of the items have to do a lot with just our county code enforcement.

1378
02:26:59,000 --> 02:27:13,000
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.

1379
02:27:13,000 --> 02:27:19,000
So are we connecting with planning so that they understand what Miko is.

1380
02:27:19,000 --> 02:27:27,000
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.

1381
02:27:27,000 --> 02:27:35,000
And also so that they know that there are actually very few additional limitations that they're allowed to implement on Miko's.

1382
02:27:35,000 --> 02:27:42,000
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.

1383
02:27:42,000 --> 02:27:53,000
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.

1384
02:27:53,000 --> 02:28:07,000
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.

1385
02:28:07,000 --> 02:28:17,000
And FYI that that would be wonderful and so wondering if we can with the maker of the motion.

1386
02:28:17,000 --> 02:28:23,000
Oh, the maker of the motion agrees and we'll turn to my seconder as well.

1387
02:28:23,000 --> 02:28:30,000
More information is always better than less information. Yes, I completely agree.

1388
02:28:30,000 --> 02:28:40,000
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.

1389
02:28:40,000 --> 02:28:50,000
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.

1390
02:28:50,000 --> 02:29:09,000
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.

1391
02:29:09,000 --> 02:29:14,000
So thank you so much.

1392
02:29:14,000 --> 02:29:22,000
So I think I've asked this before in previous presentations, but I'll formalize my request with this an additional addition to the.

1393
02:29:22,000 --> 02:29:26,000
The motion for approval and request for off agenda.

1394
02:29:26,000 --> 02:29:35,000
If possible, I really would like to know how the county can create a pathway for Miko operators to be automatically or streamlined.

1395
02:29:35,000 --> 02:29:45,000
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.

1396
02:29:45,000 --> 02:29:50,000
Allowing for departments and staff to be able to cater foods.

1397
02:29:50,000 --> 02:30:00,000
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.

1398
02:30:00,000 --> 02:30:03,000
Yeah, that'd be cool, right? Yeah. Yeah.

1399
02:30:03,000 --> 02:30:08,000
And Luna. Shout out to Luna right here.

1400
02:30:08,000 --> 02:30:13,000
So I'd like to add that to the agenda's, at the office and report request as well.

1401
02:30:13,000 --> 02:30:19,000
I realize that that may require some collaboration with our procurement department, which is undergoing its own significant

1402
02:30:19,000 --> 02:30:24,000
restructuring to see if this is something that we can dive into as an opportunity.

1403
02:30:24,000 --> 02:30:26,000
Yeah, we can do that. Yeah, thank you so much.

1404
02:30:26,000 --> 02:30:29,000
And I was going to suggest I think that really should be a separate report.

1405
02:30:29,000 --> 02:30:34,000
Because it primarily is not a public health and environmental health responsibility.

1406
02:30:34,000 --> 02:30:37,000
So that'll primary authorship, but that'll be separate.

1407
02:30:37,000 --> 02:30:40,000
So should I make a separate motion at a separate.

1408
02:30:40,000 --> 02:30:44,000
We can be one motion. I'm just indicating it'll be, there'll be two different responses.

1409
02:30:44,000 --> 02:30:46,000
Fantastic. More information is always very, very less.

1410
02:30:46,000 --> 02:30:54,000
And the ultimate goal is for us to have access to yummy food, made righteous way by our residents, participating in accounting

1411
02:30:54,000 --> 02:31:01,000
room program. Okay. Well, thank you so much. I think that's it for my request today.

1412
02:31:01,000 --> 02:31:04,000
Of course, if anything comes to mind, I always know how to reach out.

1413
02:31:04,000 --> 02:31:08,000
But I look forward to in the future, following the off agenda.

1414
02:31:08,000 --> 02:31:14,000
I just want to sunshine for you that I will be asking for a briefing about the makeup program for my office.

1415
02:31:14,000 --> 02:31:21,000
As it ties to so many other programs that were also engaged in, and I welcome your continued collaboration with

1416
02:31:21,000 --> 02:31:24,000
the resolution, any other partners as well as a current potential.

1417
02:31:24,000 --> 02:31:27,000
Michael operators to reduce barriers to entry for this program.

1418
02:31:27,000 --> 02:31:30,000
And thank you again for all the work that department has done.

1419
02:31:30,000 --> 02:31:34,000
I know that sometimes you can do work to get the work done.

1420
02:31:34,000 --> 02:31:38,000
And then sometimes you do work because you really believe in it.

1421
02:31:38,000 --> 02:31:44,000
And there has been no doubt about the belief in this program from our environmental health department.

1422
02:31:44,000 --> 02:31:47,000
Thank you.

1423
02:31:47,000 --> 02:31:52,000
If I could. Yes, Tony. I just wanted to clarify with the make of motion a seconder.

1424
02:31:52,000 --> 02:31:59,000
Did you want to include recommended action be allowing for the department to apply for up to $300,000 in

1425
02:31:59,000 --> 02:32:02,000
grand fun? Yes, yes, absolutely.

1426
02:32:02,000 --> 02:32:03,000
Thank you.

1427
02:32:03,000 --> 02:32:06,000
So moved. Second.

1428
02:32:06,000 --> 02:32:09,000
Thank you, Tony.

1429
02:32:09,000 --> 02:32:14,000
Good. So first I just want to thank the department's effort to secure this funding.

1430
02:32:14,000 --> 02:32:17,000
I think that's a great opportunity to give those temporary funding.

1431
02:32:17,000 --> 02:32:32,000
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?

1432
02:32:32,000 --> 02:32:33,000
I think we.

1433
02:32:33,000 --> 02:32:34,000
Thank you, President Lee.

1434
02:32:34,000 --> 02:32:41,000
I think we are certainly hopeful that we would be able to find a source for sustainable funding that would allow us to

1435
02:32:41,000 --> 02:32:48,000
offset these costs for especially the folks for whom the fee itself is an important barrier.

1436
02:32:48,000 --> 02:32:52,000
I've both also recognized that what we're learning in our partnership with

1437
02:32:52,000 --> 02:32:57,000
Regolution and the health trust is it is not the only barrier for certain opportunities.

1438
02:32:57,000 --> 02:33:00,000
And we need to be working to overcome those as well.

1439
02:33:00,000 --> 02:33:07,000
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

1440
02:33:07,000 --> 02:33:16,000
applying fees that will help offset the cost, especially our lower income or fee burdened community members.

1441
02:33:16,000 --> 02:33:20,000
So it really will take an outside funding source to allow us to do that.

1442
02:33:20,000 --> 02:33:25,000
That is something we continue to to look for look for creative solutions to.

1443
02:33:25,000 --> 02:33:34,000
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.

1444
02:33:34,000 --> 02:33:37,000
Good, thank you.

1445
02:33:37,000 --> 02:33:39,000
Then the other thing is regarding the survey, right.

1446
02:33:39,000 --> 02:33:46,000
It shows that less than 20% of operators actually receive public assistance.

1447
02:33:46,000 --> 02:33:58,000
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.

1448
02:33:58,000 --> 02:34:04,000
The low cost way to improve the affordability of some outside funding.

1449
02:34:04,000 --> 02:34:16,000
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.

1450
02:34:17,000 --> 02:34:24,000
There is a mention that and that we look forward to long-term fee reduction.

1451
02:34:24,000 --> 02:34:31,000
I would like to see it is possible to get on the offer agenda we talked about.

1452
02:34:31,000 --> 02:34:40,000
Providing us a list of program services or type of fees that the county has been used to subsidize for public benefit recipients.

1453
02:34:40,000 --> 02:34:43,000
Is that possible?

1454
02:34:43,000 --> 02:34:46,000
May I ask you to clarify that? I want to make sure I understand.

1455
02:34:46,000 --> 02:35:01,000
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.

1456
02:35:01,000 --> 02:35:12,000
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.

1457
02:35:12,000 --> 02:35:14,000
These type of good work that we are doing.

1458
02:35:14,000 --> 02:35:23,000
So just clarify you are looking at a list of food service programs that have historically received some kind of subsidies that accurate?

1459
02:35:23,000 --> 02:35:36,000
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.

1460
02:35:36,000 --> 02:35:41,000
Maybe that is a complete separate offer agenda that we need to ask for in the future.

1461
02:35:41,000 --> 02:35:49,000
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.

1462
02:35:49,000 --> 02:35:53,000
Yeah, let's just limit to that. Thank you.

1463
02:35:53,000 --> 02:35:55,000
All right, and that's all we have.

1464
02:35:55,000 --> 02:36:00,000
And without further questions and comments let's go take the vote.

1465
02:36:00,000 --> 02:36:06,000
All right, we have a motion from Supervisor Jung, seconded by President Lee.

1466
02:36:06,000 --> 02:36:08,000
Supervisor Abekoka.

1467
02:36:08,000 --> 02:36:09,000
Hi.

1468
02:36:09,000 --> 02:36:10,000
Supervisor Jung.

1469
02:36:10,000 --> 02:36:11,000
Yes.

1470
02:36:11,000 --> 02:36:12,000
Supervisor Allen Brook.

1471
02:36:12,000 --> 02:36:13,000
Yes.

1472
02:36:13,000 --> 02:36:14,000
Vice President Arenis.

1473
02:36:14,000 --> 02:36:15,000
Yes.

1474
02:36:15,000 --> 02:36:16,000
Presently.

1475
02:36:16,000 --> 02:36:17,000
I as well.

1476
02:36:17,000 --> 02:36:18,000
Motion carries the five.

1477
02:36:18,000 --> 02:36:20,000
Thank you very much.

1478
02:36:20,000 --> 02:36:21,000
All right.

1479
02:36:21,000 --> 02:36:29,000
And now we move to item 13, which is our home visiting expansion feasibility report.

1480
02:36:37,000 --> 02:36:42,000
From our social service agency of officer children family policy and the public health department.

1481
02:36:42,000 --> 02:36:46,000
Regarding this partnership between county and first five.

1482
02:36:46,000 --> 02:36:47,000
Thank you.

1483
02:36:47,000 --> 02:36:48,000
Hello.

1484
02:36:48,000 --> 02:36:50,000
You're stuck with me again.

1485
02:36:50,000 --> 02:36:55,000
So, Dr. Sarah Redman on behalf of the public health department.

1486
02:36:55,000 --> 02:36:57,000
And I'm joined here.

1487
02:36:57,000 --> 02:36:59,000
Let's see if I can get her title right.

1488
02:36:59,000 --> 02:37:02,000
Heidi Emberling is Dr. Heidi Emberling is our.

1489
02:37:02,000 --> 02:37:06,000
As a says director of the office of children and family policy.

1490
02:37:06,000 --> 02:37:07,000
Pretty close.

1491
02:37:07,000 --> 02:37:08,000
Okay.

1492
02:37:08,000 --> 02:37:10,000
And Jennifer Claude Keller her.

1493
02:37:10,000 --> 02:37:14,000
She's executive from first five and close partner in all of this work.

1494
02:37:14,000 --> 02:37:20,000
We're very happy to present today's written report and very happy to take any questions from the board.

1495
02:37:20,000 --> 02:37:21,000
Thank you.

1496
02:37:21,000 --> 02:37:24,000
Thank you.

1497
02:37:24,000 --> 02:37:25,000
Yes.

1498
02:37:25,000 --> 02:37:26,000
So, I don't remember.

1499
02:37:26,000 --> 02:37:27,000
Actually, you know what?

1500
02:37:27,000 --> 02:37:30,000
Anybody in the public likes to speak on Sunday first.

1501
02:37:31,000 --> 02:37:33,000
I have no cards in chambers.

1502
02:37:33,000 --> 02:37:35,000
I do have one hand raised on zoom.

1503
02:37:35,000 --> 02:37:36,000
All right.

1504
02:37:36,000 --> 02:37:37,000
Let's do two minutes.

1505
02:37:37,000 --> 02:37:38,000
All right.

1506
02:37:38,000 --> 02:37:40,000
We'll close the queue at this time.

1507
02:37:40,000 --> 02:37:43,000
Our speaker on zoom.

1508
02:37:43,000 --> 02:37:44,000
All right.

1509
02:37:44,000 --> 02:37:46,000
We have got one additional speakers.

1510
02:37:46,000 --> 02:37:48,000
We'll close the queue at two speakers.

1511
02:37:48,000 --> 02:37:52,000
Our speaker is Brenda Garcia Lujano.

1512
02:38:01,000 --> 02:38:04,000
Brenda, can you accept him mute?

1513
02:38:04,000 --> 02:38:05,000
Thank you.

1514
02:38:05,000 --> 02:38:07,000
Please go ahead.

1515
02:38:07,000 --> 02:38:08,000
Okay.

1516
02:38:08,000 --> 02:38:09,000
Good morning.

1517
02:38:09,000 --> 02:38:10,000
Members of the board.

1518
02:38:10,000 --> 02:38:11,000
My name is Rebecca Garcia Lujano.

1519
02:38:11,000 --> 02:38:12,000
And I'm here presenting.

1520
02:38:12,000 --> 02:38:15,000
We work directly with families to our family.

1521
02:38:15,000 --> 02:38:18,000
We're so centers in our parent child plus home visiting program.

1522
02:38:18,000 --> 02:38:20,000
And we strongly support each other.

1523
02:38:20,000 --> 02:38:22,000
And we strongly support each other.

1524
02:38:22,000 --> 02:38:23,000
Thank you.

1525
02:38:23,000 --> 02:38:24,000
Thank you.

1526
02:38:24,000 --> 02:38:34,000
Thank you.

1527
02:38:34,000 --> 02:38:36,000
And we strongly support each other.

1528
02:38:36,000 --> 02:38:37,000
And we strongly support any home visiting, because we see the benefits first hand.

1529
02:38:37,000 --> 02:38:39,000
When we meet the families in our home.

1530
02:38:39,000 --> 02:38:44,000
We built the trust and for parents as a part children's first teachers.

1531
02:38:44,000 --> 02:38:49,000
And we help children develop and thrive along with providing parents with the resources that they may need.

1532
02:38:49,000 --> 02:38:51,000
But there is a gap that we come across.

1533
02:38:51,000 --> 02:38:55,560
fathers where they are, pregnancy and the plus part of the period can be essentially vulnerable

1534
02:38:55,560 --> 02:39:00,440
time for families and parents needed accessible, just a support that connects to their everyday

1535
02:39:00,440 --> 02:39:05,000
lives. We also know that it's sending home visiting requires building a strong workforce.

1536
02:39:06,120 --> 02:39:10,840
Some of us may first bring in community members into earlier new spaces for writing mentorship

1537
02:39:10,840 --> 02:39:16,040
and hands-on experience and creating pathways into early childhood careers.

1538
02:39:16,120 --> 02:39:20,840
We are from Maklora, who are equipped to do this work. They know our families understand the

1539
02:39:20,840 --> 02:39:26,360
community, speak the languages that families speak and have the trust and relationships needed

1540
02:39:26,360 --> 02:39:32,200
to meet parents where they are. They can provide education, navigation, support and connections to resources.

1541
02:39:33,560 --> 02:39:38,040
The recent death of baby Jackson reminds us that we must continue strengthening the relationships

1542
02:39:38,040 --> 02:39:43,240
and systems surrounding young children and families. No single program can prevent every charity,

1543
02:39:43,240 --> 02:39:49,080
but reaching families or your gives us more opportunities for us to listen, identify needs, connect

1544
02:39:49,080 --> 02:39:55,400
parents to support and intervene before a situation can become a crisis. So we encourage you to

1545
02:39:55,400 --> 02:39:59,960
build on what is already working on our communities and create a continuum that supports parents,

1546
02:39:59,960 --> 02:40:05,240
children and the people who serve them and we urge the county to move forward with the concrete plan

1547
02:40:05,240 --> 02:40:09,080
to expand home visiting and meet the families where they are at. Thank you.

1548
02:40:10,040 --> 02:40:12,840
Thank you, our next speaker is Naili Sedano.

1549
02:40:19,240 --> 02:40:24,680
Good afternoon, Supervisors. My name is Naili Sedano and I'm here today representing Somal's May Fair.

1550
02:40:24,680 --> 02:40:29,800
At Somal's May Fair we work alongside families every single day and we know that the earlier

1551
02:40:29,800 --> 02:40:34,120
we connect families to support the stronger the outcomes are for both parents and their children.

1552
02:40:34,120 --> 02:40:38,600
There is a care gap for families during pregnancy and the early years as specifically families

1553
02:40:38,600 --> 02:40:43,080
experiencing housing and stability, poverty, food insecurity and other challenges.

1554
02:40:43,080 --> 02:40:47,480
And these families need support that is accessible, cultural, responsive and rooted and trust.

1555
02:40:48,120 --> 02:40:52,680
We support the county's efforts to expand home visiting because it is an opportunity to meet families

1556
02:40:52,680 --> 02:40:59,480
where they are at and build relationships early, connect parents to resources they need before challenges become crisis.

1557
02:41:00,040 --> 02:41:04,760
We also encourage the county to recognize and invest in community-based organizations

1558
02:41:04,760 --> 02:41:08,200
and trusted and messengers already doing this kind of work.

1559
02:41:08,200 --> 02:41:14,040
But a lot of those who come from and understand the communities that they serve play an important role in building trust

1560
02:41:14,040 --> 02:41:19,320
which in families who may otherwise be missed and connecting parents to services and resources.

1561
02:41:19,320 --> 02:41:23,800
Expanding home visiting should mean building on what is working not creating parallel systems.

1562
02:41:24,520 --> 02:41:29,080
And as community partners including from a lot of us and other trusted community members,

1563
02:41:29,080 --> 02:41:34,360
we are ready to help build a stronger continuum of support for families and we urge the board to move

1564
02:41:34,360 --> 02:41:40,040
from planning to action and develop a concrete equitable plan to expand home visiting across

1565
02:41:40,040 --> 02:41:44,040
Santa Clara County. Thank you. Thank you.

1566
02:41:44,040 --> 02:41:46,200
Thank you. That concludes public comment.

1567
02:41:50,200 --> 02:41:52,040
Of course, go ahead. Thank you.

1568
02:41:52,040 --> 02:41:58,440
Thank you. Dr. Redmond, Dr. Amirling, Jennifer, you're a jurist doctor.

1569
02:41:58,440 --> 02:42:05,400
So we can do Jennifer. Dr. Keller, her colloid. Thank you all for your work not only on this report,

1570
02:42:05,400 --> 02:42:09,800
but for your ongoing passion for advancing the well-being of our youngest residents.

1571
02:42:09,800 --> 02:42:15,400
I want to begin my comments just by recognizing how far this project has come.

1572
02:42:16,120 --> 02:42:22,200
In 2023, I directed a budget inventory grant to first five Santa Clara County

1573
02:42:22,200 --> 02:42:28,760
to conduct a study of the home visiting services that were then being offered across multiple systems

1574
02:42:28,760 --> 02:42:34,920
in our county. That report was completed in 2024 and provided a detailed analysis of funding

1575
02:42:34,920 --> 02:42:40,440
sources, service needs, gaps in the current landscape and recommendations for expansion.

1576
02:42:40,680 --> 02:42:48,760
The findings were clear and unsurprising. Home visitation services in the county were both

1577
02:42:48,760 --> 02:42:56,200
underfunded and underutilized. The report also underscored that home visitation is a cost effective

1578
02:42:56,200 --> 02:43:02,360
investment bringing together case management, family support, and critical referrals to other health care

1579
02:43:02,360 --> 02:43:09,800
providers. So again, I just want to express my deep appreciation for the research, the collaboration,

1580
02:43:09,880 --> 02:43:13,880
and the thoughtful discussions from county administration and our partners.

1581
02:43:14,680 --> 02:43:20,440
Your commitment and your creativity have been essential to identifying opportunities to keep this

1582
02:43:20,440 --> 02:43:27,560
work moving forward, even in this very challenging fiscal environment. I also appreciate the

1583
02:43:27,560 --> 02:43:33,480
alignment that this work has with the Latino Health Assessment that my colleague Supervisor Irenas

1584
02:43:33,480 --> 02:43:39,160
is leading so beautifully, particularly around expanding the critical work of

1585
02:43:39,160 --> 02:43:46,760
promotoras and community health workers. As a next step, I'm interested in pursuing support

1586
02:43:46,760 --> 02:43:52,280
for a home visiting model using the community health worker and Dula benefits.

1587
02:43:53,880 --> 02:43:58,680
And just for anyone who isn't familiar, Dr. Redmond, can you just share a bit about the Dula Benefit,

1588
02:43:58,680 --> 02:44:05,640
please? Sure, thank you. So those who may or may not be aware, Dula's are experts trained in

1589
02:44:06,600 --> 02:44:15,720
the entire peri-natal birthing process and postpartum period in early infant care and have been

1590
02:44:15,720 --> 02:44:22,040
an absolutely vital element of how we have helped people survive and thrive through pregnancy

1591
02:44:22,040 --> 02:44:28,280
in early postpartum periods for it's often based on learning we've had for decades and maybe centuries.

1592
02:44:28,920 --> 02:44:35,640
But it's only relatively recently that DHCS acknowledges that these experts should be reimbursed

1593
02:44:35,640 --> 02:44:41,960
for the support they offer during pregnancy delivery in postpartum care. And so for those who have

1594
02:44:41,960 --> 02:44:49,160
medical, there is a covered Dula Benefit that just began about three years ago now that includes an

1595
02:44:49,160 --> 02:44:55,560
initial visit and then up to eight follow-up visits in any combination prenatal and postpartum care.

1596
02:44:55,560 --> 02:45:00,600
One of the things we see that this benefit is massively under-utilized.

1597
02:45:00,000 --> 02:45:07,400
Resilies in general, that it can offer a particularly supportive, culturally appropriate and empowering

1598
02:45:07,400 --> 02:45:13,080
experience for birthing parents and the entire family, and that it's especially underutilized

1599
02:45:13,080 --> 02:45:19,240
in the postpartum period, people who do enroll in the benefit and do use it, leading up to

1600
02:45:19,240 --> 02:45:25,440
birth and during labor and delivery, often don't use their unused visits after, during

1601
02:45:25,440 --> 02:45:35,280
the period when, as this legislative report provides, we know that is a critical period when families

1602
02:45:35,280 --> 02:45:41,000
need support. So, one of the many solutions we're pursuing is making sure that that benefit

1603
02:45:41,000 --> 02:45:45,560
is fully utilized by those who have access to it. Have we reached out already to community

1604
02:45:45,560 --> 02:45:50,520
organizations that are billing for duly care? We've begun to do so. On the public health

1605
02:45:50,520 --> 02:45:55,440
side, our main partner is Ruth's and that we work with explicitly on our perinatal equity

1606
02:45:55,440 --> 02:46:01,440
initiative and in making sure that folks have access to the duly benefit in that way. But I'll

1607
02:46:01,440 --> 02:46:05,520
look to my colleagues to see what else we're doing to enhance access to that benefit. Thank you.

1608
02:46:05,520 --> 02:46:15,000
There we go. In our meetings with the managed care plans, we sort of asked about

1609
02:46:15,000 --> 02:46:21,200
dual availability and that is the other challenges there are not nearly enough duales and

1610
02:46:21,200 --> 02:46:28,200
those that are in practice are often solo practitioners. So, there are not a lot of organizations.

1611
02:46:28,200 --> 02:46:34,280
We learn that have duales on staff in the way that Ruth doesn't even, even the Ruth's program

1612
02:46:34,280 --> 02:46:40,000
is a kind of a fairly newly launched and developed program that was actually seed funded through

1613
02:46:40,000 --> 02:46:45,800
the Santa Clara Family Health Plan's Board Innovation Fund. Just sort of try to build a larger

1614
02:46:45,800 --> 02:46:50,880
stable of available duales. So, at the moment there aren't a lot of community-based organizations

1615
02:46:50,880 --> 02:46:56,920
with duala contracts. Sorry to interrupt. Does it have to be community-based? Could we put out a call

1616
02:46:56,920 --> 02:47:03,520
for duales that might like to participate in a program? And is there a workforce development piece

1617
02:47:03,520 --> 02:47:11,040
or our community colleges in Santa's state offering duala certifications? So, I can't answer

1618
02:47:11,040 --> 02:47:17,560
the dual certification. Sure, that's totally fine. I don't know. I'm just using. We did talk about

1619
02:47:17,560 --> 02:47:23,480
the training and certification process with the managed care plans and interestingly, the duala

1620
02:47:23,480 --> 02:47:29,520
certification process is actually a shorter process according to the managed care plan than the

1621
02:47:29,520 --> 02:47:36,080
community health worker certification, which was surprising to me. And we did talk with

1622
02:47:36,080 --> 02:47:44,280
them about their interests and potentially developing their own pathway. But we did not explore

1623
02:47:44,280 --> 02:47:48,320
deeply what is available in terms of the certification and that's somewhere I think we can

1624
02:47:48,320 --> 02:47:52,760
experience. And then to the first question, do they have to be associated with an organization

1625
02:47:52,760 --> 02:47:58,280
or can we partner with individual dualas? And if they're not already billing for Medicaid,

1626
02:47:58,280 --> 02:48:04,200
help them begin to do that? So, my understanding from the managed care plan is they do not need to be

1627
02:48:04,200 --> 02:48:12,600
through an organization. And in fact, the ones they have are often, as I said, sort of solo practitioners.

1628
02:48:12,600 --> 02:48:18,960
I can't answer the question about the billing because that is a heavy lift. Sure. And so, I don't

1629
02:48:18,960 --> 02:48:23,360
know enough about how the individual practitioners are managing that billing process,

1630
02:48:23,360 --> 02:48:29,120
but perhaps because they're also billing insurance and other ways they have some of that infrastructure.

1631
02:48:29,120 --> 02:48:36,480
That's a good question. Okay. Good. So, I don't need anything more specific right now, but I want

1632
02:48:36,480 --> 02:48:44,480
that to be kind of in the next stage exploration to see if we can expand that because there is money for it.

1633
02:48:44,480 --> 02:48:52,960
And it's in fact, we do not believe that it is funding that is threatened in any way, so it feels like

1634
02:48:52,960 --> 02:49:00,800
for the moment a reliable, a reliable source. The report concludes by noting that administration will continue to

1635
02:49:00,800 --> 02:49:08,000
partner with first five and managed care plans to develop a feasibility and cost plan. I think that's what we are

1636
02:49:08,000 --> 02:49:14,800
starting to talk about, but can you talk me through any other next steps in this process, including whether

1637
02:49:14,800 --> 02:49:22,320
there will be an opportunity for CBOs already billing for community health workers to be involved in the plan.

1638
02:49:24,640 --> 02:49:31,120
So, the low is hanging fruit would be to partner with CBOs that are already able to bill medical. So,

1639
02:49:31,120 --> 02:49:37,680
we have the list from the managed health care plans and that is the group that we will convene first.

1640
02:49:38,080 --> 02:49:44,720
To talk about moving this forward. We're working with the managed health care plans to outline what would the cohort

1641
02:49:44,720 --> 02:49:53,120
look like of people taking the community health workers certification. They actually just mentioned the dual benefit

1642
02:49:53,120 --> 02:50:00,160
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

1643
02:50:00,160 --> 02:50:07,440
goes in aside from from a community health workers to see families with new babies in terms of home visiting.

1644
02:50:07,440 --> 02:50:12,560
They were like, well, dual us, they go before and after, you know, during the pregnancy or like, yes,

1645
02:50:12,560 --> 02:50:20,720
what about dual us? So, I think we put it in, but it is initial exploration. That was our very last meeting.

1646
02:50:20,720 --> 02:50:27,600
So, we're very happy to have another area of exploration and they did say the dual benefit

1647
02:50:27,760 --> 02:50:34,560
is higher than the community health worker benefit. So, it is a pathway to a higher reimbursement rate

1648
02:50:34,560 --> 02:50:40,480
than community health workers. So, I think if we pursue both, they will be too avenues to expand home visiting.

1649
02:50:41,280 --> 02:50:46,240
That is covered, you know, partially at least by the medical benefit. Great. Thank you so much.

1650
02:50:46,240 --> 02:50:53,680
And I know that we are anticipating receiving the feasibility and cost plan for this work at the second meeting in January.

1651
02:50:53,760 --> 02:50:59,840
Correct. Exactly. Fantastic. That my motion today is simply to receive the report and thank you once again.

1652
02:50:59,840 --> 02:51:08,000
Second. Thank you for the second. Thank you, move to the second. I think Vice President.

1653
02:51:08,000 --> 02:51:16,240
Thank you. I also just want to start with gratitude. Supervisor Allen Berge brought this in 2024, I believe,

1654
02:51:16,240 --> 02:51:28,240
and 23, oh my gosh. It's been a minute. And so, I'm so sorry, 2023, your vision started many years ago.

1655
02:51:29,040 --> 02:51:36,640
And thank you so much for bringing this and moving this, continuing to move this forward. As these are home visitation

1656
02:51:36,640 --> 02:51:46,080
is one of the ways that we can really mitigate and support, mitigate a lot of issues that our families are facing

1657
02:51:46,080 --> 02:51:54,000
and obstacles that they're facing, as well as be a support system for young families and all families.

1658
02:51:54,000 --> 02:52:03,680
It doesn't have to be just young ones, but anybody who has children that are maneuvering through this society post-pandemic

1659
02:52:03,680 --> 02:52:13,680
and just in this new modern age. And so, this is really amazing to me, the fact that we're looking at different pathways

1660
02:52:13,680 --> 02:52:23,760
to either the community health workers or the dual pathway. And I dare to for you to maybe even think of another pathway

1661
02:52:23,760 --> 02:52:30,800
that could bring in the men. And this is one of the things that I think about when we have babies,

1662
02:52:32,640 --> 02:52:39,120
we have fathers that are involved in the lives of our children. And who is talking to them about their role

1663
02:52:40,080 --> 02:52:48,320
as fathers and how to support moms and how to be supportive dads as they're growing it in their role as well.

1664
02:52:48,320 --> 02:52:58,320
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.

1665
02:52:58,320 --> 02:53:05,760
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.

1666
02:53:06,720 --> 02:53:08,960
Yeah, I cut the court three times.

1667
02:53:09,840 --> 02:53:15,600
Well, that's where they smoked cigars out in the hallway and you know, I don't know what they did.

1668
02:53:16,800 --> 02:53:25,360
In the 50s but nowadays men are right there with us, right? And the fathers are taking the level of responsibility

1669
02:53:25,360 --> 02:53:33,200
that is just amazing. And sometimes we unintentionally leave them out because a lot of the program is

1670
02:53:33,200 --> 02:53:40,960
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

1671
02:53:40,960 --> 02:53:44,960
or how to create a pathway for our men to be involved.

1672
02:53:46,160 --> 02:53:47,920
I think it's you Jennifer, you're trying to?

1673
02:53:48,480 --> 02:53:53,280
Yes, thank you for that question and I also was a mom 100% agree.

1674
02:53:55,040 --> 02:54:00,640
One of the great things at least about the Parent Child Plus program, which is the program that's being

1675
02:54:01,280 --> 02:54:09,200
offered for children that are to end up is our providers that are offering that program

1676
02:54:09,200 --> 02:54:13,040
the community Rebecca Children's Services, Catholic Charities and so most may fare.

1677
02:54:14,160 --> 02:54:21,120
Do have some very strong programming in fatherhood initiatives. I think so most in particular has been leading the way

1678
02:54:21,120 --> 02:54:27,040
with fatherhood work for quite some time. And our agencies, one of the reasons why we implemented

1679
02:54:27,040 --> 02:54:31,360
Parent Child Plus in the way that we did through these existing agencies that have

1680
02:54:32,160 --> 02:54:38,400
deep benches of other programming and services and support is that the navigation component of

1681
02:54:38,400 --> 02:54:45,680
Parent Child Plus hopefully really brings in other aspects of the programming. But one of the things that I think

1682
02:54:45,680 --> 02:54:52,560
is especially effective about a home visiting program is sometimes for a dad to raise their hand and sign up for a

1683
02:54:52,560 --> 02:54:59,600
class and show up and oh my god are there going to be any other dads there? Is a big step to ask and

1684
02:54:59,600 --> 02:55:05,280
can be a big stigma? So I think the fact that our home visitors are in the home, you know,

1685
02:55:05,280 --> 02:55:12,880
having dads come on into the room and get involved are really a good entry point for for dads to get

1686
02:55:12,880 --> 02:55:19,840
more involved. We will talk in more depth than we did reach out after your question to Parent Child

1687
02:55:19,840 --> 02:55:25,840
Plus's headquarters to talk about sort of their fatherhood programming and they have actually been

1688
02:55:25,840 --> 02:55:32,800
seeking some specific grants to enhance the curriculum around fatherhood in particular. It's not yet

1689
02:55:32,800 --> 02:55:38,480
built into the curriculum outside of just the normal, you know, when every parent is a parent but I do know

1690
02:55:38,480 --> 02:55:44,240
that's that's something that the national headquarters and it is an evidence-based program are really trying

1691
02:55:44,240 --> 02:55:52,080
to integrate across regardless of which agency is implementing the program. I really love that.

1692
02:55:52,080 --> 02:55:58,480
I know that sometimes inviting the men into the living room or wherever you're at is a really good

1693
02:55:59,440 --> 02:56:05,280
effort but I think that we also need to figure out how to bring in the workforce and I know that Superways

1694
02:56:05,280 --> 02:56:11,520
and Elinburg talked a little bit about the workforce development. We have these paths of community health

1695
02:56:11,520 --> 02:56:18,880
worker. We have a path of the Dula and if Dula, we get reversed that a higher rate and it is an easier

1696
02:56:18,880 --> 02:56:25,520
pathway than I would probably encourage that pathway a little bit more so we can get folks into the field

1697
02:56:26,240 --> 02:56:34,480
and then default to wherever whatever pathway you see best fits home visitation but I'd also like

1698
02:56:34,560 --> 02:56:42,400
love to see a pathway that is explored for the men who are working in the programs and so that it's

1699
02:56:42,400 --> 02:56:50,080
not naturally, you know, an inclination is for women to step into these roles, right? It is not natural for

1700
02:56:50,080 --> 02:56:56,480
the men to step into these roles and so I would really love to see how can we grow that in a very significant

1701
02:56:56,480 --> 02:57:04,800
way not just to invite the men into the living room but then have those workers be the men who actually

1702
02:57:04,800 --> 02:57:10,400
recruit because you work from what you know and people love to see themselves and others and when they are

1703
02:57:10,400 --> 02:57:17,520
served in a culturally appropriate way we already know this will render more participation and that's

1704
02:57:17,520 --> 02:57:23,520
ultimately what I would love to see and also just acknowledge that role that is a very important role.

1705
02:57:24,400 --> 02:57:33,680
Mother's Day is always you know a blast and then here comes June with Mother's Day and is I've heard

1706
02:57:33,680 --> 02:57:42,240
one too many times it is a forgotten holiday almost right and it shouldn't, right? It shouldn't be because

1707
02:57:42,240 --> 02:57:52,080
Father's roles are so important for our children and in whatever the family looks like so in all the

1708
02:57:52,080 --> 02:58:00,080
genders that are included so I hate to just focus on men but I think we haven't so that would be my

1709
02:58:00,080 --> 02:58:06,240
ask and I don't know if maybe I need to integrate this on how into the motion or just ask for that

1710
02:58:06,240 --> 02:58:16,160
direction to be followed wonderful I'm excited I'm really excited I'm excited this is first of all

1711
02:58:16,960 --> 02:58:23,920
financially if it's believed this is so it makes so much sense it is very affordable and it's an

1712
02:58:23,920 --> 02:58:29,680
investment that I think we should continue to make and it would be crazy if we didn't continue to make these

1713
02:58:29,680 --> 02:58:35,280
kinds of investments in home visitation Jennifer did you have something no just trying to turn my

1714
02:58:35,280 --> 02:58:45,680
mic off well I will too and thank you all for the hard work thank you thank you so much thank you for this

1715
02:58:45,680 --> 02:58:52,000
very thorough report I appreciate the background research on existing models and your analysis of the

1716
02:58:52,000 --> 02:58:59,280
options before us as we look to expand home visitation services program programming and in this incredible

1717
02:58:59,280 --> 02:59:04,480
opportunity for workforce development really runs full circle in terms of rooting care and community and

1718
02:59:04,480 --> 02:59:10,880
also economic included empowerment of the folks who are best positioned to have this interaction engagement

1719
02:59:11,280 --> 02:59:17,680
with our families I really appreciate the comments the points brought today especially about the

1720
02:59:17,680 --> 02:59:25,600
the participation of fathers I it reminded me of some feedback I received from some of our healing

1721
02:59:25,600 --> 02:59:31,840
circles that's hosted the vast where fathers and partners are asking for help and guidance of how to

1722
02:59:31,840 --> 02:59:39,200
support their their their partners new moms through post-partum depression so that that was something

1723
02:59:39,280 --> 02:59:44,720
that was that has become more prevalent and the feedback that our office has received recently

1724
02:59:44,720 --> 02:59:51,920
which is a positive thing that that our our male partners and our fathers are leaning in to that

1725
02:59:51,920 --> 02:59:58,160
understanding of care for mom and for baby so I want to highlight that and and I really appreciate the

1726
02:59:58,160 --> 03:00:00,640
conversations about workforce.

1727
03:00:00,000 --> 03:00:08,500
Development, I do want to echo my support of opportunities for expanding and exploring how the

1728
03:00:08,500 --> 03:00:13,380
community health worker hub and model can be a catalyst for careers as community health workers

1729
03:00:13,380 --> 03:00:19,780
in home visitation professionals, including doulas, also I've seen other models and I've seen

1730
03:00:19,780 --> 03:00:23,640
references made to also medical assistance in home support service providers,

1731
03:00:24,140 --> 03:00:31,140
community workers, communities, lawns, peer support, navigators, being able to also

1732
03:00:31,140 --> 03:00:35,640
emanate from the community health worker model. So I'd love to, as we progress on this work,

1733
03:00:35,640 --> 03:00:40,640
like what are the possible avenues of expansion in those areas and other things we may not be listening

1734
03:00:40,640 --> 03:00:44,640
or not thinking of right off the bat, right, as natural progressions.

1735
03:00:44,640 --> 03:00:50,640
Civilizer, I want to really appreciate your comments about questions about the medical building for doulas.

1736
03:00:50,640 --> 03:00:55,640
I know that would have an answer today, and it just right now reminding me of a memory,

1737
03:00:55,640 --> 03:01:02,640
a very VISTA memory I had of meeting and constituent, one of my main greets, and if she is a doulas,

1738
03:01:02,640 --> 03:01:11,640
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,

1739
03:01:11,640 --> 03:01:18,640
who is in contract with our county health system. So happy to connect if there's an opportunity

1740
03:01:18,640 --> 03:01:26,640
as you look for more engagement and understanding more, the research part of your work.

1741
03:01:26,640 --> 03:01:32,640
That would be helpful to connect her, to connect our constituent to your work in terms of the feedback she's given.

1742
03:01:32,640 --> 03:01:38,640
She's been, she has for medical building and reimbursement building for her doulas services.

1743
03:01:38,640 --> 03:01:41,640
Very passionate.

1744
03:01:41,640 --> 03:01:47,640
And then the, I want to switch over the descriptions of other models in the report,

1745
03:01:47,640 --> 03:01:53,640
and LA in yellow counties, and existing models in Santa Clara County, were very helpful additions for her.

1746
03:01:53,640 --> 03:02:03,640
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.

1747
03:02:03,640 --> 03:02:09,640
I am curious though, and this, I trust that this will be an ongoing conversation.

1748
03:02:09,640 --> 03:02:18,640
I know that the home visitation doesn't happen automatically. You call the family, you present the program, you ask for permission,

1749
03:02:18,640 --> 03:02:25,640
can we come, provide this home visit, can we coordinate with you, then the mother, the parent,

1750
03:02:25,640 --> 03:02:29,640
the parent, excepts, and then the coordination patterns.

1751
03:02:29,640 --> 03:02:34,640
I have received, um,

1752
03:02:34,640 --> 03:02:42,640
increase, concern for my, some of my constituents, not fully understanding this program, the nature of this program.

1753
03:02:42,640 --> 03:02:52,640
For whatever reason, it's, it's, there may, there is a misconception out there that this is,

1754
03:02:52,640 --> 03:03:01,640
another, acts, another point of, of engagement, but like to, to pull me into the system.

1755
03:03:01,640 --> 03:03:06,640
To pull me into the system, or as one constituent put it, when they reach out to my office,

1756
03:03:06,640 --> 03:03:13,640
as, as is to judge my parenting, or as is to judge my character, we know the benefits of this program.

1757
03:03:13,640 --> 03:03:20,640
We also know that there's a landscape, an environment of misinformation out there, and also a history of the child welfare system,

1758
03:03:20,640 --> 03:03:29,640
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,

1759
03:03:29,640 --> 03:03:35,640
um, need, um, before the problem, or the challenges become something that's unmanageable.

1760
03:03:35,640 --> 03:03:43,640
So I wanted to share that with you that, that, um, share that with you, and also very curious, very interesting, and your thoughts,

1761
03:03:43,640 --> 03:03:48,640
this conversation continues of how we can ensure that expanded capacity for home visitations,

1762
03:03:48,640 --> 03:03:56,640
doesn't have negative unintended consequences, or have this misperception that this is anything other than providing support,

1763
03:03:56,640 --> 03:04:03,640
making sure the family has, has what, has what they need, and that baby has every opportunity possible.

1764
03:04:03,640 --> 03:04:10,640
I recognize the benefit of this program. I fully support any and all expansion of this program, um,

1765
03:04:10,640 --> 03:04:18,640
to all families, and, and, and we are going to have to, like, continue with some misinformation misperceptions out there.

1766
03:04:18,640 --> 03:04:21,640
Well, if I may, uh, thank you for your questions, if you're as young.

1767
03:04:21,640 --> 03:04:27,640
I, um, I think there are multiple strategies to overcome exactly what you're describing.

1768
03:04:27,640 --> 03:04:34,640
Uh, some of which go all the way back to how do we engender and wrinkly earn trust of government organizations,

1769
03:04:34,640 --> 03:04:41,640
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,

1770
03:04:41,640 --> 03:04:48,640
but to step into their home, and that trust starts long before a referral to these programs happen,

1771
03:04:48,640 --> 03:04:55,640
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.

1772
03:04:55,640 --> 03:05:01,640
I think some of the ways when we have been successful have happened in where the initial referrals come from,

1773
03:05:01,640 --> 03:05:06,640
often with a trusted healthcare provider saying, I'm going to connect you with this program, um,

1774
03:05:06,640 --> 03:05:10,640
because being a new parent is hard for everyone.

1775
03:05:10,640 --> 03:05:14,640
There is no one with all the resources in the world who has not, you know,

1776
03:05:14,640 --> 03:05:17,640
at three o'clock in the morning, think, what am I doing?

1777
03:05:17,640 --> 03:05:23,640
And so just recognizing that that's why we're there to help you have backup in that opportunity, um,

1778
03:05:23,640 --> 03:05:30,640
and have a trusted nurse or doctor, uh, be the first to tell you or do, uh, be the first to tell you,

1779
03:05:30,640 --> 03:05:35,640
we want to bring the support to you at your home and at time when it's going to be very hard to leave.

1780
03:05:35,640 --> 03:05:43,640
And I think the second is working with community organizations that already are deeply embedded in the community is that, uh,

1781
03:05:43,640 --> 03:05:45,640
that they're working to serve.

1782
03:05:45,640 --> 03:05:50,640
That's why partnerships with first five with Catholic charities with all of our service providers,

1783
03:05:50,640 --> 03:05:54,640
who, uh, don't, as Jennifer was describing, just do this,

1784
03:05:54,640 --> 03:06:01,640
home visitation work in the postpartum period, um, but are out there connected with their community in a wide range of roles.

1785
03:06:01,640 --> 03:06:03,640
Um, that's really how we get it done.

1786
03:06:03,640 --> 03:06:11,640
But I think to your point, we are still fighting an uphill battle to continue to earn that trust as a government agency,

1787
03:06:11,640 --> 03:06:15,640
based on what our community members, uh,

1788
03:06:15,640 --> 03:06:18,640
feel and experience from other governmental agencies.

1789
03:06:18,640 --> 03:06:23,640
Um, and it's a challenge I think we continue to face with partners like first five.

1790
03:06:23,640 --> 03:06:25,640
Jennifer, anything you would add?

1791
03:06:25,640 --> 03:06:29,640
Yeah, one thing I'll add is just talking to our partners, um,

1792
03:06:29,640 --> 03:06:32,640
who operate some of the programs referenced in the report, um,

1793
03:06:32,640 --> 03:06:38,640
that automatic light touch, uh, referral process that they implemented in a couple of other counties,

1794
03:06:38,640 --> 03:06:44,640
have really resulted in lowering the stigma because everyone is offered.

1795
03:06:44,640 --> 03:06:54,640
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.

1796
03:06:54,640 --> 03:07:02,640
So it really lowered the stigma and they found that the uptake and acceptance of the home visits were almost 100%.

1797
03:07:02,640 --> 03:07:12,640
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,

1798
03:07:12,640 --> 03:07:19,640
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,

1799
03:07:19,640 --> 03:07:23,640
you know, have, have three visits and are, are often running and, and feel secure.

1800
03:07:23,640 --> 03:07:28,640
So it's also a really cost effective way to stratify the intervention.

1801
03:07:28,640 --> 03:07:35,640
Because right now we only have high dosage intervention home visiting, um, so, you know,

1802
03:07:35,640 --> 03:07:39,640
parent child plus is it is almost a two year one and a half year program.

1803
03:07:39,640 --> 03:07:46,640
Similar with, uh, nurse family partnership. Um, so these are really, um, intensive investments. They're hugely valuable,

1804
03:07:46,640 --> 03:07:53,640
but there's so many other families that could benefit from something shorter, lighter, less expensive and, um,

1805
03:07:53,640 --> 03:07:59,640
less stigmatizing. Uh, the other thing our team and our, my first five team that did the report is, is sitting behind me.

1806
03:07:59,640 --> 03:08:00,640
They did all the work.

1807
03:08:00,640 --> 03:08:05,640
Um, thank you. And, uh, one of the, one of the other recommendations, you know, we discovered was,

1808
03:08:05,640 --> 03:08:13,640
when and if we do have, you know, more robust opportunity for home visiting, uh, a public awareness campaign about what it is,

1809
03:08:13,640 --> 03:08:19,640
would really be beneficial, um, to match sort of the availability of the service.

1810
03:08:19,640 --> 03:08:26,640
And that's certainly something, you know, first five in public health could collaborate on, um, just to help people understand.

1811
03:08:26,640 --> 03:08:35,640
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.

1812
03:08:35,640 --> 03:08:43,640
But, um, those are all, um, you know, I think opportunities we couldn't build in alignment with the expansion.

1813
03:08:43,640 --> 03:08:49,640
Right now if we did a big, if a big campaign, unfortunately, we'd probably send more people to a wait list.

1814
03:08:49,640 --> 03:08:54,640
Um, but that's absolutely something we think would be beneficial, um, down the road.

1815
03:08:54,640 --> 03:08:59,640
I really appreciate this thoughtful, the thoughtful considerations being made and I'm glad I'm really happy to hear.

1816
03:08:59,640 --> 03:09:15,640
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.

1817
03:09:15,640 --> 03:09:25,640
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.

1818
03:09:25,640 --> 03:09:35,640
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.

1819
03:09:35,640 --> 03:09:47,640
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.

1820
03:09:47,640 --> 03:09:55,640
This is exactly the opportunity that I, I had hoped for with previous, uh, comments and discussion at the, uh, before this body.

1821
03:09:55,640 --> 03:09:58,640
Thank you so much, and thank you to the staff for this right there report.

1822
03:09:58,640 --> 03:10:00,640
Look forward to the future.

1823
03:10:00,640 --> 03:10:02,640
As far as I'll be cooking.

1824
03:10:02,640 --> 03:10:07,640
I thank you, President Lee, and, um, thank you so much for the report and all the great work and thank you, sir, for

1825
03:10:07,640 --> 03:10:12,640
your, for your championing, you, this, um, really great initiative, um, I agree.

1826
03:10:12,640 --> 03:10:15,640
I think this is, um, home visit.

1827
03:10:15,640 --> 03:10:24,640
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.

1828
03:10:24,640 --> 03:10:32,640
But hospital and, um, my older daughter, my first daughter actually ended up, um, having, uh,

1829
03:10:32,640 --> 03:10:38,640
a high bill of ribbon that ended up in a blood transfusion that we didn't know about until we had our six summit.

1830
03:10:38,640 --> 03:10:47,640
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,

1831
03:10:47,640 --> 03:10:50,640
all of the treatments after could have been prevented.

1832
03:10:50,640 --> 03:10:56,640
So I do think this, in an ideal world, everyone should be able to have this opportunity.

1833
03:10:56,640 --> 03:11:03,640
Um, I do appreciate the comments about the, um, Dula program and this morning, our invocation presenter actually,

1834
03:11:03,640 --> 03:11:10,640
this is a Dula who, um, founded the volunteer program at, um, Claire, I was Santa Clara, Santa Clara Valley medical, um,

1835
03:11:10,640 --> 03:11:19,640
and also as part of, uh, was the blossom, um, nonprofit that looks like a very, um, well-established organization.

1836
03:11:19,640 --> 03:11:23,640
So I see that there's great opportunity for partnership.

1837
03:11:23,640 --> 03:11:29,640
Um, I had asked this question in writing about, uh, workforce development opportunities and working,

1838
03:11:29,640 --> 03:11:32,640
potentially with our community colleges.

1839
03:11:32,640 --> 03:11:38,640
I understand that you are exploring through other health-related, um, certifications,

1840
03:11:38,640 --> 03:11:49,640
and, but also just thinking, can we, even, um, you know, initiate and maybe you already have conversation about, um,

1841
03:11:49,640 --> 03:11:52,640
starting a certification program.

1842
03:11:52,640 --> 03:12:00,640
I know the, uh, like, fiddle dance, uh, and my district has been very, um, uh, supportive and, and really,

1843
03:12:00,640 --> 03:12:08,640
I want looking for opportunities to, um, provide more workforce development, um, programs,

1844
03:12:08,640 --> 03:12:19,640
not to speak for them, but, um, knowing that I, I just wanted to, um, see how those conversations might be going.

1845
03:12:20,640 --> 03:12:23,640
Uh, I'll, I'll, I'll start and then pass that to his doctor.

1846
03:12:23,640 --> 03:12:26,640
I'm really, um, thank you for that, uh, comment doctor.

1847
03:12:26,640 --> 03:12:32,640
I would, I would, I would, supervisor, I would go get, um, also a jurist doctor.

1848
03:12:32,640 --> 03:12:33,640
Doctors everywhere.

1849
03:12:33,640 --> 03:12:39,640
Um, we have a long standing history in the public health department of collaborating with some of our university,

1850
03:12:39,640 --> 03:12:41,640
specifically around nursing, workforce development.

1851
03:12:41,640 --> 03:12:46,640
And I think it's exactly those pathways that we could leverage for thinking about the dual certification.

1852
03:12:47,640 --> 03:12:51,640
Um, I also think there's an opportunity, through the community health worker hub,

1853
03:12:51,640 --> 03:12:56,640
which really is meant to be both a career pathway support system in itself,

1854
03:12:56,640 --> 03:13:02,640
and the opportunity to then benefit the entire community from those, uh, new career community health workers,

1855
03:13:02,640 --> 03:13:09,640
um, to, to forge that kind of, uh, opportunity for career growth and to expand,

1856
03:13:09,640 --> 03:13:13,640
and hopefully resolve the problem we've been hearing about the lack of dual as overall,

1857
03:13:13,640 --> 03:13:17,640
so it is a fabulous career opportunity and one that is certainly under leveraged.

1858
03:13:17,640 --> 03:13:18,640
So, sorry.

1859
03:13:18,640 --> 03:13:19,640
Talk to everybody.

1860
03:13:21,640 --> 03:13:26,640
So in our, in our research, we did look up all the community colleges in Santa Clara County,

1861
03:13:26,640 --> 03:13:29,640
to identify the programs for you in the report.

1862
03:13:29,640 --> 03:13:37,640
Um, the, uh, managed healthcare plans do underwrite cohorts in the community health worker certification.

1863
03:13:37,640 --> 03:13:42,640
Um, I believe right now they're working with mission coach.

1864
03:13:42,640 --> 03:13:45,640
I can't remember, but I, I think it is mission college.

1865
03:13:45,640 --> 03:13:56,640
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.

1866
03:13:56,640 --> 03:13:59,640
So I think working with the managed healthcare plans around the cohorts.

1867
03:13:59,640 --> 03:14:07,640
There are debonsoring and making sure that our promoters and other home visitors interested in the community health workers certification pathway

1868
03:14:07,640 --> 03:14:09,640
can be folded into these cohorts.

1869
03:14:09,640 --> 03:14:13,640
I think is a connection that we want to build on.

1870
03:14:13,640 --> 03:14:23,640
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.

1871
03:14:23,640 --> 03:14:32,640
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.

1872
03:14:32,640 --> 03:14:38,640
So we've added some additional training and support on early childhood education.

1873
03:14:38,640 --> 03:14:43,640
We've provided some additional training and specific areas that have been requested.

1874
03:14:43,640 --> 03:14:49,640
So we've been doing that through a variety of budget dollars through some funding we were receiving from first five California.

1875
03:14:49,640 --> 03:14:59,640
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.

1876
03:15:00,000 --> 03:15:09,000
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.

1877
03:15:09,000 --> 03:15:24,000
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.

1878
03:15:24,000 --> 03:15:26,000
Okay. Vice President, last question?

1879
03:15:26,000 --> 03:15:36,000
Sure. Lastly, I actually was thinking about it as supervisor Abacogo was talking about 25 years ago. I also, 17 years ago.

1880
03:15:36,000 --> 03:15:44,000
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?

1881
03:15:44,000 --> 03:15:48,000
Because he's very medically fragile at the moment.

1882
03:15:48,000 --> 03:15:58,000
And he is 63 now. And football on the football team for a couple of years now in high school.

1883
03:15:58,000 --> 03:16:16,000
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.

1884
03:16:16,000 --> 03:16:25,000
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.

1885
03:16:25,000 --> 03:16:36,000
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.

1886
03:16:36,000 --> 03:16:44,000
But those there are kind of in between, in the disability community, I think need to have a special focus.

1887
03:16:44,000 --> 03:17:00,000
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.

1888
03:17:00,000 --> 03:17:15,000
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.

1889
03:17:15,000 --> 03:17:29,000
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.

1890
03:17:29,000 --> 03:17:39,000
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.

1891
03:17:39,000 --> 03:17:48,000
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.

1892
03:17:48,000 --> 03:17:55,000
The community health workers themselves were describing and need and a desire to learn more about supporting families with disabilities.

1893
03:17:55,000 --> 03:17:59,000
And so that is an intention of the Virgin and community health worker hub.

1894
03:17:59,000 --> 03:18:14,000
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.

1895
03:18:14,000 --> 03:18:32,000
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.

1896
03:18:32,000 --> 03:18:39,000
And I think that's really important. So we don't forget and in anticipation of some of those issues.

1897
03:18:39,000 --> 03:18:53,000
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.

1898
03:18:53,000 --> 03:19:07,000
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.

1899
03:19:07,000 --> 03:19:17,000
Those are already established programs, but this is a little bit different, right? And so who will we be able to focus on?

1900
03:19:17,000 --> 03:19:30,000
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.

1901
03:19:30,000 --> 03:19:42,000
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.

1902
03:19:42,000 --> 03:19:55,000
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?

1903
03:19:55,000 --> 03:20:22,000
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.

1904
03:20:22,000 --> 03:20:39,000
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.

1905
03:20:39,000 --> 03:20:59,000
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.

1906
03:20:59,000 --> 03:21:09,000
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.

1907
03:21:09,000 --> 03:21:28,000
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.

1908
03:21:28,000 --> 03:21:32,000
Awesome. Thank you. All right. Well, without further ado, this is clickable.

1909
03:21:32,000 --> 03:21:37,000
All right. We have a motion by a supervisor Allenburg, seconded by vice president Aranas.

1910
03:21:37,000 --> 03:21:43,000
Supervisor Abhay Koga. I. Supervisor Jung. Yes. Supervisor Allenburg. Yes.

1911
03:21:43,000 --> 03:21:47,000
Vice president Aranas. Yes. Presently. Hi, as well. Motion carries this five.

1912
03:21:47,000 --> 03:21:53,000
Thank you. Next item has a time, sir. And of one, then after death, the mental health substance use is public health.

1913
03:21:53,000 --> 03:22:01,000
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.

1914
03:22:01,000 --> 03:22:06,000
Full lunch.

1915
03:22:11,000 --> 03:22:22,000
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.

1916
03:22:22,000 --> 03:22:29,000
Yes. Okay. Let's. Let's see if we can do this. All right. Thank you.

1917
03:22:29,000 --> 03:22:43,000
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.

1918
03:22:43,000 --> 03:22:50,000
All right. And we're going to go ahead and briefly provide an update and then we have some slides to share.

1919
03:22:50,000 --> 03:23:09,000
I think we'll get those pulled up in a second.

1920
03:23:09,000 --> 03:23:17,000
Okay. We have our slides up. You can go ahead and advance to the next slide, please.

1921
03:23:17,000 --> 03:23:28,000
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.

1922
03:23:28,000 --> 03:23:35,000
Our next section. Megan will update provided an update on treatment beds and facilities.

1923
03:23:35,000 --> 03:23:51,000
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.

1924
03:23:51,000 --> 03:24:10,000
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.

1925
03:24:10,000 --> 03:24:23,000
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.

1926
03:24:23,000 --> 03:24:26,000
Go to the next slide.

1927
03:24:26,000 --> 03:24:35,000
So you have a visual representation of where we are at in terms of exceeding the 530 bed goal.

1928
03:24:35,000 --> 03:24:53,000
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.

1929
03:24:53,000 --> 03:25:03,000
And then the funded beach hit projects we will exceed our substance use treatment withdrawal management and residential bed targets.

1930
03:25:03,000 --> 03:25:17,000
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.

1931
03:25:17,000 --> 03:25:26,000
So that's not just a one time year over year accumulates into many thousands lives changed through these treatment beds.

1932
03:25:26,000 --> 03:25:29,000
Next slide.

1933
03:25:29,000 --> 03:25:49,000
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.

1934
03:25:49,000 --> 03:26:02,000
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.

1935
03:26:02,000 --> 03:26:10,000
We do have, you know, we have relationships with many operators that operate these kinds of intensive treatment programs.

1936
03:26:10,000 --> 03:26:23,000
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.

1937
03:26:23,000 --> 03:26:42,000
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.

1938
03:26:42,000 --> 03:26:52,000
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.

1939
03:26:52,000 --> 03:27:09,000
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.

1940
03:27:10,000 --> 03:27:16,000
Okay, so we will provide a brief update on our workforce development efforts.

1941
03:27:16,000 --> 03:27:25,000
As you recall, we commissioned the University of California San Francisco to provide a behavioral health workforce study.

1942
03:27:25,000 --> 03:27:32,000
They put forth 18 recommendations that are currently being implemented as well as for that we're currently reviewing.

1943
03:27:33,000 --> 03:27:52,000
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.

1944
03:27:52,000 --> 03:27:56,000
As well as strengthening our network sustainability through leveraging local efforts.

1945
03:27:56,000 --> 03:28:01,000
We really appreciate our partners on our workforce committee.

1946
03:28:01,000 --> 03:28:05,000
Our behavioral health contractors association is a strong partner in this work.

1947
03:28:05,000 --> 03:28:11,000
We really appreciate Elisa and the efforts of our providers as well. Next slide please.

1948
03:28:11,000 --> 03:28:21,000
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.

1949
03:28:21,000 --> 03:28:26,000
One example is the student loan repayment program.

1950
03:28:26,000 --> 03:28:42,000
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.

1951
03:28:42,000 --> 03:28:46,000
So those are the types of opportunities made available through the state.

1952
03:28:46,000 --> 03:28:56,000
And again, just re-emphasizing strengthening our network sustainability efforts through our partnerships locally here in the county and with our community partners.

1953
03:28:56,000 --> 03:29:14,000
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.

1954
03:29:14,000 --> 03:29:21,000
And we really hand deputy director again. So looking at the behavioral health children and youth continuum.

1955
03:29:21,000 --> 03:29:30,000
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.

1956
03:29:30,000 --> 03:29:35,000
We also serve those who are uninsured and unable to afford their own care.

1957
03:29:35,000 --> 03:29:42,000
In our system, we provide a very robust wide range of mental health and substance use treatment services.

1958
03:29:43,000 --> 03:29:52,000
We also collaborate closely with our local managed care plans.

1959
03:29:52,000 --> 03:30:00,000
As you know, the state has set up our system as sort of a bifurcated, we handle the specialty.

1960
03:30:00,000 --> 03:30:09,000
Mental Health, the managed care plans, handled them more widely experienced mild to moderate symptoms.

1961
03:30:09,000 --> 03:30:15,000
But the state is also pushing us to collaborate more closely and establish stronger ties to make sure

1962
03:30:15,000 --> 03:30:23,000
that children youth families and adults can seamlessly flow between levels of care as their needs change over their lifespan.

1963
03:30:23,000 --> 03:30:26,000
Next slide.

1964
03:30:26,000 --> 03:30:39,000
So some high-level data for the number of unduplicated youth we serve, 14,451 youth in FY26, tremendous number of lives touched.

1965
03:30:39,000 --> 03:30:48,000
The next slide gives you a better visual of the geographic concentration of medical eligible youth.

1966
03:30:48,000 --> 03:30:55,000
So that's just based on eligibility data and then the corresponding geographic concentrations of behavioral health children and youth serve.

1967
03:30:55,000 --> 03:31:07,000
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.

1968
03:31:07,000 --> 03:31:16,000
And we are the option for them to access specialty mental health treatment services.

1969
03:31:16,000 --> 03:31:20,000
Next slide.

1970
03:31:20,000 --> 03:31:29,000
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.

1971
03:31:29,000 --> 03:31:41,000
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.

1972
03:31:41,000 --> 03:31:46,000
And then looking on the right, you have the frequency of services delivered by region.

1973
03:31:46,000 --> 03:31:55,000
So as you would expect outpatient services, that's that high bar there is the most frequent service access by children youth and families.

1974
03:31:55,000 --> 03:32:10,000
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.

1975
03:32:10,000 --> 03:32:17,000
Next slide. Yes. So we've been improving outcomes.

1976
03:32:17,000 --> 03:32:32,000
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.

1977
03:32:33,000 --> 03:33:00,000
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.

1978
03:33:00,000 --> 03:33:06,000
These schedule providers that are available at most schools in our county.

1979
03:33:06,000 --> 03:33:15,000
We also continue to expand treatment beds. Importantly, we've access six substance use youth specific substance use treatment residential beds.

1980
03:33:15,000 --> 03:33:25,000
We of course are adding 21 new adolescent acute psychiatric beds at the behavioral health pavilion coming up in November.

1981
03:33:25,000 --> 03:33:29,000
With 14 additional pediatric beds at some point later.

1982
03:33:29,000 --> 03:33:47,000
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.

1983
03:33:48,000 --> 03:33:56,000
Okay, and we'll pivot to the report back on the older adult mental health strategies.

1984
03:33:56,000 --> 03:34:08,000
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.

1985
03:34:08,000 --> 03:34:14,000
A note here at the bottom around city specific older adult subgroup efforts.

1986
03:34:14,000 --> 03:34:21,000
Those have just begun sort of in 2526 so that kind of measuring the impact of those will take some time.

1987
03:34:21,000 --> 03:34:26,000
But that has been and you'll see in the later signs of focus of our efforts.

1988
03:34:26,000 --> 03:34:28,000
Next slide.

1989
03:34:29,000 --> 03:34:38,000
So these older adult mental health strategies really across system effort to identify, engage and offer access to older adults.

1990
03:34:38,000 --> 03:34:51,000
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.

1991
03:34:51,000 --> 03:35:02,000
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.

1992
03:35:02,000 --> 03:35:04,000
Let's go to the next slide.

1993
03:35:04,000 --> 03:35:12,000
So more of our strategies and you can see these are incorporated partners from across our health system.

1994
03:35:12,000 --> 03:35:19,000
So you're looking at the hospital system, social services agency and the public health department.

1995
03:35:20,000 --> 03:35:30,000
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.

1996
03:35:30,000 --> 03:35:46,000
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.

1997
03:35:46,000 --> 03:35:56,000
At the September 2026 CSF C meeting and then another update at the 2026 meeting with the health and hospital committee in December.

1998
03:35:56,000 --> 03:36:02,000
We've included in the appendices our workforce recommendation status updates.

1999
03:36:02,000 --> 03:36:07,000
There's quite media and therefore we put it in the appendices for review.

2000
03:36:07,000 --> 03:36:15,000
And then as we do on a quarterly basis and provide updates on our mobile crisis response program data.

2001
03:36:15,000 --> 03:36:22,000
As well as some additional information related to commercial billing opportunities for mobile crisis.

2002
03:36:22,000 --> 03:36:25,000
So that's something we've added this quarter.

2003
03:36:25,000 --> 03:36:28,000
I think with that we'll take questions.

2004
03:36:28,000 --> 03:36:32,000
Thank you actually, I'm going to say anybody publicly speaking this.

2005
03:36:32,000 --> 03:36:34,000
I have no cards in chambers.

2006
03:36:34,000 --> 03:36:37,000
I do have one hand raised on zoom.

2007
03:36:37,000 --> 03:36:38,000
Two minutes.

2008
03:36:38,000 --> 03:36:39,000
Right.

2009
03:36:39,000 --> 03:36:44,000
We will close the key and our zoom speaker is Michael Rogers.

2010
03:36:44,000 --> 03:36:49,000
Hi, this is Mike Rogers.

2011
03:36:49,000 --> 03:36:52,000
Thanks for this presentation.

2012
03:36:52,000 --> 03:36:58,000
Question I have thinking about this stuff as chair of the health advisory commission.

2013
03:36:58,000 --> 03:37:06,000
We've been working with county entities and respect to expanding integrated and functional medicine.

2014
03:37:06,000 --> 03:37:14,000
In the county health system and food as medicine programs on the medical side of things.

2015
03:37:14,000 --> 03:37:19,000
One of the things last few years is to be very rapid is the new field of medical.

2016
03:37:19,000 --> 03:37:21,000
Psychiatry.

2017
03:37:21,000 --> 03:37:27,000
We have a center here in the Bay Area with a museum group in San Mateo, sponsoring kind of research.

2018
03:37:27,000 --> 03:37:35,000
As well as large entities like metabolic mind is a coordination national resource in this area.

2019
03:37:35,000 --> 03:37:43,000
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.

2020
03:37:43,000 --> 03:37:47,000
For behavior health issues in the county or plan to do so.

2021
03:37:47,000 --> 03:37:49,000
Not to visit the future.

2022
03:37:49,000 --> 03:37:54,000
I've seen the result of these types of approaches both with my kids and my grandkids.

2023
03:37:54,000 --> 03:38:00,000
I'm also a teacher of these days in retirement in an include metabolic nutrition.

2024
03:38:00,000 --> 03:38:08,000
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.

2025
03:38:08,000 --> 03:38:12,000
So it's kind of an area of interest in it.

2026
03:38:12,000 --> 03:38:14,000
It's relatively young field.

2027
03:38:14,000 --> 03:38:16,000
It's moving very rapidly.

2028
03:38:16,000 --> 03:38:18,000
It's getting a lot of interesting research results.

2029
03:38:18,000 --> 03:38:26,000
Something you consider for the future is how we incorporate that expand that into the educational and therapeutic side of behavior health.

2030
03:38:26,000 --> 03:38:28,000
Just on the medical side.

2031
03:38:28,000 --> 03:38:30,000
It's starting to do the county systems.

2032
03:38:30,000 --> 03:38:32,000
Thank you for your time attention.

2033
03:38:32,000 --> 03:38:33,000
Thank you.

2034
03:38:33,000 --> 03:38:36,000
Closing public speaking portions of the number.

2035
03:38:36,000 --> 03:38:38,000
Thank you so much.

2036
03:38:38,000 --> 03:38:44,000
Sharing and making really appreciate the presentation and following up on my request for options.

2037
03:38:44,000 --> 03:38:47,000
To fund the behavioral health facilities.

2038
03:38:47,000 --> 03:38:49,000
Dr. not received proper on bond support.

2039
03:38:49,000 --> 03:39:01,000
Looking forward to hearing more at FGOC about the upcoming solicitations and how that will help us move closer toward our 530 bed goal.

2040
03:39:01,000 --> 03:39:07,000
I want to also just reflect from moment on the ongoing workforce developments in behavioral health.

2041
03:39:07,000 --> 03:39:13,000
I know we spend so much time talking about beds, but this is really an equally important line.

2042
03:39:13,000 --> 03:39:25,000
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.

2043
03:39:25,000 --> 03:39:34,000
During this period of major transition so just thank you very much for continuing to hold that space and engage our partners.

2044
03:39:34,000 --> 03:39:40,000
Also appreciated the update on the departments applications for the state workforce development grants last month.

2045
03:39:40,000 --> 03:39:46,000
And thank you for your responsiveness in pursuing those activities opportunities.

2046
03:39:46,000 --> 03:39:54,000
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.

2047
03:39:55,000 --> 03:40:00,000
I do understand that some providers were cautious about applying.

2048
03:40:00,000 --> 03:40:10,000
Due to particular parameters and perceived risks and if there's feedback that can help shape future iterations at the state level.

2049
03:40:10,000 --> 03:40:20,000
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.

2050
03:40:20,000 --> 03:40:32,000
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.

2051
03:40:32,000 --> 03:40:35,000
Thanks of the workforce development grants.

2052
03:40:35,000 --> 03:40:43,000
Lastly just want to acknowledge the encouraging 18% decline in suicide rates among older adults.

2053
03:40:43,000 --> 03:40:52,000
I think that progress is meaningful. I appreciate the continued implementation of the older adults suicide prevention strategic plan.

2054
03:40:52,000 --> 03:40:58,000
Which I believe supervisor Samidian and I requested through referral in 2024.

2055
03:40:58,000 --> 03:41:07,000
And even as these numbers are encouraging even as suicide prevention responsibilities transition to public health.

2056
03:41:07,000 --> 03:41:14,000
Funding is being slashed by the state. I still have faith in us to do the good work.

2057
03:41:14,000 --> 03:41:30,000
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.

2058
03:41:30,000 --> 03:41:36,000
That's the end of the motion. I want to make one other comment. Thank you for the second.

2059
03:41:36,000 --> 03:41:40,000
I noticed that some of the metrics in last year's report.

2060
03:41:40,000 --> 03:41:48,000
Specifically the penetration rates related to older adult access to behavioral health services weren't included in this report.

2061
03:41:48,000 --> 03:41:56,000
I still would like to see those penetration rate metrics included in future reports just so that we're consistent year over year.

2062
03:41:56,000 --> 03:42:03,000
In being able to measure how effectively older adults are accessing our behavioral health services.

2063
03:42:03,000 --> 03:42:06,000
All right. Thank you and thank you for the second supervigently.

2064
03:42:06,000 --> 03:42:09,000
Yes. I'm sorry. I'm sorry, sir. I'll be cold.

2065
03:42:09,000 --> 03:42:13,000
I think you're presently. And thank you so much for the presentation.

2066
03:42:13,000 --> 03:42:23,000
I essentially appreciate the information around you services that I have been looking forward to receiving.

2067
03:42:23,000 --> 03:42:36,000
As you know, youth mental health is been a priority, especially in light of the student deaths in our community that have happened recently.

2068
03:42:36,000 --> 03:42:49,000
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.

2069
03:42:49,000 --> 03:42:54,000
I'll continue to look forward to and I will continue to ask for this information in data.

2070
03:42:54,000 --> 03:43:01,000
I had I have a two specific requests for information.

2071
03:43:01,000 --> 03:43:10,000
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.

2072
03:43:10,000 --> 03:43:16,000
First with all of the 35 youth behavioral health beds coming online in November.

2073
03:43:17,000 --> 03:43:30,000
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.

2074
03:43:30,000 --> 03:43:34,000
I don't know if you well so if you're able to provide that.

2075
03:43:34,000 --> 03:43:41,000
Yeah, just to be clear, we can provide how many youth are being paid for through our department.

2076
03:43:41,000 --> 03:43:48,000
So I'm not sure if there may be more that are sent from commercial and shared use from other hospitals.

2077
03:43:48,000 --> 03:43:49,000
Okay.

2078
03:43:49,000 --> 03:43:50,000
That makes sense.

2079
03:43:50,000 --> 03:43:51,000
Yes.

2080
03:43:51,000 --> 03:43:57,000
And then the second data on youth deaths by suicide in our county.

2081
03:43:57,000 --> 03:44:10,000
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.

2082
03:44:10,000 --> 03:44:15,000
And that department, I would appreciate that data.

2083
03:44:15,000 --> 03:44:19,000
So if that could be included, I would very much appreciate that.

2084
03:44:19,000 --> 03:44:23,000
Those are both points to be added to the motion for the next quarterly report.

2085
03:44:23,000 --> 03:44:25,000
Thank you very much.

2086
03:44:25,000 --> 03:44:26,000
Yes.

2087
03:44:26,000 --> 03:44:27,000
Thank you.

2088
03:44:27,000 --> 03:44:30,000
Thank you, Sherry and Megan for the report.

2089
03:44:30,000 --> 03:44:31,000
I see.

2090
03:44:31,000 --> 03:44:32,000
I thought I saw key.

2091
03:44:32,000 --> 03:44:33,000
Oh, there's key.

2092
03:44:33,000 --> 03:44:34,000
You moved.

2093
03:44:34,000 --> 03:44:37,000
Thank you too as well for your work in this one.

2094
03:44:38,000 --> 03:44:49,000
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.

2095
03:44:49,000 --> 03:45:00,000
What is the expected timing to bring beds online and how much delay is expected of any.

2096
03:45:00,000 --> 03:45:25,000
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.

2097
03:45:25,000 --> 03:45:36,000
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.

2098
03:45:36,000 --> 03:45:44,000
But I would say more on the procurement level, we would expect to accomplish that within the fiscal year.

2099
03:45:44,000 --> 03:45:48,000
Within the fiscal year for the procurement phase of it. Thank you.

2100
03:45:48,000 --> 03:45:54,000
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?

2101
03:45:55,000 --> 03:46:11,000
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.

2102
03:46:11,000 --> 03:46:15,000
Because again, we want to find someone who can really serve the hardest.

2103
03:46:15,000 --> 03:46:20,000
Of course. Thank you, Megan. Thank you for the clarification. I switch the numbers around.

2104
03:46:21,000 --> 03:46:30,000
And how has the transition with staff in going since early July has become that back to school from our board recess here?

2105
03:46:30,000 --> 03:46:38,000
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.

2106
03:46:38,000 --> 03:46:49,000
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.

2107
03:46:49,000 --> 03:47:00,000
So our our clinics all clients are in a transition process. We have a few still making sure they get connected to services.

2108
03:47:00,000 --> 03:47:09,000
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.

2109
03:47:09,000 --> 03:47:18,000
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.

2110
03:47:18,000 --> 03:47:32,000
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.

2111
03:47:32,000 --> 03:47:47,000
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.

2112
03:47:48,000 --> 03:48:06,000
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.

2113
03:48:06,000 --> 03:48:16,000
I want to switch gears to the report relating to older adult services and I thank you to rise in number for highlighting that.

2114
03:48:16,000 --> 03:48:23,000
Since we just launched a new training for the connections program to enhance existing older adult services.

2115
03:48:23,000 --> 03:48:31,000
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.

2116
03:48:31,000 --> 03:48:36,000
And then with the launch of my health point patient portal, I know which occurred a year ago.

2117
03:48:36,000 --> 03:48:42,000
We also, you know, I wanted to ask how that was going and really in relation to our older adults.

2118
03:48:42,000 --> 03:48:50,000
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.

2119
03:48:50,000 --> 03:49:00,000
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.

2120
03:49:00,000 --> 03:49:15,000
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?

2121
03:49:15,000 --> 03:49:27,000
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.

2122
03:49:27,000 --> 03:49:43,000
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.

2123
03:49:43,000 --> 03:49:51,000
So we've really assembled really great teams that help support our patients and clients and navigate some of those digital challenges.

2124
03:49:51,000 --> 03:50:09,000
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.

2125
03:50:09,000 --> 03:50:20,000
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.

2126
03:50:20,000 --> 03:50:24,000
Thank you.

2127
03:50:24,000 --> 03:50:32,000
I have a couple of questions around the Valley Valley Health Center, Morgan Hill.

2128
03:50:32,000 --> 03:50:40,000
And that connected to the number of kiddos that get served.

2129
03:50:40,000 --> 03:50:56,000
I noticed that there is a North County San Jose obviously serves the most in North County and then South County.

2130
03:50:56,000 --> 03:51:04,000
Is the issue that what the services that are offered in South County?

2131
03:51:04,000 --> 03:51:10,000
Or is it the number of people that are actually asking for assistance and support?

2132
03:51:10,000 --> 03:51:14,000
I'm guessing wondering is it capacity? Or is it the need?

2133
03:51:14,000 --> 03:51:17,000
Which of the two do you think that has more to do with?

2134
03:51:17,000 --> 03:51:22,000
I know South County doesn't have the same kind of resources that the rest of the county does.

2135
03:51:22,000 --> 03:51:32,000
And so I'm just wondering what do you think it has more to do with?

2136
03:51:32,000 --> 03:51:42,000
So on the slide, that has the bar graphs. One of them shows the client served versus medical eligible individuals.

2137
03:51:42,000 --> 03:51:44,000
Which slide?

2138
03:51:44,000 --> 03:51:49,000
Sorry. My number is a little 16. Thank you.

2139
03:51:49,000 --> 03:51:52,000
Thank you.

2140
03:51:52,000 --> 03:51:54,000
Is that a page number?

2141
03:51:54,000 --> 03:51:57,000
I'm sorry. I have a packet page number.

2142
03:51:57,000 --> 03:51:59,000
A packet page number, 195.

2143
03:51:59,000 --> 03:52:01,000
Okay, thank you.

2144
03:52:01,000 --> 03:52:03,000
Okay, go ahead.

2145
03:52:03,000 --> 03:52:09,000
Yeah, so you can see that the number of medical individuals is pretty close.

2146
03:52:09,000 --> 03:52:12,000
Yeah, well, it looks here to be exactly on.

2147
03:52:12,000 --> 03:52:15,000
I'm sure it's one or two off of the client served.

2148
03:52:15,000 --> 03:52:20,000
And then on the right side is the frequency of services delivered.

2149
03:52:20,000 --> 03:52:23,000
And it's fairly consistent.

2150
03:52:23,000 --> 03:52:32,000
You can see like PEI is actually higher in the South County in terms of like most frequent,

2151
03:52:32,000 --> 03:52:36,000
as opposed to the two other parts of the county.

2152
03:52:36,000 --> 03:52:38,000
I'm sorry. PEI.

2153
03:52:38,000 --> 03:52:40,000
Prevention early intervention services.

2154
03:52:40,000 --> 03:52:41,000
Yes.

2155
03:52:41,000 --> 03:52:47,000
So I'm not quite seeing where this illustrates an access issue.

2156
03:52:47,000 --> 03:52:52,000
Although certainly, yes, we have services for all ages.

2157
03:52:52,000 --> 03:52:55,000
Youth and families included in the South County.

2158
03:52:55,000 --> 03:52:58,000
But there's certainly less of a concentration fewer kind of options.

2159
03:52:58,000 --> 03:53:05,000
But we do, you know, we have county operated programs in addition to some contractors and always looking to experience.

2160
03:53:05,000 --> 03:53:06,000
Thank you.

2161
03:53:06,000 --> 03:53:10,000
And I wondered if the, I know this isn't.

2162
03:53:10,000 --> 03:53:15,000
It's a frequency of services, but also outlines the type of services, right?

2163
03:53:15,000 --> 03:53:19,000
This is only our county services.

2164
03:53:19,000 --> 03:53:22,000
It doesn't have, it doesn't include the SLS, right?

2165
03:53:22,000 --> 03:53:25,000
The schooling services.

2166
03:53:25,000 --> 03:53:29,000
It would include that SLS services that come through our network.

2167
03:53:29,000 --> 03:53:34,000
It would not include the fee schedule services, which we wouldn't be receiving data on.

2168
03:53:34,000 --> 03:53:35,000
Okay.

2169
03:53:35,000 --> 03:53:37,000
That was the next question is.

2170
03:53:37,000 --> 03:53:47,000
I know I've heard from some school board members concern about access to mental health services in their school systems,

2171
03:53:47,000 --> 03:53:52,000
because, you know, they're, they're just not, that's not what their bread and butter is, right?

2172
03:53:52,000 --> 03:53:54,000
The bread and butter is to provide education.

2173
03:53:54,000 --> 03:53:59,000
And so, how are we fairing or how are the systems fairing?

2174
03:53:59,000 --> 03:54:02,000
How are we engaging or monitoring or supporting?

2175
03:54:02,000 --> 03:54:06,000
The schools, so that we can figure out whether there's a gap in service.

2176
03:54:06,000 --> 03:54:15,000
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.

2177
03:54:15,000 --> 03:54:31,000
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?

2178
03:54:31,000 --> 03:54:35,000
I don't have data for you right now, and I don't want to speak just on my impressions.

2179
03:54:35,000 --> 03:54:48,000
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.

2180
03:54:48,000 --> 03:54:54,000
And part of that is partnering with the schools as they roll out the fee schedule to make sure those connections are happening.

2181
03:54:54,000 --> 03:55:00,000
And that if there's a problem if the fee schedule implementation is not going well, which is not something I've heard.

2182
03:55:00,000 --> 03:55:03,000
But I don't have the data to prove it to you.

2183
03:55:03,000 --> 03:55:04,000
Yeah.

2184
03:55:04,000 --> 03:55:13,000
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.

2185
03:55:13,000 --> 03:55:14,000
Okay.

2186
03:55:14,000 --> 03:55:27,000
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.

2187
03:55:27,000 --> 03:55:33,000
And an opportunity to kind of see all of this comprehensively together, right?

2188
03:55:33,000 --> 03:55:37,000
So schooling services somewhere in there, but we don't know what that breakdown is.

2189
03:55:37,000 --> 03:55:39,000
I'd love to see that pulled out.

2190
03:55:39,000 --> 03:55:50,000
And then have a comparison of what we normally would see kiddos in schooling services receive and then what they're receiving now.

2191
03:55:50,000 --> 03:55:53,000
So just to kind of gauge what the difference is.

2192
03:55:53,000 --> 03:55:59,000
Obviously, the responsibility is on the school system to provide those services.

2193
03:55:59,000 --> 03:56:07,000
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.

2194
03:56:07,000 --> 03:56:18,000
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.

2195
03:56:18,000 --> 03:56:20,000
I'm happy to incorporate that.

2196
03:56:20,000 --> 03:56:32,000
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.

2197
03:56:32,000 --> 03:56:37,000
And tell me if that makes if that window makes sense.

2198
03:56:37,000 --> 03:56:46,000
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.

2199
03:56:46,000 --> 03:56:56,000
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.

2200
03:56:56,000 --> 03:57:02,000
We won't have data on how we can partner with schools or providers to provide that information to the board.

2201
03:57:02,000 --> 03:57:04,000
It may take us longer to figure that out.

2202
03:57:05,000 --> 03:57:14,000
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.

2203
03:57:14,000 --> 03:57:24,000
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.

2204
03:57:24,000 --> 03:57:26,000
The school needs to start.

2205
03:57:26,000 --> 03:57:35,000
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.

2206
03:57:35,000 --> 03:57:43,000
So I'm flexible with that. I just want us to make sure that we don't lose track of it.

2207
03:57:43,000 --> 03:57:48,000
But yeah, I'm open to the flexibility of it.

2208
03:57:49,000 --> 03:57:50,000
Thank you.

2209
03:57:54,000 --> 03:57:57,000
I just want to say thank you so much for the update.

2210
03:57:57,000 --> 03:57:59,000
This has been long time coming.

2211
03:57:59,000 --> 03:58:03,000
Of course, I have to think as well as the homework for leading this effort.

2212
03:58:03,000 --> 03:58:08,000
Many years ago, and your partner on this one has made the tremendous progress.

2213
03:58:08,000 --> 03:58:13,000
Sometimes faster, sometimes slower, sometimes the state cooperates, sometimes they don't.

2214
03:58:13,000 --> 03:58:16,000
But we continue our hard work.

2215
03:58:17,000 --> 03:58:19,000
That being a couple of minor questions.

2216
03:58:19,000 --> 03:58:24,000
One is the regarding the youth sets program.

2217
03:58:24,000 --> 03:58:28,000
I learned that there's one of those clothes in our county.

2218
03:58:28,000 --> 03:58:37,000
And we have to contract that those sets of youth beds outside our county over to, I think,

2219
03:58:37,000 --> 03:58:38,000
was pedoloma.

2220
03:58:38,000 --> 03:58:45,000
So I just want to ask what would be the way we could hopefully increase the possibility of having

2221
03:58:45,000 --> 03:58:52,000
these youth sets beds within the county, so they don't travel so far in the future?

2222
03:58:52,000 --> 03:58:54,000
Yeah, thanks for the question.

2223
03:58:54,000 --> 03:58:55,000
Supervisor Lee.

2224
03:58:55,000 --> 03:58:57,000
It's interesting.

2225
03:58:57,000 --> 03:59:02,000
This issue related to sets youth residential is really a statewide issue.

2226
03:59:02,000 --> 03:59:10,000
So many counties, including ours, are really trying to figure out how do they bring more resources online.

2227
03:59:10,000 --> 03:59:14,000
Just to highlight what we have done here locally.

2228
03:59:14,000 --> 03:59:23,000
So we have had an open procurement for sets youth residential services since October of 2024.

2229
03:59:23,000 --> 03:59:28,000
It's still open and will remain open through 2029.

2230
03:59:28,000 --> 03:59:36,000
Today we have not received any applications or providers coming forward to provide those services.

2231
03:59:36,000 --> 03:59:49,000
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.

2232
03:59:49,000 --> 03:59:54,000
As you've mentioned, we've contracted with four beds with other programs.

2233
03:59:54,000 --> 03:59:59,000
We will continue to do that because we are responsible for ensuring that services made available.

2234
03:59:59,000 --> 04:00:00,000
But this...

2235
04:00:00,000 --> 04:00:08,880
This is a service that I think many counties are struggling to provide, and counties are partnering,

2236
04:00:08,880 --> 04:00:13,920
learning from others about opportunities that may be available.

2237
04:00:13,920 --> 04:00:20,280
You know, locally here in the Bay Area San Francisco has been trying to stand up an operational

2238
04:00:20,280 --> 04:00:27,200
sets youth residential program for the last 20 months. If they're successful, you know,

2239
04:00:27,200 --> 04:00:36,200
we're going to continue to work with them and learn from their, you know, efforts. And then Sonoma County was one

2240
04:00:36,200 --> 04:00:43,200
county that received a B-chip funds to establish a sets youth residential program.

2241
04:00:43,200 --> 04:00:52,200
You know, they anticipate potentially not being able to fill all of those beds, but unfortunately that facility is not

2242
04:00:52,200 --> 04:01:00,200
slated to be open until 2028. So until then, we're working closely with the state, our neighboring counties and partners.

2243
04:01:00,200 --> 04:01:08,200
County behavioral health directors, association is also, you know, looking into this with the state. So we're continuing to try to

2244
04:01:08,200 --> 04:01:15,200
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.

2245
04:01:15,200 --> 04:01:18,200
Megan, I don't know if there's anything else that you would want to add around that.

2246
04:01:19,200 --> 04:01:22,200
Yeah, the only there pieces we do have a contract.

2247
04:01:22,200 --> 04:01:30,200
Part of the issue is many of the providers that exist are not medical providers and not interested in becoming medical providers.

2248
04:01:30,200 --> 04:01:38,200
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.

2249
04:01:38,200 --> 04:01:45,200
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.

2250
04:01:45,200 --> 04:01:54,200
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.

2251
04:01:54,200 --> 04:01:56,200
Sure, we can provide that on a quarterly.

2252
04:01:56,200 --> 04:01:58,200
Thank you.

2253
04:01:58,200 --> 04:02:00,200
And I think that's the question I have.

2254
04:02:00,200 --> 04:02:12,200
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,

2255
04:02:12,200 --> 04:02:16,200
because we do have a agent population including yours truly.

2256
04:02:16,200 --> 04:02:18,200
And nobody's getting younger, right?

2257
04:02:18,200 --> 04:02:19,200
Let's just say.

2258
04:02:19,200 --> 04:02:23,200
So I just want to say thank you for the continued work on this.

2259
04:02:23,200 --> 04:02:24,200
And on that, I'd be a motion.

2260
04:02:24,200 --> 04:02:25,200
We have a second.

2261
04:02:25,200 --> 04:02:26,200
Oh, I'm sorry.

2262
04:02:26,200 --> 04:02:27,200
So the number.

2263
04:02:27,200 --> 04:02:34,200
I just want to add one piece to the motion regarding workforce development recommendations.

2264
04:02:34,200 --> 04:02:41,200
I'd love to get a six month report back on the status of those recommendations as part of the.

2265
04:02:41,200 --> 04:02:44,200
Not the next quarterly report, but the one after that, please.

2266
04:02:44,200 --> 04:02:46,200
Is that all right as well?

2267
04:02:46,200 --> 04:02:47,200
Yeah, absolutely.

2268
04:02:47,200 --> 04:02:48,200
Thank you.

2269
04:02:48,200 --> 04:02:49,200
Okay.

2270
04:02:49,200 --> 04:02:53,200
Good.

2271
04:02:53,200 --> 04:02:54,200
So those are the.

2272
04:02:54,200 --> 04:02:55,200
One, six months.

2273
04:02:55,200 --> 04:02:56,200
Okay, good.

2274
04:02:56,200 --> 04:02:57,200
Thank you.

2275
04:02:57,200 --> 04:02:58,200
All right.

2276
04:02:58,200 --> 04:02:59,200
That's the case.

2277
04:02:59,200 --> 04:03:00,200
We have a motion.

2278
04:03:00,200 --> 04:03:01,200
Second.

2279
04:03:01,200 --> 04:03:05,200
Thank you.

2280
04:03:05,200 --> 04:03:06,200
Thank you.

2281
04:03:06,200 --> 04:03:10,200
On motion of supervisor Ellenberg, seconded by President Lee.

2282
04:03:10,200 --> 04:03:12,200
Supervisor Abacola.

2283
04:03:12,200 --> 04:03:13,200
Hi.

2284
04:03:13,200 --> 04:03:14,200
Supervisor Yoon.

2285
04:03:14,200 --> 04:03:15,200
Yes.

2286
04:03:15,200 --> 04:03:16,200
Supervisor Ellenberg.

2287
04:03:16,200 --> 04:03:17,200
Yes.

2288
04:03:17,200 --> 04:03:18,200
Vice President Hernandez.

2289
04:03:18,200 --> 04:03:19,200
Yes.

2290
04:03:19,200 --> 04:03:20,200
President Lee.

2291
04:03:20,200 --> 04:03:21,200
All right, as well.

2292
04:03:21,200 --> 04:03:22,200
Motion carries.

2293
04:03:22,200 --> 04:03:23,200
Thank you.

2294
04:03:23,200 --> 04:03:25,200
And we're not going to address any more issues.

2295
04:03:25,200 --> 04:03:27,200
Because that's a lot of hangry colleagues at this point.

2296
04:03:27,200 --> 04:03:28,200
So we will.

2297
04:03:28,200 --> 04:03:29,200
Brick.

2298
04:03:29,200 --> 04:03:31,200
For lunch.

2299
04:03:31,200 --> 04:03:32,200
Oh, yes.

2300
04:03:32,200 --> 04:03:33,200
So so.

2301
04:03:33,200 --> 04:03:34,200
So I don't know.

2302
04:03:34,200 --> 04:03:35,200
I knew.

2303
04:03:35,200 --> 04:03:36,200
Yeah.

2304
04:03:36,200 --> 04:03:39,200
The folks for the time search and item.

2305
04:03:40,200 --> 04:03:41,200
Did a rise at one.

2306
04:03:41,200 --> 04:03:43,200
I understand that everybody needs a break.

2307
04:03:43,200 --> 04:03:47,200
I was just request that it could be as short or brief as this reason.

2308
04:03:47,200 --> 04:03:49,200
Sure for everyone.

2309
04:03:49,200 --> 04:03:50,200
Let's do a quick one.

2310
04:03:50,200 --> 04:03:52,200
Supervisor Ellenberg and President Lee.

2311
04:03:52,200 --> 04:03:53,200
Yes.

2312
04:03:53,200 --> 04:03:54,200
To help with your consideration.

2313
04:03:54,200 --> 04:03:56,200
So for as Abacola nice.

2314
04:03:56,200 --> 04:03:57,200
Doug and Tara's knack packs.

2315
04:03:57,200 --> 04:03:58,200
And we're good now.

2316
04:03:58,200 --> 04:03:59,200
All right.

2317
04:03:59,200 --> 04:04:01,200
Oh, no.

2318
04:04:01,200 --> 04:04:04,200
But if anyone else needs to break.

2319
04:04:04,200 --> 04:04:06,200
So so Richard 145.

2320
04:04:06,200 --> 04:04:07,200
Is that okay?

2321
04:04:07,200 --> 04:04:08,200
145.

2322
04:04:08,200 --> 04:04:08,700
Yeah.

2323
04:04:08,700 --> 04:04:09,700
Great.

2324
04:04:09,700 --> 04:04:10,700
Thank you very much.

2325
04:04:10,700 --> 04:04:11,700
Thank you.

2326
04:04:11,700 --> 04:04:12,700
With Apologies we are running later than I thought.

2327
04:04:12,700 --> 04:04:13,700
But thank you.

2328
04:04:13,700 --> 04:04:14,700
Thank you.

2329
04:04:38,700 --> 04:04:40,700
Thank you.

2330
04:05:08,700 --> 04:05:10,700
Thank you.

2331
04:05:38,700 --> 04:05:39,700
Thank you.

2332
04:06:08,700 --> 04:06:09,700
Thank you.

2333
04:06:38,700 --> 04:06:39,700
Thank you.

2334
04:07:08,700 --> 04:07:09,700
Thank you.

2335
04:07:38,700 --> 04:07:39,700
Thank you.

2336
04:08:08,700 --> 04:08:09,700
Thank you.

2337
04:08:38,700 --> 04:08:39,700
Thank you.

2338
04:09:08,700 --> 04:09:09,700
Thank you.

2339
04:09:38,700 --> 04:09:40,700
Thank you.

2340
04:10:08,700 --> 04:10:10,700
Thank you.

2341
04:10:38,700 --> 04:10:39,700
Thank you.

2342
04:11:08,700 --> 04:11:09,700
Thank you.

2343
04:11:38,700 --> 04:11:39,700
Thank you.

2344
04:12:08,700 --> 04:12:10,700
Thank you.

2345
04:12:38,700 --> 04:12:39,700
Thank you.

2346
04:12:39,700 --> 04:12:40,700
Thank you.

2347
04:13:08,700 --> 04:13:09,700
Thank you.

2348
04:13:38,700 --> 04:13:39,700
Thank you.

2349
04:14:08,700 --> 04:14:10,700
Thank you.

2350
04:14:38,700 --> 04:14:40,700
Thank you.

2351
04:15:00,000 --> 04:15:21,000
Testing.

2352
04:15:30,000 --> 04:15:32,000
You

2353
04:16:00,000 --> 04:16:16,000
You

2354
04:16:16,000 --> 04:16:20,000
Testing.

2355
04:16:46,000 --> 04:16:48,000
You

2356
04:17:16,000 --> 04:17:18,000
You

2357
04:17:46,000 --> 04:17:48,000
You

2358
04:18:16,000 --> 04:18:18,000
You

2359
04:18:46,000 --> 04:18:48,000
You

2360
04:19:16,000 --> 04:19:18,000
You

2361
04:19:46,000 --> 04:19:48,000
You

2362
04:20:16,000 --> 04:20:18,000
You

2363
04:20:46,000 --> 04:20:48,000
You

2364
04:21:16,000 --> 04:21:18,000
You

2365
04:21:46,000 --> 04:21:48,000
You

2366
04:22:16,000 --> 04:22:18,000
You

2367
04:22:46,000 --> 04:22:48,000
You

2368
04:22:48,000 --> 04:22:50,000
You

2369
04:23:16,000 --> 04:23:18,000
You

2370
04:23:18,000 --> 04:23:20,000
You

2371
04:23:46,000 --> 04:23:48,000
You

2372
04:23:48,000 --> 04:23:50,000
You

2373
04:24:16,000 --> 04:24:18,000
You

2374
04:24:18,000 --> 04:24:20,000
You

2375
04:24:20,000 --> 04:24:22,000
You

2376
04:24:46,000 --> 04:24:48,000
You

2377
04:24:48,000 --> 04:24:50,000
You

2378
04:24:50,000 --> 04:24:52,000
You

2379
04:25:16,000 --> 04:25:18,000
You

2380
04:25:18,000 --> 04:25:20,000
You

2381
04:25:20,000 --> 04:25:22,000
You

2382
04:25:46,000 --> 04:25:48,000
You

2383
04:25:48,000 --> 04:25:50,000
You

2384
04:25:50,000 --> 04:25:52,000
You

2385
04:26:16,000 --> 04:26:18,000
You

2386
04:26:18,000 --> 04:26:19,000
You

2387
04:26:19,000 --> 04:26:20,000
You

2388
04:26:20,000 --> 04:26:21,000
You

2389
04:26:21,000 --> 04:26:22,000
There

2390
04:26:22,000 --> 04:26:24,000
You

2391
04:26:24,000 --> 04:26:26,000
You

2392
04:26:26,000 --> 04:26:28,000
You

2393
04:26:28,000 --> 04:26:30,000
You

2394
04:26:30,000 --> 04:26:32,000
You

2395
04:26:32,000 --> 04:26:34,000
You

2396
04:26:34,000 --> 04:26:36,000
Feel

2397
04:26:36,000 --> 04:26:38,000
You

2398
04:26:38,000 --> 04:26:40,000
You

2399
04:26:40,000 --> 04:26:42,000
It

2400
04:26:42,000 --> 04:26:44,000
You

2401
04:26:44,000 --> 04:26:46,000
you

2402
04:27:14,000 --> 04:27:16,000
you

2403
04:27:44,000 --> 04:27:46,000
you

2404
04:28:14,000 --> 04:28:24,000
you

2405
04:28:24,000 --> 04:28:36,160
Yes, we'll be reconvenient, 145, just want to make sure everybody's ready to go.

2406
04:28:36,160 --> 04:28:41,960
Sorry, we were trying to do after one, but we ran a little bit late earlier, but just want

2407
04:28:41,960 --> 04:28:42,960
to be sure everybody's there.

2408
04:28:42,960 --> 04:28:46,840
You can also test your mic to make sure they're working, so we could get rolling distance

2409
04:28:46,840 --> 04:28:47,840
time hits.

2410
04:29:16,840 --> 04:29:23,840
Thank you.

2411
04:29:46,840 --> 04:29:53,840
Thank you.

2412
04:30:00,000 --> 04:30:25,280
Good afternoon. We now have 145 reconvening to our board meeting. Should we get at least

2413
04:30:25,280 --> 04:30:29,280
call the roll again, there may be a stopper's quorum.

2414
04:30:29,280 --> 04:30:36,280
All right, a little roll. Supervisor Abaculca. Supervisor you. Supervisor Alan Berg.

2415
04:30:36,280 --> 04:30:42,280
I'm here. Vice President Aranas is abs here. And President Lee.

2416
04:30:42,280 --> 04:30:46,280
Presidents are good up to noon. And we do have a quorum of five.

2417
04:30:46,280 --> 04:30:54,280
All right, we go. Let's do it. Now we're doing item 14 early learning workforce initiative report. Please proceed.

2418
04:30:55,280 --> 04:30:59,280
All right. Good afternoon. Board of Supervisors.

2419
04:30:59,280 --> 04:31:02,280
No worries, Alan. You want to go first?

2420
04:31:02,280 --> 04:31:04,280
Action, introduce yourself.

2421
04:31:04,280 --> 04:31:12,280
Yes. Good afternoon. Supervisors, Dr. Heidi Emberling Director of the Office of Children and Families Policy.

2422
04:31:12,280 --> 04:31:16,280
I'm here with my colleague Melissa Luz, Senior Management Analyst.

2423
04:31:16,280 --> 04:31:23,280
And with my first five colleagues who I will let them introduce themselves.

2424
04:31:23,280 --> 04:31:26,280
Good afternoon. I'm Alaya Sanchin.

2425
04:31:26,280 --> 04:31:31,280
I'm you with a motto. You with a motto?

2426
04:31:31,280 --> 04:31:33,280
Thank you. I'm Aldero Salis.

2427
04:31:33,280 --> 04:31:36,280
And I'm China Hudson Davis.

2428
04:31:36,280 --> 04:31:38,280
Good afternoon.

2429
04:31:38,280 --> 04:31:47,280
So in June of 2022, the board allocated $5 million in one time funds relating to three first five quality

2430
04:31:47,280 --> 04:31:50,280
matters early childhood education workforce initiatives.

2431
04:31:50,280 --> 04:31:55,280
The initiatives included a apprenticeship program which provides an earn-in learn program

2432
04:31:55,280 --> 04:31:59,280
that brings new providers into the early learning field.

2433
04:31:59,280 --> 04:32:04,280
A shared services alliance that provides small business supports to family child care home providers

2434
04:32:04,280 --> 04:32:10,280
and a transitional kindergarten equity program that removes financial barriers for diverse early educators

2435
04:32:10,280 --> 04:32:17,280
to complete educational coursework culminating in earning a preschool to three credential that allows them to teach

2436
04:32:18,280 --> 04:32:26,280
in a TK classroom. In February 23, the board approved an additional $5 million in one time American Rescue Plan

2437
04:32:26,280 --> 04:32:30,280
Act funds to further bolster the early learning programs.

2438
04:32:30,280 --> 04:32:35,280
And to tell you more about these ECE workforce initiative efforts.

2439
04:32:35,280 --> 04:32:44,280
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.

2440
04:32:44,280 --> 04:32:49,280
Thank you Heidi. I'm actually going to pass it over to Leia to get us started.

2441
04:32:49,280 --> 04:32:52,280
Great. Thank you.

2442
04:32:52,280 --> 04:32:55,280
So good afternoon again Board of Supervisors. And we're here.

2443
04:32:55,280 --> 04:33:02,280
We'd like to thank you for the opportunity to share updates on the early on the workforce development initiatives.

2444
04:33:02,280 --> 04:33:06,280
But let me go ahead and start with the apprenticeship program.

2445
04:33:06,280 --> 04:33:11,280
Apprenticeship program was designed to address one of our greatest workforce challenges.

2446
04:33:11,280 --> 04:33:16,280
Helping educators advance their careers without having to choose between work and school.

2447
04:33:16,280 --> 04:33:22,280
So through the comprehensive earn and learn model our apprentices received paid on the job training.

2448
04:33:22,280 --> 04:33:29,280
College courses, mentorship, wraparound supports that remove barriers to completion.

2449
04:33:29,280 --> 04:33:31,280
Next slide.

2450
04:33:31,280 --> 04:33:43,280
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.

2451
04:33:43,280 --> 04:33:55,280
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.

2452
04:33:55,280 --> 04:33:59,280
And that is opening their doors for families with young children.

2453
04:33:59,280 --> 04:34:04,280
So each cohort helped us with our partnership.

2454
04:34:04,280 --> 04:34:12,280
It strengthened our partnership and also helped us improve that design as we hear from our participants year after year.

2455
04:34:12,280 --> 04:34:27,280
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.

2456
04:34:27,280 --> 04:34:30,280
Next slide.

2457
04:34:30,280 --> 04:34:39,280
So this program is in its fifth year of the six year funding period with approximately 68% invested to support the implementation.

2458
04:34:39,280 --> 04:34:54,280
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.

2459
04:34:54,280 --> 04:34:56,280
So next slide.

2460
04:34:56,280 --> 04:35:04,280
So I'll talk about the challenges now our greatest lesson for our lessons for this for this program first.

2461
04:35:04,280 --> 04:35:15,280
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.

2462
04:35:15,280 --> 04:35:21,280
There's assistance with permit application when they're applying for their teacher child development permits.

2463
04:35:22,280 --> 04:35:37,280
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.

2464
04:35:37,280 --> 04:35:42,280
So with that also a strong network of encouragement help them thrive.

2465
04:35:42,280 --> 04:35:53,280
We've also learned that building a successful apprenticeship pathway requires collaboration with colleges with employer partners with their mentors with public agencies.

2466
04:35:53,280 --> 04:36:08,280
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.

2467
04:36:09,280 --> 04:36:21,280
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.

2468
04:36:21,280 --> 04:36:30,280
And apprenticeship program in fact they've already extended and are doing more and with more college partners as well.

2469
04:36:30,280 --> 04:36:38,280
They have special education apprenticeship para educator apprenticeship and also a wellness coach.

2470
04:36:38,280 --> 04:36:46,280
So this transition reflects the strength of the model with help build and ensures that investment will continue.

2471
04:36:46,280 --> 04:37:00,280
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.

2472
04:37:00,280 --> 04:37:15,280
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.

2473
04:37:16,280 --> 04:37:18,280
Thank you.

2474
04:37:18,280 --> 04:37:25,280
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.

2475
04:37:25,280 --> 04:37:33,280
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.

2476
04:37:33,280 --> 04:37:41,280
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.

2477
04:37:41,280 --> 04:37:44,280
Slide please.

2478
04:37:45,280 --> 04:37:49,280
We have 91 family child care home educators participating in the program currently.

2479
04:37:49,280 --> 04:37:55,280
We started last year by launching the shared service alliance website which is a centralized information hub for our educators.

2480
04:37:55,280 --> 04:38:03,280
We then implemented a tiered coaching model that paired experienced family child care home educators with their colleagues in the shared service alliance.

2481
04:38:03,280 --> 04:38:11,280
We also provided several networking sessions based on the educator interests including business practices licensing health and safety and advocacy.

2482
04:38:12,280 --> 04:38:23,280
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.

2483
04:38:23,280 --> 04:38:35,280
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.

2484
04:38:35,280 --> 04:38:38,280
Slide please.

2485
04:38:38,280 --> 04:38:46,280
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.

2486
04:38:46,280 --> 04:38:59,280
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.

2487
04:38:59,280 --> 04:39:02,280
Slide please.

2488
04:39:02,280 --> 04:39:10,280
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.

2489
04:39:10,280 --> 04:39:16,280
Educators bring a wide range of skills and experience and the support they need is not one size fits all.

2490
04:39:16,280 --> 04:39:26,280
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.

2491
04:39:26,280 --> 04:39:29,280
These partners are invested in this work for the long term.

2492
04:39:29,280 --> 04:39:34,280
At the request of educators we've also incorporated advocacy opportunities into the program.

2493
04:39:34,280 --> 04:39:40,280
So that regardless of who occupies decision making roles providers are equipped to elevate their needs and perspectives.

2494
04:39:40,280 --> 04:39:42,280
We've worked to build spaces.

2495
04:39:42,280 --> 04:39:49,280
Where our educators can connect with CDSS, CDE, state-elected and local systems partners to share their lived experience.

2496
04:39:50,280 --> 04:39:59,280
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.

2497
04:39:59,280 --> 04:40:01,280
Slide please.

2498
04:40:01,280 --> 04:40:05,280
And in that vein we have pursued sustainability in several ways.

2499
04:40:05,280 --> 04:40:16,280
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.

2500
04:40:16,280 --> 04:40:21,280
Most importantly we will continue building provider voice by centering educator needs in any future program.

2501
04:40:21,280 --> 04:40:27,280
I want to take a moment to share some quotes from SSA members which we gathered during listening session this spring.

2502
04:40:27,280 --> 04:40:40,280
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.

2503
04:40:40,280 --> 04:40:50,280
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.

2504
04:40:50,280 --> 04:40:55,280
But after this training I came home and I was like are we taking this tax credit are we taking this one.

2505
04:40:55,280 --> 04:40:59,280
And now if I need to do my taxes I can't do it all by myself.

2506
04:40:59,280 --> 04:41:08,280
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.

2507
04:41:09,280 --> 04:41:14,280
With that I will turn it over to my colleague as mayor of the Rosales who will share more about the TK equity initiative.

2508
04:41:15,280 --> 04:41:16,280
Hello everyone.

2509
04:41:27,280 --> 04:41:29,280
Hello everyone and thank you you.

2510
04:41:29,280 --> 04:41:36,280
The TK equity initiative was created in response to the California expansion of universal pre kindergarten U.P.K.

2511
04:41:36,280 --> 04:41:39,280
creating an urgent need for qualified teachers.

2512
04:41:39,280 --> 04:41:46,280
First five Santa Clara partnered with San Jose State University to help experience early childhood educators earned the new P.K.

2513
04:41:46,280 --> 04:41:49,280
Early childhood education specialist credential.

2514
04:41:49,280 --> 04:41:59,280
This created a pathway for early educators to become credit teachers in transitional kindergarten through third grade while strengthening California's early childhood workforce.

2515
04:41:59,280 --> 04:42:07,280
And February of 2024, California officially approved the long awaited P.K. through credential requirements by May of 2024.

2516
04:42:07,280 --> 04:42:13,280
San Jose State became one of the first universities in the state authorized to offer the new credential.

2517
04:42:13,280 --> 04:42:22,280
At the same time we have first five we really launched outreach across Santa Clara County to recruit educators from licensed family child care.

2518
04:42:22,280 --> 04:42:27,280
Family friends in neighbor and center base California State preschool program slide.

2519
04:42:29,280 --> 04:42:36,280
Through multiple information sessions and targeted outreach 16 early educators enrolled in the P.K. three credential program.

2520
04:42:36,280 --> 04:42:45,280
Participants met university administrative requirements by holding a bachelor's degree with appropriate ECE courses in community to a multi semester program.

2521
04:42:45,280 --> 04:42:56,280
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.

2522
04:42:57,280 --> 04:43:01,280
Participants in the initiative earned more than a teaching credential.

2523
04:43:01,280 --> 04:43:11,280
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.

2524
04:43:11,280 --> 04:43:18,280
Participants are completing the programs between fall of 2025 and the anticipated spring of 2027.

2525
04:43:18,280 --> 04:43:28,280
Learning the P.K. three credential in Master's degree and for five participants a language authorization certificate slide.

2526
04:43:28,280 --> 04:43:40,280
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.

2527
04:43:40,280 --> 04:43:56,280
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.

2528
04:43:56,280 --> 04:44:07,280
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.

2529
04:44:07,280 --> 04:44:19,280
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.

2530
04:44:19,280 --> 04:44:31,280
Participants identify the coherent model university faculty program advisors T.K. equities scholarship and peer support as a key contributors to their success participants.

2531
04:44:31,280 --> 04:44:37,280
ECE expertise in play based learning and social emotional development was recognized as a strength.

2532
04:44:37,280 --> 04:44:42,280
The project also provided valuable lessons to strengthen future implementation.

2533
04:44:42,280 --> 04:44:49,280
Many family child care educators were interested but could not afford to pause or close their business to complete the student teaching.

2534
04:44:49,280 --> 04:44:59,280
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.

2535
04:45:00,000 --> 04:45:09,000
For some, securing strategic coverage during their student teaching presented an additional challenge in balancing work and program requirements.

2536
04:45:09,000 --> 04:45:18,000
Limited awareness of the new credential and recognition of the preschool teaching experience was when transitioning into a school district salaries schedule.

2537
04:45:18,000 --> 04:45:21,000
Slide.

2538
04:45:21,000 --> 04:45:27,000
As we look ahead, our focus is on sustaining and expanding this work.

2539
04:45:27,000 --> 04:45:36,000
That includes increasing awareness of the PK3 credential pathway and recognizing the valuable experience that preschool educators already bring to the profession.

2540
04:45:36,000 --> 04:45:49,000
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.

2541
04:45:50,000 --> 04:45:59,000
On going data collection will help measure outcome, strengthen workforce planning and increase access to high quality early learning opportunities for children.

2542
04:45:59,000 --> 04:46:12,000
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.

2543
04:46:12,000 --> 04:46:17,000
Thank you and now passing it over to Trina.

2544
04:46:17,000 --> 04:46:18,000
Slide.

2545
04:46:20,000 --> 04:46:22,000
Hi, everyone. I'm Trina Hudson.

2546
04:46:22,000 --> 04:46:25,000
Executive of early learning care here at Versailles Santa Clara.

2547
04:46:25,000 --> 04:46:29,000
As you heard across all three of these initiatives, the lesson is very clear.

2548
04:46:29,000 --> 04:46:34,000
If we want a strong early learning system, we must invest in people who make that system possible.

2549
04:46:34,000 --> 04:46:41,000
Early educators are more likely to enter, remain in and grow within this field when they have the right supports.

2550
04:46:41,000 --> 04:46:48,000
Affordable education and credential pathways, coaching, language access, business resources, financial assistance,

2551
04:46:48,000 --> 04:46:52,000
strong partnerships and a meaningful voice and decisions that affect them.

2552
04:46:52,000 --> 04:46:56,000
This work matters far beyond the early learning fields.

2553
04:46:56,000 --> 04:47:00,000
When we do not have enough educators, we do not have enough early learning spaces.

2554
04:47:00,000 --> 04:47:09,000
When families cannot access reliable care, their ability to work, pursue education and continue to contribute to our locally economy is affected.

2555
04:47:09,000 --> 04:47:12,000
We are committed to carrying these lessons forward.

2556
04:47:12,000 --> 04:47:17,000
We are integrating successful practices into quality matters as you shared.

2557
04:47:17,000 --> 04:47:22,000
We are strengthening partnerships and preserving what has demonstrated the greatest impact.

2558
04:47:22,000 --> 04:47:27,000
But we also want to be very transparent that integrating is not the same as investing.

2559
04:47:27,000 --> 04:47:32,000
We can grade funding, stretch resources, and get very creative making every dollar work.

2560
04:47:32,000 --> 04:47:38,000
It is exceptionally hard, but creativity alone cannot replace the cleaning revenue or meet the full scale of the need.

2561
04:47:38,000 --> 04:47:46,000
The county's investment gave us the opportunity to test these approaches, reduce barriers, elevate provider voice and demonstrate what works.

2562
04:47:46,000 --> 04:47:52,000
Our collective responsibility now is to ensure that this progress in momentum do not end when the funding does.

2563
04:47:52,000 --> 04:47:57,000
So we want to thank you all for your partnership and we are open to questions.

2564
04:47:57,000 --> 04:48:05,000
Thank you. Let's see if the questions from public first.

2565
04:48:05,000 --> 04:48:12,000
I do currently have one speaker in chambers and it looks like two on zoom.

2566
04:48:12,000 --> 04:48:13,000
Two minutes each.

2567
04:48:13,000 --> 04:48:19,000
All right. So we'll call up our speaker in chambers Elizabeth Garcia.

2568
04:48:27,000 --> 04:48:44,000
One second, let's try to make sure the mic works.

2569
04:48:44,000 --> 04:48:49,000
Let's try again.

2570
04:48:49,000 --> 04:48:54,000
Hold down for some reason you're not coming up, but I do have them on.

2571
04:48:54,000 --> 04:48:55,000
Can you try again?

2572
04:48:55,000 --> 04:48:57,000
Sure. There you go.

2573
04:48:57,000 --> 04:49:05,000
Good afternoon. My name is Elizabeth Garcia. I am a licensed family child care provider and an early educator in Santa Clara County.

2574
04:49:05,000 --> 04:49:11,000
First five apprenticeship program and SSA have transformed how I show up as an educator.

2575
04:49:11,000 --> 04:49:23,000
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.

2576
04:49:24,000 --> 04:49:39,000
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.

2577
04:49:39,000 --> 04:49:49,000
When we invest in one early educator, that investment reaches children, families, other providers, future teachers and ultimately the larger community.

2578
04:49:49,000 --> 04:49:50,000
Thank you.

2579
04:49:54,000 --> 04:50:01,000
Our first Zoom speaker is a phone number ending in 367.

2580
04:50:01,000 --> 04:50:06,000
We've asked it on mute.

2581
04:50:06,000 --> 04:50:12,000
My name is William, and I have an AF and early childhood and a regular center permit.

2582
04:50:12,000 --> 04:50:19,000
I can relate to the low wages and staffing and family families at home.

2583
04:50:19,000 --> 04:50:32,000
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.

2584
04:50:32,000 --> 04:50:41,000
And they are the largest by far businesses or holders of early childhood and children.

2585
04:50:41,000 --> 04:50:54,000
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.

2586
04:50:54,000 --> 04:51:04,000
As you mentioned, only 3 out of 12 statewide had that particular preparation mentioned, but then you had a specialized potential.

2587
04:51:04,000 --> 04:51:12,000
So we're talking about, in fact, a different family nature owner has to go and continue with these units and continue on.

2588
04:51:12,000 --> 04:51:20,000
How do you possibly fund for substitute to take over in their home and answer for that if they wish to continue.

2589
04:51:20,000 --> 04:51:31,000
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.

2590
04:51:31,000 --> 04:51:34,000
Thank you.

2591
04:51:34,000 --> 04:51:43,000
Thank you, and our final speaker for this item is Otokand Blay.

2592
04:51:43,000 --> 04:51:49,000
Good afternoon, everybody. My name is Otokand Blay. I'm a childcare provider in Santa Clara County.

2593
04:51:49,000 --> 04:51:56,000
I'm asking the parents are living in the county because of high cost of living.

2594
04:51:56,000 --> 04:52:04,000
And the childcare is like number one in the list after the home for payment for parents.

2595
04:52:04,000 --> 04:52:13,000
How is the county going to help us to provide and help the parents to stay in this county?

2596
04:52:13,000 --> 04:52:28,000
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.

2597
04:52:28,000 --> 04:52:33,000
So they can stay in this county because we see a lot of parents that are making up.

2598
04:52:33,000 --> 04:52:38,000
They are living the county to go to the valley and elsewhere where they can afford.

2599
04:52:38,000 --> 04:52:42,000
The cost of living is very high as we all can know.

2600
04:52:42,000 --> 04:52:49,000
And also to support the Santa Clara County first part to help us because they are doing a lot.

2601
04:52:49,000 --> 04:52:52,000
Yeah, doing more than what they support to do.

2602
04:52:52,000 --> 04:52:57,000
Inside and outside, they are putting us together. We are learning a lot.

2603
04:52:57,000 --> 04:53:03,000
And there's a lot of time that we are located to help us childcare provider.

2604
04:53:03,000 --> 04:53:06,000
Because we don't have the time to go out.

2605
04:53:06,000 --> 04:53:11,000
And some of us, the rule of 28 is that no helping us.

2606
04:53:11,000 --> 04:53:19,000
How also the county can raise that even to four hours so we can attend or the meaningful meeting and the school.

2607
04:53:19,000 --> 04:53:25,000
That's we can raise our sum of us, you know, that I'm clear that we go to school.

2608
04:53:25,000 --> 04:53:34,000
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.

2609
04:53:34,000 --> 04:53:38,000
How you guys can help us. Thank you so much.

2610
04:53:38,000 --> 04:53:43,000
And that concludes our public speakers for this item.

2611
04:53:43,000 --> 04:53:50,000
Thank you going close to the public speaking portion of this. So by the number.

2612
04:53:50,000 --> 04:53:53,000
Thank you. I feel like today is sort of a model lesson.

2613
04:53:53,000 --> 04:53:58,000
And if you sit on the board long enough all of your referrals come to fruition.

2614
04:53:58,000 --> 04:54:07,000
This is a program that emerged from the roadmap to recovery referral that I brought in 2022 to help families with young children.

2615
04:54:07,000 --> 04:54:12,000
And child care providers rebound after the pandemic.

2616
04:54:12,000 --> 04:54:17,000
And as you noted, the referral address three urgent needs that had become clear.

2617
04:54:17,000 --> 04:54:27,000
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.

2618
04:54:27,000 --> 04:54:34,000
Both through facilities grants and through a range of workforce development programs which are the focus of the reports today.

2619
04:54:34,000 --> 04:54:41,000
And thank you all so much for really just doing a fantastic job with the presentation.

2620
04:54:41,000 --> 04:54:49,000
To backtrack just for a moment, of course, for young children who lost a parent or primary caregiver to COVID,

2621
04:54:49,000 --> 04:54:55,000
their healing will be lifelong and ensuring that they have access to stable high quality learning environments.

2622
04:54:55,000 --> 04:54:59,000
I think is one of the most meaningful commitments that we can make.

2623
04:54:59,000 --> 04:55:04,000
We heard today, of course, about the strain on the child care sector.

2624
04:55:04,000 --> 04:55:09,000
We all know that the pandemic pushed an already fragile system into crisis.

2625
04:55:09,000 --> 04:55:13,000
When child care becomes unstable, families can't return to work.

2626
04:55:13,000 --> 04:55:19,000
Children lose critical developmental support and truly our entire economy suffers.

2627
04:55:19,000 --> 04:55:28,000
So it has become very clear that supporting the early learning workforce is a direct investment in economic recovery and economic growth.

2628
04:55:28,000 --> 04:55:35,000
I want to acknowledge the really thoughtful approach that our team and partners have taken.

2629
04:55:35,000 --> 04:55:41,000
The supports that are being offered, including business coaching, stipends and communities of practice,

2630
04:55:41,000 --> 04:55:46,000
strengthen educators as professionals and as small business owners.

2631
04:55:46,000 --> 04:55:56,000
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.

2632
04:55:56,000 --> 04:56:05,000
I want to recognize also that these supports came at a time when universal transitional kindergarten programming was being implemented statewide.

2633
04:56:05,000 --> 04:56:15,000
And while that came with some huge benefits, it also fundamentally shifted the child care economic model.

2634
04:56:15,000 --> 04:56:24,000
So thank you for sharing how the TK teacher equity program has assisted eligible participants to take advantage of this new opportunity.

2635
04:56:24,000 --> 04:56:35,000
But we know that still many, many more child care economic models were negatively impacted as they lost a significant number of older children,

2636
04:56:35,000 --> 04:56:42,000
leaving them a few dollars to support the higher cost requirements of serving children zero to three.

2637
04:56:42,000 --> 04:56:47,000
I heard all of you, including the speakers, the work must be built to last.

2638
04:56:47,000 --> 04:56:54,000
Sustainability is key and thank you for pointing out that integration and braiding is not investment.

2639
04:56:54,000 --> 04:56:59,000
You are right. We need sustainable, sustained on going dollars.

2640
04:56:59,000 --> 04:57:02,000
We need them at the state level.

2641
04:57:02,000 --> 04:57:16,000
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

2642
04:57:16,000 --> 04:57:22,000
this critical sector, but we absolutely don't have the wear with all to do this on our own.

2643
04:57:22,000 --> 04:57:35,000
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.

2644
04:57:35,000 --> 04:57:45,000
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

2645
04:57:45,000 --> 04:57:50,000
and to transition personnel costs along standing funding sources.

2646
04:57:50,000 --> 04:58:04,000
Those are decisions that help us to create a durable structure to help educators over time.

2647
04:58:04,000 --> 04:58:11,000
Sorry, I went off of my script and my smart policy team anticipated what I was going to say.

2648
04:58:11,000 --> 04:58:20,000
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.

2649
04:58:20,000 --> 04:58:25,000
There is a lot of advocacy happening in Sacramento.

2650
04:58:25,000 --> 04:58:33,000
Right now, I feel like over the next two years we really do have a window of opportunity.

2651
04:58:33,000 --> 04:58:43,000
And I know that that may sound counterproductive because we have such a huge crisis around healthcare and the impacts of HR1.

2652
04:58:43,000 --> 04:59:02,000
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.

2653
04:59:03,000 --> 04:59:08,000
So I'll finish with a thank you to staff and partners for the work reflected in the update.

2654
04:59:08,000 --> 04:59:12,000
It is thoughtful, it is strategic, it is deeply needed.

2655
04:59:12,000 --> 04:59:22,000
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.

2656
04:59:23,000 --> 04:59:26,000
My motion to be to is to receive the report.

2657
04:59:26,000 --> 04:59:36,000
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.

2658
04:59:36,000 --> 04:59:42,000
So much more to come. Again, first five folks, thank you for being absolutely amazing partners in the work.

2659
04:59:42,000 --> 04:59:44,000
Really appreciate you all.

2660
04:59:44,000 --> 04:59:46,000
Second.

2661
04:59:47,000 --> 04:59:49,000
Any further comments?

2662
04:59:49,000 --> 04:59:50,000
Yes.

2663
04:59:50,000 --> 04:59:52,000
I want to also extend my appreciation.

2664
04:59:52,000 --> 05:00:00,000
Thank you so much for this report and thank you supervisor Ellen Berg for your leadership on early childhood care and education.

2665
05:00:00,000 --> 05:00:08,000
The gaps present an opportunity for us as a board to consider the county's important role in work for development.

2666
05:00:08,000 --> 05:00:15,000
Specifically for excluded workers, which is a theme that I feel was alluded to throughout the presentation and the report.

2667
05:00:15,000 --> 05:00:23,000
This is relevant and early childhood education spaces with community health workers, home visitation professionals, and all the support workers and so much more.

2668
05:00:23,000 --> 05:00:31,000
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.

2669
05:00:31,000 --> 05:00:33,000
So I'm going to try to land this plane.

2670
05:00:33,000 --> 05:00:37,000
Start with my appreciation in a proposal vision for the future.

2671
05:00:37,000 --> 05:00:43,000
So, Heidi, because of your work, are cost many areas of renaissance that are closely related and can support one another.

2672
05:00:43,000 --> 05:00:52,000
I'm eager to see how the work force development efforts that we support converge for greater outcomes for youth across the whole county.

2673
05:00:52,000 --> 05:00:58,000
And especially in the demonstration site, so we get to demonstrate and experiment with these models.

2674
05:00:58,000 --> 05:01:04,000
I'd also like to explore together how we better align this work with that of the Children Youth Services Master Plan.

2675
05:01:04,000 --> 05:01:09,000
The San Jose State's Foreign E.C. Promise Initiative and the E.C. co-op hub.

2676
05:01:09,000 --> 05:01:20,000
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.

2677
05:01:20,000 --> 05:01:34,000
Right, from birth early education through throughout adolescence and then to to San Jose State University or other ghost martens.

2678
05:01:34,000 --> 05:01:46,000
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.

2679
05:01:46,000 --> 05:01:54,000
And also to ensure the county as a consistent partner to our CBOs or education partners and our funders.

2680
05:01:54,000 --> 05:01:58,000
Thank you so much for your work, for this presentation.

2681
05:01:58,000 --> 05:02:13,000
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.

2682
05:02:13,000 --> 05:02:23,000
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.

2683
05:02:23,000 --> 05:02:31,000
Um, Doug telling with one another. So thank you so much and I look forward to the future.

2684
05:02:31,000 --> 05:02:33,000
Thank you. Yes, thank you.

2685
05:02:33,000 --> 05:02:36,000
Thank you.

2686
05:02:36,000 --> 05:02:50,000
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.

2687
05:02:50,000 --> 05:02:52,000
It is very difficult.

2688
05:02:52,000 --> 05:02:57,000
I worked for first five for about 12 years and this is.

2689
05:02:58,000 --> 05:03:01,000
Well, then 25 years ago.

2690
05:03:01,000 --> 05:03:07,000
And, um, and it was just no, it can't be 25 years ago.

2691
05:03:07,000 --> 05:03:11,000
It has to be less because I'm super young.

2692
05:03:11,000 --> 05:03:21,000
But about 20 years ago, I was working on child care efforts within first five and I remember how difficult it was.

2693
05:03:21,000 --> 05:03:29,000
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.

2694
05:03:29,000 --> 05:03:33,000
And that's investing in the youngest of our citizens, right?

2695
05:03:33,000 --> 05:03:46,000
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.

2696
05:03:46,000 --> 05:03:55,000
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.

2697
05:03:55,000 --> 05:04:02,000
Including, and this is something that I had worked on previously at the City of San Jose.

2698
05:04:02,000 --> 05:04:08,000
And that is that a lot of the cities have recreation leaders.

2699
05:04:08,000 --> 05:04:19,000
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.

2700
05:04:19,000 --> 05:04:21,000
You know, maybe a year off or something.

2701
05:04:21,000 --> 05:04:36,000
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.

2702
05:04:36,000 --> 05:04:45,000
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.

2703
05:04:45,000 --> 05:04:55,000
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.

2704
05:04:55,000 --> 05:04:58,000
Because they are part time.

2705
05:04:58,000 --> 05:05:12,000
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.

2706
05:05:12,000 --> 05:05:14,000
So I wonder if that's another opportunity.

2707
05:05:14,000 --> 05:05:26,000
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.

2708
05:05:26,000 --> 05:05:38,000
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.

2709
05:05:38,000 --> 05:05:43,000
Business and so for them to take something else on is really difficult.

2710
05:05:43,000 --> 05:05:52,000
But what you have done is is absolutely fabulous and I want to congratulate and acknowledge this is your third term.

2711
05:05:52,000 --> 05:05:57,000
Supervised Ellenberg and I think you should be really proud of the work that you're doing.

2712
05:05:57,000 --> 05:06:07,000
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.

2713
05:06:07,000 --> 05:06:20,000
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.

2714
05:06:20,000 --> 05:06:38,000
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.

2715
05:06:38,000 --> 05:06:47,000
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.

2716
05:06:47,000 --> 05:06:56,000
So congratulations for all the work that you're doing let's continue to figure out how to like I said feed the pipeline.

2717
05:06:56,000 --> 05:07:04,000
Because to me one of the most important side from the early education that is provided through this career path to our children.

2718
05:07:04,000 --> 05:07:08,000
It is also another way to mitigate child abuse.

2719
05:07:08,000 --> 05:07:24,000
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.

2720
05:07:24,000 --> 05:07:49,000
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.

2721
05:07:49,000 --> 05:07:57,000
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.

2722
05:07:57,000 --> 05:08:07,000
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.

2723
05:08:07,000 --> 05:08:17,000
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.

2724
05:08:17,000 --> 05:08:27,000
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.

2725
05:08:27,000 --> 05:08:45,000
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.

2726
05:08:45,000 --> 05:09:14,000
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.

2727
05:09:15,000 --> 05:09:28,000
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.

2728
05:09:28,000 --> 05:09:38,000
So thank you for that I spend time just immersed in all of that data there are so many good.

2729
05:09:38,000 --> 05:09:50,000
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.

2730
05:09:50,000 --> 05:09:53,000
Is that called resource and referral.

2731
05:09:53,000 --> 05:09:57,000
Network I think for.

2732
05:09:57,000 --> 05:10:01,000
The county to initiate that and that's a really major.

2733
05:10:01,000 --> 05:10:11,000
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.

2734
05:10:11,000 --> 05:10:19,000
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.

2735
05:10:19,000 --> 05:10:27,000
Because at this point I'd love to see if we continue to invest where should we invest next right.

2736
05:10:27,000 --> 05:10:38,000
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.

2737
05:10:38,000 --> 05:10:45,000
They might want to I don't know maybe open a center instead of having it at home child care.

2738
05:10:45,000 --> 05:10:58,000
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.

2739
05:10:58,000 --> 05:11:14,000
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.

2740
05:11:14,000 --> 05:11:24,000
In requests for funding so we just kind of even from that I think we know that.

2741
05:11:24,000 --> 05:11:36,000
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.

2742
05:11:37,000 --> 05:11:51,000
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.

2743
05:11:51,000 --> 05:11:54,000
You you are also professionals so.

2744
05:11:55,000 --> 05:12:13,000
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.

2745
05:12:14,000 --> 05:12:28,000
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.

2746
05:12:28,000 --> 05:12:39,000
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.

2747
05:12:39,000 --> 05:12:48,000
Over the past seven months when we were pulling together this child care blueprint which we will go into and great detail on September.

2748
05:12:48,000 --> 05:12:54,000
But I think a lot of the questions that you have will come up in the report.

2749
05:12:55,000 --> 05:13:02,000
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.

2750
05:13:02,000 --> 05:13:03,000
I look forward to it.

2751
05:13:03,000 --> 05:13:16,000
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.

2752
05:13:16,000 --> 05:13:32,000
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.

2753
05:13:32,000 --> 05:13:42,000
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.

2754
05:13:42,000 --> 05:13:45,000
Not sure how many attended but.

2755
05:13:45,000 --> 05:14:00,000
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.

2756
05:14:00,000 --> 05:14:03,000
When is it coming.

2757
05:14:03,000 --> 05:14:08,000
We had one in March and we have another one in October actually so.

2758
05:14:08,000 --> 05:14:16,000
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.

2759
05:14:16,000 --> 05:14:23,000
Wonderful listen I want to make sure that whatever we find in terms of research or whatever is.

2760
05:14:23,000 --> 05:14:39,000
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.

2761
05:14:39,000 --> 05:14:43,000
The system has a level of complexity.

2762
05:14:43,000 --> 05:14:58,000
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.

2763
05:14:58,000 --> 05:15:01,000
Figure out what the next level of it.

2764
05:15:00,000 --> 05:15:09,000
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.

2765
05:15:09,000 --> 05:15:24,000
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.

2766
05:15:24,000 --> 05:15:30,000
Just lining up money with with with the intention and then with the need.

2767
05:15:30,000 --> 05:15:34,000
So super excited. Thank you so much for the clarification.

2768
05:15:34,000 --> 05:15:41,000
Super as Ellenberg, look forward to that in September 15th. Congratulations for all the work that you've done so far.

2769
05:15:41,000 --> 05:15:49,000
I'd love to continue to see more facilities out in my area, but I know we are not made of magic.

2770
05:15:50,000 --> 05:16:06,000
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.

2771
05:16:06,000 --> 05:16:16,000
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.

2772
05:16:16,000 --> 05:16:23,000
Thank you so much and I think we have a motion in the second, but for any questions, we can take the vote.

2773
05:16:23,000 --> 05:16:32,000
Thank you on motion of supervisor Alan Burke, seconded by supervisor you supervisor Abicada.

2774
05:16:32,000 --> 05:16:40,000
I supervisor you. Yes, supervisor Alan Burke. Yes, vice president Aranas. Yes, president Lee.

2775
05:16:40,000 --> 05:16:45,000
Hi, as well motion carries five to zero. Thank you. Moving on to the agenda.

2776
05:16:45,000 --> 05:16:55,000
We have item items removed items removed from the consent calendar. We have a couple versus item 169 removed by supervisor.

2777
05:16:55,000 --> 05:17:05,000
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.

2778
05:17:05,000 --> 05:17:13,000
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.

2779
05:17:13,000 --> 05:17:22,000
Seconded motion. Motion, seconded. Let's see anybody will speak on the sign. I'm 69.

2780
05:17:22,000 --> 05:17:27,000
Yes, sir. I do have the chairperson of the roads commission.

2781
05:17:27,000 --> 05:17:34,000
Before we get there, can I just clarify whether the motion includes item B on the recommended action?

2782
05:17:35,000 --> 05:17:37,000
Just a moment, while like quickly.

2783
05:17:37,000 --> 05:17:39,000
What's the right to report?

2784
05:17:39,000 --> 05:17:42,000
Direction administration review that related to support.

2785
05:17:42,000 --> 05:17:47,000
Yes, Andy. Thank you.

2786
05:17:47,000 --> 05:17:52,000
Move to the seconded. Yes. You have one speaker? Yes, sir.

2787
05:17:52,000 --> 05:17:54,000
Good. Two minutes.

2788
05:17:54,000 --> 05:17:56,000
All right.

2789
05:17:56,000 --> 05:18:00,000
Tim Wei, we've asked you to unmute. Go ahead.

2790
05:18:01,000 --> 05:18:03,000
Thank you very much for considering this.

2791
05:18:03,000 --> 05:18:06,000
I believe my report actually covers all the details.

2792
05:18:06,000 --> 05:18:11,000
This would be asking the Board of Supervisors to endorse the belt measure that will be in the November ballot.

2793
05:18:11,000 --> 05:18:24,000
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.

2794
05:18:24,000 --> 05:18:26,000
People can't afford a car.

2795
05:18:26,000 --> 05:18:33,000
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.

2796
05:18:33,000 --> 05:18:39,000
And that's really all I have to say. Thank you.

2797
05:18:39,000 --> 05:18:43,000
Thank you. And that does conclude our public speakers.

2798
05:18:43,000 --> 05:18:48,000
Okay, closing in public speaking portion. Let's go take the vote.

2799
05:18:48,000 --> 05:18:50,000
Thank you. And I'd just like to verify.

2800
05:18:50,000 --> 05:18:53,000
Supervisor Abicoga, where are you the seconder? Yes.

2801
05:18:53,000 --> 05:18:54,000
All right. Thank you.

2802
05:18:54,000 --> 05:19:01,000
On motion of supervisor Ellenberg, seconded by supervisor Abicoga, supervisor Abicoga.

2803
05:19:01,000 --> 05:19:04,000
I supervisor UM, supervisor Ellenberg. Yes.

2804
05:19:04,000 --> 05:19:06,000
Vice President Aranas. Yes.

2805
05:19:06,000 --> 05:19:07,000
President Lee. Yes.

2806
05:19:07,000 --> 05:19:09,000
President Lee. Yes. Well, motion carries five to zero.

2807
05:19:09,000 --> 05:19:10,000
Thank you.

2808
05:19:10,000 --> 05:19:13,000
And moving to item 84.

2809
05:19:15,000 --> 05:19:16,000
Yes.

2810
05:19:16,000 --> 05:19:18,000
Thank you, President Lee. Yes.

2811
05:19:18,000 --> 05:19:24,000
I pulled this item, which is approval of an agreement with the Metropolitan Planning Group,

2812
05:19:24,000 --> 05:19:30,000
relating to providing planning services, consulting services for the Stanford University,

2813
05:19:30,000 --> 05:19:33,000
General Youth Permit application.

2814
05:19:33,000 --> 05:19:39,000
And I appreciate, I was just keep going with other people sit down.

2815
05:19:39,000 --> 05:19:45,000
But I appreciate that the county has officially begun the process of getting ready to review

2816
05:19:45,000 --> 05:19:51,000
the Stanford application, which I understand will be submitted within a few weeks, a couple of weeks.

2817
05:19:51,000 --> 05:19:57,000
And this is as you probably understand meant to say that it's going to be a huge undertaking.

2818
05:19:57,000 --> 05:20:04,000
So it makes a lot of sense for us to expand our planning departments capacity with some outside help.

2819
05:20:04,000 --> 05:20:10,000
I pulled this item because I wanted to learn more about the process of selecting a consultant

2820
05:20:10,000 --> 05:20:16,000
and wanted a public discussion on such a significant land use decision for the county.

2821
05:20:16,000 --> 05:20:24,000
So I understand it was that this is a single source process that was used.

2822
05:20:24,000 --> 05:20:31,000
And I know that the staff of our points out that the M group was selected because of their prior work on the last

2823
05:20:31,000 --> 05:20:33,000
gap application.

2824
05:20:33,000 --> 05:20:43,000
But it's helping staff could walk through it's reasoning and process for how you made this decision.

2825
05:20:43,000 --> 05:20:46,000
Let's try again, Sylvia.

2826
05:20:46,000 --> 05:20:47,000
Good afternoon.

2827
05:20:47,000 --> 05:20:48,000
Here we go.

2828
05:20:48,000 --> 05:20:49,000
Here we go.

2829
05:20:49,000 --> 05:20:50,000
Here we go.

2830
05:20:50,000 --> 05:20:51,000
Here we go.

2831
05:20:51,000 --> 05:20:52,000
Here we go.

2832
05:20:52,000 --> 05:20:53,000
Here we go.

2833
05:20:53,000 --> 05:20:54,000
Here we go.

2834
05:20:54,000 --> 05:20:55,000
Here we go.

2835
05:20:55,000 --> 05:20:56,000
Here we go.

2836
05:20:56,000 --> 05:20:57,000
Here we go.

2837
05:20:57,000 --> 05:20:58,000
Here we go.

2838
05:20:58,000 --> 05:20:59,000
Here we go.

2839
05:20:59,000 --> 05:21:00,000
Here we go.

2840
05:21:01,000 --> 05:21:08,000
The process around this selection of M group as a single source consultant.

2841
05:21:08,000 --> 05:21:12,000
So let me go back a little in time to provide some context.

2842
05:21:12,000 --> 05:21:17,000
So we originally hired M group in April of 2018.

2843
05:21:17,000 --> 05:21:19,000
This is a prior to our current director.

2844
05:21:19,000 --> 05:21:24,000
We are in a transition between our last director and the current director who started in December of 2018.

2845
05:21:24,000 --> 05:21:32,000
of 2018. And at the time, you'll recall Stanford admitted an application in 2016. So we were in the midst of processing it.

2846
05:21:32,000 --> 05:21:43,000
And we lacked the capacity to meet our project timelines. And so I entered into a process, because again our director left.

2847
05:21:43,000 --> 05:22:05,000
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.

2848
05:22:05,000 --> 05:22:27,000
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.

2849
05:22:27,000 --> 05:22:54,000
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.

2850
05:22:54,000 --> 05:23:08,000
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.

2851
05:23:08,000 --> 05:23:24,000
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.

2852
05:23:24,000 --> 05:23:34,000
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.

2853
05:23:34,000 --> 05:23:48,000
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.

2854
05:23:48,000 --> 05:24:04,000
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.

2855
05:24:04,000 --> 05:24:16,000
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.

2856
05:24:16,000 --> 05:24:27,000
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.

2857
05:24:27,000 --> 05:24:39,000
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.

2858
05:24:39,000 --> 05:24:52,000
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.

2859
05:24:52,000 --> 05:25:03,000
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.

2860
05:25:03,000 --> 05:25:13,000
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.

2861
05:25:13,000 --> 05:25:25,000
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.

2862
05:25:25,000 --> 05:25:34,000
And so that was the thought process. And the timing really occurred in these seven months leading up to the application submission.

2863
05:25:34,000 --> 05:25:50,000
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?

2864
05:25:50,000 --> 05:26:00,000
So yes, that's generally sufficient time for a competitive process, but immediately when we began setting up these meetings with Stanford.

2865
05:26:00,000 --> 05:26:17,000
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.

2866
05:26:17,000 --> 05:26:26,000
If we didn't have M group immediately available to assist with that. So that really was the impact.

2867
05:26:26,000 --> 05:26:44,000
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.

2868
05:26:44,000 --> 05:26:57,000
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

2869
05:26:57,000 --> 05:27:21,000
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.

2870
05:27:21,000 --> 05:27:39,000
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.

2871
05:27:39,000 --> 05:27:46,000
Okay, and then are you planning to use single source for the other contracts related to this application.

2872
05:27:46,000 --> 05:28:05,000
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.

2873
05:28:06,000 --> 05:28:17,000
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.

2874
05:28:18,000 --> 05:28:22,000
And that to our knowledge we believe it's the only other consultant we need to hire.

2875
05:28:22,000 --> 05:28:25,000
Okay, thank you. Well, thank you for that.

2876
05:28:25,000 --> 05:28:32,000
I make sense that we go at the end group given their of past experience with the project.

2877
05:28:32,000 --> 05:28:42,000
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.

2878
05:28:42,000 --> 05:28:54,000
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.

2879
05:28:54,000 --> 05:29:08,000
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.

2880
05:29:08,000 --> 05:29:13,000
And then we can really I feel like confirm that decision is the right one.

2881
05:29:13,000 --> 05:29:21,000
So I also wanted to share that with the additional background.

2882
05:29:21,000 --> 05:29:30,000
The end group did present to you in a study session on developing policy options for how Stanford can meet its housing obligation.

2883
05:29:30,000 --> 05:29:50,000
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.

2884
05:29:50,000 --> 05:30:00,000
The analysis didn't really get into as much detail as I had hoped for regarding the impacts of these potential policies and so.

2885
05:30:00,000 --> 05:30:11,000
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.

2886
05:30:11,000 --> 05:30:20,000
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.

2887
05:30:20,000 --> 05:30:29,000
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.

2888
05:30:29,000 --> 05:30:31,000
Thank you.

2889
05:30:31,000 --> 05:30:37,000
Okay, move a second there. Let's see any speaker on the issue.

2890
05:30:37,000 --> 05:30:41,000
I currently have no speakers.

2891
05:30:41,000 --> 05:30:47,000
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.

2892
05:30:47,000 --> 05:30:50,000
And I'm sorry, I did miss the mover and seconder on that.

2893
05:30:50,000 --> 05:30:51,000
I seconded that.

2894
05:30:51,000 --> 05:30:52,000
Thanks.

2895
05:30:52,000 --> 05:30:54,000
And who moved it?

2896
05:30:55,000 --> 05:30:58,000
I have to. My apologies for that.

2897
05:30:58,000 --> 05:31:05,000
On motion of supervisor Abacoga, seconded by President Lee, supervisor Abacoga.

2898
05:31:05,000 --> 05:31:07,000
I supervisor Yoon.

2899
05:31:07,000 --> 05:31:08,000
Yes.

2900
05:31:08,000 --> 05:31:09,000
Supervisor Ellen Berg.

2901
05:31:09,000 --> 05:31:10,000
Yes.

2902
05:31:10,000 --> 05:31:11,000
Vice President and Aranas?

2903
05:31:11,000 --> 05:31:12,000
Yes.

2904
05:31:12,000 --> 05:31:13,000
President Lee.

2905
05:31:13,000 --> 05:31:14,000
Hi, as well.

2906
05:31:14,000 --> 05:31:16,000
Motion carries five to zero.

2907
05:31:16,000 --> 05:31:17,000
Thank you.

2908
05:31:17,000 --> 05:31:20,000
I think that's the last item on the agenda.

2909
05:31:20,000 --> 05:31:21,000
If I am correct.

2910
05:31:21,000 --> 05:31:22,000
Yes.

2911
05:31:23,000 --> 05:31:25,000
And we'll go ahead and adjourn.

2912
05:31:25,000 --> 05:31:28,000
Today's meeting at 246.

2913
05:31:28,000 --> 05:31:30,000
On the next meeting will be August 25th.

2914
05:31:30,000 --> 05:31:32,000
9.30 same chance in place.

2915
05:31:32,000 --> 05:31:33,000
Thank you, everybody.

2916
05:31:33,000 --> 05:31:36,000
They clerk the security staff administration meeting adjourned.

2917
05:31:52,000 --> 05:31:54,000
Thank you.

2918
05:32:22,000 --> 05:32:23,000
Thank you.

2919
05:32:23,000 --> 05:32:25,000
Thank you.