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HomeMy WebLinkAboutMINUTES - 08142018 -CALENDAR FOR THE BOARD OF SUPERVISORS CONTRA COSTA COUNTY AND FOR SPECIAL DISTRICTS, AGENCIES, AND AUTHORITIES GOVERNED BY THE BOARD BOARD CHAMBERS ROOM 107, ADMINISTRATION BUILDING, 651 PINE STREET MARTINEZ, CALIFORNIA 94553-1229 FEDERAL D. GLOVER, CHAIR, 5TH DISTRICT KAREN MITCHOFF, VICE CHAIR, 4TH DISTRICT JOHN GIOIA, 1ST DISTRICT CANDACE ANDERSEN, 2ND DISTRICT DIANE BURGIS, 3RD DISTRICT DAVID J. TWA, CLERK OF THE BOARD AND COUNTY ADMINISTRATOR, (925) 335-1900 PERSONS WHO WISH TO ADDRESS THE BOARD DURING PUBLIC COMMENT OR WITH RESPECT TO AN ITEM THAT IS ON THE AGENDA, MAY BE LIMITED TO TWO (2) MINUTES. A LUNCH BREAK MAY BE CALLED AT THE DISCRETION OF THE BOARD CHAIR. The Board of Supervisors respects your time, and every attempt is made to accurately estimate when an item may be heard by the Board. All times specified for items on the Board of Supervisors agenda are approximate. Items may be heard later than indicated depending on the business of the day. Your patience is appreciated. ANNOTATED AGENDA & MINUTES August 14, 2018                  9:00 A.M. Convene and announce adjournment to closed session in Room 101. Closed Session A. CONFERENCE WITH LABOR NEGOTIATORS 1. Agency Negotiators: David Twa and Richard Bolanos. Employee Organizations: Public Employees Union, Local 1; AFSCME Locals 512 and 2700; California Nurses Assn.; SEIU Locals 1021 and 2015; District Attorney Investigators’ Assn.; Deputy Sheriffs Assn.; United Prof. Firefighters I.A.F.F., Local 1230; Physicians’ & Dentists’ Org. of Contra Costa; Western Council of Engineers; United Chief Officers Assn.; Contra Costa County Defenders Assn.; Contra Costa County Deputy District Attorneys’ Assn.; Prof. & Tech. Engineers IFPTE, Local 21; and Teamsters Local 856. 2. Agency Negotiators: David Twa. Unrepresented Employees : All unrepresented employees. 9:30 A.M. Call to order and opening ceremonies. Inspirational Thought- "Knowing is not enough; we must apply. Wishing is not enough; we must do." ~ Johann Wolfgang Von Goethe Present: Candace Andersen, District II Supervisor; Diane Burgis, District III Supervisor; Karen Mitchoff, District IV Supervisor; Federal D. Glover, District V Supervisor Absent: John Gioia, District I Supervisor Staff Present:David Twa, County Administrator  There were no announcements from Closed Session.   CONSIDER CONSENT ITEMS (Items listed as C.1 through C.88 on the following agenda) – Items are subject to removal from Consent Calendar by request of any Supervisor or on request for discussion by a member of the public. Items removed from the Consent Calendar will be considered with the Discussion Items.   PRESENTATIONS (5 Minutes Each)   PRESENTATION honoring Dr. Felisa Gaffney, Dr. Victoria Bianco, and Ryan Berg for their outstanding contributions to the ABOUTFACE program and accepting the Veterans In the Arts report. (Tess Snook O'Riva, AC5 Chair, Arts and Culture Commission of Contra Costa County)   PR.2 PRESENTATION by the Contra Costa County Office of Education on the Sandy Hook Promise. (Terry Koehne, Chief Communication Officer, Office of Education)       Speakers: Pat Frost, National Pediatric Disaster Coalition, expressed her support of the tools and resources provided by the program.   August 14, 2018 BOS Minutes 1 PRESENTATION of the Economic Significance of the County Airports, Buchanan Field and Byron. (Supervisors Mitchoff and Burgis)   DISCUSSION ITEMS   D. 1 CONSIDER Consent Items previously removed.    There were no items removed for discussion.   D. 2 PUBLIC COMMENT (2 Minutes/Speaker)    Jennifer Kokko and Tracey Schenetenthaler, residents of Walnut Creek, spoke on unsafe driving, speeding, in the Shady Glen Road (Walnut Creek) neighborhood. They are requesting assistance with regular police patrols and traffic calming measures. (Handout attached). Supervisor Mitchoff will be meeting with the Public Works Director and California Highway Patrol on this matter. Erika Jenssen, Assistant to Health Services Director Anna Roth, provided and information about the Healther Services Summer Internship Program (brochure attached) and invited this summers interns to introduce themselves: Jose Jimenez, UC Berkeley School of Public Health, introduced fellow interns: Adilene Alvarado, Senior at St. Mary's College of California, worked with the Family Health Solutions program at Contra Costa Regional Medical Center (CCRMC); Gabriella Bonilla, Graduate of UC Berkeley with Masters in Public Health, worked at CCRMC on projects to improve foster child access to health care; Jonathan Bonilla-Rios, graduate of California State East Bay with a Bachelors in Health Science and Administration Management, worked at Contra Costa Regional Medical Center, on many projects including reducing wait times for patients; Bethany Chovinard, incoming Senior at Pinole High School, working with the Health Services Director on projects including a documentary; Adianez Ampil, graduate of UC Santa Cruz, BS in Human Bioliogy, participated in CCRMC Baby Friendly project ; Brianna Bourne, student at Williams College of Massachussetts, worked on streamlining the internship program administration Tianna Morgan, student at University of MIchigan, in Public Health Administration, worked on analysis of current patient outreach processes.   D.3 CONSIDER accepting the 2017 Annual Performance Evaluation of Alliance Emergency Medical Services presented by the County EMS Director and the Contra Costa County Fire Protection District Fire Chief. (Pat Forst, EMS Agency Director & Jeff Carman, Fire Chief)       Speakers: Rebecca Rozen, Hospital Council.    AYE: District II Supervisor Candace Andersen, District III Supervisor Diane Burgis, District IV Supervisor Karen Mitchoff, District V Supervisor Federal D. Glover Other: District I Supervisor John Gioia (ABSENT) D.4 CONSIDER accepting report from the Health Services Department on the implementation of the County’s Safe Drug Disposal Ordinance. (Marilyn Underwood, Environmental Health Director)       Speakers: Jaime Rich, CCC MEDS Coalition; Patty Hoyt, CCC MEDS Coalition.    AYE: District II Supervisor Candace Andersen, District III Supervisor Diane Burgis, District IV Supervisor Karen Mitchoff, District V Supervisor Federal D. Glover Other: District I Supervisor John Gioia (ABSENT) D.5 CONSIDER adopting Resolution 2018/465, censuring County Assessor Gus Kramer for engaging in conduct that was inconsistent with the County’s policy of providing a workplace free from sexual harassment, and REFER this matter to the Contra Costa County Civil Grand Jury to consider whether further investigation by the Grand Jury is warranted. (Supervisors Mitchoff and Gioia)       Speaker: Bruce Zelis, resident of Walnut Creek.    AYE: District II Supervisor Candace Andersen, District III Supervisor Diane Burgis, District IV Supervisor Karen Mitchoff, District V Supervisor Federal D. Glover Other: District I Supervisor John Gioia (ABSENT) August 14, 2018 BOS Minutes 2 D.6 CONSIDER authorizing the County Administrator or designee to execute contract renewals with the NonPERS Health/Medical Plans, Dental Plan, Life Insurance, and Voluntary Vision Insurance Plan carriers and the Computer Vision Care Program for the period January 1, 2019 - December 31, 2019. (Dianne Dinsmore, Human Resources Director)       Speakers: Sue Guest, IFPTE Local 21, WCE, PDOCC, Local 1021, PDA Local 512; Stephen Ginochio, AFSCME, Local 1; Stacie Hinton, AFSCME Local 2700, WCE, PDOCC, PDA, SEIU 1021, AFSCME 512; America Patterson, AFSCME 512, WCE, IFPTE 21, PDOCC 1021, PDA; Sandra Wall, AFSCME 2700, Local 512, IFPTE 21, WCE, PDOCC, SEIU 21, PDA.    AYE: District II Supervisor Candace Andersen, District III Supervisor Diane Burgis, District IV Supervisor Karen Mitchoff, District V Supervisor Federal D. Glover Other: District I Supervisor John Gioia (ABSENT) D. 7 CONSIDER reports of Board members.    Supervisor Andersen reported that the Contra Costa Employee Retirement Association (CCCERA) would be reviewing our actuarial valuation rate next week. The County has progressed from 86.5% to 88.5% funding for retirement, a lowering of the unfunded liablity.   Closed Session   ADJOURN   CONSENT ITEMS   Road and Transportation   C. 1 APPROVE the Rodeo Downtown Infrastructure Project and take related actions under the California Environmental Quality Act, and AUTHORIZE the Public Works Director, or designee, to advertise the Project, Rodeo area. (65% Former Redevelopment Agency Funds and 35% Local Road Funds)       AYE: District II Supervisor Candace Andersen, District III Supervisor Diane Burgis, District IV Supervisor Karen Mitchoff, District V Supervisor Federal D. Glover Other: District I Supervisor John Gioia (ABSENT) C. 2 RESCIND Traffic Resolution No. 1976/2181, and ADOPT Traffic Resolution No. 2018/4475 declaring a stop-control on Roundhill Drive (Road No. 4437V) at Roundhill Road (Road No. 4437U), as recommended by the Public Works Director, Alamo area. (No fiscal impact)       AYE: District II Supervisor Candace Andersen, District III Supervisor Diane Burgis, District IV Supervisor Karen Mitchoff, District V Supervisor Federal D. Glover Other: District I Supervisor John Gioia (ABSENT) C. 3 APPROVE the submission of grant applications to the State of California, Department of Transportation under the Highway Safety Improvement Program, as recommended by the Public Works Director, Countywide. (100% State Funds)       AYE: District II Supervisor Candace Andersen, District III Supervisor Diane Burgis, District IV Supervisor Karen Mitchoff, District V Supervisor Federal D. Glover Other: District I Supervisor John Gioia (ABSENT) C. 4 ADOPT Traffic Resolution No. 2018/4473 to prohibit time-limited right turns from Taylor Boulevard (Road No. 3552A) southbound onto Gloria Terrace (Road No. 3667A) westbound, as recommended by the Public Works Director, Lafayette area. (No fiscal impact)       AYE: District II Supervisor Candace Andersen, District III Supervisor Diane Burgis, District IV Supervisor Karen Mitchoff, District V Supervisor Federal D. Glover Other: District I Supervisor John Gioia (ABSENT) C. 5 ADOPT Traffic Resolution No. 2018/4474 to prohibit time-limited right turns from Taylor Boulevard (Road No. 3552A) southbound onto Withers Avenue (Road No. 3564) westbound, as recommended by the Public Works Director, Lafayette area. (No fiscal impact)       AYE: District II Supervisor Candace Andersen, District III Supervisor Diane Burgis, District IV Supervisor Karen Mitchoff, District V Supervisor Federal D. Glover August 14, 2018 BOS Minutes 3 Other: District I Supervisor John Gioia (ABSENT) C. 6 ADOPT Traffic Resolution No. 2018/4472 to prohibit time-limited left turns from Grayson Road (westbound) onto Reliez Valley Road (Road No. 3554) southbound, as recommended by the Public Works Director, Pleasant Hill area. (No fiscal impact)       AYE: District II Supervisor Candace Andersen, District III Supervisor Diane Burgis, District IV Supervisor Karen Mitchoff, District V Supervisor Federal D. Glover Other: District I Supervisor John Gioia (ABSENT) Engineering Services   C. 7 ADOPT Resolution No. 2018/452 approving the Final Map and Subdivision Agreement for subdivision SD17-09300, for a project being developed by Shapell Industries, Inc., a Delaware Corporation, as recommended by the Public Works Director, San Ramon (Dougherty Valley) area. (No fiscal impact)       AYE: District II Supervisor Candace Andersen, District III Supervisor Diane Burgis, District IV Supervisor Karen Mitchoff, District V Supervisor Federal D. Glover Other: District I Supervisor John Gioia (ABSENT) C. 8 ADOPT Resolution No. 2018/453 approving the fifth extension of the Subdivision Agreement for subdivision SD05-09037, for a project being developed by Shapell Homes, a Division of Shapell Industries, Inc., a Delaware Corporation, as recommended by the Public Works Director, Danville area. (No fiscal impact)       AYE: District II Supervisor Candace Andersen, District III Supervisor Diane Burgis, District IV Supervisor Karen Mitchoff, District V Supervisor Federal D. Glover Other: District I Supervisor John Gioia (ABSENT) C. 9 ADOPT Resolution No. 2018/455 approving the second extension of the Subdivision Agreement for subdivision SD14-09328, for a project being developed by Shapell Homes, Inc., a Division of Shapell Industries, a Delaware Corporation, as recommended by the Public Works Director, San Ramon (Dougherty Valley) area. (No fiscal impact)       AYE: District II Supervisor Candace Andersen, District III Supervisor Diane Burgis, District IV Supervisor Karen Mitchoff, District V Supervisor Federal D. Glover Other: District I Supervisor John Gioia (ABSENT) C. 10 ADOPT Resolution No. 2018/458 approving and authorizing the Public Works Director, or designee, to fully close a portion of San Pablo Dam Road between El Portal Drive and Appian Way, on September 16, 2018 from 6:00 AM through 7:00 PM, for the purpose of 24th Annual El Sobrante Stroll, El Sobrante area. (No fiscal impact)       AYE: District II Supervisor Candace Andersen, District III Supervisor Diane Burgis, District IV Supervisor Karen Mitchoff, District V Supervisor Federal D. Glover Other: District I Supervisor John Gioia (ABSENT) Special Districts & County Airports   C. 11 APPROVE and AUTHORIZE the Director of Airports, or designee to use a portion of the Mariposa Energy Project Community Benefits Fund to update the Byron Airport Chapter of the Airport Land Use Compatibility Plan, as recommended by Supervisor Burgis. (100% Mariposa Energy Project Community Benefit)       AYE: District II Supervisor Candace Andersen, District III Supervisor Diane Burgis, District IV Supervisor Karen Mitchoff, District V Supervisor Federal D. Glover Other: District I Supervisor John Gioia (ABSENT) C. 12 ADOPT Resolution No. 2018/462 recognizing the contributions of Buchanan Field Airport and Byron Airport to the aeronautical community and the local economy, as recommended by Supervisors Mitchoff and Burgis.       AYE: District II Supervisor Candace Andersen, District III Supervisor Diane Burgis, District IV Supervisor Karen Mitchoff, District V Supervisor Federal D. Glover Other: District I Supervisor John Gioia (ABSENT) Claims, Collections & Litigation   August 14, 2018 BOS Minutes 4 C. 13 DENY claims filed by Marco Antonio Gutierrez, Hillside Group, LLC; Lucia Albers; Elizabeth Ann Iannaccone, Trustee, Suneel Kumar, Iraj Namdar, Jesus Cardoza & Edith Ramirez, Debbie Rodriguez, Steven Daniel Rodriguez, Safeco Ins. For Bogdan Zimkowski, and Antonio Smith.       AYE: District II Supervisor Candace Andersen, District III Supervisor Diane Burgis, District IV Supervisor Karen Mitchoff, District V Supervisor Federal D. Glover Other: District I Supervisor John Gioia (ABSENT) Statutory Actions   C. 14 ACCEPT Board members meeting reports for July 2018.      AYE: District II Supervisor Candace Andersen, District III Supervisor Diane Burgis, District IV Supervisor Karen Mitchoff, District V Supervisor Federal D. Glover Other: District I Supervisor John Gioia (ABSENT) Honors & Proclamations   C. 15 ADOPT Resolution No. 2018/460 honoring Nicole Kozicki, California Department of Fish and Widlife, upon the occasion of her retirement, as recommended by Supervisor Burgis.       AYE: District II Supervisor Candace Andersen, District III Supervisor Diane Burgis, District IV Supervisor Karen Mitchoff, District V Supervisor Federal D. Glover Other: District I Supervisor John Gioia (ABSENT) C. 16 ADOPT Resolution No. 2018/461 honoring Dr. Felisa Gaffney, Dr. Victoria Bianco, and Ryan Berg for their outstanding contributions to the ABOUTFACE program; and ACCEPT the 2018 ABOUTFACE Report: Bringing Art to the Veteran Community, as recommended by the Arts and Culture Commission.       AYE: District II Supervisor Candace Andersen, District III Supervisor Diane Burgis, District IV Supervisor Karen Mitchoff, District V Supervisor Federal D. Glover Other: District I Supervisor John Gioia (ABSENT) C. 17 ADOPT Resolution 2018/464 recognizing the Monument Crisis Center for their 15 years of service to our community, as recommended by Supervisor Mitchoff.       AYE: District II Supervisor Candace Andersen, District III Supervisor Diane Burgis, District IV Supervisor Karen Mitchoff, District V Supervisor Federal D. Glover Other: District I Supervisor John Gioia (ABSENT) Ordinances   C. 18 Acting as the Governing Body of the Contra Costa County Fire Protection District, ADOPT Ordinance Code 2018-05 amending the County Ordinance Code to exclude from the Merit System the new classification of Fire District Aide-Exempt, as recommended by the Human Resources Director.       AYE: District II Supervisor Candace Andersen, District III Supervisor Diane Burgis, District IV Supervisor Karen Mitchoff, District V Supervisor Federal D. Glover Other: District I Supervisor John Gioia (ABSENT) C. 19 INTRODUCE Ordinance 2018-026 amending the County Ordinance Code to exclude from the Merit System the Chief Information Technology Security Officer-Exempt, WAIVE reading, and FIX September 11, 2018 for adoption.       AYE: District II Supervisor Candace Andersen, District III Supervisor Diane Burgis, District IV Supervisor Karen Mitchoff, District V Supervisor Federal D. Glover Other: District I Supervisor John Gioia (ABSENT) C. 20 INTRODUCE Ordinance No. 2018-25, amending the requirements regulating the collection and disposal of sewage and septic systems, WAIVE reading, and FIX September 11, 2018, for adoption of Ordinance No. 2018-25 and related Health Officer Regulations for Sewage Collection and Disposal, as recommended by the Health Services Director.       AYE: District II Supervisor Candace Andersen, District III Supervisor Diane Burgis, District IV Supervisor Karen Mitchoff, District V Supervisor Federal D. Glover August 14, 2018 BOS Minutes 5 Other: District I Supervisor John Gioia (ABSENT) Appointments & Resignations   C. 21 REAPPOINT Gareth Ashley to the District IV seat and Matt Regan to the District IV Alternate seat on the First 5 Children and Families Commission, as recommended by Supervisor Mitchoff.       AYE: District II Supervisor Candace Andersen, District III Supervisor Diane Burgis, District IV Supervisor Karen Mitchoff, District V Supervisor Federal D. Glover Other: District I Supervisor John Gioia (ABSENT) C. 22 ACCEPT the resignation of Julie McCarter, DECLARE a vacancy in the Appointee 3 seat on the Kensington Municipal Advisory Council, and DIRECT the Clerk of the Board to post the vacancy, as recommended by Supervisor Gioia.       AYE: District II Supervisor Candace Andersen, District III Supervisor Diane Burgis, District IV Supervisor Karen Mitchoff, District V Supervisor Federal D. Glover Other: District I Supervisor John Gioia (ABSENT) C. 23 APPOINT Curtis Caldwell to the Knightsen Town Community Services District, as recommended by Supervisor Burgis.      AYE: District II Supervisor Candace Andersen, District III Supervisor Diane Burgis, District IV Supervisor Karen Mitchoff, District V Supervisor Federal D. Glover Other: District I Supervisor John Gioia (ABSENT) C. 24 REAPPOINT Clark Dawson to the District III seat on the Fish and Wildlife Committee, as recommended by Supervisor Burgis.       AYE: District II Supervisor Candace Andersen, District III Supervisor Diane Burgis, District IV Supervisor Karen Mitchoff, District V Supervisor Federal D. Glover Other: District I Supervisor John Gioia (ABSENT) C. 25 APPOINT Steve Larsen to the Appointee 3 seat on the Byron Municipal Advisory Council, as recommended by Supervisor Burgis.       AYE: District II Supervisor Candace Andersen, District III Supervisor Diane Burgis, District IV Supervisor Karen Mitchoff, District V Supervisor Federal D. Glover Other: District I Supervisor John Gioia (ABSENT) C. 26 REAPPOINT Don McCormick to the District III seat on the County Library Commission, as recommended by Supervisor Burgis.       AYE: District II Supervisor Candace Andersen, District III Supervisor Diane Burgis, District IV Supervisor Karen Mitchoff, District V Supervisor Federal D. Glover Other: District I Supervisor John Gioia (ABSENT) C. 27 REAPPOINT Charles Kreling to the District III seat on the Contra Costa County Merit Board, as recommended by Supervisor Burgis.       AYE: District II Supervisor Candace Andersen, District III Supervisor Diane Burgis, District IV Supervisor Karen Mitchoff, District V Supervisor Federal D. Glover Other: District I Supervisor John Gioia (ABSENT) C. 28 ACCEPT the resignation of Scott Sweet, DECLARE a vacancy in the Appointee 6 seat on County Service Area, P-2A Citizen Advisory Committee, and DIRECT the Clerk of the Board to post the vacancy, as recommended by Supervisor Burgis.       AYE: District II Supervisor Candace Andersen, District III Supervisor Diane Burgis, District IV Supervisor Karen Mitchoff, District V Supervisor Federal D. Glover Other: District I Supervisor John Gioia (ABSENT) Personnel Actions   C. 29 ADOPT Position Adjustment Resolution No. 22270 to add three Systems Software Analyst I (represented) positions and cancel one Information Systems Technician II (represented), one Network Manager (represented), and one Secretary-Advanced Level (represented) positions in the Health Services Department. (100% Hospital Enterprise Fund I)    August 14, 2018 BOS Minutes 6    AYE: District II Supervisor Candace Andersen, District III Supervisor Diane Burgis, District IV Supervisor Karen Mitchoff, District V Supervisor Federal D. Glover Other: District I Supervisor John Gioia (ABSENT) C. 30 ADOPT Position Adjustment Resolution No. 22328 to increase the hours of one part time (32/40) Librarian (represented) position to full time and add one part time (20/40) Clerk - Experienced Level (represented) position in the Library Department. (100% City of San Pablo)       AYE: District II Supervisor Candace Andersen, District III Supervisor Diane Burgis, District IV Supervisor Karen Mitchoff, District V Supervisor Federal D. Glover Other: District I Supervisor John Gioia (ABSENT) C. 31 ADOPT Position Adjustment Resolution No. 22319 to add one Librarian position, and one Clerk–Senior Level position; increase the hours of one part time (20/40) Library Assistant–Journey Level position and one part time (20/40) Clerk–Experienced Level position to full time; and cancel one part time Library Assistant–Journey Level position and one part time Clerk–Experienced Level position (all positions represented) in the Library Department. (100% City of Brentwood)       AYE: District II Supervisor Candace Andersen, District III Supervisor Diane Burgis, District IV Supervisor Karen Mitchoff, District V Supervisor Federal D. Glover Other: District I Supervisor John Gioia (ABSENT) C. 32 ADOPT Position Adjustment Resolution No. 22333 to re-activate the class of Deputy Director Chief Information Security Officer-Exempt, retitle the class to Chief Information Technology Security Officer- Exempt, reallocate the salary, and add one position; and cancel one Information Systems Programmer Analyst IV (represented) position in the Department of Information Technology. (100% Department user fees)       AYE: District II Supervisor Candace Andersen, District III Supervisor Diane Burgis, District IV Supervisor Karen Mitchoff, District V Supervisor Federal D. Glover Other: District I Supervisor John Gioia (ABSENT) C. 33 ADOPT Position Adjustment Resolution No. 22332 to add one Electrician (represented) and one Carpenter (represented) in the Public Works Department. (100% User Charges)       AYE: District II Supervisor Candace Andersen, District III Supervisor Diane Burgis, District IV Supervisor Karen Mitchoff, District V Supervisor Federal D. Glover Other: District I Supervisor John Gioia (ABSENT) Grants & Contracts   APPROVE and AUTHORIZE execution of agreements between the County and the following agencies for receipt of fund and/or services:   C. 34 APPROVE and AUTHORIZE the Agricultural Commissioner, or designee, to execute a contract with the California Department of Food and Agriculture in an amount not to exceed $4,100 for reimbursement of regulatory inspections for the California Organic Program for the period July 1, 2018 through June 30, 2019. (No County match)       AYE: District II Supervisor Candace Andersen, District III Supervisor Diane Burgis, District IV Supervisor Karen Mitchoff, District V Supervisor Federal D. Glover Other: District I Supervisor John Gioia (ABSENT) C. 35 APPROVE and AUTHORIZE the Agricultural Commissioner, or designee, to execute a contract with the California Department of Food and Agriculture in an amount not to exceed $1,041 for reimbursement of plant nursery inspections and enforcement activities for the period July 1, 2018 through June 30, 2019. (No County match)       AYE: District II Supervisor Candace Andersen, District III Supervisor Diane Burgis, District IV Supervisor Karen Mitchoff, District V Supervisor Federal D. Glover Other: District I Supervisor John Gioia (ABSENT) C. 36 APPROVE and AUTHORIZE the Agricultural Commissioner, or designee, to execute a contract with the California Department of Food and Agriculture in an amount not to exceed $398,304 for reimbursement of the Pierce's Disease Control Program for the period July 1, 2018 through June 30, 2019. (No County match)       AYE: District II Supervisor Candace Andersen, District III Supervisor Diane Burgis, District IV Supervisor Karen Mitchoff, District V Supervisor Federal D. Glover August 14, 2018 BOS Minutes 7 Other: District I Supervisor John Gioia (ABSENT) C. 37 APPROVE and AUTHORIZE the Health Services Director, or designee, to execute a contract with the City of Antioch to increase the amount payable to the County by $30,000 to a new payment limit of $60,000 and extend the term through June 30, 2019, for homeless outreach services under the County's Coordinated Outreach, Referral and Engagement Program. (No County match)       AYE: District II Supervisor Candace Andersen, District III Supervisor Diane Burgis, District IV Supervisor Karen Mitchoff, District V Supervisor Federal D. Glover Other: District I Supervisor John Gioia (ABSENT) C. 38 APPROVE and AUTHORIZE the Health Services Director, or designee, to execute a contract with the City of Antioch to increase the amount payable to the County by $10,000 to a new payment limit of $25,212 under the City's Community Development Block Grant and extend the term through June 30, 2019 for the operation of the Adult Interim Housing Program. (No County match)       AYE: District II Supervisor Candace Andersen, District III Supervisor Diane Burgis, District IV Supervisor Karen Mitchoff, District V Supervisor Federal D. Glover Other: District I Supervisor John Gioia (ABSENT) C. 39 APPROVE and AUTHORIZE the Health Services Director, or designee, to execute a contract with the Pittsburg Unified School District, to pay the County an amount not to exceed $150,000 to provide school-based mental health intervention services to seriously emotionally disturbed children and youth for the period July 1, 2018 through June 30, 2019. (No County match)       AYE: District II Supervisor Candace Andersen, District III Supervisor Diane Burgis, District IV Supervisor Karen Mitchoff, District V Supervisor Federal D. Glover Other: District I Supervisor John Gioia (ABSENT) C. 40 APPROVE and AUTHORIZE the Sheriff-Coroner, or designee, to execute a contract with the California Commission on Peace Officer Standards and Training, including full indemnification of the State of California, to pay the County an initial allocation of $44,000 for the instruction of accredited Driving Simulator and Force Option Simulator courses for the period July 1, 2018 through June 30, 2019. (100% State)       AYE: District II Supervisor Candace Andersen, District III Supervisor Diane Burgis, District IV Supervisor Karen Mitchoff, District V Supervisor Federal D. Glover Other: District I Supervisor John Gioia (ABSENT) C. 41 APPROVE and AUTHORIZE the Health Services Director, or designee, to execute a contract with the Martinez Unified School District, to pay the County an amount not to exceed $178,960 to provide mental health intervention services for seriously emotionally disturbed special education students for the period July 1, 208 through June 30, 2019. (No County match)       AYE: District II Supervisor Candace Andersen, District III Supervisor Diane Burgis, District IV Supervisor Karen Mitchoff, District V Supervisor Federal D. Glover Other: District I Supervisor John Gioia (ABSENT) C. 42 APPROVE and AUTHORIZE the Health Services Director, or designee, to apply to the California Department of Health Care Services for funding in an amount not to exceed $25,000 for expanding medication assisted treatment services in the County's detention facilities for the period August 1, 2018 through March 31, 2019. (No County match)       AYE: District II Supervisor Candace Andersen, District III Supervisor Diane Burgis, District IV Supervisor Karen Mitchoff, District V Supervisor Federal D. Glover Other: District I Supervisor John Gioia (ABSENT) C. 43 APPROVE and AUTHORIZE the Employment and Human Services Director, or designee, to execute a contract amendment with the California Governor's Office of Emergency Services to increase the contract payment limit by $300,000 to a new payment limit of $700,000, and extend the term from July 1, 2016 through June 30, 2018 to July 1, 2016 through December 31, 2019, to deliver services that prevent and support victims of elder and dependent adult abuse. (20% In-kind match)       AYE: District II Supervisor Candace Andersen, District III Supervisor Diane Burgis, District IV Supervisor Karen Mitchoff, District V Supervisor Federal D. Glover Other: District I Supervisor John Gioia (ABSENT) C. 44 APPROVE and AUTHORIZE the Health Services Director, or designee, to execute a contract containing modified    August 14, 2018 BOS Minutes 8 C. 44 APPROVE and AUTHORIZE the Health Services Director, or designee, to execute a contract containing modified indemnification language with the City of Richmond, for its Community Services Department, to provide congregate meal services for County’s Senior Nutrition Program for the period July 1, 2018 through June 30, 2019, with a three-month automatic extension through September 30, 2019. (No County match)       AYE: District II Supervisor Candace Andersen, District III Supervisor Diane Burgis, District IV Supervisor Karen Mitchoff, District V Supervisor Federal D. Glover Other: District I Supervisor John Gioia (ABSENT) C. 45 APPROVE and AUTHORIZE the Health Services Director, or designee, to execute a contract with the Mt. Diablo Unified School District, to pay the County an amount not to exceed $533,891 to provide professional school-based mental health services, crisis intervention, and day treatment services for seriously emotionally disturbed students for the period July 1, 2018 through June 30, 2019. (No County match)       AYE: District II Supervisor Candace Andersen, District III Supervisor Diane Burgis, District IV Supervisor Karen Mitchoff, District V Supervisor Federal D. Glover Other: District I Supervisor John Gioia (ABSENT) APPROVE and AUTHORIZE execution of agreement between the County and the following parties as noted for the purchase of equipment and/or services:   C. 46 APPROVE and AUTHORIZE the County Administrator, or designee, to execute a contract with Industrial Employers and Distributors Association, including modified indemnification language, in an amount not to exceed $22,588 to provide In-Home Supportive Services Authority (IHSS) negotiations and support services, for the period September 1, 2018 through August 31, 2019. (31% Federal, 32% State, and 37% County)       AYE: District II Supervisor Candace Andersen, District III Supervisor Diane Burgis, District IV Supervisor Karen Mitchoff, District V Supervisor Federal D. Glover Other: District I Supervisor John Gioia (ABSENT) C. 47 APPROVE and AUTHORIZE the Purchasing Agent to execute, on behalf of the Health Services Director, a software agreement containing modified indemnification language with Medical Information Technology, Inc., in an amount not to exceed $121,667 for the license and annual maintenance of software modules for the period April 1, 2018 through March 31, 2019. (100% Hospital Enterprise Fund I)       AYE: District II Supervisor Candace Andersen, District III Supervisor Diane Burgis, District IV Supervisor Karen Mitchoff, District V Supervisor Federal D. Glover Other: District I Supervisor John Gioia (ABSENT) C. 48 APPROVE and AUTHORIZE the Conservation and Development Director, or designee, to execute a contract with PlaceWorks, a corporation, in an amount not to exceed $3,190,376 for consulting services related to updating the Contra Costa County General Plan, Contra Costa County Zoning Code, and Contra Costa County Climate Action Plan, and preparation of an environmental impact report for said updates, for the period August 15, 2018 through December 31, 2021. (At minimum 50% DCD Land Development Fund and up to 50% from the County General Fund)       AYE: District II Supervisor Candace Andersen, District III Supervisor Diane Burgis, District IV Supervisor Karen Mitchoff, District V Supervisor Federal D. Glover Other: District I Supervisor John Gioia (ABSENT) C. 49 APPROVE and AUTHORIZE the Health Services Director, or designee, to execute a contract with Gayatri Mahajan, M.D, in an amount not to exceed $130,000 to provide pediatric developmental behavioral services for patients of Contra Costa Regional Medical Center and Health Centers for the period August 1, 2018 through July 31, 2019. (100% Hospital Enterprise Fund I)       AYE: District II Supervisor Candace Andersen, District III Supervisor Diane Burgis, District IV Supervisor Karen Mitchoff, District V Supervisor Federal D. Glover Other: District I Supervisor John Gioia (ABSENT) C. 50 APPROVE and AUTHORIZE the Public Works Director, or designee, to execute contract amendment with All City Management Services, Inc., to increase the payment limit by $90,000 to a new payment limit of $234,500 and extend the term from August 15, 2018 through August 15, 2019, to provide crossing guard services at various schools, Bay Point area. (100% Keller Canyon Mitigation Funds)       AYE: District II Supervisor Candace Andersen, District III Supervisor Diane Burgis, District IV Supervisor Karen Mitchoff, District V Supervisor Federal D. Glover Other: District I Supervisor John Gioia (ABSENT) August 14, 2018 BOS Minutes 9 C. 51 APPROVE and AUTHORIZE the the County Administrator, or designee, to execute a contract with Bay Area Community Resources in an amount not to exceed $305,000 to provide Smart Reentry Transitional Age Youth Services for the period January 1, 2018 through September 30, 2019. (100% Federal)       AYE: District II Supervisor Candace Andersen, District III Supervisor Diane Burgis, District IV Supervisor Karen Mitchoff, District V Supervisor Federal D. Glover Other: District I Supervisor John Gioia (ABSENT) C. 52 APPROVE and AUTHORIZE the County Librarian, or designee, to execute a software and services agreement amendment with OrangeBoy, Inc., effective August 1, 2018, to extend the term from October 31, 2018 to October 31, 2019 and to increase the payment limit by $7,200 to a new payment limit of $83,475, to provide additional on-site training services.(100% Library Fund)       AYE: District II Supervisor Candace Andersen, District III Supervisor Diane Burgis, District IV Supervisor Karen Mitchoff, District V Supervisor Federal D. Glover Other: District I Supervisor John Gioia (ABSENT) C. 53 APPROVE and AUTHORIZE the Employment and Human Services Director, or designee, to execute a contract with Contra Costa Family Justice Alliance, a non-profit corporation, in an amount not to exceed $123,912 to provide project, service, and training coordination, and integrated data system services as part of the Contra Costa County Elder Abuse Prevention Project for victims of financial elder abuse for the period September 1, 2018 through December 31, 2019. (100% Federal)       AYE: District II Supervisor Candace Andersen, District III Supervisor Diane Burgis, District IV Supervisor Karen Mitchoff, District V Supervisor Federal D. Glover Other: District I Supervisor John Gioia (ABSENT) C. 54 APPROVE and AUTHORIZE the Health Services Director, or designee, to execute a contract with Enlight Consulting Co., in an amount not to exceed $750,000 to provide primary care physician services for Contra Costa Health Plan members for the period August 1, 2018 through July 31, 2020. (100% Contra Costa Health Plan Enterprise Fund II)       AYE: District II Supervisor Candace Andersen, District III Supervisor Diane Burgis, District IV Supervisor Karen Mitchoff, District V Supervisor Federal D. Glover Other: District I Supervisor John Gioia (ABSENT) C. 55 APPROVE and AUTHORIZE the Health Services Director, or designee, to execute a contract amendment effective August 1, 2018 with James Pak, M.D., Inc., to increase the payment limit by $53,000 to a new payment limit of $222,000 and extend the term from August 31, 2018 through February 28, 2019 for additional anesthesiology services at Contra Costa Regional Medical and Health Centers. (100% Hospital Enterprise Fund I)       AYE: District II Supervisor Candace Andersen, District III Supervisor Diane Burgis, District IV Supervisor Karen Mitchoff, District V Supervisor Federal D. Glover Other: District I Supervisor John Gioia (ABSENT) C. 56 APPROVE and AUTHORIZE the Health Services Director, or designee, to execute a contract with Mount Diablo Solano Oncology Group Medical Associates in an amount not to exceed $3,000,000 to provide hematology/oncology services to Contra Costa Health Plan members for the period August 1, 2018 through July 31, 2020. (100% Contra Costa Health Plan Enterprise Fund II)       AYE: District II Supervisor Candace Andersen, District III Supervisor Diane Burgis, District IV Supervisor Karen Mitchoff, District V Supervisor Federal D. Glover Other: District I Supervisor John Gioia (ABSENT) C. 57 APPROVE and AUTHORIZE the Health Services Director, or designee, to execute a contract with Amarjit Dosanjh, M.D., A Medical Corporation, in an amount not to exceed $425,000 to provide plastic and reconstructive surgery services for Contra Costa Health Plan members for the period August 1, 2018 through July 31, 2020. (100% Contra Costa Health Plan Enterprise Fund II)       AYE: District II Supervisor Candace Andersen, District III Supervisor Diane Burgis, District IV Supervisor Karen Mitchoff, District V Supervisor Federal D. Glover Other: District I Supervisor John Gioia (ABSENT) C. 58 APPROVE and AUTHORIZE the Health Services Director, or designee, to execute a contract with Lao Family Community Development, Inc., in an amount not to exceed $190,416 to provide prevention and early mental health intervention services to Asian and South East Asian adults for the period July 1, 2018 through June 30, 2019, with a six-month automatic extension through December 31, 2019 in an amount not to exceed $95,208. (100% Mental Health Services Act)      August 14, 2018 BOS Minutes 10  AYE: District II Supervisor Candace Andersen, District III Supervisor Diane Burgis, District IV Supervisor Karen Mitchoff, District V Supervisor Federal D. Glover Other: District I Supervisor John Gioia (ABSENT) C. 59 APPROVE and AUTHORIZE the Health Services Director, or designee, to execute a contract with Teodoro P. Nissen, M.D., Inc. (dba Bay Area Orthopedic Surgery and Sports Medicine), in an amount not to exceed $200,000 to provide orthopedic surgery services for Contra Costa Health Plan members for the period August 1, 2018 through July 31, 2020. (100% Contra Costa Health Plan Enterprise Fund II)       AYE: District II Supervisor Candace Andersen, District III Supervisor Diane Burgis, District IV Supervisor Karen Mitchoff, District V Supervisor Federal D. Glover Other: District I Supervisor John Gioia (ABSENT) C. 60 APPROVE and AUTHORIZE the Employment and Human Services Director, or designee, to execute a contract with Meals on Wheels Diablo Region in an amount not to exceed $138,137 to provide direct service provider training and care manager services to victims of financial elder abuse as part of the Contra Costa County Elder Abuse Prevention Project for the period July 1, 2018 through June 30, 2019. (100% Federal Funding)       AYE: District II Supervisor Candace Andersen, District III Supervisor Diane Burgis, District IV Supervisor Karen Mitchoff, District V Supervisor Federal D. Glover Other: District I Supervisor John Gioia (ABSENT) C. 61 APPROVE and AUTHORIZE the Purchasing Agent to execute, on behalf of the Sheriff-Coroner, a purchase order with R-Computer in an amount not to exceed $450,000 to provide computer hardware and equipment for the period July 1, 2018 through June 30, 2020. (100% General Fund)       AYE: District II Supervisor Candace Andersen, District III Supervisor Diane Burgis, District IV Supervisor Karen Mitchoff, District V Supervisor Federal D. Glover Other: District I Supervisor John Gioia (ABSENT) C. 62 APPROVE and AUTHORIZE the Health Services Director, or designee, to execute a contract with People Who Care Children Association in an amount not to exceed $223,102 to provide prevention and early mental health intervention services for the period July 1, 2018 through June 30, 2019, with a six-month automatic extension through December 31, 2019 in an amount not to exceed $111,551. (100% Mental Health Service Act)       AYE: District II Supervisor Candace Andersen, District III Supervisor Diane Burgis, District IV Supervisor Karen Mitchoff, District V Supervisor Federal D. Glover Other: District I Supervisor John Gioia (ABSENT) C. 63 APPROVE and AUTHORIZE the Health Services Director, or designee, to execute a contract amendment, effective August 1, 2018, with Crestwood Behavioral Health, Inc., to add a rate for unoccupied bed holds for subacute skilled nursing care services, with no change in the total payment limit of $8,389,976 and no change in the term of July 1, 2018 through June 30, 2019. (92% Mental Health Realignment, 8% Mental Health Services Act)       AYE: District II Supervisor Candace Andersen, District III Supervisor Diane Burgis, District IV Supervisor Karen Mitchoff, District V Supervisor Federal D. Glover Other: District I Supervisor John Gioia (ABSENT) C. 64 APPROVE and AUTHORIZE the Health Services Director, or designee, to execute a contract with Touchstone Counseling Services, Inc., in an amount not to exceed $169,950 to provide mental health services to CalWORKS recipients for the period July 1, 2018 through June 30, 2019, with a six-month automatic extension through December 31, 2019 in an amount not to exceed $84,975. (100% State CalWORKS Program)       AYE: District II Supervisor Candace Andersen, District III Supervisor Diane Burgis, District IV Supervisor Karen Mitchoff, District V Supervisor Federal D. Glover Other: District I Supervisor John Gioia (ABSENT) C. 65 APPROVE and AUTHORIZE the Director of Human Resources, or designee, to execute an Online Services Agreement with GovernmentJobs.com, Inc., d/b/a NeoGov, in an amount not to exceed $370,000, including modified indemnification language, to provide a vendor-hosted internet-based applicant tracking and onboarding software system, for the period of July 1, 2018 through June 30, 2021. (100% General Fund)       AYE: District II Supervisor Candace Andersen, District III Supervisor Diane Burgis, District IV Supervisor Karen Mitchoff, District V Supervisor Federal D. Glover Other: District I Supervisor John Gioia (ABSENT) C. 66 APPROVE and AUTHORIZE the Health Services Director, or designee, to execute a contract with John E. Hawkins,   August 14, 2018 BOS Minutes 11 C. 66 APPROVE and AUTHORIZE the Health Services Director, or designee, to execute a contract with John E. Hawkins, M.D., in an amount not to exceed $209,664 to provide professional outpatient psychiatric services to adults in East County for the period September 1, 2018 through August 31, 2019. (100% Mental Health Realignment)       AYE: District II Supervisor Candace Andersen, District III Supervisor Diane Burgis, District IV Supervisor Karen Mitchoff, District V Supervisor Federal D. Glover Other: District I Supervisor John Gioia (ABSENT) C. 67 APPROVE and AUTHORIZE the Health Services Director, or designee, to execute a contract with 03, Inc. (dba 03 Apps, Inc.), in an amount not to exceed $185,000 to provide consultation and technical assistance to improve the usability of the Health Services Department's emergency management software system and to develop web applications to improve workflows for the period July 1, 2018 through March 30, 2020. (100% State)       AYE: District II Supervisor Candace Andersen, District III Supervisor Diane Burgis, District IV Supervisor Karen Mitchoff, District V Supervisor Federal D. Glover Other: District I Supervisor John Gioia (ABSENT) C. 68 APPROVE and AUTHORIZE the Employment and Human Services Director, or designee, to execute an amendment to the Software and Services Agreement with Cityspan Technologies, Inc. to extend the termination date from June 30, 2018 to September 30, 2018, with no change in the payment limit, for the continued development, implementation, hosting and maintenance of a web-based contract management system. (10% County, 48% State, 42% Federal)       AYE: District II Supervisor Candace Andersen, District III Supervisor Diane Burgis, District IV Supervisor Karen Mitchoff, District V Supervisor Federal D. Glover Other: District I Supervisor John Gioia (ABSENT) C. 69 APPROVE and AUTHORIZE the Employment and Human Services Director, or designee, to execute a contract with Rubicon Programs Incorporated, a non-profit corporation of California, in an amount not to exceed $1,050,000, to operate and manage America’s Job Center of California, and deliver Adult and Dislocated Worker Career Services to County residents under the Workforce Innovation and Opportunity Act, for the period of August 1, 2018 through June 30, 2019. (100% Federal)       AYE: District II Supervisor Candace Andersen, District III Supervisor Diane Burgis, District IV Supervisor Karen Mitchoff, District V Supervisor Federal D. Glover Other: District I Supervisor John Gioia (ABSENT) C. 70 APPROVE and AUTHORIZE the Health Services Director, or designee, to execute a contract with Maxim Healthcare Services, Inc., in an amount not to exceed $500,000 to provide temporary medical staff services at Contra Costa Regional Medical Center and Health Centers for the period July 1, 2018 through June 30, 2019. (100% Hospital Enterprise Fund I)       Removed from consideration.   C. 71 APPROVE and AUTHORIZE the Health Services Director, or designee, to execute a contract with AYA Healthcare, Inc., in an amount not to exceed $1,000,000 to provide temporary nursing staff for the Contra Costa Regional Medical Center and Health Centers for the period July 1, 2018 through June 30, 2019. (100% Hospital Enterprise Fund I)       Removed from consideration.   C. 72 APPROVE and AUTHORIZE the Health Services Director, or designee, to execute a contract with Per Diem Staffing Systems, Inc., in an amount not to exceed $800,000 to provide temporary respiratory therapists, nursing services and other medical services at the Contra Costa Regional Medical Center and Health Centers for the period July 1, 2018 through June 30, 2019. (100% Hospital Enterprise Fund I)       Removed from consideration.   C. 73 APPROVE and AUTHORIZE the Health Services Director, or designee, to execute a contract with Medical Solutions, LLC (dba Nebraska Medical Solutions, LLC), in an amount not to exceed $3,300,000 to provide temporary nursing and medical staff at Contra Costa Regional Medical Center and Health Centers and the County's detention facilities for the period July 1, 2018 through June 30, 2019. (100% Hospital Enterprise Fund I)       Removed from consideration.   C. 74 APPROVE and AUTHORIZE the Health Services Director or designee, to execute a contract with SHC Services, Inc. (dba Supplemental Health Care), in an amount not to exceed $1,500,000 to provide temporary medical staff at Contra Costa Regional Medical Center and Health Centers and the County's Detention Facilities for the period April 1, 2018 through March 31, 2019. (100% Hospital Enterprise Fund I)       Removed from consideration. August 14, 2018 BOS Minutes 12   C. 75 APPROVE and AUTHORIZE the Health Services Director, or designee, to execute a contract containing modified indemnification language with Cross Country Staffing, Inc., in an amount not to exceed $5,000,000 to provide temporary medical and specialty staffing services for the Contra Costa Regional Medical Center and Health Centers for the period July 1, 2018 through June 30, 2019. (100% Hospital Enterprise Fund I)       Removed from consideration.   Other Actions   C. 76 ACCEPT the fiscal year 2017/18 Real Estate Fraud Prosecution Trust Fund Annual Report and APPROVE the continued expenditure of funds from the County's Real Estate Fraud Prosecution Trust Fund for the fiscal year 2018/19, as recommended by the District Attorney. (100% Real Estate Fraud Protection Trust Fund)       AYE: District II Supervisor Candace Andersen, District III Supervisor Diane Burgis, District IV Supervisor Karen Mitchoff, District V Supervisor Federal D. Glover Other: District I Supervisor John Gioia (ABSENT) C. 77 REFER to the Finance Committee a proposal to create a central reporting process for County grants, as recommended by the County Administrator.       AYE: District II Supervisor Candace Andersen, District III Supervisor Diane Burgis, District IV Supervisor Karen Mitchoff, District V Supervisor Federal D. Glover Other: District I Supervisor John Gioia (ABSENT) C. 78 APPROVE and AUTHORIZE the Director of Conservation and Development, or designee, to file, on behalf of the County and the Contra Costa County Water Agency, an administrative appeal with the Delta Stewardship Council to challenge a determination by the California Department of Water Resources that the California WaterFix Project is consistent with the Delta Plan, and authorize the execution of related legal services contracts and a joint appeal agreement. (100% Water Agency funds.)       AYE: District II Supervisor Candace Andersen, District III Supervisor Diane Burgis, District IV Supervisor Karen Mitchoff, District V Supervisor Federal D. Glover Other: District I Supervisor John Gioia (ABSENT) C. 79 ADOPT report as the Board of Supervisors' response to Civil Grand Jury Report No. 1806, entitled "The Opioid Crisis”, and DIRECT the Clerk of the Board to transmit the Board's response to the Superior Court, as recommended by the County Administrator.       AYE: District II Supervisor Candace Andersen, District III Supervisor Diane Burgis, District IV Supervisor Karen Mitchoff, District V Supervisor Federal D. Glover Other: District I Supervisor John Gioia (ABSENT) C. 80 APPROVE and AUTHORIZE the Health Services Director, or designee, to execute a contract with the Mt. Diablo Unified School District, Adult Education to provide supervised field instruction to dental assistant students in the County’s Public Health Division for the period July 1, 2018 through June 30, 2020. (Non-financial agreement)       AYE: District II Supervisor Candace Andersen, District III Supervisor Diane Burgis, District IV Supervisor Karen Mitchoff, District V Supervisor Federal D. Glover Other: District I Supervisor John Gioia (ABSENT) C. 81 APPROVE and AUTHORIZE the Health Services Director, or designee, to execute a contract containing modified indemnification language with the City of Walnut Creek, for its Police Department, to develop and implement a joint outreach program designed to help certain high-risk adults who have a serious and persistent mental illness for the period June 1, 2018 through May 31, 2019. (Non-financial agreement)       AYE: District II Supervisor Candace Andersen, District III Supervisor Diane Burgis, District IV Supervisor Karen Mitchoff, District V Supervisor Federal D. Glover Other: District I Supervisor John Gioia (ABSENT) C. 82 APPROVE and AUTHORIZE the Clerk-Recorder or designee to execute a one-day use permit with the City of Richmond Community Services Department for the use of the Lucretia Edwards Shoreline Park on September 7, 2018, and agreeing to indemnify and hold the City harmless for any claims arising out of the County's use of the park. (No fiscal impact)       AYE: District II Supervisor Candace Andersen, District III Supervisor Diane Burgis, District IV Supervisor Karen Mitchoff, District V Supervisor Federal D. Glover August 14, 2018 BOS Minutes 13 Other: District I Supervisor John Gioia (ABSENT) C. 83 APPROVE and AUTHORIZE the Health Services Director, or designee, to execute a contract containing modified indemnification language with AAA Northern California, Nevada & Utah for the AAA Child Passenger Safety Donation Program to provide car seats and car seat boosters to low-income families for the period August 7, 2018 through December 14, 2018. (Non-financial agreement)       AYE: District II Supervisor Candace Andersen, District III Supervisor Diane Burgis, District IV Supervisor Karen Mitchoff, District V Supervisor Federal D. Glover Other: District I Supervisor John Gioia (ABSENT) C. 84 APPROVE and ACKNOWLEDGE that the contractor, in the contract between the County and Compass Group USA, Inc. (dba Bateman Community Living), pertaining to the provision of home delivered meals to the County's Senior Nutrition Program and initially approved by the Board on May 22, 2018 (Item C.69), has changed its name to Elior, Inc. (dba Bateman Community Living, LLC), as recommended by the Health Services Director.       AYE: District II Supervisor Candace Andersen, District III Supervisor Diane Burgis, District IV Supervisor Karen Mitchoff, District V Supervisor Federal D. Glover Other: District I Supervisor John Gioia (ABSENT) C. 85 ACCEPT report on the FY 2017/18 activities and key accomplishments and proposed 2018/19 work plan of the Local Planning Council as they relate to membership and funding of local child care and development planning in Contra Costa County, as recommended by the Family and Human Services Committee.       AYE: District II Supervisor Candace Andersen, District III Supervisor Diane Burgis, District IV Supervisor Karen Mitchoff, District V Supervisor Federal D. Glover Other: District I Supervisor John Gioia (ABSENT) C. 86 APPROVE clarification of Board action of June 5, 2018 (Item C.85) which authorized the Health Services Director to execute a contract with Groupware Technology, Inc., for consulting and technical assistance for data migration to the Health Service Department’s Information Technology Unit Data Center, to reflect the correct term of June 5, 2018 through December 31, 2018 with no change in the payment limit. (100% Hospital Enterprise Fund I)       AYE: District II Supervisor Candace Andersen, District III Supervisor Diane Burgis, District IV Supervisor Karen Mitchoff, District V Supervisor Federal D. Glover Other: District I Supervisor John Gioia (ABSENT) C. 87 ACCEPT report from the Employment and Human Services Department on youth services and the Independent Living Skills Program (ILSP); and continue to support services to foster youth in the ILSP program, as recommended by the Family and Human Services Committee. (No fiscal impact)       AYE: District II Supervisor Candace Andersen, District III Supervisor Diane Burgis, District IV Supervisor Karen Mitchoff, District V Supervisor Federal D. Glover Other: District I Supervisor John Gioia (ABSENT) C. 88 APPROVE response to Civil Grand Jury Report No. 1809, entitled "Community Reentry from Jail" and DIRECT the Clerk of the Board to forward the response to the Superior Court following Board action, as recommended by the County Administrator.       AYE: District II Supervisor Candace Andersen, District III Supervisor Diane Burgis, District IV Supervisor Karen Mitchoff, District V Supervisor Federal D. Glover Other: District I Supervisor John Gioia (ABSENT)   GENERAL INFORMATION The Board meets in all its capacities pursuant to Ordinance Code Section 24-2.402, including as the Housing Authority and the Successor Agency to the Redevelopment Agency. Persons who wish to address the Board should complete the form provided for that purpose and furnish a copy of any written statement to the Clerk. Any disclosable public records related to an open session item on a regular meeting agenda and distributed by the Clerk of the Board to a majority of the members of the Board of Supervisors less than 72 hours prior to that meeting are available for public inspection at 651 Pine Street, First Floor, Room 106, Martinez, CA 94553, during normal business hours. All matters listed under CONSENT ITEMS are considered by the Board to be routine and will be enacted by one motion. There will be no separate discussion of these items unless requested by a member of the Board or a member of the public prior to the time the Board votes on the motion to adopt. Persons who wish to speak on matters set for PUBLIC HEARINGS will be heard when the Chair calls for comments from those persons who August 14, 2018 BOS Minutes 14 are in support thereof or in opposition thereto. After persons have spoken, the hearing is closed and the matter is subject to discussion and action by the Board. Comments on matters listed on the agenda or otherwise within the purview of the Board of Supervisors can be submitted to the office of the Clerk of the Board via mail: Board of Supervisors, 651 Pine Street Room 106, Martinez, CA 94553; by fax: 925-335-1913. The County will provide reasonable accommodations for persons with disabilities planning to attend Board meetings who contact the Clerk of the Board at least 24 hours before the meeting, at (925) 335-1900; TDD (925) 335-1915. An assistive listening device is available from the Clerk, Room 106. Copies of recordings of all or portions of a Board meeting may be purchased from the Clerk of the Board. Please telephone the Office of the Clerk of the Board, (925) 335-1900, to make the necessary arrangements. Forms are available to anyone desiring to submit an inspirational thought nomination for inclusion on the Board Agenda. Forms may be obtained at the Office of the County Administrator or Office of the Clerk of the Board, 651 Pine Street, Martinez, California. Applications for personal subscriptions to the weekly Board Agenda may be obtained by calling the Office of the Clerk of the Board, (925) 335-1900. The weekly agenda may also be viewed on the County’s Internet Web Page: www.co.contra-costa.ca.us STANDING COMMITTEES The Airport Committee (Supervisors Diane Burgis and Karen Mitchoff) meets on the second Wednesday of the month at 11:00 a.m. at Director of Airports Office, 550 Sally Ride Drive, Concord. The Family and Human Services Committee (Supervisors Candace Andersen and John Gioia) meets on the fourth Monday of the month at 10:30 a.m. in Room 101, County Administration Building, 651 Pine Street, Martinez. The Finance Committee (Supervisors Karen Mitchoff and John Gioia) meets on the fourth Monday of the month at 9:00 a.m. in Room 101, County Administration Building, 651 Pine Street, Martinez. The Hiring Outreach Oversight Committee (Supervisors Candace Andersen and Federal D. Glover) meets on the first Monday of every other month at 1:00 p.m. in Room 101, County Administration Building, 651 Pine Street, Martinez. The Internal Operations Committee (Supervisors Diane Burgis and Candace Andersen) meets on the second Monday of the month at 1:00 p.m. in Room 101, County Administration Building, 651 Pine Street, Martinez. The Legislation Committee (Supervisors Karen Mitchoff and Diane Burgis) meets on the second Monday of the month at 10:30 a.m. in Room 101, County Administration Building, 651 Pine Street, Martinez. The Public Protection Committee (Supervisors John Gioia and Federal D. Glover) meets on the first Monday of the month at 10:30 a.m. in Room 101, County Administration Building, 651 Pine Street, Martinez. The Transportation, Water & Infrastructure Committee (Supervisors Karen Mitchoff and Candace Andersen) meets on the second Monday of the month at 9:00 a.m. in Room 101, County Administration Building, 651 Pine Street, Martinez. Airports Committee September 12, 2018 11:00 a.m.See above Family & Human Services Committee August 27, 2018 Canceled Next Meeting September 24, 2018 10:30 a.m.See above Finance Committee August 27, 2018 Canceled Next Meeting September 24, 2018 9:00 a.m. See above Hiring Outreach Oversight Committee September 10, 2018 Canceled Next Meeting October 1, 2018 1:00 p.m.See above Internal Operations Committee September 10, 2018 1:00 p.m. See above Legislation Committee September 10, 2018 10:30 a.m.See above Public Protection Committee September 3, 2018 Canceled Special Meeting September 10, 2018 9:00 a.m. See above Transportation, Water & Infrastructure Committee Special Meeting August 20, 2018 2:00 p.m. See above August 14, 2018 BOS Minutes 15 PERSONS WHO WISH TO ADDRESS THE BOARD DURING PUBLIC COMMENT OR WITH RESPECT TO AN ITEM THAT IS ON THE AGENDA, MAY BE LIMITED TO TWO (2) MINUTES A LUNCH BREAK MAY BE CALLED AT THE DISCRETION OF THE BOARD CHAIR AGENDA DEADLINE: Thursday, 12 noon, 12 days before the Tuesday Board meetings. Glossary of Acronyms, Abbreviations, and other Terms (in alphabetical order): Contra Costa County has a policy of making limited use of acronyms, abbreviations, and industry-specific language in its Board of Supervisors meetings and written materials. Following is a list of commonly used language that may appear in oral presentations and written materials associated with Board meetings: AB Assembly Bill ABAG Association of Bay Area Governments ACA Assembly Constitutional Amendment ADA Americans with Disabilities Act of 1990 AFSCME American Federation of State County and Municipal Employees AICP American Institute of Certified Planners AIDS Acquired Immunodeficiency Syndrome ALUC Airport Land Use Commission AOD Alcohol and Other Drugs ARRA American Recovery & Reinvestment Act of 2009 BAAQMD Bay Area Air Quality Management District BART Bay Area Rapid Transit District BayRICS Bay Area Regional Interoperable Communications System BCDC Bay Conservation & Development Commission BGO Better Government Ordinance BOS Board of Supervisors CALTRANS California Department of Transportation CalWIN California Works Information Network CalWORKS California Work Opportunity and Responsibility to Kids CAER Community Awareness Emergency Response CAO County Administrative Officer or Office CCCPFD (ConFire) Contra Costa County Fire Protection District CCHP Contra Costa Health Plan CCTA Contra Costa Transportation Authority CCRMC Contra Costa Regional Medical Center CCWD Contra Costa Water District CDBG Community Development Block Grant CFDA Catalog of Federal Domestic Assistance CEQA California Environmental Quality Act CIO Chief Information Officer COLA Cost of living adjustment ConFire (CCCFPD) Contra Costa County Fire Protection District CPA Certified Public Accountant CPI Consumer Price Index CSA County Service Area CSAC California State Association of Counties CTC California Transportation Commission dba doing business as DSRIP Delivery System Reform Incentive Program EBMUD East Bay Municipal Utility District ECCFPD East Contra Costa Fire Protection District EIR Environmental Impact Report EIS Environmental Impact Statement EMCC Emergency Medical Care Committee EMS Emergency Medical Services EPSDT Early State Periodic Screening, Diagnosis and Treatment Program (Mental Health) et al. et alii (and others) FAA Federal Aviation Administration FEMA Federal Emergency Management Agency F&HS Family and Human Services Committee First 5 First Five Children and Families Commission (Proposition 10) FTE Full Time Equivalent FY Fiscal Year GHAD Geologic Hazard Abatement District GIS Geographic Information System August 14, 2018 BOS Minutes 16 HCD (State Dept of) Housing & Community Development HHS (State Dept of ) Health and Human Services HIPAA Health Insurance Portability and Accountability Act HIV Human Immunodeficiency Syndrome HOV High Occupancy Vehicle HR Human Resources HUD United States Department of Housing and Urban Development IHSS In-Home Supportive Services Inc. Incorporated IOC Internal Operations Committee ISO Industrial Safety Ordinance JPA Joint (exercise of) Powers Authority or Agreement Lamorinda Lafayette-Moraga-Orinda Area LAFCo Local Agency Formation Commission LLC Limited Liability Company LLP Limited Liability Partnership Local 1 Public Employees Union Local 1 LVN Licensed Vocational Nurse MAC Municipal Advisory Council MBE Minority Business Enterprise M.D. Medical Doctor M.F.T. Marriage and Family Therapist MIS Management Information System MOE Maintenance of Effort MOU Memorandum of Understanding MTC Metropolitan Transportation Commission NACo National Association of Counties NEPA National Environmental Policy Act OB-GYN Obstetrics and Gynecology O.D. Doctor of Optometry OES-EOC Office of Emergency Services-Emergency Operations Center OPEB Other Post Employment Benefits OSHA Occupational Safety and Health Administration PARS Public Agencies Retirement Services PEPRA Public Employees Pension Reform Act Psy.D. Doctor of Psychology RDA Redevelopment Agency RFI Request For Information RFP Request For Proposal RFQ Request For Qualifications RN Registered Nurse SB Senate Bill SBE Small Business Enterprise SEIU Service Employees International Union SUASI Super Urban Area Security Initiative SWAT Southwest Area Transportation Committee TRANSPAC Transportation Partnership & Cooperation (Central) TRANSPLAN Transportation Planning Committee (East County) TRE or TTE Trustee TWIC Transportation, Water and Infrastructure Committee UASI Urban Area Security Initiative VA Department of Veterans Affairs vs. versus (against) WAN Wide Area Network WBE Women Business Enterprise WCCTAC West Contra Costa Transportation Advisory Committee August 14, 2018 BOS Minutes 17 RECOMMENDATION(S): Presentation recognizing Contra Costa County Office of Education's county-wide school safety initiative and formalized partnership with Sandy Hook Promise. FISCAL IMPACT: None. BACKGROUND: Terry Koehne, Chief Communications Officer for the Contra Costa County Office of Education and Paula Fynboh, the Sandy Hook Promise National Field Director, will present the Contra Costa County Office of Education's upcoming county-wide school safety initiative. The Contra Costa County Office of Education has recently partnered with Sandy Hook Promise, whose mission is to prevent gun violence on school campuses. They approach this from a comprehensive, holistic perspective with a heavy emphasis on student mental wellness. It is a comprehensive and evidence-based student mental health approach. Sandy Hook Promise is a national non-profit organization founded and led by several family members whose loved ones were killed at Sandy Hook Elementary School on December 14, 2012. Their intent is to honor all victims of gun violence by turning tragedy into a moment of transformation by providing programs and practices that protect children from gun violence. APPROVE OTHER RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE Action of Board On: 08/14/2018 APPROVED AS RECOMMENDED OTHER Clerks Notes: VOTE OF SUPERVISORS Contact: Lia Bristol, (925) 521-7100 I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown. ATTESTED: August 14, 2018 David J. Twa, County Administrator and Clerk of the Board of Supervisors By: , Deputy cc: PR.2 To:Board of Supervisors From:Karen Mitchoff, District IV Supervisor Date:August 14, 2018 Contra Costa County Subject:Presentation by the Contra Costa County Office of Education on the Sandy Hook Promise August 14, 2018 BOS Minutes 18 BACKGROUND: (CONT'D) > Sandy Hook Promise works to build a national movement of parents, schools and community organizations engaged and empowered to deliver gun violence prevention programs and mobilize for the passage of sensible state and national policy. They will accomplish this by: 1. Building A National Base by attracting, educating and engaging parents, schools and community organizations to join SHP through social media, advertising, speaking engagements, major events and initiatives. 2. Organizing at a Community Level by identifying, training and empowering volunteer “Promise Leaders” to raise awareness, educate and deliver programs to help prevent gun violence in their community. 3. Developing and Delivering Mental Health & Wellness Programs that identify, intervene and help at-risk individuals and gun safety practices that ensure firearms are kept safe and secure. 4. Advocating for State and Federal Policy by mobilizing and leveraging our national base and Promise Leaders for the passage of sensible mental health & wellness and gun safety laws. CHILDREN'S IMPACT STATEMENT: Sandy Hook Promise is committed to driving and sustaining positive change that results in the protection of children from gun violence through prevention. CLERK'S ADDENDUM Speakers:  Pat Frost, National Pediatric Disaster Coalition, expressed her support of the tools and resources provided by the program.  August 14, 2018 BOS Minutes 19 RECOMMENDATION(S): ACCEPT the 2017 Annual Performance Evaluation Report of Alliance Emergency Medical Services presented by the County EMS Director and the Contra Costa County Fire Protection District Fire Chief. ACKNOWLEDGE that the Fire District’s purchase of $439,592 in fixed assets benefits the County EMS System and satisfies all outlier response penalty fee accruals for 2016 and 2017. FISCAL IMPACT: None. BACKGROUND: The Contra Costa County Fire Protection District was awarded the contract for Emergency Ambulance Services for Exclusive Operating Areas I, II and V, covering approximately 92% of Contra Costa County. The contract went into effect on January 1, 2016. Emergency ambulance services covered under this agreement perform these services utilizing the unique emergency ambulance service delivery model known as the Alliance. The Contra Costa Fire Protection District is responsible for the subcontractor performance provided by American Medical Response. This is the second annual performance evaluation report presented to the Board of Supervisors. The joint presentation by the EMS Agency and Contra Costa County Fire Protection District will describe emergency ambulance services delivered during 2017. APPROVE OTHER RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE Action of Board On: 08/14/2018 APPROVED AS RECOMMENDED OTHER Clerks Notes: VOTE OF SUPERVISORS AYE:Candace Andersen, District II Supervisor Diane Burgis, District III Supervisor Karen Mitchoff, District IV Supervisor Federal D. Glover, District V Supervisor ABSENT:John Gioia, District I Supervisor Contact: Patricia Frost, 925-646-4690, Jeff Carman I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown. ATTESTED: August 14, 2018 David J. Twa, County Administrator and Clerk of the Board of Supervisors By: June McHuen, Deputy cc: Rachel Morris, Tasha Scott, Marcy Wilhelm D.3 To:Board of Supervisors From:Anna Roth, Health Services Director Date:August 14, 2018 Contra Costa County Subject:2017 Annual Performance Report of Alliance Emergency Ambulance Medical Services August 14, 2018 BOS Minutes 20 The performance evaluation reports on the following: 1. Response Time performance standards assessed with reference to the minimum requirements in the contract. 2. Clinical performance standards assessed with reference to the minimum requirements in the contract. 3. Initiation of innovative programs to improve system performance. 4. Workforce stability. 5. Compliance of pricing and revenue recovery efforts with rules and regulations. 6. Compliance with information reporting requirements. 7. Financial stability and sustainability. Under the contract, the EMS Agency may impose penalty fees if Code 2 outlier responses do not meet standards specified in the contract. In 2016 and 2017, approximately $424,500 in penalty fees were accrued. During performance year 2017, the EMS Agency Director and Fire Chief implemented a data driven analysis and improvement process to reduce Code 2 outlier response time delays. As part of the process, the EMS Agency Director and Fire Chief resolved the issue of outstanding outlier penalty fees by agreeing that the following fixed asset purchases satisfy all outlier response fee accruals for 2016 and 2017 by benefiting the County EMS system: August 14, 2018 BOS Minutes 21 BACKGROUND: (CONT'D) Year Code 2 Outliers Total Number/Fee** Code 2 Outlier Optimization Re-investment 2016 174 ($240,000)DECCAN System Status Management Dispatch Platform (Total Cost $235,000) 2017 139 ($199,500)4 Motorola Dispatch Radio Consoles (Total Cost $204,592) ** Outlier within reasonable control of the provider CONSEQUENCE OF NEGATIVE ACTION: The Board will not receive the Alliance performance evaluation report. CLERK'S ADDENDUM Speakers:  Rebecca Rozen, Hospital Council.  ATTACHMENTS Outlier FAQ Alliance 2017 Annual Report August 14, 2018 BOS Minutes 22 Contra Costa County Emergency Medical Services Agency (CCCEMSA) Alliance Emergency Ambulance Response: Outlier FAQs What is an Emergency Ambulance Response Outlier? These are 911 calls that have ambulance response times of greater than 150% of performance requirements AND are validated to be within the ambulance provider’s control. Why does “Outlier Response Time Performance” exist in the current ambulance contract? The outlier requirement was established as part of the 2015 emergency ambulance request for proposal (RFP) to reduce disparities in countywide emergency ambulance response. The requirement serves as a safety net that enables the county to merge ambulance response zones for efficiency while providing exceptional EMS ambulance service. How is Outlier Ambulance Response defined by contract? An outlier ambulance response is defined in the RFP as a “response time that is excessive for the category such that it represents a potential threat to health and safety” (RFP page 431). Outlier call priorities, time limits and fees Priority Level High Call Density (Urban) Low Call Density (Rural) Fee per Outlier Priority 1 Outlier >18: 59 min > 29:59 min $ 1,500 Priority 2 Outlier >22:59 min >44:59 min $ 1,000 Priority 3 Outlier >39:59 min >59:59 min $ 750 (Standard ambulance response criteria are 11:45 minutes or less 90% of the time for urban areas and 30 minutes or less for rural areas.) Where do ambulance outlier delays occur? Outlier ambulance delay mapping demonstrates that outliers can and do occur anywhere in the county. Is the Alliance being held to a higher performance standard than the prior contracts? Yes. The standard was increased to optimize ambulance service delivery. How do outlier ambulance delays impact patients and communities? While the vast majority of ambulance response delays involve patients with medical conditions that are stable, delays in emergency ambulance response increases the time it takes for a patient to arrive at an emergency department and may impact patient outcomes. 1 Contra Costa Emergency Services Request for Proposal https://cchealth.org/ems/pdf/RFP2015-contracosta- ambulance.pdf August 14, 2018 BOS Minutes 23 How often do outliers occur? The chart below lists the number of outliers within the reasonable control of the contractor and represents less than 0.2% of all responses. Year Total Responses Contract Compliance Performance* Total Response Time delays** Total Outliers*** Outlier Delay Range**** 2016 90,153 94% 5,409 174 19-47 minutes 2017 93,368 96% 3,734 139 20-56 minutes * Number represents contractor annual performance ** Total number of ambulance response time delays based on contractor’s annual performance level *** Total number of outliers validated to be within the reasonable control of the ambulance provider **** Outlier Response Time delay in minutes How are outlier response times validated and outlier fees assigned? After CCCEMSA uses a third-party Online Compliance Utility (OCU) process to validate each emergency ambulance response for compliance, response time fees would be levied in accordance with the contract. What are fees used for? Fees are focused on “fixing the problem of ambulance delays” and invested in equipment, technology and software that reduce ambulance response delays as approved by the Board of Supervisors. Can outliers be eliminated? Outlier emergency ambulance delays, which are within the control of the ambulance provider, can and should be reduced if not eliminated. Improvement efforts to reduce outliers are part of contract requirements to optimize the availability of emergency ambulance services. August 14, 2018 BOS Minutes 24 Annual Performance Evaluation Emergency Medical Services (EMS) A Comprehensive Report of Emergency Ambulance Services Delivered by the Alliance 2017 Pat Frost, EMS Director Contra Costa County EMS Agency Jeff Carman, Fire Chief Contra Costa County Fire Protection District 1August 14, 2018 BOS Minutes 25 Performance Evaluation 2017 Performance Based Contract: Key Driver of Countywide EMS System enhancement Performance Report Response times Clinical Performance Innovation Workforce Stability Pricing & Revenue Recovery Reporting Compliance Fiscal Stability & Sustainability 2August 14, 2018 BOS Minutes 26 The Alliance Year Two of Outstanding Service On January 1, 2016, Contra Costa County Fire Protection District (CCCFPD) assumed Emergency Ambulance Services for Exclusive Operating Areas (EOAs) I, II and V covering West, Central and East County = 92% of the County. Alliance Model: CCCFPD (contractor) operationally responsible for the subcontractor performance provided by American Medical Response (AMR). CCCEMS (contract performance oversight and compliance evaluator) 3August 14, 2018 BOS Minutes 27 EMS Response Re-designed 4 New Response Zones 4August 14, 2018 BOS Minutes 28 5 40,780 103,596 Responses 29,774 80,733 Transports 0 20,000 40,000 60,000 80,000 100,000 120,000 NumberContra Costa Emergency Medical Services EMS System Responses and Transports August 14, 2018 BOS Minutes 29 Countywide EMS Ambulance Volume 2017 A Powerhouse of 9-1-1 EMS System Delivery %#% 100.0%93389 100.0% 77.8%74111 79.4% 22.2%19278 20.6% 100.0%74111 100.0% 5.2%3723 5.0% 93.6%69429 93.7% 1.2%959 1.3% 100.0%19278 100.0% 28.6%5511 28.6% 71.4%13767 71.4% Contra Costa County Fire Total Canceled 23032 Enroute 6581 On Scene 16451 Transported Code 3 4196 Transported Code 2 75430 Transport Code Not Reported 959 Transported 80585 Canceled 23032 Total Patient Transports 80585 All Providers # Total Dispatches 103617 6August 14, 2018 BOS Minutes 30 Alliance Emergency Ambulance Services Provide… 90%of All EMS Ambulance Responses Countywide 92%of All EMS Ambulance Transports 7August 14, 2018 BOS Minutes 31 Response Zone 2015 Average Response Time in Minutes (AMR) 2017 Average Response Time In Minutes (Alliance) Zone A (Richmond)4:41 4:05 Zone B (West)5:03 4:31 Zone C (Central)5:31 4:38 Zone D (East)5:05 to 6:40**4:34 8 Before and After… Alliance Model and System Redesign ** As of 1/1/2016 East County Ambulance Response Zones D and E were consolidated into a single Zone D August 14, 2018 BOS Minutes 32 Response Area Response Time Performance Requirement High Density (Code 3) Alliance Performance 2016 Alliance Performance 2017 Average Response Time (in minutes) 2016 Average Response Time (in minutes) 2017 Zone A (Richmond) 10:00 minutes 90% of the time 94%96%4:07 4:05 Zone B (West) 11:45 minutes 90% of the time 95%96%4:38 4:31 Zone C (Central) 11:45 minutes 90% of the time 94%95%4:40 4:38 Zone D** (East) 11:45 minutes 90% of the time 94%95%4:45 4:34 Response Time Performance Highly Reliable Service ** RFP Re-defined Zone D includes Antioch/Bay Point/Pittsburg9 * Average compliance prior to Alliance model was 93% August 14, 2018 BOS Minutes 33 Partners in System Optimization 2017 Focus: Reduce Ambulance Response Time Delays Even with excellent contract compliance EMS ambulance response delays occur in all EMS Systems EMS Modernization Study Findings: Delays A Public Concern Fire stations closures Population Growth Hospital Closures RFP focus: Control Outliers Improve Reliability in Response Reduce delays in vulnerable communities 10August 14, 2018 BOS Minutes 34 Ambulance Response Time Performance The Outlier Improvement Initiative (Average 7,782 ambulance responses/month) 11August 14, 2018 BOS Minutes 35 Outlier Fee Re-Investment Alliance Accountability Supporting EMS System Optimization Year Responses Per Year Total Number** (fee) Code 2 Outlier Optimization Re-investment 2016 89,768 174 ($240,000) DECCAN System Status Management Dispatch (Total Cost $235,000) 2017 93,389 139 ($184,500) 4 Motorola Dispatcher Radio Consoles (Total Cost $204, 592) **Outliers within reasonable control of the provider 12August 14, 2018 BOS Minutes 36 48%Improvement in Countywide Uniform Ambulance Response 13August 14, 2018 BOS Minutes 37 Ambulance Patient Offload Time (APOT) EMS System Hospital APOT Standard 20 min 90% of the Time Delays Reduce Availability of Ambulances for Next 911 Call Hospital wide Improvement Hospital wide Improvement 14August 14, 2018 BOS Minutes 38 Hospital Delays In Ambulance Patient Transfer of Care (APOT) > 60 minutes Delaying ambulance availability for next 911 call Year 2014 2015 2016 2017 Total Emergency Department Encounters (All Hospitals)411,022 425,037 381,791 424,705 Total EMS Transports (All Providers) 64,870 73,064 76,376 80,110 EMS Portion of all Emergency Department Encounters 15.8%17.2%20.0%18.9% Total Annual APOT Delays > 60 minutes 401 483 618 752 Average APOT Delays > 60 minutes/month 33 40 52 63 15August 14, 2018 BOS Minutes 39 Service Line Expansion Paramedic Inter-facility Transport Advanced Life Support Inter-facility Transport (ALS-IFT) Launched March 6, 2018 Community Hospital Need RFP Requirement Revenue Opportunity 16August 14, 2018 BOS Minutes 40 Emergency Medical Dispatch Improvement Right Resources to the Right Patient Emergency Medical Dispatch Improvement Goals: Introduce flexibility into the EMS system Introduce added safety into our EMS response Introduce efficiency into our EMS response Understand that there is no “one size fits all” 17August 14, 2018 BOS Minutes 41 18 •Common Communications •One Computer Aided Dispatch (CAD) System •Improved Situational Awareness for All •Vehicle Location •CAD Comments •Location Information •Safety Related Issues Fire / EMS Communication Center Benefits All August 14, 2018 BOS Minutes 42 Fire / EMS Communication Center Decreased Total Response Times 19 •Previous contract had 60 seconds to assign a medic after an engine was assigned •Today, paramedic units are assigned at the same time that engines are assigned •47 seconds on average has completely been eliminated 0 2 4 6 8 10 12 14 16 Alliance 2015 Total Ambulance Response Time (In minutes) Call Processing (EMD)Initial Dispatch Assign Medic Chute Time Response August 14, 2018 BOS Minutes 43 Dedicated Workforce CCCFPD –Paramedics 123/EMTs 147 AMR –Paramedics: 171/EMTs 165 AMR Retention Strategies Annual scholarships for paramedic school and CE reimbursements Wellness program CISM/EAP Resilience Training Wellness Education Quarterly town hall meetings 20August 14, 2018 BOS Minutes 44 Financial Stability and Transparency At the current payer mix, collections rate, and contract expenses, Alliance model is financially sustainable The CCCFPD established a separate fund and budget (EMS Transport Fund) associated with Alliance ambulance service delivery. Allows tracking of revenue from different payer groups and expenditures associated with the provision of ambulance services. The End of Year fund balance (EMS Transport Fund) for Fiscal Year 2016-17 $10.5 million. In November 2015, the Board authorized the Auditor-Controller to transfer funds as necessary from the District’s General Operating Fund to the EMS Transport Fund to pay expenditures in anticipation of future revenue. $3 million was transferred to fund start-up costs and in January 2018, the District transferred back $3 million and still had fund balance remaining. The District continues to build appropriate reserves and to prepare for future uncertainties in the health care system and payer plans. It is the District’s goal to set aside six months of operating expenses as reserves 21August 14, 2018 BOS Minutes 45 Physician Orders for Life Sustaining Treatment California State POLST Registry Pilot Proof on Concept Senate Bill 19: Statewide POLST Registry ePOLST Pilot (EMSA) 2 State Sites: Contra Costa and San Diego Regional Partnership California Health Care Foundation Coalition for Compassionate Care Alameda and Contra Costa Medical Association (ACCMA) Vynca Technologies Limited to Alliance ambulance 22August 14, 2018 BOS Minutes 46 Contra Costa EMS System is 92% Dependent on Alliance Data to Improve Patient Care 23August 14, 2018 BOS Minutes 47 EMS Agency/System Stakeholder “System of Care” Achievement 24 August 14, 2018 BOS Minutes 48 Evolved from a Robust EMS System Redesign Responsive to Public & Stakeholder Input First of its Kind Service Delivery Model Focus on EMS System Optimization Positioned to be fiscally resilient and patient-centric Focus of Statewide and National interest Not replicated in California since The Alliance Model 25August 14, 2018 BOS Minutes 49 Complete financial transparency Continuity of care Dispatch, first response, ambulance transport Better resource allocation options Choose right resource to match incident Known location of all resources Faster dispatch times Revenue reinvestment 26 The Alliance Model Benefits the Public August 14, 2018 BOS Minutes 50 Collaborative Partnerships Stronger Together! CCCFPD-AMR-CCCEMS 27August 14, 2018 BOS Minutes 51 RECOMMENDATION(S): CONSIDER accepting report from the Health Services Department on the implementation of the County’s Safe Drug Disposal Ordinance. FISCAL IMPACT: None. BACKGROUND: On December 20, 2016, the Board adopted Ordinance No. 2016-24 (the “Ordinance,”), attached, which set forth requirements for drug manufacturers to establish one or more stewardship programs for the collection and disposal of unwanted drugs from residents in the unincorporated area. Since the adoption of the Ordinance, staff has been working to implement its provisions. On September 26, 2017, staff provided a status report on its efforts to the Board, which included a discussion regarding outreach to cities that may wish to have drug collection kiosks in incorporated areas and possible ordinance amendments. The Board accepted the report and directed staff to return with a follow-up report. APPROVE OTHER RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE Action of Board On: 08/14/2018 APPROVED AS RECOMMENDED OTHER Clerks Notes: VOTE OF SUPERVISORS AYE:Candace Andersen, District II Supervisor Diane Burgis, District III Supervisor Karen Mitchoff, District IV Supervisor Federal D. Glover, District V Supervisor ABSENT:John Gioia, District I Supervisor Contact: Dan Peddycord, 925-313-6712 I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown. ATTESTED: August 14, 2018 David J. Twa, County Administrator and Clerk of the Board of Supervisors By: June McHuen, Deputy cc: Tasha Scott, Marcy Wilhelm, Josh Sullivan D.4 To:Board of Supervisors From:Anna Roth, Health Services Director Date:August 14, 2018 Contra Costa County Subject:Safe Drug Disposal Ordinance – Implementation August 14, 2018 BOS Minutes 52 BACKGROUND: (CONT'D) The attached report summarizes implementation efforts to date and recommendations with regard to amending the Ordinance. The report also summarizes key components of a stewardship plan submitted by MED-Project on behalf of several manufacturers (copy attached), which was approved by the County Health Officer in June and is scheduled to be implemented in September. CONSEQUENCE OF NEGATIVE ACTION: The Board would not receive staff’s report on implementation of the Ordinance. CLERK'S ADDENDUM Speakers:  Jaime Rich, CCC MEDS Coalition; Patty Hoyt, CCC MEDS Coalition.  ATTACHMENTS Report Ordinance Clean MED Project Plan August 14, 2018 BOS Minutes 53 1 ANNA ROTH , RN, MS, MPH HEALTH SERVICES DIRECTOR DAN PEDDYCOR D , RN, MPA/HA DIRECTOR OF PUBLIC H EALTH Contra Costa Public Health 597 Center Avenue , Suite 200 Martinez, CA 94553 Ph: 925-313-6712 Fax: 925-313-6721 Date: August 14, 2018 To: Contra Costa Board of Supervisors From: Daniel Peddycord, Public Health Director Marilyn Underwood PhD, Environmental Health Director Subject: Update on Safe Drug Disposal Program Background: On December 13, 2016, the Contra Costa Board of Supervisors introduced Ordinance No. 2016-24 (“Ordinance”), the Safe Drug Disposal Ordinance. Final adoption occurred on December 20, 2016. The Ordinance requires drug manufacturers to establish and pay for a system to collect and dispose of unwanted pharmaceutical drugs. The goal is to establish at least three drop-off sites in each of the five supervisorial districts in locations that allow for convenient and equitable access by residents of the unincorporated areas of those districts. Preference is given for establishing drop-off sites in pharmacies and law enforcement agencies, which can accept controlled drugs, such as opioid based pain medications. The Board directed that a follow up report be provided. On September 26th, 2017, a follow up report was provided, at the request of the Board, to address the following:  An update on implementation of the Ordinance  Advice on whether to establish additional requirements on the drug stewardship organization, specifically in terms of how it is organized as an entity.  Opportunities to include hospitals as drop-off sites versus limiting drop-off sites to retail pharmacies and law enforcement.  Advisability of including sharps as part of the drug takes back program.  Progress to seek adoption of similar ordinances in each city within the County.  Update on a Public Awareness Campaign to increase awareness of the program and provide useful information to pharmacies, law enforcement, cities and citizens, hazardous material collectors, and sanitation districts.  Ordinance amendments for consideration . To emphasize the importance of a continued focus on the national opioid epidemic, a March 8, 2018, report by the Centers for Disease Prevention (CDC) reported that from 2015 to 2016 opioid overdose deaths increased 27.7%, indicating a worsening of the opioid epidemic. Further, during the period from July 2016- September 2017, emergency department (ED) visits for opioid overdose, among those age 11 and older, increased 29.7% overall. . https://www.cdc.gov/vitalsigns/ August 14, 2018 BOS Minutes 54 2 Progress to Date on Implementing the Ordinance: As reported in September of 2017, following final adoption of the Ordinance, the Public and Environmental Health Divisions of Contra Costa Health Services (EH) endeavored to contact pharmaceutical wholesalers to alert them to the new Ordinance, to request information confirming that they sell prescription and/or over- the-counter drugs in Contra Costa County, and to provide the names and manufacturers of all covered drugs that the drug wholesaler sells or distributes in the unincorporated area of the county. Letters were sent to over 3,000 purported drug wholesalers. As of May 1, 2017, 95 wholesalers responded indicating that they are exempt from the Ordinance and 60 responded confirming that they wholesale drugs in Contra Costa County. Some 1,632 drug producers were subsequently contacted by letter in early June of 2017 about their potential responsibility to participate in the County’s safe drug take-back ordinance. This letter referred to the Ordinance and relevant time lines and advised them of the deadline to provide a notice of intent to participate in the Pharmaceutical Product Stewardship Work Group (PPSWG) program1 or a different stewardship program. On June 30, 2017, the Division of Environmental Health received an email from MED-Project, a pharmaceutical product stewardship consortium, informing us that they would be submitting a plan to comply with the County Ordinance on behalf of 378 producers of covered drugs . That number has since grown to nearly 450. Many of the producers that were submitted by MED-Project are on the list to whom letters were sent. Environmental Health has also been in contact with the Plan Director for MED-Project, based in Washington, D.C. As of September 7, 2017, Environmental Health received responses from 81 producers indicating that they would be participating by working with MED-Project. One producer indicated they would be submitting a plan, not participating with MED-Project. Another 72 responded in the following manner: 48 indicated they do not sell drugs that are used in the home; 30 responded that they do not sell in Contra Costa County, and 31 chose the “Other” category and provided a text response. The text responses most often stated that they were a distributor and not a producer or that they produced medical product s and they do not produce pharmaceuticals. Consistent with the time line required, producers submitted their plans to comply with the County Ordinance in January of 2018. MED-Project submitted a comprehensive plan. Two other smaller producers, Medac and CAO Group, Inc., submitted plans as well. On behalf of the County Health Officer, the plans were reviewed 1 A mechanism by which to contact and work with the wholesalers and drug manufacturers is via the PPSWG and MED-Project. PPSWG is a membership association for drug manufacturers and marketers. The group was formed to address the complexities and uncertainties of new laws that govern the disposal of unused and unwanted pharmaceutical products. PPSWG provides “members with a platform to organize and present science-based data about safe pharmaceutical disposal practices. PPSWG also coordinates the industry’s efforts to raise awareness about appropriate disposal methods, and to respond to disposal laws.” MED- Project is the name for the PPSWG’s activity on the drug take -back front. There is a website that they have developed to disseminate information about drug disposal, and they add information about each of the jurisdiction’s that have programs as implementation unfolds: http://www.med-project.org/locations August 14, 2018 BOS Minutes 55 3 by staff of the Environmental and Public Health Divisions of Contra Costa Health Services and some revisions and clarification were requested. On June 25th, 2018 Contra Costa Health Services approved the revised plan submitted by Med-Project, that is attached for reference. Under the Ordinance, Med-Project has 90 days from plan approval to commence operation of the stewardship program described in the plan. This will include establishment of the drop-off sites and mail-back services described in the plan. Based on this requirement, Staff anticipates a functioning program by the fall of 2018. Med-Project has expressed interest in a kick-off event and we are coordinating efforts to that end. One aspect that is key to the MED-Project plan is their intention to install disposal kiosk at any participating pharmacy or law enforcement agency that meets legal requirements. This implies that we should expect to see more than the minimum of 15 drop off sites (disposal kiosk) required in the County Ordinance. Highlight of Details in MED-Project - Safe Drug Disposal Plan: The following is a summary of the key components of the Med-Project stewardship plan approved by the health officer: 1. Kiosk Drop-Off Site Locations MED-Project notified 163 pharmacies and 33 law enforcement agencies located in the county of the opportunity to serve as a Kiosk Drop-Off Site Host. Of those, 94 pharmacies and 29 law enforcement agencies expressed interest in participating in the stewardship program. August 14, 2018 BOS Minutes 56 4 A map of the interested and potential Kiosk Drop-Off Site Host locations is noted below. As of July 2018, specific locations for drop-off sites (disposal kiosk) are still under negotiation between Med- Project and interested Pharmacies and Law Enforcement Agencies (collectors). As noted above, MED- Project intends to include in its program all retail pharmacies and law enforcement agencies (collectors) that are willing to serve voluntarily as a Drop-Off Site for unwanted pharmaceuticals and can satisfy all applicable legal requirements. This will effectively create a county-wide program, over time . Pharmacies and law enforcement agencies that host drop-off sites now may participate in the program by signing agreements with MED-Project and, if necessary, modifying their Drug Enforcement Agency (DEA) registrations. MED-Project plans to work with the se Kiosk Drop-Off Site Hosts to transition to MED-Project’s program and its waste vendor, Stericycle Specialty Waste Solutions, Inc.. The construction and location of the kiosks are regulated by the DEA under Title 21, Part 1317 of the Code of Federal Regulations (C.F.R.) (“DEA Regulations”), and the California Board of Pharmacy under its prescription drug take-back services regulations. (Cal. Code Regs., tit. 16, § 1776 et seq.) The MED-Project kiosks will be made of heavy gauge steel and have multiple locks, tamper-proof slots and commercial hinges, and be accessible to wheelchair users. The plan indicates that kiosks at hospitals or clinics with an on-site pharmacy will be placed in an area regularly monitored by employees but not near areas of the facility where emergency or urgent care is provided. (21 C.F.R. § 1317.75, subd. (d)(2)(i).) 2. Kiosk Collection – DEA Regulations Under the DEA Regulations, pharmacy Kiosk Drop-Off Sites must dispose of sealed inner liners and their contents either on-site, through common or contract carrier delivery to or pick-up by a distributor or reverse August 14, 2018 BOS Minutes 57 5 distributor, or with DEA assistance. (21 C.F.R. § 1317.05(c)(2)(iv).) Section 1317.75(c) prohibits the counting, sorting, inventorying, or individual handling of any substances deposited into a pharmacy kiosk. Additionally, Section 1317.60 limits inner liner access to employees of the collector and requires two employees t o immediately seal the inner liner upon its removal from the pharmacy kiosk’s permanent outer container. (21 C.F.R. § 1317.60(b)-(c).) Section 1317.75(g) provides that pharmacy kiosk inner liner installation or removal shall be performed “by or under the supervision of at least two employees of the authorized collector.” The pharmacy kiosk sealed inner liner must not be opened, x-rayed, analyzed, or otherwise penetrated. (21 C.F.R § 1317.60(c).) At law enforcement Kiosk Drop-Off Sites, the service vendor, Stericycle Specialty Waste Solutions, Inc. and the law enforcement agency will maintain any records of removal, storage, or destruction of the collected unwanted pharmaceuticals in a manner consistent with the law enforcement agency’s recordkeeping requirements for illicit controlled substances evidence pursuant to Section 1317.35. Law enforcement will record the unique barcode number and size of the sealed inner liner transferred to Vendor. See ( 21 C.F.R. § 1317.35.) Additionally, unwanted pharmaceuticals will be stored in a manner to prevent the diversion of controlled substances and consistent with the law enforcement agency’s standard procedures for storing illicit controlled substances 3. Frequency of Pick-Up Initially, all Kiosk Drop-Off Site Hosts not previously hosting a kiosk will be scheduled for a monthly pick-up from the kiosk. MED-Project will communicate with the Kiosk Drop-Off Site Host in the event the frequency of pick-up needs to be changed based on the volumes collected over time. The service vendor, Stericycle Specialty Waste Solutions, Inc., will monitor volumes collected per service to ensure that all sites are receiving the appropriate service frequency. The vendor will manage pick-up services as frequently as necessary to prevent overflow of the kiosk without providing unnecessary interruption to the participating Kiosk Drop-Off Site and monitor the weight of collected unwanted pharmaceuticals at each participating Kiosk Drop-Off Site. 4. Procedures if a Kiosk is Full Prior to Scheduled Pick-Up The Kiosk Drop-Off Site Host shall be instructed to lock the drop-slot to the kiosk when the kiosk is full and notify MED-Project of the need for service if prior to the scheduled service date. Service will be done within 2 to 3 business days. 5. Implementation: MED-Project anticipates that establishment of Kiosk Drop-Off Sites within 90 days of approval of the Plan. Once all drop-off locations are fully operational, the program expects to collect approximately 360 pounds per Kiosk Drop-Off Site during each calendar year, based on collection totals in other jurisdictions. Assuming 15 Kiosk Drop-Off Sites are operational for a full year, MED-Project anticipates collecting approximately 5,400 pounds of unwanted pharmaceuticals from Kiosk Drop-Off Sites in 2019. Should Take-Back events be necessary MED-Project anticipates collection of 50 to 200 pounds of unwanted pharmaceuticals per event, based on collection totals in other jurisdictions. MED-Project mail-back packages have a capacity of 8oz. per package 6. Patient Privacy Instructions at each Kiosk Drop-Off Site Host location will inform people who deposit unwanted pharmaceuticals that they should completely cross out, remove, or otherwise make unreadable all personally August 14, 2018 BOS Minutes 58 6 identifiable information on the drug containers and packaging before depositing them in the kiosk. In cases where people follow the instructions, there will be no personally identifiable information. In addition to kiosk signage, MED-Project promotional and educational materials will encourage residents to protect their information by ensuring that identifiable information is not present before depositing containers into kiosks. City Participation: The Ordinance is not enforceable within cities. However, the County health officer acts as the city health officer in all of the cities in Contra Costa County. If cities adopt substantially similar ordinances, the County health officer could then coordinate the take-back programs in both the cities and the unincorporated area. To the extent a city ordinance established different standards with regard to location or number of take-back sites to serve incorporated areas, a drug stewardship plan already approved by the County health officer – such as the MED-Project plan -- could simply be amended to conform to the new standards. The Ordinance does not require amendment to allow cities to adopt their own ordinances. However, staff has evaluated possible amendments to the Ordinance that would, among other things, clarify the above process. In the course of evaluating possible amendments to the Ordinance, staff became aware of activity in the California legislature pertaining to pharmaceutical waste. As written when introduced in February 2017, Senate Bill 212 would only have added a definition of “home -generated pharmaceutical waste” to the Medical Waste Management Act. But in June 2018, the bill was substantially amended. If passed as currently drafted, the legislation would instead add a new chapter to the Public Resources Code to establish a statewide pharmaceutical and sharps waste stewardship program, under which a drug manufacturer would be required, either individually or through a stewardship organization, to establish, implement and pay the costs of a stewardship program. CalRecycle would be the enforcing agency, and would be empowered to impose civil penalties on manufacturers for selling pharmaceuticals that are not subject to a stewardship plan. One provision of the legislation would “preempt a local stewardship program for covered products enacted by an ordinance that has an effective date on or after April 18, 2018.” This language would not affect the enforceability of the Ordinance, which took effect in January 2017. Amending the Ordinance, however, could give rise to preemption arguments, if this provision ultimately becomes law. Under the circumstances, staff determined that evaluation of potential risks presented by amending the Ordinance is warranted prior to bringing amendments forward. Public Awareness and Notifying Key Stakeholders: The Ordinance requires the producers of covered drugs to provide annual written notices to nonparticipating and new retail pharmacies located in the county regarding the opportunity to participate as collectors Hence, the map noted above may change year by year if nonparticipating and new pharmacies decide to participate in the program. In addition the producers are required to implement measures that are designed to result in the use of the collection services by county residents. MED-Project has proposed to outreach to not only the general public but also pharmacies, health care providers, veterinary providers, public health agencies, and law enforcement agencies . Med-Project has also indicated that they will provide educational and mailing materials as well as media outreach in English, Spanish, Chinese and Vietnamese. August 14, 2018 BOS Minutes 59 7 In addition Contra Costa Health Services will continue to maintain a web page with information for the public regarding the safe disposal of unwanted medications: http://cchealth.org/safe-drug-disposal/ The California Product Stewardship Council also maintains a web page of resources regarding the safe disposal of unwanted medications. The website is informative and includes packing instructions and a bin finder. https://dontrushtoflush.org/ Other related activity: California Counties: On July 3rd, 2018 Tehama County adopted an Extended Producer Ordinance for medications and sharps joining 10 other counties that have adopted EPR ordinances covering medications. (San Francisco, San Mateo, Santa Barbara, Santa Clara, Contra Costa, Marin, Sonoma, San Luis Obispo and Los Angeles) DEA: The U.S Drug Enforcement Administration (DEA) continues to sponsor their periodic drug take-back events. Their next event, the 15th since the inception of the program, was held on Saturday April 28th, 2018 at several locations across the County. The most recent prior DEA Prescription Take-Back event was held Saturday, October 28, 2017. Washington State : In February 2018, the Washington House and Senate approved new secure medicine return legislation and on March 29th, Governor Islee signed the bill into law. The law (ESHB 1047) requires drug manufacturers to finance and coordinate a convenient and secure take-back system for unused medicines. When the program is launched, residents will be able to bring leftover prescription and over-the- counter drugs into their local pharmacies, hospitals and other places for safe disposal. In areas without collection sites, prepaid return mailers will be provided. If this bill passes into law, it will be the first comprehensive drug take-back program in the nation that is provided by the pharmaceutical industry. Similar local laws are already in place in King, Snohomish, Kitsap, Pierce, Clallam, and Whatcom Counties requiring pharmaceutical manufacturers to provide a drug take-back program. The statewide law will expand access to the program to all residents of Washington. To find out more about the Secure Drug Take-back Act: http://app.leg.wa.gov/billsummary?BillNumber=1047&Year=2018 New York: On July 10, 2018, New York Governor Andrew Cuomo signed a Drug Take Back Act creating a statewide disposal program for covered drugs. Previously on, February 20, 2018 The New York State Department of Environmental Conservation (NYS DEC) announced that 172 new retail pharmacies, hospitals, and long-term care facilities have enrolled in its statewide pilot drug take-back program, bringing the total to 246. The two-year pilot is funded by $2 million from the state's Environmental Protection Fund. Walmart: On Wed, 17 Jan 2018 Walmart announced that they will begin offering a free DisposeRx home disposal pouch when dispensing opioid prescriptions. However, this may be limited to certain markets , may require pre-approval from State and local solid waste and hazardous materials authorities and may discourage consumers from using Kiosk to dispose of other, non-opioid medication. https://www.forbes.com/sites/elliekincaid/2018/01/17/walmart-to-give-away-kits-to-dispose-of-opioids-at- home/#4088fbae139f Their website claims: DisposeRx drug destroying gel uses proprietary, patent -pending technology made of solidifying cross-linking chemical polymers that permanentl y sequester all medications. The Counties of Alameda, Contra Costa, Marin, San Francisco, San Mateo, Santa Barbara, and Santa Clara are asking Walmart to refrain from deploying the chemical deactivation process, strictly for opioids, and rather to consider: August 14, 2018 BOS Minutes 60 8 (1) hosting MED-Project medicine collection kiosks in Walmart and Sam’s Club stores located in our counties; and (2) refraining from providing the medication disposal packets at these same locations. . CVS Pharmacy: CVS Pharmacy is actively working to roll out kiosk placement and are initiating a pilot project in Santa Cruz. Walgreens: As previously reported Walgreens has taken the lead as the nation’s first large retail pharmacy chain to establish a drug take-back program. To date, Walgreens has elected not be become part of the MED-Project program, but remains committed to improving options for the safe disposal of medications. From the program’s inception in February 2016 to April 2017, the retailer installed disposal kiosks in more than 600 of their pharmacies located in 45 states. By October of 2017 the retailer reported collecting 155 tons of unwanted medication and has established a two year goal to collect an additional 300 tons. Walgreens has also more recently announced an expansion of the kiosk program to 1500 kiosk nationwide. http://news.walgreens.com/press-releases/general-news/amerisourcebergen-blue-cross-blue-shield- association-pfizer-and-prime-therapeutics-join-walgreens-to-combat-prescription-drug-abuse-by-expanding- safe-medication-disposal-program.htm August 14, 2018 BOS Minutes 61 August 14, 2018 BOS Minutes 62 August 14, 2018 BOS Minutes 63 August 14, 2018 BOS Minutes 64 August 14, 2018 BOS Minutes 65 August 14, 2018 BOS Minutes 66 August 14, 2018 BOS Minutes 67 August 14, 2018 BOS Minutes 68 August 14, 2018 BOS Minutes 69 August 14, 2018 BOS Minutes 70 August 14, 2018 BOS Minutes 71 August 14, 2018 BOS Minutes 72 August 14, 2018 BOS Minutes 73 A Product Stewardship Plan For Unwanted Medicine from Households Contra Costa County, California June 15, 2018 August 14, 2018 BOS Minutes 74 Table of Contents Introduction .................................................................................................................................................................. 5 Contact Information .................................................................................................................................................... 5 Plan Definitions ............................................................................................................................................................ 5 Unwanted Medicine ................................................................................................................................................... 6 Collection of Unwanted Medicine ........................................................................................................................... 6 A. Unwanted Medicine Collection Program Implementation ............................................................................... 6 1. Outreach ................................................................................................................................................................ 6 2. Implementation .................................................................................................................................................... 7 3. Convenience ......................................................................................................................................................... 7 4. Fees and Costs .................................................................................................................................................... 8 B. Kiosk Drop-Off Sites ................................................................................................................................................... 8 1. Kiosk Drop-Off Site Locations .......................................................................................................................... 8 2. Drop-Off Site Kiosk Placement and Maintenance Program .................................................................... 9 3. Kiosk Specifications .......................................................................................................................................... 10 4. Kiosk Collection .................................................................................................................................................. 11 5. Frequency of Pick-Up ....................................................................................................................................... 12 6. Procedures if a Kiosk is Full Prior to Scheduled Pick-Up ....................................................................... 12 7. Unplanned Event Preparedness ................................................................................................................... 12 C. Take-Back Events ...................................................................................................................................................... 13 1. Method.................................................................................................................................................................. 13 2. Procedures .......................................................................................................................................................... 13 D. Disposal of Unwanted Medicine ........................................................................................................................... 14 E. Unwanted Medicine Mail-Back Services ............................................................................................................ 14 1. Mail-Back Services for Unwanted Medicine .............................................................................................. 14 2. Mail-Back Package Availability ...................................................................................................................... 15 3. Mail-Back Package Collection and Disposal ............................................................................................. 15 Plan and Collection Goals ....................................................................................................................................... 15 Patient Privacy ........................................................................................................................................................... 16 Call Center ................................................................................................................................................................... 17 Training ........................................................................................................................................................................ 17 A. Service Technician Training ................................................................................................................................... 18 Transporter and Disposal Facility Information .................................................................................................... 18 A. Vendor for Kiosk Drop-Off Sites and Take-Back Events ................................................................................ 18 B. Transporter of Unwanted Medicine from Kiosk Drop-Off Sites and Take-Back Events ........................ 18 1. Carrier ................................................................................................................................................................... 18 2. Transporter 1 ....................................................................................................................................................... 18 3. Transporter 2 ...................................................................................................................................................... 19 C. Reverse Distributor and Disposal Facility for Unwanted Medicine from Kiosk Drop-Off Sites and Take-Back Events ...................................................................................................................................................... 19 1. Reverse Distributor Facility ............................................................................................................................. 19 2. Disposal Facility 1 ............................................................................................................................................... 19 3. Disposal Facility 2 .............................................................................................................................................. 19 D. Vendor for Mail-Back Services .............................................................................................................................. 19 August 14, 2018 BOS Minutes 75 E. Shipper of Mail-Back Packages ............................................................................................................................. 19 F. Disposal Facility for Mail-Back Packages ........................................................................................................... 19 Unwanted Medicine Educational and Outreach Programming ...................................................................... 20 A. Overview ..................................................................................................................................................................... 20 B. Audiences ................................................................................................................................................................... 20 C. Messages .................................................................................................................................................................... 20 D. Tools/Communications Channels ......................................................................................................................... 21 1. Phone .................................................................................................................................................................... 21 2. Website ................................................................................................................................................................. 21 3. Materials ............................................................................................................................................................... 21 4. Media Outreach ................................................................................................................................................ 22 5. Broadcast Outreach ......................................................................................................................................... 22 E. Collaboration with County Officials and Community Organizations .......................................................... 22 F. Disclaimer ................................................................................................................................................................... 22 Packaging ...................................................................................................................................................................23 Compliance with Applicable Laws, Regulations, and Other Legal Requirements .......................................23 A. DEA Controlled Substances Act and Implementing Regulations ............................................................... 23 1. DEA Registration Modification ...................................................................................................................... 24 A. United States Department of Transportation (USDOT) ................................................................................. 24 B. California State Board of Pharmacy .................................................................................................................... 25 Annual Report ........................................................................................................................................................... 25 Appendix A ....................................................................................................................................................................... 26 MED-Project Participants ................................................................................................................................................ 26 Appendix B ........................................................................................................................................................................ 27 Sample Contact List for Outreach and Education to the Community ................................................................ 27 Appendix C ....................................................................................................................................................................... 28 Kiosk Drop-Off Sites with Expressions of Interest................................................................................................... 28 Appendix D ........................................................................................................................................................................ 33 Potential Additional Kiosk Drop-Off Sites .................................................................................................................. 33 Appendix E.........................................................................................................................................................................36 Picture of Kiosk Prototype ............................................................................................................................................. 36 Sample Kiosk Signage .................................................................................................................................................... 37 Sample Kiosk Signage .................................................................................................................................................... 38 Sample Kiosk Signage .................................................................................................................................................... 39 Sample Kiosk Signage .................................................................................................................................................... 40 Appendix F .......................................................................................................................................................................... 41 Community Events That May Serve as Future Take-Back Events ....................................................................... 41 Appendix G ........................................................................................................................................................................42 Sample Media List ............................................................................................................................................................ 42 Appendix H ........................................................................................................................................................................ 44 Sample Mail-Back Package ........................................................................................................................................... 44 Sample Mail-Back Package Insert ............................................................................................................................... 45 August 14, 2018 BOS Minutes 76 Appendix I .......................................................................................................................................................................... 47 Sample Template: Education and Outreach Call Script [1-844-MED-PROJ] .................................................... 47 Appendix J ........................................................................................................................................................................ 50 MED-Project Website ...................................................................................................................................................... 50 Appendix K ....................................................................................................................................................................... 58 Brochure Mockup ............................................................................................................................................................. 58 FAQ Outline ....................................................................................................................................................................... 60 Appendix L ........................................................................................................................................................................ 62 Sample Template: Take-Back Event Media Advisory ............................................................................................ 62 Appendix M........................................................................................................................................................................63 Sample Digital and Local Social Networks................................................................................................................ 63 August 14, 2018 BOS Minutes 77 Introduction MED-Project LLC (“MED-Project”), on behalf of the participating companies as described in Appendix A, submits this Product Stewardship Plan (“Plan”) for Unwanted Medicine in compliance with Chapter 418-16 of the Contra Costa County Ordinance Code (“Ordinance”). The Ordinance requires pharmaceutical Producers 1 to develop a Product Stewardship Program to finance and manage the collection, transportation, and disposal of Unwanted Medicine from Contra Costa County households. Contact Information The primary contact person for MED-Project is: Irina Butler, Plan Development Director MED-Project 1800 M Street NW, Suite 400S Washington, DC 20036 202-495-3125 ibutler@med-project.org Plan Definitions Available Languages are English, Spanish, Chinese, and Vietnamese. Carrier is United Parcel Service, Inc., the common carrier used by Vendor to transport Unwanted Medicine. County means the unincorporated area of Contra Costa County. DEA is the U.S. Drug Enforcement Administration. DEA Rule is the DEA Final Rule, “Disposal of Controlled Substances,” 79 Fed. Reg. 53520 et seq., adopted on September 9, 2014. Kiosk Drop-Off Site is a location that is accessible to the public, hosting a MED-Project kiosk for the collection of Unwanted Medicine. Kiosk Drop-Off Site Host is the designated contact person or persons at the Kiosk Drop-Off Site. Law Enforcement Agency or LEA is a federal, state, tribal, or local law enforcement office or agency. Mail-Back Services is the provision of pre-paid, pre-addressed envelopes or other packages for the collection and disposal of Unwanted Medicine. Plan or Product Stewardship Plan is the product stewardship plan presented in this submittal by MED- Project. Program or Product Stewardship Program is the product stewardship program set forth in this Product Stewardship Plan. Residents or County Residents means human beings who reside in the unincorporated area of the County. Service Technicians are service personnel trained to remove and transport the Unwanted Medicine from Program kiosks. Service Technicians will be managed by Vendor. Take-Back Event is an event at least 6 hours in length at a location accessible to the public conducted by MED-Project with oversight by law enforcement for the collection of Unwanted Medicine. 1 All capitalized terms used but not otherwise defined herein shall have their respective meanings set forth in the Ordinance. August 14, 2018 BOS Minutes 78 Unwanted Medicine is defined in Section IV of this Plan. Vendor is any vendor retained by MED-Project to carry out its obligations under the Program. Unwanted Medicine For the purposes of the Plan, “Unwanted Medicine” includes all materials identified as “Covered drug[s]” under Ordinance § 418-16.202(e) that qualify as “Unwanted covered drug[s]” under Ordinance § 418- 16.202(q). Unwanted Medicine does not include the following: i. Expired undispensed samples direct from physicians’ offices; ii. Unused or expired drugs from hospitals and institutions; iii. Bulk animal pharmaceuticals from farms (business use); iv. Vitamins or supplements; v. Herbal-based remedies and homeopathic drugs, products, or remedies; vi. Compressed cylinders, and inhalers; vii. Iodine-containing medications; viii. Mercury-containing thermometers; ix. Cosmetics, shampoos, sunscreens, toothpaste, lip balm, antiperspirants, or other personal care products that are regulated as both cosmetics and nonprescription drugs under the federal Food, Drug, and Cosmetic Act (Title 21 U.S.C. Chapter 9); x. Hard surface and toilet disinfectant cleaners; xi. Drugs administered in a healthcare setting; xii. Drugs for which Producers provide a pharmaceutical product stewardship or take-back program as part of a federal Food and Drug Administration-managed risk evaluation and mitigation strategy (Title 21 U.S.C. § 355-1); xiii. Biological products as defined by 21 CFR 600.3(h) for which a Producer provides a pharmaceutical product stewardship or take-back program; xiv. Medical devices or their component parts or accessories, including medical sharps and needles, and injector products; xv. Used, empty containers, vials, and pouches; xvi. Schedule I or other illicit drugs; and xvii. Any other items excluded pursuant to the Ordinance. See Section XIII.A for collection limitations imposed by the DEA Rule. Collection of Unwanted Medicine The Plan provides services to collect Unwanted Medicine, including controlled substances. The collection methods and any applicable legal requirements are described below. A. Unwanted Medicine Collection Program Implementation 1. Outreach Per Ordinance § 418-16.206(c)(1), MED-Project initially notified 163 retail pharmacies and 33 LEA locations in the County of the opportunity to participate as a Kiosk Drop-Off Site Host. MED-Project performs outreach to these locations through calls and emails with the goal of establishing Kiosk Drop-Off Sites distributed throughout the County. As part of this outreach, MED-Project asked if the sites were interested in participating in the Program, whether the sites currently host a kiosk or other services for the disposal of Unwanted Medicine, whether pharmacies are DEA registrants, and if the sites would like more information regarding the Program. August 14, 2018 BOS Minutes 79 LEAs, pharmacies, and other eligible DEA registrants that currently host kiosks in the County may transition into the Program upon entering into an agreement with MED-Project. Existing drop-off sites are available at the following locations: Pharmacy kiosk hosts: LEA kiosk hosts: 1. City Center Pharmacy Brentwood 2. Walgreens – Walnut Creek 3. Walgreens – El Cerrito 1. Contra Costa Regional Medical Center Sheriff's Substation 2. CCC Sheriff's Field Operations Building 3. City of Clayton, Police Department, City Hall 4. City of Concord, Police Department 5. City of Martinez, Police Department, City Hall 6. Town of Moraga, Police Department 7. City of Orinda, Police Department, City Hall 8. City of Pleasant Hill, Police Department 9. City of San Ramon, Police Department 10. City of Walnut Creek, Police Department, City Hall 11. City of Richmond, Police Department 12. City of San Pablo, Police Department 13. City of Pinole, Police Department 2. Implementation MED-Project has begun work with LEAs and pharmacies identified during outreach (see Section V.A.1.) to determine interest in having Kiosk Drop-Off Site Host signed agreements. MED-Project is working to satisfy the collection system requirement established in Ordinance § 418-16.214(a)(2) through signed agreements with Kiosk Drop-Off Site Hosts. Ninety days after Plan approval, MED-Project will commence operation of the Program. MED-Project will seek to provide three Kiosk Drop-Off Sites in each supervisorial district in the unincorporated areas of the County, and where that is not feasible, MED-Project will satisfy the collection system requirement in the unincorporated areas of the County through quarterly Take-Back Events at three locations and Mail-Back Services in any supervisorial district where signed agreements have not been obtained from three Kiosk Drop-Off Site Hosts. See Sections V.C and V.E.2 for details of how the Program will satisfy the collection system requirement. Collection of Unwanted Medicine will begin at collection locations once agreements have been executed with each location, kiosks have been installed, sites have been trained, and, in the case of pharmacies, all requirements of the DEA and the California State Board of Pharmacy have been met. Mail-Back Services will be available to disabled and home bound Residents upon request, thereby offering more opportunities to dispose of Unwanted Medicine. 3. Convenience MED-Project will assess performance, gauge feedback, and revise its approach as appropriate. As implementation proceeds, MED-Project shall continue to approach organizations that may be available as future Kiosk Drop-Off Site Hosts on an annual basis. These organizations are listed in Appendix B. The Plan will be implemented in a flexible manner, offering coverage to Residents through a combination of Kiosk Drop-Off Sites, Take-Back Events, and Mail-Back Services. Current activities taking place prior to Plan approval include outreach to LEAs and pharmacies regarding their interest and ability to participate in the Program as Kiosk Drop-Off Sites and outreach to potential Take-Back Event Hosts. Over the course of August 14, 2018 BOS Minutes 80 implementation, Kiosk Drop-Off Sites will be established to the extent that (1) additional eligible LEAs and/or DEA-registered pharmacies agree to participate, and (2) contracts can be executed with such entities. MED-Project will conduct supplemental Take-Back Events and provide Mail-Back Services in any supervisorial district where agreements to host a kiosk have been signed by fewer than three Kiosk Drop- Off Site Hosts. Contracts outlining the responsibilities of all involved parties will be drafted, reviewed by appropriate entities, and signed by all parties before MED-Project installs kiosks or schedules Take-Back Events with an LEA or pharmacy. Once MED-Project obtains three agreements in a supervisorial district with Kiosk Drop-Off Site Hosts, these supplemental services shall cease within the district, however mail-back services for disabled and home bound Residents will be available. See Section V.E.2 for more information about the availability of Mail- Back Services. For more information regarding Take-Back Event scheduling, coverage, and frequency, see Section V.C. 4. Fees and Costs MED-Project will pay all administrative, operational, and disposal costs and fees associated with the collection of Unwanted Medicine as a part of the Program. B. Kiosk Drop-Off Sites Kiosk Drop-Off Sites will be placed across the County to meet the collection system requirement established by the Ordinance. This network will provide Residents several different outlets to participate in the Program. Kiosk Drop-Off Site Hosts will accept unwanted Medicine from Residents during all regular business hours. 1. Kiosk Drop-Off Site Locations MED-Project contacted 163 pharmacies and 33 LEAs located in the County about the opportunity to serve as a Kiosk Drop-Off Site Host. Of the locations contacted, 94 pharmacies and 29 LEAs expressed interest in participating in the Program. These interested Kiosk Drop-Off Site Hosts are identified in Appendix C. A map of the interested and potential Kiosk Drop-Off Site Host locations is below. August 14, 2018 BOS Minutes 81 MED-Project will continue outreach via emails, phone calls, and in-person site visits to potential Kiosk Drop- Off Site Hosts that have not expressed interest in Program participation until the collection system requirement has been met and annually thereafter. These sites are listed in Appendix D. MED-Project will balancing the need to meet the service convenience requirement with the potential for outreach fatigue on the part of potential sites. As required under Ordinance § 418-16.214(a)(4), within three months of their offer to participate (unless the collector requests a longer time-frame), the Program will include as a Kiosk Drop-Off Site any retail pharmacy or LEA willing to serve voluntarily as a Kiosk Drop-Off Site for Unwanted Medicine and able to meet all applicable laws, regulations, and other legal requirements. Locations currently serving as a drop- off site may participate in the Program by signing agreements with MED-Project and modifying their DEA registrations if required. The process for modifying DEA registrations is outlined in Section XIII.A.1. MED- Project will work with the Kiosk Drop-Off Site Host to transition to the Program and Vendor. See Section V.C for more information on Take-Back Events and Section V.E et seq. for Mail-Back Services. 2. Drop-Off Site Kiosk Placement and Maintenance Program Kiosk installation shall be the responsibility of MED-Project at LEA and pharmacy Kiosk Drop-Off Sites if the Kiosk Drop-Off Site Host has identified a placement location. All kiosks in the Program must be securely placed and maintained inside a collector’s registered location or LEA’s physical location in accordance with DEA Rule §§ 1317.75(d)(1) and 1317.35(a). At pharmacies, kiosks will be placed in the immediate proximity of a designated area where controlled substances are stored and at which an employee is present (i.e., can be seen from the counter), pursuant to § 1317.75(d)(2). At a hospital or clinic with an on-site pharmacy, kiosks will be placed in an area regularly monitored by employees but not near areas of the facility where emergency or urgent care is provided. § 1317.75(d)(2)(i). Kiosk placement will also comply with any August 14, 2018 BOS Minutes 82 applicable Board of Pharmacy requirements. Costs associated with installation and maintenance will be paid by MED-Project per the contracts with the Kiosk Drop-Off Site Hosts. The maintenance program will address items such as: • Periodic inspection of kiosks to monitor general wear and tear; • Service Technician access to the kiosks during regularly scheduled pick-ups and scheduling of service if necessary; and • Reporting by the Kiosk Drop-Off Site Host of damage to a kiosk or requested maintenance service. 3. Kiosk Specifications A kiosk will be offered to all host locations. Pursuant to DEA Rule § 1317.75(e), MED-Project kiosks at pharmacies will: • Be securely fastened to a permanent structure; • Be securely locked, substantially constructed containers with a permanent outer container and removable inner liner; • Include a small opening in the outer container that allows contents to be added to the inner liner, but does not allow removal of the inner liner’s contents; • Prominently display a sign indicating that only Schedule II-V controlled and non-controlled substances are acceptable to be placed in the kiosk; and • Have the small opening in the outer container locked or made inaccessible to the public when a Kiosk Drop-Off Site employee is not present. The proposed design of the pharmacy kiosk and proposed signage (Appendix E) satisfies these requirements through the use of heavy gauge steel; multiple locking mechanisms, including a locking mechanism on the drop slot; a tamper-proof slot; and commercial hinges. The design will increase the likelihood of consumer participation by providing easy access to wheelchair users. The locking mechanism on the drop slot will prevent kiosk over-flow once the container has reached its maximum level and is locked by the Kiosk Drop-Off Site Host. MED-Project pharmacy kiosks will come with appropriate regulatory signage and instructions, including an instruction to remove or strike out personal information from any Unwanted Medicine and packaging before depositing them and language required under the DEA Rule 2 and by the Board of Pharmacy. Kiosk signage will provide information about what is and is not accepted in the kiosk. Additionally, under § 1317.60(a), MED-Project kiosk inner liners will: • Be waterproof, tamper-evident, and tear-resistant; • Be removable and sealable immediately upon removal without emptying or touching kiosk contents; • When sealed, make the contents of the inner liner not viewable from the outside; • Clearly indicate the size of the inner liner; and • Bear a permanent, unique barcode for tracking purposes. MED-Project kiosks and inner liners will also comply with Board of Pharmacy requirements. While the DEA Rule does not require LEA kiosks to meet these same requirements, MED-Project will offer these kiosks and inner liners to LEAs. See DEA Rule at 53531. 2 Specifically, as required under § 1317.75(e)(4), all kiosks will prominently display a sign stating that: “Only Schedule II-V controlled and non-controlled substances that are lawfully possessed by the ultimate user are acceptable to be placed in the kiosk. Schedule I controlled substances, illicit or dangerous substances, and any controlled substances not lawfully possessed by the ultimate user may not be placed in the kiosk.” August 14, 2018 BOS Minutes 83 4. Kiosk Collection Under § 1317.05(c)(2)(iv), pharmacy Kiosk Drop-Off Sites must dispose of sealed inner liners and their contents either on-site, through common or contract carrier delivery to or pick-up by a distributor or reverse distributor, or with DEA assistance. Section 1317.75(c) prohibits the counting, sorting, inventorying, or individual handling of any substances deposited into a pharmacy kiosk. Additionally, § 1317.60 limits inner liner access to employees of the collector and requires two employees to immediately seal the inner liner upon its removal from the pharmacy kiosk’s permanent outer container. See § 1317.60(b), (c). Section 1317.75(g) provides that pharmacy kiosk inner liner installation or removal shall be performed “by or under the supervision of at least two employees of the authorized collector.” The pharmacy kiosk sealed inner liner must not be opened, x-rayed, analyzed, or otherwise penetrated. See § 1317.60(c). At LEA Kiosk Drop-Off Sites, Vendor and the LEA will maintain any records of removal, storage, or destruction of the collected Unwanted Medicine in a manner consistent with the LEAs’ recordkeeping requirements for illicit controlled substances evidence pursuant to § 1317.35. Law enforcement will record the unique barcode number and size of the sealed inner liner transferred to Vendor. See § 1317.35. Additionally, any Unwanted Medicine will be stored in a manner to prevent the diversion of controlled substances and consistent with the LEA’s standard procedures for storing illicit controlled substances. See § 1317.35. Collected Unwanted Medicine will be transferred to the disposal facility in a manner to prevent the diversion of Unwanted Medicine and consistent with the LEA’s standard procedures for transferring illicit controlled substances. See § 1317.35. MED-Project’s Kiosk Drop-Off Site collection system complies with these DEA requirements for pharmacy and LEA Kiosk Drop-Off Sites. Vendor, pharmacies, and LEAs participating in the Plan will keep all records required under the DEA Rule, including those required under §§ 1304 and 1317.35. Pharmacy Kiosk Drop- Off Site Hosts and Vendor will be instructed never to count, sort, inventory, or individually handle kiosk contents. However, pharmacy kiosks will be located where an employee is present affording employees the opportunity to visually inspect Unwanted Medicine that Residents attempt to deposit. See Section V.B.2. LEA kiosks will be located inside the LEA’s physical location. See Section V.B.2. MED-Project’s kiosk drop-off site collection system will also comply with all applicable Board of Pharmacy requirements. Pick-up of Unwanted Medicine collected at Kiosk Drop-Off Sites will be scheduled for all Kiosk Drop-Off Sites year-round based on their regular business hours and volume collected. When arriving at a Kiosk Drop-Off Site, the kiosk will be reviewed by the Service Technicians for any damage. A Service Technician will arrive at the Kiosk Drop-Off Site with a pre-printed shipping label. Unwanted Medicine will be securely removed from the kiosk by Service Technicians and Kiosk Drop-Off Site employees following standard operating procedures meeting all DEA requirements. Specifically, two Kiosk Drop-Off Site employees will hold the two keys to unlock the kiosk. Once the kiosk is unlocked, the inner liner will be removed from the kiosk and immediately sealed, a new inner liner will be installed, and the two Kiosk Drop-Off Site employees will lock the kiosk. The inner liner provided in the kiosk will be opaque to prevent visual recognition of the contents. The sealed inner liner will not be opened, x-rayed, analyzed, or otherwise penetrated. Under the supervision of two Kiosk Drop-Off Site employees, the Service Technicians will package the sealed inner liner for shipping. The unique identifier of the inner liner will be matched to the tracking number on the shipping label. The Service Technician will schedule a pickup from the Carrier to be completed within a few business days and leave the packaged, sealed inner liner with the Kiosk Drop-Off Site Host for storage in compliance with all applicable laws, regulations, and other legal requirements until Carrier pickup. August 14, 2018 BOS Minutes 84 Vendor will prepare the materials for shipment and perform applicable pre-transportation functions to comply with Department of Transportation (DOT) Hazardous Materials Regulations. 5. Frequency of Pick-Up Initially, all Kiosk Drop-Off Site Hosts not previously hosting a kiosk will be scheduled for a monthly pick-up from the kiosk. MED-Project will communicate with the Kiosk Drop-Off Site Host in the event the frequency of pick-up needs to be changed based on the volumes collected over time. Vendor will monitor volumes collected per service to ensure that all sites are receiving the appropriate service frequency. Vendor will manage pick-up services as frequently as necessary to prevent overflow of the kiosk without providing unnecessary interruption to the participating Kiosk Drop-Off Site. Moreover, Vendor will monitor the weight of Unwanted Medicine generated at each participating Kiosk Drop-Off Site. 6. Procedures if a Kiosk is Full Prior to Scheduled Pick-Up The Kiosk Drop-Off Site Host shall be instructed to lock the drop-slot to the kiosk when the kiosk is full and notify MED-Project of the need for service if prior to the scheduled service date. Vendor shall provide a network of trained Service Technicians. Vendor will direct service to a trained Service Technician who is in closest proximity to the Kiosk Drop-Off Site requesting the service. This process provides for a timely response to Kiosk Drop-Off Sites requiring service prior to the scheduled date. Service timelines will be assessed based on the specific characteristics of the Kiosk Drop-Off Site’s need. If necessary, Vendor will be able to respond within hours of the request. If the request does not require an urgent response, Vendor will plan the response within two to three business days of the request. Vendor will not exceed one business week from the initial request. In the interim, pharmacy Kiosk Drop-Off Site Hosts shall be instructed to secure the kiosk and its contents in accordance with DEA requirements. 7. Unplanned Event Preparedness Vendor maintains a network of emergency responders that can be called on in the case of an emergency or spill incident. Vendor ensures compliance of all service providers through a business confidential qualification process. This process reviews the compliance history, management structure, financial stability, and other key indicators of a reliable emergency response service provider. Emergency responders will bring all equipment necessary to manage the specific needs of the Kiosk Drop-Off Site requiring an emergency response. A major event, such as a flood, earthquake or fire, may require a response by a service team. This event can jeopardize the security characteristics of the kiosk as well as the structural integrity of the participating location. The team will assess the safety of the area along with the locations to be serviced. Once it is determined the area is safe for access, the team will work to secure the kiosk and remove its contents. Along with major event preparedness, Vendor provides timely responses to events that may cause an inconvenience to the Kiosk Drop-Off Site Host. An example of this kind of event would be if the kiosk is giving off an odor prior to the scheduled service date. The Kiosk Drop-Off Site Host will contact MED- Project via the dedicated phone number or email address. Vendor is able to respond within two to three hours in most cases when notified of a need for an urgent response. If the request is an emergency that poses an immediate threat to the environment or health, the Kiosk Drop-Off Site Host is advised to call 911. If the request is not urgent or an emergency, Vendor will typically respond to a service location within two to three business days of an event not requiring an urgent response. In addition, personal items that a resident inadvertently drops into a kiosk (i.e. dentistry, watch, keys, wallet, etc.) will not be retrieved and will not be treated as an unplanned event. August 14, 2018 BOS Minutes 85 C. Take-Back Events Ninety days after Plan approval, MED-Project will conduct a gap assessment of signed agreements with Kiosk Drop-Off Site Hosts. Thirty days after the gap assessment, MED-Project will schedule quarterly Take- Back Events at three locations in any supervisorial district where the collection system requirement is not met through signed Kiosk Drop-Off Site agreements. Federal, state, tribal, or local law enforcement shall oversee all Take-Back Events. If possible, MED-Project will work to conduct the Take-Back Events in coordination with other scheduled events (i.e., Earth Day celebrations, Health and Wellness Fairs) to maximize convenience to Residents. Targeted events can be viewed in Appendix F. In situations where a location in the Supervisorial District is not available, MED- Project will work with the participating LEA to host the event at other locations available to the public. Due to the continuously changing schedule of Take-Back Events, the list of take-back dates and locations will be maintained on the MED-Project website as events are scheduled. 1. Method Hosting of Take-Back Events is contingent upon participation and oversight by contracted LEAs. MED- Project will work with participating LEAs to ensure Take-Back Events are compliant and successful. Events will be promoted and communicated to the public through local communication channels as outlined in Appendix G. The process of conducting Take-Back Events will meet all applicable laws, regulations, and other legal requirements. MED-Project will contract with LEAs to oversee Take-Back Events. These contracts will provide for the collection, transportation, and disposal of Unwanted Medicine from Take-Back Events and ensure that all requirements of participating LEAs are met. MED-Project will work with LEAs to accommodate any reasonable requirements. 2. Procedures MED-Project will partner with LEAs to ensure that at least one law enforcement officer oversees collection at all Take-Back Events pursuant to DEA Rule § 1317.65(a), (b). The law enforcement officers will maintain control and custody of all Unwanted Medicine collected at Take-Back Events from collection until secure transfer, storage, or destruction of the Unwanted Medicine, as required by § 1317.65(b). Only ultimate users and persons authorized to dispose of an ultimate user decedent’s property in lawful possession of controlled substances in Schedules II-V may transfer these substances to the LEA during the event. § 1317.65(e). No other person will handle controlled substances at Take-Back Events under § 1317.65(e); however, Vendor may assist LEAs in the collection of Unwanted Medicine at Take-Back Events. See DEA Rule at 53539. Take-Back Events will typically be staffed by at least two Vendor employees. Vendor will work in coordination with MED-Project and LEAs to monitor and ensure collection of all material at Take-Back Events is compliant with all applicable laws, regulations, and other legal requirements and meets the expectations of the planned event. Vendor will work in conjunction with local law enforcement to ensure all material is placed in a compliant collection receptacle and securely shipped to meet all applicable laws, regulations, and other legal requirements. Any material that is not Unwanted Medicine or does not meet legal requirements will be rejected. Vendor and the LEA will maintain all records of removal, storage, or destruction of the collected Unwanted Medicine in a manner consistent with the LEA’s recordkeeping requirements for illicit controlled substances evidence pursuant to § 1317.35. Any collected Unwanted Medicine will be stored to prevent the diversion of controlled substances and consistent with the LEA’s standard procedures for storing illicit controlled substances. Any storage of Unwanted Medicine by Vendor will also comply with the applicable August 14, 2018 BOS Minutes 86 security requirements of §§ 1301 and 1317, including the requirement that Unwanted Medicine is securely stored in a manner consistent with the security requirements for Schedule II controlled substances. Vendor will package Unwanted Medicine inner liners, match the unique inner liner identifier to shipping labels, and prepare the inner liners for shipment in compliance with all applicable laws, regulations, and other legal requirements. Collected material will be weighed following the completion of each event. With the sealed inner liners remaining under the control and custody of the LEA, Vendor will assist the LEA with the transportation of the sealed inner liners to the LEA’s facility. Vendor will schedule a pickup from the LEA facility to take place within a few business days of the event. D. Disposal of Unwanted Medicine Vendor and Carrier shall manage the Unwanted Medicine from Kiosk Drop-Off Sites and Take-Back Events in compliance with all applicable laws, regulations, and other legal requirements. Carrier shall deliver Unwanted Medicine collected from Kiosk Drop-Off Sites and Take-Back Events to the reverse distributor facility identified in Section X.C.1. All Unwanted Medicine will be destroyed no later than 30 calendar days after receipt at the reverse distributor facility from the Carrier. See Section X.C. for additional details. All inner liners will be destroyed in accordance with all applicable laws, regulations, and other legal requirements at the disposal facility identified in Section X.C.2. E. Unwanted Medicine Mail-Back Services MED-Project will provide Mail-Back Services for Unwanted Medicine at no cost to disabled and home bound Residents. MED-Project will also offer Mail-Back Services to all Residents in supervisorial districts where the required number of Kiosk Drop-Off Sites have not yet been obtained through agreements signed by Kiosk Drop-Off Site Hosts. Mail-back packages will be pre-paid and pre-addressed, and Mail- Back Services will comply with all applicable laws, regulations, and other legal requirements. 1. Mail-Back Services for Unwanted Medicine Pursuant to DEA Rule § 1317.70(c), the mail-back packages for all Unwanted Medicine will be: • Nondescript and without any markings or information potentially indicating that they contain Unwanted Medicine, including controlled substances; • Water and spill-proof, tamper-evident, tear-resistant, and sealable; • Pre-addressed with and delivered to Vendor’s registered address; • Pre-paid; • Provided with a unique identifier enabling tracking; and • Provided with instructions indicating the process for mailing back the packages, a list of accepted substances, a notice about mailing restrictions, and a notice that only packages provided by Vendor will be accepted for destruction. Ultimate users and persons lawfully entitled to dispose of an ultimate user decedent’s property will not be required to provide any personally identifiable information when using Mail-Back Services to dispose of Unwanted Medicine. See § 1317.70(d). As required under § 1317.70(e), Vendor will only accept mail-back packages it made available (or packages lawfully forwarded under DEA requirements). Within three business days of receipt, Vendor will notify the DEA if it receives mail-back packages likely containing controlled substances that Vendor did not make available or did not agree to receive pursuant to DEA requirements. In accordance with § 1317.70(f), when mail-back packages are received, only Vendor employees will handle the mail-back packages. Mail-back packages will not be opened, x-rayed, analyzed, or otherwise penetrated upon receipt by Vendor. See § 1317.70(f). Vendor and MED-Project will keep all records required under the DEA Rule, including those identified in § 1304.22(f). August 14, 2018 BOS Minutes 87 See Appendix H for a sample package and package specifications. 2. Mail-Back Package Availability Disabled and home bound Residents may request mail-back packages for Unwanted Medicine by calling the call center or through a link on the MED-Project website. Upon such request, mail-back packages complying with all applicable federal, state, and local laws, regulations, and other legal requirements will be shipped to Residents within 5 to 10 business days. Mail-back packages will contain an insert with instructions for use and information about other options for disposing of Unwanted Medicine in the Available Languages. See Appendix H for a sample package insert. Ninety days after Plan approval, MED-Project will conduct a gap assessment of established Kiosk Drop-Off Sites. If fewer than the required number of sites have been obtained through agreements signed by Kiosk Drop-Off Site Hosts in any supervisorial district in the unincorporated areas of the County, MED-Project will supplement Kiosk Drop-Off Sites by offering Mail-Back Services to all Residents in the supervisorial district. Until MED-Project has signed agreements with three Kiosk Drop-Off Site Hosts in the supervisorial district, MED-Project will communicate via website and social media to Residents in the district notifying them of the opportunity to request a mail-back package through the MED-Project call center or website. Once agreements have been signed with three Kiosk Drop-Off Site Hosts within a district, MED-Project will offer Mail-Back Services only to disabled and home bound Residents. 3. Mail-Back Package Collection and Disposal Requests to receive mail-back packages will be taken through the call center or a link on the MED-Project website. Residents will be directed to follow the instructions provided in the mail-back package and to place their Unwanted Medicine in the pre-addressed/pre-paid package. The United States Postal Service estimates up to three business days for delivery of First Class Mail. The mail-back package shall be sent to an approved disposal facility and handled in compliance with all Applicable Laws. Upon arriving at the medical waste disposal facility listed in Section X.F, the mail-back packages will be scanned for verification of receipt and incinerated. Any storage of filled mail-back packages by Vendor will comply with the applicable security requirements of DEA Rule Section 1317, including the requirement that Unwanted Medicine is securely stored in a manner consistent with the security requirements for Schedule II controlled substances. All Unwanted Medicine will be destroyed promptly. Plan and Collection Goals The short- and long-term goals of the Plan are described generally as follows. Additional detail on implementation is provided in Section V.A.2. MED-Project anticipates that establishment of Kiosk Drop-Off Sites will begin within 90 days of approval of the Plan. Once all drop-off locations are fully operational, the program expects to collect approximately 360 pounds per Kiosk Drop-Off Site during each calendar year, based on collection totals in other jurisdictions. Assuming 15 Kiosk Drop-Off Sites are operational for a full year, MED-Project anticipates collecting approximately 5,400 pounds of Unwanted Medicine from Kiosk Drop-Off Sites in 2019. See section V.B. for more information about Kiosk Drop-Off Site collection. Until the collection system requirement is met, MED-Project anticipates supplementing Kiosk Drop-Off Sites through Mail-Back Services and Take-Back Events. Based on Take-Back Event collection totals in other jurisdictions, MED-Project anticipates collection of 50 to 200 pounds of Unwanted Medicine per Take-Back Event. August 14, 2018 BOS Minutes 88 MED-Project mail-back packages have a capacity of 8oz. per package. Due to the lack of information available from current MED-Project Programs, MED-Project's estimated collection totals in 2018 could vary based on actual usage. Collection in 2018 will be used to adjust subsequent years’ collection goals. Data from 2018 will be utilized to establish baseline collection and estimate collection goals for future years. Anticipated Collection Amounts (Lbs.): 2018 2019 Kiosk Drop-Off Sites 1,000 5,400 Take-Back Events & Mail-Back 500 N/A Pounds Collected 1,500 5,400 Goal Area Short-Term Long-Term Collection Approximately 1,500 pounds of Unwanted Medicine collected through Kiosk Drop-Off Sites, Mail- Back Services, and Take-Back Events. Approximately 5,400 pounds of Unwanted Medicine collected through Kiosk Drop-Off Sites, Mail-Back Services, and/or Take-Back Events. Increased reliance on established Kiosk Drop-Off Sites and limited or no collection through Take- Back Events or Mail-Back Services. Education & Promotion Develop baseline number of website page views or unique visitors. Establish a baseline of LEAs; retail pharmacies; other pharmacies (healthcare, etc.); community groups; and other third parties contacted, and report appropriate statistics as outlined in the Annual Report section of this Plan. Establish a baseline number of media outlets receiving press advisory, with a minimum of five outlets. Establish a baseline percentage of community centers reached. Establish a baseline number of messages to MED-Project returned within predetermined timeframe. On an ongoing basis, MED-Project may revise and/or add communications materials based on changes to the Plan. MED-Project will evaluate media and public outreach in order to make adjustments and improvements to the Program. The review will consider percent awareness of the Stewardship Plan, assess to what extent Kiosk Drop-Off Sites and other collection methods are convenient and easy to use, and assess knowledge and attitudes about risks of abuse, poisonings, and overdoses from prescription and nonprescription medicines used in the home. A summary of this review will be included in the annual report. Patient Privacy Instructions at each Kiosk Drop-Off Site Host location will inform people who deposit Unwanted Medicine that they should completely cross out, remove, or otherwise make unreadable all personally identifiable information on the drug containers and packaging before depositing them in the kiosk. In cases where people follow the instructions, there will be no personally identifiable information. August 14, 2018 BOS Minutes 89 In addition to kiosk signage, all MED-Project promotional and educational materials encourage residents to protect their information by ensuring that identifiable information is not present before depositing containers into kiosks. Examples of MED-Project brochures, signage, and website materials are available in Appendix E and Appendix J. Vendor has additional protections available for keeping residents’ personal identifiable information safe and secure. Service Technicians are well trained in managing items containing sensitive patient information. Privacy training is part of a Service Technician’s prerequisite for field services. As added protection, the liners for the kiosk will be opaque rather than clear, in compliance with the DEA Rule. This will prevent anyone, including the Service Technician, from seeing any information on the containers placed in the kiosks. Materials to help Residents cross out any personally identifiable information will also be available at Take- Back Events. This will ensure any patient information on drug packaging will be unreadable. Call Center Questions from Residents will be managed by a call center with an interactive voice response (IVR) system and the support of an operator available during business hours of 9:00am to 5:00pm PST Monday through Friday. If the operator is unavailable, a caller will be able to leave a message to which the operator will respond. All operators shall be trained to respond based on the requirements set by MED-Project. The IVR will answer general questions, including questions on the following topics: 1. Items that can be disposed; 2. Disposal options; 3. Direction to the Program website and call center operators for additional information; and 4. How to request mail-back packages. Because the list of Kiosk Drop-Off Sites and Take-Back Events is subject to change, Residents will be directed to the MED-Project website or to an operator for detailed information about kiosk locations and service hours and Take-Back Event times and locations. Training Operational procedures, including training, are the responsibility of the Kiosk Drop-Off Site. MED-Project will support training if agreed to with the Kiosk Drop-Off Site. Additionally, MED-Project will manage a support hotline to answer questions and monitor comments for participating Kiosk Drop-Off Sites. The support hotline will support two general communication functions: 1. Answer questions and monitor comments from participating Kiosk Drop-Off Site Hosts. 2. Support and direct service requests from participating Kiosk Drop-Off Sites. Messages received from Kiosk Drop-Off Sites will be returned within one business day. Vendor will comply with all applicable laws, regulations, and other legal requirements. Vendor’s internal training process will address the following: • Onboarding & on-truck observation of job functions; • DOT Training; • DEA Training; • United States Environmental Protection Agency (“EPA”) Waste Characterization; • Occupational Safety and Health Administration (“OSHA”) Training; • Waste Handling Demo; • Truck Operation; August 14, 2018 BOS Minutes 90 • DEA Handling Demo; • Health Insurance Portability and Accountability Act (“HIPAA”) requirements; • OSHA Bloodborne Pathogens Standard; • Review & Written Test; and • Perform work under supervision to demonstrate proficiency prior to certification to service client accounts. A. Service Technician Training The Service Technicians handling, collecting, and transporting the Unwanted Medicine will complete comprehensive training under the direction of a Certified Hazardous Materials Manager certified Senior Environmental Health and Safety Manager. This training includes instruction on: • DOT hazardous materials requirements; • EPA waste characterization requirements; • Resource Conservation and Recovery Act (“RCRA”) hazardous waste requirements; • DEA controlled substances transfer protocols; • OSHA requirements; and • HIPAA requirements. Service Technicians must complete a 24 or 40-hour Hazardous Waste Operations and Emergency Response Standard (“HAZWOPER”) course. Additionally, Service Technicians must complete annual refresher training that includes an 8-hour training on DOT, HAZWOPER, HIPAA, OSHA, RCRA, and safety and security. Finally, Service Technicians receive ongoing training in the form of daily “tips”, weekly meetings, and online refresher courses. All Vendor employees servicing Take-Back Events or Kiosk Drop- Off Sites or receiving mail-back packages will have a training base similar to that of Service Technicians, with customized training as needed. Transporter and Disposal Facility Information A. Vendor for Kiosk Drop-Off Sites and Take-Back Events • Name: Stericycle Specialty Waste Solutions, Inc. will service Kiosk Drop-Off Sites and Take-Back Events. • Address: 2850 100th Court NE Blaine, MN 55449 • Phone: (612) 285-9865 • Website: www.stericycleenvironmental.com B. Transporter of Unwanted Medicine from Kiosk Drop-Off Sites and Take-Back Events 1. Carrier • Name: United Parcel Service, Inc. will transport Unwanted Medicine from Kiosk Drop-Off Sites to the Stericycle, Inc., Indianapolis, Indiana Facility. United Parcel Service, Inc. may also be used to transport Unwanted Medicine from Take-Back Events to the Stericycle, Inc., Indianapolis, Indiana Facility. • Address: 55 Glenlake Parkway NE, Atlanta, GA, 30328 • Phone: (800) PICK-UPS • Website: www.UPS.com/ 2. Transporter 1 • Name: Heritage Transport may be used to transport Unwanted Medicine from the Stericycle, Inc., Indianapolis, Indiana Facility to Heritage Thermal Services – Ohio. • Address: 1626 Research Way, Indianapolis, IN 46231 • Phone: (317) 486-2973 August 14, 2018 BOS Minutes 91 • Website: http://www.heritage-enviro.com/ 3. Transporter 2 • Name: Stericycle Specialty Waste Solutions, Inc. Stericycle Specialty Waste Solutions, Inc. may be used to transport Unwanted Medicine from the Stericycle, Inc., Indianapolis, Indiana Facility to Veolia-Port Arthur. • Address: 2850 100th Court NE Blaine, MN 55449 • Phone: (612) 285-9865 • Website: www.stericycleenvironmental.com C. Reverse Distributor and Disposal Facility for Unwanted Medicine from Kiosk Drop-Off Sites and Take-Back Events 1. Reverse Distributor Facility • Name: Stericycle, Inc., Indianapolis, Indiana Facility will receive Unwanted Medicine from the Carrier. • Address: 2670 Executive Drive, Suite A, Indianapolis, IN 46241-9901 • Phone: (317) 275-7530 • Website: http://www.stericycle.com/ 2. Disposal Facility 1 • Name: Heritage Thermal Services – Ohio will incinerate Unwanted Medicine received from the Stericycle, Inc., Indianapolis, Indiana Facility. • Address: 1250 Saint George Street, East Liverpool, Ohio, 43920 • Phone: (800) 545-7655 • Website: http://www.heritage-thermal.com/ 3. Disposal Facility 2 • Name: Veolia – Port Arthur will incinerate Unwanted Medicine as an alternative disposal facility to Heritage Thermal Services - Ohio. • Addresses: 7665 Texas Highway 73, Beaumont, TX 77705. • Phone: (409) 736-2821 • Website: www.veiolianorthamerica.com D. Vendor for Mail-Back Services • Name: Stericycle Specialty Waste Solutions, Inc. will provide mail-back packages. • Address: 2850 100th Court NE Blaine, MN 55449 • Phone: (612) 285-9865 • Website: www.stericycleenvironmental.com E. Shipper of Mail-Back Packages • Name: United States Postal Service will ship mail-back packages to the Stericycle, Inc. Warren, Ohio. • Address: 475 L’Enfant Plaza, S.W. Washington, DC 20260 • Phone: (202) 268-2000 • Website: www.USPS.com/ F. Disposal Facility for Mail-Back Packages • Name: Stericycle, Inc. Warren, Ohio will incinerate the mail-back packages from United States Postal Service • Address: 1901 Pine Avenue, S.E., Warren, OH 44483 • Phone: (330) 393-0370 August 14, 2018 BOS Minutes 92 • Website: www.stericycle.com/service-locations/ohio/warren Unwanted Medicine Educational and Outreach Programming A. Overview The following communications plan includes a description of the public education and outreach efforts that MED-Project will undertake to educate Residents about the collection and disposal of Unwanted Medicine from households. While MED-Project operates an education and outreach program specific to each individual Plan, MED- Project websites, signage, and printed material will provide consistent branding across all counties to the extent possible. B. Audiences To effectively educate the public about the Plan, MED-Project has developed a comprehensive communications campaign featuring both broad communications tactics (e.g., media advisories, etc.) as well as targeted outreach to audiences directly involved in the distribution and use of medicines to Residents. These audiences include: • General public • Pharmacies and Retailers of Covered Drugs • Health care providers • Veterinary providers • Public health facilities • Law enforcement agencies This Plan details efforts to reach the varied cultural, geographic, and age demographics, including through outreach to local media (Appendix G); outreach to community organizations serving a broad range of audiences (Appendix B); and availability of educational information through a broad range of channels, including a toll-free call center, broadcast media, and the internet. Demographic information, including race/ethnicity, age, and geographic data, will be analyzed to appropriately direct outreach and create educational materials to best serve the unique needs of Residents. Efforts to ensure that materials are appropriately targeted and available to these populations will be pursued with associations, agencies, and organizations that can be viewed in Appendix B. C. Messages MED-Project messaging will focus on the following goals: • Educating Residents about the appropriate use, storage, and disposal of Unwanted Medicine, • Educating Residents about the availability of Mail-Back Services and Take-Back Events, and • Providing Residents with clear steps to properly manage the disposal of their Unwanted Medicine, including following instructions found on the medicine label, use of Kiosk Drop- Off Sites, use of available Mail-Back Services, and availability of Take-Back Events. Key points of emphasis will include: • The importance of taking medicines as prescribed by your health care provider; • The importance of adhering to and completing your provider-prescribed therapy; • The importance of properly and securely storing medicines locked, out of reach of children, and inaccessible to visitors; • The importance of promptly and properly disposing of Unwanted Medicine; August 14, 2018 BOS Minutes 93 • How to find and use Kiosk Drop-Off Sites; • How to properly use the Mail-Back Services provided; • How to properly dispose of Unwanted Medicine; and • Privacy issues (removing personally identifiable information from labeled prescription containers). D. Tools/Communications Channels The Program will include several components designed to reach Residents and provide consistent access to timely and relevant information. Distribution of materials will include audiences such as LEAs, pharmacies, health care providers and systems, health associations, local government agencies, and other community organizations and will be evaluated regularly for effectiveness. Tools and communication channels will include: 1. Phone MED-Project will provide a toll-free telephone number (1-844-MED-PROJ) for Residents to obtain information about Kiosk Drop-Off Sites, educational materials, and other aspects of the Program. The toll- free number will provide: • The MED-Project toll-free telephone line will provide an option for callers to be transferred to a staffed call center. • A recorded-line script at 1-844-MED-PROJ will provide basic information about how the Program works, where to obtain more information (e.g., the website), and will also include an option to talk with an operator to find a Kiosk Drop-Off Site, request Mail-Back Services, or find a Take-Back Event in the caller’s ZIP code or local area. • The recorded call script will include language directing callers with medical emergencies to call 911. Patients with medication-related questions will be directed to contact their health care provider(s). Please see Appendix I for a sample template of the recorded call script. 2. Website MED-Project is developing a mobile-friendly website with translations in the Available Languages. Information available to users will include locations of Kiosk Drop-Off Sites, educational materials, frequently asked questions and responses, Mail-Back Services information, and Take-Back Event dates and locations. • The Plan includes a sample mockup of the website and its supporting pages. Appendix J provides a proof of concept for each page. • The website will also include access to a public relations toolkit in a downloadable format (see Section XI.D.3) and contact information for Residents. A toolkit available on the website includes a brochure (Appendix K) and a frequently asked questions (FAQ) document (Appendix K) which will be reviewed and updated periodically. Translations of the brochure and FAQ will be available in the Available Languages • Community and government organizations and other public interest groups seeking materials to promote the Program will be encouraged to access these resources. 3. Materials Educational materials about the Program and describing how to properly dispose of Unwanted Medicine will be provided in the Available Languages through the website, potential third-party partners, community organizations, and at Kiosk Drop-Off Sites. These partners will include pharmacies, health care facilities, and veterinary facilities. MED-Project will also provide local governments and other interested parties with materials covering the proper disposal of Unwanted Medicine. Until the Collection system requirement has August 14, 2018 BOS Minutes 94 been met, MED-Project will promote the Mail-Back Services through additional educational materials that will be made available to all Residents (see Appendix K). The Plan includes a sample of the educational brochure (Appendix K) and media advisory promoting Take- Back Events (Appendix L). An additional sample brochure has been created to provide information regarding Mail-Back Services available to Residents (Appendix K). Educational materials use plain language and explanatory images to promote consumer education and collection options to Residents with limited English proficiency. 4. Media Outreach The Program will conduct public outreach through media such as traditional and social media, posting of educational signage, and at community events. Public outreach through written materials will be conducted in the Available Languages. Outreach efforts will encourage media outlets and third-party groups to download and use the toolkit. MED-Project will coordinate outreach for scheduled Take-Back Events to promote participation. The following materials support the Unwanted Medicine educational and outreach programming: • Please see Appendix I for a sample education and outreach call script with the toolkit, including flyers in Appendix K and website information included in Appendix J. • Please see Appendix G for a sample list of key media outlets. • Please see Appendix M for a sample list of social media outlets. • Please see Appendix L for a sample template media advisory announcing Take-Back Events. 5. Broadcast Outreach MED-Project will utilize local television outlets to conduct outreach to Residents. Outreach will be conducted through local print, online, television, and radio outlets, as well as through outlets specifically targeting the diverse demographic communities within the County. Please see Appendix G for a sample media list of key outlets. E. Collaboration with County Officials and Community Organizations MED-Project will work in collaboration with the County as appropriate to build on existing community outreach resources, such as local organizations, media lists, available public media outlets, etc. MED- Project will conduct the following outreach efforts: • Briefing Materials Provided to Support Coordination with County Officials: o MED-Project will provide access to Educational and Outreach Programming materials, including the sample brochure (see Appendix K), to relevant departments and officials. • Outreach through Community Organizations: o MED-Project will further promote the Program by engaging relevant stakeholders and community organizations, for example, by providing community organizations identified in Appendix B with the toolkit included in Appendix K. • Briefing Materials Provided to Support Collaboration with Home Health Care Providers. o MED-Project will collaborate with home health care providers to promote the use of Mail-Back Services by disabled and homebound residents. MED-Project will provide home health care providers with the brochure included in Appendix K. F. Disclaimer The written and verbal educational materials and public outreach tools that are required by the Ordinance and disseminated under this Product Stewardship Plan will include a disclaimer similar to the following: “This material has been provided for the purposes of compliance with legislation and does not necessarily August 14, 2018 BOS Minutes 95 reflect the views of MED-Project or the Producers participating in the MED-Project Product Stewardship Plan.” Packaging The Ordinance requires that a Plan consider “[s]eparation of covered drugs from packaging to the extent feasible to reduce transportation and disposal costs; and [r]ecycling of drug packaging to the extent feasible.” Ordinance §§ 418-16.208(h)(2) and 418-16.208(h)(3). MED-Project has considered and evaluated options for the separation and recycling of drug packaging. Separating and recycling drug packaging collected under the Plan would require the management of separate waste streams at Kiosk Drop-Off Sites and Take-Back Events: a waste stream for drug packaging and a waste stream for the drugs themselves. While drug packaging is expected to constitute a significant amount of the waste incinerated under the Plan, MED-Project has concluded that separation of inner and/or outer packaging from Unwanted Medicine or recycling packaging would raise three significant concerns: 1. Separating and recycling drug packaging could result in the disclosure of confidential patient information appearing on prescription drug packaging; 2. Separating and recycling drug packaging could increase the potential of releases and leakage of Unwanted Medicine; and 3. Separating and recycling drug packaging could increase diversion risks by adding additional steps to the collection process and because drug packaging is used in drug counterfeiting and would be a diversion target itself. For these reasons, the Plan does not provide for the separation and recycling of packaging from Unwanted Medicine. MED-Project education and outreach materials instruct Residents to return Unwanted Medicine at a Kiosk Drop-Off Site, via Mail-Back Services, or at a Take-Back Event in its original container or in a sealed bag. These materials encourage Residents who transfer their Unwanted Medicine in a sealed bag to recycle all remaining packaging. Compliance with Applicable Laws, Regulations, and Other Legal Requirements The Ordinance requires that a Product Stewardship Plan describe how all entities participating in the Program will comply with all applicable laws, regulations, and other legal requirements. Ordinance § 418- 16.208(e)(2). As described in more detail below, the Plan is designed such that all entities participating in the Program shall comply with all applicable laws, regulations, and other legal requirements. A. DEA Controlled Substances Act and Implementing Regulations On October 12, 2010, the United States Congress enacted the Secure and Responsible Drug Disposal Act of 2010 (“Disposal Act”) as amendments to the Controlled Substances Act (“CSA”). The Disposal Act amended the CSA to allow for the expansion of entities to which users can deliver pharmaceutical controlled substances for disposal, subject to regulations to be promulgated. On September 9, 2014, the DEA adopted a rule entitled “Disposal of Controlled Substances” to implement the Disposal Act. Under the DEA Rule, collection of controlled substances is limited to Schedule II, III, IV, or V controlled substances that are lawfully possessed by an ultimate user or person entitled to dispose of an ultimate August 14, 2018 BOS Minutes 96 user decedent’s property. See DEA Rule §§ 1317.75(b) (Kiosk Drop-Off Sites)3; 1317.65(d) (Take-Back Events); 1317.70(b) (Mail-Back Services). Schedule I controlled substances, controlled substances that are not lawfully possessed as described above, and other illicit or dangerous substances will not be collected. Additionally, as these provisions of the DEA Rule limit collection of controlled substances to those lawfully possessed by an ultimate user or certain other persons, pharmacies are prohibited from disposing their own inventory or stock through the Program. See id.; see also § 1317.05. The DEA Rule provides that LEAs can continue to accept controlled substances for disposal. However, the DEA Rule also provides that pharmacies, reverse distributors, hospitals/clinics with on-site pharmacies, and certain other entities, can register with the DEA as “collectors” and become authorized at their discretion on a voluntary basis to accept controlled substances. The DEA Rule: • Provides for the collection of controlled substances at Kiosk Drop-Off Sites at LEAs, pharmacies, and hospitals or clinics with on-site pharmacies; • Provides for collection of controlled substances at Take-Back Events; • Provides for the use of mail-back programs to collect controlled substances; • Allows for the commingling of controlled and non-controlled substances; • Establishes detailed collection, recordkeeping, security, and other measures for all approved collection methods; and • Provides that all collected pharmaceutical products be destroyed so that the products are rendered non-retrievable. The Plan is designed such that all entities that are part of the Plan, including Vendor, are individually responsible to comply with their respective compliance obligations under the DEA Rule. Vendor will ensure that the transportation of Unwanted Medicines collected from Kiosk Drop-Off Sites and Take-Back Events, including controlled substances, complies with all DEA requirements, including those in § 1317. Controlled substances collected pursuant to the Program may be commingled with non-controlled substances at Kiosk Drop-Off Sites, Take-Back Events, and through Mail-Back Services per the DEA Rule. See §§ 1317.75(b) (Kiosk Drop-Off Sites); 1317.65(d) (Take-Back Events); 1317.70(b) (Mail-Back Services). 1. DEA Registration Modification Pursuant to 21 C.F.R. § 1301.51(b), pharmacies may modify their registrations to become authorized collectors by submitting a request to the DEA or online at www.DEAdiversion.usdoj.gov. This request must contain: • The registrant’s name, address, and registration number (as printed on the registration certificate); • The collection methods the registrant intends to conduct; and • A signature in accordance with § 1301.13(j). See § 1301.51(b). MED-Project will consult with participating pharmacies, as requested, regarding how to modify DEA registrations to become authorized collectors. A. United States Department of Transportation (USDOT) When transporting Unwanted Medicine, Vendor will ensure compliance with the USDOT Hazardous Materials Regulations. 3 For Kiosk Drop-Off Site collection, only certain substances “that are lawfully possessed by an ultimate user or other authorized non-registrant person may be collected.” § 1317.75(b). This language is similar to, but slightly different than, provisions limiting collection at Take-Back Events and through Mail-Back Services to ultimate users or other persons (lawfully) entitled to dispose of an ultimate user decedent’s property. See §§ 1317.65(d); 1317.70(b). August 14, 2018 BOS Minutes 97 B. California State Board of Pharmacy On June 8, 2017, the California State Board of Pharmacy adopted the Board of Pharmacy Regulations, Article 9.1 of Division 17 of Title 16 of the California Code of Regulations. Largely based on the DEA Rule, the Board of Pharmacy Regulations establish requirements applicable to pharmacies, hospitals/clinics with on-site pharmacies, distributors, and reverse distributors conducting certain drug take-back services. Among other things, the Board of Pharmacy Regulations provide: • That California-licensed pharmacies and hospitals/clinics with on-site pharmacies must be in good standing with, and notify, the California Board of Pharmacy to host a drug kiosk. See 16 CCR §§ 1776, 1776.1(i). • That pharmacies must “know and adhere” to all applicable “federal, state, and local requirements governing the collection and destruction of dangerous drugs” when operating a drug take-back program. See 16 CCR § 1776.1(b). • Drug kiosk placement and monitoring requirements. See 16 CCR §§ 1776.3(b)-(d). • Drug kiosk inner liner, container, and signage requirements. See 16 CCR §§ 1776.3(f), (h), (m). • Inner liner handling, storage, and destruction requirements for drug kiosks. See, e.g., 16 CCR §§ 1776.3(h)-(j), 1776.5(a)-(c). • Pharmacy and reverse distributor recordkeeping requirements. See 16 CCR §§ 1776.5(e)-(f), 1776.6. • Pharmacy drug mail-back program requirements. See 16 CCR § 1776.2. The Plan is designed such that all entities that are part of the Plan, including Vendor, are individually responsible for complying with their respective compliance obligations under the Board of Pharmacy Regulations. Annual Report The first annual report will be submitted for the 2018 partial operating year and 2019 operating period by July 1, 2020. An annual report will be provided to the Health Department within six months of the end of the subsequent 12-month period of operation and annually thereafter. Ordinance § 418-16.218. For the reporting period, the report will include: • A list of producers participating in the Plan; • The amount, by weight, of Unwanted Medicine collected from Kiosk Drop-Off Sites and Take-Back Events. For Mail-Back Services, MED-Project will identify the number of mail-back packages destroyed; • A list of Kiosk Drop-Off Sites; • The number of mailers provided; • The dates and locations of Take-Back Events held, if applicable; • Transporters used; • All facilities to which Unwanted Medicine was transported; • Whether any safety or security problems occurred during collection, transportation, or disposal of Unwanted Medicine and, if so, what changes have been made or proposed to alleviate the problem; • A description of public education and promotion activities; • A summary of the Product Stewardship Plan’s goals, the degree of success meeting these goals in the past year, and how these goals will be achieved in the next year if they were not met; and • The total expenditures of the Program. August 14, 2018 BOS Minutes 98 Appendix A MED-Project Participants The list of participating Producers in MED-Project’s Program in Contra Costa County is provided to the County on an ongoing basis. The list was last submitted in conjunction with this plan. August 14, 2018 BOS Minutes 99 Appendix B Sample Contact List for Outreach and Education to the Community The following are associations, agencies, and organizations that will be contacted for assistance with outreach and education to the community. Health Systems & Clinics: Contra Costa Regional Medical Center West County Health Center John Muir Medical Center, Walnut Creek John Muir Health, Concord Medical Center Sutter Delta Medical Center San Ramon Regional Medical Center Contra Costa County Hospital Antioch Convalescent Hospital Alta Bates Summit Medical Center Berkeley Campus Sutter East Bay Medical Foundation UCSF Benioff Children’s Hospital Oakland Kaiser Permanente Health Associations and Societies: Contra Costa Meds Coalition Contra Costa Dental Society Alameda Contra Costa Medical Association California State Board of Pharmacy California Pharmacists Association Medical Board of California California Board of Registered Nursing California Nurses Association California Department of Healthcare Services California Health and Human Services Agency Organizations, Districts, and Agencies: Contra Costa County Contra Costa County Sheriff Contra Costa Fire Protection District Contra Costa County Office of Education Contra Costa Public Health Division Contra Costa Behavioral Health & AOD Division Antioch Police Department Brentwood Police Department Clayton Police Department Concord Police Department Danville Police Department East Bay Regional Park Police El Cerrito Police Department Hercules Police Department Kensington Police Department Lafayette Police Department Martinez Police Department Moraga Police Department Oakley Police Department Orinda Police Department Pinole Police Department Pittsburg Police Department Pleasant Hill Police Department Richmond Police Department San Pablo Police Department Walnut Creek Police Department August 14, 2018 BOS Minutes 100 Appendix C Kiosk Drop-Off Sites with Expressions of Interest MED-Project will provide the County with a list of participating Kiosk Drop-Off Sites on an on-going basis. Below is a list of locations that have expressed interest in participating as a Kiosk Drop-Off Site. The pharmacy and LEA responses below reflect information provided by the sites surveyed as of November 24, 2017. Chain pharmacy interest expressed was at the local pharmacy level. Chain pharmacy participation could be contingent upon agreement with regional and national offices. MED-Project will continue to outreach and work within the corporate structure where applicable. Type Site Name Address City RX ADVANCE MEDICAL PHARMACY 112 LA CASA VIA #100 WALNUT CREEK RX BACON EAST PHARMACY 2425 EAST STE., STE 5 CONCORD RX BSB VETERINARY CORP D.B.A. PET VALUE MART 2465 SALVIO ST, SUITE B CONCORD RX CAREZONE PHARMACY 860 HARBOUR WAY SOUTH, STE E RICHMOND RX CENTRAL PHARMACY 2300 MACDONALD AVE RICHMOND RX CITY CENTER PHARMACY BRENTWOOD INC 50 EAGLE ROCK WAY STE C BRENTWOOD RX CITY CENTER PHARMACY INC 1270 E LELAND RD #102 PITTSBURG RX CONTRA COSTA REG MED CTR HSP PHY 2500 ALHAMBRA AVE MARTINEZ RX CONTRA COSTA REG MED CTR OUTPATIENT PHY 2500 ALHAMBRA AVE BLDG 1 MARTINEZ RX COSTCO PHARMACY #1002 2201 VERNE ROBERTS CIRCLE ANTIOCH RX COSTCO PHARMACY #21 3150 FOSTORIA WAY DANVILLE RX COSTCO PHARMACY #482 4801 CENTRAL AVE RICHMOND RX COSTCO PHARMACY NO 663 2400 MONUMENT BLVD CONCORD RX CUSTOM CARE COMPOUNDING PHARMACY 124 MARKET PLACE SAN RAMON RX CVS PHARMACY #4326 4028 LONE TREE WAY ANTIOCH RX CVS/PHARMACY # 16117 560 CONTRA COSTA BLVD PLEASANT HILL RX CVS/PHARMACY # 16118 4301 CENTURY BLVD PITTSBURG RX CVS/PHARMACY # 16222 1400 FITZGERALD DR PINOLE RX CVS/PHARMACY # 16365 2610 BISHOP DR SAN RAMON RX CVS/PHARMACY # 16563 1871 N MAIN ST WALNUT CREEK RX CVS/PHARMACY # 16837 4500 MACDONALD AVE RICHMOND August 14, 2018 BOS Minutes 101 Type Site Name Address City RX CVS/PHARMACY # 16940 5769 LONE TREE WAY ANTIOCH RX CVS/PHARMACY #09509 4424 TREAT BLVD CONCORD RX CVS/PHARMACY #09511 1175 2ND ST BRENTWOOD RX CVS/PHARMACY #09536 490 MARKET PLACE SAN RAMON RX CVS/PHARMACY #09545 1123 S CALIFORNIA BLVD WALNUT CREEK RX CVS/PHARMACY #09565 14830 HIGHWAY 4 DISCOVERY BAY RX CVS/PHARMACY #09800 650 SAN RAMON VALLEY BLVD DANVILLE RX CVS/PHARMACY #09815 738 BANCROFT RD WALNUT CREEK RX CVS/PHARMACY #09827 5408 YGNACIO VALLEY RD CONCORD RX CVS/PHARMACY #09868 2455 SAN RAMON VALLEY BLVD SAN RAMON RX CVS/PHARMACY #09875 230 ATLANTIC AVE PITTSBURG RX CVS/PHARMACY #09938 3625 MT DIABLO BLVD LAFAYETTE RX CVS/PHARMACY #09939 50 MORAGA WAY ORINDA RX CVS/PHARMACY #09989 6668 ALHAMBRA AVE MARTINEZ RX CVS/PHARMACY #09991 3158 DANVILLE BLVD ALAMO RX CVS/PHARMACY #3053 10650 SAN PABLO AVE EL CERRITO RX CVS/PHARMACY #3078 2151 MEEKER AVE RICHMOND RX CVS/PHARMACY #4283 3171 BALFOUR RD BRENTWOOD RX CVS/PHARMACY #6526 6490 CLAYTON RD CLAYTON RX CVS/PHARMACY #9086 670 EL CERRITO PLAZA EL CERRITO RX CVS/PHARMACY #9203 580 MORAGA ROAD MORAGA RX CVS/PHARMACY #9238 2677 CLAYTON RD CONCORD RX CVS/PHARMACY #9253 560 CENTER AVE MARTINEZ RX CVS/PHARMACY #9296 3420 CAMINO TASSAJARA DANVILLE RX CVS/PHARMACY #9299 1401 TARA HILL DR PINOLE RX CVS/PHARMACY #9324 1914 TICE VALLEY BLVD WALNUT CREEK RX CVS/PHARMACY #9348 9120 ALCOSTA BLVD SAN RAMON RX CVS/PHARMACY #9372 1480-D MORAGA RD MORAGA RX DIABLO PHARMACY BISHOP RANCH 11 SAN RAMON August 14, 2018 BOS Minutes 102 Type Site Name Address City RX JOHN MUIR BEHAVIORAL HEALTH CENTER PHARMACY 2740 GRANT ST CONCORD RX JOHN MUIR MEDICAL CENTER 1601 YGNACIO VALLEY ROAD WALNUT CREEK RX JOHN MUIR MEDICAL CENTER CONCORD CAMPUS PHARMACY 2540 EAST STREET CONCORD RX KAISER DELTA SQUARE PHARMACY 3670 DELTA FAIR BLVD ANTIOCH RX KAISER FDN HSP INP PHY 12A 901 NEVIN AVENUE RICHMOND RX KAISER FDN HSP INP PHY 51A 1425 SOUTH MAIN STREET WALNUT CREEK RX KAISER FDN HSP INP PHY 54A 200 MUIR ROAD MARTINEZ RX KAISER FOUND HOSPITAL PHRMCY #57A 4501 SAND CREEK RD 1ST FL RM 1374 ANTIOCH RX KAISER HEALTH PARK SHADELANDS PHY 501 320 LENNON LANE WALNUT CREEK RX KAISER HEALTH PLAN YOSEMITE PHY 502 350 LENNON LANE YOSEMITE BUILDING WALNUT CREEK RX KAISER HEALTH PLAN MAIN PHY 551 3400 DELTA FAIR BLVD ANTIOCH RX KAISER HEALTH PLAN MOB 1 PHY 511 1425 SOUTH MAIN STREET WALNUT CREEK RX KAISER HEALTH PLAN MOB PHARMACY 541 400 MUIR ROAD MARTINEZ RX KAISER HEALTH PLAN SKYVIEW PHY 124 901 NEVIN AVENUE RICHMOND RX KAISER MOB 2 2ND FLOOR PHY 512 1425 SOUTH MAIN STREET WALNUT CREEK RX KAISER ONCOLOGY PHARMACY #573 4501 SAND CREEK RD 4TH FL ANTIOCH RX KAISER OUTPATIENT HOSPITAL PHARMACY 123 901 NEVIN AVENUE MOB ADDITION RICHMOND RX KAISER PERMANENTE PHARMACY #503 2880 SHADELANDS DR STE 201 WALNUT CREEK RX KAISER PERMANENTE PHARMACY #514 1425 S MAIN ST 2ND FL WALNUT CREEK RX KAISER PERMANENTE PHARMACY #571 5601 DEER VALLEY RD ANTIOCH RX KAISER PERMANENTE PHARMACY #572 4501 SAND CREEK RD 1ST FL RM 1125 ANTIOCH RX KAISER PERMANENTE PHARMACY #931 2300 CAMINO RAMON FL 1 SAN RAMON RX KAISER PERMANENTE PHARMACY NO 515 1425 SOUTH MAIN ST 1ST FL CENTRAL WALNUT CREEK RX KAISER PERMANENTE PHRMCY 120 1301 PINOLE VALLEY RD 1ST FL PINOLE August 14, 2018 BOS Minutes 103 Type Site Name Address City RX LONGS DRUG STORES CALIFORNIA LLC D/B/A CVS/PHARMACY #9772 3130 BUCHANAN ROAD ANTIOCH RX LUCKY PHARMACY #212 3190 CONTRA LOMA BLVD ANTIOCH RX LUCKY PHARMACY #705 5190 CLAYTON RD CONCORD RX LUCKY PHARMACY #709 1000 EL CERRITO PLAZA EL CERRITO RX LUCKY PHARMACY #718 1590 SYCAMORE AVE HERCULES RX LUCKY PHARMACY #737 2545 MAIN ST OAKLEY RX LUCKY PHARMACY #742 1530 FITZGERALD DR PINOLE RX LUCKY PHARMACY #770 21001 SAN RAMON VALLEY RD SAN RAMON RX OAK GROVE PHARMACY 785 OAK GROVE ROAD G2 CONCORD RX POINT RX 139 W RICHMOND AVE STE B POINT RICHMOND RX PREMIER PHARMACY 18080 SAN RAMON VALLEY BLVD, STE 104 SAN RAMON RX RHEEM SPECIALTY PHARMACY LLC 346 RHEEM BLVD_STE 109 MORAGA RX SAN RAMON REGIONAL MEDICAL CENTER 6001 NORRIS CANYON RD SAN RAMON RX SCRIPTWORKS - A PROFESSIONAL PHARMACY 480 N WIGET LANE WALNUT CREEK RX SOLANO PHARMACY 2172 SOLANO WAY CONCORD RX SUTTER DELTA MEDICAL CENTER 3901 LONE TREE WAY ANTIOCH RX SYCAMORE MEDICAL PHARMACY 2485 HIGH SCHOOL STREET SUITE 114 CONCORD RX THE MEDICINE SHOPPE 2100 MONUMENT BLVD PLEASANT HILL RX THE MEDICINE SHOPPE 282 VILLAGE SQUARE ORINDA RX VALE ROAD PHARMACY 2023 VALE RD STE 101 SAN PABLO LE Contra Costa County Sheriff-Coroner Office Alamo 150 Alamo Plz Ste C Alamo LE Antioch Police Department 300 'L' Street Antioch LE Contra Costa County Probation - Antioch 4549 Delta Fair Blvd Antioch LE Brentwood Police Department 9100 Brentwood Blvd Brentwood LE East Bay Regional Park Police 17930 Lake Chabot Rd Castro Valley LE Clayton Police Department 6000 Heritage Trail Clayton LE Concord Police Department 1350 Galindo Street Concord August 14, 2018 BOS Minutes 104 Type Site Name Address City LE Danville Police Department 510 La Gonda Way Danville LE Kensington Police Department 217 Arlington Avenue Kensington LE Lafayette Police Department 3675 Mt. Diablo Blvd. #130 Lafayette LE California Highway Patrol 5001 Blum Rd Martinez LE Contra Costa Community College District PD 500 Court St Martinez LE Contra Costa County Probation - Martinez 50 Douglas Drive Martinez LE Contra Costa Sheriff-Coroner Office Martinez 651 Pine Street Martinez LE Martinez Police Department 525 Henrietta Street Martinez LE Contra Costa County Sheriff's Office 920 Mellus St Martinez LE Contra Costa County Sheriff-Coroner Office 198 Muir Rd Martinez LE Moraga Police Department 350 Rheem Blvd. Ste 1 Moraga LE Oakley Police Department 3231 Main St Oakley LE Pinole Police Department 880 Tennent Avenue Pinole LE Los Medanos College District PD 2700 East Leland Rd Pittsburg LE Pittsburg Police Department 65 Civic Avenue Pittsburg LE Diablo Valley College District PD 321 Golf Club Road Pleasant Hill LE Pleasant Hill Police Department 330 Civic Drive Pleasant Hill LE Contra Costa County Probation-Richmond 1275 Hall Ave Richmond LE Richmond Police Department 1701 Regatta Boulevard Richmond LE San Pablo Police Department 13880 San Pablo Ave San Pablo LE San Ramon Police Department 2401 Crow Canyon Rd San Ramon LE Walnut Creek Police Department 1666 North Main Street Walnut Creek August 14, 2018 BOS Minutes 105 Appendix D Potential Additional Kiosk Drop-Off Sites Type Business Name Address City RX BROOKVALE MEDICAL CENTER PHARMACY 2101 VALE RD STE 100 SAN PABLO RX CARDINAL HEALTH 414, LLC 1007 CANAL BOULEVARD RICHMOND RX ISORX 845 MARINA BAY PKWY NO A-9 RICHMOND RX RALEYS PHARMACY #304 2077 MAIN STREET OAKLEY RX RALEYS PHARMACY #333 3632 LONE TREE WAY ANTIOCH RX RALEYS PHARMACY #336 2400 SAND CREEK ROAD BRENTWOOD RX RIDGECREST PHARMACY 1844 SAN MIGUEL DRIVE 105 WALNUT CREEK RX RITE AID #6356 4100 LONE TREE WAY ANTIOCH RX RITE AID 5907 130 ALAMO PLAZA ALAMO RX RITE AID 5908 20 EAST 18TH STREET ANTIOCH RX RITE AID 5909 3353 DEER VALLEY ROAD ANTIOCH RX RITE AID 5913 1905 MONUMENT BOULEVARD CONCORD RX RITE AID 5915 2140 CONTRA COSTA BOULEVARD PLEASANT HILL RX RITE AID 5923 1560 SYCAMORE AVENUE HERCULES RX RITE AID 5927 1165 ARNOLD DRIVE MARTINEZ RX RITE AID 5931 2555 MAIN STREET OAKLEY RX RITE AID 5933 27 ORINDA WAY ORINDA RX RITE AID 5935 580 BAILEY ROAD BAY POINT RX RITE AID 5940 3207 CROW CANYON PLACE SAN RAMON RX RITE AID 5947 1997 TICE VALLEY BOULEVARD WALNUT CREEK RX RITE AID 5948 1526 PALOS VERDES MALL WALNUT CREEK RX SAFEWAY PHARMACY #0783 3540 MT. DIABLO BLVD LAFAYETTE RX SAFEWAY PHARMACY #0917 600 S BROADWAY WALNUT CREEK RX SAFEWAY PHARMACY #0955 2600 WILLOW PASS RD CONCORD RX SAFEWAY PHARMACY #0972 6688 ALHAMBRA AVE MARTINEZ RX SAFEWAY PHARMACY #0982 2505 SAN RAMON VALLEY BLVD SAN RAMON RX SAFEWAY PHARMACY #1192 4309 CLAYTON RD CONCORD RX SAFEWAY PHARMACY #1195 5431 CLAYTON RD CLAYTON August 14, 2018 BOS Minutes 106 Type Business Name Address City RX SAFEWAY PHARMACY #1211 3496 CAMINO TASSAJARA RD DANVILLE RX SAFEWAY PHARMACY #1215 660 BAILEY RD PITTSBURG RX SAFEWAY PHARMACY #1234 1125 SECOND ST BRENTWOOD RX SAFEWAY PHARMACY #1259 3365 DEER VALLEY RD ANTIOCH RX SAFEWAY PHARMACY #1541 1978 CONTRA COSTA BLVD PLEASANT HILL RX SAFEWAY PHARMACY #1917 14840 HWY 4 DISCOVERY BAY RX SAFEWAY PHARMACY #2621 3110 BALFOUR AVE BRENTWOOD RX SAFEWAY PHARMACY #2712 11050 BOLLINGER CANYON RD SAN RAMON RX SAFEWAY PHARMACY #2940 11450 SAN PABLO AVE EL CERRITO RX SAFEWAY PHARMACY #2941 707 CONTRA COASTA BLVD PLEASANT HILL RX SAFEWAY PHARMACY #3026 2800 YGNACIO VALLEY RD WALNUT CREEK RX SAM'S CLUB PHARMACY 10-6612 1225 CONCORD AVE CONCORD RX WAL MART PHARMACY 10 1615 2203 LOVERIDGE ROAD PITTSBURG RX WAL-MART PHARMACY 10-5610 9100 ALCOSTA BLVD SAN RAMON RX WALGREEN CO D/B/A WALGREENS #15078 2995 YGNACIO VALLEY RD WALNUT CREEK RX WALGREEN CO D/B/A WALGREENS #15947 13691 SAN PABLO AVE SAN PABLO RX WALGREENS #02112 5437 CLAYTON ROAD CLAYTON RX WALGREENS #02485 21001 SAN RAMON VALLEY BLVD SAN RAMON RX WALGREENS #02506 1150 MACDONALD AVE RICHMOND RX WALGREENS #02560 611 SAN RAMON VALLEY BLVD DANVILLE RX WALGREENS #03164 1800 CONCORD AVE CONCORD RX WALGREENS #03770 11565 SAN PABLO AVE EL CERRITO RX WALGREENS #04026 2900 N MAIN ST WALNUT CREEK RX WALGREENS #04049 3630 SAN PABLO DAM RD EL SOBRANTE RX WALGREENS #04491 15650 SAN PABLO AVE SAN PABLO RX WALGREENS #04724 3416 DEER VALLEY RD ANTIOCH RX WALGREENS #05864 721 GREGORY LANE PLEASANT HILL RX WALGREENS #06101 3655 ALHAMBRA AVE MARTINEZ RX WALGREENS #06871 4520 BALFOUR RD BRENTWOOD August 14, 2018 BOS Minutes 107 Type Business Name Address City RX WALGREENS #07376 2901 RAILROAD AVE PITTSBURG RX WALGREENS #09102 2271 BALFOUR RD BRENTWOOD RX WALGREENS #09978 6570 LONE TREE WAY BRENTWOOD RX WALGREENS #11614 2750 PINOLE VALLEY RD PINOLE RX WALGREENS #13026 2700 WILLOW PASS RD BAY POINT RX WALGREENS #13796 14280 SAN PABLO AVE SAN PABLO RX WALGREENS #15003 1990 MONUMENT BLVD CONCORD RX WALGREENS #15946 3614 MT DIABLO BLVD LAFAYETTE RX WALGREENS #16090 11440 WINDEMERE PKWY SAN RAMON RX WALMART PHARMACY #10-3455 1400 HILLTOP MALL RD RICHMOND RX WALMART PHARMACY NO 10-2697 4893 LONE TREE WAY ANTIOCH RX WALMART PHARMACY NO 10-3493 1021 ARNOLD DR MARTINEZ LE El Cerrito Police Department 10900 San Pablo Avenue El Cerrito LE Hercules Police Department 111 Civic Drive Hercules LE Orinda Police Department 26 Orinda Way Orinda LE San Ramon Valley Campus PD 1690 Watermill Rd San Ramon August 14, 2018 BOS Minutes 108 Appendix E Picture of Kiosk Prototype The design of the kiosk recognizes the paramount importance of security using heavy gauge steel, multiple locking mechanisms, tamper-proof slot, and commercial hinges, meeting the stringent requirements under law. At the same time, the design provides accessibility and ease of use. August 14, 2018 BOS Minutes 109 Sample Kiosk Signage Front Panel Signage August 14, 2018 BOS Minutes 110 Sample Kiosk Signage Side Panel Signage August 14, 2018 BOS Minutes 111 Sample Kiosk Signage Drop Slot Signage August 14, 2018 BOS Minutes 112 Sample Kiosk Signage Sample Pharmacy Contact Information August 14, 2018 BOS Minutes 113 Appendix F Community Events That May Serve as Future Take-Back Events The following are examples of events that may be targeted for Take-Back Events based on timing and geographic needs: • Brentwood Farmers Market • Danville Farmer’s Market • Lafayette Farmer’s Market • Earth Day • Pinole Farmer’s Market • Art and Wine Festival, Clayton, CA • City-Wide Garage Sale, Hercules, CA • Clayton Cleans Up Day • Community Clean Up Day, Hercules, CA • Contra Costa County Fair, Antioch, CA • Culture in the Community Celebration, San Ramon, CA • Oakley Out of the Darkness Community Walk, Oakley, CA • Senior Holiday Luncheon, Danville Senior Center, Danville, CA August 14, 2018 BOS Minutes 114 Appendix G Sample Media List The following is a representative list of key media outlets to help educate residents about proper disposal of Unwanted Medicine. The list includes local print, online, television, and radio outlets. Print Outlets City/Coverage Area Website Contra Costa Times Contra Costa County www.eastbaytimes.com West County Times Western Contra Costa County http://www.eastbaytimes.com/west-contra-costa San Ramon Valley Times Suburbs of San Ramon www.sanramonvalleytimes.com Walnut Creek Journal Walnut Creek http://walnutcreek.contracostatimes.com/ Lamorinda Sun Lafayette, Moraga, Orinda www.contracostatimes.com/orinda-lafayette-moraga The Montclarion Montclair www.eastbaytimes.com/location/montclair El Cerrito Journal El Cerrito, Albany, Kensington www.insidebayarea.com/albany Berkeley Voice Berkeley www.eastbaytimes.com/berkeley Alameda Journal Alameda www.eastbaytimes.com/alameda The Piedmonter Piedmont www.eastbaytimes.com/piedmont Pleasant Hill/Martinez Record Pleasant Hill, Martinez www.contracostatimes.com/the-record Concord Transcript Concord www.eastbaytimes.com/concord Brentwood News Brentwood www.eastbaytimes.com/location/california/bay-area/east- bay/contra-costa-county/east-contra-costa August 14, 2018 BOS Minutes 115 Television Outlets Network CCTV, Ch 27 Contra Costa TV KTVU FOX, Ch 2 FOX affiliate Bay Area KPIX CBS, Ch 5 CBS affiliate Bay Area KQED PBS, Ch 9 PBS affiliate Bay Area KNTV NBC, Ch 11 NBC affiliate Bay Area Radio Outlets City/Coverage Area CCTV, Ch 27 Contra Costa TV KTVU FOX, Ch 2 FOX affiliate Bay Area KPIX CBS, Ch 5 CBS affiliate Bay Area KQED PBS, Ch 9 PBS affiliate Bay Area KNTV NBC, Ch 11 NBC affiliate Bay Area CCTV, Ch 27 Contra Costa TV August 14, 2018 BOS Minutes 116 Appendix H Sample Mail-Back Package Description: Plastic Package with Merchandise Return Label and instructional flyer Page Size: Package: Outer Dimension: 8.25” x 12” August 14, 2018 BOS Minutes 117 Sample Mail-Back Package Insert August 14, 2018 BOS Minutes 118 August 14, 2018 BOS Minutes 119 Appendix I Sample Template: Education and Outreach Call Script [1-844-MED-PROJ] Thank you for calling the information line for the Medication Education and Disposal Project, or MED- Project. • If you are experiencing a medical emergency, please hang up and dial 9-1-1. • If you are experiencing a non-emergency but suspect that you or a family member has ingested something poisonous, please call California Poison Control at 800-222-1222. • Unwanted Medicine Kiosks are located throughout your local area and provide convenient options for disposing of expired or Unwanted Medicines. Press 3 for more information about convenient kiosks. • Take-back events may be available in your area. Press 4 for more information. • Mail-back services are available to Residents. Press 5 for more information. • You may press 0 at any time to speak with an operator about disposal options. • MED-Project is a consumer education campaign dedicated to proper medication use and consumer disposal. • MED-Project reminds you that taking your medicine as directed by your health care provider is critically important to your health. • If you have questions about your medication, please hang up and dial your health care provider. August 14, 2018 BOS Minutes 120 • For additional questions about the proper disposal of expired or unwanted medications from households, please go to www.med-project.org or press 0 to talk to an operator. • To hear this menu again, please press 1. • Thank you for calling MED-Project. Unwanted Medicine Kiosk Drop-Off Site Script for when 3 is selected: • Kiosks to collect expired and Unwanted Medicine are located throughout your local area. To locate the kiosk site nearest you, or for precise information about kiosk site contact information, press 0 to speak with an operator or visit med-project.org to search by your zip code. • Kiosks accept medications in any dosage form in their original container or sealed bag. No herbal remedies, vitamins, supplements, cosmetics or other personal care products; compressed cylinders, and inhalers; medical devices; pet pesticide products; sharps; illicit drugs; or iodine-containing medications will be accepted. • If you do transfer your medications to a sealed bag before placing it into a kiosk, please be sure to recycle all remaining packaging. • To protect your privacy, remove or black out all personally identifiable information before disposing of your medications or recycling your drug packaging. • To repeat this information, press 3. • To return to the main menu, please press 1. • Thank you for calling MED-Project. Take-back Event Script for when 4 is selected: • MED-Project is working with local law enforcement and other community organizations to offer Unwanted Medicine take-back events in your area. For a complete list of take-back events, please press 0 to speak to the operator or visit: www.med-project.org. • Medications in any dosage form in their original container or sealed bag are accepted at take-back events. No herbal remedies, vitamins, supplements, cosmetics or other personal care products; compressed cylinders, and inhalers; medical devices; pet pesticide products; sharps; illicit drugs; or iodine-containing medications will be accepted. • If you do transfer your medications to a sealed bag, please be sure to recycle all remaining packaging. • To protect your privacy, remove or black out all personally identifiable information before disposing of your medications or recycling your drug packaging. • To repeat this information, press 4. • To return to the main menu, please press 1. • Thank you for calling MED-Project. Mail-back Package Script for when 5 is selected: • Mail-back services are available to Residents who are disabled or homebound. • To request a mail-back package, please press 0 to talk to the operator or visit www.med- project.org. • Unwanted medicine mail-back packages accept medications in any dosage form in their original container or sealed bag. No herbal remedies, vitamins, supplements, cosmetics or other personal care products; compressed cylinders, aerosols, and inhalers; medical devices; pet pesticide products; sharps; illicit drugs; or iodine-containing medications will be accepted. • If you do transfer your medications to a sealed bag, please be sure to recycle all remaining packaging. • To protect your privacy, remove or black out all personally identifiable information before disposing of your medications or recycling your drug packaging. • To repeat this information, press 5. • To return to the main menu, please press 1. August 14, 2018 BOS Minutes 121 • Thank you for calling MED-Project. August 14, 2018 BOS Minutes 122 Appendix J MED-Project Website August 14, 2018 BOS Minutes 123 August 14, 2018 BOS Minutes 124 August 14, 2018 BOS Minutes 125 August 14, 2018 BOS Minutes 126 August 14, 2018 BOS Minutes 127 August 14, 2018 BOS Minutes 128 August 14, 2018 BOS Minutes 129 August 14, 2018 BOS Minutes 130 Appendix K Brochure Mockup Front of brochure August 14, 2018 BOS Minutes 131 Back of brochure August 14, 2018 BOS Minutes 132 FAQ Outline The following are suggested questions to be addressed by the “Frequently Asked Questions” section of the MED-Project website/public relations toolkit. All text is subject to change. What is the MED-Project? MED-Project is the entity implementing the Product Stewardship Plan, including the education and outreach programming. What should I do if I am having a medical emergency? If you are having a medical emergency, contact emergency medical services immediately by dialing 911. What should I do if I think I have ingested something poisonous? If you think you have ingested something poisonous, contact emergency services immediately. Please dial 911 or contact your local poison control center. What should I do if my pet has ingested medication? If you believe your pet may have ingested human or animal medication not intended for consumption by your pet, please contact your veterinarian or local animal poison control hotline. Whom should I call with a question about my medication? Please direct all questions about your medication to your health care provider. Where can I find information about the safe storage of medication? You should follow any storage instructions provided by your healthcare provider and any written instructions provided with your medication or listed on its packaging. In addition, many government agencies provide information regarding safe storage of medication. Possible sources include the National Institutes of Health’s information page and the Center for Disease Control’s information page. Where can I find information about California’s Prop 65? California’s Office of Environmental Health Hazard Assessment (OEHHA) provides information regarding Proposition 65. Information can be accessed via OEHHA’s Proposition 65 web site, available here: http://oehha.ca.gov/prop65/background/p65plain.html Should I remove my personal information before disposing of my medication? Please remove all personal and identifying information from your medication labels and/or its packaging before disposal. Where are the MED-Project disposal locations nearest me? MED-Project is providing disposal locations throughout the County. For more information about the location nearest to you, please visit the “Convenient Kiosks” portion of the MED-Project web site or call the hotline at 1-844-MED-PROJ. Will it cost me anything to dispose of my expired or unwanted medications? There will be no fee for medication disposal charged at the point of collection. What items can I dispose of in the MED-Project kiosks? Kiosks accept medications in any dosage form in their original container or sealed bag. No herbal remedies, vitamins, supplements, cosmetics or other personal care products; compressed cylinders, and inhalers; medical devices; pet pesticide products; sharps; illicit drugs; or iodine-containing medications will be accepted. If you do transfer your medications to a sealed bag, please be sure to recycle all remaining packaging. August 14, 2018 BOS Minutes 133 Will there be a take-back event in my area? Please visit “Take-Back Event” portion of the MED-Project website or dial the hotline at 1-844-MED-PROJ to learn about take-back events in your area. I am disabled or home bound and am unable to go to a kiosk or attend a take-back event. How can I dispose of my expired or unwanted medicine? Please dial the hotline at 1-844-MED-PROJ or visit the mail-back page of the MED-Project website to request a pre-paid envelope to return your unwanted or expired medicine. Where else can I find information about the safe disposal of expired or unwanted medicines? Several government agencies provide information regarding safe disposal of medication. Please refer to the FDA’s website for more information “Consumer Updates: How to Dispose of Unused Medicines.” I have a question not answered by this website. Is there someone I can contact with a question about MED-Project? For more information, please dial the hotline at 1-844-MED-PROJ. What is recommended for safe disposal of expired or unwanted medicine? Check the Package: Follow any specific disposal instructions on the prescription drug labeling or patient information that accompanies the medicine. Take-Back Events: Take advantage of programs that allow the public to take unused drugs to a central location for proper disposal. Call your local law enforcement agencies to see if they sponsor medicine take-back programs in your community. Contact your city’s or county government’s household trash and recycling service to learn about medication disposal options and guidelines for your area. Convenient Kiosks: Transfer unused medicines to collectors registered with the Drug Enforcement Administration (DEA). Authorized sites may be retail, hospital or clinic pharmacies, and law enforcement locations. Some offer mail-back programs or collection receptacles (“kiosks”). Visit the DEA’s website or call 1-800-882-9539 for more information and to find an authorized collector in your community. Mail-Back Packages: Mail-Back Services for unwanted medicine are available to disabled or home bound residents upon request. Please dial the hotline at 1-844-MED-PROJ or visit the mail-back page of the MED- Project website to request a pre-paid envelope to return your unwanted or expired medicine. If you have a question about your medicine, ask your health care provider or pharmacist. August 14, 2018 BOS Minutes 134 Appendix L Sample Template: Take-Back Event Media Advisory ADVISORY * * * ADVISORY * * * ADVISORY * * * ADVISORY MED-Project to Support Take-Back Event on [Date, 2017] Residents are invited to bring expired or unwanted medications to [Location] from [x time] to [y time] for disposal Contra Costa County, California, [Date] – The Medication Education & Disposal Project (MED-Project), a consumer education campaign dedicated to responsible medication use and disposal, announced today that it will be supporting a medication take-back event supervised by a local law enforcement agency for consumers in [town] on [date]. All County residents are invited to bring their expired or unwanted medications for disposal. The service is free. [Insert information for residents about what can be collected]. To protect privacy, consumers are reminded to remove all personally identifiable information on prescription labels or materials that are brought to this take-back event. What: MED-Project Medication Take-Back Event – bring your expired or Unwanted Medicines for disposal When: [Date], [Time] Where: [Location] For more information about disposal options for expired or Unwanted Medicine, visit www.med-project.org. ### Contact: MED-Project Public Affairs at (844) 677-6532 (844-6PROJECT) August 14, 2018 BOS Minutes 135 Appendix M Sample Digital and Local Social Networks The following is a representative list of local organizations and their social media networks in Contra Costa County. MED-Project will reach out to relevant groups to help promote the Program. Outlet Facebook Twitter Contra Costa County https://www.facebook.com/pages/Contra-Costa- County-California/103143409725846 Contra Costa County Health Services Department https://www.facebook.com/ContraCostaHealthServi ces/ Contra Costa County Sheriffs https://www.facebook.com/CONTRA-COSTA- SHERIFF-OFFICIAL-PAGE-224837426560/ City of Antioch https://www.facebook.com/cityofantiochca/ @cityofantiochca City of Brentwood https://www.facebook.com/ourtownbrentwoodca/ @ourtownbrentwoodca City of Concord https://www.facebook.com/CityofConcordCA/ @cityofconcordca City of Danville https://www.facebook.com/DanvilleCA/ @danvilleca City of El Cerrito https://www.facebook.com/cityofelcerrito/ @cityofelcerrito City of Hercules Parks and Rec https://www.facebook.com/herculesrecreation/ @herculesrecreation City of Lafayette https://www.facebook.com/WeLoveLafayette/ @welovelafayette City of Martinez https://www.facebook.com/City-of-Martinez-CA- City-Hall-132924266718772/ City of Oakley https://www.facebook.com/CityofOakley/ @cityofoakley City of Orinda Parks and Rec https://www.facebook.com/CityOfOrindaParksandR ec/ @cityoforindaparksandr ec Pinole Chamber of Commerce https://www.facebook.com/Pinole-Chamber-of- Commerce-153489268038471/ City of Pittsburg https://www.facebook.com/Pittsburg.94565/ @pittsburg.94565 City of Pleasant Hill https://www.facebook.com/CityofPleasantHill/ @cityofpleasanthill City of Richmond https://www.facebook.com/City-of-Richmond-CA- Local-Government-139438544014/ City of San Pablo https://www.facebook.com/sanpabloca/ @sanpabloca City of Walnut Creek https://www.facebook.com/cityofwalnutcreek/ @cityofwalnutcreek August 14, 2018 BOS Minutes 136 RECOMMENDATION(S): ADOPT Resolution 2018/465 censuring County Assessor Gus Kramer for engaging in the conduct described in the attached resolution which was inconsistent with the County’s policy of providing a workplace free from sexual harassment. REFER this matter to the Contra Costa County Civil Grand Jury to evaluate whether further investigation of the Assessor’s conduct or the operational procedures of the Assessor’s Office with regard to sexual harassment complaints is warranted. FISCAL IMPACT: No impact. BACKGROUND: There are six County departments that are managed by elected department heads: the Assessor, Auditor, Clerk-Recorder, District Attorney, Sheriff, and Treasurer-Tax Collector. These elected officials are responsible for managing the County employees who work in their departments. The Board of Supervisors does not have APPROVE OTHER RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE Action of Board On: 08/14/2018 APPROVED AS RECOMMENDED OTHER Clerks Notes: VOTE OF SUPERVISORS AYE:Candace Andersen, District II Supervisor Diane Burgis, District III Supervisor Karen Mitchoff, District IV Supervisor Federal D. Glover, District V Supervisor ABSENT:John Gioia, District I Supervisor Contact: - I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown. ATTESTED: August 14, 2018 David J. Twa, County Administrator and Clerk of the Board of Supervisors By: June McHuen, Deputy cc: D.5 To:Board of Supervisors From:Supervisor Karen Mitchoff & Supervisor John Gioia Date:August 14, 2018 Contra Costa County Subject:Censure of County Assessor Gus Kramer August 14, 2018 BOS Minutes 137 BACKGROUND: (CONT'D) the power to discipline elected officials when their conduct fails to meet the standards of behavior expected of all other County department heads. In 2018, the County hired an outside independent attorney investigator to investigate two allegations of sexual harassment by County Assessor Gus Kramer in 2015 or earlier. The investigator found that, prior to mid-2015, it is more likely than not that Mr. Kramer made certain comments and engaged in conduct that the two individuals who worked in his department considered to be offensive and inappropriate in the workplace, as further described in the attached resolution. The Board adopts the attached resolution to censure County Assessor Gus Kramer for engaging in the conduct described the attached resolution, which it considers to have been inappropriate and unbecoming of a County official. The Board reminds Mr. Kramer that, as a County officer, he is expected to provide a workplace free from sexual harassment. This is what the Board expects of all of its department heads, regardless of whether they are appointed or elected. The Board also refers this issue to the Contra Costa County Civil Grand Jury to determine whether further investigation of the Assessor’s conduct or the operational procedures of the Assessor’s department with regard to sexual harassment complaints is warranted. CLERK'S ADDENDUM Speaker: Bruce Zelis, resident of Walnut Creek. AGENDA ATTACHMENTS Resolution No. 2018/465 Attachment to Resolution No. 2018/465 - Text Messages Administrative Bulletin No. 429.4, Policy Against Unlawful Discrimination, Harassment and Retaliation & Unlawful Discrimination, Harassment and Retaliation Complaint Procedure MINUTES ATTACHMENTS Signed Resolution No. 2018/465 August 14, 2018 BOS Minutes 138 THE BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA and for Special Districts, Agencies and Authorities Governed by the Board Adopted this Resolution on 08/14/2018 by the following vote: AYE:4 Candace Andersen Diane Burgis Karen Mitchoff Federal D. Glover NO: ABSENT:1 John Gioia ABSTAIN: RECUSE: Resolution No. 2018/465 Censure of Gus Kramer, County Assessor WHEREAS, Contra Costa County is committed to providing a work environment that is free from unlawful discrimination, harassment and retaliation, where the sexual harassment of an employee, applicant for employment, intern, volunteer or contractor is never tolerated. WHEREAS, County Administrative Bulletin 429.4, Policy Against Unlawful Discrimination, Harassment and Retaliation & Unlawful Discrimination, Harassment and Retaliation Complaint Procedure (copy attached) addresses the County’s policy against unlawful employment practices and sets forth a complaint procedure that permits employees who believe they have experienced unlawful harassment or discrimination to: (1) file a complaint of unlawful harassment or discrimination with their supervisor or their department’s Equal Employment Opportunity Coordinator; (2) file a complaint with the County’s Equal Employment Opportunity Officer; or (3) file a complaint with the Contra Costa County Merit Board. The County Equal Employment Opportunity Officer is empowered to: (1) work with the Department to mediate the complaint; (2) refer the employee to the Contra Costa County Merit Board; or (3) conduct an investigation. These policies and procedures create a comprehensive system that supports the County’s equal employment opportunity program. WHEREAS, Administrative Bulletin 429.4 defines sexual harassment to include unwelcome sexual advances, requests for sexual favors, and other verbal, visual, or physical conduct of a sexual nature made by someone from or in the workplace; or a pattern of repeated sexually harassing conduct that creates an abusive or hostile work environment. Examples may include: verbal conduct (advances, flirtations, inappropriate comments on a person’s dress or physical features, inappropriate stories or jokes), visual conduct (derogatory posters, cartoons, drawings, emails, texts, or website content), or physical conduct (assault, impeding or blocking movement, offensive or unwanted touching, pinching grabbing, patting). WHEREAS, in January 2018, a female Associate Appraiser in the Assessor’s Office filed a complaint with the County’s Equal Employment Opportunity Officer. Her complaint alleged that in 2014 and 2015, County Assessor Gus Kramer, made unwelcome comments to her of a sexual nature. She was concerned that her career in the Assessor’s Office had been stalled after she reported these matters in 2015 to her department’s Equal Employment Opportunity Coordinator. Following receipt of the complaint, an investigation of these matters by an independent outside attorney investigator was initiated. WHEREAS, During the intake process another employee was named as a witness. It was alleged that this witness had also complained in 2015 to the department’s Equal Employment Opportunity Coordinator about inappropriate comments of a sexual nature made by the Assessor, and that the witness believed that she had not been promoted for bringing her concerns forward. The outside attorney investigator also investigated this allegation. WHEREAS, the independent outside attorney investigator sustained the following allegations, meaning that the investigator determined that it was more likely than not that the incidents listed below took place: As to the initial complainant, there was sufficient evidence to indicate that Mr. Kramer engaged in the following conduct in 2014 and 2015: Mr. Kramer frequently visited the complainant’s cubicle on the first floor and the complainant frequently visited Mr. Kramer’s office during 2014 and up to March 2015. During these visits they discussed work related and non-work related matters. a. 1. August 14, 2018 BOS Minutes 139 On one occasion Mr. Kramer told her that he had given a vibrator to a woman (not a County employee) as a gift. She thought that this was inappropriate and offensive. b. Mr. Kramer sent her two text messages in 2014 that she believed suggested a romantic/sexual interest in her. The partial text messages provided by the complainant in support of this allegation are attached. She considered the texts to be inappropriate and unwelcome. c. In May 2014, he offered her a rose, which she interpreted to be a romantic gesture.d. As to the second employee/witness, there was sufficient evidence to indicate that Mr. Kramer made a comment in her presence in 2008 and told a story in her presence in 2013 concerning his social interactions with women that she thought were inappropriate and offensive; and that on one occasion in 2015 he made a comment to her that she believed was intended to be sexually suggestive and considered inappropriate, offensive and unwelcome. 2. WHEREAS, despite the fact that the independent attorney investigator found that: (1) the evidence did not show that Mr. Kramer retaliated against either employee or take action to negatively impact their careers; (2) the evidence did show that Mr. Kramer stopped making inappropriate and offensive comments of a sexual nature to both employees after he learned of their complaints in 2015; and (3) no further harassment complaints from these or any other employees have been made against Mr. Kramer since mid-2015; the Board considers the conduct described above to have been inappropriate and unbecoming of an elected County official. The Board expects all County employees, supervisors, department heads and officials to refrain from any conduct in the workplace that a reasonable person would consider to be inappropriate, offensive and unwelcome. WHEREAS, although elected officials are not subject to the normal avenues of employee discipline, they should never consider themselves to be above reproach and should always be mindful of the fact that they are accountable to the voters. NOW, THEREFORE, BE IT HEREBY RESOLVED that the Board of Supervisors of Contra Costa County does hereby censure Assessor Gus Kramer for engaging in the conduct described above and reminds Mr. Kramer that, as a County officer, it is his duty to provide a workplace free from sexual harassment. This is what the Board expects of all of its department heads, whether they are appointed or elected. Contact: - I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown. ATTESTED: August 14, 2018 David J. Twa, County Administrator and Clerk of the Board of Supervisors By: June McHuen, Deputy cc: August 14, 2018 BOS Minutes 140 August 14, 2018 BOS Minutes 141 August 14, 2018 BOS Minutes 142 August 14, 2018 BOS Minutes 143 August 14, 2018 BOS Minutes 144 August 14, 2018 BOS Minutes 145 August 14, 2018 BOS Minutes 146 August 14, 2018 BOS Minutes 147 August 14, 2018 BOS Minutes 148 August 14, 2018 BOS Minutes 149 August 14, 2018 BOS Minutes 150 August 14, 2018 BOS Minutes 151 RECOMMENDATION(S): AUTHORIZE the County Administrator or designee to execute contract renewals with the NonPERS Health/Medical Plans, Dental Plan, Vision Insurance, Life Insurance Plan carriers and the Computer Vision Care Program for the period January 1, 2019 - December 31, 2019. FISCAL IMPACT: Premiums for active, retired and survivor enrollees are funded by a combination of charges to County Departments and Special Districts, and employee/retiree/survivor contributions. The fiscal impact is based on projections of 2019 using 2018 census data with no adjustment for future migration between plans. The 2019 projected total premium cost for active employees is approximately $116.2 million, this figure was $103.9 million in 2018. The currently negotiated cost to the County is $88.7 million of that total ($80.6 million in 2018). The 2019 increased premium cost is $11.0 million ($6.6 million in 2018), of which $6.8 million is the increased County subsidy ($3.6 million in 2018). There were no increases to the Delta Care HMO plan, or the VSP Voluntary Vision, Computer Vision Care plans and Voya Basic Life/AD & D and Supplemental Insurance plans. The Delta Dental PPO plan premium equivalency will increase by 2.0%. APPROVE OTHER RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE Action of Board On: 08/14/2018 APPROVED AS RECOMMENDED OTHER Clerks Notes: VOTE OF SUPERVISORS AYE:Candace Andersen, District II Supervisor Diane Burgis, District III Supervisor Karen Mitchoff, District IV Supervisor Federal D. Glover, District V Supervisor ABSENT:John Gioia, District I Supervisor Contact: Ann Elliott 925-335-1747 I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown. ATTESTED: August 14, 2018 David J. Twa, County Administrator and Clerk of the Board of Supervisors By: June McHuen, Deputy cc: Jeffrrey Bailey, Labor Relations Manager, Lisa Driscoll, Finance Director D.6 To:Board of Supervisors From:Dianne Dinsmore, Human Resources Director Date:August 14, 2018 Contra Costa County Subject:2019 Renewals for NonPERS Health Plans August 14, 2018 BOS Minutes 152 BACKGROUND: Insurance coverage is an important benefit and a valuable recruitment and retention tool. To ensure that high quality insurance is available for eligible Contra Costa County employees and retirees, the County contracts for group health, dental and life insurance, voluntary vision insurance, as well as computer vision care coverage, on an annual basis with a number of carriers/providers. The County's existing insurance and coverage contracts are for the calendar year and expire December 31, 2018. In order to ensure uninterrupted coverage for enrolled members (eligible active employees, retired employees and survivors of retired employees) staff requests authorization from the Board of Supervisors to renew existing insurance coverage at the rates provided on the attached chart. This information indicates the different premium structures - either a Two Tier or Three Tier - based on what has been negotiated with various bargaining groups. To assist the County in negotiating the best possible health care terms for our active and retired employees, the County contracts with Segal Consultants, who has expertise in public sector employee benefit plan design and rate structure. All health/medical insurance contracts continue to offer essential health/medical benefits and coverage compliant with the requirements of the Affordable Care Act (ACA). Proposed rates for the 2019 plan year for the medical, dental, life insurance, voluntary vision or computer vision care coverage offered to eligible employees, retirees or survivors of employees are attached and are effective January 1, 2019. In summary for 2019, there is no increase to supplemental life insurance or the dental HMO plan premiums, VSP Voluntary Vision and CVC plan. Additionally, the VSP Voluntary Vision plan will now offer enhanced coverage for glasses and contacts. The plan will increase the amount paid for glasses from $150 to $175 and the allowance for contacts will increase from $130 to $175. CONSEQUENCE OF NEGATIVE ACTION: In order to prevent the disruption of services for group benefits that are offered to eligible employees and their dependents, it is necessary to execute contract renewals prior to open enrollment which is planned for October 2018 for the 2019 plan year. CLERK'S ADDENDUM Speakers:  Sue Guest, IFPTE Local 21, WCE, PDOCC, Local 1021, PDA Local 512; Stephen Ginochio, AFSCME, Local 1; Stacie Hinton, AFSCME Local 2700, WCE, PDOCC, PDA, SEIU 1021, AFSCME 512; America Patterson, AFSCME 512, WCE, IFPTE 21, PDOCC 1021, PDA; Sandra Wall, AFSCME 2700, Local 512, IFPTE 21, WCE, PDOCC, SEIU 21, PDA.  ATTACHMENTS 2019 NonPERS Renewal Rates August 14, 2018 BOS Minutes 153 NonPERS Medical, Dental, Vision, CVC and Life Insurance Renewal Rates EXISTING PLANS and PERCENTAGE of RATE INCREASE or DECREASE NonPERS Medical Plans 3 Tier Rate Structure Coverage 2018 2019 % of Change Contra Costa Health Plan A Employee (EE) $744.86 $812.06 9.00 % EE + 1 $1,489.70 $1,624.10 9.00 % EE + 2 or more $2,234.57 $2,436.18 9.00 % Contra Costa Health Plan B Employee (EE) $825.69 $900.19 9.00 % EE + 1 $1,651.38 $1,800.37 9.00 % EE + 2 or more $2,477.07 $2,700.56 9.00 % Kaiser Permanente Plan A Employee (EE) $783.86 $877.30 11.92% EE + 1 $1,567.71 $1,754.60 11.92% EE + 2 or more $2,351.57 $2,631.90 11.92% Kaiser Permanente Plan B Employee (EE) $623.05 $697.28 11.91% EE + 1 $1,246.09 $1,394.56 11.91% EE + 2 or more $1,869.14 $2,091.84 11.91% Kaiser Permanente HDHP Employee (EE) $499.94 $559.68 11.95% EE + 1 $999.88 $1,119.36 11.95% EE + 2 or more $1,499.82 $1,679.04 11.95% Teamsters Local Union No. 856 Employee (EE) $655.00 $720.00 9.92% Trust Fund KP Health Plan EE + 1 $1,245.00 $1,369.00 9.96% EE + 2 or more $1,736.00 $1,909.00 9.97% Health Net HMO Plan A Employee (EE) $1,512.68 $1,677.56 10.90% EE + 1 $3,025.36 $3,355.12 10.90% EE + 2 or more $4,538.04 $5,032.68 10.90% Health Net HMO Plan B Employee (EE) $1,051.89 $1,166.55 10.90% EE + 1 $2,103.78 $2,333.10 10.90% EE + 2 or more $3,155.67 $3,499.65 10.90% Health Net CA & OOS PPO Plan A Employee (EE) $2,039.71 $2,340.40 14.70% EE + 1 $4,079.42 $4,680.80 14.70% EE + 2 or more $6,119.13 $7,021.20 14.70% 2 Tier Rate Structure * Coverage 2018 2019 % of Change Contra Costa Health Plan A Employee (EE) $803.79 $876.31 9.00% Family $1,915.06 $2,087.84 9.00% Contra Costa Health Plan B Employee (EE) $891.01 $971.40 9.00% Family $2,117.18 $2,308.20 9.00% Kaiser Permanente Plan A Employee (EE) $856.59 $958.66 11.92% Family $1,996.96 $2,233.68 11.85% Kaiser Permanente Plan B Employee (EE) $698.46 $781.64 11.91% Family $1,627.40 $1,821.23 11.91% Health Net HMO Plan A Employee (EE) $1,619.72 $1,796.27 10.90% Family $3,968.31 $4,400.86 10.90% Health Net HMO Plan B Employee (EE) $1,126.32 $1,249.09 10.90% Family $2,759.48 $3,060.27 10.90% Health Net CA & OOS PPO Plan A Employee (EE) $2,109.35 $2,420.31 14.70% Family $5,020.25 $5,760.34 14.70% * The 2 Tier Rate Structure only applies to CNA Actives and Early Retirees August 14, 2018 BOS Minutes 154 NonPERS Medicare Coordination of Benefits (COB) Plans Coverage 2018 2019 % of Change Contra Costa COB Health Plan A Retiree $369.69 $403.04 9.00% Family, 1 Medicare $1,183.02 $1,289.74 9.00% 2 Medicare $739.39 $806.09 9.00% Family, 2 Medicare $1,109.08 $1,209.13 9.00% Contra Costa COB Health Plan B Retiree $380.78 $415.13 9.00% Family, 1 Medicare $1,218.50 $1,328.43 9.00% 2 Medicare $761.56 $830.27 9.00% Family, 2 Medicare $1,142.34 $1,245.40 9.00% Health Net HMO A COB Plan Retiree/Spouse Only $772.06 $877.90 13.71% Retiree & Spouse $1,544.12 $1,755.80 13.71% Health Net HMO B COB Plan Retiree/Spouse Only $717.87 $816.21 13.71% Retiree & Spouse $1,435.62 $1,632.42 13.71% Health Net CA &OOS COB PPO Plan A Retiree/Spouse Only $1,113.11 $1,201.53 7.94% Retiree & Spouse $2,226.22 $2,403.06 7.94% Medicare Senior Advantage Plans Coverage 2018 2019 % of Change Health Net Seniority Plus Plan A Retiree/Spouse Only $567.59 $595.96 5.00% Retiree & Spouse $1,135.18 $1,191.92 5.00% Health Net Seniority Plus Plan B Retiree/Spouse Only $476.49 $500.31 5.00% Retiree & Spouse $952.98 $1,000.62 5.00% Kaiser Senior Advantage Plan A A & B $351.15 $368.54 4.95% Kaiser Senior Advantage Plan B A & B $266.25 $279.40 4.94% Dental 2 Tier & 3 Tier Rate Structure Coverage 2018 2019 % of Change Delta Dental PPO ASO Fees N/A $5.03 $5.03 No change Delta Dental PPO Employee (EE) $45.16 $46.06 2.00% EE + 1 (Family) $102.00 $104.04 2.00% EE + 2 or more (Family) $102.00 104.04 2.00% Delta Care HMO Employee (EE) $29.06 $29.06 No change EE + 1 (Family) $62.81 $62.81 No change EE + 2 or more (Family) $62.81 $62.81 No change Vision 2018 2019 % of Change VSP Computer Vision Care Plan (CVC) Employee (EE) $4.31 $4.31 No Change VSP Voluntary Vision Plan Employee (EE) $10.08 $10.08 No Change EE + 1 $20.14 $20.14 No Change EE + 2 or more $32.44 $32.44 No Change August 14, 2018 BOS Minutes 155 Life Insurance 2018 2019 % of Change VOYA Basic Life AD & D Program $0.08/$1000 $0.08/$1000 No change VOYA Supplemental Life Program Employee Age Rate per $1000 Rate per $1000 No change 0-24 $0.07 $0.07 No change 25-29 $0.08 $0.08 No change 30-34 $0.10 $0.10 No change 35-39 $0.11 $0.11 No change 40-44 $0.16 $0.16 No change 45-49 $0.26 $0.26 No change 50-54 $0.42 $0.42 No change 55-59 $0.65 $0.65 No change 60-64 $1.01 $1.01 No change 65-69 $1.82 $1.82 No change > 70 $3.52 $3.52 No change August 14, 2018 BOS Minutes 156 RECOMMENDATION(S): APPROVE the Rodeo Downtown Infrastructure Project (Project) and AUTHORIZE the Public Works Director, or designee, to advertise the Project, Rodeo area. [County Project No. 0662-6R4125, DCD-CP#17-19] (District V). DETERMINE the Project is a California Environmental Quality Act (CEQA), Class 1(c) Categorical Exemption, pursuant to Article 19, Section 15301(c) of the CEQA Guidelines, and DIRECT the Director of Department of Conservation and Development to file a Notice of Exemption with the County Clerk, and AUTHORIZE the Public Works Director, or designee, to arrange for payment of a $25 fee to the Department of Conservation and Development for processing, and a $50 fee to the County Clerk for filing the Notice of Exemption. APPROVE OTHER RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE Action of Board On: 08/14/2018 APPROVED AS RECOMMENDED OTHER Clerks Notes: VOTE OF SUPERVISORS AYE:Candace Andersen, District II Supervisor Diane Burgis, District III Supervisor Karen Mitchoff, District IV Supervisor Federal D. Glover, District V Supervisor ABSENT:John Gioia, District I Supervisor Contact: Alex Nattkemper (925) 313-2364 I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown. ATTESTED: August 14, 2018 David J. Twa, County Administrator and Clerk of the Board of Supervisors By: Stacey M. Boyd, Deputy cc: Ave Brown - Environmental Division Manager C. 1 To:Board of Supervisors From:Brian M. Balbas, Public Works Director/Chief Engineer Date:August 14, 2018 Contra Costa County Subject:APPROVE the Rodeo Downtown Infrastructure Project (Project) and take related actions under CEQA, Rodeo area.. August 14, 2018 BOS Minutes 157 FISCAL IMPACT: Estimated Project cost: $1,301,000. 65% Former Redevelopment Agency (RDA) Funds and 35% Local Road Funds. BACKGROUND: The purpose of this Project is to provide pedestrian infrastructure improvements from the Rodeo Creek trailhead on Investment Street and along Pacific Avenue from Parker Avenue to the Bay Trail entrance at San Pablo Avenue near the Rodeo Marina. The Project will fill several sidewalk gaps and improve outdated or non-existent Americans with Disabilities Act (ADA) compliant sidewalks and curb ramps to provide continuous pedestrian infrastructure. CONSEQUENCE OF NEGATIVE ACTION: Delay in approving the project may result in a delay of design, construction, and may jeopardize funding. ATTACHMENTS CEQA Document August 14, 2018 BOS Minutes 158 August 14, 2018 BOS Minutes 159 August 14, 2018 BOS Minutes 160 August 14, 2018 BOS Minutes 161 August 14, 2018 BOS Minutes 162 August 14, 2018 BOS Minutes 163 August 14, 2018 BOS Minutes 164 RECOMMENDATION(S): RESCIND Traffic Resolution No. 1976/2181, and ADOPT Traffic Resolution No. 2018/4475 declaring a stop-control on Roundhill Drive (Road No. 4437V) and Roundhill Road (Road No. 4437U), as recommended by the Public Works Director, Alamo area. FISCAL IMPACT: No fiscal impact. BACKGROUND: Roundhill Drive is currently yield controlled at its intersection with Roundhill Road. As requested by the Roundhill Club’s General Manager, Public Works Traffic Engineering Staff initiated an investigation of the intersection to determine if a stop control of Roundhill Drive could be justified. Based on the investigation, it has been determined that a stop control may be placed on Roundhill Drive at Roundhill Road pursuant to California Vehicle Section 21354, which states that stop signs may be placed at entrances to "through highways". Traffic Resolution 3201, approved by the APPROVE OTHER RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE Action of Board On: 08/14/2018 APPROVED AS RECOMMENDED OTHER Clerks Notes: VOTE OF SUPERVISORS AYE:Candace Andersen, District II Supervisor Diane Burgis, District III Supervisor Karen Mitchoff, District IV Supervisor Federal D. Glover, District V Supervisor ABSENT:John Gioia, District I Supervisor Contact: Monish Sen, 925.313-2187 I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown. ATTESTED: August 14, 2018 David J. Twa, County Administrator and Clerk of the Board of Supervisors By: Stacey M. Boyd, Deputy cc: C. 2 To:Board of Supervisors From:Brian M. Balbas, Public Works Director/Chief Engineer Date:August 14, 2018 Contra Costa County Subject:Declaring Roundhill Drive stop-controlled at Roundhill Road, Alamo area. August 14, 2018 BOS Minutes 165 BACKGROUND: (CONT'D) Board of Supervisors on September 15, 1987, designated Roundhill Road as a through highway. Therefore, the Public Works Department recommends that the existing yield control be replaced with a stop control on Roundhill Drive at Roundhill Road, to enhance the orderly flow of traffic, and allow enforcement of the traffic regulation. CONSEQUENCE OF NEGATIVE ACTION: Roundhill Drive at Roundhill Road will remain a yield controlled intersection. AGENDA ATTACHMENTS Traffic Res. 4475 MINUTES ATTACHMENTS Signed: Traffic Resolution No. 2018/4475 August 14, 2018 BOS Minutes 166 THE BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA Adopted this Traffic Resolution on August 14, 2018 by the following vote: AYES: NOES: ABSENT: ABSTAIN: TRAFFIC RESOLUTION NO. 2018/4475 Supervisorial District II TRAFFIC RESOLUTION NO. 2018/4475 SUBJECT: Declaring a stop-control on Roundhill Drive (Road No. 4437V) at Roundhill Road (Road No. 4437U), Alamo area. The Contra Costa Board of Supervisors RESOLVES that: Based on the recommendations of the County Public Works Department's Transportation Engineering Division and pursuant to County Ordinance Code Sections 46-2.002 - 46-2.012, the following traffic regulation is established (and other action to be taken, as indicated): Pursuant to Section 21354 of the California Vehicle Code, Roundhill Drive (Road No. 4437V) is hereby declared to be stop-controlled at its intersection with Roundhill Road (Road No. 4437U), and all vehicles traveling on Roundhill Drive shall stop before entering said intersection. Traffic Resolution 1976/2181, pertaining to vehicles traveling westbound on Roundhill Drive that must yield the right of way to traffic on Roundhill Road, is hereby rescinded. MS:sr Orig. Dept.: Public Works (Traffic) Contact: Monish Sen (925-313-2187) c: California Highway Patrol Sheriff’s Department I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown. ATTESTED: DAVID TWA, Clerk of the Board of Supervisors and County Administrator By , Deputy August 14, 2018 BOS Minutes 167 August 14, 2018 BOS Minutes 168 RECOMMENDATION(S): APPROVE the submission of grant applications to the State of California, Department of Transportation (Caltrans) under the Highway Safety Improvement Program (HSIP), as recommended by the Public Works Director, Countywide. FISCAL IMPACT: If approved, grants would generate funding from the State - Department of Transportation. APPROVE OTHER RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE Action of Board On: 08/14/2018 APPROVED AS RECOMMENDED OTHER Clerks Notes: VOTE OF SUPERVISORS AYE:Candace Andersen, District II Supervisor Diane Burgis, District III Supervisor Karen Mitchoff, District IV Supervisor Federal D. Glover, District V Supervisor ABSENT:John Gioia, District I Supervisor Contact: Mary Halle, 925.313.2327 I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown. ATTESTED: August 14, 2018 David J. Twa, County Administrator and Clerk of the Board of Supervisors By: Stacey M. Boyd, Deputy cc: C. 3 To:Board of Supervisors From:Brian M. Balbas, Public Works Director/Chief Engineer Date:August 14, 2018 Contra Costa County Subject:Submission of grant applications to Caltrans, Countywide. August 14, 2018 BOS Minutes 169 BACKGROUND: The Highway Safety Improvement Program (HSIP) is a core federal-aid program to States for the purpose of achieving a significant reduction in fatalities and serious injuries on all public roads. The Division of Local Assistance (DLA) at Caltrans manages California’s local agencies’ share of HSIP funds. California's Local HSIP focuses on infrastructure projects with nationally recognized crash reduction factors (CRFs). Local HSIP projects must be identified on the basis of crash experience, crash potential, crash rate, or other data-supported means. The Public Works Department has historically submitted grant applications for the HSIP. This is the 9 th cycle of the HSIP. The County has experienced significant success in receiving funding through this program. The Public Works Department is currently working with a consultant team to prepare a Vision Zero Safety Program for the County. Submittal of project candidates for funding will assist the County in achieving the goals that will be identified for the Vision Zero Safety Program. This is the third time that agencies are asked to submit projects under specific categories. The application categories include: Common Benefit Cost Ratio Application Set-aside for High Friction Surface Treatment Set-aside for Guardrail Upgrades Set-aside for Horizontal Curve Signing Set-aside for pedestrian Crossing Enhancements Set-aside for Tribes PROJECT RECOMMENDATIONS The data base of collisions throughout unincorporated Contra Costa was used to generate a list of the locations with the highest rate of incidents. Staff found that many of the most frequent collision locations coincide with recently completed capital improvement projects or sites currently in design. This is a positive indication that the past HSIP funds have been programmed to the locations with the highest need. After a review of the last 5 years of collision data, staff has developed a recommended list of candidate projects to compete for HSIP funding. The descriptions below provide the relative frequency of collisions that have occurred at these locations. The proposed candidate projects and the corresponding submittal category are indicated below: Common Benefit Cost Ratio Category Projects in this category are rated solely upon the benefit to cost ratio. The State has pre-determined a percentage of future collisions that can be avoided on average by a specific countermeasure. The selected countermeasure and crash reduction factor provides the calculation for potential benefit for a proposed project. The project cost is estimated and then a ratio is calculated of the potential benefit to estimated cost. A project must meet a minimum benefit to cost ratio of 3.5 to be eligible for consideration. Appian Way Complete Street – Roundabout at Valley View The project is located along Appian Way between Valley View and San Pablo Dam Road in the El Sobrante area. The application will include improvements intended to calm traffic, improve safety at pedestrian crossings, and provide pedestrian and bicycle improvements to meet current standards. The intersections at San Pablo Dam Road and Valley View ranked the 12th and 36th highest for collision incident locations in the County. The project limits will be adjusted depending on the project size that can be supported based upon the calculated benefit. August 14, 2018 BOS Minutes 170 be supported based upon the calculated benefit. Bailey Road Bicycle and Pedestrian Improvement Project The project is located along Bailey Road between Canal Road and Willow Pass Road in the Bay Point area. The application will include pedestrian crossing improvements to improve pedestrian safety and visibility and potential median improvements to discourage mid-block crossings. The project will also include narrowing of travel lanes to calm traffic, striping of buffered bike lanes, and installation of a buffer between pedestrians and the traveled way. The intersections at Canal Road and Willow Pass Road ranked the 1 st and 9th highest incident locations. Deer Valley Road Safety Enhancement Project The project is located on Deer Valley Road between the City of Antioch and Marsh Creek Road. Countermeasures will be proposed to reduce run off the road injury collisions. The likely countermeasure will be installation of rumble strips although further study of options will be conducted prior to application submittal. This road segment is ranked 41 st for locations with high collision incidents. Set-Aside for High Friction Surface Treatment Norris Canyon Road Safety Enhancement Project The proposed project is located on Norris Canyon Road between Ashbourne Drive and the Alameda County limits in the San Ramon area. The project will consist of a high friction surface treatment and installation of guardrail to reduce run off the road collisions. This location ranked 25 th on the list for collision incidents. Set-Aside for Guardrail Upgrades Guardrail Upgrades Countywide – Guardrail standards have been modified in recent years to raise the standard height to better coincide with the average height of modern vehicles and to design end treatments that absorb energy and retract upon impact. The County was awarded grant funds in Cycle 8 to upgrade guardrails. If awarded funding through Cycle 9, the County would be able to continue guardrail upgrades to bring this element of our road network up to current standard across all the primary routes through the unincorporated area. Conceptual Design Underway The recommended projects are based upon the locations with the highest rate of injury collisions. While staff is preparing these applications, they will consider all the available tools or countermeasures available to reduce future collisions and prepare the corresponding cost estimate for those countermeasures. If during preparation of the grant applications, a project does not meet this minimum benefit cost ratio of 3.5:1, it will not be submitted. CONSEQUENCE OF NEGATIVE ACTION: If staff is not authorized to submit applications, grant funding will not be available, which will delay the design and construction of these projects. August 14, 2018 BOS Minutes 171 RECOMMENDATION(S): ADOPT Traffic Resolution No. 2018/4473 to prohibit time-limited right turns from Taylor Boulevard (Road No. 3552A) southbound onto Gloria Terrace (Road No. 3667A) westbound, as recommended by the Public Works Director, Lafayette area. (District V) FISCAL IMPACT: No fiscal impact. BACKGROUND: Last year, area residents contacted the Public Works Department indicating that they were experiencing unusually high volumes of “cut-through” traffic on Reliez Valley Road, particularly during the morning peak, contributing significantly to longer wait times, longer queues, and illegal movements when dropping their children off at local schools. Residents speculated that the situation appeared to worsen due to the proliferation of GPS-driven turn-by-turn navigation apps, such as Waze or Google Maps. It appeared to them that the navigation apps were sending commuters from other communities through the Reliez Valley Road corridor, compounding the traffic congestion on the roadway. Meanwhile, staff became aware of a signal retiming program APPROVE OTHER RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE Action of Board On: 08/14/2018 APPROVED AS RECOMMENDED OTHER Clerks Notes: VOTE OF SUPERVISORS AYE:Candace Andersen, District II Supervisor Diane Burgis, District III Supervisor Karen Mitchoff, District IV Supervisor Federal D. Glover, District V Supervisor ABSENT:John Gioia, District I Supervisor Contact: Monish Sen, 925.313-2187 I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown. ATTESTED: August 14, 2018 David J. Twa, County Administrator and Clerk of the Board of Supervisors By: Stacey M. Boyd, Deputy cc: C. 4 To:Board of Supervisors From:Brian M. Balbas, Public Works Director/Chief Engineer Date:August 14, 2018 Contra Costa County Subject:Prohibit time-limited right turns from Taylor Boulevard (Rd. No. 3552A) southbound onto Gloria Terrace (Rd. No. 3667A) westbound, Lafayette area. August 14, 2018 BOS Minutes 172 BACKGROUND: (CONT'D) downstream on Taylor Boulevard that had been recently implemented by the City of Lafayette that may have contributed to additional cut-through traffic on Reliez Valley Road. Traffic Engineering staff subsequently collected data and observed that there was what appeared to be some cut through traffic on Reliez Valley Road during those morning peak traffic times, and specifically there appeared to be a slight reduction in travel time for road users headed south on Reliez Valley Road, instead of Taylor Boulevard, south of Grayson Road. After consultation with the Supervisors office, local city officials, and residents, it was determined that certain time limited turn restrictions should be implemented, on a limited basis as a pilot project in an effort to reduce cut through traffic on Reliez Valley Road. This pilot program is intended to be in effect for at least half the school year, but could then become “permanent” if found to be successful and not opposed by many local residents. During this trial basis, County Public Works will seek to measure and observe the relative effectiveness of the restrictions. CONSEQUENCE OF NEGATIVE ACTION: Turning movements will remain unrestricted at all times at this intersection. AGENDA ATTACHMENTS TR 4473 MINUTES ATTACHMENTS Signed: Traffice Resolution No. 2018/4473 August 14, 2018 BOS Minutes 173 THE BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA Adopted this Traffic Resolution on August 14, 2018 by the following vote: AYES: NOES: ABSENT: TRAFFIC RESOLUTION NO. 2018/4473 ABSTAIN: Supervisorial District V SUBJECT: Prohibit time-limited right turns from Taylor Boulevard (Road No. 3552A) southbound onto Gloria Terrace (Road No. 3667A) westbound, Lafayette area. The Contra Costa Board of Supervisors RESOLVES that: Based on recommendations by the County Public Works Department's Transportation Engineering Division, and pursuant to County Ordinance Code Sections 46-2.002 - 46-2.012, the following traffic regulation is established: Pursuant to Section 22101(c) of the California Vehicle Code, all vehicular right turns (with the exception of buses) from Taylor Boulevard (Road No. 3552A) southbound onto Gloria Terrace (Road No. 3667A) westbound are hereby declared to be prohibited between the hours of 7:00 AM to 8:30 AM, Monday through Friday, except Holidays, Lafayette area. MS:sr Orig. Dept: Public Works (Traffic) Contact: Monish Sen, 313-2187 cc: California Highway Patrol Sheriff Department TRAFFIC RESOLUTION NO. 2018/4473 I hereby certify that this is a true and correct Copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown. ATTESTED: David Twa, Clerk of the Board of Supervisors and County Administrator By , Deputy August 14, 2018 BOS Minutes 174 August 14, 2018 BOS Minutes 175 RECOMMENDATION(S): ADOPT Traffic Resolution No. 2018/4474 to prohibit time-limited right turns from Taylor Boulevard (Road No. 3552A) southbound onto Withers Avenue (Road No. 3564) westbound, as recommended by the Public Works Director, Lafayette area. (District II & V) FISCAL IMPACT: No fiscal impact. BACKGROUND: Last year, area residents contacted the Public Works Department indicating that they were experiencing unusually high volumes of “cut-through” traffic on Reliez Valley Road, particularly during the morning peak, contributing significantly to longer wait times, longer queues, and illegal movements when dropping their children off at local schools. Residents speculated that the situation appeared to worsen due to the proliferation of GPS-driven turn-by-turn navigation apps, such as Waze or Google Maps. It appeared to them that the navigation apps were sending commuters from other communities through the Reliez Valley Road corridor, compounding the traffic congestion on the roadway. Meanwhile, staff became aware of a signal retiming program APPROVE OTHER RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE Action of Board On: 08/14/2018 APPROVED AS RECOMMENDED OTHER Clerks Notes: VOTE OF SUPERVISORS AYE:Candace Andersen, District II Supervisor Diane Burgis, District III Supervisor Karen Mitchoff, District IV Supervisor Federal D. Glover, District V Supervisor ABSENT:John Gioia, District I Supervisor Contact: Monish Sen, 925.313-2187 I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown. ATTESTED: August 14, 2018 David J. Twa, County Administrator and Clerk of the Board of Supervisors By: Stacey M. Boyd, Deputy cc: C. 5 To:Board of Supervisors From:Brian M. Balbas, Public Works Director/Chief Engineer Date:August 14, 2018 Contra Costa County Subject:Prohibit time limited right turns from Taylor Boulevard (Rd. No. 3552A) southbound onto Withers Avenue (Road No. 3564) westbound, Lafayette area. August 14, 2018 BOS Minutes 176 BACKGROUND: (CONT'D) downstream on Taylor Boulevard that had been recently implemented by the City of Lafayette that may have contributed to additional cut-through traffic on Reliez Valley Road. Traffic Engineering staff subsequently collected data and observed that there was what appeared to be some cut through traffic on Reliez Valley Road during those morning peak traffic times, and specifically there appeared to be a slight reduction in travel time for road users headed south on Reliez Valley Road, instead of Taylor Boulevard, south of Grayson Road. After consultation with the Supervisors office, local city officials, and residents, it was determined that certain time limited turn restrictions should be implemented, on a limited basis as a pilot project in an effort to reduce cut through traffic on Reliez Valley Road. This pilot program is intended to be in effect for at least half the school year, but could then become “permanent” if found to be successful and not opposed by many local residents. During this trial basis, County Public Works will seek to measure and observe the relative effectiveness of the restrictions. CONSEQUENCE OF NEGATIVE ACTION: Turning movements will remain unrestricted at all times at this intersection. AGENDA ATTACHMENTS TR 4474 MINUTES ATTACHMENTS Signed: Traffic Resolution No. 2018/4474 August 14, 2018 BOS Minutes 177 THE BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA Adopted this Traffic Resolution on August 14, 2018 by the following vote: AYES: NOES: ABSENT: TRAFFIC RESOLUTION NO. 2018/4474 ABSTAIN: Supervisorial District II & V SUBJECT: Prohibit time-limited right turns from Taylor Boulevard (Road No. 3552A) southbound onto Withers Avenue (Road No. 3564) westbound, Lafayette area. The Contra Costa Board of Supervisors RESOLVES that: Based on recommendations by the County Public Works Department's Transportation Engineering Division, and pursuant to County Ordinance Code Sections 46-2.002 - 46-2.012, the following traffic regulation is established: Pursuant to Section 22101(c) of the California Vehicle Code, all vehicular right turns (with the exception of buses) from Taylor Boulevard (Road No. 3552A) southbound onto Withers Avenue (Road No. 3564) westbound are hereby declared to be prohibited between the hours of 7:00 AM to 8:30 AM, Monday through Friday, except Holidays, Lafayette area. MS:sr Orig. Dept: Public Works (Traffic) Contact: Monish Sen, 313-2187 cc: California Highway Patrol Sheriff Department TRAFFIC RESOLUTION NO. 2018/4474 I hereby certify that this is a true and correct Copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown. ATTESTED: David Twa, Clerk of the Board of Supervisors and County Administrator By , Deputy August 14, 2018 BOS Minutes 178 August 14, 2018 BOS Minutes 179 RECOMMENDATION(S): ADOPT Traffic Resolution No. 2018/4472 to prohibit time-limited left turns from Grayson Road (westbound) onto Reliez Valley Road (Road No. 3554) southbound, as recommended by the Public Works Director, Pleasant Hill area. (District V) FISCAL IMPACT: No fiscal impact. BACKGROUND: Last year, area residents contacted the Public Works Department indicating that they were experiencing unusually high volumes of “cut-through” traffic on Reliez Valley Road, particularly during the morning peak, contributing significantly to longer wait times, longer queues, and illegal movements when dropping their children off at local schools. Residents speculated that the situation appeared to worsen due to the proliferation of GPS-driven turn-by-turn navigation apps, such as Waze or Google Maps. It appeared to them that the navigation apps were sending commuters from other communities through the Reliez Valley Road corridor, compounding the traffic congestion on the roadway. Meanwhile, staff became aware of a signal retiming program APPROVE OTHER RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE Action of Board On: 08/14/2018 APPROVED AS RECOMMENDED OTHER Clerks Notes: VOTE OF SUPERVISORS AYE:Candace Andersen, District II Supervisor Diane Burgis, District III Supervisor Karen Mitchoff, District IV Supervisor Federal D. Glover, District V Supervisor ABSENT:John Gioia, District I Supervisor Contact: Monish Sen, 925.313-2187 I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown. ATTESTED: August 14, 2018 David J. Twa, County Administrator and Clerk of the Board of Supervisors By: Stacey M. Boyd, Deputy cc: C. 6 To:Board of Supervisors From:Brian M. Balbas, Public Works Director/Chief Engineer Date:August 14, 2018 Contra Costa County Subject:Prohibit time-limited left turns from Grayson Road onto Reliez Valley Road (Rd. No. 3554), Pleasant Hill area. August 14, 2018 BOS Minutes 180 BACKGROUND: (CONT'D) downstream on Taylor Boulevard that had been recently implemented by the City of Lafayette that may have contributed to additional cut-through traffic on Reliez Valley Road. Traffic Engineering staff subsequently collected data and observed that there was what appeared to be some cut through traffic on Reliez Valley Road during those morning peak traffic times, and specifically there appeared to be a slight reduction in travel time for road users headed south on Reliez Valley Road, instead of Taylor Boulevard, south of Grayson Road. After consultation with the Supervisors office, local city officials, and residents, it was determined that certain time limited turn restrictions should be implemented, on a limited basis as a pilot project in an effort to reduce cut through traffic on Reliez Valley Road. This pilot program is intended to be in effect for at least half the school year, but could then become “permanent” if found to be successful and not opposed by many local residents. During this trial basis, County Public Works will seek to measure and observe the relative effectiveness of the restrictions. CONSEQUENCE OF NEGATIVE ACTION: Turning movements will remain unrestricted at all times at this intersection. AGENDA ATTACHMENTS TR 4472 MINUTES ATTACHMENTS Signed: Traffic Resolution No. 2018/4472 August 14, 2018 BOS Minutes 181 THE BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA Adopted this Traffic Resolution on August 14, 2018 by the following vote: AYES: NOES: ABSENT: TRAFFIC RESOLUTION NO. 2018/4472 ABSTAIN: Supervisorial District V SUBJECT: Prohibit time-limited left turns from Grayson Road (westbound) onto Reliez Valley Road (Road No. 3554) southbound, Pleasant Hill area. The Contra Costa Board of Supervisors RESOLVES that: Based on recommendations by the County Public Works Department's Transportation Engineering Division and pursuant to County Ordinance Code Sections 46-2.002 - 46-2.012, the following traffic regulation is established: Pursuant to Section 22101(c) of the California Vehicle Code, all vehicular left turns (with the exception of buses) from Grayson Road southbound onto Reliez Valley Road (Road No. 3554) southbound are hereby declared to be prohibited between the hours of 7:00 AM to 8:30 AM, Monday through Friday, except Holidays, Pleasant Hill area. MS:sr Orig. Dept: Public Works (Traffic) Contact: Monish Sen, 313-2187 cc: California Highway Patrol Sheriff Department TRAFFIC RESOLUTION NO. 2018/4472 I hereby certify that this is a true and correct Copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown. ATTESTED: David Twa, Clerk of the Board of Supervisors and County Administrator By , Deputy August 14, 2018 BOS Minutes 182 August 14, 2018 BOS Minutes 183 RECOMMENDATION(S): ADOPT Resolution No. 2018/452 approving the Final Map and Subdivision Agreement for subdivision SD17-09300, for a project being developed by Shapell Industries, Inc., a Delaware Corporation, as recommended by the Public Works Director, San Ramon (Dougherty Valley) area. (District II) FISCAL IMPACT: No fiscal impact BACKGROUND: The Public Works Department has reviewed the conditions of approval for subdivision SD17-09300 and has determined that all conditions of approval for Final Map approval have been satisfied. CONSEQUENCE OF NEGATIVE ACTION: The Final Map and the Subdivision Agreement will not be approved and recorded. APPROVE OTHER RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE Action of Board On: 08/14/2018 APPROVED AS RECOMMENDED OTHER Clerks Notes: VOTE OF SUPERVISORS AYE:Candace Andersen, District II Supervisor Diane Burgis, District III Supervisor Karen Mitchoff, District IV Supervisor Federal D. Glover, District V Supervisor ABSENT:John Gioia, District I Supervisor Contact: Craig Standafer (925) 313-2018 I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown. ATTESTED: August 14, 2018 David J. Twa, County Administrator and Clerk of the Board of Supervisors By: Stacey M. Boyd, Deputy cc: Jocelyn LaRocque- Engineering Services, Randolf Sanders- Engineering Services, Craig Standafer- Engineering Services, Renee Hutchins - Records, Trixie Gothro - Design & Construction, Chris Hallford -Mapping , Mike Mann- Finance, Ruben Hernandez - DCD, Chris Low - City of San Ramon, Shapell Homes, a Division of Shapell Industries, Inc., Philadelphia Indemnity Insurance Company, Western Surety Company, First American Title, Co, T-06/14/2019 C. 7 To:Board of Supervisors From:Brian M. Balbas, Public Works Director/Chief Engineer Date:August 14, 2018 Contra Costa County Subject:Approve the Final Map and Subdivision Agreement for subdivision SD17-09300, San Ramon (Dougherty Valley) area. August 14, 2018 BOS Minutes 184 AGENDA ATTACHMENTS Resolution No. 2018/452 Final Map Subdivision Agreement & Bond Tax Letter & Bond MINUTES ATTACHMENTS Signed: Resolution No. 2018/452 August 14, 2018 BOS Minutes 185 THE BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA and for Special Districts, Agencies and Authorities Governed by the Board Adopted this Resolution on 08/14/2018 by the following vote: AYE:4 Candace Andersen Diane Burgis Karen Mitchoff Federal D. Glover NO: ABSENT:1 John Gioia ABSTAIN: RECUSE: Resolution No. 2018/452 IN THE MATTER OF approving the Final Map and Subdivision Agreement for subdivision SD17-09300, for project being developed by Shapell Industries Inc., a Delaware Corporation, as recommended by the Public Works Director, San Ramon (Dougherty Valley) area. (District II) WHERE AS, the following documents were presented for board approval this date: I. Map The Final Map of subdivision SD17-09300, property located in the San Ramon (Dougherty Valley) area, Supervisorial District II, said map having been certified by the proper officials. II. Subdivision Agreement A subdivision agreement with Shapell Industries Inc., a Delaware Corporation, principal, whereby said principal agrees to complete all improvements as required in said subdivision agreement within 2 years from the date of said agreement. Accompanying said subdivision agreement is security guaranteeing completion of said improvements as follows: A. Cash Bond Performance amount: $22,500 Auditor’s Deposit Permit No. 761124 Date: May 4, 2018 Submitted by: Toll Brothers, Inc. B. Surety Bond Bond Company: Philadelphia Indemnity Insurance Company Bond Number: PB00579800090 Date: April 19, 2018 Performance Amount: $2,215,500.00 Labor & Materials Amount: $1,117,500.00 Principal: Shapell Industries, Inc., a Delaware Corporation III. Tax Letter Letter from the County Tax Collector stating that there are no unpaid County taxes heretofore levied on the property included in said map and that the 2017-2018 tax lien has been paid in full and the 2018-2019 tax lien, which became a lien on the first day of January 2018, is estimated to be $185,585.00, with security guaranteeing payment of said tax lien as follows: * Tax Surety Bond Company: Western Surety Company Bond Number: 30043678 Date: June 27, 2018 August 14, 2018 BOS Minutes 186 Amount: $185,585.00 Submitted by/Principal: Shapell Industries, Inc., a Delaware Corporation NOW, THEREFORE, BE IT RESOLVED: 1. That said subdivision, together with the provisions for its design and improvement, is DETERMINED to be consistent with the County's general and specific plans. 2. That said Final map is APPROVED and this Board does hereby accept subject to installation and acceptance of improvements on behalf of the public any of the streets, paths, or easements shown thereon as dedicated to public use. 3. That said subdivision agreement is also APPROVED Contact: Craig Standafer (925) 313-2018 I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown. ATTESTED: August 14, 2018 David J. Twa, County Administrator and Clerk of the Board of Supervisors By: Stacey M. Boyd, Deputy cc: Jocelyn LaRocque- Engineering Services, Randolf Sanders- Engineering Services, Craig Standafer- Engineering Services, Renee Hutchins - Records, Trixie Gothro - Design & Construction, Chris Hallford -Mapping , Mike Mann- Finance, Ruben Hernandez - DCD, Chris Low - City of San Ramon, Shapell Homes, a Division of Shapell Industries, Inc., Philadelphia Indemnity Insurance Company, Western Surety Company, First American Title, Co, T-06/14/2019 August 14, 2018 BOS Minutes 187 August 14, 2018 BOS Minutes 188 August 14, 2018 BOS Minutes 189 August 14, 2018 BOS Minutes 190 August 14, 2018 BOS Minutes 191 August 14, 2018 BOS Minutes 192 August 14, 2018 BOS Minutes 193 August 14, 2018 BOS Minutes 194 August 14, 2018 BOS Minutes 195 August 14, 2018 BOS Minutes 196 August 14, 2018 BOS Minutes 197 August 14, 2018 BOS Minutes 198 August 14, 2018 BOS Minutes 199 August 14, 2018 BOS Minutes 200 August 14, 2018 BOS Minutes 201 August 14, 2018 BOS Minutes 202 August 14, 2018 BOS Minutes 203 August 14, 2018 BOS Minutes 204 August 14, 2018 BOS Minutes 205 August 14, 2018 BOS Minutes 206 August 14, 2018 BOS Minutes 207 August 14, 2018 BOS Minutes 208 August 14, 2018 BOS Minutes 209 August 14, 2018 BOS Minutes 210 August 14, 2018 BOS Minutes 211 RECOMMENDATION(S): ADOPT Resolution No. 2018/453 approving the fifth extension of the Subdivision Agreement for subdivision SD05-09037, for a project being developed by Shapell Homes, a Division of Shapell Industries, Inc., a Delaware Corporation, as recommended by the Public Works Director, Danville area. (District III) FISCAL IMPACT: No fiscal impact. BACKGROUND: The terminal date of the Subdivision Agreement needs to be extended. The developer has not completed the required improvements and has requested more time. (Approximately 100% of the work has been completed to date.) By granting an extension, the County will give the developer more time to complete improvements and keeps the bond current. APPROVE OTHER RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE Action of Board On: 08/14/2018 APPROVED AS RECOMMENDED OTHER Clerks Notes: VOTE OF SUPERVISORS AYE:Candace Andersen, District II Supervisor Diane Burgis, District III Supervisor Karen Mitchoff, District IV Supervisor Federal D. Glover, District V Supervisor ABSENT:John Gioia, District I Supervisor Contact: Randolf Sanders (925) 313-2111 I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown. ATTESTED: August 14, 2018 David J. Twa, County Administrator and Clerk of the Board of Supervisors By: Stacey M. Boyd, Deputy cc: Jocelyn LaRocque- Engineering Services, Randolf Sanders- Engineering Services, Alex Lopez - Engineering Services, Trixie Gothro - Design & Construction, Ruben Hernandez - DCD, Shapell Homes, a Division of Shapell Industries, Inc., The Continental Insurance Company, T- 07/20/2019 C. 8 To:Board of Supervisors From:Brian M. Balbas, Public Works Director/Chief Engineer Date:August 14, 2018 Contra Costa County Subject:Approving the fifth extension of the subdivision Agreement for subdivision SD05-09037, Danville area. August 14, 2018 BOS Minutes 212 CONSEQUENCE OF NEGATIVE ACTION: The terminal date of the Subdivision Agreement will not be extended and the developer will be in default of the agreement, requiring the County to take legal action against the developer and surety to complete improvements. AGENDA ATTACHMENTS Resolution No. 2018/453 Subdivision Agreement Extension MINUTES ATTACHMENTS Signed: Resolution No. 2018/453 August 14, 2018 BOS Minutes 213 THE BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA and for Special Districts, Agencies and Authorities Governed by the Board Adopted this Resolution on 08/14/2018 by the following vote: AYE:4 Candace Andersen Diane Burgis Karen Mitchoff Federal D. Glover NO: ABSENT:1 John Gioia ABSTAIN: RECUSE: Resolution No. 2018/453 IN THE MATTER OF approving the fifth extension of the Subdivision Agreement for subdivision SD05-09037, for a project being developed by Shapell Homes, a Division of Shapell Industries, Inc., a Delaware Corporation, as recommended by the Public Works Director, Danville area. (District III) WHEREAS the Public Works Director having recommended that he be authorized to execute the fifth agreement extension which extends the Subdivision Agreement between Shapell Homes, a Division of Shapell Industries, Inc., a Delaware Corporation and the County for construction of certain improvements in subdivision SD05-09037, Danville area, through September 20, 2019. APPROXIMATE PERCENTAGE OF WORK COMPLETE: 100% ANTICIPATED DATE OF COMPLETION: House construction to be completed in 2023. BOND NO.: 929 532 270 Date: August 23, 2011 REASON FOR EXTENSION: Completing construction of homes. NOW, THEREFORE, BE IT RESOLVED that the recommendation of the Public Works Director is APPROVED. Contact: Randolf Sanders (925) 313-2111 I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown. ATTESTED: August 14, 2018 David J. Twa, County Administrator and Clerk of the Board of Supervisors By: Stacey M. Boyd, Deputy cc: Jocelyn LaRocque- Engineering Services, Randolf Sanders- Engineering Services, Alex Lopez - Engineering Services, Trixie Gothro - Design & Construction, Ruben Hernandez - DCD, Shapell Homes, a Division of Shapell Industries, Inc., The Continental Insurance Company, T- 07/20/2019 August 14, 2018 BOS Minutes 214 August 14, 2018 BOS Minutes 215 August 14, 2018 BOS Minutes 216 August 14, 2018 BOS Minutes 217 August 14, 2018 BOS Minutes 218 August 14, 2018 BOS Minutes 219 August 14, 2018 BOS Minutes 220 RECOMMENDATION(S): ADOPT Resolution No. 2018/455 approving the second extension of the Subdivision Agreement for subdivision SD14-09328, for a project being developed by Shapell Homes, Inc., a Division of Shapell Industries, a Delaware Corporation as recommended by the Public Works Director, San Ramon (Dougherty Valley) area. (District II) FISCAL IMPACT: No fiscal impact BACKGROUND: The terminal date of the Subdivision Agreement needs to be extended. The developer has not completed the punch list items and has requested more time. (Approximately 100% of the work has been completed to date.) By granting an extension, the County will give the developer more time to complete improvements and keeps the bond current. The development is in the warranty period and the bond needs to be kept up to date. APPROVE OTHER RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE Action of Board On: 08/14/2018 APPROVED AS RECOMMENDED OTHER Clerks Notes: VOTE OF SUPERVISORS AYE:Candace Andersen, District II Supervisor Diane Burgis, District III Supervisor Karen Mitchoff, District IV Supervisor Federal D. Glover, District V Supervisor ABSENT:John Gioia, District I Supervisor Contact: Randolf Sanders (925) 313-2111 I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown. ATTESTED: August 14, 2018 David J. Twa, County Administrator and Clerk of the Board of Supervisors By: Stacey M. Boyd, Deputy cc: Jocelyn LaRocque- Engineering Services, Randolf Sanders- Engineering Services, Alex Lopez - Engineering Services, Trixie Gothro - Design & Construction, Ruben Hernandez - DCD, Shapell Homes, a Division of Shapell Industries, Inc., The Continental Insurance Company, T -02/21/2019 C. 9 To:Board of Supervisors From:Brian M. Balbas, Public Works Director/Chief Engineer Date:August 14, 2018 Contra Costa County Subject:Approving the second extension of the Subdivision Agreement for subdivision SD14-09328, San Ramon (Dougherty Valley) area. August 14, 2018 BOS Minutes 221 CONSEQUENCE OF NEGATIVE ACTION: The terminal date of the Subdivision Agreement will not be extended and the developer will be in default of the agreement, requiring the County to take legal action against the developer and surety to complete the improvements. AGENDA ATTACHMENTS Resolution No. 2018/455 Subdivision Agreement Extension MINUTES ATTACHMENTS Signed: Resolution No. 2018/455 August 14, 2018 BOS Minutes 222 THE BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA and for Special Districts, Agencies and Authorities Governed by the Board Adopted this Resolution on 08/14/2018 by the following vote: AYE:4 Candace Andersen Diane Burgis Karen Mitchoff Federal D. Glover NO: ABSENT:1 John Gioia ABSTAIN: RECUSE: Resolution No. 2018/455 IN THE MATTER OF approving the Second extension of the Subdivision Agreement for subdivision SD14-09328 , for a project being developed by Shapell Homes, Inc., a Division of Shapell Industries, a Delaware Corporation, as recommended by the Public Works Director, San Ramon (Dougherty Valley) area. (District II) WHEREAS the Public Works Director having recommended that he be authorized to execute the second agreement extension which extends the subdivision agreement between Shapell Homes, Inc., a Division of Shapell Industries, a Delaware Corporation and the County for construction of certain improvements in subdivision SD14-09328, San Ramon (Dougherty Valley) area, through April 21, 2019. APPROXIMATE PERCENTAGE OF WORK COMPLETE: 100% ANTICIPATED DATE OF COMPLETION: End of summer 2018 BOND NO.: 929525422 Date: March 28, 2011 REASON FOR EXTENSION: Improvements completed, working on warranty punch list. NOW, THEREFORE, BE IT RESOLVED that the recommendation of the Public Works Director is APPROVED. Contact: Randolf Sanders (925) 313-2111 I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown. ATTESTED: August 14, 2018 David J. Twa, County Administrator and Clerk of the Board of Supervisors By: Stacey M. Boyd, Deputy cc: Jocelyn LaRocque- Engineering Services, Randolf Sanders- Engineering Services, Alex Lopez - Engineering Services, Trixie Gothro - Design & Construction, Ruben Hernandez - DCD, Shapell Homes, a Division of Shapell Industries, Inc., The Continental Insurance Company, T -02/21/2019 August 14, 2018 BOS Minutes 223 August 14, 2018 BOS Minutes 224 August 14, 2018 BOS Minutes 225 August 14, 2018 BOS Minutes 226 August 14, 2018 BOS Minutes 227 August 14, 2018 BOS Minutes 228 August 14, 2018 BOS Minutes 229 RECOMMENDATION(S): ADOPT Resolution No. 2018/458 approving and authorizing the Public Works Director, or designee, to fully close a portion of San Pablo Dam Road between El Portal Drive and Appian Way, on September 16, 2018 from 6:00 AM through 7:00 PM, for the purpose of 24th Annual El Sobrante Stroll, El Sobrante area. (District I) FISCAL IMPACT: No fiscal impact BACKGROUND: Applicant shall follow guidelines set forth by the Public Works Department. CONSEQUENCE OF NEGATIVE ACTION: Applicant will be unable to close the road for planned activities. APPROVE OTHER RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE Action of Board On: 08/14/2018 APPROVED AS RECOMMENDED OTHER Clerks Notes: VOTE OF SUPERVISORS AYE:Candace Andersen, District II Supervisor Diane Burgis, District III Supervisor Karen Mitchoff, District IV Supervisor Federal D. Glover, District V Supervisor ABSENT:John Gioia, District I Supervisor Contact: Bob Hendry (925) 674-7744 I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown. ATTESTED: August 14, 2018 David J. Twa, County Administrator and Clerk of the Board of Supervisors By: Stacey M. Boyd, Deputy cc: Bob Hendry -Engineering Services, CHP, Sheriff - Patrol Division Commander C. 10 To:Board of Supervisors From:Brian M. Balbas, Public Works Director/Chief Engineer Date:August 14, 2018 Contra Costa County Subject:Close portion of San Pablo Dam Road between El Portal Drive & Appian Way, on Sept 16, 2018 from 6:00 AM through 7:00 PM, El Sobrante area. August 14, 2018 BOS Minutes 230 August 14, 2018 BOS Minutes 231 AGENDA ATTACHMENTS Resolution No. 2018/458 MINUTES ATTACHMENTS Signed: Resolution No. 2018/458 August 14, 2018 BOS Minutes 232 THE BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA and for Special Districts, Agencies and Authorities Governed by the Board Adopted this Resolution on 08/14/2018 by the following vote: AYE:4 Candace Andersen Diane Burgis Karen Mitchoff Federal D. Glover NO: ABSENT:1 John Gioia ABSTAIN: RECUSE: Resolution No. 2018/458 Approving and Authorizing the Public Works Director, or designee, to fully close a portion of San Pablo Dam Road between El Portal Drive and Appian Way, on September 16, 2018 from 6:00 AM through 7:00 PM, for the purpose of 24th Annual El Sobrante Stroll, El Sobrante area. (District I) RC18-12 NOW, THEREFORE, BE IT RESOLVED that permission is granted to El Sobrante Chamber of Commerce to fully close San Pablo Dam Road between El Portal Drive and Appian Way, except for emergency traffic, on September 16, 2018 for the period of 6:00 AM through 7:00 PM, subject to the following conditions: 1. Traffic will be detoured via per traffic control plan reviewed by Public Works. 2. All signing to be in accordance with the California Manual on Uniform Traffic Control Devices. 3. El Sobrante Chamber of Commerce shall comply with the requirements of the Ordinance Code of Contra Costa County. 4. Provide the County with a Certificate of Insurance in the amount of $1,000,000.00 for Comprehensive General Public Liability which names the County as an additional insured prior to permit issuance. 5. Obtain approval for the closure from the Sheriff’s Department, the California Highway Patrol and the Fire District. 6. El Sobrante Chamber of Commerce shall maintain a 20-foot wide emergency vehicle lane at all times through the entire length of the closure. Contact: Bob Hendry (925) 674-7744 I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown. ATTESTED: August 14, 2018 David J. Twa, County Administrator and Clerk of the Board of Supervisors By: Stacey M. Boyd, Deputy cc: Bob Hendry -Engineering Services, CHP, Sheriff - Patrol Division Commander August 14, 2018 BOS Minutes 233 August 14, 2018 BOS Minutes 234 RECOMMENDATION(S): APPROVE and AUTHORIZE the use of a portion of the Mariposa Energy Project Community Benefits Fund to update the Byron Airport Chapter of the Airport Land Use Compatibility Plan as recommended by Supervisor Diane Burgis (District III). FISCAL IMPACT: There is no negative impact on the General Fund. The total cost for the update to the Byron Airport Chapter of the Airport Land Use Compatibility Plan is $49,250. This project is not eligible for FAA funding and the Mariposa Energy Project Community Benefits Fund will provide project funds. The Mariposa Community Benefit Fund was established to enhance and support the Byron Airport BACKGROUND: The Byron Airport (Airport) Master Plan, approved in 2005, identified a diversity of aviation and aviation-related land uses for the long term build-out of the Airport. To fully implement the Airport Master Plan, it was necessary to undertake a General Plan Amendment (GPA) process to provide consistency with and allow for the range of contemplated land uses. The GPA also requires an environmental analysis of the proposed changes before the amendment can be considered for approval. This process was initiated by the Department of Conservation and Development, working in collaboration APPROVE OTHER RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE Action of Board On: 08/14/2018 APPROVED AS RECOMMENDED OTHER Clerks Notes: VOTE OF SUPERVISORS AYE:Candace Andersen, District II Supervisor Diane Burgis, District III Supervisor Karen Mitchoff, District IV Supervisor Federal D. Glover, District V Supervisor ABSENT:John Gioia, District I Supervisor Contact: Alicia Nuchols, 925-252-4500 I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown. ATTESTED: August 14, 2018 David J. Twa, County Administrator and Clerk of the Board of Supervisors By: Stacey M. Boyd, Deputy cc: C. 11 To:Board of Supervisors From:Diane Burgis, District III Supervisor Date:August 14, 2018 Contra Costa County Subject:Authorization to Use a Portion of the Mariposa Energy Project Community Benefits Fund to Update the Byron Airport Land Use Compatibility Plan August 14, 2018 BOS Minutes 235 BACKGROUND: (CONT'D) with the Airports, in December 2012. The GPA and environmental processes were estimated to have a project cost range of $90,000 to $250,000. On December 11, 2012, the Board approved using up to $250,000 of the Mariposa Community Benefit Fund for this GPA and related environmental processes. The project cost estimate did not include updating, if so needed, the Byron Airport Chapter of the Airport Land Use Compatibility Plan (ALUCP). The intent was to bring any additional work items, such as updating the Byron Airport Chapter of the ALUCP, back to the Airport Committee and the Board of Supervisors for consideration at a later date if additional Mariposa Energy Community Benefits Funds were needed. The consultants performing the GPA and environmental processes has determined that an update to the Byron Chapter of the ALUCP is necessary to make it consistent with the GPA and Airport Master Plan. The cost to update the Airport Chapter of ALUCP update is $49,250 and it is not eligible for Federal Aviation Administration (FAA) funding. The Mariposa Energy Project Community Benefits Fund was established to enhance and support the Byron Airport. The proposed use of the Mariposa Community Benefit Fund to update the Byron Airport Chapter of the ALUCP was reviewed and approved by the Aviation Advisory Committee at their June 14, 2018 meeting. On July 18, 2018, the Airport Committee approved forwarding the use of $49,250 of the Mariposa Community Benefit Funds to update the Byron Airport Chapter of the ALUCP to the full Board of Supervisors for their review and approval. CONSEQUENCE OF NEGATIVE ACTION: If the Airports Division is unable to proceed with an update to the Byron Airport Chapter of the ALUCP, it will be inconsistent with the Airport Master Plan and GPA which could cause the contemplated development opportunities not to be realized. CHILDREN'S IMPACT STATEMENT: None. ATTACHMENTS 10/5/2010 Mariposa Board Order 12/14/2010 Mariposa Cooperation Agreement August 14, 2018 BOS Minutes 236 August 14, 2018 BOS Minutes 237 August 14, 2018 BOS Minutes 238 August 14, 2018 BOS Minutes 239 August 14, 2018 BOS Minutes 240 August 14, 2018 BOS Minutes 241 August 14, 2018 BOS Minutes 242 August 14, 2018 BOS Minutes 243 August 14, 2018 BOS Minutes 244 August 14, 2018 BOS Minutes 245 August 14, 2018 BOS Minutes 246 August 14, 2018 BOS Minutes 247 August 14, 2018 BOS Minutes 248 August 14, 2018 BOS Minutes 249 August 14, 2018 BOS Minutes 250 August 14, 2018 BOS Minutes 251 August 14, 2018 BOS Minutes 252 RECOMMENDATION(S): ADOPT Resolution No. 2018/462 recognizing the contributions of Buchanan Field Airport and Byron Airport to the aeronautical community and the local economy. FISCAL IMPACT: Continued growth of the County airports will have a positive effect on the local economy and the County’s General Fund. BACKGROUND: The County owns and operates two airports, Buchanan Field Airport in Concord and Byron Airport in Byron. In exchange for its financial support of public airports, the Federal Aviation Administration requires public airports to be as self-sufficient as possible. For that reason, operating the County’s airports is similar to operating a business (albeit a business that operates within a governmental framework). Revenue generated by ground leases, hangar rentals and usage fees pays for the airports’ operating expenses, including airport management, operations, and facility maintenance. In addition to being self-funded, airport operations benefit the entire County by contributing revenue to the County General Fund and to other public entities through possessory interest taxes, sales taxes, and other taxes. APPROVE OTHER RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE Action of Board On: 08/14/2018 APPROVED AS RECOMMENDED OTHER Clerks Notes: VOTE OF SUPERVISORS AYE:Candace Andersen, District II Supervisor Diane Burgis, District III Supervisor Karen Mitchoff, District IV Supervisor Federal D. Glover, District V Supervisor ABSENT:John Gioia, District I Supervisor Contact: Beth Lee, (925) 681-4200 I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown. ATTESTED: August 14, 2018 David J. Twa, County Administrator and Clerk of the Board of Supervisors By: Stacey M. Boyd, Deputy cc: C. 12 To:Board of Supervisors From:AIRPORTS COMMITTEE Date:August 14, 2018 Contra Costa County Subject:Recognition of the Economic Significance of the County Airports, Buchanan Field and Byron August 14, 2018 BOS Minutes 253 In fiscal year 2015-2016, airport operations contributed approximately $2.77 million to the County General Fund, $1.2 million to local schools and $273,200 to other public entities. In addition to their contribution to the public good through tax revenue generation, the County airports benefit the local economy. In 2016, the County airports contributed to the local economy (in the form of direct and indirect impact) by generating approximately $106 million in total annual economic output, which includes 828 jobs, $8 million in state and local revenue, and $10.2 million in federal tax revenue. These kind of results do not just happen. The County’s airports operate in a competitive marketplace in which airport users can choose among multiple airport options in the region. Not long ago, the County’s Airports Division embarked on a path to identify ways to retain existing, and attract new, business. Airport management convened a working group comprised of representatives of all airport stakeholders to develop a program to strengthen, diversity and grow the airports. The result, the Economic Development Incentive Program (EDIP), is a compilation of projects and programs that airport management is committed to carrying out. Among the strategic plans being undertaken as a result of the EDIP are the following: August 14, 2018 BOS Minutes 254 BACKGROUND: (CONT'D) Streamline the County’s development and entitlement process to best position the airports to react and behave more like a business when presented with development opportunities. Operate premier facilities, including providing timely responses to facility maintenance and improvement needs. Implement additional economic development initiatives, to more readily attract and retain tenants and businesses. Optimize financial performance to increase and further diversify revenue base. The Airports Division is now primed and ready to implement its economic development strategy. The airports’ approach is consistent with, and a precursor to, the Countywide economic development program. The attached resolution is in support of all of these efforts. Nothing in this board order or the attached resolution may be construed as approval by the County or any other governmental entity, acting in its or their governmental capacity, of a development application. AGENDA ATTACHMENTS Resolution No. 2018/462 County Airports Importance 2018 MINUTES ATTACHMENTS Signed: Resolution No. 2018/462 August 14, 2018 BOS Minutes 255 THE BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA and for Special Districts, Agencies and Authorities Governed by the Board Adopted this Resolution on 08/14/2018 by the following vote: AYE:4 Candace Andersen Diane Burgis Karen Mitchoff Federal D. Glover NO: ABSENT:1 John Gioia ABSTAIN: RECUSE: Resolution No. 2018/462 A RESOLUTION RECOGNIZING THE CONTRIBUTIONS OF BUCHANAN FIELD AIRPORT AND BYRON AIRPORT TO THE AERONAUTICAL COMMUNITY AND THE ECONOMIC GROWTH OF CONTRA COSTA COUNTY WHEREAS the County of Contra Costa (the “County”) is the ninth most populous county in California and is centrally located in the San Francisco Bay Area; and WHEREAS the County operates two public airports: Buchanan Field Airport in Concord, and Byron Airport in Byron, together serving a diverse mix of aviation and non-aviation businesses and providing a base of operation to over 600 aircraft; and WHEREAS the businesses operated and aircraft based at Buchanan Field Airport and Byron Airport generated approximately $106 million in total direct and indirect annual economic output in 2016, which includes the creation of 828 jobs, $8 million in state and local revenue, and $10.2 million in federal tax revenue; and WHEREAS Buchanan Field Airport and Byron Airport are operated and maintained without the use of County General Funds; instead, each contributes revenue to the County General Fund each year; and WHEREAS, in fiscal year 2015-2016, Buchanan Field Airport and Byron Airport, together, contributed approximately $2.77 million to the County General Fund, $1.2 million to local schools, and $273,216 to other public entities from associated possessory interest and sales tax; and WHEREAS the economic impact of the County airports increases substantially with each new business development and each time an operator chooses to base an aircraft at Buchanan Field Airport or Byron Airport. One new executive hangar development that stores five aircraft that are new to the airport could equate to $275,000, or more, annually to the County General Fund from associated possessory income tax; and WHEREAS the total revenue generated by Buchanan Field Airport and Byron Airport has increased by over 29% since 2010; and WHEREAS Buchanan Field Airport and Byron Airport have been awarded approximately $6.8 million in grants from the Federal Aviation Administration, and approximately $242,500 in grants from the California Transportation Authority since 2010, in support of various facility and infrastructure improvement projects; and WHEREAS County airport staff have received numerous professional awards, including the American Association of Airport Executives Excellence Award for Airport Training 2012, 2013, 2014, 2015, 2016 and 2017 (and expected in 2018), the John Martin Partnered Project of the Year in 2013 from the International Partnering Institute, and the Quality in Construction Award in 2012 from the National Asphalt Pavement Association; and WHEREAS Buchanan Field Airport has maintained its Federal Aviation Administration Commercial Operating Certificate since December 24, 1974, and recently attracted scheduled charter passenger service between Buchanan Field Airport and two popular destinations: Burbank and Las Vegas; and WHEREAS both Buchanan Field Airport and Byron Airport have land available for development; and WHEREAS the County airports operate as a business in a competitive market where tenants, business operators, and other airport users can choose among multiple airport options in the region, thus creating the need for the County airports to maintain a competitive spirit and to proactively position themselves as the airports of choice in the region; NOW, THEREFORE, BE IT RESOLVED by the Board of Supervisors of the County as follows: Buchanan Field Airport and Byron Airport are essential economic engines that aid the County in meeting the current and future transportation and economic needs of the community. 1. The Director of Airports shall continue to actively pursue innovative and sustainable opportunities to enhance airport facilities and partnerships to remain competitive in the regional marketplace. 2. The Director of Airports will work closely with the County Administrator’s Office and the County’s Office of Economic Development to further the economic development potential of airports, as they are capital assets to the County and an 3. August 14, 2018 BOS Minutes 256 integrated transportation asset to the Bay Area region. Contact: Beth Lee, (925) 681-4200 I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown. ATTESTED: August 14, 2018 David J. Twa, County Administrator and Clerk of the Board of Supervisors By: Stacey M. Boyd, Deputy cc: August 14, 2018 BOS Minutes 257 BOARD OF SUPERVISORS OF THE COUNTY OF CONTRA COSTA RESOLUTION 2018/___ A RESOLUTION RECOGNIZING THE CONTRIBUTIONS OF BUCHANAN FIELD AIRPORT AND BYRON AIRPORT TO THE AERONAUTICAL COMMUNITY AND THE ECONOMIC GROWTH OF CONTRA COSTA COUNTY WHEREAS the County of Contra Costa (the “County”) is the ninth most populous county in California and is centrally located in the San Francisco Bay Area; and WHEREAS the County operates two public airports: Buchanan Field Airport in Concord, and Byron Airport in Byron, together serving a diverse mix of aviation and non-aviation businesses and providing a base of operation to over 600 aircraft; and WHEREAS the businesses operated and aircraft based at Buchanan Field Airport and Byron Airport generated approximately $106 million in total direct and indirect annual economic output in 2016, which includes the creation of 828 jobs, $8 million in state and local revenue, and $10.2 million in federal tax revenue; and WHEREAS Buchanan Field Airport and Byron Airport are operated and maintained without the use of County General Funds; instead, each contributes revenue to the County General Fund each year; and WHEREAS, in fiscal year 2015-2016, Buchanan Field Airport and Byron Airport, together, contributed approximately $2.77 million to the County General Fund, $1.2 million to local schools, and $273,216 to other public entities from associated possessory interest and sales tax; and WHEREAS the economic impact of the County airports increases substantially with each new business development and each time an operator chooses to base an aircraft at Buchanan Field Airport or Byron Airport. One new executive hangar development that stores five aircraft that are new to the airport could equate to $275,000, or more, annually to the County General Fund from associated possessory income tax; and WHEREAS the total revenue generated by Buchanan Field Airport and Byron Airport has increased by over 29% since 2010; and WHEREAS Buchanan Field Airport and Byron Airport have been awarded approximately $6.8 million in grants from the Federal Aviation Administration, and approximately $242,500 in grants from the California Transportation Authority since 2010, in support of various facility and infrastructure improvement projects; and August 14, 2018 BOS Minutes 258 WHEREAS County airport staff have received numerous professional awards, including the American Association of Airport Executives Excellence Award for Airport Training 2012, 2013, 2014, 2015, 2016 and 2017 (and expected in 2018), the John Martin Partnered Project of the Year in 2013 from the International Partnering Institute, and the Quality in Construction Award in 2012 from the National Asphalt Pavement Association; and WHEREAS Buchanan Field Airport has maintained its Federal Aviation Administration Commercial Operating Certificate since December 24, 1974, and recently attracted scheduled charter passenger service between Buchanan Field Airport and two popular destinations: Burbank and Las Vegas; and WHEREAS both Buchanan Field Airport and Byron Airport have la nd available for development; and WHEREAS the County airports operate as a business in a competitive market where tenants, business operators, and other airport users can choose among multiple airport options in the region, thus creating the need for the County airports to maintain a competitive spirit and to proactively position themselves as the airports of choice in the region; NOW, THEREFORE, BE IT RESOLVED by the Board of Supervisors of the County as follows: 1. Buchanan Field Airport and Byron Airport are essential economic engines that aid the County in meeting the current and future transportation and economic needs of the community. 2. The Director of Airports shall continue to actively pursue innovative and sustainable opportunities to enhance airport facilities and partnerships to remain competitive in the regional marketplace. 3. The Director of Airports will work closely with the County Administrator’s Office and the County’s Office of Economic Development to further the economic development potential of airports, as they are capital assets to the County and an integrated transportation asset to the Bay Area region. August 14, 2018 BOS Minutes 259 August 14, 2018 BOS Minutes 260 August 14, 2018 BOS Minutes 261 RECOMMENDATION(S): DENY claims filed by Marco Antonio Gutierrez, Hillside Group, LLC; Lucia Albers; Elizabeth Ann Iannaccone, Trustee, Suneel Kumar, Iraj Namdar, Jesus Cardoza & Edith Ramirez, Debbie Rodriguez, Steven Daniel Rodriguez, Safeco Ins. For Bogdan Zimkowski, and Antonio Smith. FISCAL IMPACT: No fiscal impact. BACKGROUND: Marco Antonio Gutierrez: Property claim for damage to vehicle in the amount of $2,039.70. Claimant alleges his car was damaged by a faulty gate at a parking lot in juvenile hall. Hillside Group, LLC; Lucia Albers; Elizabeth Ann Iannaccone, Trustee: Property claim for damage to land in an amount to exceed $10,000. Claimants allege their property was damaged by wetlands created by actions of the Flood Control and Water Conservation District. Suneel Kumar: Personal injury claim for injuries sustained at the West County Detention Facility in an amount to be determined. Claimant alleges he was attacked by another inmate at West County and that deputies were deliberately indifferent to risk to his APPROVE OTHER RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE Action of Board On: 08/14/2018 APPROVED AS RECOMMENDED OTHER Clerks Notes: VOTE OF SUPERVISORS AYE:Candace Andersen, District II Supervisor Diane Burgis, District III Supervisor Karen Mitchoff, District IV Supervisor Federal D. Glover, District V Supervisor ABSENT:John Gioia, District I Supervisor Contact: Scott Selby 925.335.1400 I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown. ATTESTED: August 14, 2018 David J. Twa, County Administrator and Clerk of the Board of Supervisors By: Stacey M. Boyd, Deputy cc: C. 13 To:Board of Supervisors From:David Twa, County Administrator Date:August 14, 2018 Contra Costa County Subject:Claims August 14, 2018 BOS Minutes 262 BACKGROUND: (CONT'D) safety. Iraj Namdar: Personal injury claim for injuries sustained in car accident in an amount to exceed $25,000. Claimant alleges he was injured when he was struck by a Solano County Transit bus in Walnut Creek. Jesus Cardoza & Edith Ramirez: Personal injury claim for injuries and fatalities sustained when their car was hit by another car that was being pursued by Sheriff deputies, in an amount in excess of $20,000,000. Debbie Rodriguez: Property claim for injury to dog in the amount of $677.56. Claimant alleges the dog she adopted from the shelter was attacked by another dog. Steven Daniel Rodriguez: Personal injury claim for anxiety and depression in an amount to be determined. Claimant makes allegations about unspecified threats by unidentified County employees. Safeco Ins. For Bogdan Zimkowski: Property claim for damage to vehicle in the amount of $1,793.81. Insurer claims insured’s car was damaged in motor vehicle accident with County employee. Antonio Smith: Personal injury claim for injury resulting from bus accident in an amount not to exceed $1,000,000. Claimant alleges he was injured by a County Connection bus. August 14, 2018 BOS Minutes 263 RECOMMENDATION(S): ACCEPT Board members meeting reports for July 2018. FISCAL IMPACT: No fiscal impact. BACKGROUND: Government Code section 53232.3(d) requires that members of legislative bodies report on meetings attended for which there has been expense reimbursement (mileage, meals, lodging ex cetera). The attached reports were submitted by the Board of Supervisors members in satisfaction of this requirement. District V has nothing to report. CONSEQUENCE OF NEGATIVE ACTION: The Board of Supervisors will not be in compliance with Government Code 53232.3(d). APPROVE OTHER RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE Action of Board On: 08/14/2018 APPROVED AS RECOMMENDED OTHER Clerks Notes: VOTE OF SUPERVISORS AYE:Candace Andersen, District II Supervisor Diane Burgis, District III Supervisor Karen Mitchoff, District IV Supervisor Federal D. Glover, District V Supervisor ABSENT:John Gioia, District I Supervisor Contact: Joellen Bergamini 925.335.1906 I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown. ATTESTED: August 14, 2018 David J. Twa, County Administrator and Clerk of the Board of Supervisors By: June McHuen, Deputy cc: C. 14 To:Board of Supervisors From:David Twa, County Administrator Date:August 14, 2018 Contra Costa County Subject:ACCEPT Board members meeting reports for July 2018 August 14, 2018 BOS Minutes 264 ATTACHMENTS District III July 2018 Report District II July 2018 Report District I July 2018 Report District IV July 2018 Report August 14, 2018 BOS Minutes 265 Date Meeting Name Location 4-Jul Brentwood 4th of July Parade Brentwood 4-Jul Antioch 4th of July Parade Antioch 5-Jul Meeting with Brentwood City Manager, Gus Vina Brentwood 5-Jul Meeting with Deputy District Attorney's Association Brentwood 5-Jul Meeting with Environmental Health Director, Marilyn Underwood Brentwood 5-Jul Constituent Meeting Brentwood 6-Jul Family Justice Center Meeting Concord 6-Jul Meeting with First 5 Executive Director, Sean Casey Concord 6-Jul Meeting with Contra Costa Resource Conservation District Martinez 7-Jul Oakley Cityhood Celebration Oakley 9-Jul Delta Counties Coalition Phone Meeting Brentwood 10-Jul Board of Supervisors Meeting Martinez 10-Jul Contra Costa Fire Protection District Meeting Martinez 10-Jul Housing Authority Meeting Martinez 10-Jul Meetng with LAFCO Executive Director, Lou Ann Texeira Martinez 11-Jul Meeting with Health Services Director, Anna Roth Martinez 11-Jul LAFCO Meeting Martinez 12-Jul NACO Conference Nashville, TN 13-Jul NACO Conference Nashville, TN 14-Jul NACO Conference Nashville, TN 15-Jul NACO Conference Nashville, TN 16-Jul NACO Conference Nashville, TN 17-Jul NACO Conference Nashville, TN 18-Jul Airport Committee Meeting Concord 19-Jul Meeting with Employment & Human Services Director, Kathy Gallagher Brentwood 19-Jul Meeting with Downtown Streets Team Brentwood 19-Jul Interviews for the Knightsen CSD Appointment Brentwood 19-Jul East Contra Costa Fire Protection District Strategic Planning Session Knightsen 20-Jul Delta Counties Coalition Phone Meeting Brentwood 20-Jul Urban Tilth Farm Tour of East County Brentwood 20-Jul Domestic Violence Forum Martinez Supervi s or Di ane Burgi s - Jul y 2018 AB1234 Report ( Gover nment Code Sect i on 53232. 3( d) r equi r es t hat member s l egi s l at i ve bodi es r epor t on meet i ngs at t ended f or whi ch t her e has been expens e r ei mbur s ement ( mi l eage, meal s , l odgi ng, et c) . August 14, 2018 BOS Minutes 266 21-Jul Save the California Delta Alliance Charity Golf Event Discovery Bay 23-Jul Meeting with Sheriff Livingston Concord 24-Jul Board of Supervisors Meeting Martinez 24-Jul Luncheon with Judicial Bench of Contra Costa County Supervisor Court Martinez 24-Jul Truth Act Forum Martinez 25-Jul Meeting with Conta Costa Public Information Officer, Susan Shiu Brentwood 25-Jul Meeting with Antioch Mayor Sean Wright Brentwood 25-Jul Meeting with SEIU 2015 Brentwood 25-Jul Tri-Delta Transit Meeting Antioch 26-Jul Meeting with Meals on Wheels Brentwood 26-Jul Meeting with Antioch City Manager, Ron Bernal Brentwood 29-Jul X Class Drone Racing - Drone Demonstration Antioch 31-Jul Liberty Union High School District Annual District Convocation Brentwood 31-Jul Three Creeks Tour Brentwood 31-Jul Meeting with County Librarian, Melinda Cervantes Brentwood 31-Jul Meeting with BART Customer Accessibility, Bob Franklin Brentwood * Reimbursement may come from an agency other than Contra Costa County August 14, 2018 BOS Minutes 267 Purpose Community Outreach Community Outreach Business Meeting Business Meeting Business Meeting Business Meeting Business Meeting Business Meeting Business Meeting Community Outreach Business Meeting Business Meeting Business Meeting Business Meeting Business Meeting Business Meeting Business Meeting Business Meeting Business Meeting Business Meeting Business Meeting Business Meeting Business Meeting Business Meeting Business Meeting Business Meeting Business Meeting Community Outreach Business Meeting Business Meeting Business Meeting Supervi s or Di ane Burgi s - Jul y 2018 AB1234 Report ( Gover nment Code Sect i on 53232. 3( d) r equi r es t hat member s l egi s l at i ve bodi es r epor t on meet i ngs at t ended f or whi ch t her e has been expens e r ei mbur s ement ( mi l eage, meal s , l odgi ng, et c) . August 14, 2018 BOS Minutes 268 Community Outreach Business Meeting Business Meeting Business Meeting Community Outreach Business Meeting Business Meeting Business Meeting Business Meeting Business Meeting Business Meeting Community Outreach Community Outreach Business Meeting Business Meeting Business Meeting * Reimbursement may come from an agency other than Contra Costa County August 14, 2018 BOS Minutes 269 Supervisor Candace Andersen – Monthly Meeting Report July 2018 Date Meeting Location 4 Flag Raising Orinda 4 Kiwanis Parade Danville 9 TWIC Martinez 10 Board of Supervisors Martinez 11 CCCERA Concord 11 LAFCO Martinez 11 Mental Health Commission Concord 12 MP&L Lafayette 16 Alamo Liaison Danville 23 Family & Human Martinez 24 Board of Supervisors Martinez 25 CCCERA Concord 25 East Bay EDA Oakland 26 CCCSWA Walnut Creek 26 San Ramon Library San Ramon August 14, 2018 BOS Minutes 270 Supervisor John Gioia July – 2018 Monthly Meeting Statement Government Code section 53232.3(d) requires that members of legislative bodies report on meetings attended for which there has been expense reimbursement (mileage, meals, lodging, etc.). 1. Meeting Date: July 13 to July 17, 2018 Meeting: NACO Conference Location: Nashville, TN Supervisor sought reimbursement from the County for meetings that he attended in his capacity as a County Supervisor during the month of July 2018. August 14, 2018 BOS Minutes 271 Supervisor Karen Mitchoff July 2018 DATE MEETING NAME LOCATION PURPOSE 07/03/18 Meeting at Martinez Office Martinez Community Outreach 07/09/18 Meeting at Martinez Office Martinez Community Outreach 07/10/18 Board of Supervisors Meeting Martinez Decisions on agenda items 07/11/18 Delta Diablo Board of Directors Meeting Antioch Decisions on agenda items 07/11/18 CCTA Planning Committee Walnut Creek Decisions on agenda items 07/12/18 BAAQMD Personnel Committee Meeting San FranciscoDecisions on agenda items 7/13/2018 & 7/17/18 Mileage to/from SFO Airport San FranciscoFlight to NACO Annual Conference 07/18/18 CCTA Authority Board Meeting Walnut Creek Decisions on agenda items 07/19/18 ABAG Legislation and Finance Committee Meetings San FranciscoDecisions on agenda items 07/21/18 ConFIRE Memorial Ceremony Concord Community Outreach 07/23/18 Finance Committee Martinez Decisions on agenda items 07/24/18 Board of Supervisors Meeting Martinez Decisions on agenda items August 14, 2018 BOS Minutes 272 APPROVE OTHER RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE Action of Board On: 08/14/2018 APPROVED AS RECOMMENDED OTHER Clerks Notes: VOTE OF SUPERVISORS AYE:Candace Andersen, District II Supervisor Diane Burgis, District III Supervisor Karen Mitchoff, District IV Supervisor Federal D. Glover, District V Supervisor ABSENT:John Gioia, District I Supervisor Contact: Alicia Nuchols, 925-252-4500 I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown. ATTESTED: August 14, 2018 David J. Twa, County Administrator and Clerk of the Board of Supervisors By: Stacey M. Boyd, Deputy cc: C. 15 To:Board of Supervisors From:Diane Burgis, District III Supervisor Date:August 14, 2018 Contra Costa County Subject:Celebration of Retirement for Nicole Kozicki with the California Department of Fish and Widlife August 14, 2018 BOS Minutes 273 AGENDA ATTACHMENTS Resolution No. 2018/460 MINUTES ATTACHMENTS Signed: Resolution No. 2018/460 August 14, 2018 BOS Minutes 274 In the matter of:Resolution No. 2018/460 Honoring Officer Nicole Kozicki, California Department of Fish and Widlife, upon the occasion of her retirement, WHEREAS, Officer Nicole Kozicki has dedicated nearly 30 years of service as a game warden for the California Department of Fish and Wildlife in Contra Costa County; and WHEREAS, Officer Kozicki attended the California Maritime Academy in Vallejo as one of the first 13 female recruits and the youngest cadet to graduate from the Fish and Game Academy on June 16, 1989; and WHEREAS, her tireless investigations of poaching, pollution and environmental crimes have been an example to her fellow wildlife officers in California and to others throughout the country; and WHEREAS, Officer Kozicki received the Pogue-Elms Wildlife Law Enforcement Officer of the Year award in July 2017 from the Western Association of Fish and Wildlife Agencies, their highest honor; and the California Department of Fish and Wildlife selected her as Wildlife Officer of the Year in 2017; and WHEREAS, Officer Kozicki has earned an exceptional reputation in handling complex, large-scale investigations, many of which have involved harm to threatened and endangered species, earning a reputation as an expert in the field of environmental crimes; and WHEREAS, her tireless pursuit of the truth has resulted in hundreds of acres of mitigated lands being preserved in perpetuity and has generated millions of dollars in fines that in turn are donated to programs that enrich the natural environment; and WHEREAS, Officer Kozicki’s work with the Fish & Wildlife Committee has contributed to the award of more than a million dollars towards community projects that benefit the protection, conservation, propagation, and preservation of fish and wildlife through the Annual Contra Costa County Fish and Wildlife Propagation Grant program. NOW, THEREFORE, BE IT RESOLVED that the Contra Costa County Board of Supervisors does hereby recognize and honor Officer Nicole Kozicki for extraordinary service to the protection of the natural environment as a game warden for the California Department of Fish and Wildlife in Contra Costa County. ___________________ KAREN MITCHOFF Chair, District IV Supervisor ______________________________________ JOHN GIOIA CANDACE ANDERSEN District I Supervisor District II Supervisor ______________________________________ DIANE BURGIS FEDERAL D. GLOVER District III Supervisor District V Supervisor I hereby certify that this is a true and correct copy of an August 14, 2018 BOS Minutes 275 I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown. ATTESTED: August 14, 2018 David J. Twa, By: ____________________________________, Deputy August 14, 2018 BOS Minutes 276 August 14, 2018 BOS Minutes 277 RECOMMENDATION(S): ADOPT Resolution No. 2018/461 honoring Dr. Felisa Gaffney, Dr. Victoria Bianco, and Ryan Berg for their outstanding contributions to the ABOUTFACE program; and ACCEPT the 2018 ABOUTFACE Report: Bringing Art to the Veteran Community. FISCAL IMPACT: Not applicable. BACKGROUND: The Arts and Culture Commission of Contra Costa County (AC5) collaborated with the Veterans Service Department, the County Library and the Office of Communications and Media to support ABOUTFACE: Self-understanding through Self-portraits – 2018. The goal of this effort was to engage veterans in artistic endeavors so veterans could gain confidence and enhance their creativity. AC5 continued for a third year to offer ABOUTFACE: Self-understanding through Self-portraits. A report of FY 2017/18 activities is attached. APPROVE OTHER RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE Action of Board On: 08/14/2018 APPROVED AS RECOMMENDED OTHER Clerks Notes: VOTE OF SUPERVISORS AYE:Candace Andersen, District II Supervisor Diane Burgis, District III Supervisor Karen Mitchoff, District IV Supervisor Federal D. Glover, District V Supervisor ABSENT:John Gioia, District I Supervisor Contact: Roger Renn, AC5 Managing Director 925-646-2278 I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown. ATTESTED: August 14, 2018 David J. Twa, County Administrator and Clerk of the Board of Supervisors By: Stacey M. Boyd, Deputy cc: Roger Renn, AC5 Managing Director C. 16 To:Board of Supervisors From:David Twa, County Administrator Date:August 14, 2018 Contra Costa County Subject:Resolution No. 2018/461 contributions to ABOUTFACE August 14, 2018 BOS Minutes 278 AGENDA ATTACHMENTS Resolution No. 2018/461 2018 ABOUTFACE Report ABOUTFACE Flyer MINUTES ATTACHMENTS Signed: Resolution No. 2018/461 August 14, 2018 BOS Minutes 279 In the matter of:Resolution No. 2018/461 In the matter of: Honoring the 2018 Arts and Culture Commission Veterans Initiative in the Arts Program Whereas, The ABOUTFACE: Self-understanding through Self-portraits program is rooted in the desire to address the needs and improve the lives of the county’s veterans through quality arts programming that is sensitive and responsive to veterans’ unique experiences, and Whereas, The ABOUTFACE program has reached out to groups such as U.S. Department of Veterans Affairs, Concord Vet Center, JFK University VALOR Center, Veterans Affairs Norther CA Health Care System, Student Veterans Resource Center at DVC, Returning Veterans of Diablo Valley, The Delta Veterans Group and Vietnam Veterans of Diablo Valley, and Whereas, Dr. Felisa Gaffney, Psy D, aka “Dr. G” by the participating veterans, is a 20 year U.S. Air Force veteran having been deployed twice to Kuwait, has worked for over 12 years in the mental health field before coming to the Concord Veterans Center, and as the Veteran Facilitator, used an approach that encouraged expression in non-verbal, non-threatening ways which helped the painters understand their issues, and engaged the participating veterans, and their families, in meaningful self-reflection; and Whereas, Teaching Artist Victoria Bianco, PhD, Lifestyles is a watercolor teaching artist for Veterans at the Martinez VA Physical Therapy and Rehabilitation Department for the California Watercolor Association (CWA) Out-Reach program, she has a solid foundation of drawing concepts and visual composition and provided instruction in painting, for the participating veterans, and their families, to document life experiences for enjoyment, relaxation and inspiration; and Whereas, ABOUTFACE Coordinator Ryan Berg, is a U.S. Marine Corps Veteran and was deployed twice to Iraq in support of Operation Iraqi Freedom, has a bachelors in Rhetorical Theory and a Masters in Leadership Studies, worked with the County Veterans Service Department, Office of Communications and Media and Contra Costa County Library to help identify locations and potential participants, distribute project information, communicate with the Veterans Community, and worked with all parties to ensure good community outreach. Now, Therefore, Be it Resolved that the Board of Supervisors hereby recognize and congratulate Dr. Felisa Gaffney, Dr. Victoria Bianco, Ryan Berg and the Contra Costa County Arts & Culture Commission for their outstanding achievements and contributions to the Contra Costa County ABOUTFACE program. ___________________ KAREN MITCHOFF Chair, District IV Supervisor ______________________________________ JOHN GIOIA CANDACE ANDERSEN District I Supervisor District II Supervisor ______________________________________ August 14, 2018 BOS Minutes 280 DIANE BURGIS FEDERAL D. GLOVER District III Supervisor District V Supervisor I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown. ATTESTED: August 14, 2018 David J. Twa, By: ____________________________________, Deputy August 14, 2018 BOS Minutes 281 August 14, 2018 BOS Minutes 282 018 ABOUTFACE REPORT Bringing Art to the Veteran Community | 1 2018 ABOUTFACE REPORT Bringing Art to the Veteran Community FY16‐17 VETERANS INITIATIVE IN THE ARTS CA Arts Council Grant – VIA-16-00004 Grant Period: 7-1-2017 to 6-30-2018 Grant Award $8,000 CA Arts Council $4,000 Contra Costa County $4,000 match $16,000 = Total Jason Jong, VIA Program, California Arts Council, 1300 I Street, Suite 930, Sacramento, CA 95814, (916) 322‐6338, jason.jong@arts.ca.gov ABOUTFACE Program LaMar Anderson, AC5 Commissioner & Project Director Nathan D. Johnson, County Veterans Service Officer Chris Verdugo, Director of Office of Communications and Media Brooke Converse, Public Information Officer, Contra Costa County Library Ryan Berg, Workshop Coordinator & Community Outreach Felisa Gaffney, PsyD. Workshop facilitator Victoria Bianco, Artist, Instructor Roger Renn, AC5 Managing Director, Arta & Culture Commission of Contra Costa County, 651 Pine Street, 10th Floor, Martinez, CA 94553 (925) 646 -2278, STAFF@AC5.cccounty.us The Grant: The California Arts Council’s Veterans Initiative in the Arts program is rooted in the desire to address the needs and improve the lives of California's veterans through quality arts programming that is sensitive and responsive to veterans’ unique experiences. Contra Costa County is offering ABOUT FACE to August 14, 2018 BOS Minutes 283 018 ABOUTFACE REPORT Bringing Art to the Veteran Community | 2 encourage arts learning and the artistic expression of veterans and to contribute to public understanding of, and appreciation for, the diverse range of veterans’ experiences. Community Description The veteran community in wide spread throughout Contra Costa. County Veterans Services has offices in Martinez, San Pablo, Danville and Brentwood to serve over 49,000 veterans. ABOUTFACE has reached out to groups such as the U.S. Depart ment of Veterans Affairs, Concord Vet Center, the John F. Kennedy University VALOR Center, US Depart ment of Veterans Affairs Northern CA Health Care System, Student Veterans Resource Center at Diab lo Valley College, Returning Veterans of Diablo Valley, the Delta Vete rans Group and Vietnam Veterans of Diablo Valley. Goals: ABOUTFACE offers visual art activities that motivate Veterans and their families to explore self - understanding. Our painting activities help Veterans to think creatively, be innovative and improve their quality of life. ABOUTFACE strategies include allowing for mistakes, acting on the positive, being non-judgmental and leaving room for growth. The workshops promote using creative process to enable veterans to identify self-understanding, try new solutions to express this understanding and validate those that are effective through self -portrait paintings. ABOUT FACE incorporates activities such as self-portraits that motivate veterans to explore self- understanding. These visual art activities help develop problem -solving veterans who are able to think creatively and be innovative. Veterans who participate in these ABOUT FACE workshops develop skills that allow them to communicate effectively and deal with ambiguity. The activities in this workshop create opportunities for Veterans to think visually and critique their work. The three critical issues addressed in this workshop are 1.) Developing visual abilities 2.) Incorporating metacognitive reflection 3.) Encouraging experimentation ABOUTFACE: Self-understanding through Self-portraits – 2018 AC5 collaborated with the Veterans Service Department, the County Library and the Office of Communications and Media. The goal of this effort was to engage veterans in artistic endeavors August 14, 2018 BOS Minutes 284 018 ABOUTFACE REPORT Bringing Art to the Veteran Community | 3 so Veterans could gain confidence and enhance their creativity. AC5 continued for a third year to offer ABOUTFACE: Self-understanding through Self-portraits. The program was offered six times throughout the county. Each two-day workshops taught Veterans how to paint their portraits on an 18’ x 24” canvas. Each day offered a three-hour session. An experienced teaching artist working with a Veteran facilitator presented workshops throughout the county at Veteran facilities and other public spaces. Workshop s addressed the goal of encouraging veterans to express themselves by painting self-portraits. Each participant learned painting technics allowing them to express their feelings. Our team recognizes the importance of choice and engagement as key to positive outcome s. Our Veteran facilitator used an approach that encouraged expression in non-verbal, non- threatening ways which helped the painters understand their issues. Their paintings allowed for a depiction of what they are really struggling with in ways that are not just visual but truly visceral. Our teaching team consisted of a workshop coordinator, Ryan Berg, a facilitator, Felisa Gaffney, PsyD. (both are Veterans) and Victoria Bianco, an artist. The primary role of Dr. Gaffney was to engage the participating Veterans in meaningful self-refection. Ms. Bianco has experience working with the Veteran population as well as a solid foundation of drawing concepts and visual composition. She provided instruction in painting to document life experiences for enjoyment, relaxation and inspiration. Later, Veterans will be offered the opportunity to have their self -portrait become part of a gallery exhibit that will be displayed on a traveling basis in several locations in the County. Contra Costa County Veterans Services, the County Office of Communication and Media, the County Library and the Arts and Culture Commission are all County entities committed to maintaining a strong, ongoing work relation to support a successful VIA project for County veterans. AC5 was the lead partner, responsible for coordinating all activities and working with the local August 14, 2018 BOS Minutes 285 018 ABOUTFACE REPORT Bringing Art to the Veteran Community | 4 artist. The County Veterans Service Department, Office of Communications and Media and Contra Costa County Library were all responsible for talking with veterans about the project and identifying locations to distribute project information, identifying potential participants and communicating with the Veterans community. Ryan Berg, Marine Corp Veteran worked with all parties to ensure good community outreach. The expected impact on the participant will be the discovery by Veterans of a new way of expression, allowing them an artistic outlet for their feelings. By the Numbers: 2018 ABOUTFACE Participants in the six workshops were from across the county and represented a cross section of military service and age groups. ABOUTFACE was successful if measured by the satisfaction of the veterans who participated . Registration data indicated an increase in female Veteran participation. We also allowed family members to participate this year, drawing several Veterans and their children into the workshop. Participants represented a cross section of services. The years of service spanned from 1963 to 2016. Responses included: “I had a good time doing something new and different and meeting new people. Learning new stuff is such a good feeling. ” “Most Veterans are critical about professionalism. I think the artist was great but having Dr. G. made it better!” “This was an eye-opening experience for me. It brought forth the hidden emotions that I apparently have been denying. It was uncomfortable but needed. The facilitators were most helpful during this period because I was fighting the urge to leave and not deal with what I was experiencing. The facilitators talked me through these troubling feelings and I was able to complete the process.” 100% of workshop participants:  Would recommend ABOUTFACE to another Veteran  Said ABOUTFACE brought them together with other Veterans in a good way  Responded that they had a better understanding of themselves  Intend to continue painting August 14, 2018 BOS Minutes 286 018 ABOUTFACE REPORT Bringing Art to the Veteran Community | 5 Participants responded 82% that they strongly agreed and 18% that they agreed:  ABOUTFACE gave them the chance to explore their creativity  ABOUTFACE allowed them to relax and enjoy this time for themselves  ABOUTFACE taught them techniques to help them paint Over half responded that they are looking forward to exhibiting their self -portrait for the public to see and understand. IMPACT: ABOUTFACE has been successful because of our careful integration of art participation and self- reflection that is sensitive and responsive to Veterans’ unique experiences. The workshops were designed to develop visual abilities and let Veterans reflect on what they are doing. . Community support for ABOUTFACE is notable. Participation has increased since linking up with Adult Services provided by Contra Costa County Libraries. Since veterans and their famil ies often use the library, this has proven to be a good avenue for both advertising and conducting the workshops. Support from the community is demonstrated by the willingness of local merchants to give financial support. Home Depot Stores have donated over $300 in supplies used to bring the program to a wider range of locations and giving us better outreach to our widely geographically distributed veterans. Community involvement included help from many Veterans Post and Chapters. Their involvement was k ey to getting full participation from the Veteran groups and individual Veterans within our County. ABOUTFACE’s success will be seeing Veterans’ unique stories conveyed to others throughout the County through their painted canvas. Our program is rooted in the desire to improve the lives of Veterans through quality arts programming that is sensitive to Veterans’ unique No other arts engagement program like ABOUTFACE exists solely for veterans in Contra Costa County. We feel the program develops the artistic abilities and creative expression of Veterans and provides greater access to the Arts for Veteran communities. August 14, 2018 BOS Minutes 287 018 ABOUTFACE REPORT Bringing Art to the Veteran Community | 6 experiences. ABOUTFACE encourages arts learning and the artistic expression of veterans and contributes to public appreciation for the diverse range of Veterans’ experiences. ABOUTFACE is designed to help Contra Costa Veterans deal with challenges they encounter as they make their transition back into civilian society. Our focus is to give veterans space for mindfulness, social engagement and participation in a leisure activity. Our program provides an artistic outlet that supports our Veterans' self-directed participation in painting, develops their artistic expressions and enhances their creativity. We continue to offer ABOUTFACE because of the gratitude expressed to us from Veterans who participate in the workshops. It is hard to predict ahead of time the emotional release many Veterans experience upon finishing their self-portraits. These men and women are profoundly changed. We see that individuals have the capacity to heal themselves and improve their ability to function. We see that a mentoring relationship approach with Veterans effectively engages them in the process of painting and encourage artistic expression. We are confident that this program, rooted in the desire to improve the lives of veterans, does allow them to reduce stress, think positively and increase self-esteem. August 14, 2018 BOS Minutes 288 Bringing Art to the Veteran Community The Arts & Culture Comission of Contra Costa County This activity is funded in part by the Contra Costa County Board of Supervisors and the California Arts Council, a state agency. ABOUTFACE is making art programs available to the Contra Costa County Veterans Community The California Arts Council’s Veterans Initiative in the Arts program is rooted in the desire to address the needs and improve the lives of California's Veterans through quality arts programming that is sensitive and responsive to Veterans’ unique experiences. Contra Costa County offers ABOUTFACE to encourage arts learning and self-expression. Veterans learn acrylic painting techniques that allow them to express their feelings by visualizing, painting self-portraits and by telling their stories. The program also contributes to public appreciation for the diverse range of Veterans’ experiences through gallery exhibits. The Arts & Culture Commission of Contra Costa County is dedicated to advancing the arts in a way that promotes education and collaboration throughout Contra Costa County so that we may grow creatively as a community that preserves and celebrates our diverse cultural expression. Arts & Culture Commission of Contra Costa County 651 Pine Street Martinez, CA 94553 staff@ac5.cccounty.us 925-646-2278 AC5.org Contra Costa County Board of Supervisors John M. Gioia, District I Supervisor Candace Andersen, District II Supervisor Diane Burgis, District III Supervisor Karen Mitchoff, District IV Supervisor Federal D. Glover, District V Supervisor Content & design by Ryan Berg and Roger Renn August 14, 2018 BOS Minutes 289 Our Beginnings Meet the Team “Doc G,” as she is known by Veterans, served twenty years in the Air Force, and deployed twice to Kuwait. She is a licensed Marriage and Family Therapist and currently serves as a readjustment counselor at the Concord Veterans Center. Felisa Gaffney PsyD., Air Force Veteran Ryan Berg Marine Corps Veteran Ryan served in the Marine Corps and deployed twice to Iraq. He obtained an MA from Saint Mary’s College. Ryan coordinates the workshops and supports community outreach. PARTICIPATION CONTINUES TO INCREASE Contra Costa County has participated in the Veterans in the Arts Program since it was established in 2015 by the California Arts Council. ABOUTFACE: Self-understanding through Self-portraits is a program created by the Arts & Culture Commission in response to the needs of veterans in our community. A collaboration with the Veterans Service Department, Contra Costa TV and the County Library has enriched many Veterans’ lives through our workshops. Veterans have been enthusiastic about participating and their portraits have been appreciated by the public when exhibited in galleries. The Arts & Culture Commission and the Physical Rehabilitation Service at Veterans Affairs Health Care in Martinez developed a portrait workshop based on the belief that individuals have the capacity to heal themselves. Using best practices and a mentoring approach, ABOUTFACE effectively engages Veterans in the process of painting and encourages artistic expression. This program is rooted in the desire to improve the lives of local Veterans by engaging them in recreational painting. One of the most difficult experiences for Veterans is the transition from military to civilian life. Workshop activities include meditation, peer discussion, and sketching one another; as well as painting a portrait. ABOUTFACE workshops were initially held in a small art studio, but as word spread, we expanded into libraries and Veterans’ buildings throughout the county. Since establishing a strong relationship with the Concord Veterans Center we’re able to bring an even deeper quality of art engagement that is both sensitive and responsive to Veterans’ unique experiences. We believe Veterans can play an active role in determining their wellness. ABOUTFACE helps Veterans and their families to: • Think positively & be non-judgmental • Be creative & try new solutions • Accept mistakes & adapt to change • Self-reflect & gain insight • Increase self-esteem & reduce stress ABOUTFACE Goals Research Shows Positive Impact Victoria wrote the curriculum for ABOUTFACE. She teaches watercolors to veterans at the Martinez VA and is instrumental in guiding Veterans through the painting process. Victoria Bianco Visual Artist Visual art contributes to healing by providing enjoyment, relaxation and inspiration. The Arts introduce creative processes to enhance self-awareness. ABOUTFACE is successful because of our careful integration of self-reflection and painting. Workshops develop artistic abilities and create space for Veterans to reflect on their process. • Veterans consistently report that the workshop allows them to express themselves on canvas; providing an outlet for memories to surface • Thomas, an Army Veteran, picked up a paintbrush at ABOUTFACE and has since completed dozens of paintings • A husband shared long-held memories of his time in Vietnam with his wife after his portrait was publicly displayed • A Vietnam Veteran reported that he felt like nobody cared about him when he came home and that ABOUTFACE gave him the sense that someone cared I have always enjoyed looking at art now I’m learning that I enjoy making art “ ”Engaging in the arts promotes wellness and alleviates pain. Art programs provide a sense of achievement that diminishes emotional stress, creates an outlet for expression of feelings and channels energies into healthy behavior. Painting can encourage self-expression, communication and socialization. This was an eye opening experience for me“ - Veteran participant” - Veteran participant LaMar Anderson AC5 Commissioner & Project Director Nathan D. Johnson Contra Costa County Veterans Service August 14, 2018 BOS Minutes 290 APPROVE OTHER RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE Action of Board On: 08/14/2018 APPROVED AS RECOMMENDED OTHER Clerks Notes: VOTE OF SUPERVISORS AYE:Candace Andersen, District II Supervisor Diane Burgis, District III Supervisor Karen Mitchoff, District IV Supervisor Federal D. Glover, District V Supervisor ABSENT:John Gioia, District I Supervisor Contact: Colleen Isenberg, 925-521-7100 I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown. ATTESTED: August 14, 2018 David J. Twa, County Administrator and Clerk of the Board of Supervisors By: Stacey M. Boyd, Deputy cc: C. 17 To:Board of Supervisors From:Karen Mitchoff, District IV Supervisor Date:August 14, 2018 Contra Costa County Subject:Recognizing the 15th Anniversary of Monument Crisis Center August 14, 2018 BOS Minutes 291 AGENDA ATTACHMENTS Resolution No. 2018/464 MINUTES ATTACHMENTS Signed: Resolution No. 2018/464 August 14, 2018 BOS Minutes 292 In the matter of:Resolution No. 2018/464 Recognizing the Monument Crisis Center for their 15 years of service to our community Whereas in 2003, a small group of concerned citizens banded together and founded the Monument Crisis Center; and Whereas, with start-up funding that was provided by the Safeway Foundation, Salvation Army, Soroptimist International of Pleasant Hill and several individual donors, the Monument Crisis Center opened its doors on August 19, 2003; and Whereas, Monument Crisis Center initially started to serve the community as a food pantry that worked out of one single office and food “closet” and served 84 families on the first day of food distribution in the Monument Corridor; and Whereas, today they provide services to roughly 1,300 new families each year; and Whereas, 15,000 Households are signed up for the Food Distribution Program alone and 80 to 120 families are served at each distribution event; and Whereas, not only does the Monument Crisis Center still have the food pantry, but they have several other programs as well including: Senior Moments, After School Café, Summer and Holiday Food Box Drives, Annual Backpack Drive, etc.; and Whereas, Monument Crisis Center seeks to improve the health of the community through Nutrition and Cooking classes, health screens, dental screening and physical education; and Whereas, After School Café is tutoring program held through the school year where high school students help to tutor the neighborhood children. Not only do the younger students learn and improve in school, but the high school students learn responsibility and accountability; and Whereas, Senior Moments provides health screenings, lunch, groceries and fun in the form of bingo to about 120 seniors at each event; and Whereas, Monument Crisis Center continues to expand their services and works local partners to provide workshops and additional services. Those services include English Language Learners classes, Employment Opportunity Workshops, and the Rotacare Bay Area Mobile Health Clinic. Now Therefore Be it Resolved that the Board of Supervisors does hereby honor Monument Crisis Center on their 15th anniversary and the work they do to address the many needs in our community including: distributing food to those who need it, educating children through summer camps and tutoring, and improving the health and well-being of our seniors. August 14, 2018 BOS Minutes 293 ___________________ KAREN MITCHOFF Chair, District IV Supervisor ______________________________________ JOHN GIOIA CANDACE ANDERSEN District I Supervisor District II Supervisor ______________________________________ DIANE BURGIS FEDERAL D. GLOVER District III Supervisor District V Supervisor I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown. ATTESTED: August 14, 2018 David J. Twa, By: ____________________________________, Deputy August 14, 2018 BOS Minutes 294 August 14, 2018 BOS Minutes 295 RECOMMENDATION(S): Acting as the Governing Body of the Contra Costa County Fire Protection District, ADOPT Ordinance Code 2018-05 amending the County Ordinance Code to exclude from the Merit System the new classification of Fire District Aide-Exempt. FISCAL IMPACT: If approved, the fiscal impact of establishing this classification will be negligible. The Fire District already has a cadre of Student Interns assigned to various divisions. Some of the Fire District's current cadre of Student Interns will be replaced by the Fire District Aide-Exempts. It is not anticipated that this transition will have a meaningful impact on temporary wages. BACKGROUND: The Human Resources Department recommends creation of Fire District Aide-Exempt pursuant to Administrative Bulletin 430.1. Creation of the Fire District Aide-Exempt classification is necessary to accomplish time-limited non-professional work in the Fire APPROVE OTHER RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE Action of Board On: 08/14/2018 APPROVED AS RECOMMENDED OTHER Clerks Notes: VOTE OF SUPERVISORS AYE:Candace Andersen, District II Supervisor Diane Burgis, District III Supervisor Karen Mitchoff, District IV Supervisor Federal D. Glover, District V Supervisor ABSENT:John Gioia, District I Supervisor Contact: Dianne Dinsmore (925) 335-1766 I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown. ATTESTED: August 14, 2018 David J. Twa, County Administrator and Clerk of the Board of Supervisors By: June McHuen, Deputy cc: Eric Suitos, Holly Trieu C. 18 To:Contra Costa County Fire Protection District Board of Directors From:Dianne Dinsmore, Human Resources Director Date:August 14, 2018 Contra Costa County Subject:ADOPT Ordinance Code 2018-05 amending the County Ordinance Code to exclude the Fire District Aide-Exempt classification from the Merit System August 14, 2018 BOS Minutes 296 BACKGROUND: (CONT'D) District under direct supervision. This classification is distinguished from the class of Student Intern in that the latter requires current enrollment in Fire/EMS related college courses or possession of a degree and limits incumbents to working 20 hours per week. The establishment of this classification will give the Fire District the flexibility to hire temporary/seasonal workers during fire season, weed abatement season, Firefighter Recruit academies, and for additional logistics and administrative support as needed. CONSEQUENCE OF NEGATIVE ACTION: The Fire District will not have the flexibility to hire temporary/seasonal workers as needed. CHILDREN'S IMPACT STATEMENT: AGENDA ATTACHMENTS ADOPT Ordinance Code 2018-05 MINUTES ATTACHMENTS Signed Ordinance 2018-05 August 14, 2018 BOS Minutes 297 August 14, 2018 BOS Minutes 298 August 14, 2018 BOS Minutes 299 August 14, 2018 BOS Minutes 300 August 14, 2018 BOS Minutes 301 RECOMMENDATION(S): INTRODUCE Ordinance 2018-026 amending the County Ordinance Code to exclude from the Merit System the Chief Information Technology Security Officer-Exempt (LWS1), WAIVE reading, and FIX September 11, 2018 for adoption. FISCAL IMPACT: There is no cost associated with this action. BACKGROUND: DOIT has requested the establishment of the Chief Information Technology Security Officer-Exempt classification. The focus of the classification will be on design, development, implementation, operation and maintenance of Countywide information security programs that are designed to protect the confidentiality, integrity and availability of all information, voice mobile, data network, application and computer infrastructure and their associated information assets. The Chief Information Technology Security Officer will create a comprehensive security strategy and programs, formulate security policies and procedure to assure full compliance with applicable federal, APPROVE OTHER RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE Action of Board On: 08/14/2018 APPROVED AS RECOMMENDED OTHER Clerks Notes: VOTE OF SUPERVISORS AYE:Candace Andersen, District II Supervisor Diane Burgis, District III Supervisor Karen Mitchoff, District IV Supervisor Federal D. Glover, District V Supervisor ABSENT:John Gioia, District I Supervisor Contact: Joanne Buenger (925) 313-1202 I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown. ATTESTED: August 14, 2018 David J. Twa, County Administrator and Clerk of the Board of Supervisors By: June McHuen, Deputy cc: Joanne Buenger, Eric Suitos C. 19 To:Board of Supervisors From:Dianne Dinsmore, Human Resources Director Date:August 14, 2018 Contra Costa County Subject:Introduce Ordinance No. 2018-026 amending the County Ordinance Code August 14, 2018 BOS Minutes 302 BACKGROUND: (CONT'D) state, and local laws, ordinances and guidelines. Creation of this classification will allow the County Department of Technology to standardize and centrally deliver IT Security and disaster recovery services. CONSEQUENCE OF NEGATIVE ACTION: If this request is not approved, the Security division of DoIT will not be able to properly support the critical County Security program and could lead to severe negative impacts to all County Departments. ATTACHMENTS Ordinance 33-5.359 August 14, 2018 BOS Minutes 303 August 14, 2018 BOS Minutes 304 August 14, 2018 BOS Minutes 305 RECOMMENDATION(S): INTRODUCE Ordinance No. 2018-25, amending requirements regulating the collection and disposal of sewage and septic systems, WAIVE reading, and FIX September 11, 2018, for adoption of Ordinance No. 2018-25 and related Health Officer Regulations for Sewage Collection and Disposal. FISCAL IMPACT: The recommended actions would have no impact on the General Fund. BACKGROUND: Introduction Residents of many unincorporated areas of Contra Costa County are not served by sanitary sewers and rely on onsite wastewater treatment systems (OWTS), commonly known as septic systems, for the disposal of sewage. A typical septic system consists of a septic tank, which removes solids, and a disposal field, where treated sewage effluent percolates into the soil. The exact number of septic systems in the County is not known but is estimated to be in the thousands. Areas where septic systems are the predominant means of sewage disposal include Alhambra Valley, Briones, Knightsen, unincorporated Brentwood, Tassajara APPROVE OTHER RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE Action of Board On: 08/14/2018 APPROVED AS RECOMMENDED OTHER Clerks Notes: VOTE OF SUPERVISORS AYE:Candace Andersen, District II Supervisor Diane Burgis, District III Supervisor Karen Mitchoff, District IV Supervisor Federal D. Glover, District V Supervisor ABSENT:John Gioia, District I Supervisor Contact: Marilyn Underwood, 925-692-2521 I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown. ATTESTED: August 14, 2018 David J. Twa, County Administrator and Clerk of the Board of Supervisors By: June McHuen, Deputy cc: Tasha Scott, Marcy Wilhelm, John Wiggins C. 20 To:Board of Supervisors From:Anna Roth, Health Services Director Date:August 14, 2018 Contra Costa County Subject:Introduction of Ordinance No. 2018-25, amending requirements regulating the collection and disposal of sewage and septic systems August 14, 2018 BOS Minutes 306 BACKGROUND: (CONT'D) Valley and unincorporated South County, Ayers Ranch in unincorporated Concord, and the Marsh Creek corridor east of Clayton. Chapter 420-6 of the County Ordinance Code, which pertains to sewage collection and disposal, and the California Plumbing Code (adopted by the County and incorporated into the County’s building regulations in Title 7 of the County Ordinance Code), require all structures in which plumbing fixtures are installed to be connected to either a sanitary sewer system or a septic system. Chapter 420-6 further requires that applications for building permits or certificates of occupancy for structures requiring disposal of sewage be submitted to the health officer for review and approval of the proposed sewage disposal system. The installation or replacement of a septic system requires a permit issued by the health officer. Environmental Health Division staff, as the health officer’s designee, reviews permit applications and system designs and issues permits on the basis of compliance with applicable requirements in Chapter 420-6 and regulations issued by the health officer. After a permit is issued, staff conducts construction inspections to verify that installations conform to permit requirements. Staff is also tasked with reviewing all building plans for new or remodeled structures on properties where septic systems are located to determine if proposed projects may adversely affect those systems, or areas reserved for the replacement of failing systems, and when conflicts are found, rejecting the plans and advising applicants of measures necessary to obtain approval. In 2017, the Environmental Health Division issued 64 permits to construct, repair, or replace septic systems and received 100 applications for building plan reviews. Since 2002, the Environmental Health Division has issued nearly 900 construction permits to replace existing or construct new systems. Chapter 420-6 and its associated health officer regulations were last amended in 2000. Since then, septic system technology and industry has evolved and new state regulatory requirements have been imposed. Proposed Ordinance No. 2018-25 (“Ordinance”) and the proposed Health Officer Regulations for Sewage Collection and Disposal (“Regulations”) address these changes and other issues. New State Policy for Onsite Wastewater Treatment Systems On September 27, 2000, then-Gov. Gray Davis signed Assembly Bill 885 into law. Assembly Bill 885 required the State Water Resources Control Board to adopt regulations or standards for the permitting and operation of onsite wastewater treatment systems. On June 19, 2012, the State Water Resources Control Board adopted the Water Quality Control Policy for Siting, Design, Operation, and Maintenance of Onsite Wastewater Treatment Systems (“State Policy”). The State Policy took effect on May 13, 2013. The State Policy established statewide minimum standards for septic systems. Local agencies were given the option of either enforcing the standards in the State Policy or implementing a Local Agency Management Program (“LAMP”) approved by the Regional Water Quality Control Board. Under a LAMP, local agencies may establish standards that differ from those in the State Policy provided they achieve the same purpose, which is to protect water quality and public health. This enables a local agency to address local conditions and provides the flexibility to allow different types of septic systems, thereby providing more options to property owners. In May 2016, the County health officer submitted a LAMP, based on current Chapter 420-6 of the Ordinance Code and the current health officer regulations, to the San Francisco Regional Water Quality Control Board (“Regional Board”). At that time, Regional Board staff was informed that Chapter 420-6 August 14, 2018 BOS Minutes 307 and the health officer regulations were undergoing revision to address several issues, including adding setback requirements from public water systems surface water intakes and public water wells to be consistent with the State Policy. The Regional Board has not yet acted on the submitted LAMP. Upon adoption by this Board, Chapter 420-6 as amended, and the Regulations, will be submitted to the Regional Board to replace the old standards in the LAMP. Stakeholder Review Last year, staff notified stakeholders of pending amendments to Chapter 420-6 and new regulations and solicited comments on earlier versions of the Ordinance Regulations. Stakeholders notified included the East Bay Municipal Utility District, Contra Costa Water District, East Bay Regional Park District, the John Muir Foundation, the 19 incorporated cities in the county, Infiltrator Water Technologies (a manufacturer of OWTS components) and more than 20 septic system consultants and contractors. Several stakeholders responded with comments, all of which were considered and many of which were incorporated into the Ordinance and Regulations. The general public has also had access to earlier versions of the Ordinance and Regulations that have been available for inspection on the Environmental Health Division’s website since July 2017. SIGNIFICANT CHANGES TO CHAPTER 420-6 Determination of Sewer Availability Under existing law, a structure that contains or will contain plumbing fixtures generally must be connected to a sanitary sewer if the sewer is considered to be “available” for connection. Sewer availability is determined based on several factors, including the size of the parcel where the structure is located and the distance between the sewer and the parcel. Depending on other factors, a sanitary sewer might be considered available if the parcel is less than 40,000 square feet in area and less than 300 horizontal feet from the sewer. But a sewer would not be considered available to structure on a parcel that is more than 40,000 square feet in area if the structure to be served is more than 300 horizontal feet from the sewer. (Co. Ord. Code, § 420-6.115, subd. (b)(1)-(2).) These availability standards do not take into consideration situations where a sanitary sewer is technically available by definition, but is not actually available. For example, if a sanitary sewer is within 300 feet of the property to be served, the sanitary sewer might be considered as being “available.” However, in a situation where there is another parcel between the sanitary sewer and the property to be served, and the owner of the intervening parcel will not grant an easement or other legal rights necessary for installation and maintenance of a sewer lateral, the sanitary sewer would not be available as a practical matter. The current sewer availability standards in Chapter 420-6 are also in conflict with Title 7 of the Ordinance Code, which incorporates the California Plumbing Code. Under the Plumbing Code, a sewer is considered to be unavailable if it is more than 200 feet from a proposed structure or exterior drainage facility on a lot that abuts the public sewer. The Ordinance amends the sewer availability standards so that a sanitary sewer would be deemed available to a structure if the entity operating the sewer determines that it can be connected, the sewer is located in a thoroughfare or right of way abutting the lot where the structure is located, and the sewer is within 200 feet of the structure to be served. Lot Area August 14, 2018 BOS Minutes 308 Lot Area Section 420-6.505 of the County Ordinance Code requires a minimum lot size of 15,000 square feet if a structure will require a septic system for the disposal of sewage and 40,000 square feet if both a septic system and a private water supply, such as a well, are needed. But the health officer may grant a variance from the lot size requirement if the lot conforms to all other requirements of Chapter 420-6 and health officer regulations, and the variance would not create or contribute to a nuisance. The Ordinance would eliminate the minimum lot size requirement along with the provision for variances. The Ordinance would instead require the siting and installation of all septic systems in compliance with all applicable site criteria. Staff considers this a more equitable and enforceable standard. Holding Tanks Under Chapter 420-6, holding tanks may be used for the collection of sewage only under a variance, in very limited circumstances (i.e., the parcel is located within 50 to 1,000 feet from a drinking water reservoir or tributary stream), and only if the holding tank system is owned or operated by a public agency having statutory authority to provide such service. The Ordinance would broaden the circumstances under which the use of a holding tank might be allowed on a temporary basis to include (1) serving temporary structures during construction projects and (2) collecting sewage when an existing septic system is improperly functioning and there is no area on the property to install a replacement system. The holding tank system would not need to be owned or operated by a public agency. Septic Systems Near Reservoirs Section 420-6.507, subdivision (a) of the Ordinance Code generally prohibits any septic systems on lots within the drainage area of a drinking water reservoir, and requires connection to a community sewer system instead if a sanitary sewer is not available. However, there are two provisions that allow the health officer to grant variances from this requirement. If the lot is between 50 and 1,000 feet from the reservoir or tributary stream, the health officer may allow use of a holding tank owned by an authorized public agency (Ord. Code, § 420-507(b)(1). The second provision states: “Beyond one thousand feet from a reservoir or tributary stream an individual system or other similar acceptable system may be permitted . . .” (Ord. Code, § 420-6.507, subd. (b)2).) The latter provision has been a source of confusion and differing interpretations over the years. The Ordinance would eliminate both of the above provisions. In their place would be a setback standard in the amended health officer regulations, requiring septic systems to be located at least 1,000 feet away from a reservoir or tributary stream. Alternative Septic Systems An alternative septic system is a septic system that provides supplemental treatment of the sewage effluent, removing additional solids, bacteria, and nitrogen from the effluent before it is discharged to a disposal field. Chapter 420-6 allows the use of alternative systems and requires a separate operating permit; however, the permit requirement has proven to be challenging to enforce with respect to existing systems. The Ordinance cites specific circumstances when an alternative septic system will be required, and does not require an annual operating permit. In lieu of an operating permit, the owner of an alternative septic system will be required to monitor the operation of the system and submit periodic reports to the health officer. If the owner of the alternative septic system fails to submit the required reports, the system may not be lawfully used and the owner may be subject to administrative fines. August 14, 2018 BOS Minutes 309 not be lawfully used and the owner may be subject to administrative fines. Other While the Ordinance deals primarily with sewers and septic systems, it also addresses various forms of sewage collection. In addition to temporary holding tanks, the Ordinance sets standards for septic tank and chemical toilet cleaners and the equipment they use, as well as standards for vault privies, which are typically used by park districts in remote areas in lieu of using portable toilets. The Ordinance also contains new requirements with regard to the abandonment of sewage disposal and sewage collection systems in specified circumstances. SIGNIFICANT CHANGES TO THE HEALTH OFFICER REGULATIONS The proposed Regulations repeal the previous health officer regulations in their entirety. The bulk of the proposed Regulations deals with technical standards applicable to different types of septic systems. The proposed Regulations also set forth standards and specifications for the siting and construction of septic systems, the monitoring of alternative septic systems, the review of building permit applications and subdivision maps, the design, installation and use of sewage collection systems, the abandonment of sewage disposal systems and sewage collection systems, and septic tank-chemical toilet cleaners. Moratorium Areas From 1964 to 1977, the health officer submitted memoranda to the Board and others, decreeing that the Health Services Department would no longer accept applications for approval of septic systems in six areas of the county. These areas, which are referenced and depicted in the current County General Plan, included the service area of the former San Pablo Sanitary District (North Richmond, East Richmond Heights and El Sobrante), the Rodeo Creek watershed drainage area, the unincorporated area of Canyon, the area served by Sanitation District 15 on Bethel Island, the Muir Oaks-Vine Hill Way area of Martinez, and the El Toyonal area of Orinda. The so-called septic system moratorium areas were established for various reasons, including poor soil conditions, other restrictive conditions such as steep slopes and hills, and the proximity of areas to reservoirs. It is not entirely clear what standards were being applied in the evaluation of areas for installation of septic systems when the moratorium areas were established. Owners of residences in moratorium areas are prohibited from building residential additions that increase occupancy, installing gray water systems, or installing swimming pools without an approved means to dispose of the water. Consistent with these moratoria, the current health officer regulations prohibit the acceptance of applications for new septic systems. In the course of considering amendments to the health officer regulations adopted in 2000, staff evaluated the need to retain the septic system moratorium areas and determined that they were no longer necessary, and that new site and soil criteria and testing standards would be sufficient to protect water quality and public health. These site and soil criteria and testing standards are set forth in the proposed Regulations. References to the moratorium areas were removed. This change does not mean that the installation of septic systems in these areas will necessarily be permitted, given the prevalence of restrictive site conditions in these areas that prompted the establishment of the moratorium areas in the first place. But the change will allow for the submission of applications for permits to build septic systems in these areas. The applications would be reviewed on a case by case basis to see if the required site and soils criteria and other standards in in the Ordinance Code and health officer regulations can be met. August 14, 2018 BOS Minutes 310 Upon adoption of the Ordinance and Regulations, the health officer will rescind the six moratorium areas. Staff will also recommend removal of mention of the moratorium areas from the County General Plan following their rescission by the health officer. Additions and Remodels Additions and remodels on properties with septic systems are currently categorized into four types, each of which may require an upgrade to one of two classifications of systems depending on the type of remodel (bedroom addition, non-bedroom addition, remodels with no addition, detached non-living or non-habitable addition). The Proposed Regulations would eliminate the categorization of additions and remodels and the requirement to upgrade an existing system, provided that it is an approved system that is functioning properly and can accommodate the projected sewage flow from the existing structure as well as the addition or remodel. CONSEQUENCE OF NEGATIVE ACTION: The proposed ordinance and related health officer regulations would not be adopted. ATTACHMENTS Ordinance No. 2018-25 Redline of Chapter 420-6 HO Sewage Regs August 14, 2018 BOS Minutes 311 ORDINANCE NO. 2018-25 (Sewage Collection and Disposal) The Contra Costa County Board of Supervisors ordains as follows: SECTION I. SUMMARY. This ordinance amends Chapter 420-6 of the County Ordinance Code by establishing new requirements and prohibitions pertaining to sanitary sewer connections, onsite wastewater treatment systems and other methods of sewage disposal. SECTION II. AUTHORITY. This ordinance is adopted pursuant to Article 11, section 7 of the California Constitution. SECTION III. Chapter 420-6 of the County Ordinance Code is amended to read: Chapter 420-6 SEWAGE COLLECTION AND DISPOSAL Article 420-6.2. General Provisions 420-6.202 Purpose. The purpose of this chapter is to provide maximum protection to water quality and public health by establishing requirements for connection to sanitary sewers and minimum standards for the design, construction, operation and abandonment of sewage collection and disposal systems. (Ord. 2018-25 § 3). 420-6.204 Definitions. Unless otherwise specially provided, or required by the context, the following terms have these meanings in this chapter. (a) “Abandon” means to remove liquid waste from and either excavate or otherwise render inoperable a cesspool, privy, sewage holding tank, or tank utilized in an onsite wastewater treatment system. (b) “Alternative onsite wastewater treatment system” means an onsite wastewater treatment system in which septic tank effluent undergoes supplemental treatment prior to discharge to a disposal field. (c) “Approved sewage disposal system” means a system of sewage disposal constructed in conformance with any and all applicable design, construction, permitting and other legal requirements in force at the time of construction. (d) “Construct” means to assemble, build, fabricate or install. (e) “Designated disposal field area” means an area of land that is approved by the health officer based on a site evaluation for future use as a disposal field or in an onsite wastewater treatment system, but is not a reserve area. (f) “Domestic water supply reservoir” means an existing or proposed open uncovered reservoir used or intended to impound water for human consumption or domestic purposes. August 14, 2018 BOS Minutes 312 “Domestic water supply reservoir” includes a planned reservoir where the water impounder states in writing to the board its intent to install or construct the reservoir, and satisfies the board that it has appropriate rights in the land and the ability to finish and maintain the reservoir. (g) “Drainage area” of a domestic water supply reservoir means all the land that can drain into the reservoir, whether or not the topographical configuration is artificially or naturally caused. (h) “Health officer” means the county health officer and his or her duly authorized deputies and subordinates. (i) “Improperly functioning,” as applied to a sewage collection or disposal system, means allowing sewage to escape to the surface of the ground, allowing sewage to return to the structure served by the system, allowing leaks, or preventing fixtures from draining. (j) “Onsite wastewater treatment system” means a sewage treatment and disposal system that includes a septic tank and disposal field, serves one or more structures on only one lot, and is projected to receive a sewage flow of 10,000 gallons or less per day. (k) “Pit privy” means a structure with no water supply that consists of shelter built over a pit with an unlined bottom and is used for the disposal of human waste. (l) “Plumbing fixture” means a receptacle, device, appliance or other fixture that discharges wastewater to a drainage system. (m) “Primary components” of an onsite wastewater treatment system means the septic tank, area(s) of land used for one or more disposal fields, pump tank and supplemental treatment unit, if any. (n) “Reserve area” means an area of land that is approved by the health officer for future use as a replacement disposal field in an onsite wastewater treatment system. (o) “Sanitary sewer” means a wastewater collection system, owned and operated by a public agency with legal authority to collect wastewater from structures within the territorial jurisdiction of the public agency, that collects wastewater and conveys it through a system of sewer pipes to a treatment works prior to disposal. (p) “Septic tank-chemical toilet cleaner” means (1) a person engaged in the business of cleaning, or who cleans, septic tanks, sewage holding tanks, onsite wastewater treatment systems, privies, cesspools or seepage pits, or (2) a person engaged in the business of providing or cleaning, or who provides or cleans, chemical toilets. (q) “Sewage” means liquid waste that contains or may be contaminated with human or animal excrement or offal. (r) “Sewage disposal system” means any system of sewage disposal, including but not limited to an onsite wastewater treatment system, that is designed to serve one or more structures. (s) “Sewage regulations” means sewage collection and disposal regulations adopted by the board under Section 420-6.606. (t) “Vault privy” means a structure with no water supply that consists of a shelter built over a subsurface vault and is used for the collection of human waste. (u) “Wastewater” means liquid waste, including but not limited to sewage. (Ords. 2018-25 § 3, 81-30 § 1, 74-67 § 3, 68-16 § 2, Ord. 1440 § 1). August 14, 2018 BOS Minutes 313 Article 420-6.4. Sewer Connection 420-6.402 Sewer availability. A sanitary sewer is considered available for connection to a structure requiring sewage disposal if: (a) The entity operating the sanitary sewer indicates in writing that the proposed structure can be connected to the sanitary sewer; (b) The sanitary sewer is in a thoroughfare or right of way abutting the lot or premises where the structure is located or proposed to be located; and (c) The sanitary sewer or any building or exterior drainage facility connected thereto is located within 200 feet of the structure. (Ords. 2018-25 § 3, 81-30 § 1, 74-67 § 3, 1440 § 1). 420-6.404 Sewer connection required; exceptions. Every structure in which plumbing fixtures have been or are proposed to be installed, and all plumbing fixtures and sanitary drainage systems or parts thereof, must be connected to either a sanitary sewer or an alternative means of sewage collection or disposal in accordance with Subsections (a) or (b) of this section. (a) Approved sewage disposal system. (1) A structure may be connected to an approved sewage disposal system if the health officer determines that a sanitary sewer is not available for connection under Section 420-6.402. (2) A structure connected to an approved sewage disposal system prior to the effective date of this section may remain connected to that system. (3) An addition to or remodeled portion of a structure may be connected to an approved sewage disposal system in accordance with applicable standards set forth in the sewage regulations if the structure is served by and was connected to the system before a sanitary sewer became available for connection to the structure, except as otherwise provided in Section 420- 6.602 or Chapter 78-2. (b) Sewage holding tank system. (1) General. A structure that contains plumbing fixtures may be connected to a sewage holding tank system for sewage collection if: (A) The health officer determines that a sanitary sewer is not available for connection under Section 420-6.402; (B) The sewage holding tank system will replace an approved sewage disposal system that is or has been serving the structure; (C) The owner of the structure obtains a sewage holding tank permit under Section 420-6.1002; and (D) One of the following applies: (i) The sewage holding tank system will serve the structure only until replacement of the approved sewage disposal system with a new onsite wastewater treatment system; or (ii) The approved sewage disposal system to be replaced is improperly functioning and the health officer has determined that there is no suitable area on the lot where the structure is located for an onsite wastewater treatment system. (2) Public agencies. A structure that contains plumbing fixtures and is owned by a public agency may be connected to a sewage holding tank system for sewage collection if: August 14, 2018 BOS Minutes 314 (A) The health officer determines that a sanitary sewer is not available for connection under Section 420-6.402; (B) The structure cannot be connected to a new onsite wastewater treatment system in accordance with applicable laws and regulations; (C) The sewage holding tank system is owned and operated by the public agency; and (D) The public agency obtains a sewage holding tank permit under Section 420- 6.1002. (3) Temporary structures. A temporary structure that contains plumbing fixtures may be connected to a sewage holding tank system if the system was incorporated into the original design of the temporary structure. As used in this subsection, “temporary structure” means a structure that is placed at the site of a permitted construction project for use only during the project and then removed at the conclusion of the project. (Ords. 2018-25 § 3, 81-30 § 1). Article 420-6.6. Enforcement 420-6.602 Prohibitions. A person may not do any of the following: (a) Build a structure that will contain plumbing fixtures without first lawfully connecting the lot where the structure will be located to a sanitary sewer or having an approved sewage disposal system that is designed to and may lawfully serve the structure. (b) Remodel any portion of, or construct an addition to, a structure containing plumbing fixtures without first lawfully connecting the structure to a sanitary sewer or an approved sewage disposal system that is designed to serve the structure. (c) Construct, modify in any way, relocate any part of, or take any action to connect a structure to, a sewage disposal system that is not an onsite wastewater treatment system. (d) Discharge or deposit sewage to the surface of the ground. (e) Have, use or operate an improperly functioning sewage collection or disposal system. (f) Use a sewage disposal system that is not an approved sewage disposal system. (g) Construct or have a privy except as expressly authorized by law. (Ords. 2018-25 § 3, 81- 30 § 1, 1440 § 2, 640 §§ III-1, III-3, V-2). 420-6.604 Building permits; certificates of occupancy. (a) Restriction on issuance of building permits. (1) If a structure is, or is proposed to be, located outside the territorial boundaries of any public entity with legal authority to provide wastewater collection services, or in an area where connection to a sanitary sewer is otherwise not available to the structure, and plumbing fixtures have been or are proposed to be installed in the structure, a building permit will not be issued to build, remodel any portion of, or construct an addition to the structure unless the health officer has approved, in writing, a method of sewage collection or disposal for the structure. (2) If a structure is, or is proposed to be, located in an area where connection to a sanitary sewer is available to the structure, plumbing fixtures have been or are proposed to be installed in the structure, and connection to a sanitary sewer is not proposed, a building permit will not be issued to build, remodel any portion of, or construct an addition to, the structure unless the health officer has approved, in writing, a method of sewage collection or disposal for the structure. August 14, 2018 BOS Minutes 315 (3) A building permit will not be issued to build a structure located on a lot where an approved sewage disposal system, reserve area or designated disposal field area is located unless the health officer has approved, in writing, the proposed location of the structure. (b) Restriction on issuance of certificates of occupancy. (1) If a structure is located outside the territorial boundaries of any public entity with legal authority to provide wastewater collection services, or in an area where connection to a sanitary sewer is otherwise not available to the structure, and plumbing fixtures have been installed in the structure, a certificate of occupancy will not be issued to use or occupy the structure, or portion of the structure, unless the health officer has approved, in writing, a method of sewage collection or disposal for the structure. (2) If a structure is located in an area where connection to a sanitary sewer is available to the structure, plumbing fixtures have been installed in the structure, and connection to a sanitary sewer is not proposed, a certificate of occupancy will not be issued to use or occupy the structure, or portion of the structure, unless the health officer has approved, in writing, a method of sewage collection or disposal for the structure. (c) Application to health officer. (1) A building permit applicant who proposes to build, remodel, or construct an addition to a structure described in Subsection (a)(1) of this section must submit a written application to the health officer for review and approval of a proposed method of sewage collection or disposal for the structure. (2) A building permit applicant who proposes to build, remodel, or construct an addition to a structure described in Subsection (a)(2) of this section must submit a written application to the health officer for review and approval of the proposed method of sewage collection or disposal for the structure if the applicant does not propose to connect the structure to a sanitary sewer. (3) A building permit applicant who proposes to build a structure in a location described in Subsection (a)(3) of this section must submit an application to the health officer for review and approval of the proposed location of the structure. (4) An applicant for a certificate of occupancy of a structure described in Subsection (b)(1) of this section must submit a written application to the health officer for review of the proposed method of sewage collection or disposal for the structure. (5) An applicant for a certificate of occupancy of a structure described in Subsection (b)(2) of this section must submit a written application to the health officer for review of the proposed sewage collection or disposal method for the structure if the applicant does not propose to connect the structure to a sanitary sewer. (d) Determination. (1) If the health officer finds, based on his or her review of an application submitted under Subsection (c)(1) or (c)(2) of this section, that a proposed method of sewage collection or disposal conforms to the applicable requirements in this chapter and the sewage regulations, the health officer will approve the proposed method of sewage collection or disposal. The health officer will not approve the proposed method of sewage collection or disposal, and the building inspection director will not issue the building permit, if the health officer finds that the proposed method of sewage collection or disposal does not conform to a provision of this chapter or the sewage regulations. August 14, 2018 BOS Minutes 316 (2) If the health officer finds, based on his or her review of an application submitted under Subsection (c)(3) of this section, that construction of a proposed structure will not interfere with the use of a necessary approved sewage disposal system, reserve area or designated disposal field area, the health officer will approve the proposed location of the structure. The health officer will not approve the proposed location of the structure, and the building inspection director will not issue the building permit, if the health officer determines that construction of the structure would interfere with the use of a necessary approved sewage disposal system, reserve area or designated disposal field area. (3) If the health officer finds, based on his or her review of an application submitted under Subsection (c)(4) or (c)(5) of this section, that a proposed method of sewage collection or disposal conforms to the applicable requirements in this chapter and the sewage regulations, the health officer will approve the proposed method of sewage collection or disposal. The health officer will not approve the proposed method of sewage collection or disposal, and the building inspection director will not issue the certificate of occupancy, if the health officer finds that the proposed method of sewage collection or disposal does not conform to a provision of this chapter or the sewage regulations. (Ords. 2018-25 § 3, 81-30 § 1, 1752 § 4, 1440 §§ 4, 9, 640 §§ II-7, III- 6). 420-6.606 Regulations. The health officer may propose regulations to make more detailed or specific the provisions of this chapter. The regulations are not effective unless adopted by the board by resolution. The health officer is responsible for the enforcement of this chapter and all adopted regulations. (Ords. 2018-25 § 3, 81-30 § 1, 640 § 1). 420-6.608 Investigations. To the extent allowed by law, whenever necessary to enforce any provision of this chapter, the health officer may inspect any property to determine compliance with applicable provisions and requirements of this chapter or enter for the purpose of abatement as provided in Chapter 14- 6 of this code. Entry may be made at any reasonable time upon advance notice to the owner or occupant of the property. If entry is refused, the health officer is authorized to proceed pursuant to Code of Civil Procedure section 1822.50 and following, and pursue any and all other remedies provided by law, to secure entry. (Ords. 2018-25 § 3, 81-30 § 1, 74-67 § 2, 1440 § 7). 420-6.610 Nuisance abatement. (a) Abatement. Any installation made or condition existing in violation of this chapter is declared to be a public nuisance, and in addition to any other remedy available under the law, may be abated pursuant to Article 14-6.4. (b) Emergency Abatement. If the health officer finds that a violation has created an emergency condition endangering the public health, the health officer may summarily abate the condition in accordance with Article 14-6.4. (Ords. 2018-25 § 3, 88-88 § 10, 81-30 § 1). August 14, 2018 BOS Minutes 317 Article 420-6.8. Sewage Disposal Systems 420-6.802 Site. An onsite wastewater treatment system may be constructed only on a site that conforms to applicable setbacks and groundwater depth, ground slope, soil depth and percolation rate standards specified in the sewage regulations. (Ord. 2018-25 § 3). 420-6.804 Design. (a) Sewage flow. An onsite wastewater treatment system must be sized to accommodate the maximum volume of sewage that the system is projected to receive in a 24-hour period. (b) Components. The septic tank, transport lines, pump tank, disposal field and any supplemental treatment unit in an onsite wastewater treatment system constructed under Subsection 420-6.404(a)(1), and the reserve area for the system, must conform to all applicable design standards set forth in the sewage regulations. (Ord. 2018-25 § 3.) 420-6.806 Construction permits. (a) The construction, alteration, relocation or replacement of an onsite wastewater treatment system, or any primary components thereof, may be lawfully performed only under a valid construction permit issued by the health officer. “Alteration,” as used in this section, means a change that causes an onsite wastewater treatment system, or primary component thereof, to function in a manner that is inconsistent with the design approved by the health officer, including but not limited to a change in design daily sewage flow and the installation of supplemental treatment units. (b) The construction, alteration, relocation or replacement of an onsite wastewater treatment system, or any primary components thereof, may be lawfully performed only if the health officer has determined that a sanitary sewer is not available for connection to the structure to be served by the system. (c) All work on an onsite wastewater treatment system under a construction permit issued under Section 420-6.808 must be inspected and approved by the health officer prior to use of the onsite wastewater treatment system. (Ord. 2018-25 § 3). 420-6.808 Permit procedure. (a) Application; issuance. An application for a construction permit required under Section 420-6.806 or 420-6.1004 must be submitted to the health officer. The health officer will accept an application for a construction permit only if the application is complete and accompanied by payment of a permit fee established by the board by resolution. The health officer will approve a permit application and issue a permit based solely on compliance with this chapter and the sewage regulations. (b) Expiration. Every construction permit issued by the health officer under this chapter becomes void if the work authorized by the construction permit is not commenced within 180 days from the permit’s date, or if the work is suspended or abandoned for 180 days without excuse satisfying the health officer as being beyond control of and remedy by the permittee. Work under a construction permit will be deemed to have commenced if at least one health officer inspection of construction has been completed within 180 days of the permit issuance August 14, 2018 BOS Minutes 318 date. Once a construction permit becomes void, a new construction permit must be obtained before any work is commenced or recommenced, and a new permit fee must be paid. (c) Renewal. Any permittee holding an unexpired construction permit may apply to the health officer for a permit extension upon a showing of good and satisfactory reason acceptable to the health officer. If the permittee is unable to commence work within the time required by this section, the health officer may extend the time of the permit for a period not exceeding 180 days upon written request by the permittee. No permit may be renewed more than once. (d) Permit not approval of violations. The issuance of a construction permit under this chapter will not be construed as a permit for an approval of any violation of this chapter or code or determination that the permittee is the owner of the subject property or otherwise authorized to do the work for which the permit has been issued. No construction permit presuming to give authority to violate or cancel the provisions of this chapter will be valid except insofar as the work that it authorizes is lawful. The issuance of a construction permit based on plans and specifications does not prevent the health officer from later requiring the correction of errors in the plans and specifications or from preventing work under the permit in violation of this chapter. (Ords. 2018-25 § 3, 81-30 § 1, 1752 § 3, 1468 § 1, 1440 § 7). 420-6.810 Alternative onsite wastewater treatment systems. (a) Mandatory use. Septic tank effluent must undergo supplemental treatment in an onsite wastewater treatment system if: (1) The system utilizes a drip dispersal system; (2) The system is located in an area where the depth from the natural grade to the anticipated highest seasonal level of groundwater is less than 3 feet; (3) The system will receive high strength wastewater; or (4) The system will replace another onsite wastewater treatment system and cannot meet the required horizontal setback from a public water well or a public water system’s surface water intake point, unless the health officer makes both of the following two findings: (A) There is no indication that the system to be replaced is adversely affecting the public water source; and (B) There is limited potential that the replacement system could impact the public water source. (b) Monitoring. (1) The owner of an alternative onsite wastewater treatment system shall monitor the operation of the system for as long as the system remains in use, in accordance with the sewage regulations. (2) A person may not use or operate an alternative onsite wastewater treatment system if the owner of that system fails to monitor that system in accordance with the sewage regulations. (c) Mitigation measures. (1) The owner of a replacement alternative onsite wastewater treatment system that does not conform to applicable horizontal setbacks from a public water well or a public water system’s surface water intake point must comply with applicable mitigation measures set forth in the sewage regulations unless the health officer makes the findings set forth in Subsections (a)(4)(A) and (a)(4)(B) of this section. August 14, 2018 BOS Minutes 319 (2) A person may not use or operate a replacement onsite wastewater treatment system described in Subsection (c)(1) of this section if the owner fails to comply with any applicable mitigation measure. (Ords. 2018-25 § 3, 2000-03 § 1, 81-30 § 1). Article 420-6.10. Sewage Collection Systems 420-6.1002 Sewage holding tank systems. (a) Site; design. The site and design of a sewage holding tank system under Subsection 420- 6.404(b)(1) or Subsection 420-6.404(b)(2) must conform to applicable horizontal setbacks and other standards set forth in the sewage regulations. (b) Permits. The installation of a sewage holding tank system may be lawfully performed only under a valid sewage holding tank permit issued by the health officer. The permit procedures set forth in Section 420-6.808 apply to sewage holding tank permits. (c) Health officer approval. All work under a sewage holding tank permit must be approved by the health officer prior to use of the sewage holding tank system. (d) Termination of use. (1) Use of a sewage holding tank system connected to a structure under Subsection 420- 6.404(b)(1)(D)(i) must terminate upon completion of construction of a new onsite wastewater treatment system that will serve the structure or within 90 calendar days after commencement of use of the sewage holding tank system, whichever occurs first. (2) Use of a sewage holding tank system connected to a structure under Subsection 420- 6.404(b)(1)(D)(ii) or Subsection 6.404(b)(2) must terminate within 90 calendar days after the health officer determines that connection to a sanitary sewer is available to the structure. (Ord. 2018-25 § 3.) 420-6.1004 Vault privies. (a) A privy vault must be prefabricated and certified by the manufacturer as watertight. (b) A vault privy may be constructed only on a site that conforms to the horizontal setbacks applicable to septic tanks. (c) A vault privy may be lawfully constructed only under a valid construction permit issued by the health officer in accordance with the procedures set forth in Section 420-6.808. (d) All work under a construction permit issued under this section must be inspected and approved by the health officer prior to use of the vault privy. (Ord. 2018-25 § 3.) Article 420-6.12. Abandonment 420-6.1202 Sewage disposal systems. (a) Onsite wastewater treatment systems and cesspools must be promptly abandoned under a permit issued by the health officer if: (1) The system or cesspool is replaced with a connection to a sanitary sewer, a new onsite wastewater treatment system or a sewage collection system. (2) The system or cesspool was constructed in violation of any applicable laws or regulations; or (3) Use of the system or cesspool has ceased. (b) Pit privies must be promptly abandoned under a permit issued by the health officer if: August 14, 2018 BOS Minutes 320 (1) The pit is filled with human waste to a point that is 24 inches or less below the surface of the ground adjacent to the pit; or (2) The pit privy was constructed in violation of any applicable laws or regulations. (Ord. 2018-25 § 3.) 420-6.1204 Sewage collection systems. (a) A sewage holding tank system must be promptly abandoned under a permit issued by the health officer if: (1) The system is replaced with a connection to a sanitary sewer, an onsite wastewater treatment system or another sewage holding tank system; (2) The system was constructed in violation of any applicable laws or regulations; or (3) Use of the system has ceased. (b) Vault privies. A vault privy must be promptly abandoned under a permit issued by the health officer if the vault privy was constructed in violation of any applicable laws or regulations. (Ord. 2018-25 § 3). Article 420-6.14. Septic Tank-Chemical Toilet Cleaners 420-6.1402 Registration. All septic tank-chemical toilet cleaners as defined in Subsection 420-6.204(p) are subject to the application and examination requirements set forth in Health and Safety Code sections 117415 and 117420. (Ord. 2018-25 § 3). 420-6.1404 Operations. (a) Pumping and cleaning. A septic tank-chemical toilet cleaner must use all reasonable means to prevent the spillage of sewage. Any spilled sewage must immediately be removed and properly disposed of, and the area disinfected. (b) Disposal. Sewage collected by a septic tank-chemical toilet cleaner must be disposed of only at a public facility that provides wastewater collection and treatment services. (c) Reporting. No later than the tenth day of each month, a septic tank-chemical toilet cleaner shall submit a written report to the health officer in a form approved by the health officer that describes all pumping and cleaning operations conducted in the unincorporated area of the county in the previous month. (Ord. 2018-25 § 3). 420-6.1406 Vehicles; other equipment. (a) Each vehicle utilized by a septic tank-chemical toilet cleaner in the course of collecting or transporting sewage must display a permit decal required under Section 413-3.806 and identification markings specified in the sewage regulations. (b) All sewage collection tanks, pumps, pipes and hoses on vehicles used to collect or transport sewage must conform to all applicable design and construction standards set forth in the sewage regulations. (c) All equipment utilized by a septic tank-chemical toilet cleaner in the course of collecting or transporting sewage must be made of durable and easily cleanable materials. (Ord. 2018-25 § 3). August 14, 2018 BOS Minutes 321 420-6.1408 Chemical toilets. Chemical toilets must be designed, constructed, marked and operated in accordance with applicable standards set forth in the sewage regulations. (Ord. 2018-25 § 3). Article 420-6.16. Subdivision Maps 420-6.1602 Tentative maps. (a) General. The tentative map forwarded to the health officer for review under Section 94- 2.604 must show proposed provisions for sewage disposal, source of approved water supply, number of lots, the size of each lot, and contour lines at intervals of five feet or less. (b) Health officer approval. The health officer will review the proposed tentative map for compliance with this chapter and the sewage regulations and in a timely manner report his or her conclusions thereon, together with any conditions recommended to insure such compliance, to the planning department. (Ords. 2018-25 § 3, 81-30 § 1, 1752 § 1, 1440 § 4, 640 § II-1). 420-6.1604 Final maps; parcel maps. A final map or parcel map of a subdivision shall not be recorded unless the conditions recommended by the health officer and established by the advisory agency on approval of the tentative map of the subdivision have been satisfied. (Ords. 2018-25 § 3, 81-30 § 1, 1752 § 1, 1440 § 4, 640 § II-1). Article 420-6.18. Appeals 420-6.1802 Appeals to health officer. An applicant objecting to or disagreeing with a permit denial under this chapter or the sewage regulations may appeal the denial to the health officer. Any request for an appeal hearing must be in writing and must be received by the health officer within ten days after notice of the decision was mailed. Any request for an appeal hearing must state the legal and factual basis for the appeal and be accompanied by payment of a fee established by the board by resolution. A hearing on the appeal will be held within fifteen days after the request for appeal is received by the health officer. The health officer will issue a written decision supported by written findings. The decision will be based on the applicant’s compliance or noncompliance with this chapter or the sewage regulations. The health officer may not delegate the duty to hear appeals under this chapter to any subordinate. (Ords. 2018-25 § 3, 93-84 § 3, 81-30 § 1). 420-6.1804 Other appeals. Whenever the provisions of this chapter have been incorporated by a city ordinance or code and are applicable as city regulations within the incorporated area of that city, any appeal of a decision of the health officer must be directed to and decided by the city council of the involved city or to such other hearing body that may be designated by the city council to hear such appeals. (Ords. 2018-25 § 3, 93-84 § 3, 81-30 § 1). August 14, 2018 BOS Minutes 322 Article 420-6.20. Fees 420-6.2002 Permit fees. The health officer will collect a fee from the applicant for issuance of any permit under this chapter. Permit fees will be established by the board by resolution. (Ords. 2018-25 § 3, 81-30 § 1). 420-6.2004 Other fees. (a) The health officer will collect a fee from the applicant for all services provided by the health officer in response to a request by the applicant, including plan reviews, investigations, inspections and the observation of site evaluations and tests. (b) The health officer will collect a fee from the owner of an alternative onsite wastewater treatment system for audits of monitoring reports submitted under Section 420-6.810. (c) All fees authorized by this section will be established by the board by resolution. (Ords. 2018-25 § 3, 81-30, § 1). SECTION IV. EFFECTIVE DATE. This ordinance becomes effective 30 days after passage, and within 15 days after passage shall be published in the East Bay Times, a newspaper published in this County. This ordinance shall be published in a manner satisfying the requirements of Government Code section 25124, with the names of the supervisors voting for and against it. PASSED on __________________, by the following vote: AYES: NOES: ABSENT: ABSTAIN: ATTEST: David J. Twa, Clerk of the Board of Supervisors and County Administrator By: ____________________________ Deputy Board Chair LW/ [seal] H:\Ordinances\Ord.2018-25.docx August 14, 2018 BOS Minutes 323 Chapter 420-6 SEWAGE COLLECTION AND DISPOSALSUBDIVISIONS AND INDIVIDUAL SYSTEMS Article 420-6.12. General Provisions Definitions 420-6.202 Purpose. The purpose of this chapter is to provide maximum protection to water quality and public health by establishing requirements for connection to sanitary sewers and minimum standards for the design, construction, operation and abandonment of sewage collection and disposal systems. (Ord. 2018-25 § 3). 420-6.101204 DefinitionsGeneral. Unless otherwise specially provided, or required by the context, the following terms have these meanings in this chapter. (Ord. 81-30 § 1: § 420-6.002: Ord. 74-67 § 3: prior code § 4640: Ord. 1440 § 1). (a) “Abandon” means to remove liquid waste from and either excavate or otherwise render inoperable a cesspool, privy, sewage holding tank, or tank utilized in an onsite wastewater treatment system. (b) “Alternative onsite wastewater treatment system” means an onsite wastewater treatment system in which septic tank effluent undergoes supplemental treatment prior to discharge to a disposal field. (c) “Approved sewage disposal system” means a system of sewage disposal constructed in conformance with any and all applicable design, construction, permitting and other legal requirements in force at the time of construction. (d) “Construct” means to assemble, build, fabricate or install. (e) “Designated disposal field area” means an area of land that is approved by the health officer based on a site evaluation for future use as a disposal field or in an onsite wastewater treatment system, but is not a reserve area. 420-6.103 Domestic water supply reservoir. (f) “Domestic water supply reservoir” means an existing or proposed open uncovered reservoir used or intended to impound water for human consumption or domestic purposes. , “Domestic water supply reservoir” includesincluding a planned reservoir where the water impounder states in writing to the board his its intent to install or construct itthe reservoir, and satisfies the board that he it has appropriate rights in the land and the ability to finish and maintain itthe reservoir. (Ord. 81-30 § 1: § 420-6.002(6): Ords. 74-67 § 3, 68-16 § 2: prior code § 4640(f)). 420-6.105 Drainage area. (g) “Drainage area” of a domestic water supply reservoir means all the land that can or may drain into the reservoir, whether or not the topographical configuration is artificially or naturally caused. (Ord. 81-30 § 1: § 420-6.002(7): Ords. 74-67 § 3, 68-16 § 2: prior code § 4640(g)). 420-6.107 Health officer. (h) “Health officer” means the county health officer and his or her duly authorized deputies and subordinates.includes any subordinate(s) that the health officer designates from time to time to August 14, 2018 BOS Minutes 324 perform any or all of the health officer's functions hereunder. (Ord. 81-30 § 1: § 420-6.002(8): Ord. 74-67 § 3: prior code § 4640). 420-6.109 Improper functioning. (i) “Improperly functioning,” as applied to a sewage collection or disposal individual system, means a systemallowing sewage to escape to the surface of the ground, allowing sewage to return to the structure served by the system, allowing leaks, or preventing fixtures from draining. which allows sewage to escape to the surface of the ground or prevents plumbing fixtures from draining. (Ord. 81-30 § 1: § 420-6.002(4): Ord. 74-67 § 3, : prior code § 4640(d): Ord. 1440 § 1). 420-6.111 - Individual system. “Individual system” means a system which consists of (1) the drainage pipes of a structure and the septic tank and subsurface absorption system to which they are connected; or (2) any alternative system designed for the disposal of sewage and acceptable to the health officer. (Ord. 81-30 § 1: § 420-6.002(3): Ord. 74-67 § 3: prior code § 4640(d): Ord. 1440 § 1). (j) “Onsite wastewater treatment system” means a sewage treatment and disposal system that includes a septic tank and disposal field, serves one or more structures on only one lot, and is projected to receive a sewage flow of 10,000 gallons or less per day. (k) “Pit privy” means a structure with no water supply that consists of shelter built over a pit with an unlined bottom and is used for the disposal of human waste. (l) “Plumbing fixture” means a receptacle, device, appliance or other fixture that discharges wastewater to a drainage system. (m) “Primary components” of an onsite wastewater treatment system means the septic tank, area(s) of land used for one or more disposal fields, pump tank, and supplemental treatment unit, if any. (n) “Reserve area” means an area of land that is approved by the health officer for future use as a replacement disposal field in an onsite wastewater treatment system. (o) “Sanitary sewer” means a wastewater collection system, owned and operated by a public agency with legal authority to collect wastewater from structures within the territorial jurisdiction of the public agency, that collects wastewater and conveys it through a system of sewer pipes to a treatment works prior to disposal. (p) “Septic tank-chemical toilet cleaner” means (1) a person engaged in the business of cleaning, or who cleans, septic tanks, sewage holding tanks, onsite wastewater treatment systems, privies, cesspools or seepage pits, or (2) a person engaged in the business of providing or cleaning, or who provides or cleans, chemical toilets. 420-6.113 Sewage. (q) “Sewage” means liquid waste or solid waste substance, which is associated with human habitation or which that contains or may be contaminated with human or animal excrement or offal. (Ord. 81-30 § 1: § 420-6.002(1): Ord. 74-67 § 3: prior code § 4640(e): Ord. 1440 § 1). (r) “Sewage disposal system” means any system of sewage disposal, including but not limited to an onsite wastewater treatment system, that is designed to serve one or more structures. (s) “Sewage regulations” means sewage collection and disposal regulations adopted by the board under Section 420-6.606. August 14, 2018 BOS Minutes 325 420-6.115 Sewer availability. “Sewer availability” means a sanitary sewer is available for connection to a structure requiring sewage disposal because: (a) The entity operating the sanitary sewer indicates in writing that the proposed structure can be connected to the sanitary sewer; and (b) The cost of providing sanitary sewer service, exclusive of all annexation fees, connection fees, and the sewer pipe installation costs between the structure and the publicly owned sewer in the street or right-of-way, is less than five thousand dollars, or ten percent of the full market value of all existing and proposed improvements, whichever is greater; and (1) The area of property to be served is less than forty thousand square feet and the sanitary sewer is less than three hundred feet, measured horizontally, from the nearest property boundary, or (2) The area of the property is more than forty thousand square feet and the structure requiring the disposal of sewage is located less than three hundred feet measured horizontally to the nearest property boundary adjacent to the sanitary sewer. (Ord. 81-30 § 1: § 420-6.002(5): Ord. 74- 67 § 3: prior code § 4640(c): Ord. 1440 § 1). 420-6.117 - Subdivision. “Subdivision” means a division or any use of real property that does or may reasonably be expected to generate sewage or require sewage disposal; and, “subdivider” means the owner of or applicant for a subdivision. (Ord. 81-30 § 1: § 420-6.002(2): Ord. 74-67 § 2: prior code § 4640(b): Ord. 1440 § 1). 420-6.119 Site evaluation. “Site evaluation” means the investigation of a subdivision or a lot to determine the feasibility of installing an individual system. It shall include a determination of compliance with all applicable sanitation requirements and a sanitary survey of the area. Should the sanitary survey disclose failing individual systems in the immediate vicinity of the site evaluated, this shall be cause for denial of the feasibility of installing an individual system.(Ord. 81-30 § 1). 420-6.121 - Community sewer collection system. “Community sewer collection system” means the structures, devices, equipment, and appurtenances intended for the collection, transportation, and pumping of sewage from two or more structures to a treatment or disposal facility. (Ord. 81-30 § 1). 420-6.123 Sanitary sewer. “Sanitary sewer” means a system for collecting residential or municipal wastewater and directing the collected wastewater to a treatment works prior to disposal. (Ord. 81-30 § 1). (t) “Vault privy” means a structure with no water supply that consists of a shelter built over a subsurface vault and is used for the collection of human waste. (u) “Wastewater” means liquid waste, including but not limited to sewage. (Ords. 2018-25 § 3, 81-30 § 1, 74-67 § 3, 68-16 § 2, Ord. 1440 § 1). August 14, 2018 BOS Minutes 326 Article 420-6.4. Sewer Connection 420-6.402 Sewer availability. A sanitary sewer is considered available for connection to a structure requiring sewage disposal if: (a) The entity operating the sanitary sewer indicates in writing that the proposed structure can be connected to the sanitary sewer; (b) The sanitary sewer is in a thoroughfare or right of way abutting the lot or premises where the structure is located or proposed to be located; and (c) The sanitary sewer or any building or exterior drainage facility connected thereto is located within 200 feet of the structure. (Ords. 2018-25 § 3, 81-30 § 1, 74-67 § 3, 1440 § 1). 420-6.404 Sewer connection required; exceptions. Every structure in which plumbing fixtures have been or are proposed to be installed, and all plumbing fixtures and sanitary drainage systems or parts thereof, must be connected to either a sanitary sewer or an alternative means of sewage collection or disposal in accordance with Subsections (a) or (b) of this section. (a) Approved sewage disposal system. (1) A structure may be connected to an approved sewage disposal system if the health officer determines that a sanitary sewer is not available for connection under Section 420-6.402. (2) A structure connected to an approved sewage disposal system prior to the effective date of this section may remain connected to that system. (3) An addition to or remodeled portion of a structure may be connected to an approved sewage disposal system in accordance with applicable standards set forth in the sewage regulations if the structure is served by and was connected to the system before a sanitary sewer became available for connection to the structure, except as otherwise provided in Section 420-6.602 or Chapter 78-2. (b) Sewage holding tank system. (1) General. A structure that contains plumbing fixtures may be connected to a sewage holding tank system for sewage collection if: (A) The health officer determines that a sanitary sewer is not available for connection under Section 420-6.402; (B) The sewage holding tank system will replace an approved sewage disposal system that is or has been serving the structure; (C) The owner of the structure obtains a sewage holding tank permit under Section 420- 6.1002; and (D) One of the following applies: (i) The sewage holding tank system will serve the structure only until replacement of the approved sewage disposal system with a new onsite wastewater treatment system; or (ii) The approved sewage disposal system to be replaced is improperly functioning and the health officer has determined that there is no suitable area on the lot where the structure is located for an onsite wastewater treatment system. (2) Public agencies. A structure that contains plumbing fixtures and is owned by a public agency may be connected to a sewage holding tank system for sewage collection if: (A) The health officer determines that a sanitary sewer is not available for connection under Section 420-6.402; August 14, 2018 BOS Minutes 327 (B) The structure cannot be connected to a new onsite wastewater treatment system in accordance with applicable laws and regulations; (C) The sewage holding tank system is owned and operated by the public agency; and (D) The public agency obtains a sewage holding tank permit under Section 420-6.1002. (3) Temporary structures. A temporary structure that contains plumbing fixtures may be connected to a sewage holding tank system if the system was incorporated into the original design of the temporary structure. As used in this subsection, “temporary structure” means a structure that is placed at the site of a permitted construction project for use only during the project and then removed at the conclusion of the project. (Ords. 2018-25 § 3, 81-30 § 1). Article 420-6.63. Enforcement 420-6.301 Sewer connection required, exception. Every structure in which plumbing fixtures have been or are proposed to be installed shall be connected to a sanitary sewer and all such plumbing fixtures and sanitary drainage systems or parts thereof shall be connected to the sanitary sewer except: (a) Exception. If the health officer determines that connection to a sanitary sewer is unavailable under the provisions of Section 420-6.115, an application may be filed for a permit to install an individual system. (b) Exception. Upon written application to the health officer and in only those cases where an existing individual system is found to be functioning improperly, the requirement for connection to the sanitary sewer may be waived by the health officer if the health officer finds: (1) That such waiver shall be limited to minor repair of the "improperly functioning" existing individual system, provided no nuisance will be created, continued or maintained by such waiver, and (2) That all requirements of this chapter and regulations can be met .(Ord. 81-30 § 1). 420-6.303602 Prohibitions. A person may not do any of the following: (a) Build a structure that will contain plumbing fixtures without first lawfully connecting the lot where the structure will be located to a sanitary sewer or having an approved sewage disposal system that is designed to and may lawfully serve the structure. No person shall build or alter any structure or build on or improve any land, requiring sewage disposal, without having a currently valid permit for an approved individual system or connecting to an approved sanitary sewer. (b) Remodel any portion of, or construct an addition to, a structure containing plumbing fixtures without first lawfully connecting the structure to a sanitary sewer or an approved sewage disposal system that is designed to serve the structure. (c) Construct, modify in any way, relocate any part of, or take any action to connect a structure to, a sewage disposal system that is not an onsite wastewater treatment system. (db) No person shall dDischarge or deposit sewage to the surface of the ground. (ec) No person shall hHave, or permituse or operate an improperly functioning individual sewage collection or disposal system. (d) No person shall install, construct, repair, reconstruct relocate, destroy, alter, or abandon any individual system, cesspool, pit privy, sewage holding tank, or seepage pit without the health officer's advance written approval. (e) No person shall have or maintain an improperly functioning building sewer or lateral which conducts sewage from the building to a community sewer collection system. August 14, 2018 BOS Minutes 328 (f) No person shall engage in the business of cleaning septic tanks and subsurface leaching devices, sewage holding tanks, cesspools, or seepage pits or of providing or cleaning chemical toilets without having a valid permit, license and/or registration issued by the health officer. (g) No person shall change any approved plan or work without the health officer's advance written approval. (f) Use a sewage disposal system that is not an approved sewage disposal system. (g) Construct or have a privy except as expressly authorized by law. (Ords. 2018-25 § 3, 81-30 § 1, : §§ 420-6.004, .014, .016: prior code §§ 4641, 4646: Ords. 1440 § 2, 640 §§ III-1, III-3, V-2). 420-6.305604 Building permits; certificates of occupancy restrictions. (a) Restriction on issuance of building permits. (1) If a structure is, or is proposed to be, located outside the territorial boundaries of any public entity with legal authority to provide wastewater collection services, or in an area where connection to a sanitary sewer is otherwise not available to the structure, and plumbing fixtures have been or are proposed to be installed in the structure, a building permit will not be issued to build, remodel any portion of, or construct an addition to the structure unless the health officer has approved, in writing, a method of sewage collection or disposal for the structure. (2) If a structure is, or is proposed to be, located in an area where connection to a sanitary sewer is available to the structure, plumbing fixtures have been or are proposed to be installed in the structure, and connection to a sanitary sewer is not proposed, a building permit will not be issued to build, remodel any portion of, or construct an addition to, the structure unless the health officer has approved, in writing, a method of sewage collection or disposal for the structure. (3) A building permit will not be issued to build a structure located on a lot where an approved sewage disposal system, reserve area or designated disposal field area is located unless the health officer has approved, in writing, the proposed location of the structure. (b) Restriction on issuance of certificates of occupancy. (1) If a structure is located outside the territorial boundaries of any public entity with legal authority to provide wastewater collection services, or in an area where connection to a sanitary sewer is otherwise not available to the structure, and plumbing fixtures have been installed in the structure, a certificate of occupancy will not be issued to use or occupy the structure, or portion of the structure, unless the health officer has approved, in writing, a method of sewage collection or disposal for the structure. (2) If a structure is located in an area where connection to a sanitary sewer is available to the structure, plumbing fixtures have been installed in the structure, and connection to a sanitary sewer is not proposed, a certificate of occupancy will not be issued to use or occupy the structure, or portion of the structure, unless the health officer has approved, in writing, a method of sewage collection or disposal for the structure. (c) Application to health officer. (1) A building permit applicant who proposes to build, remodel, or construct an addition to a structure described in Subsection (a)(1) of this section must submit a written application to the health officer for review and approval of a proposed method of sewage collection or disposal for the structure. (2) A building permit applicant who proposes to build, remodel, or construct an addition to a structure described in Subsection (a)(2) of this section must submit a written application to the health officer for review and approval of the proposed method of sewage collection or disposal for the structure if the applicant does not propose to connect the structure to a sanitary sewer. August 14, 2018 BOS Minutes 329 (3) A building permit applicant who proposes to build a structure in a location described in Subsection (a)(3) of this section must submit an application to the health officer for review and approval of the proposed location of the structure. (4) An applicant for a certificate of occupancy of a structure described in Subsection (b)(1) of this section must submit a written application to the health officer for review of the proposed method of sewage collection or disposal for the structure. (5) An applicant for a certificate of occupancy of a structure described in Subsection (b)(2) of this section must submit a written application to the health officer for review of the proposed method of sewage collection or disposal for the structure if the applicant does not propose to connect the structure to a sanitary sewer. (d) Determination. (1) If the health officer finds, based on his or her review of an application submitted under Subsection (c)(1) or (c)(2) of this section, that a proposed method of sewage collection or disposal conforms to the applicable requirements in this chapter and the sewage regulations, the health officer will approve the proposed method of sewage collection or disposal. The health officer will not approve the proposed method of sewage collection or disposal, and the building inspection director will not issue the building permit, if the health officer finds that the proposed method of sewage collection or disposal does not conform to a provision of this chapter or the sewage regulations. (2) If the health officer finds, based on his or her review of an application submitted under Subsection (c)(3) of this section, that construction of a proposed structure will not interfere with the use of a necessary approved sewage disposal system, reserve area or designated disposal field area, the health officer will approve the proposed location of the structure. The health officer will not approve the proposed location of the structure, and the building inspection director will not issue the building permit, if the health officer determines that construction of the structure would interfere with the use of a necessary approved sewage disposal system, reserve area or designated disposal field area. (3) If the health officer finds, based on his or her review of an application submitted under Subsection (c)(4) or (c)(5) of this section, that a proposed method of sewage collection or disposal conforms to the applicable requirements in this chapter and the sewage regulations, the health officer will approve the proposed method of sewage collection or disposal. The health officer will not approve the proposed method of sewage collection or disposal, and the building inspection director will not issue the certificate of occupancy, if the health officer finds that the proposed method of sewage collection or disposal does not conform to a provision of this chapter or the sewage regulations. Applications for building permits or certificates of occupancy for structures and/or to build on any premises requiring disposal of sewage shall, prior to their issuance, be submitted to the health officer for his review and written approval of the proposed sewage disposal system. When the building inspection director is advised that it has not been demonstrated that an adequate sewage disposal system complying with this chapter exists or is assured that such lack is a danger to or likely to cause public health problems, he may withhold the issuance of the requested permit or certificate. (Ords. 2018-25 § 3, 81-30 § 1, : §§ 420-6.010, .018, .020: Ord. 1752 § 4, : prior code §§ 4644, 4648, 4649: Ords. 1440 §§ 4, 9, 640 §§ II11-7, III111-6). 420-6.307606 Publication of rRegulations. The health officer may propose make and publish regulations to make more detailed or specific the provisions of thise chapter. The regulations are not effective unless adopted by the board by resolution. These regulations shall become effective two weeks after filing with the clerk of the August 14, 2018 BOS Minutes 330 board of supervisors and posting in the county health department. The health officer shall is be responsible for the enforcement of this chapter and all adopted regulations. (Ords. 2018-25 § 3, 81- 30 § 1, : prior code § 4650: Ord. 640 § 1). 420-6.309608- Investigations. To the extent allowed by law, whenever necessary to enforce any provision of this chapter, the health officer may inspect any property to determine compliance with applicable provisions and requirements of this chapter or enter for the purpose of abatement as provided in Chapter 14-6 of this code. Entry may be made at any reasonable time upon advance notice to the owner or occupant of the property. If entry is refused, the health officer is authorized to proceed pursuant to Code of Civil Procedure section 1822.50 and following, and pursue any and all other remedies provided by law, to secure entry. To enforce this chapter, the health officer may enter and inspect any premises, operations or work regulated hereby, at reasonable times and with such notice to the owner, occupant, operator, applicant, licensee, or permittee, as is reasonable and practicable under the circumstances. In conducting such inspections the health officer is authorized to proceed pursuant to the Code of Civil Procedure Sections 1822.50 and following. (Ords. 2018-25 § 3, 81-30 § 1, : §§ 420-6.016(e), 420-2.008: Ord. 74-67 § 2, : prior code § 4647(e): Ord. 1440 § 7). 420-6.311 610 - Nuisance abatement. (a) Abatement. Any installation made or condition existing in violation of this chapter is declared to be a public nuisance, and in addition to any other remedy available under the law, may be abated pursuant to Article 14-6.4. (b) Emergency Abatement. If the health officer finds that a violation has created an emergency condition endangering the public health, he the health officer may summarily abate the condition in accordance with Article 14-6.4 without giving notice. (Ords. 2018-25 § 3, 88-88 § 10, 8 1-30 § 1). Article 420-6.85. Sewage Disposal SystemsIndividual Permits: Subdivision Approvals 420-6.802 Site. An onsite wastewater treatment system may be constructed only on a site that conforms to applicable setbacks and groundwater depth, ground slope, soil depth and percolation rate standards specified in the sewage regulations. (Ord. 2018-25 § 3). 420-6.804 Design. (a) Sewage flow. An onsite wastewater treatment system must be sized to accommodate the maximum volume of sewage that the system is projected to receive in a 24-hour period. (b) Components. The septic tank, transport lines, pump tank, disposal field and any supplemental treatment unit in an onsite wastewater treatment system constructed under Subsection 420-6.404(a)(1), and the reserve area for the system, must conform to all applicable design standards set forth in the sewage regulations. (Ord. 2018-25 § 3.) 420-6.806 Construction permits. (a) The construction, alteration, relocation or replacement of an onsite wastewater treatment system, or any primary components thereof, may be lawfully performed only under a valid construction permit issued by the health officer. “Alteration,” as used in this section, means a change that causes an onsite wastewater treatment system, or primary component thereof, to function in a manner that is inconsistent with the design approved by the health officer, including August 14, 2018 BOS Minutes 331 but not limited to a change in design daily sewage flow and the installation of supplemental treatment units. (b) The construction, alteration, relocation or replacement of an onsite wastewater treatment system, or any primary components thereof, may be lawfully performed only if the health officer has determined that a sanitary sewer is not available for connection to the structure to be served by the system. (c) All work on an onsite wastewater treatment system under a construction permit issued under Section 420-6.808 must be inspected and approved by the health officer prior to use of the onsite wastewater treatment system. (Ord. 2018-25 § 3). 420-6.501 General. Every person shall obtain a permit as provided for by this chapter to repair, relocate, install or construct an individual system unless connection to a sanitary sewer is required. When health officer approval is required, a currently valid permit issued pursuant to this article constitutes such approval. (Ord. 81-30 § 1). 420-6.503808 Permit procedure. (a) Application; issuance. An application for a construction permit required under Section 420- 6.806 or 420-6.1004 must shall be submittedmade to the health officer, and it shall expire after one hundred twenty days. The health officer will accept an application for a construction permit only if the application is complete and accompanied by payment of a permit fee established by the board by resolution. The health officer will approve a permit application and issue a permit based solely on compliance with this chapter and the sewage regulations. (b) Expiration. Every construction permit issued by the health officer under this chapter becomes void if the work authorized by the construction permit is not commenced within 180 days from the permit’s date, or if the work is suspended or abandoned for 180 days without excuse satisfying the health officer as being beyond control of and remedy by the permittee. Work under a construction permit will be deemed to have commenced if at least one health officer inspection of construction has been completed within 180 days of the permit issuance date. Once a construction permit becomes void, a new construction permit must be obtained before any work is commenced or recommenced, and a new permit fee must be paid. (b) The health officer shall approve, conditionally approve, or deny the application, and issue or withhold the permit accordingly, on the basis of compliance with this chapter and the health officer's regulations. Permits expire one hundred eighty days after issuance if the approved work is not started and diligently pursued. (c) Renewal. Any permittee holding an unexpired construction permit may apply to the health officer for a permit extension upon a showing of good and satisfactory reason acceptable to the health officer. If the permittee is unable to commence work within the time required by this section, the health officer may extend the time of the permit for a period not exceeding 180 days upon written request by the permittee. No permit may be renewed more than once. (d) Permit not approval of violations. The issuance of a construction permit under this chapter will not be construed as a permit for an approval of any violation of this chapter or code or determination that the permittee is the owner of the subject property or otherwise authorized to do the work for which the permit has been issued. No construction permit presuming to give authority to violate or cancel the provisions of this chapter will be valid except insofar as the work that it authorizes is lawful. The issuance of a construction permit based on plans and specifications does not prevent the health officer from later requiring the correction of errors in the plans and August 14, 2018 BOS Minutes 332 specifications or from preventing work under the permit in violation of this chapter. (Ords. 2018-25 § 3, 81-30 § 1, : § 420-6.016: Ords. 1752 § 3, 1468 § 1, : prior code § 4647; Ord. 1440 § 7). 420-6.505 - Lot area, variances. (a) Lot Area. The total lot area, exclusive of underground and surface easements, shall be fifteen thousand square feet or more for a single-family dwelling or other structure requiring an individual system. When both an individual system and private water supply are required, the total lot area, exclusive of underground and surface easements, shall be forty thousand square feet or more. These lot area requirements are prospective only and do not apply to the maintenance or repair of an existing system. (b) Variances. The health officer may grant variances to the provisions of this section when the health officer finds the following conditions to be met: (1) The lot in all other respects will comply with the requirements of this division and the regulations issued by the health officer; (2) The variance would not create nor contribute to the creation of a public health nuisance. (Ord. 81-30 § 1). 420-6.507 - Individual system near a reservoir, variances. (a) Location. If the parcel or lot is located within a drainage area of a domestic water supply reservoir, any structure requiring disposal of sewage shall be connected to a community sewer collection system. (b) Variances. If a community sewer collection system is not available the health officer may grant a variance subject to the following: (1) If the parcel or lot is between fifty and one thousand feet from the reservoir or tributary stream a watertight sewage holding tank system, or equal will be required. Such system must be owned or operated by a presently existing public agency having statutory authority to provide such service. (2) Beyond one thousand feet from a reservoir or tributary stream an individual system or other similar acceptable system may be permitted subject to all the conditions specified in Section 420-6.505. (c) Variance Temporary. It is the intent of this chapter to provide maximum protection to the water quality of the waters stored in these reservoirs and any variance granted must be considered as an interim method of sewage disposal which shall not create situations that may become a menace to the public health. (Ords. 81-30 § 1, 68-16 § 3, 1752: prior code § 4643: Ord. 1440). 420-6.509810 Alternative individual onsite wastewater treatment systems. (a) Mandatory use. Septic tank effluent must undergo supplemental treatment in an onsite wastewater treatment system if: (1) The system utilizes a drip dispersal system; (2) The system is located in an area where the depth from the natural grade to the anticipated highest seasonal level of groundwater is less than 3 feet; (3) The system will receive high strength wastewater; or (4) The system will replace another onsite wastewater treatment system and cannot meet the required horizontal setback from a public water well or a public water system’s surface water intake point, unless the health officer makes both of the following two findings: (A) There is no indication that the system to be replaced is adversely affecting the public water source; and August 14, 2018 BOS Minutes 333 (B) There is limited potential that the replacement system could impact the public water source. (b) Monitoring. (1) The owner of an alternative onsite wastewater treatment system shall monitor the operation of the system for as long as the system remains in use, in accordance with the sewage regulations. (2) A person may not use or operate an alternative onsite wastewater treatment system if the owner of that system fails to monitor that system in accordance with the sewage regulations. (a) Allowed. The health officer may approve, conditionally approve or deny an application to use an alternative system. No alternative system will be approved for installation in a septic tank moratorium area, a water quality control board prohibition zone, or in any incorporated city, or sanitary or sanitation district without approval by that city or district. (c) Mitigation measures. (1) The owner of a replacement alternative onsite wastewater treatment system that does not conform to applicable horizontal setbacks from a public water well or a public water system’s surface water intake point must comply with applicable mitigation measures set forth in the sewage regulations unless the health officer makes the findings set forth in Subsections (a)(4)(A) and (a)(4)(B) of this section. (2) A person may not use or operate a replacement onsite wastewater treatment system described in Subsection (c)(1) of this section if the owner fails to comply with any applicable mitigation measure. (b) Requirements. An alternative system must meet all applicable provisions of this chapter and: (1) All local, state and federal laws and regulations; (2) Certification and testing requirements of an appropriate governmental agency; and (3) Approval requirements of N.S.F. (National Sanitation Foundation), I.A.P.M.O. (International Association of Plumbing and Mechanical Officials), or other recognized industry standard. (c) Operating Permit Required. The property owner shall obtain and at all times maintain an operating permit for an alternative system. The operating permit may be issued for such period, and include such conditions (such as monitoring requirements) as the health officer determines for the protection of the public health, welfare and the environment. Pursuant to Section 420-6.307, the health officer may, from time to time, establish regulations for operating permits and the operation of alternative systems. (Ords. 2018-25 § 3, 2000-03 § 1, ; 81-30 § 1). Article 420-6.10. Sewage Collection Systems 420-6.1002 Sewage holding tank systems. (a) Site; design. The site and design of a sewage holding tank system under Subsection 420- 6.404(b)(1) or Subsection 420-6.404(b)(2) must conform to applicable horizontal setbacks and other standards set forth in the sewage regulations. (b) Permits. The installation of a sewage holding tank system may be lawfully performed only under a valid sewage holding tank permit issued by the health officer. The permit procedures set forth in Section 420-6.808 apply to sewage holding tank permits. (c) Health officer approval. All work under a sewage holding tank permit must be approved by the health officer prior to use of the sewage holding tank system. (d) Termination of use. August 14, 2018 BOS Minutes 334 (1) Use of a sewage holding tank system connected to a structure under Subsection 420- 6.404(b)(1)(D)(i) must terminate upon completion of construction of a new onsite wastewater treatment system that will serve the structure or within 90 calendar days after commencement of use of the sewage holding tank system, whichever occurs first. (2) Use of a sewage holding tank system connected to a structure under Subsection 420- 6.404(b)(1)(D)(ii) or Subsection 6.404(b)(2) must terminate within 90 calendar days after the health officer determines that connection to a sanitary sewer is available to the structure. (Ord. 2018-25 § 3.) 420-6.1004 Vault privies. (a) A privy vault must be prefabricated and certified by the manufacturer as watertight. (b) A vault privy may be constructed only on a site that conforms to the horizontal setbacks applicable to septic tanks. (c) A vault privy may be lawfully constructed only under a valid construction permit issued by the health officer in accordance with the procedures set forth in Section 420-6.808. (d) All work under a construction permit issued under this section must be inspected and approved by the health officer prior to use of the vault privy. (Ord. 2018-25 § 3.) Article 420-6.12. Abandonment 420-6.1202 Sewage disposal systems. (a) Onsite wastewater treatment systems and cesspools must be promptly abandoned under a permit issued by the health officer if: (1) The system or cesspool is replaced with a connection to a sanitary sewer, a new onsite wastewater treatment system or a sewage collection system. (2) The system or cesspool was constructed in violation of any applicable laws or regulations; or (3) Use of the system or cesspool has ceased. (b) Pit privies must be promptly abandoned under a permit issued by the health officer if: (1) The pit is filled with human waste to a point that is 24 inches or less below the surface of the ground adjacent to the pit; or (2) The pit privy was constructed in violation of any applicable laws or regulations. (Ord. 2018-25 § 3.) 420-6.1204 Sewage collection systems. (a) A sewage holding tank system must be promptly abandoned under a permit issued by the health officer if: (1) The system is replaced with a connection to a sanitary sewer, an onsite wastewater treatment system or another sewage holding tank system; (2) The system was constructed in violation of any applicable laws or regulations; or (3) Use of the system has ceased. (b) Vault privies. A vault privy must be promptly abandoned under a permit issued by the health officer if the vault privy was constructed in violation of any applicable laws or regulations. (Ord. 2018-25 § 3). August 14, 2018 BOS Minutes 335 Article 420-6.14. Septic Tank-Chemical Toilet Cleaners 420-6.1402 Registration. All septic tank-chemical toilet cleaners as defined in Subsection 420-6.204(p) are subject to the application and examination requirements set forth in Health and Safety Code sections 117415 and 117420. (Ord. 2018-25 § 3). 420-6.1404 Operations. (a) Pumping and cleaning. A septic tank-chemical toilet cleaner must use all reasonable means to prevent the spillage of sewage. Any spilled sewage must immediately be removed and properly disposed of, and the area disinfected. (b) Disposal. Sewage collected by a septic tank-chemical toilet cleaner must be disposed of only at a public facility that provides wastewater collection and treatment services. (c) Reporting. No later than the tenth day of each month, a septic tank-chemical toilet cleaner shall submit a written report to the health officer in a form approved by the health officer that describes all pumping and cleaning operations conducted in the unincorporated area of the county in the previous month. (Ord. 2018-25 § 3). 420-6.1406 Vehicles; other equipment. (a) Each vehicle utilized by a septic tank-chemical toilet cleaner in the course of collecting or transporting sewage must display a permit decal required under Section 413-3.806 and identification markings specified in the sewage regulations. (b) All sewage collection tanks, pumps, pipes and hoses on vehicles used to collect or transport sewage must conform to all applicable design and construction standards set forth in the sewage regulations. (c) All equipment utilized by a septic tank-chemical toilet cleaner in the course of collecting or transporting sewage must be made of durable and easily cleanable materials. (Ord. 2018-25 § 3). 420-6.1408 Chemical toilets. Chemical toilets must be designed, constructed, marked and operated in accordance with applicable standards set forth in the sewage regulations. (Ord. 2018-25 § 3). Article 420-6.16. Subdivision Maps 420-6.5111602 Tentative - Subdivision maps. (a) Tentative Maps.General. The tentative map forwarded to the health officer for review Pursuant to under Section 94-2.604Title 9, a copy of any submitted tentative subdivision map shall be forwarded to, and filed with the health officer for investigation of the sewage disposal system. The tentative map shall must show proposed provisions for sewage disposal, source of approved water supply, number of lots, the size of each lot, and contour lines at intervals of five feet or less. (b) Health oOfficer Aapproval. The health officer shall will review the proposed filed tentative map for compliance with this chapter (and any adopted the sewage regulations) and in a timely manner report his or her conclusions thereon, together with any conditions recommended to insure such compliance, to the planning department and advisory agency. (c) Final Map. Final maps shall not be recorded unless the conditions recommended by the health officer and established by the advisory agency on approval of the tentative map have been August 14, 2018 BOS Minutes 336 satisfied. (Ords. 2018-25 § 3, 81-30 § 1, : §§ 420-6.006, 420-6.010, 420-6.012: Ord. 1752 § 1, : prior code §§ 4642, 4644, 4645: Ords. 1440 § 4, 640 § II-1 ff). 420-6.1604 Final maps; parcel maps. A final map or parcel map of a subdivision shall not be recorded unless the conditions recommended by the health officer and established by the advisory agency on approval of the tentative map of the subdivision have been satisfied. (Ords. 2018-25 § 3, 81-30 § 1, 1752 § 1, 1440 § 4, 640 § II-1). Article 420-6.18. Appeals 420-6.5131802 Appeals to health officer. (a) Except for determinations made pursuant to Section 420-6.311, aAn applicant person objecting to or disagreeing with a permit denial under any decision made pursuant to this chapter, and/ or the pertinent sewage regulations thereto, may appeal the denial decision to the health officer, or the health officer's designated subordinate(s). Any request for an appeal hearing mustshall be in writing and must be received by the health officer within ten days after notice of the decision was mailed. Any request for an appeal hearing must state the legal and factual basis for the appeal and be accompanied by payment of a fee established by the board by resolution.the appropriate fee. A hearing on the appeal will shall be held within fifteen days after the request for appeal is received by the health officer. The health officer will issue a written decision supported by written findings. The decision will be based on the applicant’s compliance or noncompliance with this chapter or the sewage regulations. The health officer may not delegate the duty to hear appeals under this chapter to any subordinate. (b) Whenever the provisions of this chapter have been incorporated by a city ordinance or code and are applicable as city regulations within the incorporated area of that city, any appeal of a decision of the health officer shall be directed to and decided by the city council of the involved city. (Ords. 2018-25 § 3, 93-84 § 3, 81-30 § 1). 420-6.1804 Other appeals. Whenever the provisions of this chapter have been incorporated by a city ordinance or code and are applicable as city regulations within the incorporated area of that city, any appeal of a decision of the health officer must be directed to and decided by the city council of the involved city or to such other hearing body that may be designated by the city council to hear such appeals. (Ords. 2018-25 § 3, 93-84 § 3, 81-30 § 1). Article 420-6.720. Fees 420-6.2002 Permit fees. The health officer will collect a fee from the applicant for issuance of any permit under this chapter. Permit fees will be established by the board by resolution. (Ords. 2018-25 § 3, 81-30 § 1). 420-6.2004 Other fees. (a) The health officer will collect a fee from the applicant for all services provided by the health officer in response to a request by the applicant, including plan reviews, investigations, inspections and the observation of site evaluations and tests. August 14, 2018 BOS Minutes 337 (b) The health officer will collect a fee from the owner of an alternative onsite wastewater treatment system for audits of monitoring reports submitted under Section 420-6.810. (c) All fees authorized by this section will be established by the board by resolution. (Ords. 2018-25 § 3, 81-30, § 1). 420-6.701 General. The following nonrefundable fees shall be paid to the health officer at the time of filing for or requesting an investigation, test, inspection or permit required by this chapter. No fees are required when the health officer receives from the applicant a written statement by a district or city governing body indicating that sewers and a sewage treatment plant are available and adequate to handle the additional volume of sewage from the proposed improvement. (Ord. 81-30 § 1). 420-6.703 - Subdivisions. The fees for a subdivision proposing to use individual sewage disposal systems are: (1) Subdivision — Site evaluation 2—4 lots, per lot ................................................................................................................... $ 50.00, 5 or more lots, maximum ..................................................................................................... 250.00; (2) Percolation tests, per lot or building site tested, as required .................................. $100.00; (3) Appeal (except hearings called pursuant to Section 420-6.311) ............................ $100.00. (Ord. 81-30 § 1). 420-6.705 - Individual systems. The fees related to individual sewage disposal systems are: (1) Site evaluation .......................................................................................................... $ 40.00; (2) Percolation test ......................................................................................................... 100.00; Each additional test .............................................................................................................. 100.00; (3) Permit (except minor rebuilding)................................................................................. 60.00; (4) Review of existing individual system ......................................................................... 40.00; (5) Investigate abandonment or sealing of septic tank ..................................................... 25.00; (6) Reinspection ............................................................................................................... 25.00; (7) Appeal (except hearings called pursuant to Section 420-6.311) .............................. 100.00; (8) Advice, consultation, minor repair permit ................................................................ No fee. (Ord. 81-30 § 1). 420-6.707 - Penalties. Any person violating this chapter or regulations issued hereunder, by failing to submit plans, obtain necessary inspections and approvals, or pay fees, or by commencing or continuing construction or remodeling in violation hereof, shall pay triple the appropriate fee as a penalty and remain subject to other applicable penalties and enforcement procedures authorized by the state law and/or this code. (Ords. 81-30 § 1, 78-45, 78-43 § 2: § 420-6.022(d): Ords. 73-100, 1468: prior code § 4651: Ords. 1440 § 1I, 640 § 1V). H:\Ordinances\Septic Ordinance\RedlinedCh420-6.8.14.18.docx August 14, 2018 BOS Minutes 338 Contra Costa County HEALTH OFFICER REGULATIONS FOR SEWAGE COLLECTION AND DISPOSAL (Contra Costa County Ord. Code § 420-6.606) Proposed by the Contra Costa County Health Officer ________________________ _______________ Chris Farnitano, M.D. Date Adopted by the Contra Costa County Board of Supervisors on ____________, 2018 Effective Date: _______________ August 14, 2018 BOS Minutes 339 TABLE OF CONTENTS SECTION 100: GENERAL .....................................................................................................1 101. Purpose ............................................................................................................1 102. Prior Regulations and Policies ........................................................................1 103. Effective Date .................................................................................................1 104. Definitions.......................................................................................................1 SECTION 200: SITE CRITERIA ..........................................................................................4 201. General ............................................................................................................4 202. Setbacks ..........................................................................................................4 203. Depth to Groundwater.....................................................................................4 204. Natural Ground Slope .....................................................................................4 205. Soil Depth .......................................................................................................4 206. Percolation Rate ..............................................................................................5 SECTION 300: SITE EVALUATIONS .................................................................................6 301. General ............................................................................................................6 302. Soil Stability Evaluation .................................................................................6 303. Soil Profile Evaluation ....................................................................................6 304. Soil Morphology Testing ................................................................................7 305. Soil Percolation Testing ..................................................................................7 306. Wet Weather Period Evaluations ..................................................................10 SECTION 400: DESIGN OF ONSITE WASTEWATER TREATMENT SYSTEMS ...12 401. Design Daily Sewage Flows .........................................................................12 402. Septic Tanks ..................................................................................................12 403. Transport Lines .............................................................................................13 404. Standard Disposal Fields...............................................................................13 405. Non-Standard Disposal Fields ......................................................................17 406. Reserve Areas; Secondary Disposal Fields...................................................44 SECTION 500: ALTERNATIVE ONSITE WASTEWATER TREATMENT SYSTEMS ....................................................................................................45 501. General ..........................................................................................................45 502. Design Specifications....................................................................................45 503. Monitoring ....................................................................................................50 504. Mitigation ......................................................................................................51 August 14, 2018 BOS Minutes 340 SECTION 600: CONSTRUCTION PERMITS ...................................................................53 601. General ..........................................................................................................53 602. Application Requirements ............................................................................53 603. Permits for Tank Replacement ......................................................................55 604. No Guarantees ...............................................................................................55 SECTION 700: BUILDING PERMITS; CERTIFICATES OF OCCUPANCY; SUBDIVISION MAPS ................................................................................56 701. Building Permits ...........................................................................................56 702. Certificates of Occupancy .............................................................................58 703. Subdivision Maps..........................................................................................58 SECTION 800: CONSTRUCTION, INSTALLATION AND INSPECTION ..................59 801. General ..........................................................................................................59 802. Commencement of Work ..............................................................................59 803. Tanks .............................................................................................................59 804. Transport Lines .............................................................................................59 805. Disposal Fields ..............................................................................................59 806. Inspections ....................................................................................................60 SECTION 900: ALTERATIONS AND CHANGES OF USE OF EXISTING STRUCTURES ............................................................................................61 901. Alterations .....................................................................................................61 902. Non-Residential Changes in Use ..................................................................61 SECTION 1000: SEWAGE HOLDING TANK SYSTEMS ................................................62 1001. General ..........................................................................................................62 1002. Permits ..........................................................................................................62 1003. Design ...........................................................................................................62 1004. Installations; Inspections ...............................................................................62 SECTION 1100: ABANDONMENT ......................................................................................63 1101. Sewage Disposal Systems .............................................................................63 1102. Sewage Collection Systems ..........................................................................63 SECTION 1200: SEPTIC TANK-CHEMICAL TOILET CLEANERS .............................65 1201. Registration ...................................................................................................65 1202. Equipment .....................................................................................................65 1203. Chemical Toilets ...........................................................................................66 August 14, 2018 BOS Minutes 341 LIST OF TABLES Table 1: Depth to Groundwater..................................................................................4 Table 2: Standard Disposal Field Cover Requirements ...........................................17 Table 3: Maximum Width of Mound Distribution Bed ...........................................29 Table 4: Maximum Mound Linear Loading Rates ...................................................31 Table 5: Wastewater Loading Rates for Mound Sand-Native Soil Interface ...........32 Table 6: Maximum At-Grade Bed Linear Loading Rates ........................................36 Table 7: At-Grade Bed Lateral Extension of Cover Material ..................................37 Table 8: Pressure-Dosed Trench Cover Requirements ............................................40 Table 9: Pressure-Dosed Sand Trench Cover Requirements ...................................41 LIST OF FIGURES Figure 1: Standard Trench Cross-Section Details ..................................................14 Figure 2: Mound Cross-Section Details (Level Sites) ............................................19 Figure 3: At-Grade Bed Cross-Section Details ......................................................20 Figure 4: Pressure-Dosed Trench Cross-Section Details .......................................21 Figure 5: Pressure-Dosed Sand Trench Cross-Section Details ..............................22 Figure 6: Standard Trench with Imported Fill Cross-Section Details ....................23 APPENDICES Appendix 1: Minimum Horizontal Setback Requirements Appendix 2: Estimated Sewage Flows For Non-Residential Uses Appendix 3: Wastewater Loading Rates Appendix 4: Sand Specifications August 14, 2018 BOS Minutes 342 SECTION 100: GENERAL 101. Purpose. The purpose of these Health Officer Regulations for Sewage Collection and Disposal (“Regulations”) is to set forth standards and specifications for the siting, design and construction of onsite wastewater treatment systems, the monitoring of alternative onsite wastewater treatment systems, the review of building permit applications and subdivision maps, the design, installation and use of sewage collection systems, the abandonment of sewage disposal systems and sewage collection systems, and septic tank-chemical toilet cleaners. These Regulations are intended to protect public health and safety and the environment by preventing the creation of health hazards, nuisance conditions and degradation of surface and groundwater quality. 102. Prior Regulations and Policies. As of the effective date, these Regulations supersede the Contra Costa County Individual System Regulations adopted by the health officer and filed with the Clerk of the Board of Supervisors on October 3, 2000. Any and all health officer regulations, policies, moratoriums, guidelines or other authorities that pertain to the subject matter of these Regulations, and were issued by or on behalf of the health officer prior to the effective date of these Regulations, are repealed and of no further force or effect. 103. Effective Date. These Regulations are effective as of the effective date of Contra Costa County Ordinance No. 2018-25. 104. Definitions. The definitions below and in Chapter 420-6 of the Contra Costa County Ordinance Code will be used to interpret these Regulations: Anticipated highest seasonal level of groundwater: The highest elevation to which the groundwater may be expected to rise, as determined by soil mottling or other soil conditions or in accordance with Subsection 306.A. of these Regulations. Authorized supplemental treatment unit: A supplemental treatment unit identified in Subsection 501.A. of these Regulations. Bedroom: Any room in a dwelling that is at least 70 square feet in area, has an exterior window, is designed to furnish the minimum isolation necessary for use as a sleeping area, and is not a kitchen, living room, bathroom, hallway or closet. Design daily sewage flow: The maximum volume of sewage that a sewage disposal system is designed to receive in a 24-hour period. Effective depth: The depth below the invert of a distribution pipe or the height of the louvered sidewalls of chambers in a trench. Expansive soil: Soil that has a clay content by weight of 15 percent or more that causes the soil to shrink or swell with changes in moisture content, and exhibits cracks when dry. August 14, 2018 BOS Minutes 343 High-strength wastewater: Wastewater having a 30-day average concentration of biochemical oxygen demand greater than 300 milligrams per liter (mg/L) or of total suspended solids greater than 330 mg/L or a fat, oil and grease concentration greater than 100 mg/L prior to the septic tank or other onsite wastewater treatment system component. Impermeable soil: Soil that is not permeable soil. Imported fill: Non-native soil that is placed on top of the site of a disposal field for the purpose of raising the level of the ground. Inspection well: A well installed in a disposal field that collects effluent for the purpose of observation and sampling. Linear loading rate: The loading rate per linear foot of a distribution pipe or line, expressed as gallons per day per linear foot. Loamy soil: Soil that has a clay content of more than 15 percent and less than or equal to 30 percent by weight and is not expansive soil. Low shrink/swell soil: Soil that has a clay content of 15 percent or less by weight. Monitoring well: An inspection well or performance well. Native soil: Soil that is naturally occurring in an area. Natural grade: The naturally occurring surface of the ground. Ordinance: Chapter 420-6 of the Contra Costa County Ordinance Code, as amended by County Ordinance No. 2018-25, and as may be further amended from time to time. Peak daily sewage flow: The maximum volume of sewage that a sewage disposal system is projected to receive in a 24-hour period. Performance well: A well installed outside the perimeter of a disposal field that collects water or effluent for the purpose of observation and sampling. Permeable soil: Soil with a percolation rate within the specified percolation rate range for the proposed disposal field. Properly functioning: As applied to a sewage collection or disposal system, “properly functioning” means functioning as designed and not allowing sewage to escape to the surface of the ground. Public water well: A groundwater well serving a public water system. August 14, 2018 BOS Minutes 344 Public water system: A water system regulated by the California Department of Public Health or a local primacy agency pursuant to Section 116275, subdivision (h), of the California Health and Safety Code, as may be amended from time to time. Qualified inspector: A California-licensed civil engineer, California-registered environmental health specialist, California-licensed plumbing contractor, or person who has been issued a certificate by the National Association of Wastewater Technicians upon completion of an onsite wastewater treatment system inspector course or an onsite wastewater treatment systems operations and maintenance course. Qualified professional: A civil engineer, environmental health specialist, geologist, professional soil scientist, or engineering geologist, who is licensed, registered or certified by the State of California. Replacement onsite wastewater treatment system: An onsite wastewater treatment system that has its treatment capacity expanded, or its disposal field replaced or added onto, after the effective date of these Regulations. Soil: A natural material resulting from the weathering of rock that is one of the classes of soil identified in the U.S. Department of Agriculture soil texture classification triangle. Seasonal normal precipitation: The average precipitation over a 30-year period for a geographic area as determined by available historical data. Wastewater loading rate: A volume of wastewater per unit of area per unit of time, expressed as gallons per day per square foot; also known as the hydraulic loading rate. Wet weather period: A period of time between January 1 and April 30 that follows either (1) 10 inches of rain in a 30-day period or (2) at least half of the area’s seasonal normal precipitation. August 14, 2018 BOS Minutes 345 SECTION 200: SITE CRITERIA 201. General. The disposal field of an onsite wastewater treatment system may be constructed only in native soil naturally deposited at the site where the disposal field will be constructed. Modifying, cutting, benching or altering a site in a manner that would change the slope of the site will render it unsuitable for construction of a disposal field. 202. Setbacks. Tanks, disposal fields and transport lines proposed for use in an onsite wastewater treatment system must be located no closer to specified features than the horizontal setback distances set forth in Appendix 1, attached hereto and incorporated herein, unless an applicable exception applies. 203. Depth to Groundwater. Except as otherwise provided in Subsection 405.B. of these Regulations, the minimum depth to the anticipated highest seasonal level of groundwater below the bottom of a disposal field trench is based on the percolation rate of the soil in which the trench is located, in accordance with Table 1 below. Table 1 Depth to Groundwater Percolation Rate (MPI) Minimum Depth High Groundwater (Feet) 1<x≤5 20 5<x≤30 8 30<x≤120 5 MPI = minutes per inch x = percolation rate of the site of the proposed disposal field 204. Natural Ground Slope. The maximum natural slope of the site of a disposal field is 30 percent. 205. Soil Depth. A. Except as otherwise provided in Subsection 405.B. of these Regulations, the minimum depth of permeable soil below the bottom of a disposal field trench is 3 feet. B. Soil depth is measured vertically to the point where bedrock (fractured or solid), impermeable soil, saturated soil, excessive rock content (more than 50 percent) or other limiting condition is encountered. August 14, 2018 BOS Minutes 346 206. Percolation Rate. A. The percolation rate of soil in a disposal field or reserve area is no faster than 1 minute per inch (“MPI”) and no slower than 120 MPI. B. Percolation rates are determined in accordance with testing procedures outlined in Section 305 of these Regulations. August 14, 2018 BOS Minutes 347 SECTION 300: SITE EVALUATIONS 301. General. A site upon which construction of onsite wastewater treatment system is proposed must first be evaluated in accordance with this Section 300. Except as provided in Section 302 of these Regulations, site evaluations must be performed by or under the supervision of a qualified professional. 302. Soil Stability Evaluation. If the slope of a proposed disposal field site exceeds 20 percent, a registered civil engineer or certified engineering geologist must evaluate the soil stability at the site and prepare and submit a written geological report to the health officer prior to the commencement of any percolation testing to be observed by the health officer. The report must demonstrate that the discharge of effluent into the proposed disposal field will not, or is not likely to, affect soil stability or create a public nuisance. 303. Soil Profile Evaluation. A. Soil Profile Hole Standards. 1. Number/location. At least one soil profile hole must be excavated in each proposed disposal field and reserve area. 2. Dimensions. a. Depth. A soil profile hole must be excavated to a depth that is sufficient to demonstrate the presence of the minimum groundwater and soil depths required for the proposed disposal field, as set forth in Sections 203, 205 and Subsection 405.B. of these Regulations. b. Width. A soil profile hole must be sufficiently wide to allow direct inspection of the entire soil profile. B. Procedures. 1. Request for inspection. All soil profile holes must be inspected in the presence of the health officer. A written request for inspection of the soil profile must be submitted to the health officer at least 48 hours before the inspection. 2. Evaluation by qualified professional. The qualified professional must evaluate the soil by direct inspection of the soil in the soil profile hole and look for all of the following, or evidence thereof: a. The thickness, depth and texture of soil layers encountered, and the classification of the soil under the U.S. Department of Agriculture soil texture classification system; b. The depth to bedrock, impermeable soil layer, excessive rock content or other limiting layer; August 14, 2018 BOS Minutes 348 c. The depths to soil mottling and gleying; d. The anticipated highest seasonal level of groundwater; and e. Other conditions affecting the potential use of the soil on the site for sewage disposal, including, but not limited to, roots, fissures, dampness, consistence, texture, structure, pores and rock content. C. Reports. A written report that sets forth the findings of the qualified professional regarding the conditions described in Subsection 303.B.2. of these Regulations must be submitted to the health officer prior to the commencement of any percolation testing to be observed by the health officer. D. Disputes. If the health officer disputes a determination by a qualified professional as to the anticipated highest seasonal level of groundwater based on soil mottling or other soil conditions, the qualified professional must evaluate the groundwater level at a site in accordance with Subsection 306.A. of these Regulations. 304. Soil Morphology Testing. A. Requirements. In the event that the health officer disputes the conclusion of a qualified professional as to the classification of soil evaluated, the soil must be evaluated based on all of the following: (1) Hydrometer analysis of soil texture; (2) plasticity index; and (3) bulk density. B. Reports. Laboratory reports of soil morphology tests must be submitted to the health officer prior to the commencement of any percolation testing to be observed by the health officer. 305. Soil Percolation Testing. A. Test Hole Standards. 1. Number. Three test holes are required around each soil profile hole. 2. Location. A test hole must be located in the area of the proposed disposal field or reserve area, within 25 feet of a soil profile hole and no more than 25 feet from each other test hole. 3. Dimensions. a. General. A test hole must be 6 inches to 12 inches in diameter and, except as provided below in Subsections 305.3.b.-e. of these Regulations, have a depth equal to the depth of the proposed disposal field trench(es). August 14, 2018 BOS Minutes 349 b. Mounds. If a mound is proposed, test holes must have a depth of 12 inches to 24 inches. c. At-grade beds. If an at-grade bed is proposed, test holes must be at least 12 inches in depth, and the deepest hole must have a minimum 6-inch vertical separation from a limiting layer. d. Dripfields. If a dripfield is proposed, test holes must have a depth of 12 inches to 24 inches. e. Pressure-dosed shallow trenches. If a pressure-dosed shallow trench is proposed, test holes must be a minimum of: (1) 24 inches deep on slopes less than 20 percent; (2) 30 inches deep on slopes of 20 percent to 25 percent; and (3) 36 inches deep on slopes greater than 25 percent. B. Construction of Test Holes. Test holes must be constructed as follows: 1. Dig the test holes and scarify the bottoms and sidewalls of the test holes with a sharp pointed instrument to remove any smeared soil surfaces. 2. Remove loose material from the bottom of the hole and add two inches of clean pea gravel to protect the bottom infiltrative surface from scouring and sedimentation. 3. Place a perforated pipe in the center of the hole and pack gravel in the annular space located between the pipe and the test hole sidewalls from the bottom of the pipe to the natural grade. 4. Mound a portion of the soil excavated from the test hole around the test hole on the ground surface to prevent surface water runoff from entering the hole. C. Presoaking. Presoaking is required before all percolation tests. Each hole must be filled with water to a point that is at least 12 inches over the top of the gravel at the bottom of the hole, below the perforated pipe. Except as otherwise provided in Subsection 306.B. of these Regulations, the water must be maintained at this level for at least four hours. D. Testing Procedures. 1. Request for inspection. Percolation testing must be performed in the presence of the health officer. A written request for inspection of the testing must be submitted to the health officer at least 48 hours before commencement of presoaking activities. August 14, 2018 BOS Minutes 350 2. Commencement of testing. a. If the soil profile evaluation conducted under Section 303 of these Regulations or a soil morphology test conducted under Section 304 of these Regulations demonstrates the presence of low shrink/swell soil in the area of the proposed disposal field or reserve area, testing may commence immediately after the presoaking. b. If the soil profile evaluation conducted under Section 303 of these Regulations or a soil morphology test conducted under Section 304 of these Regulations demonstrates the presence of loamy soil in the area of the proposed disposal field or reserve area, testing must commence the day after and within 24 hours of the presoaking. c. All other testing must commence in accordance with Section 306.B. of these Regulations. 3. Protocol. Testing must be conducted in all test holes in accordance with the following protocol: a. Determine a time interval and testing period. A time interval of 5 to 10 minutes for a minimum of two hours is acceptable for sandy soils. A time interval of 30 minutes for a minimum of four hours is required for other soils. The time interval for the test must remain constant throughout the test so that it can be determined when the water level drop rate has stabilized. b. Fill each hole with clean water to a point that is 6 to 12 inches above the gravel below the bottom of the pipe. c. With a float gauge or secure fixed reference, measure the initial water level in each hole and record the level on the start line for that hole on the test data sheet. Use a timepiece to determine when the designated time interval has elapsed and then measure the water level. Record the level and number of minutes that have elapsed since the last measurement on the test data sheet. d. Immediately refill the hole and repeat the process described in Subsection 305.D.3.c. of these Regulations until the end of the testing period or until subsequent measurements indicate a stabilized rate has been obtained (i.e., two consecutive rates are within 10 percent of each other). e. If the percolation rate for a test hole is different by more than 20 MPI from the percolation rate for any other test hole in the area being tested, the health officer may require an additional test hole to be dug and percolation testing to be conducted in that hole. E. Calculations. 1. Test hole rate. A percolation rate must be calculated for each test hole. The percolation rate for each hole must be calculated by dividing the last time interval measurement August 14, 2018 BOS Minutes 351 by the last water drop measurement. If the percolation rate for a hole is in the range of 1 MPI to 120 MPI, the percolation test in that hole is considered a passing test. 2. Disposal field percolation rate. A percolation rate must be calculated for the area of a proposed disposal field or reserve area as follows: a. If the percolation rates resulting from each passing test in at least three holes of the same depth in the area are within 20 MPI of each other, the sum of those rates is divided by the number of passing tests in those holes. The resulting average percolation rate is the percolation rate of soil in the area tested. b. If the percolation rate resulting from one of the passing tests is different by more than 20 MPI from any of the percolation rates resulting from the other passing tests, and an average percolation rate cannot be calculated in accordance with Subsection 305.E.2.a. of these Regulations, the slowest percolation rate resulting from the passing tests in the area is considered the percolation rate of soil in the area tested. c. Except for percolation rates less than 1 MPI or greater than 120 MPI, percolation rates calculated under Subsection 305.E.2. of these Regulations must be rounded to the nearest whole number for the purpose of calculating wastewater loading rates. F. Reports. 1. Format. Percolation test results must be reported on percolation test data sheets. Percolation rates are expressed in minutes per inch. Percolation test data sheets must be signed by the individual who conducted the test. 2. Submission. Reports of percolation test results must be submitted to the health officer in accordance with applicable requirements in Section 600 and Section 700 of these Regulations. 3. Expiration. Provided that the soil in the location of the percolation tests is not disturbed after the testing, percolation test results are valid for five years. 306. Wet Weather Period Evaluations. A. Groundwater Level Evaluation. 1. Direct observation procedures. a. Inspection by health officer; request for inspection. Except as provided in Subsection 306.A.2. of these Regulations, the anticipated highest seasonal level of groundwater at the site of a proposed disposal field must be evaluated by direct observation in a wet weather period in the presence of the health officer. A written request for inspection of groundwater level observations must be submitted to the health officer at least 48 hours before commencement of the testing. August 14, 2018 BOS Minutes 352 b. Protocol. The groundwater level must be observed on three separate days. There must be an interval of at least seven days between observations. The highest of the three levels is considered the anticipated highest seasonal level of groundwater in the area. 2. Historical data. During the period commencing May 1 and ending December 31, the anticipated highest seasonal level of groundwater at the site of a proposed disposal field may be determined based on direct observations of groundwater levels by qualified professionals at other sites in the presence of the health officer in a wet weather period within the previous three calendar years. The highest of at least three groundwater level observations at other sites is deemed to be the anticipated highest seasonal level of groundwater at the site of the proposed disposal field if: a. There has been no wet weather period during the calendar year; b. The groundwater level direct observation locations on the other sites are within 1,000 feet of the site of the proposed disposal field; c. The applicant submits written documentation of the groundwater level direct observations at the other sites; and d. The health officer determines the written documentation to be reliable. B. Percolation Testing. 1. General. Except as provided in Subsection 306.B.2. of these Regulations, if the soil profile evaluation conducted under Section 303 of these Regulations or a soil morphology test conducted under Section 304 of these Regulations demonstrates the presence of expansive soil, percolation testing must be conducted in a wet weather period. 2. Exception. If percolation testing cannot be conducted in a wet weather period due to weather conditions, percolation testing may be conducted on any date if the test holes have been presoaked for at least 24 hours, and the testing takes place between 24 hours and 48 hours after the presoaking. August 14, 2018 BOS Minutes 353 SECTION 400: DESIGN OF ONSITE WASTEWATER TREATMENT SYSTEMS 401. Design Daily Sewage Flows. A. Residential Dwellings. The design daily sewage flow of an onsite wastewater treatment system that will serve a residential dwelling is calculated by multiplying 150 gallons by the number of bedrooms in the dwelling. B. Non-Residential Structures. The design daily sewage flow of an onsite wastewater treatment system that will serve a non-residential structure must be determined in accordance with Appendix 2, attached hereto and incorporated herein. 402. Septic Tanks. A. Size. The minimum septic tank capacity below the invert of the outlet pipe is as follows: 1. Single family residential dwellings. If a single family residential dwelling has one or two bedrooms, the minimum capacity of a septic tank in an onsite wastewater treatment system that will serve the dwelling is 1,000 gallons. For single family residential dwellings with three or more bedrooms, the minimum septic tank capacity is 1,000 gallons for the first two bedrooms and 250 gallons for each additional bedroom. 2. Other structures. In an onsite wastewater treatment system that will serve a structure other than a single-family residential dwelling, the minimum septic tank capacity is calculated by multiplying the peak daily sewage flow of the structure by .75 and adding 1,125 gallons. B. Compartments. Except as set forth below, the septic tank must have two compartments. The first compartment must have twice the capacity of the second compartment. The compartments must be separated from each other by a baffle. C. Effluent Filter. The septic tank’s outlet pipe must be fitted with a corrosion-resistant effluent filter. The filter must be removable for cleaning and be designed to remove solids greater than 3/16ths of an inch in diameter and conform to NSF International/American National Standards Institute (NSF/ANSI) Standard 46 to the extent applicable to effluent filters. August 14, 2018 BOS Minutes 354 D. Material. The septic tank must be watertight and IAPMO (International Association of Plumbing and Mechanical Officials) certified. In areas to be surfaced by concrete, asphalt or similar paving, or subject to vehicular traffic, the tank must be traffic-rated. E. Access Risers. A waterproof access riser with a gastight lid and seal must extend from the manhole of each tank compartment to the finished grade. Except as follows, the riser must be constructed of polyethylene, have a minimum diameter of 24 inches and be of a size sufficient for the tank manhole. In areas to be surfaced by concrete, asphalt or similar paving, or subject to vehicular traffic, access risers must be traffic rated. F. Soil Cover. A minimum of 12 inches of soil cover must be placed on top of a septic tank. The top layer of the soil cover must be level with the natural grade. 403. Transport Lines. Transport lines utilized in an onsite wastewater treatment system, and the fittings connected thereto, must be Schedule 40 polyvinyl chloride (PVC) pipe and Schedule 40 PVC connection fittings, respectively. Transport lines must be sized to meet pumping and effluent flow requirements while minimizing friction losses. Friction loss is determined in accordance with the October 1980 U.S. Environmental Protection Agency Onsite Wastewater Treatment and Disposal Systems Design Manual, Table 7-14. 404. Standard Disposal Fields. A. General. A standard disposal field is a disposal field with one or more standard trenches and a gravity distribution system. The design of a standard disposal field must conform to all applicable specifications in this Subsection 404. Design features of a standard trench are shown in Figure 1 below. B. Wastewater Loading Rate. Disposal fields and reserve areas must be sized based on the applicable wastewater loading rate. Except as otherwise provided in these Regulations, the wastewater loading rate is determined based on the percolation rate calculated for the area of the disposal field or reserve area, in accordance with Appendix 3, attached hereto and incorporated herein. C. Area. The minimum absorption area of a standard disposal field is determined by dividing the design daily sewage flow rate by the applicable wastewater loading rate set forth in Appendix 3. August 14, 2018 BOS Minutes 355 Figure 1 SIDE VIEW END VIEW STANDARD TRENCH CROSS-SECTION DETAILS (Not to Scale) 3" - 4" PVC, HDPE or ABS pipe (perforations facing down) Valve box Drain rock 18"-24" effective depth Natural grade 12"-30" soil cover 2" min above pipe Silt barrier The bottom of the trench will be level to within a tolerance of 3 inches in 100 feet Inspection well 36"-96" depth 100' max 18"-24" effective depth 12"-30" soil cover 2" min above pipe Silt barrier Drain rock 18"- 24" 3-4" PVC, HDPE or ABS pipe (perforations facing down) Annular seal Annular seal August 14, 2018 BOS Minutes 356 D. Standard Trench Dimensions. 1. Depth. The minimum and maximum depths of a standard trench are 36 inches and 96 inches, respectively. The minimum effective depth of a standard trench is 18 inches or, if chambers are used, the height of the louvered sidewalls of the chambers. 2. Width. The minimum and maximum widths of a standard trench are 18 inches and 24 inches, respectively. If chambers are used, the maximum width is 36 inches. 3. Length. The maximum length of a single standard trench is 100 feet. The required length of trench is determined by dividing the minimum absorption area of the disposal field by twice the effective depth of the trench. 4. Spacing. In standard disposal fields that have more than one trench, the minimum spacing between the centers of two trenches is twice the effective trench depth plus an additional 12 inches for each 5 percent of disposal field area slope that exceeds 20 percent. The minimum space between the centers of two trenches is 72 inches measured center to center or, if the trenches are wider than 24 inches, measured edge to edge. 5. Bottom. The trench bottom must be level to within a tolerance of 3 inches in 100 feet and installed on contour. E. Drain Media. 1. General. Drain media must be installed in a standard trench in accordance with the following requirements. Drain media must be drain rock, bundled expanded polystyrene (“EPS”) or chambers. Drain rock may be installed in any standard trench. Bundled EPS and chambers may be installed only on sites that are level or have slopes of 20 percent or less. 2. Materials. a. Drain rock. Drain rock must be 3/4-inch to 2-inch diameter stone aggregate, double-washed with less than one percent by volume of fines (materials passing through the number 100 mesh). b. Bundled EPS. Bundled EPS must be IAPMO-certified. c. Chambers. Chambers must be IAPMO-certified. 3. Depth. a. Drain rock. Drain rock must extend from the bottom of a trench to at least 2 inches above the top of the distribution pipe. There must be a minimum of 18 inches and a maximum of 24 inches of drain rock below the invert of the distribution pipe. August 14, 2018 BOS Minutes 357 b. Bundled EPS. The EPS must extend from the bottom of a trench to at least 2 inches above the top of the distribution pipe. There must be a minimum of 18 inches and a maximum of 24 inches of EPS below the invert of the distribution pipe. c. Chambers. A single layer of chambers must be placed on the bottom of the trench. F. Gravity Distribution System. 1. Distribution box. Except as otherwise provided in Section 502 if applicable, in standard disposal fields that have more than one trench, a concrete or high-density polyethylene (HDPE) distribution box must be installed between the septic tank and the disposal trenches for the receipt of effluent from the septic tank and discharge to the trenches. Distribution boxes must be separated from each disposal trench by a minimum of 5 feet. 2. Distribution pipe. a. Material. Distribution pipe for drain rock and chambers must be 3-inch or 4- inch (inside diameter) rigid PVC, HDPE or acrylonitrile butadiene styrene (ABS) perforated pipe with a minimum crushing strength of 1,500 pounds per square inch. Corrugated pipe is not permitted except as installed by the manufacturer in bundled EPS. b. Length. The maximum length of a single distribution pipe is 100 feet. A single distribution pipe must extend the full length of a trench. c. Placement. Distribution pipe must be on contour and level to within a tolerance of 3 inches in 100 feet. Orifices must face the bottom of the trench. If chambers are used, distribution pipe must be suspended inside the top of the chambers. G. Silt Barrier. 1. General. A silt barrier must be placed on top of drain rock and bundled EPS. A silt barrier must be placed on top of chambers if the health officer determines that soil would otherwise infiltrate into the chambers. 2. Material. The silt barrier must be filter fabric, made of polyester, nylon or polypropylene, or any combination thereof, suitable for underdrain applications. Filter fabric must be permeable and non-woven and not act as a wicking agent. H. Soil Cover. 1. General. Cover material must be placed on top of the silt barrier or, if chambers are used, on top of the chambers. The top of the cover material must be level with the natural grade. 2. Material. Cover material must be native soil or any medium, loamy-textured soil. August 14, 2018 BOS Minutes 358 3. Depth. Minimum cover depths are determined based on the slope of the disposal field, in accordance with Table 2 below. I. Monitoring Wells. 1. General. An inspection well must be installed inside each trench, at the end farthest from the distribution box that serves the trench, for the purpose of monitoring groundwater levels and water quality sampling within the disposal field. 2. Materials. Inspection wells must be constructed of 2-inch to 4-inch diameter perforated pipe, equipped with a top cap or pipe plug. Perforations consisting of hacksaw slots at nominal 1-inch spacing must begin at the top of the drain media and extend to the bottom of the pipe. The top of an inspection well must be covered with a minimum 8-inch valve box. An inspection well must be sealed where it contacts the soil cover material with a bentonite or concrete annular seal to prevent surface infiltration. 3. Depth. An inspection well must extend from the bottom of a trench up to or above the surface of the natural grade. 405. Non-Standard Disposal Fields. A. General. An onsite wastewater treatment system may utilize an authorized non- standard disposal field. Non-standard disposal fields utilize imported fill or contain dispersal systems other than standard trenches. Authorized non-standard disposal fields include all of the following: 1. Disposal field with mound. A mound contains a body of sand, gravel distribution bed, distribution pipes, a silt barrier and cover and is constructed on top of the natural grade. A mound is typically used on sites characterized by limited site and soil conditions, such as high groundwater, slow percolation at standard disposal field depths, and shallow soil over fractured rock, coarse alluvium, impermeable soil or bedrock. See Figure 2 below for design features of a typical mound. Table 2 Standard Disposal Field Cover Requirements Disposal Field Slope % Minimum Cover Depth (Inches) 0≤x≤10 12 10<x≤15 18 15<x≤20 24 20<x≤30 30 x=slope of disposal field August 14, 2018 BOS Minutes 359 2. Disposal field with at-grade bed. An at-grade bed contains a gravel distribution bed, distribution pipes, a silt barrier and cover and is constructed on top of the natural grade. An at-grade system is typically used on sites characterized by limited site and soil conditions, such as high groundwater, slow percolation at standard disposal field depths, and shallow soil over fractured rock, coarse alluvium, impermeable soil or bedrock. See Figure 3 below for design features of a typical at-grade bed. 3. Dripfield. A dripfield contains a subsurface drip dispersal system, which includes flexible distribution tubing with emitters in shallow disposal trenches. A dripfield is typically used on sites with high groundwater, steep slopes, or shallow soil over fractured rock, coarse alluvium, impermeable soil or bedrock. A dripfield must be preceded by an authorized supplemental treatment unit. 4. Disposal field with pressure-dosed trench. A pressure-dosed trench is similar to a standard trench except that it is configured for pressure distribution, and has different cover requirements. Pressure-dosed disposal trenches are typically used on sloped areas. See Figure 4 below for design features of a typical pressure-dosed trench. 5. Disposal field with pressure-dosed sand trench. A pressure-dosed sand trench is configured for pressure-distribution, but unlike a pressure-dosed disposal trench, has a layer of sand at the base of the trench and other distinguishing design criteria. Pressure-dosed sand trenches are typically used in areas of rapid soil percolation, such as sandy or rocky soils. See Figure 5 below for design features of a typical pressure-dosed sand trench. 6. Disposal field with pressure-dosed shallow trench. A pressure-dosed shallow trench is similar to a standard trench except that the trench is shallower and configured for pressure distribution. Pressure-dosed shallow trenches are typically used in areas that have shallow topsoil over slowly permeable or fractured subsurface soils. 7. Disposal field with imported fill. A disposal field with imported fill is a disposal field that utilizes imported fill, which is placed on top of the natural grade prior to trench excavation in order to achieve a minimum required soil depth. Imported fill is typically used on sites with high groundwater. See Figure 6 below for design features of a standard trench constructed with imported fill. B. Site Criteria. 1. Disposal field with mound. a. General. A disposal field containing a mound may be constructed only in an area that conforms to the applicable site criteria in Section 200 of these Regulations and the site criteria in this Subsection 405.B.1., except that in the event specifications conflict, the specification this Subsection 405.B.1. will control. August 14, 2018 BOS Minutes 360 Figure 2 MOUND CROSS-SECTION DETAILS (Level Sites) (Not to Scale) Inspection well Silt barrier 5' - 10' Natural grade Performance well Annular seal 5' depth or to impermeable layer 3' min Shoulder Total width of mound Sand run out Distribution bed 10' maximum 5' - 10' Valve box Transport line 6" into native soil Inspection well Valve box Soil cover Sand media Double washed rock filter material (3/8" to 2" diameter) Transport line from pump 12"-18" 12" or 24" min 6" min 3 1 1' min Natural grade 2" min over pipe Distribution pipes 1' min END VIEW August 14, 2018 BOS Minutes 361 1 3 Figure 3 Performance well Native soil DIMENSIONS A = Effective width of distribution bed W = Total width of distribution bed AT-GRADE BED CROSS-SECTION DETAILS (Not to Scale) 2" min over pipe 5' min Distribution bed 2 A 12"-18" Inspection well 5' depth or to impermeable layer Annular seal Distribution pipe 6" min END VIEW Transport line Slope Soil cover Natural grade W August 14, 2018 BOS Minutes 362 Figure 4 August 14, 2018 BOS Minutes 363 August 14, 2018 BOS Minutes 364 Figure 6 Natural grade 5 1 Soil cover Imported fill Silt barrier STANDARD TRENCH WITH IMPORTED FILL CROSS-SECTION DETAILS (Not to Scale) END VIEW Annular seal Trench sidewalls Native soil 12” min 15’ min 5 1 Silt barrier Distribution pipe Soil cover Valve box SIDE VIEW Trench sidewall Natural grade Surface of imported fill Surface of standard trench Inspection well 20’ min August 14, 2018 BOS Minutes 365 b. Depth to groundwater. The minimum depth from the natural grade to the anticipated highest seasonal level of groundwater is 3 feet unless the mound will be used in an alternative onsite wastewater treatment system, in which case the minimum depth to the anticipated highest seasonal level of groundwater is 2 feet. c. Soil depth. The minimum depth of permeable soil over bedrock or an impermeable soil layer is 3 feet unless the mound will be used in an alternative onsite wastewater treatment system, in which case the minimum depth of permeable soil over bedrock or an impermeable soil layer is 2 feet. On sloping sites, permeable soil that is at least 2 feet in depth will extend a horizontal distance of no less than 25 feet down gradient from the edge of the perimeter of the distribution bed. d. Natural ground slope. The maximum natural ground slope of the site of a disposal field containing a mound is 20 percent if the soil has a percolation rate of 1 to 60 MPI and 6 percent if the soil has a percolation rate slower than 60 MPI. 2. Disposal field with at-grade bed. a. General. A disposal field containing an at-grade bed may be constructed only in an area that conforms to the applicable site criteria in Section 200 of these Regulations and the site criteria in this Subsection 405.B.2., except that in the event specifications conflict, the specification in this Subsection 405.B.2. will control. b. Depth to groundwater. The minimum depth from the natural grade to the anticipated highest seasonal level of groundwater is 3 feet unless the at-grade bed will be used in an alternative onsite wastewater treatment system, in which case the minimum depth to the anticipated highest seasonal level of groundwater is 2 feet. c. Soil depth. The minimum depth of permeable soil over bedrock or an impermeable soil layer is 3 feet unless the at-grade bed will be used in an alternative onsite wastewater treatment system, in which case the minimum depth of permeable soil over bedrock or an impermeable soil layer is 2 feet. On sloping sites, permeable soil that is at least 2 feet in depth must extend a horizontal distance of no less than 25 feet down gradient from the edge of the perimeter of the distribution bed. d. Natural ground slope. The maximum natural ground slope of the site of a disposal field containing an at-grade bed is 20 percent. 3. Dripfield. a. General. A dripfield may be constructed only in an area that conforms to the applicable site criteria in Section 200 of these Regulations and the site criteria in this Subsection 405.B.3., except that in the event specifications conflict, the specification in this Subsection 405.B.3. will control. August 14, 2018 BOS Minutes 366 b. Depth to groundwater. The minimum depth from the natural grade to the anticipated highest seasonal level of groundwater is 2 feet. c. Soil depth. The minimum depth of permeable soil over bedrock, an impermeable soil layer, or fractured, permeable bedrock is 2 feet. 4. Disposal field with pressure-dosed trench. A disposal field containing a pressure- dosed trench may be constructed only in an area that conforms to the applicable site criteria in Section 200 of these Regulations. 5. Disposal field with pressure-dosed sand trench. a. General. A disposal field containing a pressure-dosed sand trench may be constructed only in an area that conforms to the applicable site criteria in Section 200 of these Regulations and the site criteria in this Subsection 405.B.5., except that in the event specifications conflict, the specification in this Subsection 405.B.5. will control. b. Depth to groundwater. The minimum depth to the anticipated highest seasonal groundwater level below the bottom of a pressure-dosed sand trench used in an alternative onsite wastewater treatment system is 2 feet. c. Soil depth. The minimum depth of permeable soil below the bottom of a pressure-dosed sand trench is 2 feet. 6. Disposal field with pressure-dosed shallow trench. a. General. A disposal field containing a pressure-dosed shallow trench may be constructed only in an area that conforms to the applicable site criteria in Section 200 of these Regulations and the site criteria in this Subsection 405.B.6., except that in the event specifications conflict, the specification in this Subsection 405.B.6. will control. b. Soil depth. The minimum depth of permeable soil under the bottom of a pressure-dosed shallow trench used in an alternative wastewater treatment system is 2 feet. c. Percolation rate. The percolation rate of the soil below a pressure-dosed shallow trench, and of the soil within 25 feet down gradient from the edge of the last proposed trench in the disposal field, must be no slower than 120 MPI. 7. Disposal field with imported fill. a. General. A disposal field containing imported fill may be constructed only in an area that is described in Subsections 405.A.3., 405.B.4, 405.B.5 or 405.B.6., whichever is applicable, and that conforms to the site criteria in this Subsection 405.B.7., except that in the event specifications conflict, the specification in this Subsection 405.B.7. will control. August 14, 2018 BOS Minutes 367 b. Natural ground slope. In a disposal field containing a standard trench and imported fill, the maximum natural ground slope is 12.5 percent. In all other disposal fields containing imported fill, the maximum natural ground slope is 20 percent. c. Percolation rate. In a disposal field with a standard trench and imported fill, the percolation rate must be no slower than 60 MPI. In all other disposal field containing imported fill, the percolation rate must be no slower than 120 MPI. C. Design criteria. 1. Distribution system. a. General. Except for a disposal field that contains a standard trench and imported fill, all non-standard disposal fields must have pressure distribution. b. Operational standards. A pressure distribution system that serves a disposal field must be designed to achieve all of the following minimum operational standards: (1) Uniform dosing of effluent per lineal foot of trench or, in a mound or at- grade bed, over the surface application area of the distribution bed; (2) A flow rate that is adequate to maintain a 3-foot squirt height; (3) Screening of effluent to preclude accumulation of solids in distribution pipes or tubing and clogging of discharge orifices; (4) Dosing volume of a minimum of three doses per day at design flow conditions or, in drip dispersal systems, a volume that is adequate to fully pressurize the dripline or each zone thereof; and (5) In drip dispersal systems, the automatic flushing of the pump tank filter and driplines at regular intervals. The pump tank filter must be flushed for at least 15 seconds at the end of every 10th pump cycle. Driplines must be flushed at least every 200th pump cycle. c. Materials/components. A pressure distribution system must include the following components to create and utilize pressure to distribute effluent to the disposal field: (1) Dosing device. Either a pump or dosing siphon that meets the following specifications may be used: (a) Pump. The pump must be of the size and type to produce the required network discharge, achieve a 3-foot squirt height and achieve the minimum dose required by the network, designed to achieve the applicable total dynamic head and include all of the following: i. A “hand-off-auto” (HOA) switch. August 14, 2018 BOS Minutes 368 ii. An attached float tree and floats to control the starting and stopping of pump operations. iii. A pump intake that is set a minimum of 4 inches above the dosing tank bottom. (b) Dosing siphon. The dosing siphon must be of the size and type to produce the required network discharge, achieve a 3-foot squirt height and achieve the minimum dose required by the network. Battery-operated digital counters must be installed with all dosing siphons. (2) Pump tank. Except for pump tanks contained in proprietary supplemental treatment units, a pump tank must be watertight, separate from the septic tank, and comply with the following specifications: (a) Size. The minimum capacity of the tank must be 750 gallons and accommodate at least the design daily sewage flow. (b) Certification. The tank must be IAPMO-certified. (c) Access. The tank must have a minimum 24-inch diameter manhole. (d) Sensor. The tank must be equipped with a high water sensing device. (e) Pipes/conduits. All pipes and electrical conduits passing through the tank must be precast into the tank or sealed with gas-tight compression connectors. (f) Filter. If the pressure distribution system serves a dripfield, the tank must contain a filtering device capable of filtering particles larger than 100 microns. (g) Other. A union, swing check valve and double wedge gate valve must be mounted in this order (away from the pump) either inside the tank or adjacent to the tank in an access box. (3) Pressure piping. Piping used in pressure distribution systems must be Schedule 40 PVC pipe with a minimum inside diameter of 1 inch. (a) Force main. The force main from a pump tank must be equipped with an inspection port. (b) Perforated pipe. A perforated pipe orifice must have a minimum diameter of 1/8th of an inch. Orifices must be clear of any burrs, drilling fines or other obstructions. In trenches utilizing drain rock, orifices may be placed pointing up or down, and individual orifice shields must be used if orifices point up. If bundled EPS or chambers are used, orifices must be placed pointing up, and no orifice shields are required. August 14, 2018 BOS Minutes 369 (4) Electrical features. The following electrical features must be included in the design of a pressure distribution system that will serve a disposal field: (a) An outdoor rated control box containing fused disconnect and motor protection switches, mounted on the structure served or mounted on a pipe stand or wooden post. (b) PVC electrical conduit. Separate conduits must be provided for control wire and power supply. All conduits passing through a riser must be sealed with gas- tight compression connectors. (c) Separate circuits with individual breakers at the main panel to serve the control panel alarm and pump. (d) High water audible and visual alarms, mounted on the structure served or on a pipe stand or wooden post within five feet of the structure served. (5) Other. (a) A minimum 8-inch valve box, made of plastic or other durable material, must be installed to allow access for inspection, testing and adjustment of devices installed in the box. (b) Gate valves must be installed within the access valve box to allow setting of orifice squirt heights. (c) Purge valve assemblies must be installed at the end of each distribution pipe and placed within the access valve box. 2. Disposal field with mound. a. General. The design of a disposal field containing a mound must conform to all applicable specifications set forth in this Subsection 405.C.2. b. Distribution bed. (1) Minimum area. The minimum distribution bed area is determined by dividing the design daily sewage flow rate of the structure(s) to be served by the onsite wastewater treatment system by 1.2 gallons per day per square foot (gpd/ft2) in a mound that will serve a residential dwelling and 1.0 gpd/ft2 in a mound that will serve a non-residential structure. (2) Dimensions. (a) Length. The distribution bed must be designed to be long and narrow. The length of a distribution bed is determined based on the required distribution bed area, site conditions and width restrictions set forth in these Regulations. August 14, 2018 BOS Minutes 370 (b) Width. i. Minimum. There must be a minimum of 36 inches of distribution bed width for every distribution pipe. ii. Maximum. The maximum width of the distribution bed is based on the slope of the site of the proposed disposal field and must conform to Table 3 below. Table 3 Maximum Width of Mound Distribution Bed Slope % Bed Width (Feet) 0≤x≤12 10 12<x≤13 9 13<x≤14 8 14<x≤16 7 16<x≤18 6 18<x≤20 5 x=slope of the site of the proposed disposal field (c) Depth. The distribution bed material must extend from a minimum of 6 inches below the invert of the distribution pipe to a minimum of 2 inches above the top of the distribution pipe. (3) Linear loading rate. The linear loading rate of the distribution bed is determined by dividing the design daily sewage flow by the length of the distribution bed. The linear loading rate of the distribution bed must not exceed the applicable maximum linear loading rate set forth in Table 4 below. (4) Level. The bottom and toe of the distribution bed must be level (not drop below more than 0.25 feet per 100 feet). The downslope side of the distribution bed must be parallel to the slope contour. (5) Material. Distribution bed material must be double-washed rock, 3/8-inch to 2 inches in diameter, with less than one percent by volume of fines (materials passing though the number 100 mesh). (6) Number. A mound may contain more than one distribution bed under the following conditions: (a) The beds are separated by a minimum of 6 feet; (b) The beds are installed on a contour; August 14, 2018 BOS Minutes 371 (c) The space between the distribution beds is filled with sand; (d) The beds are designed to provide for automatic alternate dosing and resting of the beds. c. Sand bed. (1) General. A sand bed forms the base of a mound, and extends from the natural grade vertically to the bottom of the distribution bed(s) and laterally from the sides of the distribution bed(s). (2) Effective application area. (a) Defined. The effective application area of a mound is that portion of and sand-native soil interface at the base of the mound that can accept and absorb effluent. In a disposal field located on a site that is level or has a slope equal to or less than 2 percent, the entire sand-native soil interface is the effective application area of a mound. On all other sites, the effective application area includes the portions of the sand-native soil interface that are immediately below and downslope of the distribution bed. (b) Minimum effective application area. The effective application area of a mound is equal to or greater than the area determined by dividing the design daily sewage flow rate of the structure(s) to be served by the onsite wastewater treatment system by the applicable wastewater loading rate set forth in Table 5 below. August 14, 2018 BOS Minutes 372 Table 4 Maximum Mound Linear Loading Rates (GPD/LF) Soil Depth = < 2.5 ft Percolation Rate (MPI) Ground Slope % 2<y≤5 5<y≤6 6<y≤8 8<y≤10 10<y≤12 12<y≤14 14<y≤16 16<y≤18 18<y≤20 1≤x≤5 9 9 11 12 12 12 12 12 12 5<x≤10 8 8 10 11 12 12 12 12 12 10<x≤20 7 7 9 10 11 12 12 12 12 20<x≤30 6 6 8 9 10 11 12 12 12 30<x≤40 5 5 7 8 9 10 11 12 12 40<x≤50 4 4 6 7 8 9 10 11 12 50<x≤60 3 3 5 6 7 8 9 10 11 60<x≤90 3 3 NP NP NP NP NP NP NP 90<x≤120 3 3 NP NP NP NP NP NP NP Soil Depth = 2.5 ft to 3.0 ft Percolation Rate (MPI) Ground Slope % 2<y≤5 5<y≤6 6<y≤8 8<y≤10 10<y≤12 12<y≤14 14<y≤16 16<y≤18 18<y≤20 1≤x≤5 10 11 12 12 12 12 12 12 12 5<x≤10 9 10 11 12 12 12 12 12 12 10<x≤20 8 9 10 11 12 12 12 12 12 20<x≤30 7 8 9 10 11 12 12 12 12 30<x≤40 6 7 8 9 10 11 12 12 12 40<x≤50 5 6 7 8 9 10 11 12 12 50<x≤60 4 5 6 7 8 9 10 11 12 Soil Depth = > 3.0 ft Percolation Rate (MPI) Ground Slope % 2<y≤5 5<y≤6 6<y≤8 8<y≤10 10<y≤12 12<y≤14 14<y≤16 16<y≤18 18<y≤20 1≤x≤5 11 12 12 12 12 12 12 12 12 5<x≤10 10 11 12 12 12 12 12 12 12 10<x≤20 9 10 11 12 12 12 12 12 12 20<x≤30 8 9 10 11 12 12 12 12 12 30<x≤40 7 8 9 10 11 11 12 12 12 40<x≤50 6 7 8 9 10 10 11 12 12 50<x≤60 5 6 7 8 9 9 10 11 12 GPD/LF = gallons per day per linear foot MPI = minutes per inch NP = not permitted x = percolation rate of the site of the proposed disposal field y = slope of the site of the proposed disposal field August 14, 2018 BOS Minutes 373 Table 5 Wastewater Loading Rates for Mound Sand-Native Soil Interface Percolation Rate (MPI) Wastewater Loading Rate (GPD/FT2) 1≤x≤30 1.2 30<x≤90 1.5 x Appendix 2 WLR* 90<x≤120 0.2 MPI = minutes per inch x = percolation rate of the site of the proposed disposal field GPD/FT2 = gallons per day per square foot *Appendix 2 WLR = applicable wastewater loading rate from Appendix 2 (3) Dimensions. (a) Depth. There must be a minimum of 12 inches of sand below the distribution bed unless the percolation rate of the site of the proposed disposal field is faster than 10 MPI, in which case the minimum depth of sand below the distribution bed must be 24 inches. (b) Lateral dimensions. i. Level sites. On sites that are level or have slopes equal to or less than 2 percent, the sand bed must extend laterally as follows: (i) Sand shoulder. The sand must extend horizontally from all sides of the distribution bed, level with the top of the distribution bed, by a minimum of 1 foot. (ii) Sand run out. The sand must extend laterally from the sand shoulder at a maximum slope of 3 horizontal to 1 vertical in all directions. ii. Sloping sites. On sites with slopes greater than 2 percent, the sand bed must extend laterally as follows: (i) Sand shoulder. The sand must extend horizontally from all sides of the distribution bed, level with the top of the distribution bed, by a minimum of 1 foot in the upslope direction, 2 feet in the downslope direction, and 2 feet in each longitudinal (side) direction. August 14, 2018 BOS Minutes 374 (ii) Sand run out. The sand must extend laterally from the sand shoulder at a maximum slope of 3 horizontal to 1 vertical in all directions. (4) Material. The sand used to construct the sand bed must meet all applicable sand specifications set forth in Appendix 4, attached hereto and incorporated herein. (5) Separation. The effective application area of a mound may not overlap the effective application area of another mound. d. Distribution system. (1) Length. The length of distribution pipe to be installed in a distribution bed in a mound is determined in accordance with industry standards based on the design daily sewage flow of the structure(s) to be served and linear loading rate of the distribution bed. (2) Separation. Distribution pipes must be equidistant from each other. There must be a minimum separation between an end of a distribution pipe and an end of the distribution bed of 1 foot or one-half the distance between two perforations in the distribution pipe, whichever is greater. On sites that are level or have slopes equal to or less than 2 percent, there must be a minimum 24-inch separation between a distribution pipe and the long sides of the distribution bed. On sites with slopes greater than 2 percent, there must be a minimum 12-inch separation between a distribution pipe and the upslope side of the distribution bed, and a minimum 24-inch separation between a distribution pipe and the downslope side of the distribution bed. (3) Distribution pipe must be on contour and level to within a tolerance of 3 inches in 100 feet. e. Silt barrier. The distribution bed must be covered in its entirety with a silt barrier that conforms to the specifications in Subsection 404.G.2. of these Regulations. f. Soil cover. (1) General. A continuous cover material must be placed over the entire distribution bed, sand shoulder and sand run out. (2) Material. Cover material must conform to the specifications in Subsection 404.H.2. of these Regulations. (3) Dimensions. (a) Depth. A minimum of 12 inches and a maximum of 18 inches of cover material must be placed over the silt barrier and crowned to promote rainfall runoff. A minimum of 12 inches of cover material must be placed over the sand shoulder and sand run out. August 14, 2018 BOS Minutes 375 The cover material must have a consistent depth over the sand shoulder and sand run out and the surface must be smooth with no depressions. (b) Lateral extension. The cover material must extend a minimum of 3 feet beyond the perimeter edge of the sand fill in all directions. g. Monitoring wells. (1) Inspection wells. Two inspection wells must be installed within a mound, as follows: (a) One well must be located near the center of the mound, extending from the mound surface to the bottom of the distribution bed. Perforations must begin at the top of the distribution bed and extend to the bottom of the well. (b) One well must be located within the sand bed, extending from the mound surface to 6 inches into the native soil. Perforations must begin at the top of the sand bed and extend to the bottom of the well. (2) Performance wells. Four performance wells must be installed outside the perimeter of the mound. One well must be located at the midpoint of each side of the mound, 5 to 10 feet from the toe, and extending from the natural grade to a depth of 5 feet or to an impermeable layer, whichever is less. Perforations must begin at a depth of 12 inches below the natural grade and extend to the bottom of the well. (3) Materials. Monitoring wells must conform to the specifications in Subsection 404.I.2. of these Regulations, except that perforations must begin and end as specified above in Subsections 405.C.2.g.(1) and (2) of these Regulations. 3. Disposal field with at-grade bed. a. General. The design of an at-grade bed must conform to all applicable specifications in this Subsection 405.C.3. b. Distribution bed. (1) Effective application area. (a) Defined. The effective application area of an at-grade bed is that portion of the distribution bed-native soil interface at the base of the at-grade bed that can accept and absorb effluent. In a disposal field located on a site that is level, the effective application area is the entire distribution bed-native soil interface. On all other sites, the effective application area of an at-grade bed is that portion of the base of the distribution bed that interfaces with the native soil below and down-slope of the distribution pipe adjacent to the upslope edge of the bed. August 14, 2018 BOS Minutes 376 (b) Minimum effective application area. The effective application area of an at-grade bed is equal to or greater than the area determined by dividing the design daily sewage flow rate of the structure(s) to be served by the onsite wastewater treatment system by the wastewater loading rate of the distribution bed. (2) Wastewater loading rate. The wastewater loading rate of the distribution bed in an at-grade bed is determined in accordance with Appendix 3. The maximum wastewater loading rate of a distribution bed in an at-grade bed that will serve a residential dwelling will be 1.2 gpd/ft2. In an onsite wastewater treatment system that will serve a non-residential structure, the maximum wastewater loading rate is 1.0 gpd/ft2. (3) Dimensions. (a) Length. A distribution bed must be long and narrow. The length of the basal area of a distribution bed is determined based on the required distribution bed area, site conditions and width restrictions set forth in these Regulations. (b) Width. Maximum. The maximum width of the distribution bed basal area is 10 feet. (c) Depth. The distribution bed material must extend from a minimum of 6 inches below the invert of the distribution pipe to a minimum of 2 inches above the top of the distribution pipe. (4) Linear loading rate. The linear loading rate of a distribution bed is determined by dividing the design daily sewage flow by the length of the distribution bed. The linear loading rate of the distribution bed in an at-grade bed on any site must not exceed 10 gpd/lf. The linear loading rate of the distribution bed in at-grade beds on sloping sites must not exceed the applicable linear loading rates in Table 6 below. (5) Level. The distribution bed must follow the natural contour of the ground and must be level (not drop more than 0.25 feet per 100 feet). (6) Material. Distribution bed material must be double-washed rock, 3/8-inch to 2 inches in diameter, with less than one percent by volume of fines (materials passing though the number 100 mesh). (7) Number. An at-grade bed may contain multiple distribution beds if the basal areas of the beds are separated by a minimum of 5 feet. August 14, 2018 BOS Minutes 377 Table 6 Maximum At-Grade Bed Linear Loading Rates (GPD/LF) Soil Depth = < 3 ft Percolation Rate (MPI) Ground Slope % 0<y≤10 10<y≤20 1≤x≤30 5 6 30<x≤60 4 5 60<x≤120 3 4 Soil Depth = 3.0 ft to 4.0 ft Percolation Rate (MPI) Ground Slope % 0<y≤10 10<y≤20 1≤x≤30 7 8 30<x≤60 6 7 60<x≤120 5 9 Soil Depth = > 4.0 ft to 5.0 ft Percolation Rate (MPI) Ground Slope % 0<y≤10 10<y≤20 1≤x≤30 9 10 30<x≤60 8 9 60<x≤120 7 8 Soil Depth = > 5.0 ft Percolation Rate (MPI) Ground Slope % 0<y≤10 10<y≤20 1≤x≤30 10 10 30<x≤60 10 10 60<x≤120 9 10 GPD/LF = gallons per day per linear foot MPI = minutes per inch x = percolation rate of the site of the proposed disposal field y = slope of the site of the proposed disposal field August 14, 2018 BOS Minutes 378 c. Distribution system. (1) Length. The length of distribution pipe to be installed in a distribution bed in an at-grade bed is determined in accordance with industry standards based on the design daily sewage flow of the structure(s) to be served and linear loading rate of the distribution bed. (2) Separation. Distribution pipes must be equidistant from each other. There must be a minimum 24-inch separation between distribution pipes and all sides of the distribution bed. (3) Distribution pipe must be on contour and level to within a tolerance of 3 inches in 100 feet. d. Silt barrier. The distribution bed must be covered in its entirety with a silt barrier that conforms to the specifications in Subsection 404.G.2. of these Regulations. e. Soil cover. (1) Material. The cover material must conform to the specifications in Subsection 404.H.2. of these Regulations. (2) Depth. A minimum of 12 inches and maximum of 18 inches of cover material must be placed on the top of the distribution bed. The soil cover over the distribution bed must be crowned to promote rainfall runoff. (3) Lateral Extension. The cover material must extend a minimum of 5 feet beyond all perimeter edges of the distribution bed at a maximum slope of 3 horizontal to 1 vertical in all directions. On sites with slopes greater than 2 percent, the cover material must extend beyond the downslope edge of the distribution bed in accordance with Table 7 below. Table 7 At-Grade Bed Lateral Extension of Cover Material Disposal Field Slope % Minimum Extension of Cover Material (Feet) 2<x≤4 6 4<x≤6 8 6<x≤8 10 8<x≤10 12 10<x≤12 14 12<x≤16 16 16<x≤20 20 x = slope of the site of the proposed disposal field August 14, 2018 BOS Minutes 379 f. Monitoring wells. (1) Inspection wells. One inspection well must be installed within an at-grade bed near the center of the distribution bed, extending from the surface of the at-grade bed to the bottom of the distribution bed. (2) Performance wells. Four performance wells must be installed outside the perimeter of the at-grade bed. One well must be located at the midpoint of each side of the at- grade bed, 5 to 10 feet from the toe, and extending from the natural grade to a depth of 5 feet or to an impermeable layer, whichever is less. (3) Materials. Monitoring wells must conform to the specifications in Subsection 404.I.2. of these Regulations, except that perforations must begin at the top of the distribution bed and extend to the bottom of the pipe. 4. Dripfield. a. General. The design of a dripfield must conform to all applicable specifications in this Subsection 405.C.4. b. Area. The minimum absorption area of a dripfield is determined by dividing the design daily sewage flow rate of the structure(s) to be served by the onsite wastewater treatment system by the applicable wastewater loading rate set forth in Appendix 3. c. Trench dimensions. (1) Depth. A dripfield trench must be a minimum of 6 inches and a maximum of 12 inches in depth. (2) Bottom. The bottom of a dripfield trench must be level to within a tolerance of 3 inches in 100 feet and installed on contour.” d. Dripline. (1) Material. Wastewater quality dripline must have a minimum 45 mil tubing wall thickness and bacterial growth inhibitors. (2) Location. Dripline must be installed at the bottom of the dripfield trench and extend the entire length of the trench, from the supply manifold to the return manifold. (3) Length. Dripline length is measured from the supply to return manifolds. The length of dripline to be installed must conform to specifications by the dripline manufacturer and be based on design daily sewage flow, design pressure, the number of emitters and emitter flow. August 14, 2018 BOS Minutes 380 (4) Emitters. Emitters must be separated by a minimum of 12 inches and maximum of 24 inches. The application area per emitter, in square feet, is calculated by multiplying the number of feet between emitters by two. Example: If there are 2 feet between emitters, the application area is 2 x 2 = 4 square feet. (5) Spacing. Dripline separation must be no less than the separation between emitters. The first and last emitters must be no closer than 12 inches from a manifold. (6) Zones. Two or more dripline zones may be created by installing lengths of dripline separated by valves in lieu of one continuous dripline. e. Soil cover. (1) General. Cover material must be placed on top of the dripline. The top layer of the cover material must be level with the natural grade. (2) Material. Cover material must conform to the specifications in Subsection 404.H.2. of these Regulations. f. Monitoring wells. (1) Inspection well. One inspection well must be installed near the middle of the dripfield, equidistant between two driplines. The well must extend from the natural grade to a minimum depth of 24 inches and maximum depth of 36 inches. (2) Performance wells. Four performance wells must be installed around a dripfield. The wells must extend from the natural grade to a minimum depth of 24 inches and maximum depth of 36 inches. The wells must be located 5 to 10 feet from each side of the dripfield. (3) Materials. Monitoring wells must conform to the specifications in Subsection 404.I.2. of these Regulations, except that perforations must begin at a depth of 12 inches below grade and extend to the bottom of the pipe. g. Dual dripfields. If primary and secondary dripfields are installed, doses must be automatically distributed to each dripline in each dripfield, or to each zone within each dripfield. 5. Disposal field with pressure-dosed trench. a. General. The design of a disposal field containing a pressure-dosed trench must conform to the specifications in this Subsection 405.C.5. and the specifications required under Subsections 404.B., 404.C., 404.D., 404.E., 404.G., 404.H. and 404.I., except that in the event specifications conflict, the specification in this Subsection 405.C.5. will control. August 14, 2018 BOS Minutes 381 b. Distribution system. Distribution pipe must be on contour and level to within a tolerance of 3 inches in 100 feet. If chambers are used, distribution pipe must be suspended inside the top of the chambers. c. Soil cover. Minimum cover depths are determined based on the slope of the disposal field and percolation rate, in accordance with Table 8 below. 6. Disposal field with pressure-dosed sand trench. a. General. The design of a disposal field containing a pressure-dosed sand trench must conform to the specifications in this Subsection 405.C.6. and the specifications applicable to disposal fields containing pressure-dosed trenches under Subsection 405.C.5. of these Regulations, except that in the event specifications conflict, the specification in this Subsection 405.C.6. will control. b. Area. The minimum absorption area of a disposal field containing a pressure- dosed sand trench is determined by dividing the design daily sewage flow rate of the structure(s) to be served by the onsite wastewater treatment system by the wastewater loading rate at the sand-soil interface. c. Wastewater loading rate. The wastewater loading rate at the sand-native soil interface is determined in accordance with Appendix 3. The maximum wastewater loading rate at the sand-native soil interface in a pressure-dosed sand trench that will serve a residential dwelling is 1.2 gpd/ft2. In an onsite wastewater treatment system that will serve a non-residential structure, the maximum wastewater loading rate at the sand-soil interface is 1.0 gpd/ft2. d. Trench dimensions. (1) Depth. The maximum depth of a pressure-dosed sand trench is 60 inches. (2) Width. The minimum width of a pressure-dosed sand trench is 12 inches. Table 8 Pressure-Dosed Trench Cover Requirements (Inches) Ground Slope % Percolation Rate (MPI) 1≤y≤30 Percolation Rate (MPI) 30<y≤120 0≤x≤10 12 12 10<x≤15 12 12 15<x≤20 12 12 20<x≤30 15 18 x= slope of the site of the proposed disposal field y- percolation rate of the site of the proposed disposal field MPI – minutes per inch August 14, 2018 BOS Minutes 382 (3) Bottom. The bottom of the trench must be level to within a tolerance of 2 inches in 100 feet. e. Sand fill. (1) Material. The sand media must have a medium to coarse texture and meet the gradation specifications set forth in Appendix 4. (2) Depth. The minimum depth of sand below the drain media is12 inches unless the pressure-dosed sand trench is used in an alternative onsite wastewater treatment system, in which case the minimum sand depth is 6 inches. f. Drain media. In pressure-dosed sand trenches that utilize drain rock, the drain rock must extend from at least 6 inches below the invert of the distribution pipe to at least 2 inches above the top of the distribution pipe. If chambers are used, a single layer of chambers must be placed on top of the sand fill. g. Silt barrier. Drain rock must be covered in its entirety with a silt barrier conforming to the specifications in Section 404.G.2. of these Regulations. h. Soil cover. Minimum cover depths are determined based on the slope and percolation rate of the disposal field, in accordance with Table 9 below. Table 9 Pressure-Dosed Sand Trench Cover Requirements (Inches) Ground Slope % Percolation Rate (MPI) 1≤y≤30 Percolation Rate (MPI) 30<y≤120 0≤x≤20 12 12 20<x≤30 15 18 x = slope of the site of the proposed disposal field y = percolation rate of the site of the proposed disposal field MPI = minutes per inch i. Monitoring wells. (1) Inspection wells. Two inspection wells must be installed in each trench, as follows: (a) One well must extend from the natural grade to the drain media-sand interface. This well must be perforated only where it contacts drain media. August 14, 2018 BOS Minutes 383 (b) One well must extend from the natural grade to the sand-native soil interface. This well must be perforated only where it contacts sand. (2) Performance wells. A minimum of two performance wells must be installed, as follows: (a) One well must be installed 5 feet upgradient of the edge of a disposal trench, 5 to 10 feet from the trench and extending to the depth of the trench. Perforations must begin at the top of the soil cover and end at the bottom of the well. (b) One well must be installed 10 feet downgradient of the edge of a disposal trench, 5 to 10 feet from the trench and extending to the depth of the trench. Perforations must begin at the top of the soil cover and end at the bottom of the well. 7. Disposal fields with pressure-dosed shallow trenches. a. General. The design of a disposal field containing a pressure-dosed shallow trench must conform to the specifications in this Subsection 405.C.7. and the specifications applicable to disposal fields containing pressure-dosed trenches under Subsection 405.C.5. of these Regulations, except that in the event specifications conflict, the specifications in this Subsection 405.C.7. will control. b. Area. The minimum absorption area of a disposal field containing a pressure- dosed shallow trench is calculated by dividing the design daily sewage flow of the structure(s) to be served by the onsite wastewater treatment system by the applicable wastewater loading rate set forth in Appendix 3. c. Trench dimensions. (1) Depth. The maximum depth of a pressure-dosed shallow trench is 60 inches. (2) Spacing. The minimum space between the centers of two pressure-dosed shallow trenches is as follows: (a) 6 feet on slopes ≤ 12.5 percent. (b) 7 feet on slopes > 12.5 percent and ≤ 16 percent. (c) 8 feet on slopes > 16 percent and ≤ 20 percent. (d) 9 feet on slopes > 20 percent and ≤ 25 percent. (e) 10 feet on slopes > 25 percent. August 14, 2018 BOS Minutes 384 d. Distribution system. The maximum dose to a pressure-dosed shallow trench is 125 gallons for onsite wastewater treatment systems that will serve a residential dwelling and 150 gallons for all other systems. 8. Disposal field with imported fill. a. General. (1) Imported fill may be used to raise the level of the surface of a proposed disposal field that will utilize one of the following types of disposal trenches and no other means of final distribution: (a) Standard trench. (b) Pressure-dosed trench. (c) Pressure-dosed sand trench. (d) Pressure-dosed shallow trench. (2) The design of a disposal field that utilizes imported fill must conform to the design specifications in this Subsection 405.C.8. and the design specifications in either Subsection 404 of these Regulations (standard disposal fields), Subsection 405.C.5. of these Regulations (disposal fields with pressure-dosed trenches), Subsection 405.C.6. of these Regulations (disposal fields with pressure-dosed sand trenches), or Subsection 405.C.7. of these Regulations (disposal fields with pressure-dosed shallow trenches), whichever are applicable. In the event specifications conflict, the specifications in this Subsection 405.C.8. will control. b. Material. Imported fill must be soil that is similar in texture to the native soil or any medium loamy textured soil. c. Dimensions. (1) Depth. A minimum of 12 inches of imported fill must be placed over the entire disposal field prior to trench excavation. (2) Lateral extension. In disposal fields with pressurized trenches and imported fill, the fill must extend a minimum of 10 feet from each trench edge, and then taper to the natural grade at not less than a 5:1 ratio. In disposal fields with standard trenches and imported fill, the fill must extend a minimum of 15 feet from each trench edge and then taper to the natural grade at not less than a 5:1 ratio. In all disposal fields with imported fill on sites with slopes greater than 2 percent, the fill must extend an additional 5 feet downslope from the downslope edge of each trench. d. Trenches. The section of trench extending from the top of the drain media to the bottom of the trench must be constructed entirely in native soil. August 14, 2018 BOS Minutes 385 e. Soil cover. The top layer of the cover material must be level with the top of the imported fill. 406. Reserve Areas; Secondary Disposal Fields. A. General. 1. Residential systems. A reserve area must be designated for future replacement of a disposal field in an onsite wastewater treatment system that will serve a residential dwelling if the system does not have dual disposal fields. 2. Non-residential systems. An onsite wastewater treatment system that will serve a non-residential structure must have dual disposal fields. A reserve area must be designated for future replacement of both disposal fields. B. Reserve Area. A reserve area may be designated on a site if it conforms to the site criteria in Section 200 and Subsection 405.B. of these Regulations that are applicable to the proposed disposal field. A reserve area must be equivalent in size to that of the proposed disposal field in a residential system and large enough to allow construction of replacement dual disposal fields in a non-residential system. C. Dual Disposal Fields. If a system has dual disposal fields, one disposal field must be the primary disposal field and the second must be the secondary disposal field. Primary and secondary disposal fields must each conform to all of the design requirements applicable to a single disposal field. Except for dual dripfields, dual disposal fields must have a ball-type Schedule 80 diversion valve to alternate use of the primary and secondary disposal fields on a rotational basis, and each of the disposal fields may be operated continuously for a period not less than six months and no more than one year. D. Separation. A reserve area and a disposal field may not overlap. A primary disposal field and a secondary disposal field may not overlap. August 14, 2018 BOS Minutes 386 SECTION 500. ALTERNATIVE ONSITE WASTEWATER TREATMENT SYSTEMS 501. General. A. Authorized Supplemental Treatment Units. An alternative onsite wastewater treatment system may include any authorized supplemental treatment unit. Authorized supplemental treatment units are intermittent sand filters, recirculating sand filters and proprietary units. B. Site Criteria. An alternative onsite wastewater treatment system must conform to all applicable site criteria set forth in Section 200 or Subsection 405.B. of these Regulations. C. Findings. 1. The health officer may make the finding set forth in Section 420-6.810, subsection (a)(4)(A), of the Ordinance based on a report from the owner of the water source that a sample taken from the public water source has: a. An absence of fecal coliform and Escherichia coli; and b. A nitrate concentration that does not exceed 10 milligrams per liter measured as nitrogen (mg/L). 2. The health officer may make the finding set forth in Section 420-6.810, subsection (a)(4)(B), of the Ordinance based on any of the following: a. Topographical features exist that would minimize migration of effluent to the public water source; b. The soil in the area of the proposed disposal field is deeper than the required minimum depth of soil; c. The percolation rate of the soil in the area of the proposed disposal field is greater than 5 MPI; or d. The depth to groundwater conforms to the requirements in Table 1. 502. Design Specifications. A. Intermittent Sand Filters. 1. General. a. An intermittent sand filter provides supplemental treatment of septic tank effluent by directing it through the sand filter once before delivery to a disposal field. August 14, 2018 BOS Minutes 387 b. The design of an intermittent sand filter must conform to all applicable specifications in this Section 502. 2. Maximum wastewater strength. Wastewater applied to an intermittent sand filter must not exceed any of the following: a. Five-day biochemical oxygen demand of 300 parts per million (ppm). b. Total suspended solids of 150 ppm. c. Grease/oil level of 25 ppm. 3. Area. The minimum distribution area of an intermittent sand filter is calculated by dividing the design daily sewage flow of the structure(s) to be served by the onsite wastewater treatment system by a wastewater loading rate that does not exceed 1.2 gpd/ft2 in a system that will serve a residential dwelling and 1.0 gpd/ft2 in a system that will serve a non-residential structure. 4. Components and materials. An intermittent sand filter must include all of the following components and materials: a. Sand fill. Two inches of sand fill must be installed at the bottom of the intermittent sand filter. The sand fill must conform to the applicable specifications in Appendix 4. b. Filter bottom. In an intermittent sand filter without an internal pump, the slope of the bottom of the filter must be no greater than 1 percent. In an intermittent sand filter with an internal pump, there must be a minimum 8-inch deep depression in the middle of the bottom of the filter to accommodate a pump basin. The bottom of the intermittent sand filter must slope toward this depression at a minimum grade of 1 percent. c. Containment liner. A containment liner must be installed adjacent to the interior of all sides of the intermittent sand filter and on top of the sand fill. The liner must be 30 mil PVC or reinforced, poured-in place concrete. Concrete liners must have a thickness of a minimum of 6 inches adjacent to the walls and a minimum of 3½ inches on the bottom. d. Underdrain. An underdrain must be installed at the bottom of the intermittent sand filter to convey treated wastewater to an internal pump system, external dosing tank or disposal field. The underdrain must consist of the following components: (1) Gravel bed. A minimum of 9 inches of double-washed pea gravel must be installed at the bottom of the intermittent sand filter, on top of the containment liner. (2) Pipe. Perforated PVC pipe that is at least 4-inches in diameter and has a PVC cap on each end must be installed within the gravel bed at a minimum grade of 1 percent toward the outlet of the pipe. There must be a minimum of 2 inches of gravel below the pipe. August 14, 2018 BOS Minutes 388 The pipe must have a minimum storage volume equal to 50 percent of the disposal field dose volume. Pipe perforations must be no larger than 1/8th of an inch in width or diameter. (3) Riser. For cleanout and inspection purposes, a vertical riser constructed of non-perforated pipe of equal diameter to the underdrain pipe must extend from the upslope end of the underdrain pipe to the finished grade of the filter. (4) Outlet boot. Except for filters with internal pump systems, a watertight outlet boot must be connected to the outlet of the underdrain. e. Filter sand. A minimum of 24 inches of medium to coarse sand conforming to the applicable specifications in Appendix 4 must be installed on top of the underdrain. f. Distribution bed. A distribution bed must be installed on top of the filter sand and extend to all sides of the intermittent sand filter. The distribution bed must consist of double-washed pea gravel, free of fines. The pea gravel must extend from a minimum of 6 inches below the invert of the distribution pipe to 2 inches above the top of the distribution pipe. g. Distribution system. (1) To intermittent sand filter. A pressure distribution system must dose septic tank effluent to the intermittent sand filter. The pressure distribution system must meet the operation standards and include the components set forth in Subsection 405.C.1. of these Regulations, except that the system will dose effluent to the distribution area of the intermittent sand filter instead of to a disposal field. There must be a minimum of one distribution pipe for every 24 inches of intermittent sand filter width. (2) To disposal field. If the alternative onsite wastewater treatment system includes a standard disposal field with more than one trench, a distribution box must be installed between the intermittent sand filter and the disposal trenches. If the alternative onsite wastewater treatment system includes a non-standard disposal field, the intermittent sand filter may contain an internal pump system to dose treated effluent to the disposal field. An internal pump system must conform to the applicable specifications in Subsection 405.C.1.c. of these Regulations, and this Subsection 502.A.5.g.(2). In the event of a conflict, the latter will control. (a) An internal pump chamber must be seated at or below the level of the bottom of the underdrain pipe. (b) The operating depth of an internal pump must be no less than the depth of the underdrain. h. Silt barrier. A silt barrier conforming to the specifications in Subsection 404.G.2. of these Regulations must be installed over the top of the distribution bed. August 14, 2018 BOS Minutes 389 i. Soil cover. (1) General. Cover material must be placed on top of the silt barrier. The cover material must be crowned or sloped to promote rainfall runoff. The edges of the top layer of the cover material must be level with the natural grade. (2) Material. Cover material must conform to the specifications in Subsection 404.H.2. of these Regulations. (3) Depth. A minimum of 12 inches and maximum of 18 inches of cover material must be installed on top of the silt barrier. j. Monitoring wells. (1) Number; depth. Two inspection wells must be installed in an intermittent sand filter, as follows: (a) One well must extend from the finished grade of the intermittent sand filter to the bottom of the distribution bed. This well must be perforated only within the distribution bed. (b) One well must extend from finished grade of the intermittent sand filter through the filter sand to the top of the underdrain. This well must be perforated only within the bottom half of the filter sand. (2) Material. Inspection wells must conform to the specifications in Subsection 404.I.2. of these Regulations, except that perforations must begin and end as set forth above. B. Recirculating Sand Filters. 1. General. a. A recirculating sand filter provides supplemental treatment of septic tank effluent by directing it through a sand filter and then recycling it through a recirculating tank for further processing and delivery to a disposal field. b. The design of a recirculating sand filter must conform to all specifications applicable to intermittent sand filters set forth in Subsection 502.A. of these Regulations except for the specifications in Subsection 502.A.5.g. and the specifications in this Subsection 502.B. In the event of conflicting specifications, the specification in this Subsection 502.B. will control. 2. Area. The minimum distribution area of a recirculating sand filter is calculated by dividing the design daily sewage flow of the structure(s) to be served by the onsite wastewater treatment system by a wastewater loading rate that must not exceed 1.2 gpd/ft2 in a system that August 14, 2018 BOS Minutes 390 will serve a residential dwelling and 1.0 gpd/ft2 in a system that will serve a non-residential structure. 3. Components and materials. a. Distribution system. A recirculating sand filter must contain a recirculation tank that doses septic tank effluent to the recirculating sand filter, recirculates treated effluent through the tank and then directs treated effluent back to the recirculating sand filter and to the disposal field. The recirculation tank must include a tank, pump and water flow splitter that meet the following specifications, except that in the event of a conflict, the specifications in this Subsection 502.B.3 will control. (1) The recirculating tank must conform to the pump tank specifications in Subsection 405.C.1.c.(2) of these Regulations. (2) The pump must conform to the specifications in Subsection 405.C.1.c.(1)(a) of these Regulations. The pump must dose effluent back to the sand filter and disposal field at a ratio of approximately 5:1 at design flow conditions. (3) The water flow splitter must be a buoyant ball valve. b. Underdrain. The underdrain pipe must extend from the sand filter to an inlet on the recirculation tank. c. Silt barrier. No silt barrier is required in a recirculating sand filter. d. Cover. (1) General. Cover material must be placed on top of the distribution bed. The top layer must be level with the natural grade. (2) Material. Cover material must range in size from pea gravel to 2½-inch rounded rock. C. Proprietary supplemental treatment units. 1. General. An alternative wastewater treatment system may include any of the following proprietary supplemental treatment units: a. Aerobic treatment unit. b. Textile recirculating filter. 2. Effluent quality parameters. A proprietary supplemental treatment unit that is utilized in an alternative onsite wastewater treatment system must be certified by NSF August 14, 2018 BOS Minutes 391 International as meeting all effluent quality parameters applicable to Class 1 systems under Standard NSF 40. 3. Sizing. An alternative onsite wastewater treatment system that includes a proprietary supplemental treatment unit must be sized to accommodate the design daily sewage flow and conform to the manufacturer’s specifications. 4. Emergency storage. An alternative onsite wastewater treatment system that includes a proprietary supplemental treatment unit must have emergency storage capacity that is (a) no less than the design daily sewage flow for one day and (b) located either inside the supplemental treatment unit or in a separate pump tank that conforms to the specifications in Subsection 405.C.1.c.(2) of these Regulations. 503. Monitoring. The monitoring of alternative onsite wastewater treatment systems that is required by Section 420-6.810, subsection (b), of the Ordinance must include periodic inspections and submission of reports in accordance with all of the following: A. Inspections. A qualified inspector must periodically inspect an alternative onsite wastewater treatment system on behalf of the owner of the system. At a minimum, the qualified inspector must do all of the following: (1) Inspect the disposal field, supplemental treatment unit, pump tank, septic tank and alarms and assess whether they are functioning as designed; (2) check the supplemental treatment unit for water tightness; (3) check the disposal field for any surfacing effluent; and (4) check all performance wells for the presence of water, and if present, collect samples and field-test them for the presence of any effluent. An inspection must be conducted within 60 days prior to the deadline for submission of a report on the inspection as set forth below. B. Reports. 1. General. A written report on an inspection conducted under Subsection 503.A. of these Regulations must be prepared by the qualified inspector who conducted the inspection and submitted to the health officer. The report must, at a minimum, identify the date of the inspection and street address of the system inspected, describe all activities conducted and observations made by the qualified inspector during the inspection, set forth the qualified inspector’s determination as to whether the supplemental treatment unit, disposal field, pump tank, septic tank and alarms are functioning as designed, and provide recommendations for returning a system component that is not functioning as designed to a properly functioning condition. 2. Submission requirements. a. Initial report. An initial monitoring report must be submitted no later than one year after (a) issuance of a certificate of occupancy of the structure served by the system, (b) the health officer’s final approval of construction or alteration of the system, or (c) the effective date of these Regulations, whichever occurs later. August 14, 2018 BOS Minutes 392 b. Subsequent reports. (1) If the alternative onsite wastewater treatment system was constructed on or after the effective date of these Regulations, a second monitoring report must be submitted to the health officer within one year after the deadline for submission of the initial report. (2) A monitoring report must be submitted to the health officer within five years after the deadline for submission of the second monitoring report or, as to alternative onsite wastewater treatment systems constructed prior to the effective date of these Regulations, within five years after the deadline for submission of the initial report. Thereafter, as to all alternative wastewater treatment systems, a monitoring report must be submitted to the health officer within five years after the deadline for submission of the immediately preceding monitoring report. 504. Mitigation. The mitigation measures required by Section 420-6.810, subsection (c), of the Ordinance are: A. Sampling. Except as provided below, effluent samples must be collected from the system’s monitoring wells. At least one sample must be collected from an inspection well. If any performance well contains effluent, at least one effluent sample must be collected from a performance well. In the event all inspection wells are dry at the time of sampling, at least one sample must be collected from a point in the transport line that connects the supplemental treatment unit to the disposal field. B. Laboratory Testing. Effluent samples must be submitted to a certified laboratory to evaluate conformance with all of the following parameters: 1. Biochemical oxygen demand: No greater than 30 mg/L 2. Total suspended solids: No greater than 30 mg/L 3. Fecal coliform: No greater than 200 colonies per 100 milliliters 4. Nitrate reduction: At least 50 percent C. Reports. 1. General. A written report on the quality of the effluent discharged from the supplemental treatment unit, as determined by laboratory testing, must be prepared and submitted to the health officer no later than 60 days after collection of the most recent effluent sample(s) tested and referenced in the report, in accordance with the submission requirements below. The report must identify the date and location of collection of the sample(s) and include a copy of all laboratory test reports applicable to the sample(s). 2. Submission requirements. Reports required under this Subsection 504.C. are due and must be submitted by the applicable deadlines for reports set forth in Section 503 of these Regulations. August 14, 2018 BOS Minutes 393 D. Corrective Action. If a laboratory test report submitted to the health officer under Subsection 504.C. of these Regulations shows that any effluent sample failed to meet any of the applicable effluent quality parameters set forth in Subsection 504.B. of these Regulations (a “Failing Report”), the owner of the system must take any and all corrective actions necessary to cause the effluent treated by the system to conform to those parameters. Corrective actions must be completed, and a report discussing those corrective actions and demonstrating that effluent conforms to the applicable effluent quality parameters must be submitted to the health officer, no later than 180 days after the date of the Failing Report. August 14, 2018 BOS Minutes 394 SECTION 600: CONSTRUCTION PERMITS 601. General. Application for a permit to construct, alter, relocate or replace an onsite wastewater treatment system, or primary component thereof, must be made by using a form approved by the health officer. 602. Application Requirements. Applications will be accepted only if they are complete. A complete application must include an application form that has been completed in full and, except as set forth in Section 603 of these Regulations, all of the items described below: A. Plot Plan. Four copies of a plot plan must be submitted with the application. The plot plan must be drawn to scale of not less than 1 inch equals 20 feet and be a minimum of 8½ inches x 11 inches in size. A plot plan must contain all of the following information regarding the lot where the onsite wastewater treatment system to be constructed or altered will be located: 1. A location map, indicating the location of the lot with respect to abutting lots and the nearest public road; 2. Lot boundaries and dimensions; 3. The name of the lot owner and address and Assessor’s Parcel Number of the lot; 4. A north arrow and plan scale; 5. The location of all water and monitoring wells on the subject lot and all abutting lots, watercourses and water bodies (including, but not limited to, springs, marsh areas, drainage ditches, channels), cuts, embankments, natural bluffs or unstable land forms within 100 feet of any portion of the onsite wastewater treatment system to be constructed or altered, and any reserve area; 6. The location of any and all existing and proposed buildings, swimming pools, retaining walls, driveways, paved areas, water lines, underground utilities, storage tanks (underground and above ground), trees equal to or greater than 6 inches in diameter (measured at 4.5 feet from the ground surface) and easements located on the lot that are within 25 feet of the onsite wastewater treatment system to be constructed or altered; 7. Contour lines, if slopes are greater than 5 percent. If slopes are equal to or less than 5 percent, the direction and percentage of slopes must be shown; 8. The location of any existing onsite wastewater treatment systems and other sewage disposal systems on the lot; 9. The layout (including dimensions) of the onsite wastewater treatment system to be constructed or altered; 10. The location of each soil percolation test hole and soil profile hole; and August 14, 2018 BOS Minutes 395 11. The name, signature, stamp or seal of the qualified professional who prepared the plan, and the date the plan was signed and stamped or sealed. B. Floor Plan. Four copies of a floor plan of a structure to be served by the onsite wastewater treatment system to be constructed or altered must be submitted with the application. The floor plan must be drawn to scale of not less than 1 inch equals 20 feet and a minimum of 8½ inches x 11 inches in size. A floor plan must contain all of the following information: 1. The layout of all rooms on each floor of the structure; 2. The clear labeling of each room as to type; and 3. The name and signature of the person who prepared the plan. C. Construction Plan. Four copies of a plan for construction of the onsite wastewater treatment system to be constructed or altered must be submitted with the application. The construction plan must be drawn to scale of not less than 1 inch equals 20 feet and a minimum of 8½ inches x 11 inches in size. A construction plan must be prepared by a California-licensed civil engineer or California-registered environmental health specialist, conform to all applicable design requirements set forth in these Regulations and contain all of the following information: 1. The layout of the system, including the location of all primary components; 2. The location of all transport lines; 3. Typical cross-sections of the proposed disposal field; 4. Construction details of all septic tanks, pumps, supplemental treatment units, distribution boxes, transport lines and distribution pipes; and 5. The name, signature, stamp or seal of the person responsible for the plan, and the date the plans were signed and stamped or sealed. D. Soil Percolation Test Results. The results of soil percolation tests conducted on the lot in accordance with Section 305 of these Regulations must be submitted with the application in the form described in Subsection 305.F.1. of these Regulations. E. Calculations; Specifications. 1. Calculations. Calculations that are used to determine the required size of the septic tank and absorption area of the disposal field and that conform to the requirements in Section 400 of these Regulations must be submitted with the application. 2. Specifications. A copy of the manufacturer’s specifications of all septic tanks, pumps, supplemental treatment units, distribution boxes, transport lines and distribution pipes must be submitted with the application. August 14, 2018 BOS Minutes 396 603. Permits for Tank Replacements. An application for a permit to replace a septic tank, pump tank or supplemental treatment unit must include a copy of the manufacturer’s specifications for the replacement tank or supplemental treatment unit. 604. No Guarantees. Acceptance of a permit application does not guarantee that a permit will be issued. Issuance of a permit does not guarantee that a system will operate satisfactorily. August 14, 2018 BOS Minutes 397 SECTION 700: BUILDING PERMITS; CERTIFICATES OF OCCUPANCY; SUBDIVISION MAPS 701. Building Permits. A. Review of Proposed Sewage Disposal Method. An application that is submitted to the health officer for review of a proposed method of sewage disposal under Section 420-6.604, subsection (a)(1) or (a)(2), of the Ordinance must be submitted with a plot plan that shows the locations of any and all existing and proposed buildings and other structures on the lot and contains all of the information described in Subsections 602.A.1.-4. of these Regulations, floor plans, the construction plan of the sewage disposal system and, if the sewage disposal system has not yet been constructed, the soil percolation test report described in Section 305 of these Regulations. B. Review of Proposed Structure Location. 1. Application. An application that is submitted to the health officer for review of the location of a proposed structure under Section 420-6.604, subsection (a)(3), of the Ordinance must be submitted with a plot plan that shows the locations of any and all existing and proposed buildings and other structures, sewage disposal systems and reserve areas on the lot and contains all of the information described in Subsections 602.A.1.-4. of these Regulations. 2. Findings supporting approval of location. The health officer may determine under Section 420-6.604, subsection (d)(2), of the Ordinance that construction of a structure will not interfere with the use of a necessary approved sewage disposal system, reserve area or designated disposal field area if the health officer makes one of the following three findings: a. That no part of the structure would be located: (1) Within the footprint of, or any applicable setback from, an approved sewage disposal system; or (2) Within a reserve area or setback therefrom equivalent to the setback from a disposal field; or (3) Within a designated disposal field area or setback therefrom equivalent to the setback from a disposal field. b. That part of the structure would be located within a reserve area or setback therefrom equivalent to the setback from a disposal field, but that: (1) No part of the structure would be located within the footprint of, or any applicable setback from, an approved sewage disposal system, and August 14, 2018 BOS Minutes 398 (2) If part of the structure would also be located within a designated disposal field area, or setback therefrom equivalent to the setback from a disposal field, the health officer makes one of the findings set forth in Subsection 701.B.2.c.(3)-(4) of these Regulations; and (3) The health officer finds: (a) That a sanitary sewer is available for connection to a structure that is connected to the onsite wastewater treatment system for which the reserve area was approved; or (b) That the onsite wastewater treatment system for which the reserve area was approved has been abandoned; or (c) That the onsite wastewater treatment system for which the reserve area was approved is not connected to any structure and a sanitary sewer is available for connection to at least one structure that could be constructed on the lot; or (d) That a replacement reserve area has been approved by the health officer. c. That part of the structure would be located within a designated disposal field area or setback therefrom equivalent to the setback from a disposal field, and that: (1) No part of the structure would be located within the footprint of, or any applicable setback from, an approved sewage disposal system; and (2) If part of the structure would also be located within a reserve area or setback therefrom equivalent to the setback from a disposal field, the health officer makes at least one of the findings set forth in Subsection 701.B.2.b.(3)(a)-(d) of these Regulations; and either (3) The lot owners have executed and submitted to the health officer a notarized document stating that the designated disposal field area is not needed and acknowledging that construction in the proposed location could inhibit future development of a structure containing plumbing fixtures on the lot if an onsite wastewater treatment system cannot be constructed to serve that structure or connection to a sanitary sewer is not available to that structure, or (4) The health officer finds: (a) That a sanitary sewer is available for connection to at least one structure that could be constructed on the lot; or (b) That a replacement designated disposal area has been approved by the health officer. August 14, 2018 BOS Minutes 399 3. Findings requiring disapproval of location. The health officer may determine under Section 420-6.604, subsection (d)(2), of the Ordinance that construction of a structure will interfere with the use of a necessary approved sewage disposal system, reserve area or designated disposal field area if the health officer makes one of the following three findings: a. That part of the structure would be located within the footprint of, or any applicable setback from, an approved sewage disposal system. b. That part of the structure would be located within a reserve area or setback therefrom applicable to the setback from a disposal area, and that: (1) A structure is connected to the onsite wastewater treatment system for which the reserve area was approved, and a sanitary sewer is not available for connection to that structure; and (2) A replacement reserve area has not been approved by the health officer. c. That part of the structure would be within a designated disposal field area or setback therefrom equivalent to the setback from a disposal field, and that: (1) A sanitary sewer is not available for connection to any structure that could be constructed on the lot; and (2) A replacement designated disposal field area has not been approved by the health officer; and (3) The notarized statement described in Subsection 701.B.2.c.(3) of these Regulations has not been submitted. 702. Certificates of Occupancy. An application that is submitted to the health officer for review of a proposed method of sewage disposal under Section 420-6.604, subsection (b), of the Ordinance must be submitted with a plot plan, floor plans, the construction plan of the sewage disposal system and, if the sewage disposal system has not yet been constructed, the soil percolation test report described in Section 305 of these Regulations. 703. Subdivision Maps. A proposed tentative map that is submitted to the health officer for review of a proposed method of sewage disposal must be submitted with a plot plan and the soil percolation test report described in Section 305 of these Regulations. August 14, 2018 BOS Minutes 400 SECTION 800: CONSTRUCTION, INSTALLATION AND INSPECTION 801. General. An onsite wastewater treatment system must be constructed in strict accordance with the Ordinance, these Regulations and construction plans approved by the health officer. A copy of the construction plans must be available at the job site until construction of the system is completed and approved by the health officer. 802. Commencement of Work. Work may commence upon issuance of a permit to construct, alter, relocate or replace an onsite wastewater treatment system, or primary component thereof, provided that the applicant has obtained any and all other permits and authorizations that might be required by the State, County or other public agency. 803. Tanks. A. Installation. A tank utilized in an onsite wastewater treatment system must be installed level on a firm bedding of compacted soil, sand or gravel in accordance with the manufacturer’s specifications. All pipes that pass through a tank must be sealed with a watertight sealant. B. Testing. A tank utilized in an onsite wastewater treatment system must be demonstrated to be watertight by field testing conducted in the presence of the health officer as follows during the installation of the system: Fill tanks with water two inches into riser connections at least 24 hours prior to commencement of the test and mark water level. The test consists of a one-hour observation period. The absence of any water drop during this period is considered a passing test. If the water level drops, the tank must be resealed and retested. C. Cover. A tank utilized in an onsite wastewater treatment system may not be covered until after the health officer has conducted an inspection of the tank and its connections. 804. Transport Lines. Transport lines must be buried a minimum of 12 inches below the natural grade. 805. Disposal Fields. A. Trenches. 1. Trenches must be constructed when the soil is dry to minimize soil compaction and smearing of trench sidewalls. 2. Smearing of the bottom and sidewalls of a trench during construction must be corrected by scarifying those surfaces after trench excavation is complete. 3. Physical barriers must be used to minimize the entry of surface runoff into open trenches during construction. August 14, 2018 BOS Minutes 401 4. Cover material must be placed so as to maximize protection from surface runoff and not crush piping or drain media. Cover material must be placed as soon as possible after the final construction inspection. B. Drain Media. 1. Drain media must be protected from contamination with soil during installation. 2. Drain media in trenches must be installed entirely within native soil and below the existing grade. C. Imported Fill. 1. Site preparation. Prior to placement of imported fill, all vegetation must be removed from the native soil in the area of the proposed disposal field and the ground surface disced or plowed to permit good mixing of native soil and fill material. 2. Compaction. Imported fill must be placed in layers of not more than 8 inches and compacted in a manner to minimize settlement and allow transmission of air. D. Mounds. The construction of mounds must conform to the guidelines contained in the Wisconsin Mound Soil Absorption System: Siting, Design and Construction Manual by James C. Converse et al., January 2000 and as amended, except that in the event specifications conflict, the applicable specifications in these Regulations will control. E. At Grade Beds. The construction of at-grade beds must conform to the guidelines contained in the Wisconsin At-Grade Soil Absorption System: Siting, Design and Construction Manual by James C. Converse et al., January 1990 (part of the Small Scale Waste Management Project, University of Wisconsin-Madison) and as amended, except that in the event specifications conflict, the applicable specifications in these Regulations will control. F. Alternative Onsite Wastewater Treatment Systems. Proprietary supplemental treatment units must be assembled and installed in strict accordance with the manufacturer’s instructions. 806. Inspections. All installations must be inspected and approved by the health officer before they are considered complete and may be used. Inspection requests must be submitted to the health officer a minimum of two business days prior to an inspection. August 14, 2018 BOS Minutes 402 SECTION 900: ALTERATIONS AND CHANGES OF USE OF EXISTING STRUCTURES 901. Alterations. A. General. Sewage disposal requirements for an addition to, or remodel of, an existing structure that is served by an onsite wastewater treatment system are determined based on the existence of plumbing fixtures, the type and capacity of any existing system and sewer availability, as set forth below. B. Type of System. An onsite wastewater treatment system that serves a structure may be used as a method of sewage disposal to serve an addition to or remodeled portion of that structure if the owner of the system proves, though the submission of written evidence, all of the following: (1) The system is an approved sewage disposal system; (2) the system is properly functioning; and (3) the design daily sewage flow of the system is sufficient to accommodate the peak daily sewage flow to be generated by the existing structure and the addition or remodel. Evidence that will be considered by the health officer includes, but is not necessarily limited to, historical permit records and a written evaluation report by a qualified professional that identifies the components of the system and addresses the system’s integrity, performance, design daily sewage flow, peak daily sewage flow and, with regard to non-residential structures, wastewater strength. C. Sewer Availability. If an addition to or remodeled portion of a structure requires a method of sewage disposal, and an existing onsite wastewater treatment system that serves the structure does not meet all of the criteria set forth in Subsection 901.B. of these Regulations, the addition to or remodeled portion of the structure must be connected to either (1) a sanitary sewer, if available or (2) if a sanitary sewer is not available, an onsite wastewater treatment system that complies with all applicable requirements in the Ordinance and these Regulations. 902. Non-Residential Changes in Use. A. If a proposed change in use of a non-residential structure that is served by an onsite wastewater treatment system is not projected to cause any increase in sewage flow or wastewater strength, the structure may continue to be served by that system if the health officer determines that it is an approved sewage disposal system. B. If a proposed change in use of a non-residential structure that is served by an onsite wastewater treatment system is projected to cause an increase in sewage flow or wastewater strength, the structure must be connected to either (1) a sanitary sewer, if available or (2) an onsite wastewater treatment system that complies with all applicable requirements in the Ordinance and these Regulations. August 14, 2018 BOS Minutes 403 SECTION 1000: SEWAGE HOLDING TANK SYSTEMS 1001. General. A sewage holding tank system is a sewage collection system that includes a watertight tank designed to collect and temporarily store wastewater that is periodically removed by a permitted septic tank-chemical toilet cleaner. 1002. Permits. An application for a permit to install a sewage holding tank system must conform to the requirements in Sections 601 and 603 and Subsections 602.A. and 602.B. of these Regulations. 1003. Design. A. Tanks. The design of a sewage holding tank must conform to the requirements in Subsections 402.A., 402.D., 402.E. and 402.F. of these Regulations. B. Alarms. 1. A sewage holding tank must be equipped with a high water sensing device and high water audible and visual alarms, mounted on the structure served or on a pipe stand or wooden post within 5 feet of the structure served. 2. The high water sensing device must be designed to activate the alarms when the remaining volume available in the holding tank to store sewage is no less than the design daily sewage flow of the structure being served. 1004. Installation; Inspections. A sewage holding tank system must be installed and inspected in accordance with the requirements in Section 803 of these Regulations. August 14, 2018 BOS Minutes 404 SECTION 1100. ABANDONMENT 1101. Sewage Disposal Systems. A. Onsite Wastewater Treatment Systems. The procedures for abandonment of an onsite wastewater treatment system are: 1. Convert the septic tank to a sewage holding tank; or 2. Complete all of the following tasks: a. All contents must be removed from the septic tank and all other tanks utilized in the system and hauled away by a registered septic tank-chemical toilet cleaner; b. All tank lids must be removed and either recycled or disposed of at a permitted solid waste facility; c. All tanks must be excavated, removed and disposed of at a permitted solid waste facility or abandoned in place. If a tank will be abandoned in place, a sufficient number of holes must be made in the bottom of the tank to prevent accumulation of surface water in or above the tank; and d. All tanks that are abandoned in place and excavations made in the course of an abandonment under this Subsection 1101.A. must be filled with pea gravel, drain rock or compacted native soil. B. Cesspools; Pit Privies. The procedures for abandonment of a cesspool or pit privy are: 1. All contents must be removed from the cesspool or pit and hauled away by a registered septic tank-chemical toilet cleaner; and 2. The cesspool or pit must be filled with pea gravel, drain rock or compacted native soil. 1102. Sewage Collection Systems. A. Sewage Holding Tank Systems. The procedures for abandonment of a sewage holding tank system are: 1. Convert the sewage holding tank to a septic tank; or 2. Complete all of the following tasks: a. All contents must be removed from the holding tank and hauled away by a licensed septic tank chemical toilet cleaner; August 14, 2018 BOS Minutes 405 b. The lid of the holding tank must be removed and either recycled or disposed of at a permitted solid waste facility; c. The holding tank must be excavated, removed and disposed of at a permitted solid waste facility or abandoned in place. If the tank will be abandoned in place, a sufficient number of holes must be made in the bottom of the tank to prevent accumulation of surface water in or above the tank; and d. A holding tank that is abandoned in place or excavation made in the course of an abandonment under this Subsection 1102.A. must be filled with pea gravel, drain rock or compacted native soil. B. Vault Privies. The procedures for abandonment of a vault privy are: 1. All contents must be removed from the vault and hauled away by a registered septic tank chemical toilet cleaner; 2. The vault must be excavated, removed and disposed of at a permitted solid waste facility; or, if the vault will be abandoned in place, a sufficient number of holes must be made in the bottom of the vault to prevent accumulation of surface water in or above the vault; and 3. The vault or excavation must be filled with pea gravel, drain rock or compacted native soil. August 14, 2018 BOS Minutes 406 SECTION 1200. SEPTIC TANK-CHEMICAL TOILET CLEANERS 1201. Registration. An applicant for septic tank-chemical toilet cleaner registration must earn a passing score of at least 70 percent on the examination administered by the health officer under Health and Safety Code section 117420 as a condition of issuance of registration. 1202. Equipment. A. Vehicles. 1. Vehicle identification markings required under Section 420-6.1206 of the Ordinance must: a. Be applied to both sidewalls of the vehicle; b. Be in sharp contrast to the background; c. Be of such size as to be readily visible during daylight hours from a distance of 50 feet; and d. Include the following information: (1) The name and address of the permitted septic tank-chemical toilet tank cleaner; and (2) The capacity of the sewage collection tank, in gallons. 2. The permit decal required under Section 420-6.1206 of the Ordinance must be prominently displayed on the rear of the vehicle. B. Tanks. Sewage collection tanks on vehicles used to collect or transport sewage must be constructed of metal, watertight, and designed to prevent spillage of the contents. A means to accurately measure the volume of the contents in the tank must be provided. A leak-proof gate valve must be provided on the tank for the collection or discharge of the tank contents. The gate valve must have a leak-proof screw plug or screw cap that must be installed when the valve is not being used. C. Pumps. Pumps on vehicles used to collect or transport sewage must be designed to prevent leakage. D. Pipes and hoses. Pipes and hoses on vehicles used to collect or transport sewage must be designed to prevent leakage and be of a sufficient length to extend fully into, and maximize the removal of the contents of, the septic tank, sewage holding tank, onsite wastewater treatment system, cesspool, privy pit or vault, seepage pit or chemical toilet being cleaned. August 14, 2018 BOS Minutes 407 1203. Chemical Toilets. A. Design; Construction. 1. Chemical toilets must be designed and constructed to keep out flies and vermin. 2. The interior surfaces of a chemical toilet must be durable, non-absorbent, smooth and easily cleanable. 3. A chemical toilet must be equipped with a tank upon which is mounted a toilet seat that is durable, non-absorbent, smooth and easily cleanable. 4. A chemical toilet tank must have a capacity of at least 40 gallons. The tank must be constructed of durable easily cleanable material, leak proof and designed to prevent spillage. 5. Chemical toilets must be ventilated and equipped with a self-closing door that is lockable from the inside. B. Markings. The name of the permitted septic tank-chemical toilet cleaner and the unit number must be applied to each chemical toilet so that it is clearly visible and in lettering at least 3-inches in height. C. Operation. 1. Chemical toilets must be kept clean and sanitary. 2. Effective odor control and solid-liquefying chemicals must be used in the chemical toilet holding tank at all times the chemical toilet is available for use. H:\Ordinances\Septic Ordinance\HOSewageRegulations.8.14.18.docx August 14, 2018 BOS Minutes 408 APPENDICES August 14, 2018 BOS Minutes 409 Appendix 1 Minimum Horizontal Setback Requirements Except as otherwise provided herein, the following minimum horizontal setbacks apply to the installation of sewage holding tanks and new or replacement onsite wastewater treatment systems, or the primary components thereof. If a minimum horizontal setback requirement cannot be met on a lot upon which an approved sewage disposal system was lawfully installed prior to the effective date of the Health Officer Regulations for Sewage Collection and Disposal incorporating this Appendix 1, the setback requirements must be met to the greatest extent practicable. Notwithstanding the foregoing, a replacement system or sewage holding tank setback must not be less than the corresponding setback requirement in effect at the time of installation of the system to be replaced or, in the absence of a corresponding historical setback requirements, the corresponding setback of the system to be replaced. Site Feature Setback to Tanks Setback to Edge of Disposal Field Setback to Transport Lines High water marks of bays, streams, rivers, canals 100 feet 100 feet1 2 50 feet High water marks of ditches, culverts, ephemeral streams 50 feet 50 feet 50 feet High water marks of lakes, reservoirs 100 feet 200 feet1 50 feet Depressions and low areas 5 feet 10 feet 5 feet Downslope or adjacent cutbanks, fill banks, escarpments, embankments, natural bluffs 10 feet 25 feet or 4x height of feature, whichever is greater, but not more than 100 feet3 10 feet Fill areas, unstable soil, unstable landforms, drainage swales 10 feet 25 feet 10 feet Trees 10 feet 10 feet 10 feet Areas subject to vehicular traffic N/A 5 feet N/A Structures, foundations 10 feet 10 feet 5 feet Underground irrigation or drainage systems (watertight piping) 10 feet 10 feet 10 feet Underground irrigation or drainage systems (non-watertight piping) 100 feet 100 feet 50 feet Easements 5 feet 5 feet 5 feet August 14, 2018 BOS Minutes 410 Site Feature Setback to Tanks Setback to Edge of Disposal Field Setback to Transport Lines Property lines of lots with public water supply and no on-site well 10 feet 10 feet 10 feet Property lines of lots with on-site well or spring water supply 25 feet 50 feet 10 feet Slopes (down gradient or level with disposal field) 0 ≤ x < 25% 25% ≤ x < 30% 30% ≤ x < 35% x > 35% x=slope 12 feet 25 feet 37 feet 50 feet 12 feet 25 feet 37 feet 50 feet N/A N/A N/A N/A Toe or cut of up gradient slope > 20% 5 feet 5 feet N/A Water mains 25 feet 25 feet 10 feet Edges of disposal field 5 feet N/A N/A Underground utilities 5 feet 5 feet 5 feet Public water lines 10 feet 10 feet 10 feet Private water lines 5 feet 5 feet 10 feet Public water wells 150 feet 150 feet 50 feet Private water wells, springs 100 feet 100 feet 50 feet Domestic water supply reservoirs or tributary streams thereof 100 feet 1,000 feet 50 feet 1 If the disposal field is within 1,200 feet from a public water system’s surface water intake point, within the catchment of the drainage, and located such that effluent from the disposal field may impact water quality at the intake point, such as upstream of the intake point for flowing water bodies, the disposal field shall be no less than 400 feet from the high water mark of the reservoir, lake or flowing water body. 2 If the disposal field is more than 1,200 feet but less than 2,500 feet from a public water system’s surface water intake point, within the catchment of the drainage, and located such that effluent from the disposal field may impact water quality at the intake point, such as upstream of the intake point for flowing water bodies, the disposal field shall be no less than 200 feet from the high water mark of the reservoir, lake or flowing water body. 3 Setback will be measured from the top edge of the feature. Where an impermeable layer intersects a cut, and natural seepage is evident, the minimum setback must be 100 feet from the cut unless it is demonstrated to the satisfaction of the health officer that other site factors (e.g., soil depth) will prevent lateral seepage of effluent. August 14, 2018 BOS Minutes 411 Appendix 2 Estimated Sewage Flows For Non-Residential Uses Table 1 Type of Establishment1 Unit Sewage Flow (gallons/unit/day) Airports Passenger 5 Assembly halls/churches without kitchens Seat 5 Assembly halls/churches with kitchens Seat 10 Boarding schools Student 100 Country clubs Resident member 100 Country clubs Non-resident members and guests present 25 Day camps (no meals served) Person 15 Offices Employee 20 Drive-in theaters Car space 5 Factories Employee 35 Hospitals Bed space 250 Hotels/motels/bed and breakfasts with private baths Bed space 60 Hotels/motels/bed and breakfasts without private baths Bed space 50 Hotels/motels with private baths and kitchens Bed space 75 Institutions other than hospitals Bed space 125 Movie theaters Auditorium seat 5 Offices Employee 20 Picnic parks with bathing facilities and flush toilets Person 10 Picnic parks with flush toilets only Person 5 Resort camps with plumbing fixtures Person 50 Resort cottages/cabins Person 50 Restaurants – Add the applicable flows per category: Multi-use utensils Seat 35 Single-use utensils Seat 25 Bar and cocktail lounge Seat 20 Retail stores (excluding food facilities) Employee 20 August 14, 2018 BOS Minutes 412 Type of Establishment1 Unit Sewage Flow (gallons/unit/day) Schools without cafeterias, gymnasiums or showers Student 15 Schools with cafeterias, but no gymnasiums or showers Student 20 Schools with cafeterias, gyms and showers Student 25 Self-service laundries Wash 50 Service stations Vehicle served 10 Swimming pools/bathhouses Person 10 Tourist camps/mobile home parks with individual bath units Person 100 Tourist camps and trailer parks with central bathhouses Person 75 Work or construction camps (temporary) Person 50 Alcoholic beverage tasting facility (no meals served) Person 2.5 1 If an establishment is not listed in Table 1 above, sewage flow may be estimated based on the total fixture unit value for the establishment and Table 2 below. Fixture unit values for specified drainage fixtures are based on Table 702.1 of the 2013 California Plumbing Code, as may be amended from time to time Table 2 Total Fixture Units Sewage Flow (gallons/day) 1 to 15 375 16 to 20 500 21 to 25 600 26 to 35 750 36 to 45 1,000 46 to 55 1,112 56 to 60 1,250 61 to 70 1,375 71 to 80 1,500 81 to 90 1,625 91 to 100 2 1,750 2 For each additional fixture unit over 100, add 12.5 gallons per fixture unit. August 14, 2018 BOS Minutes 413 Appendix 3 Wastewater Loading Rates Percolation Rates (Minutes per inch) and Associated Wastewater Loading Rates (Gallons per square foot per day) 1-3 MPI = 1.200 gal/sq ft/day 47 MPI = 0.437 gal/sq ft/day 4 MPI = 1.143 gal/sq ft/day 48 MPI = 0.430 gal/sq ft/day 5 MPI = 1.086 gal/sq ft/day 49 MPI = 0.423 gal/sq ft/day 6 MPI = 1.029 gal/sq ft/day 50 MPI = 0.417 gal/sq ft/day 7 MPI = 0.971 gal/sq ft/day 51 MPI = 0.410 gal/sq ft/day 8 MPI = 0.914 gal/sq ft/day 52 MPI = 0.403 gal/sq ft/day 9 MPI = 0.857 gal/sq ft/day 53 MPI = 0.397 gal/sq ft/day 10 MPI = 0.800 gal/sq ft/day 54 MPI = 0.390 gal/sq ft/day 11 MPI = 0.786 gal/sq ft/day 55 MPI = 0.383 gal/sq ft/day 12 MPI = 0.771 gal/sq ft/day 56 MPI = 0.377 gal/sq ft/day 13 MPI = 0.757 gal/sq ft/day 57 MPI = 0.370 gal/sq ft/day 14 MPI = 0.743 gal/sq ft/day 58 MPI = 0.363 gal/sq ft/day 15 MPI = 0.729 gal/sq ft/day 59 MPI = 0.357 gal/sq ft/day 16 MPI = 0.714 gal/sq ft/day 60 MPI = 0.350 gal/sq ft/day 17 MPI = 0.700 gal/sq ft/day 61 MPI = 0.345 gal/sq ft/day 18 MPI = 0.686 gal/sq ft/day 62 MPI = 0.340 gal/sq ft/day 19 MPI = 0.671 gal/sq ft/day 63 MPI = 0.335 gal/sq ft/day 20 MPI = 0.657 gal/sq ft/day 64 MPI = 0.330 gal/sq ft/day 21 MPI = 0.643 gal/sq ft/day 65 MPI = 0.325 gal/sq ft/day 22 MPI = 0.629 gal/sq ft/day 66 MPI = 0.320 gal/sq ft/day 23 MPI = 0.614 gal/sq ft/day 67 MPI = 0.315 gal/sq ft/day 24 MPI = 0.600 gal/sq ft/day 68 MPI = 0.310 gal/sq ft/day 25 MPI = 0.593 gal/sq ft/day 69 MPI = 0.305 gal/sq ft/day 26 MPI = 0.587 gal/sq ft/day 70 MPI = 0.300 gal/sq ft/day 27 MPI = 0.580 gal/sq ft/day 71 MPI = 0.295 gal/sq ft/day 28 MPI = 0.573 gal/sq ft/day 72 MPI = 0.290 gal/sq ft/day 29 MPI = 0.567 gal/sq ft/day 73 MPI = 0.285 gal/sq ft/day 30 MPI = 0.560 gal/sq ft/day 74 MPI = 0.280 gal/sq ft/day 31 MPI = 0.553 gal/sq ft/day 75 MPI = 0.275 gal/sq ft/day 32 MPI = 0.545 gal/sq ft/day 76 MPI = 0.270 gal/sq ft/day 33 MPI = 0.538 gal/sq ft/day 77 MPI = 0.265 gal/sq ft/day 34 MPI = 0.531 gal/sq ft/day 78 MPI = 0.260 gal/sq ft/day 35 MPI = 0.523 gal/sq ft/day 79 MPI = 0.255 gal/sq ft/day 36 MPI = 0.516 gal/sq ft/day 80 MPI = 0.250 gal/sq ft/day 37 MPI = 0.509 gal/sq ft/day 81 MPI = 0.245 gal/sq ft/day 38 MPI = 0.501 gal/sq ft/day 82 MPI = 0.240 gal/sq ft/day 39 MPI = 0.494 gal/sq ft/day 83 MPI = 0.235 gal/sq ft/day 40 MPI = 0.487 gal/sq ft/day 84 MPI = 0.230 gal/sq ft/day 41 MPI = 0.479 gal/sq ft/day 85 MPI = 0.225 gal/sq ft/day 42 MPI = 0.472 gal/sq ft/day 86 MPI = 0.220 gal/sq ft/day 43 MPI = 0.765 gal/sq ft/day 87 MPI = 0.215 gal/sq ft/day 44 MPI = 0.457 gal/sq ft/day 88 MPI = 0.210 gal/sq ft/day 45 MPI = 0.450 gal/sq ft/day 89 MPI = 0.205 gal/sq ft/day 46 MPI = 0.443 gal/sq ft/day 90-120 MPI = 0.200 gal/sq ft/day August 14, 2018 BOS Minutes 414 Appendix 4 Sand Specifications The following specifications apply to sand fill used in an intermittent sand filter, recirculating sand filter, pressure-dosed sand trench or mound. Sand fill may be used only after a sieve analysis report documenting the sand’s conformance with applicable specifications has been submitted to and approved by the health officer. Sieve Size Sieve Diameter (mm) Percent Passing RSF1 Mounds, ISF2, PDST3 3/8 in 9.50 100 100 # 4 4.75 70-100 95-100 # 10 2.00 5-80 65-100 # 16 1.18 0-4 45-85 # 30 0.59 0-4 25-55 # 50 0.297 0-1 5-20 # 60 0.249 0-1 0-10 # 100 0.149 0-1 0-4 # 200 0.074 0-1 0-2 1 Recirculating sand filter 2 Intermittent sand filter 3 Pressure-dosed sand trench August 14, 2018 BOS Minutes 415 RECOMMENDATION(S): REAPPOINT the following individuals to the District IV Seats on the First 5 Children and Families Commission: District IV Seat: Gareth Ashley Concord, CA 94519 District IV Alternate Seat: Matt Regan Pleasant Hill, CA 94523 FISCAL IMPACT: None. BACKGROUND: The Contra Costa County Board of Supervisors established the First 5 Contra Costa Children and Families Commission on June 15, 1999 (Ordinance 99-15). The Board appointed nine Commission members APPROVE OTHER RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE Action of Board On: 08/14/2018 APPROVED AS RECOMMENDED OTHER Clerks Notes: VOTE OF SUPERVISORS AYE:Candace Andersen, District II Supervisor Diane Burgis, District III Supervisor Karen Mitchoff, District IV Supervisor Federal D. Glover, District V Supervisor ABSENT:John Gioia, District I Supervisor Contact: Lia Bristol (925) 521-7100 I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown. ATTESTED: August 14, 2018 David J. Twa, County Administrator and Clerk of the Board of Supervisors By: Stacey M. Boyd, Deputy cc: C. 21 To:Board of Supervisors From:Karen Mitchoff, District IV Supervisor Date:August 14, 2018 Contra Costa County Subject:REAPPOINT Gareth Ashley and Matt Regan to the District IV seats on the First 5 Children and Families Commission August 14, 2018 BOS Minutes 416 BACKGROUND: (CONT'D) and nine Alternate members on September 1, 1999. Members include one Supervisor from the County Board of Supervisors, the directors of the County Departments of Health Services, Employment and Human Services, and a representative from the County Administrator's Office of Children's Services. The other five members of the Commission are appointed by the Board of Supervisors and represent each Supervisory District. Commissioners and Alternate Commission members represent various disciplines and backgrounds including pediatrics, early childhood education, child welfare, and schools. Alternate members, including second representatives from the Board of Supervisors, the county agencies mentioned above, and the five districts, hold all the powers of the appointed Commissioners except voting privileges. CONSEQUENCE OF NEGATIVE ACTION: The seats will become vacant. August 14, 2018 BOS Minutes 417 RECOMMENDATION(S): ACCEPT the resignation of Julie McCarter, DECLARE a vacancy in the Appointee 3 seat on the Kensington Municipal Advisory Council, and DIRECT the Clerk of the Board to post the vacancy. FISCAL IMPACT: None. BACKGROUND: The Kensington Municipal Advisory Council (KMAC) advises the Board of Supervisors, County Planning Commission, and the Zoning Administrator on land use issues and other concerns affecting the unincorporated community of Kensington. Julie McCarter is moving from Kensington. APPROVE OTHER RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE Action of Board On: 08/14/2018 APPROVED AS RECOMMENDED OTHER Clerks Notes: VOTE OF SUPERVISORS AYE:Candace Andersen, District II Supervisor Diane Burgis, District III Supervisor Karen Mitchoff, District IV Supervisor Federal D. Glover, District V Supervisor ABSENT:John Gioia, District I Supervisor Contact: Kate Rauch, 510-231-8691 I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown. ATTESTED: August 14, 2018 David J. Twa, County Administrator and Clerk of the Board of Supervisors By: Stacey M. Boyd, Deputy cc: C. 22 To:Board of Supervisors From:John Gioia, District I Supervisor Date:August 14, 2018 Contra Costa County Subject:Accept resignation of Julie McCarter from KMAC Seat 3 and declare seat open August 14, 2018 BOS Minutes 418 AGENDA ATTACHMENTS MINUTES ATTACHMENTS Vacancy Notice August 14, 2018 BOS Minutes 419 August 14, 2018 BOS Minutes 420 RECOMMENDATION(S): APPOINT the following individual to the Knightsen Town Community Services District with a term to expire December 31, 2018, as recommended by Supervisor Diane Burgis. Curtis Caldwell Knightsen, CA 94548 FISCAL IMPACT: None. BACKGROUND: Former Knightsen Community Services District (CSD) Board Member, Steve Ohmstede resigned from the Knightsen CSD effective April 24, 2018. The deadline for the Knightsen CSD to fill the vacancy was June 24, 2018 and was unable to do so. In accordance with Government Code 1780, the Board of Supervisors may appoint an individual to fill the vacancy when the District is unable to do so within the legal timeframe. The vacancy was posted by the Clerk of the Board on June 27, 2018 and the recommendation APPROVE OTHER RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE Action of Board On: 08/14/2018 APPROVED AS RECOMMENDED OTHER Clerks Notes: VOTE OF SUPERVISORS AYE:Candace Andersen, District II Supervisor Diane Burgis, District III Supervisor Karen Mitchoff, District IV Supervisor Federal D. Glover, District V Supervisor ABSENT:John Gioia, District I Supervisor Contact: Lea Castleberry, (925) 252-4500 I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown. ATTESTED: August 14, 2018 David J. Twa, County Administrator and Clerk of the Board of Supervisors By: Stacey M. Boyd, Deputy cc: C. 23 To:Board of Supervisors From:Diane Burgis, District III Supervisor Date:August 14, 2018 Contra Costa County Subject:APPOINTMENT TO THE KNIGHTSEN COMMUNITY SERVICES DISTRICT August 14, 2018 BOS Minutes 421 BACKGROUND: (CONT'D) to appoint Curtis Caldwell was then determined. CONSEQUENCE OF NEGATIVE ACTION: No appointment could force the Knightsen CSD to hold a Special Election which would negatively impact their budget. August 14, 2018 BOS Minutes 422 RECOMMENDATION(S): REAPPOINT Clark Dawson to the District 3 seat on the Fish and Wildlife Committee to a term expiring February 28, 2022, as recommended by Supervisor Diane Burgis. FISCAL IMPACT: None. BACKGROUND: The Fish and Wildlife Committee advises the Board of Supervisors on fish and wildlife issues in Contra Costa County, including use of funds from the Fish and Wildlife Propagation Fund pursuant to Fish and Game Code Section 13103. The term for this seat expired February 28, 2018. Applications were accepted and the recommendation to reappoint the above individual was then determined. APPROVE OTHER RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE Action of Board On: 08/14/2018 APPROVED AS RECOMMENDED OTHER Clerks Notes: VOTE OF SUPERVISORS AYE:Candace Andersen, District II Supervisor Diane Burgis, District III Supervisor Karen Mitchoff, District IV Supervisor Federal D. Glover, District V Supervisor ABSENT:John Gioia, District I Supervisor Contact: Lea Castleberry, (925) 252-4500 I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown. ATTESTED: August 14, 2018 David J. Twa, County Administrator and Clerk of the Board of Supervisors By: Stacey M. Boyd, Deputy cc: C. 24 To:Board of Supervisors From:Diane Burgis, District III Supervisor Date:August 14, 2018 Contra Costa County Subject:REAPPOINTMENT TO THE FISH AND WILDLIFE COMMITTEE August 14, 2018 BOS Minutes 423 RECOMMENDATION(S): APPOINT the following individual to the Appointee 3 seat on the Byron Municipal Advisory Council to a term expiring December 31, 2020, as recommended by Supervisor Diane Burgis. Steve Larsen Byron, CA 94514 FISCAL IMPACT: None. BACKGROUND: The Appointee 3 seat was vacated by the Board of Supervisors on June 26, 2018. Applications were accepted and the recommendation to appoint the above individual was then determined. APPROVE OTHER RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE Action of Board On: 08/14/2018 APPROVED AS RECOMMENDED OTHER Clerks Notes: VOTE OF SUPERVISORS AYE:Candace Andersen, District II Supervisor Diane Burgis, District III Supervisor Karen Mitchoff, District IV Supervisor Federal D. Glover, District V Supervisor ABSENT:John Gioia, District I Supervisor Contact: Lea Castleberry, (925) 252-4500 I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown. ATTESTED: August 14, 2018 David J. Twa, County Administrator and Clerk of the Board of Supervisors By: Stacey M. Boyd, Deputy cc: C. 25 To:Board of Supervisors From:Diane Burgis, District III Supervisor Date:August 14, 2018 Contra Costa County Subject:APPOINTMENT TO THE BYRON MUNICIPAL ADVISORY COUNCIL August 14, 2018 BOS Minutes 424 RECOMMENDATION(S): REAPPOINT Don McCormick to the District 3 seat on the County Library Commission to a term expiring June 30, 2022, as recommended by Supervisor Diane Burgis. FISCAL IMPACT: None. BACKGROUND: The Commission serves in an advisory capacity to the Board of Supervisors and the County Librarian; provides a forum for the community to provide input concerning Library operations, and recommends proposals to the Board of Supervisors and the County Librarian which may improve the Library. The term for the District 3 seat expired June 30, 2018. Applications were accepted and the recommendation to reappoint the above individual was then determined. APPROVE OTHER RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE Action of Board On: 08/14/2018 APPROVED AS RECOMMENDED OTHER Clerks Notes: VOTE OF SUPERVISORS AYE:Candace Andersen, District II Supervisor Diane Burgis, District III Supervisor Karen Mitchoff, District IV Supervisor Federal D. Glover, District V Supervisor ABSENT:John Gioia, District I Supervisor Contact: Lea Castleberry, (925) 252-4500 I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown. ATTESTED: August 14, 2018 David J. Twa, County Administrator and Clerk of the Board of Supervisors By: Stacey M. Boyd, Deputy cc: C. 26 To:Board of Supervisors From:Diane Burgis, District III Supervisor Date:August 14, 2018 Contra Costa County Subject:REAPPOINTMENT TO THE COUNTY LIBRARY COMMISSION August 14, 2018 BOS Minutes 425 RECOMMENDATION(S): REAPPOINT Charles Kreling to the District 3 seat on the Contra Costa County Merit Board to a term expiring June 30, 2022, as recommended by Supervisor Diane Burgis. FISCAL IMPACT: None. BACKGROUND: The Merit Board is authorized to carry out the duties of the Merit Board under the Merit System Ordinance (Ordinance No. 80-47), as required in State law. The Merit Board’s jurisdiction shall be to oversee the merit system and to hear and decide the following matters: unlawful discrimination appeals or complaints, appeals from: orders and actions of dismissal, suspension, demotion or reduction of compensation; application of the layoff regulations; coerced resignation and appeals from denial of flexibly staffed promotions. The term for the District 3 seat expired June 30, 2018. Applications were accepted and the recommendation to reappoint the above individual was then determined. APPROVE OTHER RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE Action of Board On: 08/14/2018 APPROVED AS RECOMMENDED OTHER Clerks Notes: VOTE OF SUPERVISORS AYE:Candace Andersen, District II Supervisor Diane Burgis, District III Supervisor Karen Mitchoff, District IV Supervisor Federal D. Glover, District V Supervisor ABSENT:John Gioia, District I Supervisor Contact: Lea Castleberry, (925) 252-4500 I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown. ATTESTED: August 14, 2018 David J. Twa, County Administrator and Clerk of the Board of Supervisors By: Stacey M. Boyd, Deputy cc: C. 27 To:Board of Supervisors From:Diane Burgis, District III Supervisor Date:August 14, 2018 Contra Costa County Subject:REAPPOINTMENT TO THE CONTRA COSTA COUNTY MERIT BOARD August 14, 2018 BOS Minutes 426 RECOMMENDATION(S): ACCEPT the resignation of Scott Sweet, DECLARE a vacancy in the Appointee 6 seat on County Service Area, P-2A Citizen Advisory Committee, and DIRECT the Clerk of the Board to post the vacancy, as recommended by Supervisor Diane Burgis. FISCAL IMPACT: None. BACKGROUND: The County Services Area P2A Citizens Advisory Committee advises the Board of Supervisors on the needs of the Blackhawk community for extended police services which shall include, but not be limited to, enforcement of the State Vehicle Code, crime prevention, litter control, and other issues. Mr. Sweet notified the District Office of his resignation to the board effective August 2, 2018. APPROVE OTHER RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE Action of Board On: 08/14/2018 APPROVED AS RECOMMENDED OTHER Clerks Notes: VOTE OF SUPERVISORS AYE:Candace Andersen, District II Supervisor Diane Burgis, District III Supervisor Karen Mitchoff, District IV Supervisor Federal D. Glover, District V Supervisor ABSENT:John Gioia, District I Supervisor Contact: Lea Castleberry, (925) 252-4500 I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown. ATTESTED: August 14, 2018 David J. Twa, County Administrator and Clerk of the Board of Supervisors By: Stacey M. Boyd, Deputy cc: C. 28 To:Board of Supervisors From:Diane Burgis, District III Supervisor Date:August 14, 2018 Contra Costa County Subject:VACANCY ON COUNTY SERVICE AREA, P-2A CITIZEN ADVISORY COMMITTEE August 14, 2018 BOS Minutes 427 AGENDA ATTACHMENTS MINUTES ATTACHMENTS Vacancy Notice August 14, 2018 BOS Minutes 428 August 14, 2018 BOS Minutes 429 RECOMMENDATION(S): ADOPT Position Adjustment Resolution No. 22270 to add three (3) permanent full-time Systems Software Analyst I (LWWA) (represented) positions at salary plan and grade ZB5 1787 ($7,205 - $9,655); and cancel one (1) vacant permanent full-time Information Systems Technician II (LTVB) (represented) position #9725 at salary plan and grade TB5 1496 ($5,401 - $6,565), one (1) Network Manager (LBHA) (represented) position #7052 at salary plan and grade ZA5 1884 ($7,931 - $10,629), and one (1) Secretary-Advanced Level (J3TG) (represented) position #14575 at salary plan and grade 3R2 1163 ($4,001 - $5,122) in the Health Services Department. FISCAL IMPACT: Upon approval, this action will have an annual cost of approximately $117,304 which includes $28,328 in pension costs. The cost is partially offset by the cancellation of the three vacant positions and the remaining expenses will be funded by Hospital Enterprise Fund I. BACKGROUND: The Contra Costa County Health Services Information Technology unit (IT) is requesting to add and cancel positions to support its increasing need to provide application support that requires a higher level of technical skill. By adding three (3) Systems Software Analyst I positions that require stronger technical competency APPROVE OTHER RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE Action of Board On: 08/14/2018 APPROVED AS RECOMMENDED OTHER Clerks Notes: VOTE OF SUPERVISORS AYE:Candace Andersen, District II Supervisor Diane Burgis, District III Supervisor Karen Mitchoff, District IV Supervisor Federal D. Glover, District V Supervisor ABSENT:John Gioia, District I Supervisor Contact: Mary Dunn, (925) 957-5861 I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown. ATTESTED: August 14, 2018 David J. Twa, County Administrator and Clerk of the Board of Supervisors By: June McHuen, Deputy cc: C. 29 To:Board of Supervisors From:Anna Roth, Health Services Director Date:August 14, 2018 Contra Costa County Subject:Add and Cancel Permanent Positions in the Health Services Departrment August 14, 2018 BOS Minutes 430 BACKGROUND: (CONT'D) in the network and server realm, the unit will be able to provide timely service delivery to customer requests. Duties and responsibilities include: customizing, maintaining and updating specialized software; creating system accounts, assisting applications programmers in diagnosing complex program failures; and analyzing memory displays to detect, identify, and correct software deficiencies. The unit has determined that the vacant Secretary-Advanced Level, Information Systems Technician I, and the Network Manager positions are no longer necessary to meet its operational needs. The cancellation of these vacancies will partially offset the cost of the three new positions that will provide essential service to the Health Services Department. CONSEQUENCE OF NEGATIVE ACTION: If this action is not approved, the Health Services Information Technology unit will not have the adequate skill level to provide technical support for the Heath Services IT network and server department accounts. AGENDA ATTACHMENTS P300 22270_Add 3 System Software Analyst I positions and Cxl vacant positions in HSD MINUTES ATTACHMENTS Signed P300 22270 August 14, 2018 BOS Minutes 431 POSITION ADJUSTMENT REQUEST NO. 22270 DATE 2/1/2018 Department No./ Department HEALTH SERVICE S Budget Unit No. 0540 Org No. 6555 Agency No. A 18 Action Requested: Add three permanent Systems Software Analyst I (LWWA) positions and cancel vacant permanent Information Systems Technician II (LTVB) position #9725; Network Manager (LBHA) position #7052; and Secretary-Advanced Level position #14575 in the Health Services Department. (Represented) Proposed Effective Date: 02/01/18 Classification Questionnaire attached: Yes No / Cost is within Department’s budget: Yes No Total One-Time Costs (non-salary) associated with request: $0.00 Estimated total cost adjustment (salary / benefits / one time): Total annual cost $113,887.81 Net County Cost $0.00 Total this FY $18,981.30 N.C.C. this FY $0.00 SOURCE OF FUNDING TO OFFSET ADJUSTMENT Hospital Enterprise Fund I Department must initiate necessary adjustment and submit to CAO. Use additional sheet for further explanations or comments. Mary Dunn ______________________________________ (for) Department Head REVIEWED BY CAO AND RELEASED TO HUMAN RESOURCES DEPARTMENT /s/ Julie DiMaggio Enea 7/3/2018 ___________________________________ ________________ Deputy County Administrator Date HUMAN RESOURCES DEPARTMENT RECOMMENDATIONS DATE 7/27/2018 Add three Systems Software Analyst I (LWWA) (represented) positions at salary plan and grade ZB5 1787 ($7,205 - $9,655) and cancel one Information Systems Technician II (LTVB) (represented) position #9725, one Network Manager (represented) position #7052, and one Secretary-Advanced Level (represented) position #14575 Amend Resolution 71/17 establishing positions and resolutions allocating classes to the Basic / Exempt salary schedule. Effective: Day following Board Action. (Date) Gladys Scott Reid 7/27/2018 ___________________________________ ________________ (for) Director of Human Resources Date COUNTY ADMINISTRATOR RECOMMENDATION: DATE 8/7/2018 Approve Recommendation of Director of Human Resources Disapprove Recommendation of Director of Human Resources /s/ Julie DiMaggio Enea Other: ____________________________________________ ___________________________________ (for) County Administrator BOARD OF SUPERVISORS ACTION: David J. Twa, Clerk of the Board of Supervisors Adjustment is APPROVED DISAPPROVED and County Administrator DATE BY APPROVAL OF THIS ADJUSTMENT CONSTITUTES A PERSONNEL / SALARY RESOLUTION AMENDMENT POSITION ADJUSTMENT ACTION TO BE COMPLETED BY HUMAN RESOURCES DEPARTMENT FOLLOWING BOARD ACTION Adjust class(es) / position(s) as follows: P300 (M347) Rev 3/15/01 August 14, 2018 BOS Minutes 432 REQUEST FOR PROJECT POSITIONS Department Date 8/7/2018 No. 1. Project Positions Requested: 2. Explain Specific Duties of Position(s) 3. Name / Purpose of Project and Funding Source (do not use acronyms i.e. SB40 Project or SDSS Funds) 4. Duration of the Project: Start Date End Date Is funding for a specified period of time (i.e. 2 years) or on a year-to-year basis? Please explain. 5. Project Annual Cost a. Salary & Benefits Costs: b. Support Costs: (services, supplies, equipment, etc.) c. Less revenue or expenditure: d. Net cost to General or other fund: 6. Briefly explain the consequences of not filling the project position(s) in terms of: a. potential future costs d. political implications b. legal implications e. organizational implications c. financial implications 7. Briefly describe the alternative approaches to delivering the services which you have considered. Indicate why these alternatives were not chosen. 8. Departments requesting new project positions must submit an updated cost benefit analysis of each project position at the halfway point of the project duration. This report is to be submitted to the Human Resources Department, which will forward the report to the Board of Supervisors. Indicate the date that your cost / benefit analysis will be submitted 9. How will the project position(s) be filled? a. Competitive examination(s) b. Existing employment list(s) Which one(s)? c. Direct appointment of: 1. Merit System employee who will be placed on leave from current job 2. Non-County employee Provide a justification if filling position(s) by C1 or C2 USE ADDITIONAL PAPER IF NECESSARY August 14, 2018 BOS Minutes 433 August 14, 2018 BOS Minutes 434 RECOMMENDATION(S): ADOPT Position Adjustment Resolution No. 22328 to increase the hours of one (1) part-time (32/40) Librarian (3AWA) (represented) vacant position #17009 at salary plan and grade QXX 1341 ($4,620-$5,900) to full-time (40/40); and add one (1) part-time (20/40) Clerk-Experienced Level (JWXB) (represented) position at salary plan and grade 3RH 0750 ($3,082-$3,824) in the Library Department at the San Pablo Library. FISCAL IMPACT: Upon approval, this action will result in an annual cost to the Library Fund of approximately $59,000. No fiscal impact to the County general fund. These positions are funded in the Library Budget and the increase in hours will be funded by the City of San Pablo. BACKGROUND: In August 2017, the San Pablo Library opened at a new and larger facility with an increase in open hours. The Library provides funding sufficient for community libraries to be open a minimum of thirty-five (35) hours a week. The City of San Pablo has agreed to provide additional funding to increase the hours the San Pablo Library is open from thirty-nine (39) hours and six (6) days a week to forty-seven (47) hours and seven (7) days a week. The new San Pablo Library requires increased staffing sufficient to ensure coverage each day. APPROVE OTHER RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE Action of Board On: 08/14/2018 APPROVED AS RECOMMENDED OTHER Clerks Notes: VOTE OF SUPERVISORS AYE:Candace Andersen, District II Supervisor Diane Burgis, District III Supervisor Karen Mitchoff, District IV Supervisor Federal D. Glover, District V Supervisor ABSENT:John Gioia, District I Supervisor Contact: Beth Kilian, 925-608-7700 I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown. ATTESTED: August 14, 2018 David J. Twa, County Administrator and Clerk of the Board of Supervisors By: June McHuen, Deputy cc: C. 30 To:Board of Supervisors From:Melinda Cervantes, County Librarian Date:August 14, 2018 Contra Costa County Subject:Increase hours of one part-time Librarian position and Add one part-time Clerk-Experienced Level position in the Library Department. August 14, 2018 BOS Minutes 435 CONSEQUENCE OF NEGATIVE ACTION: If these position changes are not implemented, the Library will have insufficient staffing levels to support the significant increase in Library open hours and will not be able to meet the needs of the communities it serves. AGENDA ATTACHMENTS P300 22328 Inc Librarian Hrs and Add PT Clerk-Experienced Level in San Pablo Library MINUTES ATTACHMENTS Signed P300 22328 August 14, 2018 BOS Minutes 436 POSITION ADJUSTMENT REQUEST NO. 22328 DATE 7/10/2018 Department No./ Department County Library Budget Unit No. 0621 Org No. 3798 Agency No. 85 Action Requested: Increase the hours of one (1) part-time (32/40) Librarian (3AWA) (represented) vacant position No. 17009 to full-time (40/40); and add one (1) part-time (20/40) Clerk – Experienced Level position (JWXB) (represented) position. Proposed Effective Date: 7/1/2018 Classification Questionnaire attached: Yes No / Cost is within Department’s budget: Yes No Total One-Time Costs (non-salary) associated with request: $0.00 Estimated total cost adjustment (salary / benefits / one time): Total annual cost $57,493.00 Net County Cost $0.00 Total this FY $5,74.93;($,0.0 N.C.C. this FY $0.00 SOURCE OF FUNDING TO OFFSET ADJUSTMENT Library Fund Department must initiate necessary adjustment and submit to CAO. Use additional sheet for further explanations or comments. Melinda S. Cervantes ______________________________________ (for) Department Head REVIEWED BY CAO AND RELEASED TO HUMAN RESOURCES DEPARTMENT BR for JE 7/13/2018 ___________________________________ ________________ Deputy County Administrator Date HUMAN RESOURCES DEPARTMENT RECOMMENDATIONS DATE 7/26/2018 Increase the hours of one (1) part-time (32/40) Librarian (3AWA, represented) vacant position #17009 to full-time (40/40) and add one part-time Clerk-Experienced Level (JWXB, represented) Amend Resolution 71/17 establishing positions and resolutions allocating classes to the Basic / Exempt salary schedule. Effective: Day following Board Action. (Date) HR Consultant, LaShonda Smith 7/26/2018 ___________________________________ ________________ (for) Director of Human Resources Date COUNTY ADMINISTRATOR RECOMMENDATION: DATE 8/7/2018 Approve Recommendation of Director of Human Resources Disapprove Recommendation of Director of Human Resources /s/ Julie DiMaggio Enea Other: ____________________________________________ ___________________________________ (for) County Administrator BOARD OF SUPERVISORS ACTION: David J. Twa, Clerk of the Board of Supervisors Adjustment is APPROVED DISAPPROV ED and County Administrator DATE BY APPROVAL OF THIS ADJUSTMENT CONSTITUTES A PERSONNEL / SALARY RESOLUTION AMENDMENT POSITION ADJUSTMENT ACTION TO BE COMPLETED BY HUMAN RESOURCES DEPARTMENT FOLLOWING BOARD ACTION Adjust class(es) / position(s) as follows: P300 (M347) Rev 3/15/01 August 14, 2018 BOS Minutes 437 REQUEST FOR PROJECT POSITIONS Department Date 8/7/2018 No. xxxxx 1. Project Positions Requested: 2. Explain Specific Duties of Position(s) 3. Name / Purpose of Project and Funding Source (do not use acronyms i.e. SB40 Project or SDSS Funds) 4. Duration of the Project: Start Date End Date Is funding for a specified period of time (i.e. 2 years) or on a year-to-year basis? Please explain. 5. Project Annual Cost a. Salary & Benefits Costs: b. Support Costs: (services, supplies, equipment, etc.) c . Less revenue or expenditure: d. Net cost to General or other fund: 6. Briefly explain the consequences of not filling the project position(s) in terms of: a. potential future costs d. political implications b. legal implications e. organizational implications c. financial implications 7. Briefly describe the alternative approaches to delivering the services which you have considered. Indicate why these alternatives were not chosen. 8. Departments requesting new project positions must submit an updated cost benefit analysis of each project position at the halfway point of the project duration. This report is to be submitted to the Human Resources Department, which will forward the report to the Board of Supervisors. Indicate the date that your cost / benefit analysis will be submitted 9. How will the project position(s) be filled? a. Competitive examination(s) b. Existing employment list(s) Which one(s)? c. Direct appointment of: 1. Merit System employee who will be placed on leave from current job 2. Non-County employee Provide a justification if filling position(s) by C1 or C2 USE ADDITIONAL PAPER IF NECESSARY August 14, 2018 BOS Minutes 438 August 14, 2018 BOS Minutes 439 RECOMMENDATION(S): ADOPT Position Adjustment Resolution No. 22319 to add one (1) full-time Librarian (3AWA) (represented) position at salary plan and grade QXX 1341 ($4,620-$5,900), and one (1) full-time Clerk – Senior Level (JWXC) (represented) position at salary plan and grade 3RX 1033 ($3,406-$4,350); increase the hours of one (1) part-time 20/40 Library Assistant – Journey Level (3KVB) (represented) vacant position No. 10234 at salary plan and grade QXX 1030 ($3,395-$4,336) to full-time 40/40, and one (1) part-time 20/40 Clerk – Experienced Level (JWXB) (represented) vacant position No. 11660 at salary plan and grade 3RH 0750 ($3,082-$3,824) to full-time 40/40; cancel one (1) part-time 20/40 Library Assistant – Journey Level (3KVB) (represented) vacant position No. 6078 at salary plan and grade QXX 1030 ($3,395-$4,336) and cancel one (1) part-time 20/40 Clerk – Experienced Level (JWXB) (represented) vacant position No. 11659 at salary plan and grade 3RH 0750 ($3,082-$3,824) in the Library Department. FISCAL IMPACT: Upon approval, this action will result in an annual cost to the Library Fund of approximately $136,005. No fiscal impact to the County General Fund. These positions are funded in the Library budget and by the City of Brentwood. APPROVE OTHER RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE Action of Board On: 08/14/2018 APPROVED AS RECOMMENDED OTHER Clerks Notes: VOTE OF SUPERVISORS AYE:Candace Andersen, District II Supervisor Diane Burgis, District III Supervisor Karen Mitchoff, District IV Supervisor Federal D. Glover, District V Supervisor ABSENT:John Gioia, District I Supervisor Contact: Natalie Darone, (925) 608-7700 I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown. ATTESTED: August 14, 2018 David J. Twa, County Administrator and Clerk of the Board of Supervisors By: June McHuen, Deputy cc: C. 31 To:Board of Supervisors From:Melinda Cervantes, County Librarian Date:August 14, 2018 Contra Costa County Subject:Add two positions, increase the hours of two positions and cancel two positions in the Library Department August 14, 2018 BOS Minutes 440 BACKGROUND: The new Brentwood Library is due to open to the public in September 2018 and will be a vastly larger Library with multiple floors. The design of this Library will require additional staff to ensure the proper amount of service and safety for patrons and staff. CONSEQUENCE OF NEGATIVE ACTION: If these position changes are not implemented, the Library will be unable to provide staffing levels sufficient to meet the needs of the communities it serves. AGENDA ATTACHMENTS P300 22319 HR Recommendations P300 22319 Add and Cancel positions in the Brentwood Library MINUTES ATTACHMENTS Signed P300 22319 August 14, 2018 BOS Minutes 441 AIR 34192 P300 22319 Library Department HUMAN RESOURCES DEPARTMENT RECOMMENDATIONS: Add one full-time Librarian (3AWA) (represented) position at salary plan and grade QXX 1341 ($4,620 -$5,900), add one full-time Clerk-Senior Level (JWXC) (represented) position at salary plan and grade 3RX 1033 ($3,406 - $4,350); increase the hours of one part-time 20/40 Library Assistant – Journey Level (3KVB) (re presented) vacant position No. 10234 at salary plan and grade QXX 1030 ($3,395 -$4,336) to full-time 40/40, and one part- time 20/40 Clerk – Experienced Level (JWXB) (represented) vacant position No. 11660 at salary plan and grade 3RH 0750 ($3,082 -$3,824) to full-time 40/40; and cancel one part-time Library Assistant – Journey Level (3KVB) (represented) vacant position No. 6078 at salary plan and grade QXX 1030 ($3,395 -$4,336) and one part-time Clerk – Experienced Level (JWXB) (represented) vacant position No . 11659 at salary plan and grade 3RH 0750 ($3,082 -$3,824). August 14, 2018 BOS Minutes 442 POSITION ADJUSTMENT REQUEST NO. 22319 DATE 6/15/2018 Department No./ Department County Library Budget Unit No. 0621 Org No. 3763 Agency No. 85 Action Requested: Add one 40/40 Librarian (3AWA) pos , and one 40/40 Clerk - Senior Level (JWXC), increase the hours of one Library Assistant – Journey Level (3KVB) vacant pos No. 10234 from 20/40 to 40/40, and one Clerk – Exp. Level (JWXB) vac pos No. 11660 from 20/40 to 40/40, and cancel one 20/40 Clerk - Exp. Level Pos. No. 11659 and one 20/40 Library Assisstant - Journey Level vacant pos No. 6078. Proposed Effective Date: 7/1/2018 Classification Questionnaire attached: Yes No / Cost is within Department’s budget: Yes No Total One-Time Costs (non-salary) associated with request: $0.00 Estimated total cost adjustment (salary / benefits / one time): To tal annual cost $136,005.00 Net County Cost $0.00 Total this FY ($136,005.00) N.C.C. this FY $0.00 SOURCE OF FUNDING TO OFFSET ADJUSTMENT Library Fund Department must initiate necessary adjustment and submit to CAO. Use additional sheet for further explanations or comments. Melinda S. Cervantes ______________________________________ (for) Department Head REVIEWED BY CAO AND RELEASED TO HUMAN RESOURCES DEPARTMENT BR for JE 7/2/2018 ___________________________________ ________________ Deputy County Administrator Date HUMAN RESOURCES DEPARTMENT RECOMMENDATIONS DATE 7/27/2018 See attached document Amend Resolution 71/17 establishing positions and resolutions allocating classes to the Basic / Exempt salary schedule. Effective: Day following Board Action. (Date) LaShonda Smith, HR Consultant 7/27/2018 ___________________________________ ________________ (for) Director of Human Resources Date COUNTY ADMINISTRATOR RECOMMENDATION: DATE 8/7/2018 Approve Recommendation of Director of Human Resources Disapprove Recommendation of Director of Human Resources /s/ Julie DiMaggio Enea Other: ____________________________________________ ___________________________________ (for) County Administrator BOARD OF SUPERVISORS ACTION: David J. Twa, Clerk of the Board of Supervisors Adjustment is APPROVED DISAPPROVED and County Administrator DATE BY APPROVAL OF THIS ADJUSTMENT CONSTITUTES A PERSONNEL / SALARY RESOLUTION AMENDMENT POSITION ADJUSTMENT ACTION TO BE COMPLETED BY HUMAN RESOURCES DEPARTMENT FOLLOWING BOARD ACTION Adjust class(es) / position(s) as follows: P300 (M347) Rev 3/15/01 August 14, 2018 BOS Minutes 443 REQUEST FOR PROJECT POSITIONS Department Date 8/7/2018 No. xxxxxx 1. Project Positions Requested: 2. Explain Specific Duties of Position(s) 3. Name / Purpose of Project and Funding Source (do not use acronyms i.e. SB40 Project or SDSS Funds) 4. Duration of the Project: Start Date End Date Is funding for a specified period of time (i.e. 2 years) or on a year-to-year basis? Please explain. 5. Project Annual Cost a. Salary & Benefits Costs: b. Support Costs: (services, supplies, equipment, etc.) c . Less revenue or expenditure: d. Net cost to General or other fund: 6. Briefly explain the consequences of not filling the project position(s) in terms of: a. potential future costs d. political implications b. legal implications e. organizational implications c. financial implications 7. Briefly describe the alternative approaches to delivering the services which you have considered. Indicate why these alternatives were not chosen. 8. Departments requesting new project positions must submit an updated cost benefit analysis of each project position at the halfway point of the project duration. This report is to be submitted to the Human Resources Department, which will forward the report to the Board of Supervisors. Indicate the date that your cost / benefit analysis will be submitted 9. How will the project position(s) be filled? a. Competitive examination(s) b. Existing employment list(s) Which one(s)? c. Direct appointment of: 1. Merit System employee who will be placed on leave from current job 2. Non-County employee Provide a justification if filling position(s) by C1 or C2 USE ADDITIONAL PAPER IF NECESSARY August 14, 2018 BOS Minutes 444 August 14, 2018 BOS Minutes 445 RECOMMENDATION(S): ADOPT Position Adjustment Resolution No. 22333 to re-activate the Deputy Director Chief Information Security Officer-Exempt (LWS1) classification, retitle the class to Chief Information Technology Security Officer- Exempt; reallocate the class to salary plan and grade B85 2212 ($10,979-$13,345) and add one (1) position; and cancel one (1) vacant Information Systems Programmer Analyst IV (LPNB) position #4 (represented) at salary plan and grade ZA5 1787 ($7,205-$9,656) in the Department of Information Technology. FISCAL IMPACT: The maximum net annual impact is $124,338. DoIT charges for all services and these charges include revenue generated from non-general fund departments and other public agencies. The increased cost will be 100% offset from charges to user departments. BACKGROUND: DOIT requested establishment of the Chief Information Technology Security Officer classification. The focus of the classification will be on design, development, implementation, operation and maintenance of Countywide information security programs that are designed to protect the confidentiality, integrity and availability of all information, voice, mobile, data network, application and computer infrastructure and their associated information assets. The Chief Information Technology Security Officer will create a APPROVE OTHER RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE Action of Board On: 08/14/2018 APPROVED AS RECOMMENDED OTHER Clerks Notes: VOTE OF SUPERVISORS AYE:Candace Andersen, District II Supervisor Diane Burgis, District III Supervisor Karen Mitchoff, District IV Supervisor Federal D. Glover, District V Supervisor ABSENT:John Gioia, District I Supervisor Contact: Marc Shorr 925-608-4071 I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown. ATTESTED: August 14, 2018 David J. Twa, County Administrator and Clerk of the Board of Supervisors By: June McHuen, Deputy cc: C. 32 To:Board of Supervisors From:Dianne Dinsmore, Human Resources Director Date:August 14, 2018 Contra Costa County Subject:Establish Chief Information Technology Security Officer - Exempt August 14, 2018 BOS Minutes 446 BACKGROUND: (CONT'D) comprehensive security strategy and programs, formulate security policies and procedure to assure full compliance with applicable federal, state, and local laws, ordinances and guidelines. Creation of this classification will allow the County Department of Technology to standardize and centrally deliver IT Security and disaster recovery services. CONSEQUENCE OF NEGATIVE ACTION: If this request is not approved, the Security division of DoIT will not be able to properly support the critical County Security program and could lead to severe negative impacts to all County Departments. AGENDA ATTACHMENTS P300 22333 DoIT Chief Security Position MINUTES ATTACHMENTS Signed P300 22333 August 14, 2018 BOS Minutes 447 POSITION ADJUSTMENT REQUEST NO. 22333 DATE 8/2/2018 Department No./ Department Department of Information Technology Budget Unit No. 0147 Org No. 1055 Agency No. 03 Action Requested: Establish classification of Chief Information Technology Security Officer- Exempt; allocate on salary plan and grade B85 2212 ($10979-$13345), add one (1) position, cancel one(1) vacant ISPA IV (LPNB) position in the County’s IT department. Proposed Effective Date: 9/1/2018 Classification Questionnaire attached: Yes No / Cost is within Department’s budget: Yes No Total One-Time Costs (non-salary) associated with request: $0.00 Estimated total cost adjustment (salary / benefits / one time): Total annual cost $124,338.00 Net County Cost $0.00 Total this FY $103,615.00 N.C.C. this FY 0 SOURCE OF FUNDING TO OFFSET ADJUSTMENT Security Budget; DoIT user fees Department must initiate necessary adjustment and submit to CAO. Use additional sheet for further explanations or comments. Marc Shorr ______________________________________ (for) Department Head REVIEWED BY CAO AND RELEASED TO HUMAN RESOURCES DEPARTMENT /s/ Julie DiMaggio Enea ___________________________________ ________________ Deputy County Administrator Date HUMAN RESOURCES DEPARTMENT RECOMMENDATIONS DATE 8/3/2018 Re-activate the Deputy Director Chief Information Security Officer-Exempt (LWS1) classification, retitle to the Chief Information Technology Security Officer- Exempt; reallocate on salary plan and grade B85 2212 ($10979-$13345) and add one (1) position in the County’s IT department; cancel one (1) vacant Information Systems Programmer Analyst IV (LPNB) position #4 (represented) at salary plan and grade ZA5 1787 ($7205.43-$9655.97) in DOIT. Amend Resolution 71/17 establishing positions and resolutions allocating classes to the Basic / Exempt salary schedule. Effective: Day following Board Action. (Date) Marta Goc 8/3/2018 ___________________________________ ________________ (for) Director of Human Resources Date COUNTY ADMINISTRATOR RECOMMENDATION: DATE 8/3/2018 Approve Recommendation of Director of Human Resources Disapprove Recommendation of Director of Human Resources /s/ Julie DiMaggio Enea Other: ____________________________________________ ___________________________________ (for) County Administrator BOARD OF SUPERVISORS ACTION: David J. Twa, Clerk of the Board of Supervisors Adjustment is APPROVED DISAPPROVED and County Administrator DATE BY APPROVAL OF THIS ADJUSTMENT CONSTITUTES A PERSONNEL / SALARY RESOLUTION AMENDMENT POSITION ADJUSTMENT ACTION TO BE COMPLETED BY HUMAN RESOURCES DEPARTMENT FOLLOWING BOARD ACTION Adjust class(es) / position(s) as follows: P300 (M347) Rev 3/15/01 August 14, 2018 BOS Minutes 448 REQUEST FOR PROJECT POSITIONS Department Date 8/7/2018 No. 1. Project Positions Requested: 2. Explain Specific Duties of Position(s) 3. Name / Purpose of Project and Funding Source (do not use acronyms i.e. SB40 Project or SDSS Funds) 4. Duration of the Project: Start Date End Date Is funding for a specified period of time (i.e. 2 years) or on a year-to-year basis? Please explain. 5. Project Annual Cost a. Salary & Benefits Costs: b. Support Costs: (services, supplies, equipment, etc.) c . Less revenue or expenditure: d. Net cost to General or other fund: 6. Briefly explain the consequences of not filling the project position(s) in terms of: a. potential future costs d. political implications b. legal implications e. organizational implications c. financial implications 7. Briefly describe the alternative approaches to delivering the services which you have considered. Indicate why these alternatives were not chosen. 8. Departments requesting new project positions must submit an updated cost benefit analysis of each project position at the halfway point of the project duration. This report is to be submitted to the Human Resources Department, which will forward the report to the Board of Supervisors. Indicate the date that your cost / benefit analysis will be submitted 9. How will the project position(s) be filled? a. Competitive examination(s) b. Existing employment list(s) Which one(s)? c. Direct appointment of: 1. Merit System employee who will be placed on leave from current job 2. Non-County employee Provide a justification if filling position(s) by C1 or C2 USE ADDITIONAL PAPER IF NECESSARY August 14, 2018 BOS Minutes 449 August 14, 2018 BOS Minutes 450 RECOMMENDATION(S): ADOPT Position Adjustment Resolution No. 22332 to add 1 permanent Electrician (GFWA) at salary plan and grade QE5-1597 ($6,172 - $6,804) and 1 permanent Carpenter (GFWB) at salary plan and grade QE5-1569 ($5,805 - $6,401) in the Public Works Department. (Represented) FISCAL IMPACT: This action results in a total annual salary and benefits cost of $227,064, of which $40,046 is attributable to pension. The cost for these positions were included in the FY 18-19 Recommended Budget and will be funded by projects charged to user departments. BACKGROUND: Pursuant to a settlement with Local 1 regarding the Buildings Trades Unit, this item specifically identifies the classification of the two "Facilities Services Worker" positions added on May 8, 2018 by Resolution No. 2018/152 Attachment K. Funding for the positions was included in the FY 2018/19 Recommended Budget. Because a final settlement was not reached by May 8, placeholders were included on the position APPROVE OTHER RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE Action of Board On: 08/14/2018 APPROVED AS RECOMMENDED OTHER Clerks Notes: VOTE OF SUPERVISORS AYE:Candace Andersen, District II Supervisor Diane Burgis, District III Supervisor Karen Mitchoff, District IV Supervisor Federal D. Glover, District V Supervisor ABSENT:John Gioia, District I Supervisor Contact: Lisa Driscoll, (925) 335-1023 I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown. ATTESTED: August 14, 2018 David J. Twa, County Administrator and Clerk of the Board of Supervisors By: June McHuen, Deputy cc: Jeffrrey Bailey, Labor Relations Manager C. 33 To:Board of Supervisors From:David Twa, County Administrator Date:August 14, 2018 Contra Costa County Subject:Add one permanent Electrician and one permanent Carpenter to the Public Works Department August 14, 2018 BOS Minutes 451 BACKGROUND: (CONT'D) > add resolution. The County and Local 1 have reached agreement and have agreed to add one carpenter and one electrician. The settlement provides for an agreed upon procedure to be followed prior to contracting for emergency work at the Contra Costa Regional Medical Center, and includes lump sum payments of $3,250 to thirteen carpenters, and $2,000 to five steamfitters. CONSEQUENCE OF NEGATIVE ACTION: Difficulty in contracting out required maintenance work. AGENDA ATTACHMENTS P300 No. 22332 MINUTES ATTACHMENTS Signed P300 22332 August 14, 2018 BOS Minutes 452 POSITION ADJUSTMENT REQUEST NO. 22332 DATE 8/3/18 Department No./ Department Public Works Budget Unit No. 0079 Org No. 4031 Agency No. 65 Action Requested: Add 1 permanent Electrician (GFWA) at salary plan and grade QE5-1597 ($6,172 - $6,804) and 1 permanent Carpenter (GFWB) at salary plan and grade QE5-1569 ($5,805 - $6,401) in the Public Works Department (Represented). This item specifically identifies the classification of the two "Facilities Services Worker" positions added on May 8, 2018 by Resolutin No. 2018/152 Attachment K. Proposed Effective Date: 7/1/2018 Classification Questionnaire attached: Yes No / Cost is within Department’s budget: Yes No Total One-Time Costs (non-salary) associated with request: Estimated total cost adjustment (salary / benefits / one time): Total annual cost $227,064.00 Net County Cost $0.00 Total this FY $227,064.00 N.C.C. this FY $0.00 SOURCE OF FUNDING TO OFFSET ADJUSTMENT 100% Chargeouts to User Departments/Projects Department must initiate necessary adjustment and submit to CAO. Use additional sheet for further explanations or comments. Lisa Driscoll, County Finance Director ______________________________________ (for) Department Head REVIEWED BY CAO AND RELEASED TO HUMAN RESOURCES DEPARTMENT L.Strobel 8/3/2018 ___________________________________ ________________ Deputy County Administrator Date HUMAN RESOURCES DEPARTMENT RECOMMENDATIONS DATE Amend Resolution 71/17 establishing positions and resolutions allocating classes to the Basic / Exempt salary schedule. Effective: Day following Board Action. (Date) ___________________________________ ________________ (for) Director of Human Resources Date COUNTY ADMINISTRATOR RECOMMENDATION: DATE Approve Recommendation of Director of Human Resources Disapprove Recommendation of Director of Human Resources Other: ____________________________________________ ___________________________________ (for) County Administrator BOARD OF SUPERVISORS ACTION: David J. Twa, Clerk of the Board of Supervisors Adjustment is APPROVED DISAPPROVED and County Administrator DATE BY APPROVAL OF THIS ADJUSTMENT CONSTITUTES A PERSONNEL / SALARY RESOLUTION AMENDMENT POSITION ADJUSTMENT ACTION TO BE COMPLETED BY HUMAN RESOURCES DEPARTMENT FOLLOWING BOARD ACTION Adjust class(es) / position(s) as follows: P300 (M347) Rev 3/15/01 August 14, 2018 BOS Minutes 453 REQUEST FOR PROJECT POSITIONS Department Date 8/8/2018 No. xxxxxx 1. Project Positions Requested: 2. Explain Specific Duties of Position(s) 3. Name / Purpose of Project and Funding Source (do not use acronyms i.e. SB40 Project or SDSS Funds) 4. Duration of the Project: Start Date End Date Is funding for a specified period of time (i.e. 2 years) or on a year-to-year basis? Please explain. 5. Project Annual Cost a. Salary & Benefits Costs: b. Support Costs: (services, supplies, equipment, etc.) c . Less revenue or expenditure: d. Net cost to General or other fund: 6. Briefly explain the consequences of not filling the project position(s) in terms of: a. potential future costs d. political implications b. legal implications e. organizational implications c. financial implications 7. Briefly describe the alternative approaches to delivering the services which you have considered. Indicate why these alternatives were not chosen. 8. Departments requesting new project positions must submit an updated cost benefit analysis of each project position at the halfway point of the project duration. This report is to be submitted to the Human Resources Department, which will forward the report to the Board of Supervisors. Indicate the date that your cost / benefit analysis will be submitted 9. How will the project position(s) be filled? a. Competitive examination(s) b. Existing employment list(s) Which one(s)? c. Direct appointment of: 1. Merit System employee who will be placed on leave from current job 2. Non-County employee Provide a justification if filling position(s) by C1 or C2 USE ADDITIONAL PAPER IF NECESSARY August 14, 2018 BOS Minutes 454 August 14, 2018 BOS Minutes 455 RECOMMENDATION(S): APPROVE and AUTHORIZE the Agricultural Commissioner, or designee, to execute a contract with the California Department of Food and Agriculture (CDFA) in an amount not to exceed $4,100 for reimbursement of regulatory inspections for the California Organic Program for the period July 1, 2018 through June 30, 2019. FISCAL IMPACT: Approval of this agreement will provide reimbursement to the County in an amount not to exceed $4,100. There is no County match of funds nor does this involve grant money. This amount has been budgeted for FY18/19. BACKGROUND: The County's Department of Agriculture enforces a variety of laws and regulations regarding the production and sale of agriculturally grown products. Agreement 18-0168-0SA provides reimbursement of costs incurred in the enforcement of California Organic Foods Act (Chapter 10 of Division17). Enforcement activities includes registrations and amendments, spot inspections, soil and tissue sampling and compliant investigations. APPROVE OTHER RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE Action of Board On: 08/14/2018 APPROVED AS RECOMMENDED OTHER Clerks Notes: VOTE OF SUPERVISORS AYE:Candace Andersen, District II Supervisor Diane Burgis, District III Supervisor Karen Mitchoff, District IV Supervisor Federal D. Glover, District V Supervisor ABSENT:John Gioia, District I Supervisor Contact: 608-6600 I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown. ATTESTED: August 14, 2018 David J. Twa, County Administrator and Clerk of the Board of Supervisors By: June McHuen, Deputy cc: C. 34 To:Board of Supervisors From:Matt Slattengren Date:August 14, 2018 Contra Costa County Subject:18-0168-000SA CA Organic Program August 14, 2018 BOS Minutes 456 CONSEQUENCE OF NEGATIVE ACTION: Lack of approval would result in a loss of revenue for the Department for mandated enforcement functions. August 14, 2018 BOS Minutes 457 RECOMMENDATION(S): APPROVE and AUTHORIZE the Agricultural Commissioner, or designee, to execute Agreement #18-0235-000SA with the California Department of Food and Agriculture (CDFA) to reimburse the department in an amount not to exceed $1,041 to provide labor and equipment necessary to perform nursery inspections and enforcement activities for the period July 1, 2018 through June 30, 2019. FISCAL IMPACT: Approval of this action will reimburse the Department in an amount not to exceed $1,041. There is no County match of funds nor are grant monies involved. This revenue has been included in the FY18/19 budget. BACKGROUND: This agreement provides reimbursement in an amount not to exceed $1,041 for departmental expenses incurred during the agreement period for visual surveys of nurseries and to enforce all laws and regulations pertaining to nursery stock, including licensing requirements in accordance with the Memorandum of Understanding between the California Department of Food and Agriculture and the California Agricultural APPROVE OTHER RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE Action of Board On: 08/14/2018 APPROVED AS RECOMMENDED OTHER Clerks Notes: VOTE OF SUPERVISORS AYE:Candace Andersen, District II Supervisor Diane Burgis, District III Supervisor Karen Mitchoff, District IV Supervisor Federal D. Glover, District V Supervisor ABSENT:John Gioia, District I Supervisor Contact: 608-6600 I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown. ATTESTED: August 14, 2018 David J. Twa, County Administrator and Clerk of the Board of Supervisors By: June McHuen, Deputy cc: C. 35 To:Board of Supervisors From:Matt Slattengren Date:August 14, 2018 Contra Costa County Subject:18-0235-000SA Nursery Inspection Program August 14, 2018 BOS Minutes 458 BACKGROUND: (CONT'D) Commissioner and Sealers Association (CACASA) entitled State-County Nursery Inspection Program. These visual inspections ensure that certain regulatory requirements of the plant nursery industry are met which protects consumers and stop and/or slow the spread of exotic invasive species that may be present on certain host material. CONSEQUENCE OF NEGATIVE ACTION: Lack of approval of this action would cause a loss in revenue for the department. August 14, 2018 BOS Minutes 459 RECOMMENDATION(S): APPROVE and AUTHORIZE the Agricultural Commissioner, or designee, to execute Agreement #17-0453-038SF with the California Department of Food an Agriculture (CDFA) to reimburse the department in an amount not to exceed $398,304 for the Pierce's Disease Control Program for the period July 1, 2018 through June 30, 2019. FISCAL IMPACT: This agreement reimburses the Department for all associated costs incurred for the implementation of the Pierce's Disease Control Program in an amount not to exceed $398,304. There is no match of County funds nor grant monies involved. This revenue has been included in the FY18/19 budget. BACKGROUND: The County's Department of Agriculture deploys traps, inspects incoming nursery shipments, landscaping and host crops countywide to detect incipient infestations of Glassy-winged Sharpshooter (GWSS). Any population of GWSS detected is delimited and controlled or eradicated. The CDFA, reimburses the Department for all costs, not to exceed $398,304 for this program. Pierce's Disease and its vectors are a clear and present danger to Contra Costa County's agricultural commodities. The Agricultural Commissioner can abate this nuisance pursuant to Contra Costa County Ordinance Code Section 14-6.406 and Government Code Section 8558. APPROVE OTHER RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE Action of Board On: 08/14/2018 APPROVED AS RECOMMENDED OTHER Clerks Notes: VOTE OF SUPERVISORS AYE:Candace Andersen, District II Supervisor Diane Burgis, District III Supervisor Karen Mitchoff, District IV Supervisor Federal D. Glover, District V Supervisor ABSENT:John Gioia, District I Supervisor Contact: 608-6600 I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown. ATTESTED: August 14, 2018 David J. Twa, County Administrator and Clerk of the Board of Supervisors By: June McHuen, Deputy cc: C. 36 To:Board of Supervisors From:Matt Slattengren Date:August 14, 2018 Contra Costa County Subject:17-0453-038SF Pierce's Disease Control Program August 14, 2018 BOS Minutes 460 CONSEQUENCE OF NEGATIVE ACTION: Failure to approve this agreement will result in loss of anticipated revenue for the Department and a possible threat to local agriculture. August 14, 2018 BOS Minutes 461 RECOMMENDATION(S): APPROVE and AUTHORIZE the Health Services Director, or designee, to execute on behalf of the County, Amendment Agreement #29-805-2 with the City of Antioch, to increase the amount payable to the County by $30,000 to a new payment limit of $60,000 and extend the term end date to June 30, 2019, to provide additional homeless outreach services for the County's Coordinated Outreach, Referral and Engagement (CORE) Program. FISCAL IMPACT: Approval of this agreement will allow the County to receive an amount not to exceed $30,000 from the City of Antioch to provide homeless outreach services for the period July 1, 2018 through June 30, 2019. No additional County funds are required. BACKGROUND: The CORE Program locates and engages homeless residents throughout Contra Costa County. CORE teams serve as an entry point into the County’s coordinated entry system for unsheltered persons and work to locate, engage, stabilize and house chronically homeless individuals and families. APPROVE OTHER RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE Action of Board On: 08/14/2018 APPROVED AS RECOMMENDED OTHER Clerks Notes: VOTE OF SUPERVISORS AYE:Candace Andersen, District II Supervisor Diane Burgis, District III Supervisor Karen Mitchoff, District IV Supervisor Federal D. Glover, District V Supervisor ABSENT:John Gioia, District I Supervisor Contact: Lavonna Martin, 925-608-6701 I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown. ATTESTED: August 14, 2018 David J. Twa, County Administrator and Clerk of the Board of Supervisors By: June McHuen, Deputy cc: L Walker , M Wilhelm C. 37 To:Board of Supervisors From:Anna Roth, Health Services Director Date:August 14, 2018 Contra Costa County Subject:Amendment #29-805-2 with the City of Antioch August 14, 2018 BOS Minutes 462 BACKGROUND: (CONT'D) On February 6, 2018, the Board of Supervisors approved Contract #29-805-1 with the City of Antioch for the provision of homeless outreach services for the CORE program from July 1, 2017 through June 30, 2018. Approval of Amendment Agreement #29-805-2 will allow the County to receive funds from the City of Antioch through June 30, 2019. This agreement includes agreeing to indemnify and hold harmless the contractor for claims arising out of County’s performance under this contract. CONSEQUENCE OF NEGATIVE ACTION: If this agreement is not approved, County will not receive funding and without such funding, the CORE program may have to operate at a reduced capacity. August 14, 2018 BOS Minutes 463 RECOMMENDATION(S): APPROVE and AUTHORIZE the Health Services Director, or designee, to execute on behalf of the County, Amendment Agreement #28-660-17 with the City of Antioch for Community Development Block Grant (CDBG) funding, to amend Contract #28-660-16 to increase the amount payable to the County by $10,000 to a new payment limit of $25,212 and extend the term end date through June 30, 2019 to provide additional Adult Interim Housing Program services. FISCAL IMPACT: Approval of this amendment agreement will result in an amount not to exceed $10,000 paid to the County for the period July 1, 2018 through June 30, 2019. No County match is required. BACKGROUND: The Health Services Department applied for funding from the City of Antioch to operate the emergency shelter program at full capacity on a year-round basis. Each year, the shelters provide interim housing and support services to over 80 individuals. The CDBG program, funded by the U.S. Department of Housing and Urban Development, is a source of public funding providing valuable housing and service benefits to homeless persons of Contra Costa County. Without such funding, the emergency shelter program may have to operate at a reduced capacity. APPROVE OTHER RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE Action of Board On: 08/14/2018 APPROVED AS RECOMMENDED OTHER Clerks Notes: VOTE OF SUPERVISORS AYE:Candace Andersen, District II Supervisor Diane Burgis, District III Supervisor Karen Mitchoff, District IV Supervisor Federal D. Glover, District V Supervisor ABSENT:John Gioia, District I Supervisor Contact: Lavonna Martin, 925-608-6701 I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown. ATTESTED: August 14, 2018 David J. Twa, County Administrator and Clerk of the Board of Supervisors By: June McHuen, Deputy cc: L Walker , M Wilhelm C. 38 To:Board of Supervisors From:Anna Roth, Health Services Director Date:August 14, 2018 Contra Costa County Subject:Amendment #28-660-17 with the City of Antioch for Community Development Department, Block Grant (CDBG) funding August 14, 2018 BOS Minutes 464 BACKGROUND: (CONT'D) On January 16, 2018, the Board of Supervisors approved Agreement #28-660-16 with the City of Antioch to receive CDBG funding to be used for the operation of the County’s Adult Interim Housing Program for the period from July 1, 2017 through June 30, 2018. Approval of Amendment Agreement #28-660-17 will allow the County to continue to receive CDBG funding from the City of Antioch, for service and operation of the County’s Adult Interim Housing Program through June 30, 2019. This Agreement requires the County to indemnify the State for claims arising out of the County’s performance under the Agreement. CONSEQUENCE OF NEGATIVE ACTION: If this agreement is not approved, the County will not receive funding and without such funding, the emergency shelter program may have to operate at a reduced capacity. August 14, 2018 BOS Minutes 465 RECOMMENDATION(S): APPROVE and AUTHORIZE the Health Services Director, or designee, to execute on behalf of the County, Interagency Agreement #28-337-2 with Pittsburg Unified School District, a government agency, to pay the County an amount not to exceed $150,000, to provide school-based mental health intervention services for Seriously Emotionally Disturbed (SED) children and youth for the period July 1, 2018 through June 30, 2019. FISCAL IMPACT: Approval of this agreement will result in a total payment to the County in an amount not to exceed $150,000. County match of funds is not required. BACKGROUND: This agreement will allow Pittsburg Unified School District to provide funding for the County to provide professional school-based mental health intervention services to County-designated severely emotionally disturbed special education students who are participants in the Pittsburg Unified School District's elementary, middle and high school Counseling Enriched Classrooms (CEC). Approval of Interagency Agreement #28–337-2, will allow the school district to pay the County for the provision of outpatient day treatment and mental health services, through June 30, 2019. APPROVE OTHER RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE Action of Board On: 08/14/2018 APPROVED AS RECOMMENDED OTHER Clerks Notes: VOTE OF SUPERVISORS AYE:Candace Andersen, District II Supervisor Diane Burgis, District III Supervisor Karen Mitchoff, District IV Supervisor Federal D. Glover, District V Supervisor ABSENT:John Gioia, District I Supervisor Contact: Matthew White, M.D. 925-957-5201 I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown. ATTESTED: August 14, 2018 David J. Twa, County Administrator and Clerk of the Board of Supervisors By: June McHuen, Deputy cc: D Morgan, M Wilhelm C. 39 To:Board of Supervisors From:Anna Roth, Health Services Director Date:August 14, 2018 Contra Costa County Subject:Interagency Agreement #28-337-2 with Pittsburg Unified School District August 14, 2018 BOS Minutes 466 CONSEQUENCE OF NEGATIVE ACTION: The County is required to provide certain mental health services to special education students under the Federal Individuals with Disabilities Education Act (IDEA). If this agreement is not approved, the school district will not pay the County for providing services to students within the school district. CHILDREN'S IMPACT STATEMENT: This program supports the following Board of Supervisors’ community outcomes: “Children Ready For and Succeeding in School”; “Families that are Safe, Stable, and Nurturing”; and “Communities that are Safe and Provide a High Quality of Life for Children and Families”. Expected program outcomes include an increase in positive social and emotional development as measured by the Child and Adolescent Functional Assessment Scale (CAFAS). August 14, 2018 BOS Minutes 467 RECOMMENDATION(S): APPROVE and AUTHORIZE the Sheriff-Coroner, or designee, to execute a contract with the California Commission on Peace Officer Standards and Training, including full indemnification of the State of California, to pay the County an initial allocation of $44,000 for the instruction of accredited Driving Simulator and Force Option Simulator courses for the period July 1, 2018 through June 30, 2019. FISCAL IMPACT: No County Costs. $44,000; 100% Revenue, State of California. Budgeted in fiscal year 2018/19. BACKGROUND: The Office of the Sheriff - Law Enforcement Training Center provides the California Commission on Peace Officer Standards and Training (POST), approved driving simulator and force option simulator instruction to law enforcement personnel in order to ensure up-to-date training. This contract will enable the Sheriff's Office to recover the costs of this instruction for an initial count of up to 400 students. CONSEQUENCE OF NEGATIVE ACTION: The contract with the State of California will not be approved. The Sheriff's Office will not be able to provide or be reimbursed for the services outlined in this contract. APPROVE OTHER RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE Action of Board On: 08/14/2018 APPROVED AS RECOMMENDED OTHER Clerks Notes: VOTE OF SUPERVISORS AYE:Candace Andersen, District II Supervisor Diane Burgis, District III Supervisor Karen Mitchoff, District IV Supervisor Federal D. Glover, District V Supervisor ABSENT:John Gioia, District I Supervisor Contact: Sandra Brown, 925-335-1553 I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown. ATTESTED: August 14, 2018 David J. Twa, County Administrator and Clerk of the Board of Supervisors By: June McHuen, Deputy cc: C. 40 To:Board of Supervisors From:David O. Livingston, Sheriff-Coroner Date:August 14, 2018 Contra Costa County Subject:POST Driving Simulator and Force Option Contract August 14, 2018 BOS Minutes 468 RECOMMENDATION(S): APPROVE and AUTHORIZE the Health Services Director, or designee, to execute on behalf of the County, Interagency Agreement #29-816-1 with Martinez Unified School District, a government agency, to pay the County an amount not to exceed $178,960, to provide mental health intervention services for seriously emotionally disturbed (SED) special education students, for the period from July 1, 2018 through June 30, 2019. FISCAL IMPACT: Approval of this agreement will result in a total payment to the County in an amount not to exceed $178,960. County match of funds is not required. BACKGROUND: Contra Costa Behavioral Health Services Division/Mental Health in collaboration with Seneca Family of Agencies is implementing the Martinez Unified School District Counseling Enriched Classrooms to provide mental health services for SED youth and families who live in Martinez. On October 17, 2017, the Board of Supervisors approved Interagency Agreement #29-816 with Martinez Unified School District for mental health intervention services for SED special education students for the period from January 1, 2018 through June 30, 2018. APPROVE OTHER RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE Action of Board On: 08/14/2018 APPROVED AS RECOMMENDED OTHER Clerks Notes: VOTE OF SUPERVISORS AYE:Candace Andersen, District II Supervisor Diane Burgis, District III Supervisor Karen Mitchoff, District IV Supervisor Federal D. Glover, District V Supervisor ABSENT:John Gioia, District I Supervisor Contact: Matthew White M.D. 925-957-5201 I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown. ATTESTED: August 14, 2018 David J. Twa, County Administrator and Clerk of the Board of Supervisors By: June McHuen, Deputy cc: D Morgan, M Wilhelm C. 41 To:Board of Supervisors From:Anna Roth, Health Services Director Date:August 14, 2018 Contra Costa County Subject:Interagency Agreement #29-816-1 with Martinez Unified School District August 14, 2018 BOS Minutes 469 BACKGROUND: (CONT'D) Approval of Interagency Agreement #29-816-1 will allow the school district to continue to pay the County to provide mental health intervention services for SED special education students through June 30, 2019. CONSEQUENCE OF NEGATIVE ACTION: If this agreement is not approved, the County will not receive funding to support mental health intervention services for SED special education students. CHILDREN'S IMPACT STATEMENT: This program supports the following Board of Supervisors’ community outcomes: “Children Ready For and Succeeding in School”; “Families that are Safe, Stable, and Nurturing”; and “Communities that are Safe and Provide a High Quality of Life for Children and Families”. Expected program outcomes include an increase in positive social and emotional development as measured by the Child and Adolescent Functional Assessment Scale (CAFAS). August 14, 2018 BOS Minutes 470 RECOMMENDATION(S): APPROVE and AUTHORIZE the Health Services Director, or designee, to submit funding application #28-376 to the California Department of Health Care Services, in an amount not to exceed $25,000, for expansion of medication assisted treatment (MAT) services in the Detention Facilities, for the period from August 1, 2018 through March 31, 2019. FISCAL IMPACT: Approval of this application could result in an amount not to exceed $25,000 of funding from the California Department of Health Care Services for expansion of MAT services through March 31, 2019. No County match is required. BACKGROUND: Contra Costa has made significant progress in addressing the opioid epidemic including supporting safer prescribing practices, reducing the prevalence of opioids in the community, and reducing overdose rates. Since 2016, the Health Services Department has increased buprenorphine prescriptions in ambulatory care through the Choosing Change Program that is available only outside the jails. When individuals are incarcerated they are forced to withdraw from opioids. Research has demonstrated that this leads to decreased tolerance for opiates and increased cravings, resulting in a 12 fold increase in mortality upon release. Studies indicate that the risk of death due to overdose among released inmates was 129 times APPROVE OTHER RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE Action of Board On: 08/14/2018 APPROVED AS RECOMMENDED OTHER Clerks Notes: VOTE OF SUPERVISORS AYE:Candace Andersen, District II Supervisor Diane Burgis, District III Supervisor Karen Mitchoff, District IV Supervisor Federal D. Glover, District V Supervisor ABSENT:John Gioia, District I Supervisor Contact: Fatima Matal Sol, 925-335-3307 I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown. ATTESTED: August 14, 2018 David J. Twa, County Administrator and Clerk of the Board of Supervisors By: June McHuen, Deputy cc: Tasha Scott, Marcy Wilhelm C. 42 To:Board of Supervisors From:Anna Roth, Health Services Director Date:August 14, 2018 Contra Costa County Subject:Application #28-376 with the California Department of Health Care Services August 14, 2018 BOS Minutes 471 BACKGROUND: (CONT'D) higher than compared to the general population. Starting MAT services in jails and providing linkages to patients to community prescribers increases the likelihood that patients will stay in treatment and decreases death by overdose and drug use. Most recently in 2017, Contra Costa became the fifth county that opted into the Drug Medi-Cal Organized Delivery System (DMC-ODS) Waiver, and expanding MAT access to the three county jail system will help us ensure continuity of care as we link inmates with an Opioid Use Disorder (OUD) to the Choosing Change Program upon release and the rest of the DMC-ODS plan network should they need higher levels of care. The following outcomes are expected from the expansion of MAT services: 1) Expansion of screening and detection of individuals with OUD; 2) Increase of availability of MAT through Buprenorphine and Methadone for individuals with OUD; 3) Increase of Behavioral Health support to MAT patients; and 4) Increase of MAT education and awareness among criminal justice partners and inside jail. Approval of this Application #28-376 will allow the County to apply for funding for MAT services, through March 31, 2019. CONSEQUENCE OF NEGATIVE ACTION: If this agreement is not approved, County will not be able to provide MAT services in the detention facilities which could lead to an increase in mortality upon release. August 14, 2018 BOS Minutes 472 RECOMMENDATION(S): APPROVE and AUTHORIZE the Employment and Human Services Director, or designee, to execute a contract amendment with the California Governor's Office of Emergency Services to increase the payment limit to County by $300,000 to a new payment limit of $700,000 for multidisciplinary community response to elder and dependent adult abuse and extend the contract period from July 1, 2016 through June 30, 2018 to July 1, 2016 through December 31, 2019. FISCAL IMPACT: County to receive a total grant amount of $700,000 (including contract amendment amount of $300,000) from the California Governor's Office of Emegency Services grant. This contract is wholly funded by the State with a County in-kind match of 20%. BACKGROUND: Funding from the California Governor's Office of Emergency Services provides support to communities to improve the ability to identify the needs of victims of elder and dependent adult abuse and to improve the delivery of preventative services by: funding an Elder Abuse Victims specialist dedicated to services for elder and dependent adult victims; providing and coordinating direct services for elder and dependent APPROVE OTHER RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE Action of Board On: 08/14/2018 APPROVED AS RECOMMENDED OTHER Clerks Notes: VOTE OF SUPERVISORS AYE:Candace Andersen, District II Supervisor Diane Burgis, District III Supervisor Karen Mitchoff, District IV Supervisor Federal D. Glover, District V Supervisor ABSENT:John Gioia, District I Supervisor Contact: Elaine Burres, 608-4960 I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown. ATTESTED: August 14, 2018 David J. Twa, County Administrator and Clerk of the Board of Supervisors By: June McHuen, Deputy cc: C. 43 To:Board of Supervisors From:Kathy Gallagher, Employment & Human Services Director Date:August 14, 2018 Contra Costa County Subject:California Governor's Office of Emergency Services, Elder Abuse Program Grant Funding August 14, 2018 BOS Minutes 473 BACKGROUND: (CONT'D) adult victims; expending the capacity of communities to serve elder and dependent adult victims; ensuring the elder and dependent adult victims have access to the criminal justice system; and, implementing an outreach awareness program for victims and mandated reporters of elder and dependent adult abuse and others who may have come into contact with these victims. Due to administrative over site, funds were accepted without the benefit of a timely contract amendment board order to increase grant funding and extend the grant period. The increased funds were distributed to the County by the California Governor's Office of Emergency Services, however, without Board approval, County will remain out of process compliance. CONSEQUENCE OF NEGATIVE ACTION: Without a board order to approve and authorize the additional accepted funding, the County is out of compliance with the California Governor's Office of Emergency Services process. Without funding, expansion of multidisciplinary elder abuse services would be significantly curtailed. August 14, 2018 BOS Minutes 474 RECOMMENDATION(S): APPROVE and AUTHORIZE the Health Services Director, or designee, to execute on behalf of the County, Novation Contract #28–541–25 with the City of Richmond, for its Community Services Department, a political subdivision of the State of California, to provide congregate meal services for County’s Senior Nutrition Program, for the period from July 1, 2018 through June 30, 2019, which includes a three-month automatic extension through September 30, 2019. FISCAL IMPACT: The contractor will pay the County the voluntary contributions it receives from participating seniors, after it has paid its authorized expenses. No County funds are required. BACKGROUND: This contract meets the social needs of County’s population by providing an average of thirty (30) congregate meals per day, five days per week for senior citizens at its Congregate Senior Nutrition site in Richmond. On October 17, 2017, the Board of Supervisors approved Novation Contract #28–541–24 APPROVE OTHER RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE Action of Board On: 08/14/2018 APPROVED AS RECOMMENDED OTHER Clerks Notes: VOTE OF SUPERVISORS AYE:Candace Andersen, District II Supervisor Diane Burgis, District III Supervisor Karen Mitchoff, District IV Supervisor Federal D. Glover, District V Supervisor ABSENT:John Gioia, District I Supervisor Contact: Dan Peddycord, (925) 313-6712 I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown. ATTESTED: August 14, 2018 David J. Twa, County Administrator and Clerk of the Board of Supervisors By: June McHuen, Deputy cc: E SUISALA , M WILHELM C. 44 To:Board of Supervisors From:Anna Roth, Health Services Director Date:August 14, 2018 Contra Costa County Subject:Novation Contract #28–541–25 with the City of Richmond for its Community Services Department August 14, 2018 BOS Minutes 475 BACKGROUND: (CONT'D) with the City of Richmond, for its Community Services Department, to provide congregate meal services for County’s Senior Nutrition Program for the period from July 1, 2017 through June 30, 2018, which included a three-month automatic extension through September 30, 2018. Approval of Novation Contract #28–541–25 replaces the automatic extension under the prior contract and allows the contractor to continue providing services through June 30, 2019. This contract includes mutual indemnification. CONSEQUENCE OF NEGATIVE ACTION: If this contract is not approved, senior citizens who depend on County’s Senior Nutrition Program will not receive meals at the contractor’s facility. August 14, 2018 BOS Minutes 476 RECOMMENDATION(S): APPROVE and AUTHORIZE the Health Services Director, or designee, to execute on behalf of the County, Interagency Agreement #29–513–21 with Mt. Diablo Unified School District, a government agency, to pay the County an amount not to exceed $533,891, to provide professional school-based mental health services, and crisis intervention, and day treatment for seriously emotionally disturbed students, for the period July 1, 2018 through June 30, 2019. FISCAL IMPACT: Approval of this interagency agreement will result in a total payment to the County in an amount not to exceed $533,891. County match of funds is not required. BACKGROUND: Fred Finch Youth Center, Families First, and Seneca Residential & Day Treatment Center for Children work collaboratively with the County and school district personnel in developing program services and policies. The primary goal of the Early and Periodic Screening, Diagnosis and Treatment (EPSDT) Program and non-Medi-Cal mental health programs are to continue to provide seriously emotionally disturbed children with the services and the support they need to function effectively in school, at home, and in the community. APPROVE OTHER RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE Action of Board On: 08/14/2018 APPROVED AS RECOMMENDED OTHER Clerks Notes: VOTE OF SUPERVISORS AYE:Candace Andersen, District II Supervisor Diane Burgis, District III Supervisor Karen Mitchoff, District IV Supervisor Federal D. Glover, District V Supervisor ABSENT:John Gioia, District I Supervisor Contact: Matthew White, M.D. 925-957-5201 I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown. ATTESTED: August 14, 2018 David J. Twa, County Administrator and Clerk of the Board of Supervisors By: June McHuen, Deputy cc: D Morgan, M Wilhelm C. 45 To:Board of Supervisors From:Anna Roth, Health Services Director Date:August 14, 2018 Contra Costa County Subject:Interagency Agreement #29–513–21 with Mt. Diablo Unified School District August 14, 2018 BOS Minutes 477 BACKGROUND: (CONT'D) Approval of Interagency Agreement #29-513-21 will allow the Mt. Diablo Unified School District to continue to pay the County for the provision of professional mental health services through June 30, 2019. CONSEQUENCE OF NEGATIVE ACTION: If this agreement is not approved, seriously emotionally disturbed students will not receive school-based mental health services and crisis intervention services. CHILDREN'S IMPACT STATEMENT: This program supports the following Board of Supervisors’ community outcomes: “Children Ready For and Succeeding in School”; “Families that are Safe, Stable, and Nurturing”; and “Communities that are Safe and Provide a High Quality of Life for Children and Families”. Expected program outcomes include an increase in positive social and emotional development as measured by the Child and Adolescent Functional Assessment Scale (CAFAS). August 14, 2018 BOS Minutes 478 RECOMMENDATION(S): APPROVE and AUTHORIZE the County Administrator, or designee, to execute a contract with Industrial Employers and Distributors Association (IEDA), including modified indemnification language, in an amount not to exceed $22,588 to provide In-Home Supportive Services Authority (IHSS) negotiations and support services, for the period September 1, 2018 through August 31, 2019. FISCAL IMPACT: Services provided by IEDA will be billed quarterly, up to a maximum payment limit of $22,588 for the requested contract term, and will be funded by Federal, State and County. BACKGROUND: Due to a long-standing contract with IEDA, the County Administrator's Office is requesting to continue contracting with IEDA for negotiation and support services for the IHSS Public Authority. IEDA has represented Contra Costa County in labor relations matters for about 40 years and augments the County’s Labor Relations staff. IEDA has long-term, historical knowledge of the policies, practices and intricacies of the County and IHSS, and is instrumental in negotiations. APPROVE OTHER RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE Action of Board On: 08/14/2018 APPROVED AS RECOMMENDED OTHER Clerks Notes: VOTE OF SUPERVISORS AYE:Candace Andersen, District II Supervisor Diane Burgis, District III Supervisor Karen Mitchoff, District IV Supervisor Federal D. Glover, District V Supervisor ABSENT:John Gioia, District I Supervisor Contact: Lisa Driscoll, County Finance Director (925) 335-1023 I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown. ATTESTED: August 14, 2018 David J. Twa, County Administrator and Clerk of the Board of Supervisors By: June McHuen, Deputy cc: Robert Campbell, County Auditor-Controller, Kathy Gallagher, EHSD Director, Keith Fleming, IEDA, Jeffrrey Bailey, Labor Relations Manager C. 46 To:Board of Supervisors From:David Twa, County Administrator Date:August 14, 2018 Contra Costa County Subject:Contact Services with IEDA for IHSS Negotiations and Support Services August 14, 2018 BOS Minutes 479 CONSEQUENCE OF NEGATIVE ACTION: If this contract is not approved, IHSS and the County will lack the necessary negotiations and support services needed to negotiate with recognized employee organizations. August 14, 2018 BOS Minutes 480 RECOMMENDATION(S): APPROVE and AUTHORIZE the Purchasing Agent to execute, on behalf of the Health Services Director, a software agreement with Medical Information Technology, Inc., in an amount not to exceed $121,667 for the license and annual maintenance of software modules for the period April 1, 2018 through March 31, 2019. FISCAL IMPACT: 100% funding is included in the Hospital Enterprise Fund I budget. BACKGROUND: Pursuant to a Program License Agreement date July 16, 1992, and a Health Care Information System Software Agreement dated April 28, 2003, the County purchased the software modules from Medical Information Technology. Modules presently in use include Laboratory Module, Microbiology Module, Anatomical Pathology Module, Blood Bank Module, Materials Management Module, Data Repository and MAGIC Operating Systems (Disaster Recovery). Health Services’ clinical laboratory uses these modules, which allow an exchange of and immediate access to real-time patient medical information among the clinical labs. The County pays Medical Information Technology, Inc., annually for the continued use of the software modules. Due to the age of the prior agreements, the Health Services Department is seeking APPROVE OTHER RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE Action of Board On: 08/14/2018 APPROVED AS RECOMMENDED OTHER Clerks Notes: VOTE OF SUPERVISORS AYE:Candace Andersen, District II Supervisor Diane Burgis, District III Supervisor Karen Mitchoff, District IV Supervisor Federal D. Glover, District V Supervisor ABSENT:John Gioia, District I Supervisor Contact: Patrick Wilson, 925-335-8700 I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown. ATTESTED: August 14, 2018 David J. Twa, County Administrator and Clerk of the Board of Supervisors By: June McHuen, Deputy cc: Tasha Scott, Marcy Wilhelm, Renee Nunez C. 47 To:Board of Supervisors From:Anna Roth, Health Services Director Date:August 14, 2018 Contra Costa County Subject:Purchase Order with Medical Information Technology, Inc. August 14, 2018 BOS Minutes 481 BACKGROUND: (CONT'D) to enter into an updated and current software license and support agreement with Medical Information Technology, Inc. The agreement obligates the County to indemnify the contractor from any liability arising from improper or flawed operation or use of the licensed software. CONSEQUENCE OF NEGATIVE ACTION: If this purchase order is not approved, the lack of these software applications could disrupt real-time patient data exchange between clinical laboratories which would result in data loss. August 14, 2018 BOS Minutes 482 RECOMMENDATION(S): APPROVE and AUTHORIZE the Conservation and Development Director, or designee, to execute a contract, subject to approval by the County Administrator and approval as to form by County Counsel, with PlaceWorks, a corporation, in an amount not to exceed $3,190,376 for consulting services related to updating the Contra Costa County General Plan, Contra Costa County Zoning Code, and Contra Costa County Climate Action Plan, and preparation of an environmental impact report for said updates, for the period August 15, 2018, through December 31, 2021. FISCAL IMPACT: In December 2017, DCD staff estimated the cost to update the County General Plan, including preparation of the associated environmental impact report (EIR), at up to $7 million depending on which of three options the Board of Supervisors chose to pursue (see Attachment A for more discussion of these options). The cost associated with a simultaneous update to the County Zoning Code, to be carried out primarily by DCD staff, was estimated at an additional $1.5 million. The Board selected Option 2 for updating the General Plan, which staff estimated at $2 - 4 million. Combined with the Zoning Code update, the total project cost was estimated at $3.5 - 5.5 million. APPROVE OTHER RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE Action of Board On: 08/14/2018 APPROVED AS RECOMMENDED OTHER Clerks Notes: VOTE OF SUPERVISORS AYE:Candace Andersen, District II Supervisor Diane Burgis, District III Supervisor Karen Mitchoff, District IV Supervisor Federal D. Glover, District V Supervisor ABSENT:John Gioia, District I Supervisor Contact: Will Nelson, (925) 674-7791 I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown. ATTESTED: August 14, 2018 David J. Twa, County Administrator and Clerk of the Board of Supervisors By: June McHuen, Deputy cc: C. 48 To:Board of Supervisors From:John Kopchik, Director, Conservation & Development Department Date:August 14, 2018 Contra Costa County Subject:Contract with PlaceWorks, Inc. August 14, 2018 BOS Minutes 483 FISCAL IMPACT: (CONT'D) The proposed contract with PlaceWorks, which includes updating the General Plan and Climate Action Plan, preparing the EIR, and providing technical support to County staff for the Zoning Code update, is $3,190,376 ($2,900,342 base cost plus $290,034 [10%] contingency). Adding $1.351 million for County staff time to prepare the Zoning Code update (the original $1.5 million estimate minus approximately $149,000 for PlaceWorks' technical support) brings the total estimated project cost to $4,541,376. This project will be financed by DCD's Land Development Fund and up to $2,250,000 from the County General Fund. Throughout the process, staff will pursue grant funding to defer costs where possible. BACKGROUND: State law requires each city and county in California to prepare and maintain a general plan, which serves as a jurisdiction's "constitution" for decisions concerning land use planning and expresses a community's long-term vision for its future development. All decisions on planning matters (rezonings, subdivisions, use permits, etc.) must be consistent with the jurisdiction's adopted general plan. The Board of Supervisors adopted the first iteration of the County General Plan in January 1991. Limited General Plan updates, or “reconsolidations,” were adopted in 1996 and 2005, but a comprehensive update has never occurred. The 2005 reconsolidation extended the life of the document through 2020. On December 19, 2017, DCD staff presented a report to the Board explaining the necessity of a General Plan update. As indicated above, three options were outlined and the Board authorized DCD to proceed with Option 2 along with a parallel update of the County Zoning Code. DCD released a request for proposals (RFP) for the General Plan update in April 2018. Four environmental consulting firms responded, and interviews with all four were conducted in June. The interview panel selected PlaceWorks, a full-service consulting firm that has worked on over 75 general plans across the state. PlaceWorks will be primarily responsible for preparing the General Plan update and its accompanying EIR, and will provide technical support to DCD staff for the Zoning Code update. While not requested in the RFP, PlaceWorks has included a Climate Action Plan update in the proposed scope of work. CONSEQUENCE OF NEGATIVE ACTION: If the contract with PlaceWorks is not executed, then work on the General Plan update cannot begin. ATTACHMENTS Attachment A - December 19, 2017, Board Order August 14, 2018 BOS Minutes 484 D. 7 To: Board of Supervisors From: John Kopchik, Director, Conservation and Development Department Date: December 19, 2017 Subject: Proposed Options for County General Plan Update RECOMMENDATION(S) 1. ACCEPT the report from Department of Conservation and Development (DCD) staff on the proposed approach for updating the Contra Costa County General Plan 2005-2020. 2. ACCEPT public comments. 3. PROVIDE comments and direction on the proposed approach to DCD staff. FISCAL IMPACT The fiscal impact depends on the scope of the General Plan update. In each case, the cost would be spread over a three-year period. Option 1 is estimated to be in the $1.5 to $2 million range. The cost of Option 1 may be covered within the DCD operating budget over the next three years. The Land Development Fund could cover a significant portion of the cost, though the more expensive options would require move funding from other sources. Staff would seek grant funding to help fund a portion of the work for, particularly for Options 2 or 3, and the department would also work with the County Administrator to request an allocation of general funds as part of upcoming Budget deliberations, to pay a portion of the costs. An update of the Zoning Ordinance is estimated to cost up to $1.5 million. No funding source has been identified for this work, but doing it concurrently with the General Plan update would result in savings related to environmental review. These cost estimates are the result of preliminary conversations DCD staff has had with two different general plan/environmental consultants. Clerks Notes: VOTE OF SUPERVISORS AYE: John Gioia, District I Supervisor Candace Andersen, District II Supervisor Diane Burgis, District III Supervisor Karen Mitchoff, District IV Supervisor Federal D. Glover, District V Supervisor I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown. ATTESTED: December 19, 2017 David J. Twa, County Administrator and Clerk of the Board of Supervisors By: June McHuen, Deputy Contact: (925) 674-7791  APPROVE  OTHER  RECOMMENDATION OF COUNTY ADMINISTRATOR  RECOMMENDATION OF BOARD COMMITTEE Action of Board On: 12/19/2017  APPROVED AS RECOMMENDED  OTHER Contra Costa County ARCHIVE DOCUMENT August 14, 2018 BOS Minutes 485 BACKGROUND Input Requested from Board of Supervisors The following report provides the Board of Supervisors with information on the process for updating the County General Plan, which is set to expire in December 2020. The scope of work for this project includes numerous variables, described in more detail below, that will significantly affect the cost and timeline for completion. As such, staff hopes to receive the following from this initial report to the Board: • Guidance to inform recruitment of a consultant. This project will require the services of a consultant who specializes in writing and updating general plans, managing the public outreach and participation aspect of the process, and completing the required environmental analysis pursuant to the California Environmental Quality Act (CEQA). Retaining a consultant will be the first major step in the process. To recruit a qualified consultant, it is necessary for staff to understand the Board's wishes related to the project's scope of work. Staff notes that the consultants' proposals themselves will inform the scope of work. • Guidance to assist DCD in budget planning for FY 2018/2019 and beyond. As explained herein, staff anticipates the cost for updating the General Plan will range from approximately $1.5 million to $7 million depending on the scope of work chosen by the Board. DCD envisions the General Plan update as a three-year process during which staff will frequently return to the Board to provide progress reports and seek additional direction. DCD anticipates the first progress report will occur in early 2018 to further discuss project cost, timeline, options for public participation, and consultant selection. Brief History of the County General Plan State law requires each city and county in California to prepare and maintain a general plan. A jurisdiction's general plan serves as its "constitution" for decisions concerning land use planning and expresses a community's long-term vision for its future development. All decisions on planning matters (rezonings, subdivisions, use permits, etc.) must be consistent with the adopted general plan. Preparation of the County General Plan involved an extensive process of public participation and outreach. In early 1986, the County Board of Supervisors established a “General Plan Congress” to advise County staff on revising the County General Plan.1 The 67-member General Plan Congress represented a broad range of interests in the County, including the City Councils from each of the (then) 18 cities in the County, County service districts, environmental groups, landowners, developers, and public interest groups including the League of Women Voters, and Citizens for a Better Contra Costa. With assistance from the General Plan Congress, County staff prepared a draft General Plan in November 1988. After recommending additional changes to that draft, the Congress voted to pass the draft General Plan on to the County Planning Commission and disband. In March 1989, the County made a draft of the General Plan available for public review. Between March 1989 and August 1990, the County Board of Supervisors held numerous public hearings and received extensive written comments on the March 1989 draft. In response to public comments received, the County then prepared a revised and updated draft of the General Plan, which was made available for additional public comment and review in October 1990. Between October and December 1990, the County Planning Commission and Board of Supervisors held additional public hearings on the October 1990 draft. As a 1 At the time the General Plan Congress was convened, the General Plan was not a single document. Instead it consisted of a number of separately bound plans for various areas and communities throughout the county. ARCHIVE DOCUMENT August 14, 2018 BOS Minutes 486 result of those comments and passage in November 1990 of Measure C, the 65/35 Contra Costa County Land Preservation Plan, the County again revised the document. The Board of Supervisors adopted the final document, Contra Costa County General Plan 1990-2005, in January 1991. In 1996 and again in 2005 the Board of Supervisors adopted a “reconsolidated” General Plan (the 2005 reconsolidation also extended the term of the General Plan from 2010 through 2020). Reconsolidating the General Plan included the following: 1. Fully incorporating all previously adopted General Plan Amendments. 2. Updating demographic data and statistics. 3. Deleting descriptive or explanatory text that had become obsolete or outdated. 4. Deleting policies and implementation measures applicable to lands incorporated through 2004. 5. Deleting outdated references to completed projects. 6. Updating the Land Use Element to reflect lands use plans and planning decisions made by the cities. 7. Updating the Land Use Element Map to reflect land acquisitions by public agencies (e.g., regional parklands) and significant land areas that had been deed restricted for open space purposes. 8. Replacing original maps with higher-quality maps prepared using the County's Geographic Information System (GIS) mapping capabilities. 9. Correcting errors and omissions in the document's text. The 2005 reconsolidation occurred at what will ultimately be the midpoint of the General Plan's 30-year term. Since the reconsolidation, the General Plan has been revised through individual amendments affecting relatively small portions of the document. The only exception to this has been State-mandated updates to the Housing Element, which most recently occurred in 2014. State of California General Plan Guidelines To assist local governments in preparing general plans and facilitate public participation in that process, the Governor’s Office of Planning and Research (OPR) publishes the General Plan Guidelines (GPG). While the GPG document is advisory, it closely adheres to statute and case law. From time to time OPR updates the GPG, with the most recent update released in August 2017. Any substantial update of the General Plan should be generally consistent with the current version of the GPG. Transportation and Circulation Element Update The approach to transportation planning has fundamentally shifted over the past 15+/- years and is likely to continue shifting, thus necessitating a substantial effort to revise the General Plan Transportation and Circulation Element (TCE). These fundamental shifts include: • Context Sensitive Planning (2000): An approach to transportation decision-making that takes the surrounding land uses into consideration. • Complete Streets (2005/2008): Something of a refinement of Context Sensitive Planning, “complete streets” is an approach to transportation decision-making that requires streets to be planned, designed, constructed, and operated to accommodate all users (pedestrians, drivers, cyclists, public ARCHIVE DOCUMENT August 14, 2018 BOS Minutes 487 transportation users, wheelchair users, etc.). Passage of the 2008 California Complete Streets Act established complete streets practices in statute. • Greenhouse Gas-Related Initiatives (2006): The Global Warming Solutions Act (Assembly Bill [AB] 32) and subsequent Sustainable Communities Act of 2008 (Senate Bill [SB] 375) resulted in the further emphasis of, among many other things, the importance of active transportation modes. • SB 743 (2013): This bill has a number of significant impacts, three of which are relevant to the General Plan update and discussed below (final guidance from the State is substantially delayed and has not yet been adopted): 1. Removal of “level of service” (LOS) metrics from CEQA analysis. This change has created a substantial amount of dialog and controversy. LOS is a congestion-based approach to managing traffic that has been in use for decades. In summary, the approach is to prioritize transportation investments that mitigate congestion by expanding roadway capacity. This approach has many flaws that are widely acknowledged. The replacement metric was administratively determined to be Vehicle Miles Traveled (VMT). The impact of this particular change on transportation decision-making cannot be overstated. Local jurisdictions are free to continue using LOS in their own local policies. If and how the County chooses to continue using LOS will be considered in this general plan update. 2. Removal of parking impacts in certain settings, as a significant impact in CEQA review: The legislation included the following language, “…parking impacts of a residential, mixed-use residential, or employment center project on an infill site within a transit priority area shall not be considered significant impacts on the environment.” 3. Traffic safety: The substantial attention given to the LOS and parking changes listed above may have resulted in the safety language in SB 743 not receiving much attention. Despite this lack of attention, this change could have a significant impact on project review. Historically, traffic safety has not been a part of CEQA review, SB 743 is likely to change that. The preliminary (again, finalization has been delayed) SB 743 guidance includes the following: “(3) Local Safety. In addition to a project’s effect on vehicle miles traveled, a lead agency may also consider localized effects of project-related transportation on safety. Examples of objective factors that may be relevant may include: (A) Increase exposure of bicyclists and pedestrians in vehicle conflict areas (i.e., remove pedestrian and bicycle facilities, increase roadway crossing times or distances, etc.). (B) Contribute to queuing on freeway off-ramps where queues extend onto the mainline. (C) Contribute to speed differentials of greater than 15 miles per hour between adjacent travel lanes. (D) Increase motor vehicle speeds. (E) Increase distance between pedestrian or bicycle crossings. Subsequent to the passage of SB 743, OPR released the 2017 General Plan Guidelines. The Guidelines added an entirely new section (Appendix B: SB 743 Safety Technical Advisory: Analyzing Safety Impacts Related to Transportation) which reflects the safety language in SB 743 and the draft SB 743 guidance: In the past, transportation safety has focused on streamlining automobile flow and accommodating driver error, sometimes confounding motor vehicle mobility and speed with transportation system safety. An updated and more holistic approach ARCHIVE DOCUMENT August 14, 2018 BOS Minutes 488 has developed over the past decade, however. This updated approach focuses on three overlapping strategies: • Reduce speed and increase driver attention Protect Vulnerable road users • Reduce overall VMT and sprawl Other Changes In addition to the issues discussed above, the following will be addressed in the Transportation and Circulation Element update: • Impacts of sea level rise on transportation investments and existing infrastructure. Accommodation of Connected Vehicles & Automated Vehicles (CV/AV): This rapidly evolving field may require specific policy accommodation. • Transportation Network Companies (TNCs [Lyft, Uber, etc.]): The impacts of these rapidly evolving services are starting to emerge including unintended consequences (increased congestion in some areas) and heightened interest in curb management policies due to inexperienced commercial drivers not adhering to traffic laws when picking up or dropping off passengers. • Unsafe speeds: The evolution of transportation planning described above is likely to continue. The next phase of this evolution may be to address unsafe speeds. The National Transportation Safety Board (NTSB) recently released a study, “Reducing Speeding-Related Crashes” which has received a substantial amount of attention. This study, combined with 1) the new safety elements in the updated OPR General Plan Guidelines, 2) safety elements of SB 743, and 3) ongoing interest in the public health field, may foreshadow the next phase in transportation planning. The Caltrans California Traffic Control Device Committee received a proposal at their November 2, 2017, meeting to review the Manual of Uniform Traffic Control Devices relative to the Engineering and Traffic Study procedures. This proposal was brought forward, in part, due to the NTSB report, which includes the recommendation to “remove the guidance that speed limits in speed zones should be within 5 mph of the 85th percentile speed”. Similar to the LOS discussion above, it is likely that the County will have to consider how to respond to this change in longstanding policy in the near future. • Evolution of public transit: The pressure from TNCs (and eventually CV/AV technology) is likely to result substantial changes in how public transit is administered and operated. While the County has no direct role in the provision of public transit, the service is addressed in the General Plan. • SB 1000 (2016): Land use: general plans: safety and environmental justice: This legislation further expands on the complete streets concept: (2) (A) Commencing January 1, 2011, upon any substantive revision of the circulation element, the legislative body shall modify the circulation element to plan for a balanced, multimodal transportation network that meets the needs of all users of streets, roads, and highways for safe and convenient travel in a manner that is suitable to the rural, suburban, or urban context of the general plan. Growth Management Element Update Passage of the Measure J transportation sales tax in 2004 extended and revised policies originally established by passage of Measure C-1988. In response, the Contra Costa Transportation Authority ARCHIVE DOCUMENT August 14, 2018 BOS Minutes 489 (CCTA) revised the Growth Management Program Implementation Guide to incorporate the Measure J changes. CCTA member jurisdictions were then requested to update their growth management elements (GMEs) to reflect the new policies in Measure J. In consultation with CCTA, the County chose not to update its GME in favor of a more efficient approach of using a Measure C-to-Measure J “ correspondence table” that illustrates how the existing GME is consistent with the requirements of Measure J. This decision was made citing: 1) the existing Measure C- compliant GME was consistent with the new Measure J policies, and 2) considering that existing policies were sufficient, the simpler approach would be a more efficient use of the County’s limited resources. The correspondence table was added to the General Plan in 2016. However, as the County is undertaking a more comprehensive update to the General Plan that will likely require substantial revisions to the GME, it would now be appropriate to more precisely reflect CCTA's preferred GME language. Furthermore, and possibly most significantly, the GME contains LOS policies and standards no longer required under Measure J or CEQA. As discussed earlier, with this General Plan update, the County will be considering if and how to continue using LOS. Proposed Options for Updating the County General Plan By the time the General Plan is set to expire in December 2020, 30 years will have elapsed since its original adoption. For the most part the document's goals and policies reflect the planning philosophy of the late 1980s and early 1990s, which encouraged low-density, sprawl-type development. However, as explained above, the approach to land use and transportation planning in California is changing rapidly, primarily because of the State's focus on reducing greenhouse gas emissions. The emphasis now is on infill, densification (especially in proximity to transit stops), mixed uses, greater reliance on public transportation, and alternatives to single-occupancy vehicles. The objective of this General Plan update should be to produce a document that is accurate and philosophically current. DCD staff proposes following three basic options for updating the General Plan. Option 1: Comprehensive Clean-up Option 1 involves a basic work program similar to the 1996 and 2005 reconsolidations described above. This option focuses on bringing the General Plan up to date. Option 1 would include the nine items described in the reconsolidation discussion above, for the period from 2005-2020, along with the following additional suggested tasks: 1. Revising the document as necessary to achieve consistency with the recently updated General Plan Guidelines. 2. Rewriting the Transportation and Circulation Element as discussed above. 3. Rewriting the Growth Management Element as discussed above. 4. Addressing environmental justice as required by SB 1000. 5. Incorporating relevant information related to Plan Bay Area and other regional initiatives, such as the Bay Conservation and Development Commission's Adapting to Rising Tides Program. 6. Incorporating the Delta Protection Commission's updated Land Use and Resource Management Plan for the Primary Zone of the Delta. 7. Incorporating the County's Community Climate Action Plan adopted in December 2015. 8. Incorporating the County's updated Local Hazard Mitigation Plan, on track for adoption in 2018. ARCHIVE DOCUMENT August 14, 2018 BOS Minutes 490 Option 1 is best characterized as a comprehensive General Plan clean-up. This option includes items that are either required by statute or local initiative, or simply necessary to bring the document up to date. The narrative text, data, statistics, and maps would be revised and made current. Policy changes would generally be limited to those necessary for the General Plan to be consistent with adopted statutes, the updated GPG, and updated regional plans. The General Plan's format, appearance, and organization would essentially remain unchanged. Under this option the General Plan would be factually current, but still somewhat stale philosophically. Staff estimates the cost associated with Option 1, including environmental review, to be approximately in the $1.5 million to $2 million range. Option 2: Major Overhaul and Incorporating Additional Topics Option 2, the staff recommended option, builds on the work program described for Option 1. This option includes all items described under Option 1 plus the following suggested tasks: 1. Addressing additional topic areas such as economic development, community health, sustainability, or other topics as the Board sees fit. These topics could either be addressed in new General Plan elements or integrated into the existing elements. Certain topics may lend themselves to one approach over the other. 2. Adjusting the Urban Limit Line (ULL) to exclude properties acquired by certain public agencies or where development restrictions limit the land to open space or conservation uses. Examples include lands purchased by East Bay Regional Park District and Contra Costa Water District, and private lands under agricultural conservation easements. Such contractions of the ULL are allowed pursuant to Measure L-2006. 3. Updating the Land Use Element to facilitate development of denser, mixed-use neighborhoods and communities where appropriate, and address a number of deficiencies that unnecessarily complicate the development process. 4. In cooperation with Municipal Advisory Councils (MACs) and local community organizations, creating community profiles and vision statements for various unincorporated communities and planning areas. These statements would succinctly describe the character and long-term vision for these areas, providing guidance for project applicants and decision-makers. 5. Revising the document's organization and numbering convention to simplify integration of future amendments and improve overall usability. The five items listed under Option 2 are staff suggestions and "voluntary" in that they are not statutorily required. This list may be augmented as the Board desires. However, including these items in the final work program would be good planning practice and yield an up-to-date General Plan addressing a broader range of contemporary planning issues. The document would also have a more modern appearance and be more user-friendly. Staff estimates the cost associated with Option 2, including environmental review, to be approximately in the $2 million to $4 million range. The main cost variable is which, and how many, additional topic areas would be addressed under this option. Option 3: New County General Plan Option 3 entails preparation of an entirely new General Plan; however, staff views this option as potentially unnecessary. Independent of the legislation discussed above, county residents have approved four local initiatives (Measure C-1988, Measure C-1990, Measure J-2004, and Measure L-2006) that form the foundation of land use and transportation planning policy in Contra Costa County. Measure C-1988 established a one-half cent sales tax to fund transportation projects and programs, and instituted the Growth Management Program (GMP), which links planning for growth and development to transportation. ARCHIVE DOCUMENT August 14, 2018 BOS Minutes 491 Measure C-1990 created the original County ULL and the 65/35 Land Preservation Standard, which limits urban development to no more than 65 percent of the land in the county. Measure J-2004 extended the half-cent transportation sales tax through 2034 and amended the GMP to, among other things, require all 19 cities and towns to adopt either the County’s ULL or their own. Measure L-2006 extended the term of the County ULL through 2026. Together these initiatives created a strong countywide planning framework that focuses development pressure toward existing communities, coordinates land use and transportation policy, and preserves almost two-thirds of the land in the county for non-urban uses. The General Plan, despite being outdated in many respects, remains consistent with these voter-approved initiatives. Furthermore, the General Plan cannot deviate from the requirements of these initiatives, meaning a new document would necessarily be similar to the existing document in terms of its foundational principles and policies. Staff estimates the cost associated with Option 3, including environmental review, to be up to $7,000,000. In staff's opinion, updating the County Zoning Code would be a more effective use of the County's limited resources. Updating the County Zoning Code The County Zoning Code (County Ordinance Code Title 8) is the primary tool for implementing the General Plan, and by law, must be consistent with the General Plan. The County Zoning Code was originally adopted in 1947, when the county population was slightly under 300,000, heavy industry was still prevalent in West County and along the waterfront, the suburbs of Central County were just beginning to develop, and agriculture was by far the dominant land use in East County. The original version of the Zoning Code reflected these conditions, particularly in its permissiveness of certain heavy industrial and agricultural uses, such as refineries, explosives plants, and stockyards. However, while Contra Costa subsequently transformed into a largely suburban county with over 1,100,000 residents, the Zoning Code never underwent a comprehensive review and update to address this reality. Instead it has been updated piecemeal to comply with State legislation and address local issues as they've arisen. This approach has resulted in a compendium of somewhat outdated regulations that are complicated and difficult to administer, and fail to adequately address many contemporary planning issues. The Zoning Code's cumbersome processes are also a potential hindrance to economic development. In staff's opinion, addressing the Zoning Code's deficiencies would be an effective complement to the effort to update the General Plan. DCD staff estimates that an adequate update of the Zoning Code would cost up to $1.5 million. Staff anticipates completing most of the work in-house, though a consultant's assistance may be necessary for certain technical aspects and completion of the CEQA review. Environmental Review The General Plan update will be subject to review under CEQA. DCD staff has determined that an environmental impact report (EIR) will be the appropriate level of review, regardless of which option the Board chooses. EIRs are comprehensive documents addressing a broad range of environmental subject areas. Preparation of a complete and legally-adequate EIR requires numerous technical studies assessing potential environmental impacts related to air quality, biology, greenhouse gas emissions, noise, traffic, utilities, and a host of other topics. The EIR process also includes significant opportunity for public involvement, particularly in the form of submitting comments on the adequacy of the draft EIR document. Substantial cost will be incurred responding to these comments, which is a requirement of CEQA. Staff anticipates that completing the CEQA process will account for approximately 50 percent or more of the total cost for updating the General Plan. ARCHIVE DOCUMENT August 14, 2018 BOS Minutes 492 Public Outreach and Participation Updating the General Plan necessarily involves significant public outreach and participation in addition to the public agency consultation that is required by statute. The nature and extent of this public outreach will depend greatly on the work program ultimately chosen by the Board. Public outreach will involve community meetings and workshops, public hearings, utilization of social media, and any other methods as directed by the Board. Staff notes that this work significantly impacts the budget (the cost estimates above assume an ambitious public outreach effort proportional to each proposed option). Timeline As noted above, the General Plan is set to expire in December 2020, leaving three years to complete the update. Staff will be able to provide a project timeline once the Board decides on the details of the work program. However, the first step in the process, which DCD hopes to complete by the end of April 2018, will be to select a consultant to assist with updating the General Plan and preparing the EIR. Conclusion Staff is requesting direction from the Board on the approach for updating the County General Plan. Given the time constraint, estimated cost, and necessity of also updating the County Zoning Code, it is staff's opinion that the work program described for Option 2 represents the most efficient use of County resources. CONSEQUENCE OF NEGATIVE ACTION There is no immediate consequence. The purpose of this report is to provide an update to the Board of Supervisors and seek direction. CLERK'S ADDENDUM ACCEPTED the report from Department of Conservation and Development (DCD) staff on the proposed approach for updating the Contra Costa County General Plan 2005-2020; CHOSE Option 2 as the approach to update the General Plan; and DIRECTED staff to proceed with a Request for Proposals to select a consultant to assist with updating the General Plan and preparing the Environmental Impact Report. ARCHIVE DOCUMENT August 14, 2018 BOS Minutes 493 RECOMMENDATION(S): APPROVE and AUTHORIZE the Health Services Director, or designee, to execute on behalf of the County, Contract #76-621 with Gayatri Mahajan, M.D., an individual, in an amount not to exceed $130,000 for the provision of pediatric developmental behavioral services for patients of Contra Costa Regional Medical Center (CCRMC) and Health Centers for the period August 1, 2018 through July 31, 2019. FISCAL IMPACT: This contract is funded 100% by Hospital Enterprise Fund I. BACKGROUND: Under Contract #76-621, the contractor will provide pediatric developmental behavioral services at CCRMC and Health Centers, including clinical case conferences, report writing, administration and tele-case conferences, for the period from September 1, 2018 through August 31, 2020. CONSEQUENCE OF NEGATIVE ACTION: If this contract is not approved, patients requiring pediatric developmental behavioral services at CCRMC and Health Centers will not have access to the contractor’s services. APPROVE OTHER RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE Action of Board On: 08/14/2018 APPROVED AS RECOMMENDED OTHER Clerks Notes: VOTE OF SUPERVISORS AYE:Candace Andersen, District II Supervisor Diane Burgis, District III Supervisor Karen Mitchoff, District IV Supervisor Federal D. Glover, District V Supervisor ABSENT:John Gioia, District I Supervisor Contact: Samir Shah, M.D. (925) 370-5525 I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown. ATTESTED: August 14, 2018 David J. Twa, County Administrator and Clerk of the Board of Supervisors By: June McHuen, Deputy cc: A Floyd , M Wilhelm C. 49 To:Board of Supervisors From:Anna Roth, Health Services Director Date:August 14, 2018 Contra Costa County Subject:Contract #76-621 with Gayatri Mahajan, M.D. August 14, 2018 BOS Minutes 494 RECOMMENDATION(S): APPROVE and AUTHORIZE the Public Works Director, or designee, to execute Contract Amendment #2 with All City Management Services, Inc., to increase the payment limit by $90,000 to a new payment limit of $234,500 and extend the term from August 15, 2018 through August 15, 2019, to provide crossing guard services at various schools, Bay Point area. (District V) FISCAL IMPACT: Costs associated with this contract will be funded 100% by the Keller Canyon Mitigation Funds. BACKGROUND: The Public Works Director, or designee, executed a contract, dated August 15, 2016, with All City Management Services, Inc., in the amount of $70,000 and for a one year term, to provide crossing guard services for the Bay Point area for the 2016-2017 school year. On August 15, 2017, the Board of Supervisors approved Amendment #1, increasing the payment limit by $74,500 and extending the termination date to provide services for the 2017-2018 school APPROVE OTHER RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE Action of Board On: 08/14/2018 APPROVED AS RECOMMENDED OTHER Clerks Notes: VOTE OF SUPERVISORS AYE:Candace Andersen, District II Supervisor Diane Burgis, District III Supervisor Karen Mitchoff, District IV Supervisor Federal D. Glover, District V Supervisor ABSENT:John Gioia, District I Supervisor Contact: Mark De La O, (925) 313-2234 I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown. ATTESTED: August 14, 2018 David J. Twa, County Administrator and Clerk of the Board of Supervisors By: June McHuen, Deputy cc: C. 50 To:Board of Supervisors From:Brian M. Balbas, Public Works Director/Chief Engineer Date:August 14, 2018 Contra Costa County Subject:Contract Amendment with All City Management Services, Inc., Bay Point area. August 14, 2018 BOS Minutes 495 BACKGROUND: (CONT'D) year. This proposed Amendment #2 will increase the payment limit and extend the termination date to provide services for the 2018-2019 school year. CONSEQUENCE OF NEGATIVE ACTION: Without approval, crossing guard services will not be provided for students in the Bay Point area. August 14, 2018 BOS Minutes 496 RECOMMENDATION(S): APPROVE and AUTHORIZE the the County Administrator, or designee, to execute a contract with Bay Area Community Resources in an amount not to exceed $305,000 to provide Smart Reentry Transitional Age Youth Services for the period January 1, 2018 through September 30, 2019. FISCAL IMPACT: 100% Federal : "Smart Reentry: Focus on Evidence-Based Strategies for Successful Reentry from Incarceration to Community" grant BACKGROUND: On October 24, 2017, the Board of Supervisors authorized new revenue in the amount of $1,000,000 from the U.S. Department of Justice "Smart Reentry: Focus on Evidence-Based Strategies for Successful Reentry from Incarceration to Community" grant and appropriating it to implement responsive services for transitional aged youth (TAY) offenders (18-25 years old). The grant provided funding from October 1, 2016 through September 30, 2019. The goal of the Smart Reentry Program is to support jurisdictions to develop and implement comprehensive and collaborative strategies that address the challenges posed by reentry to increase public safety and reduce recidivism for individuals reentering communities from incarceration who are at medium to high risk for recidivating. Within the context of this initiative, “reentry” is not envisioned to be a specific APPROVE OTHER RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE Action of Board On: 08/14/2018 APPROVED AS RECOMMENDED OTHER Clerks Notes: VOTE OF SUPERVISORS AYE:Candace Andersen, District II Supervisor Diane Burgis, District III Supervisor Karen Mitchoff, District IV Supervisor Federal D. Glover, District V Supervisor ABSENT:John Gioia, District I Supervisor Contact: Donte' Blue (925) 335-1977 I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown. ATTESTED: August 14, 2018 David J. Twa, County Administrator and Clerk of the Board of Supervisors By: June McHuen, Deputy cc: C. 51 To:Board of Supervisors From:David Twa, County Administrator Date:August 14, 2018 Contra Costa County Subject:Smart Reentry Transitional Age Youth services contract August 14, 2018 BOS Minutes 497 program, but rather a process that begins when the individual is first incarcerated (pre-release) and ends with his or her successful community reintegration and reduction in risk of recidivism (post-release). In Contra Costa County, the TAY population constitutes the largest age cohort within the jail and experiences the highest rates of homelessness outside of jail. There is a growing state and national awareness of the inadequacy of existing practices in serving the needs of young adults aged 18 to 25 in the justice system. This funding will allow the County to better serve the needs of the TAY population. Bay Area Community Resources (BACR) partnered with the Contra Costa County Probation Department to prepare and submit this application. BACR will work closely with the County and Community agencies to: August 14, 2018 BOS Minutes 498 BACKGROUND: (CONT'D) Provide pre-release services to incarcerated TAY; Participate on the Reentry Success Team; Provide case-management and wrap-around post release support services; Provide career coaching and planning services; and , Provide job and life skills training. CONSEQUENCE OF NEGATIVE ACTION: Smart Reentry Transitional Age Youth services will not be performed and the "Smart Reentry:Focus on Evidence-Based Strategies for Successful Reentry from Incarceration to Community" grant deliverables will not be completed. August 14, 2018 BOS Minutes 499 RECOMMENDATION(S): APPROVE and AUTHORIZE the County Librarian, or designee, to execute a software and services agreement amendment with OrangeBoy, Inc., effective August 1, 2018, to extend the term from October 31, 2018 to October 31, 2019 and increase the payment limit by $7,200 from the prior payment limit of $76,275, to a new payment limit of $83,475, to provide additional on-site training services. FISCAL IMPACT: 100% Library Fund. BACKGROUND: On November 7, 2017, the Board of Supervisors approved a software and services agreement with OrangeBoy, Inc., including mutual indemnification, for metrics analysis software, for the period of November 1, 2017 through October 31, 2018. The Contra Costa County’s Software and Services Agreement with OrangeBoy, Inc., provides the Library the ability to compile many data sources that capture customer use or organizational performance. The data is analyzed to understand usage trends, measure performance, evaluate market reach, and compare Contra Costa County Library results with more than 45 peer libraries. OrangeBoy, Inc., tools provide the Library the ability to target customer communications through e-mail messaging, to gather customer feedback to APPROVE OTHER RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE Action of Board On: 08/14/2018 APPROVED AS RECOMMENDED OTHER Clerks Notes: VOTE OF SUPERVISORS AYE:Candace Andersen, District II Supervisor Diane Burgis, District III Supervisor Karen Mitchoff, District IV Supervisor Federal D. Glover, District V Supervisor ABSENT:John Gioia, District I Supervisor Contact: Walt Beveridge 925-608-7730 I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown. ATTESTED: August 14, 2018 David J. Twa, County Administrator and Clerk of the Board of Supervisors By: June McHuen, Deputy cc: C. 52 To:Board of Supervisors From:Melinda Cervantes, County Librarian Date:August 14, 2018 Contra Costa County Subject:Software and Services Agreement Amendment with OrangeBoy, Inc. August 14, 2018 BOS Minutes 500 BACKGROUND: (CONT'D) understand customer satisfaction and loyalty, and to create custom surveys and reports to measure and manage strategic planning outcomes. Approval of this software and services agreement amendment will allow the contractor to provide additional on-site training. CONSEQUENCE OF NEGATIVE ACTION: If not approved, the Library will not receive the additional training to further analyze the Library’s Strategic Plan performance measures. August 14, 2018 BOS Minutes 501 RECOMMENDATION(S): APPROVE and AUTHORIZE the Employment and Human Services Director, or designee, to execute a contract with Contra Costa Family Justice Alliance, a non-profit corporation, in an amount not to exceed $123,912 to provide project, service, and training coordination, and integrated data system services as part of the Contra Costa County Elder Abuse Prevention Project for victims of financial elder abuse for the period September 1, 2018 through December 31, 2019. FISCAL IMPACT: This contract will increase budgeted expenditures by $123,912, which is funded 100% by Federal revenues through the California Office of Emergency Services County Victim Services (XC) Grant. BACKGROUND: The California Governor's Office of Emergency Services (Cal OES) awarded an extension to a previous two -year County Victim Services (XC) Grant to fill victim services gaps and needs. The XC Grant extension was awarded to successful respondents from California counties and the City of Los Angeles, including Contra Costa County. Cal OES approved the XC Grant extension on June 21, 2018. APPROVE OTHER RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE Action of Board On: 08/14/2018 APPROVED AS RECOMMENDED OTHER Clerks Notes: VOTE OF SUPERVISORS AYE:Candace Andersen, District II Supervisor Diane Burgis, District III Supervisor Karen Mitchoff, District IV Supervisor Federal D. Glover, District V Supervisor ABSENT:John Gioia, District I Supervisor Contact: Gina Chenoweth 8-4961 I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown. ATTESTED: August 14, 2018 David J. Twa, County Administrator and Clerk of the Board of Supervisors By: June McHuen, Deputy cc: C. 53 To:Board of Supervisors From:Kathy Gallagher, Employment & Human Services Director Date:August 14, 2018 Contra Costa County Subject:Contract with Contra Costa Family Justice Alliance for Elder Abuse Prevention Project Services August 14, 2018 BOS Minutes 502 BACKGROUND: (CONT'D) This contract is for the provision of project, service, and training coordination and integrated data system services as part of the Contra Costa County (County) Elder Abuse Prevention Program (EAPP). In partnership with the County's Adult Protective Service (APS), this contractor will participate in a multi-disciplinary team to increase communication with all partners of EAPP. CONSEQUENCE OF NEGATIVE ACTION: Without this contract, increased training on elder abuse prevention and care management will be significantly hampered, delaying services and assistance to victims of financial elder abuse. August 14, 2018 BOS Minutes 503 RECOMMENDATION(S): APPROVE and AUTHORIZE the Health Services Director, or designee, to execute on behalf of the County, Contract #27-979-3 with Enlight Consulting Co., a corporation, in the amount of $750,000 to provide primary care physician services for Contra Costa Health Plan (CCHP) members for the period August 1, 2018 through July 31, 2020. FISCAL IMPACT: This contract is funded 100% by CCHP Enterprise Fund II. (No rate increase) BACKGROUND: In August 2016, the County Administrator approved and the Purchasing Services Manager executed Contract #27-979-1 (as amended by Amendment Agreement #27-979-2) with Enlight Consulting Co, to provide primary care physician services for CCHP members, for the period from August 1, 2016 through July 31, 2018. Approval of Contract #27-979-3 will allow the contractor to continue to provide primary care physician services through July 31, 2020. APPROVE OTHER RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE Action of Board On: 08/14/2018 APPROVED AS RECOMMENDED OTHER Clerks Notes: VOTE OF SUPERVISORS AYE:Candace Andersen, District II Supervisor Diane Burgis, District III Supervisor Karen Mitchoff, District IV Supervisor Federal D. Glover, District V Supervisor ABSENT:John Gioia, District I Supervisor Contact: Patricia Tanquary, 925-313-6004 I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown. ATTESTED: August 14, 2018 David J. Twa, County Administrator and Clerk of the Board of Supervisors By: June McHuen, Deputy cc: K Cyr, M Wilhelm C. 54 To:Board of Supervisors From:Anna Roth, Health Services Director Date:August 14, 2018 Contra Costa County Subject:Contract #27-979-3 with Enlight Consulting Co. August 14, 2018 BOS Minutes 504 CONSEQUENCE OF NEGATIVE ACTION: If this contract is not approved, certain specialized health care services for its members under the terms of their Individual and Group Health Plan membership contracts with the County will not be provided. August 14, 2018 BOS Minutes 505 RECOMMENDATION(S): APPROVE and AUTHORIZE the Health Services Director, or designee, to execute on behalf of the County, Contract Amendment/Extension Agreement #76-580-4 with James Pak, M.D. Incorporated, effective August 1, 2018, to amend Contract #76-580-2 (as amended by Amendment Agreement #76-580-3) to increase the payment limit by $53,000, from $169,000, to a new payment limit of $222,000, and extend the termination date from August 31, 2018 to February 28, 2019, for additional hours of anesthesiology services at Contra Costa Regional Medical Center (CCRMC) and Health Centers. FISCAL IMPACT: This contract is funded 100% by Hospital Enterprise Fund I. (No rate increase) BACKGROUND: In August 2017, the County Administrator approved and the Purchasing Services Manager executed Contract #76-580-2 (as amended by Amendment Agreement #76-580-3) with to provide anesthesiology services including consultation and medical procedures at CCRMC and Health Centers for the period September 1, 2015 through August 31, 2018. APPROVE OTHER RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE Action of Board On: 08/14/2018 APPROVED AS RECOMMENDED OTHER Clerks Notes: VOTE OF SUPERVISORS AYE:Candace Andersen, District II Supervisor Diane Burgis, District III Supervisor Karen Mitchoff, District IV Supervisor Federal D. Glover, District V Supervisor ABSENT:John Gioia, District I Supervisor Contact: Samir Shah, M.D., 925-370-5525 I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown. ATTESTED: August 14, 2018 David J. Twa, County Administrator and Clerk of the Board of Supervisors By: June McHuen, Deputy cc: K Cyr, M Wilhelm C. 55 To:Board of Supervisors From:Anna Roth, Health Services Director Date:August 14, 2018 Contra Costa County Subject:Amendment/Extension #76-580-4 with James Pak, M.D. Corporation August 14, 2018 BOS Minutes 506 BACKGROUND: (CONT'D) Approval of Contract Amendment/Extension Agreement #76-580-4 will allow the contractor to continue providing anesthesiology services at CCRMC and Health Centers through February 28, 2019. CONSEQUENCE OF NEGATIVE ACTION: If this amendment is not approved, patients requiring anesthesiology services will not have access to the contractor’s services. August 14, 2018 BOS Minutes 507 RECOMMENDATION(S): APPROVE and AUTHORIZE the Health Services Director, or designee, to execute on behalf of the County, Contract #27-883-4 with Mount Diablo Solano Oncology Group Medical Associates, a corporation, in an amount not to exceed $3,000,000 to provide hematology/oncology services to Contra Costa Health Plan (CCHP) members for the period August 1, 2018 through July 31, 2020. FISCAL IMPACT: This contract is funded 100% by Contra Costa Health Enterprise Fund II. (No rate increase) BACKGROUND: On August 9, 2016, the Board of Supervisors approved Contract #27-883-3 with Mount Diablo Solano Oncology Group Medical Associates to provide hematology/oncology services to CCHP members, for the period from July 1, 2016 through July 31, 2018. Approval of Contract #27-883-4 will allow the contractor to continue providing hematology/oncology services through July 31, 2020. APPROVE OTHER RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE Action of Board On: 08/14/2018 APPROVED AS RECOMMENDED OTHER Clerks Notes: VOTE OF SUPERVISORS AYE:Candace Andersen, District II Supervisor Diane Burgis, District III Supervisor Karen Mitchoff, District IV Supervisor Federal D. Glover, District V Supervisor ABSENT:John Gioia, District I Supervisor Contact: Patricia Tanquary, 925-313-6004 I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown. ATTESTED: August 14, 2018 David J. Twa, County Administrator and Clerk of the Board of Supervisors By: June McHuen, Deputy cc: K Cyr, M Wilhelm C. 56 To:Board of Supervisors From:Anna Roth, Health Services Director Date:August 14, 2018 Contra Costa County Subject:Contract #27-883-4 with Mount Diablo Solano Oncology Group Medical Associates August 14, 2018 BOS Minutes 508 CONSEQUENCE OF NEGATIVE ACTION: If this contract is not approved, certain specialized health care services for its members under the terms of their Individual and Group Health Plan membership contracts with the County will not be provided. August 14, 2018 BOS Minutes 509 RECOMMENDATION(S): APPROVE and AUTHORIZE the Health Services Director, or designee, to execute on behalf of the County, Contract #27-808-4 with Amarjit Dosanjh, M.D., A Medical Corporation, in an amount not to exceed $425,000 to provide plastic and reconstructive surgery services to Contra Costa Health Plan (CCHP) members for the period August 1, 2018 through July 31, 2020. FISCAL IMPACT: This contract is funded 100% by CCHP Enterprise Fund II. (No rate increase) BACKGROUND: The Health Plan has an obligation to provide certain specialized professional health care services for its members under the terms of their Individual and Group Health Plan membership contracts with the County. On September 20, 2016, the Board of Supervisors approved Contract #27-808-3 with Amarjit Dosanjh, M.D., A Medical Corporation, to provide plastic and reconstructive surgery services to CCHP members for the period from August 1, 2016 through July 31, 2018. APPROVE OTHER RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE Action of Board On: 08/14/2018 APPROVED AS RECOMMENDED OTHER Clerks Notes: VOTE OF SUPERVISORS AYE:Candace Andersen, District II Supervisor Diane Burgis, District III Supervisor Karen Mitchoff, District IV Supervisor Federal D. Glover, District V Supervisor ABSENT:John Gioia, District I Supervisor Contact: Patricia Tanquary, 925-313-6004 I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown. ATTESTED: August 14, 2018 David J. Twa, County Administrator and Clerk of the Board of Supervisors By: June McHuen, Deputy cc: K Cyr, M Wilhelm C. 57 To:Board of Supervisors From:Anna Roth, Health Services Director Date:August 14, 2018 Contra Costa County Subject:Contract #27-808-4 with Amarjit Dosanjh, M.D., A Medical Corporation August 14, 2018 BOS Minutes 510 BACKGROUND: (CONT'D) Approval of Contract #27-808-4 will allow the contractor to continue to provide plastic and reconstructive surgery services through July 31, 2020. CONSEQUENCE OF NEGATIVE ACTION: If this contract is not approved, certain specialized professional health care services for its members under the terms of their Individual and Group Health Plan membership contracts with the County will not be provided. August 14, 2018 BOS Minutes 511 RECOMMENDATION(S): APPROVE and AUTHORIZE the Health Services Director, or designee, to execute on behalf of the County Novation Contract #74-405-8 with Lao Family Community Development, Inc., a non-profit corporation, in an amount not to exceed $190,416, to provide Mental Health Services Act (MHSA) Prevention and Early Intervention services (PEI) for the period July 1, 2018 through June 30, 2019, which includes a six-month automatic extension through December 31, 2019, in an amount not to exceed $95,208. FISCAL IMPACT: This contract is funded 100% by Mental Health Services Act. (3% Cost of Living Adjustment) BACKGROUND: This contract meets the social needs of County’s population by providing comprehensive case management, educational workshops and support groups to Asian and South East Asian adults in order to provide outreach, education, and support to develop problem solving skills, and increase families emotional well-being and stability. APPROVE OTHER RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE Action of Board On: 08/14/2018 APPROVED AS RECOMMENDED OTHER Clerks Notes: VOTE OF SUPERVISORS AYE:Candace Andersen, District II Supervisor Diane Burgis, District III Supervisor Karen Mitchoff, District IV Supervisor Federal D. Glover, District V Supervisor ABSENT:John Gioia, District I Supervisor Contact: Matthew White, M.D., 925-957-5201 I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown. ATTESTED: August 14, 2018 David J. Twa, County Administrator and Clerk of the Board of Supervisors By: June McHuen, Deputy cc: E Suisala , M Wilhelm C. 58 To:Board of Supervisors From:Anna Roth, Health Services Director Date:August 14, 2018 Contra Costa County Subject:Novation Contract #74-405-8 with Lao Family Community Development, Inc. August 14, 2018 BOS Minutes 512 BACKGROUND: (CONT'D) On July 18, 2017, the Board of Supervisors approved Novation Contract #74-405-7 with Lao Family Community Development, Inc., to provide MHSA and PEI services for the period from July 1, 2017 through June 30, 2018, which included a six-month automatic extension through December 31, 2018. Approval of Novation Contract #74-405-8 replaces the automatic extension under the prior contract and allows the contractor to continue providing services through June 30, 2019. CONSEQUENCE OF NEGATIVE ACTION: If this contract is not approved, County residents will have reduced access to PEI services provided under MHSA including outreach, education and support programs designed to increase family emotional well-being and stability. August 14, 2018 BOS Minutes 513 RECOMMENDATION(S): APPROVE and AUTHORIZE the Health Services Director, or designee, to execute on behalf of the County, Contract #27-944-2 with Teodoro P. Nissen, M.D., Inc., dba Bay Area Orthopedic Surgery and Sports Medicine, a corporation, in an amount not to exceed $200,000 to provide orthopedic surgery services for Contra Costa Health Plan (CCHP) members, for the period August 1, 2018 through July 31, 2020. FISCAL IMPACT: This contract is funded 100% by CCHP Enterprise Fund II. (No rate increase) BACKGROUND: In August 2016, the County Administrator approved and the Purchasing Services Manager executed Contract #27-944-1with Teodoro P. Nissen, M.D., Inc., dba Bay Area Orthopedic Surgery and Sports Medicine, to provide orthopedic surgery services to CCHP members, for the period August 1, 2016 through July 31, 2018. Approval of Contract #27-944-2 will allow the contractor to continue to provide orthopedic surgery services through July 31, 2020. APPROVE OTHER RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE Action of Board On: 08/14/2018 APPROVED AS RECOMMENDED OTHER Clerks Notes: VOTE OF SUPERVISORS AYE:Candace Andersen, District II Supervisor Diane Burgis, District III Supervisor Karen Mitchoff, District IV Supervisor Federal D. Glover, District V Supervisor ABSENT:John Gioia, District I Supervisor Contact: Patricia Tanquary, 925-313-6004 I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown. ATTESTED: August 14, 2018 David J. Twa, County Administrator and Clerk of the Board of Supervisors By: June McHuen, Deputy cc: K Cyr, M Wilhelm C. 59 To:Board of Supervisors From:Anna Roth, Health Services Director Date:August 14, 2018 Contra Costa County Subject:Contract #27-944-2 with Teodoro P. Nissen, M.D., Inc. (dba Bay Area Orthopedic Surgery and Sports Medicine) August 14, 2018 BOS Minutes 514 CONSEQUENCE OF NEGATIVE ACTION: If this contract is not approved, certain specialized health care services for its members under the terms of their Individual and Group Health Plan membership contracts with the County will not be provided. August 14, 2018 BOS Minutes 515 RECOMMENDATION(S): APPROVE and AUTHORIZE the Employment and Human Services Director, or designee, to execute a contract with Meals on Wheels Diablo Region in an amount not to exceed $138,137 to provide direct service provider training and care manager services to victims of financial elder abuse as part of the Contra Costa County Elder Abuse Prevention Project for the period July 1, 2018 through June 30, 2019. FISCAL IMPACT: This contract will increase budgeted expenditures by $138,137, which is funded 100% by Federal revenues through the California Office of Emergency Services County Victim Services (XC) Grant. BACKGROUND: The California Governor's Office of Emergency Services (Cal OES) awarded an extension to the previous two year County Victim Services (XC) Grant to fill victim services gaps and needs. The XC Grant extension was awarded to successful respondents from California counties and the City of Los Angeles, including Contra Costa County. Cal OES approved the XC Grant extension on June 21, 2018. APPROVE OTHER RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE Action of Board On: 08/14/2018 APPROVED AS RECOMMENDED OTHER Clerks Notes: VOTE OF SUPERVISORS AYE:Candace Andersen, District II Supervisor Diane Burgis, District III Supervisor Karen Mitchoff, District IV Supervisor Federal D. Glover, District V Supervisor ABSENT:John Gioia, District I Supervisor Contact: Gina Chenoweth 8-4961 I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown. ATTESTED: August 14, 2018 David J. Twa, County Administrator and Clerk of the Board of Supervisors By: June McHuen, Deputy cc: C. 60 To:Board of Supervisors From:Kathy Gallagher, Employment & Human Services Director Date:August 14, 2018 Contra Costa County Subject:Contract with Meals on Wheels Diablo Region for Elder Abuse Prevention Project Services August 14, 2018 BOS Minutes 516 BACKGROUND: (CONT'D) This contract is for provision of care manager outreach services as well as elder abuse prevention training as part of the Contra Costa County (County) Elder Abuse Prevention Program (EAPP). In partnership with County's Adult Protective Service (APS), this contractor will participate in a multi-disciplinary team to increase communication with all partners of EAPP. CONSEQUENCE OF NEGATIVE ACTION: Without this contract, increased training on elder abuse prevention and care management will be significantly hampered, delaying services and assistance to victims of financial elder abuse. August 14, 2018 BOS Minutes 517 RECOMMENDATION(S): APPROVE and AUTHORIZE the Purchasing Agent to execute, on behalf of the Sheriff-Coroner, a purchase order with R-Computer in an amount not to exceed $450,000 to provide computer hardware, peripherals, cameras, GPS (global positioning system) units and other computer-related equipment and supplies, as needed, for the period July 1, 2018 through June 30, 2020. FISCAL IMPACT: $450,000. 100% County General Fund; Budgeted. BACKGROUND: With years of experience with our unique, public safety-related information technology (IT), network and mobile data needs, R-Computer consistently supplies our department with the needed computers, electronic equipment and peripherals in a timely manner. R-Computer works with our IT Division to ensure that we get the best product for the best price to match our needs. They provide advice and guidance about products and know our network structure and the IT needs of the Sheriff's Office. R-Computer is reliable, dependable, and competitively priced. The Sheriff's IT unit supports 58 servers, 587 desktop computers, 90 laptop computers, as well as printers, copiers and fax machines. In order to respond to our user's needs, we need to have a reliable vendor who APPROVE OTHER RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE Action of Board On: 08/14/2018 APPROVED AS RECOMMENDED OTHER Clerks Notes: VOTE OF SUPERVISORS AYE:Candace Andersen, District II Supervisor Diane Burgis, District III Supervisor Karen Mitchoff, District IV Supervisor Federal D. Glover, District V Supervisor ABSENT:John Gioia, District I Supervisor Contact: Liz Arbuckle, (925) 335-1529 I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown. ATTESTED: August 14, 2018 David J. Twa, County Administrator and Clerk of the Board of Supervisors By: June McHuen, Deputy cc: Liz Arbuckle, Heike Anderson, Paul Reyes C. 61 To:Board of Supervisors From:David O. Livingston, Sheriff-Coroner Date:August 14, 2018 Contra Costa County Subject:Purchase Order for Computer Equipment R-Computer August 14, 2018 BOS Minutes 518 BACKGROUND: (CONT'D) can process our orders quickly and efficiently. Locally owned, small business R-Computer is able to do this, and understands the unique needs of the Sheriff's Office and the need to keep critical processes functioning for public safety. CONSEQUENCE OF NEGATIVE ACTION: The Sheriff-Coroner will be unable to acquire various computer hardware and equipment as needed. August 14, 2018 BOS Minutes 519 RECOMMENDATION(S): APPROVE and AUTHORIZE the Health Services Director, or designee, to execute on behalf of the County, Novation Contract #74–379–9 with People Who Care Children Association, a non-profit corporation, in an amount not to exceed $223,102, to provide Mental Health Services Act (MHSA) Prevention and Early Intervention (PEI) services for the period from July 1, 2018 through June 30, 2019, which includes a six-month automatic extension through December 31, 2019 in an amount not to exceed $111,551. FISCAL IMPACT: This contract is funded 100% by Mental Health Services Act. (3% Cost of Living Adjustment) BACKGROUND: This contract meets the social needs of County’s population by providing work experience for 200 multicultural youth residing in the Pittsburg/Bay Point communities, as well as programs aimed at increasing educational success among youth who are either at-risk or high-risk of dropping out of school, or committing a repeat offense. On July 11, 2017, the Board of Supervisors approved Novation Contract #74–379-8 with People APPROVE OTHER RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE Action of Board On: 08/14/2018 APPROVED AS RECOMMENDED OTHER Clerks Notes: VOTE OF SUPERVISORS AYE:Candace Andersen, District II Supervisor Diane Burgis, District III Supervisor Karen Mitchoff, District IV Supervisor Federal D. Glover, District V Supervisor ABSENT:John Gioia, District I Supervisor Contact: Matthew White, M.D., 925-957-5201 I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown. ATTESTED: August 14, 2018 David J. Twa, County Administrator and Clerk of the Board of Supervisors By: June McHuen, Deputy cc: E Suisala , M Wilhelm C. 62 To:Board of Supervisors From:Anna Roth, Health Services Director Date:August 14, 2018 Contra Costa County Subject:Novation Contract #74–379–9 with People Who Care Children Association August 14, 2018 BOS Minutes 520 BACKGROUND: (CONT'D) Who Care Children Association, to provide MHSA PEI services for the period from July 1, 2017 through June 30, 2018, which included a six-month automatic extension through December 31, 2018. Approval of Novation Contract #74–379–9 replaces the automatic extension under the prior contract and allows the contractor to continue providing services through June 30, 2019. CONSEQUENCE OF NEGATIVE ACTION: If this contract is not approved, at-risk youth from East Contra Costa County will have reduced access to job training and other programs which are aimed at increasing educational success, due to delayed implementation of the Youth Development Program as defined in the Mental Health Services Act. CHILDREN'S IMPACT STATEMENT: This MHSA-PEI program supports the following Board of Supervisors’ community outcomes: “Families that are Safe, Stable, and Nurturing”; and “Communities that are Safe and Provide a High Quality of Life for Children and Families”. Expected program outcomes include increases in social connectedness, communication skills, parenting skills, and knowledge of the human service system in Contra Costa County August 14, 2018 BOS Minutes 521 RECOMMENDATION(S): APPROVE and AUTHORIZE the Health Services Director, or designee, to execute on behalf of the County, Contract Amendment Agreement #24–933–38 with Crestwood Behavioral Health, Inc., a corporation, effective August 1, 2018, to amend Contract #24–933–37 to add a rate for unoccupied bed holds for subacute skilled nursing services with no change in the total payment limit of $8,389,976 and no change in the term of July 1, 2018 through June 30, 2019. FISCAL IMPACT: This contract is funded by 92% Mental Health Realignment and 8% Mental Health Services Act funds. BACKGROUND: This contract meets the social needs of County’s population in that it provides subacute skilled nursing care services for County’s Severe and Persistent Mental Illness (SPMI) and neurobehavioral clients. On May 22, 2018, the Board of Supervisors approved Contract #24-933-37 with Crestwood Behavioral Health, Inc., for the period from July 1, 2018 through June 30, 2019 for the provision of subacute skilled nursing care for SPMI and neurobehavioral clients. APPROVE OTHER RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE Action of Board On: 08/14/2018 APPROVED AS RECOMMENDED OTHER Clerks Notes: VOTE OF SUPERVISORS AYE:Candace Andersen, District II Supervisor Diane Burgis, District III Supervisor Karen Mitchoff, District IV Supervisor Federal D. Glover, District V Supervisor ABSENT:John Gioia, District I Supervisor Contact: Matthew White M.D., 925-957-5201 I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown. ATTESTED: August 14, 2018 David J. Twa, County Administrator and Clerk of the Board of Supervisors By: June McHuen, Deputy cc: D Morgan, M Wilhelm C. 63 To:Board of Supervisors From:Anna Roth, Health Services Director Date:August 14, 2018 Contra Costa County Subject:Amendment Agreement #24–933–38 with Crestwood Behavioral Health, Inc. August 14, 2018 BOS Minutes 522 BACKGROUND: (CONT'D) Approval of Contract #24-933-38 will allow bed holds for subacute skilled nursing services through June 30, 2019. CONSEQUENCE OF NEGATIVE ACTION: If the amendment is not approved, the County would not be able to hold beds which are unoccupied as a result of approved temporary client absences. August 14, 2018 BOS Minutes 523 RECOMMENDATION(S): APPROVE and AUTHORIZE the Health Services Director, or designee, to execute on behalf of the County, Novation Contract #24-960-28 with Touchstone Counseling Services, Inc., a non-profit corporation, in an amount not to exceed $169,950, to provide mental health services to recipients of the CalWORKS Program for the period from July 1, 2018 through June 30, 2019, which includes a six-month automatic extension through December 31, 2019, in an amount not to exceed $84,975. FISCAL IMPACT: This contract is funded 100% by State Cal-WORKS Program funds. (Rate increase) BACKGROUND: On July 18, 2017, the Board of Supervisors approved Novation Contract #24-960-26 (as amended by Amendment Agreement #24-960-27) with Touchstone Counseling Services, Inc. to provide mental health services to recipients of the CalWORKS Program, for the period of July 1, 2017 through June 30, 2018, which included a six-month automatic extension through December 31, 2018. Approval of Novation Contract #24-960-28 replaces the automatic extension under the prior contract and allows the contractor to continue providing mental health services through June 30, 2019. APPROVE OTHER RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE Action of Board On: 08/14/2018 APPROVED AS RECOMMENDED OTHER Clerks Notes: VOTE OF SUPERVISORS AYE:Candace Andersen, District II Supervisor Diane Burgis, District III Supervisor Karen Mitchoff, District IV Supervisor Federal D. Glover, District V Supervisor ABSENT:John Gioia, District I Supervisor Contact: Matthew White, M.D., 925-957-5201 I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown. ATTESTED: August 14, 2018 David J. Twa, County Administrator and Clerk of the Board of Supervisors By: June McHuen, Deputy cc: E Suisala , M Wilhelm C. 64 To:Board of Supervisors From:Anna Roth, Health Services Director Date:August 14, 2018 Contra Costa County Subject:Novation Contract #24-960-28 with Touchstone Counseling Services, Inc. August 14, 2018 BOS Minutes 524 CONSEQUENCE OF NEGATIVE ACTION: If this contract is not approved, CalWORKS recipients will not have access to the contractor’s services. August 14, 2018 BOS Minutes 525 RECOMMENDATION(S): APPROVE and AUTHORIZE the Director of Human Resources, or designee, to execute an Online Services Agreement with GovernmentJobs.com, Inc. doing business as NeoGov, in an amount not to exceed $370,000, including modified indemnification language, to provide a vendor-hosted internet-based applicant tracking system and onboarding software system, for the period of July 1, 2018 through June 30, 2021. FISCAL IMPACT: The cost for the first year of the contract is within the Human Resources Department FY 18-19 budget and will be budgeted in subsequent years. (100% General Fund) BACKGROUND: The County has been using GovernmentJobs.com, Inc. for a number of years to provide our applicant tracking system. The addition of the Onboarding module is a significant step toward modernizing the County’s recruitment and hiring activities. It will provide a contemporary experience for new hires, streamline the hiring process, and enable new hires to complete their onboarding documents before their first day of work. In addition, the Onboarding module is used APPROVE OTHER RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE Action of Board On: 08/14/2018 APPROVED AS RECOMMENDED OTHER Clerks Notes: VOTE OF SUPERVISORS AYE:Candace Andersen, District II Supervisor Diane Burgis, District III Supervisor Karen Mitchoff, District IV Supervisor Federal D. Glover, District V Supervisor ABSENT:John Gioia, District I Supervisor Contact: Dianne Dinsmore, (925) 335-1766 I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown. ATTESTED: August 14, 2018 David J. Twa, County Administrator and Clerk of the Board of Supervisors By: June McHuen, Deputy cc: Nancy Zandonella C. 65 To:Board of Supervisors From:Dianne Dinsmore, Human Resources Director Date:August 14, 2018 Contra Costa County Subject:Contract with GovernmentJobs.Com, Inc. August 14, 2018 BOS Minutes 526 BACKGROUND: (CONT'D) during the first year of employment to support the employee’s integration into the workplace. The availability of status reports, automatic reminders, and overdue notices will help ensure hiring documents and steps are completed and processed in a timely fashion. Automation will support exporting records and storing them digitally in the employee’s electronic personnel file. In addition, the integration feature will move new hire data from NeoGov directly into PeopleSoft, reducing work and eliminating inconsistencies resulting from duplicate data entry errors and virtually eliminate paper. The applicant tracking and onboarding system will be hosted on the internet by the vendor. The agreement obligates the vendor to indemnify the County for third party losses arising out of the vendor's negligence or willful misconduct in performing the agreement, provided that the vendor's indemnity obligation is capped at their insurance limits under the agreement - $1,000,000 for general liability and $4,000,000 for cyberinsurance. CONSEQUENCE OF NEGATIVE ACTION: If the contract is not approved, we will not be able to add the Onboarding module which would significantly hinder our ability to modernize our processes and move toward a paperless system. August 14, 2018 BOS Minutes 527 RECOMMENDATION(S): APPROVE and AUTHORIZE the Health Services Director, or designee, to execute on behalf of the County, Contract #74-570 with John E. Hawkins, M.D., a self-employed individual, in an amount not to exceed $209,664 to provide professional outpatient psychiatric services to adults in East County for the period September 1, 2018 through August 31, 2019. FISCAL IMPACT: This contract is funded 100% by Mental Health Realignment. BACKGROUND: For a number of years the County has contracted with medical, dental and mental health specialists to provide specialized professional services, which are not otherwise available. Under Contract #74-570, the contractor will provide outpatient psychiatric services for mentally ill adults in East Contra Costa County through August 31, 2019. CONSEQUENCE OF NEGATIVE ACTION: If this contract is not approved, County’s clients will not have access to the contractor’s professional outpatient psychiatric services. APPROVE OTHER RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE Action of Board On: 08/14/2018 APPROVED AS RECOMMENDED OTHER Clerks Notes: VOTE OF SUPERVISORS AYE:Candace Andersen, District II Supervisor Diane Burgis, District III Supervisor Karen Mitchoff, District IV Supervisor Federal D. Glover, District V Supervisor ABSENT:John Gioia, District I Supervisor Contact: Matthew White, M.D. 925-957-5201 I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown. ATTESTED: August 14, 2018 David J. Twa, County Administrator and Clerk of the Board of Supervisors By: June McHuen, Deputy cc: D Morgan, M Wilhelm C. 66 To:Board of Supervisors From:Anna Roth, Health Services Director Date:August 14, 2018 Contra Costa County Subject:Contract #74-570 with John E. Hawkins, M.D. August 14, 2018 BOS Minutes 528 RECOMMENDATION(S): APPROVE and AUTHORIZE the Health Services Director, or designee, to execute on behalf of the County, Contract #23-643 with 03, Inc., dba 03 Apps Inc., in an amount not to exceed $185,000 to provide consultation and technical assistance to improve workflows and develop web applications of the Emergency Medical Services (EMS) Division’s software system for the period from July 1, 2018 through March 30, 2020. FISCAL IMPACT: This contract is funded 100% by State Homeland Security Project funds. BACKGROUND: Under Contract #23-643, the contractor will provide consultation, training and technical support to improve the usability of the Emergency Medical Services Division’s emergency management software system and to develop web applications to improve workflows including providing software customizations and enhancements, developing a training program for End-Users, and developing and executing test plans, for the period July 1, 2018 through March 30, 2020. APPROVE OTHER RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE Action of Board On: 08/14/2018 APPROVED AS RECOMMENDED OTHER Clerks Notes: VOTE OF SUPERVISORS AYE:Candace Andersen, District II Supervisor Diane Burgis, District III Supervisor Karen Mitchoff, District IV Supervisor Federal D. Glover, District V Supervisor ABSENT:John Gioia, District I Supervisor Contact: Patrick Godley, 925-957-5405 I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown. ATTESTED: August 14, 2018 David J. Twa, County Administrator and Clerk of the Board of Supervisors By: June McHuen, Deputy cc: K Cyr, M Wilhelm C. 67 To:Board of Supervisors From:Anna Roth, Health Services Director Date:August 14, 2018 Contra Costa County Subject:Contract #23-643 with 03, Inc. (dba 03 Apps, Inc.) August 14, 2018 BOS Minutes 529 CONSEQUENCE OF NEGATIVE ACTION: If this contract is not approved, the County will not have consultation, training and technical assistance for the EMS Unit. August 14, 2018 BOS Minutes 530 RECOMMENDATION(S): APPROVE and AUTHORIZE the Employment and Human Services Director, or designee, to execute an amendment to the Software and Services Agreement with Cityspan Technologies, Inc. to extend the termination date from June 30, 2018 to September 30, 2018, with no change in the payment limit. FISCAL IMPACT: There is no change to currently budgeted funding of $212,500, which is funded as Administrative Overhead as 10% County, 48% State, and 42% Federal Employment and Human Services Department revenues. BACKGROUND: Contra Costa County Employment and Human Services Department (EHSD) is responsible for administering over 300 contracts annually with a value exceeding $30 million. The administration of these contracts, through all phases of the contracting process, including the initiation, renewal, and ongoing monitoring, is transitioning from a primarily a manual process with contracts stored in paper form to a new web-based system. The new web-based EHSD system of Contract Oversight, Monitoring, Payment Analysis, and Cost Tracking (COMPACT) will become the easily searchable central APPROVE OTHER RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE Action of Board On: 08/14/2018 APPROVED AS RECOMMENDED OTHER Clerks Notes: VOTE OF SUPERVISORS AYE:Candace Andersen, District II Supervisor Diane Burgis, District III Supervisor Karen Mitchoff, District IV Supervisor Federal D. Glover, District V Supervisor ABSENT:John Gioia, District I Supervisor Contact: Gina Chenoweth 8-4961 I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown. ATTESTED: August 14, 2018 David J. Twa, County Administrator and Clerk of the Board of Supervisors By: June McHuen, Deputy cc: C. 68 To:Board of Supervisors From:Kathy Gallagher, Employment & Human Services Director Date:August 14, 2018 Contra Costa County Subject:Amend Agreement with Cityspan Technologies, Inc. to Develop, Implement, Maintain, and Host a Web-based Contract Management System August 14, 2018 BOS Minutes 531 BACKGROUND: (CONT'D) repository for EHSD contracts. The fully functional COMPACT system in scheduled to be in place to track the 2018/2019 Fiscal Year contract processing, including 1) a system with an integrated workflow engine that allows for, a) different parties to the process to review, view, and/or approve contract generation and subsequent invoicing, and b) management of the procurement lifecycle; 2) a separate web portal for contractors to submit invoices and supporting documentation; 3) functionally separate areas for processing invoices for program staff as well as fiscal staff; and 4) a central repository of customer information including contracts, invoices and supporting documentation. This amendment is needed for Cityspan to ensure complete implementation of COMPACT, the custom contract management system for EHSD. CONSEQUENCE OF NEGATIVE ACTION: Without this amendment, EHSD will not have the required support necessary for implementation and operation of COMPACT, the custom contract management system. August 14, 2018 BOS Minutes 532 RECOMMENDATION(S): APPROVE and AUTHORIZE the Employment and Human Services Director, or designee, to execute a contract with Rubicon Programs Incorporated, a non-profit corporation of California, in an amount not to exceed $1,050,000, to operate and manage America’s Job Center of California (AJCC), and deliver Adult and Dislocated Worker (A/DW) Career Services to County residents under the Workforce Innovation and Opportunity Act (WIOA), for the period of August 1, 2018 through June 30, 2019. FISCAL IMPACT: This will increase department expenditures by $1,050,000.00 to be funded 100% Federal funds from WIOA revenues. BACKGROUND: On September 13, 2017, the Workforce Development Board (WDB) Executive Committee approved the development and release of a Request for Proposal (RFP) to procure AJCC operations and management, and delivery of A/DW Career Services under the WIOA. Since 2000, the WDB has provided these services under the administrative entity of Contra Costa County Employment and Human Services Department (EHSD). The County Board of Supervisors approved the release of RFP 1158 for these services on October 24, 2017 for a maximum amount of $1,500,000. APPROVE OTHER RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE Action of Board On: 08/14/2018 APPROVED AS RECOMMENDED OTHER Clerks Notes: VOTE OF SUPERVISORS AYE:Candace Andersen, District II Supervisor Diane Burgis, District III Supervisor Karen Mitchoff, District IV Supervisor Federal D. Glover, District V Supervisor ABSENT:John Gioia, District I Supervisor Contact: Gina Chenoweth 8-4961 I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown. ATTESTED: August 14, 2018 David J. Twa, County Administrator and Clerk of the Board of Supervisors By: June McHuen, Deputy cc: C. 69 To:Board of Supervisors From:Kathy Gallagher, Employment & Human Services Director Date:August 14, 2018 Contra Costa County Subject:Contract with Rubicon Programs Incorporated for WIOA America's Job Center of California Operations & Adult and Dislocated Worker Career Services August 14, 2018 BOS Minutes 533 BACKGROUND: (CONT'D) This Contract will meet the intent of WIOA legislation to equip workers with the skills necessary to meet business needs and to provide businesses with access to the talent pool needed to compete in their local, regional, and global economies. Contractor will be operating the AJCC locations throughout the County, providing A/DW career services, and coordinating communications and services of 12 community-based organizations and education entities in the County. Contractor will be providing job seekers with education, job-driven training, and support services, improving services to business, enhancing program coordination, streamlining service delivery, utilizing new technology, and increasing the flexibility of governance, by aligning programs and services with common goals. CONSEQUENCE OF NEGATIVE ACTION: The EHSD will be unable to provide adequate career services to adult and dislocated workers. CHILDREN'S IMPACT STATEMENT: The services provided under this contract support three of the five of Contra Costa County’s community outcomes: (3) "Families that are Economically Self-Sufficient"; (4) "Families that are Safe, Stable and Nurturing"; and (5) "Communities that are Safe and Provide a High Quality of Life for Children and Families” by providing career support services for families of adult and dislocated worker. August 14, 2018 BOS Minutes 534 RECOMMENDATION(S): Approve and authorize the Health Service Director, or designee, to execute on behalf of the County, Contract #26-391-28 with Maxim Health Care Services, Inc., a corporation, in an amount not to exceed $500,000 to provide temporary medical staff services at Contra Costa Regional Medical Center (CCRMC) and Health Centers for the period July 1, 2018 through June 30, 2019. FISCAL IMPACT: This contract is funded 100% by Hospital Enterprise Fund I. (No rate increase) BACKGROUND: On July 18, 2017, the Board of Supervisors approved Contract #26-391-27 with Maxim Healthcare Services, Inc., to provide temporary medical staff to provide patient care at CCRMC and Health Centers during peak loads, temporary absences, vacations or emergency situations for the period July 1, 2017 through June 30, 2018. Approval of Contract #26-391-28 will allow the contractor to provide temporary medical staff to provide patient care services at CCRMC and Health Centers through June 30, 2019. APPROVE OTHER RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE Action of Board On: 08/14/2018 APPROVED AS RECOMMENDED OTHER Clerks Notes: VOTE OF SUPERVISORS Contact: Jaspreet Benepal, 925-370-5100 I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown. ATTESTED: August 14, 2018 David J. Twa, County Administrator and Clerk of the Board of Supervisors By: , Deputy cc: K Cyr, M Wilhelm C. 70 To:Board of Supervisors From:Anna Roth, Health Services Director Date:August 14, 2018 Contra Costa County Subject:Contract #26-391-28 with Maxim Healthcare Services, Inc. August 14, 2018 BOS Minutes 535 CONSEQUENCE OF NEGATIVE ACTION: If this contract is not approved, patients requiring services during peak loads, temporary absences, vacations or emergency situations will not have access to the contractor’s services. CLERK'S ADDENDUM Removed from consideration. August 14, 2018 BOS Minutes 536 RECOMMENDATION(S): APPROVE and AUTHORIZE the Health Services Director, or designee, to execute on behalf of the County, Contract #26-458-24 with AYA Healthcare, Inc., a corporation, in an amount not to exceed $1,000,000 to provide temporary nursing services for the Contra Costa Regional Medical Center (CCRMC) and Health Centers for the period July 1, 2018 through June 30, 2019. FISCAL IMPACT: This contract is funded 100% by Hospital Enterprise Fund I. (No rate increase) BACKGROUND: On June 20, 2017, the Board of Supervisors approved Contract #26-458-23 with AYA Healthcare, Inc., to provide temporary nursing services at CCRMC and Health Centers, for the period July 1, 2017, through June 30, 2018. Approval of Contract #26-458-24 will allow the contractor to continue providing temporary nursing services, to cover during temporary absences and a shortage of nurses in critical areas at CCRMC and Health Centers through June 30, 2019. APPROVE OTHER RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE Action of Board On: 08/14/2018 APPROVED AS RECOMMENDED OTHER Clerks Notes: VOTE OF SUPERVISORS Contact: Jaspreet Benepal, 925-370-5100 I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown. ATTESTED: August 14, 2018 David J. Twa, County Administrator and Clerk of the Board of Supervisors By: , Deputy cc: K Cyr, M Wilhelm C. 71 To:Board of Supervisors From:Anna Roth, Health Services Director Date:August 14, 2018 Contra Costa County Subject:Contract #26-458-24 with AYA Healthcare, Inc. August 14, 2018 BOS Minutes 537 CONSEQUENCE OF NEGATIVE ACTION: If this contract is not approved, patients requiring nursing services at CCRMC and Health Centers will not have access to the contractor’s services. CLERK'S ADDENDUM Removed from consideration. August 14, 2018 BOS Minutes 538 RECOMMENDATION(S): Approve and authorize the Health Services Director, or designee, to execute on behalf of the County, Contract #26-306-27 with Per Diem Staffing Systems, Inc., a corporation, in an amount not to exceed $800,000 to provide temporary respiratory therapists, nursing, and other medical classifications at Contra Costa Regional Medical Center (CCRMC) and Health Centers for the period July 1, 2018 through June 30, 2019. FISCAL IMPACT: This contract is funded 100% by Hospital Enterprise Fund I. (Rate increase) BACKGROUND: On July 18, 2017 the Board of Supervisors approved Contract #26-306-27 with Per Diem Staffing Systems, Inc., to provide temporary respiratory therapists, nursing and other categories of medical services to cover employee sick leaves, vacations and workers compensation leaves, at CCRMC and Contra Costa Health Centers for the period July 1, 2017 through June 30, 2018. Approval of Contract #26-306-29 will allow the contractor to continue providing temporary respiratory, nursing, and other categories of medical services through June 30, 2019. APPROVE OTHER RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE Action of Board On: 08/14/2018 APPROVED AS RECOMMENDED OTHER Clerks Notes: VOTE OF SUPERVISORS Contact: Jaspreet Benepal, 925-370-5100 I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown. ATTESTED: August 14, 2018 David J. Twa, County Administrator and Clerk of the Board of Supervisors By: , Deputy cc: K Cyr, M Wilhelm C. 72 To:Board of Supervisors From:Anna Roth, Health Services Director Date:August 14, 2018 Contra Costa County Subject:Contract #26-306-29 with Per Diem Staffing Systems, Inc. August 14, 2018 BOS Minutes 539 CONSEQUENCE OF NEGATIVE ACTION: If this contract is not approved, patients requiring respiratory therapists, nursing and additional medical personnel services at CCRMC and Health Centers will not have access to the contractor’s services. CLERK'S ADDENDUM Removed from consideration. August 14, 2018 BOS Minutes 540 RECOMMENDATION(S): APPROVE and AUTHORIZE the Health Services Director, or designee, to execute on behalf of the County, Contract #26-745-9 with Medical Solutions, LLC, dba Nebraska Medical Solutions, LLC, a limited liability company, in an amount not to exceed $3,300,000 to provide temporary nursing and medical staff for Contra Costa Regional Medical Center (CCRMC) and Health Centers and the County’s Detention Facilities for the period July 1, 2018 through June 30, 2019. FISCAL IMPACT: This contract is funded 100% by Hospital Enterprise Fund I. (No rate increase) BACKGROUND: On July 11, 2017 the Board of Supervisors approved Contract #26-745-8 with Medical Solutions, LLC, dba Nebraska Medical Solutions Staffing, LLC, to provide temporary registered nurses, nurse practitioners, and physician assistants to provide coverage during peak workloads, temporary absences and emergency situations at CCRMC and Health Centers, and the County’s Detention Facilities, for the period July 1, 2017 through June 30, 2018. APPROVE OTHER RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE Action of Board On: 08/14/2018 APPROVED AS RECOMMENDED OTHER Clerks Notes: VOTE OF SUPERVISORS Contact: Jaspreet Benepal, 925-370-5100 I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown. ATTESTED: August 14, 2018 David J. Twa, County Administrator and Clerk of the Board of Supervisors By: , Deputy cc: K Cyr, M Wilhelm C. 73 To:Board of Supervisors From:Anna Roth, Health Services Director Date:August 14, 2018 Contra Costa County Subject:Contract #26-745-9 with Medical Solutions, LLC (dba Nebraska Medical Solutions, LLC) August 14, 2018 BOS Minutes 541 BACKGROUND: (CONT'D) Approval of Contract #26-745-9, will allow Medical Solutions, LLC, dba Nebraska Medical Solutions, LLC, to continue to provide temporary registered nurses, and medical staff at CCRMC and Health Centers and the County’s Detention Facilities, through June 30, 2019. CONSEQUENCE OF NEGATIVE ACTION: If this contract is not approved, patients at CCRMC and Health Centers and the County's Detention Facilities would not have access to the contractor’s services. CLERK'S ADDENDUM Removed from consideration. August 14, 2018 BOS Minutes 542 RECOMMENDATION(S): APPROVE and AUTHORIZE the Health Services Director or designee, to execute on behalf of the County, Contract #26-473-25 with SHC Services, Inc., dba Supplemental Health Care, a corporation, in an amount not to exceed $1,500,000 to provide temporary medical staff for Contra Costa Regional Medical Center (CCRMC) and Health Centers and the County’s Detention Facilities for the period from April 1, 2018 through March 31, 2019. FISCAL IMPACT: This contract is funded 100% by Hospital Enterprise Fund I. (Rate increase) BACKGROUND: On April 25, 2017, the Board of Supervisors approved Contract #26-473-24 with SHC Services, Inc., dba Supplemental Health Care, to provide temporary nurses, medical assistants and other ancillary staff services for CCRMC and Health Centers and the County’s Detention Facilities, for the period from April 1, 2017, through March 31, 2018. Approval of Contract #26-473-25 will allow the contractor to continue to provide temporary medical staff to assist the divisions during peak workloads, temporary absences and emergency situations, through March 31, 2019. APPROVE OTHER RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE Action of Board On: 08/14/2018 APPROVED AS RECOMMENDED OTHER Clerks Notes: VOTE OF SUPERVISORS Contact: Jaspreet Benepal, 925-370-5100 I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown. ATTESTED: August 14, 2018 David J. Twa, County Administrator and Clerk of the Board of Supervisors By: , Deputy cc: K Cyr, M Wilhelm C. 74 To:Board of Supervisors From:Anna Roth, Health Services Director Date:August 14, 2018 Contra Costa County Subject:Contract #26-473-25 with SHC Services, Inc. (dba Supplemental Health Care) August 14, 2018 BOS Minutes 543 CONSEQUENCE OF NEGATIVE ACTION: If this contract is not approved, patients at CCRMC and Health Centers and the County's Detention Centers will not have access to the contractor’s services. CLERK'S ADDENDUM Removed from consideration. August 14, 2018 BOS Minutes 544 RECOMMENDATION(S): APPROVE and AUTHORIZE the Health Services Director, or designee, to execute on behalf of the County, Contract #26-347-32 with Cross Country Staffing, Inc., a corporation, in an amount not to exceed $5,000,000 to provide temporary medical and specialty staffing services at Contra Costa Regional Medical Center (CCRMC) and Health Centers, for the period from July 1, 2018 through June 30, 2019. FISCAL IMPACT: This contract is funded 100% by Hospital Enterprise Fund I. (Rate increase) BACKGROUND: On July 11, 2017, the Board of Supervisors approved Contract #26-347-31, with Cross Country Staffing, Inc., to provide temporary medical staffing services, including registered nursing, and Sexual Assault Nurse Examiner (SANE) nursing services at CCRMC and Health Centers for the period from July 1, 2017 through June 30, 2018. Approval of Contract #26-347-32 will allow the contractor to continue providing temporary medical and specialty staffing services through June 30, 2019. This contract includes modifications to the General Conditions, Paragraph 18. (Indemnification). APPROVE OTHER RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE Action of Board On: 08/14/2018 APPROVED AS RECOMMENDED OTHER Clerks Notes: VOTE OF SUPERVISORS Contact: Jaspreet Benepal, 925-370-5100 I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown. ATTESTED: August 14, 2018 David J. Twa, County Administrator and Clerk of the Board of Supervisors By: , Deputy cc: K Cyr, M Wilhelm C. 75 To:Board of Supervisors From:Anna Roth, Health Services Director Date:August 14, 2018 Contra Costa County Subject:Contract #26-347-32 with Cross Country Staffing, Inc. August 14, 2018 BOS Minutes 545 CONSEQUENCE OF NEGATIVE ACTION: If this contract is not approved, patients will not have access to the contractor’s services. CLERK'S ADDENDUM Removed from consideration. August 14, 2018 BOS Minutes 546 RECOMMENDATION(S): ACCEPT the fiscal year 2017/18 Real Estate Fraud Prosecution Trust Fund Annual Report and APPROVE the continued expenditure of funds from the County's Real Estate Fraud Prosecution Trust Fund for the fiscal year 2018/19. FISCAL IMPACT: None. The District Attorney's office will continue to receive the money in the Real Estate Fraud Prosecution Trust Fund for the fiscal year 2018/19, in which revenue for fiscal year 2017/18 totaled $ 430,628.40. BACKGROUND: The State Legislature has determined that there is a need to enhance the capacity of local police and prosecutors to deter, investigate and prosecute real estate fraud crimes. The District Attorney's Office Real Estate Fraud Unit investigates and prosecutes serious and significant cases involving fraudulent transactions that can cause unsuspecting victims to lose their life savings and homes. These crimes are traditionally not investigated by local police agencies that do not have the expertise to identify when fraud has occurred in legally complex real estate transactions. The District Attorney's Office has worked diligently to collaborate APPROVE OTHER RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE Action of Board On: 08/14/2018 APPROVED AS RECOMMENDED OTHER Clerks Notes: VOTE OF SUPERVISORS AYE:Candace Andersen, District II Supervisor Diane Burgis, District III Supervisor Karen Mitchoff, District IV Supervisor Federal D. Glover, District V Supervisor ABSENT:John Gioia, District I Supervisor Contact: Elizabeth Molera, (925) 957-2205 I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown. ATTESTED: August 14, 2018 David J. Twa, County Administrator and Clerk of the Board of Supervisors By: June McHuen, Deputy cc: C. 76 To:Board of Supervisors From:Diana Becton, District Attorney Date:August 14, 2018 Contra Costa County Subject:District Attorney's Annual Real Estate Fraud Prosecution Report for FY 2017/18 August 14, 2018 BOS Minutes 547 BACKGROUND: (CONT'D) with the Contra Costa County Recorder's Office to put in place a Fraud Notification program and a Mortgage and Foreclosure Advisory Program, thus the continued funding of the Real Estate Fraud Unit is essential to continue these programs. CONSEQUENCE OF NEGATIVE ACTION: The District Attorney's Office will not be in compliance with statue. ATTACHMENTS FY 2017-18 Annual Real Estate Fraud Report August 14, 2018 BOS Minutes 548 August 14, 2018 BOS Minutes 549 August 14, 2018 BOS Minutes 550 RECOMMENDATION(S): REFER to the Finance Committee a proposal to create a central reporting process for County grants. FISCAL IMPACT: No immediate fiscal impact. BACKGROUND: Contra Costa County receives hundreds of grants each year, yet there is no central grant policy regarding application, tracking, and review for service sustainability. Minimally a tracking system is recommended to include who the grant is from, the amount awarded, the term, match (if any), services required, and a plan regarding sustainability. This action refers to the Finance Committee the development of a central grant reporting policy for all departments CONSEQUENCE OF NEGATIVE ACTION: The issue would not be reviewed by a standing committee of the Board of Supervisors. APPROVE OTHER RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE Action of Board On: 08/14/2018 APPROVED AS RECOMMENDED OTHER Clerks Notes: VOTE OF SUPERVISORS AYE:Candace Andersen, District II Supervisor Diane Burgis, District III Supervisor Karen Mitchoff, District IV Supervisor Federal D. Glover, District V Supervisor ABSENT:John Gioia, District I Supervisor Contact: Lisa Driscoll, Finance Director (925) 335-1023 I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown. ATTESTED: August 14, 2018 David J. Twa, County Administrator and Clerk of the Board of Supervisors By: June McHuen, Deputy cc: Robert Campbell, County Auditor-Controller, All County Departments (via County Administration) C. 77 To:Board of Supervisors From:David Twa, County Administrator Date:August 14, 2018 Contra Costa County Subject:REFERRAL TO FINANCE COMMITTEE - CENTRAL REPORTING OF GRANTS August 14, 2018 BOS Minutes 551 RECOMMENDATION(S): 1) APPROVE and AUTHORIZE the Director of Conservation and Development, or designee, to file, on behalf of the County and the Contra Costa County Water Agency, an administrative appeal with the Delta Stewardship Council to challenge a determination by the California Department of Water Resources that the California WaterFix Project is consistent with the Delta Plan, and authorize the execution of related legal services contracts and a joint appeal agreement. 2) APPROVE and AUTHORIZE the County Counsel, or designee, to execute, on behalf of the County and the Contra Costa County Water Agency, a joint appeal agreement, a contract for legal services with The Freeman Firm, and a contract for legal services with the Soluri Meserve law firm, all effective July 1, 2018, in connection with the administrative appeal. FISCAL IMPACT: The County and Water Agency will be jointly responsible for a proportional share of fees and costs charged by The Freeman Firm and the Soluri Meserve law firm to represent the co-appellants in this administrative appeal. It is estimated that bringing the appeal will cost the County and Water Agency approximately $15,000, which includes outside counsel and County Counsel costs, staff costs, and consultant costs. These estimated costs may be covered within the current Water Agency budget. APPROVE OTHER RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE Action of Board On: 08/14/2018 APPROVED AS RECOMMENDED OTHER Clerks Notes: VOTE OF SUPERVISORS AYE:Candace Andersen, District II Supervisor Diane Burgis, District III Supervisor Karen Mitchoff, District IV Supervisor Federal D. Glover, District V Supervisor ABSENT:John Gioia, District I Supervisor Contact: Ryan Hernandez, 925-674-7824 I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown. ATTESTED: August 14, 2018 David J. Twa, County Administrator and Clerk of the Board of Supervisors By: June McHuen, Deputy cc: C. 78 To:Board of Supervisors From:John Kopchik, Director, Conservation & Development Department Date:August 14, 2018 Contra Costa County Subject:Consider Filing an Administrative Appeal with the Delta Stewardship Council August 14, 2018 BOS Minutes 552 BACKGROUND: On July 27, 2018, the California Department of Water Resources (“DWR”) submitted a written certification of consistency for the California WaterFix Project, determining that the project is consistent with the Delta Stewardship Council’s (“Council”) Delta Plan. The filing of the certification of consistency began a 30-day period within which the County (or any person or entity) may file an administrative appeal with the Council to challenge DWR’s certification of consistency. Under state law, a state agency’s action in the Delta must be consistent with the Delta Plan if the action is a “covered action” that, among other things, will have a significant impact on restoring the Delta ecosystem or ensuring a reliable water supply. (Wat. Code, § 85857.5, subd. (a)(4).) A “covered action” includes exporting or diverting water from the Delta. If a state agency will undertake a covered action, it must certify that its action is consistent with the Delta Plan. (Wat. Code, § 85225.) County and Water Agency staff and consultants believe the California WaterFix Project is inconsistent with the Delta Plan, and, as a result of that inconsistency, the project will have a significant adverse impact on restoring the Delta ecosystem and ensuring a reliable water supply for California. (Wat. Code, § 85225.10, subd. (a).) County and Water Agency staff and consultants have determined that the California WaterFix Project is inconsistent with the Delta Plan in the following ways: The California WaterFix fails to reduce reliance on the Delta through improved regional water self-reliance; The WaterFix fails to consistently capture more water during wet periods (“Big Gulp”) and relies on increasing exports well above existing levels during dry periods when the Delta ecosystem is most vulnerable; and The California WaterFix fails to provide adequate mitigation measures to eliminate the project's significant adverse impacts to water quality in the Delta and the ecosystem. The County and Water Agency will join San Joaquin County, and possibly other Delta counties, to file the appeal. The counties will be represented by The Freeman Firm and the Soluri Meserve law firm. A joint appeal agreement will authorize the counties to share privileged appeal-related communications and documents. The legal services contracts will require the law firms to divide their fees and costs proportionally among the parties joining in the appeal. CONSEQUENCE OF NEGATIVE ACTION: If the Department is unable to file an appeal, then the County and Water Agency will not be able to participate in the Delta Stewardship Council's proceedings, and will not be able to challenge any final decision of the Council. August 14, 2018 BOS Minutes 553 RECOMMENDATION(S): ADOPT report as the Board of Supervisors' response to Civil Grand Jury Report No. 1806, entitled "The Opioid Crisis”, and DIRECT the Clerk of the Board to transmit the Board's response to the Superior Court no later than August 28, 2018. FISCAL IMPACT: No fiscal impact. BACKGROUND: The 2017/18 Civil Grand Jury filed the above-referenced report, attached, on May 25, 2018, which was reviewed by the Board of Supervisors and subsequently referred to the Health Services Director and County Administrator, who prepared the attached response that clearly specifies: Whether the finding or recommendation is accepted or will be implemented;A. If a recommendation is accepted, a statement as to who will be responsible for implementation and a definite target date; B. A delineation of the constraints if a recommendation is accepted but cannot be implemented within a six-month period; and C. The reason for not accepting or adopting a finding or recommendation. D. APPROVE OTHER RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE Action of Board On: 08/14/2018 APPROVED AS RECOMMENDED OTHER Clerks Notes: VOTE OF SUPERVISORS AYE:Candace Andersen, District II Supervisor Diane Burgis, District III Supervisor Karen Mitchoff, District IV Supervisor Federal D. Glover, District V Supervisor ABSENT:John Gioia, District I Supervisor Contact: Julie DiMaggio Enea (925) 335-1077 I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown. ATTESTED: August 14, 2018 David J. Twa, County Administrator and Clerk of the Board of Supervisors By: June McHuen, Deputy cc: Health Services Director, Behavioral Health Director, CAO-H&HS Deputy, CAO Admin C. 79 To:Board of Supervisors From:David Twa, County Administrator Date:August 14, 2018 Contra Costa County Subject:RESPONSE TO CIVIL GRAND JURY REPORT NO. 1806, ENTITLED "THE OPIOID CRISIS" August 14, 2018 BOS Minutes 554 BACKGROUND: (CONT'D) The California Penal Code specifies that the Board of Supervisors must forward its response to the Superior Court no later than August 28, 2018 (90 days from receipt). FINDINGS F1. The availability of MAT (Medication-Assisted Treatment) in the County’s emergency rooms, medical offices, County health clinics, and the County’s detoxification sites does not meet the needs of people with OUD (Opioid Use Disorder). F1 Response. The respondent agrees with the finding. The need for additional capacity is a countywide issue facing all health systems. Contra Costa Health Services (CCHS) is in the process of adding capacity to its Choosing Change Clinic, which offers MAT, as well increasing induction of MAT in the Emergency Room setting for patients in appropriate situations. Additionally, CCHS is planning on opening a sobering/respite center as a component of the Whole Person Care initiative. The Richmond Planning Commission also recently CCHS's application to restore detoxification, residential and recovery services. F2. Only 3.2% of the nearly 5,600 private and public medical providers in the County have acquired the Drug Enforcement Agency waiver to prescribe buprenorphine, creating a MAT gap for people seeking treatment. F2 Response. The respondent agrees with the finding. CCHS has greatly increased the number of clinical providers who are waivered to prescribe buprenorphine over the past two years, with nearly 90 providers currently waivered. A complimentary strategy is to encourage clinicians already waivered to increase the use of their waivered status. F3. The limited open hours at the County-operated Choosing Change Clinics are a barrier to treatment for OUD users. F3 Response. The respondent partially disagrees with the finding. The Choosing Change Clinic is designed to serve individuals insured through the Contra Costa Health Plan and other Medi-Cal eligible clients/patients served by CCHS. Since the issuance of the Grand Jury report, CCHS has expanded its capacity and now offers 13 weekly groups serving over 500 individuals, and is working towards offering evening services. The Choosing Change Clinic should not be the only route of access to MAT. CCHS is working to leverage the capacity of both the Emergency Department and ambulatory care providers, utilizing the Hub-and-Spoke model, where stabilized patients in a Hub can be referred to a medical provider for maintenance to continue August 14, 2018 BOS Minutes 555 treatment. Additionally, effective July 1, 2018, patients now have access to the services provided by BAART- Behavioral Health Services that specializes in MAT as part of the Drug Medi-Cal Organized Delivery System in two different locations. F4. The 2016 California Marijuana Tax Fund (AB 1748) requires that a portion of taxes paid be used for youth drug abuse treatment programs. F4 Response. The respondent agrees with the finding. F5. The demands for programs addressing high-school drug abuse throughout the County exceed the resources available. F5 Response. The respondent agrees with the finding. F6. The demand for programs throughout the county to educate high school students and their parents on overdose prevention, the dangers of opioid use, and responses to overdoses exceed the available supply. F6 Response. The respondent agrees with the finding. F7. There are no in-County adolescent residential treatment facilities. Youth requiring residential treatment are directed to seek care outside the County. F7 Response. The respondent agrees with the finding. F8. Stigma of drug addiction is a barrier to treatment, and presents barriers to providing more in-County recovery facilities. F8 Response. The respondent agrees with the finding. Historic stigma has created barriers to treatment and resources. Fortunately, newer Substance Use Disorders (SUD) parity laws require health insurance providers to offer a comparable level of benefits for SUD conditions as they do for traditional physical health conditions. This will stimulate an increase in capacity for SUD services, as they are now a covered benefit for most insured individuals. F9. For incarcerated opioid addicts, there are staffing gaps in the detention facilities during the week for intake screening, withdrawal management, and clinical treatment. F9 Response. The respondent agrees with the finding. To address opioid use disorder in detention facilities will require programming, process redesign and potentially increased staffing. CCHS has recently applied for a Learning Collaborative Grant for the expansion of MAT in jail and continuity of treatment after release. If awarded, Contra Costa County will collaborate with 19 other counties to explore strategies and best August 14, 2018 BOS Minutes 556 practices that can be implemented to better address the need for treatment of SUD for persons who are incarcerated and also for those persons transitioning out of incarceration. F10. The majority of those who abuse opioid prescription medications do not get them from the street. Instead, they obtain these from the homes of family and friends. The danger is exacerbated by the lack of sufficient public awareness. F10 Response. The respondent partially disagrees with the finding. The misuse of prescription opioids is a complex clinical and social issue. While some individuals seek prescription opioids in the medicine cabinets of family and friends, many who misuse do so by over-medicating beyond the prescribed limits of their treatment plan, subsequently seeking increased frequency and dosage of medicating. This is often done by doctor shopping and/or by repeatedly seeking treatment with opioids, a warning sign for addiction. We agree with the finding regarding the lack of sufficient public awareness due to limited resources. F11. In a 2018 Substance Abuse and Mental Health Services Administration (SAMHSA) study of patients seeking medical care and entering a rehabilitation intake center, the average wait time to enter a treatment program after initial contact with a provider was 42 days. Only about a third received an appointment within 24 hours. F11 Response. The respondent agrees with the finding. The 2018 SAMHSA Study is commenting on national statistics and illustrates the need for increased capacity to address SUDs. F12. Among the County’s estimated 54,000 persons with opioid use disorder, fewer than 10% can be treated long-term, given current care capacity. F12 Response. The respondent agrees with the finding. This is a countywide estimate, illustrating the size and scope of the challenged faced by all health systems across the county. As noted in Finding #3 above, CCHS has expanded and is continuing to expand its capacity to serve individuals with opioid use disorder, through its Choosing Change (MAT) Clinic, as well as its network of ambulatory care providers and the Emergency Department. Additionally, an agreement with BAART (private opioid addiction treatment program) for the provision of MAT to include: Methadone, Buprenorphine, Naloxone and Disulfuram, will contribute to increased treatment availability. RECOMMENDATIONS R1. The BOS should consider requesting Behavioral Health Services to develop a plan by December 2018 to motivate more physicians to complete their qualifications for a waiver to prescribe and dispense buprenorphine starting in 2019. August 14, 2018 BOS Minutes 557 R1 Response. The recommendation has not yet been implemented but will be implemented within six months. It should be noted that the need for communication, education, and MAT spans the entire Contra Costa health system. As an integrated health system, CCHS is leveraging efforts across all its Divisions, including the Contra Costa Regional Medical Center and Clinics, Contra Costa Health Plan, Behavioral Health and Public Health, to increase the number of clinicians who are waivered and actively using their waiver to prescribe buprenorphine. As noted in the County's response Finding #2, CCHS has some 90 clinicians who are currently waivered. R2. The BOS should consider seeking funds, in the FY2019-2020 budget, for Behavioral Health Services to offer the course “Buprenorphine Treatment: Training for Multidisciplinary Addiction Professions” or equivalent to all of the County’s public medical care providers starting July 1, 2019. R2 Response. The recommendation has not yet been implemented. Additional training is necessary across the entire Health Department. There are multiple trainings currently available, many through SAMHSA and the Department of Health Care Services. Clinical leadership in the Contra Costa Regional Medical Center, Behavioral Health and Public Health are working together to emphasize the importance of training and increasing the number of clinicians who are actively utilizing their waiver status to initiate MAT for opioid dependency. The need for additional funds will be considered on a timeline consistent with the FY 2019/20 County budget process. R3. The BOS should consider seeking funds, in the FY2019-2020 budget, for Behavioral Health Services to hire more buprenorphine clinicians beginning July 1, 2019. R3 Response. The recommendation requires further analysis. CCHS is evaluating the need to expand upon the Choosing Change Clinic by offering similar services at additional locations and within other Divisions of the Health Services Department, inclusive of the Behavioral Health Division. This includes consideration of offering a focused set of MAT services to patients who are both opioid dependent and still experience significant pain. Likewise, it is important to note that Divisions (Contra Costa Health Plan and Behavioral Health) are currently implementing various clinical improvement projects aimed at curbing the number of opioid based prescriptions, and offering alternatives to manage pain. The need for additional funds will be considered on a timeline consistent with the FY 2019/20 County budget process. R4. The BOS should consider requesting the Alcohol and Other Drugs Services (AODS) division of Behavioral Health Services to use funds available under the California Marijuana Tax Fund legislation (AB 1748) for in-county adolescent outpatient and residential inpatient treatment. August 14, 2018 BOS Minutes 558 R4 Response. The recommendation has not yet been implemented. It is as yet unknown as to the amount and distribution of State funds that might become available to Contra Costa County. R5. The Contra Costa County Office of Education should consider seeking funds, in the FY2019-2020 budget, to provide free NARCAN kits in all County school districts. R5 Response. The County defers formal response to the County Office of Education. R6. The BOS should consider seeking funds, in the FY2019-2020 budget, for Behavioral Health Services to develop a plan to increase clinical treatment of substance use disorders in the three detention facilities. R6 Response. The recommendation has not yet been implemented. Contra Costa Behavioral Health Services is actively working with Contra Costa Regional Medical Center’s Detention Health Services to increase screening and treatment for SUDs. The need for additional resources to develop a plan will be considered on a timeline consistent with the FY 2019/20 County budget process. R7. The BOS should consider seeking funds, in the FY2019-2020 budget, for Behavioral Health Services to develop and deliver educational campaigns to improve public awareness of the County’s opioid addiction crisis and available treatment options, starting July 1, 2019. R7 Response. The recommendation has not yet been implemented. Additional funding is necessary to provide a robust and unified local public education and awareness campaign. As noted in the County's response to Recommendation #1, a public awareness and education is a system wide issue that will involve a unified effort across all Divisions of CCHS, including Hospital and Clinics, Behavioral Health, Public Health, Environmental Health, Emergency Medical Services, and H3 (Health, Housing and Homeless). The State Department of Public Health has developed some public educational materials and the Division of Alcohol and Other Drugs in Behavioral Health is reviewing materials to determine those which help deliver appropriate messages to targeted audiences. The need for additional resources to develop a plan will be considered on a timeline consistent with the FY 2019/20 County budget process. R8. The BOS should consider seeking funds, in the FY2019-2020 budget, for Behavioral Health Services to use multiple modes of communication such as news media, social media, community TV/Radio, and billboards, with a positive message to help alleviate the stigma of OUD, starting July 1, 2019. R8 Response. The recommendation has not yet been implemented. Consistent with Recommendation #7 above, CCHS is in the process of determining how to tailor a August 14, 2018 BOS Minutes 559 unified local messaging campaign that addresses both public awareness and the stigma associated with opioid use disorder. The need for additional resources to develop a messaging campaign will be considered on a timeline consistent with the FY 2019/20 County budget process. ATTACHMENTS 2017/18 Grand Jury Report No. 1806: "The Opioid Crisis" August 14, 2018 BOS Minutes 560 August 14, 2018 BOS Minutes 561 Contra Costa County 2017-2018 Grand Jury Report 1806 Page 1 Grand Jury Reports are posted at http://www.cccourts.org/grandjury Contact: Mario Gutierrez Foreperson (925) 389-1556 Contra Costa County Grand Jury Report 1806 The Opioid Crisis Dying for Treatment TO: Contra Costa County Board of Supervisors, Contra Costa County Office of Education SUMMARY According to news reports and numerous studies, approximately eighty percent of the global opioid supply is consumed in the United States. More than two million Americans suffered from opioid addiction in 2016, and more than 600,000 have died from overdoses since 2000. In 2016 alone, more than 64,000 Americans died from this epidemic, up 22% from 2015. The Contra Costa County Civil Grand Jury (Grand Jury) investigated the effect the opioid crisis is having in Contra Costa County (County) and the programs currently available to address the crisis. The Grand Jury found that whether directly through the loss of a loved one or indirectly through adverse consequences to the community, County residents are suffering from the effect of this crisis. The Urban Institute and County senior healthcare officials reported that in 2015-2016 over 100 Contra Costa residents died from opioid overdoses and an estimated 54,000 county residents currently suffer from Opioid Use Disorder (OUD). County deaths mirror the alarming trend and the national epidemic of misuse and abuse of opioids, particularly prescription painkillers. (www.urban.org/sites/default/files/contra_costa.pdf) The Grand Jury found that a common response for combating the opioid epidemic is an approach designated as the Four Pillars Strategy: Prevention, Harm Reduction, Enforcement, and Treatment adopted by municipalities and agencies nationwide. The County has devoted significant resources to Enforcement and has supported efforts in Prevention and Harm Reduction. This investigation focused specifically on Treatment. The Grand Jury also found that limited implementation, lack of funding, inadequate availability, and insufficient accessibility have resulted in treatment being the least August 14, 2018 BOS Minutes 562 Contra Costa County 2017-2018 Grand Jury Report 1806 Page 2 Grand Jury Reports are posted at http://www.cccourts.org/grandjury supported of the strategies. There are not enough programs in place to enable first responders to provide treatment immediately when sought. There is a need for on- demand treatment, but delays in access to medical care result in missed opportunities to reduce harm, aid recovery, and prevent overdose deaths. Based on its findings, the Grand Jury recommends that the County Board of Supervisors (BOS) consider seeking funds for expansion of addiction treatment programs. The BOS may also consider encouraging more medical care providers to become Medication-Assisted Treatment (MAT) certified, hire more MAT clinicians, provide in-county residential treatment facilities for adolescents, and place more certified professional addiction clinicians within the County’s three detention facilities. The Grand Jury also recommends that the Contra Costa County Office of Education consider making overdose antidotes available in public high schools. METHODOLOGY In the course of its investigation, the Grand Jury:  Interviewed recovering opioid addicts  Conducted internet and document research  Interviewed staff from County Health Services and County Office of Education  Interviewed the Medical Director of a private opioid treatment center in the county  Interviewed members of the National Coalition Against Prescription Drug Abuse  Attended Nar-Anon and Narcotics Anonymous 12-Step recovery meetings related to opioid addiction BACKGROUND According to news media, more than two million Americans suffered from an opioid addiction in 2016, and over 600,000 have died from overdoses since 2000. There were more than 64,000 drug deaths in 2016, up 22% from the previous year. Opioids killed more Americans in 2016 than HIV/AIDS at its 1995 peak. Media reports estimate that over 70,000 deaths occurred in 2017. Approximately 80% of the global opioid supply produced worldwide is consumed in the United States. The 2017 Contra Costa Health Services Health Advisory publication reported that over 100 Contra Costa residents died from opioid overdoses in 2015-2016. County deaths mirror the alarming trend and national epidemic of misuse and abuse of prescription opioids and illegal opioids. In 2016, over 760,000 opioid prescriptions were issued for the county’s population of 1.1 million. There were over 100 opioid overdose emergency department visits in the county in 2015. Opioid overdose has now replaced automobile accidents as the leading cause of accidental death among individuals ages 25 to 64. August 14, 2018 BOS Minutes 563 Contra Costa County 2017-2018 Grand Jury Report 1806 Page 3 Grand Jury Reports are posted at http://www.cccourts.org/grandjury The Urban Institute and County senior healthcare officials reported that an estimated 54,000 county residents currently suffer from Opioid Use Disorder (OUD). More individuals use controlled prescription opioids than heroin, cocaine, methamphetamine, MDMA (ecstasy) and PCP combined. According to County healthcare officials, the current opioid epidemic will persist for the next decade or longer. These officials say there will be increasingly greater treatment needs and a growing death rate. Opioids Opioids are drugs naturally found in the opium poppy plant. Some prescription opioids are made directly from the plant, while others are produced by scientists in laboratories using the same chemical structure. Heroin, one of the world’s most dangerous opioids, is illegal to possess in the United States without a license from the Drug Enforcement Administration. The following pain-relieving opioids are legal and available by prescription:  Hydrocodone (Vicodin)  Oxycodone (OxyContin and Percocet)  Oxymorphone (Opana)  Morphine (Kadian and Avinza)  Codeine  Fentanyl Treatment Opioid addiction is a chronic, lifelong medical condition. It cannot be cured, but it can be arrested, managed, and treated. Taking medication for opioid addiction compares to taking medication to control heart disease or diabetes. It helps the person manage their addiction so the benefits of recovery can be maintained. The following are commonly used treatments for reversing opioid overdoses and as part of long-term recovery maintenance programs: Naloxone: sold under the brand name NARCAN and is used by hospitals and emergency medical technicians. There is now a movement to expand access and get it into the hands of first responders, drug users, and their family members. Approximately 130 members of the Contra Costa County Sheriff’s office have access to kits and have been trained to use naloxone on an opioid overdose emergency. August 14, 2018 BOS Minutes 564 Contra Costa County 2017-2018 Grand Jury Report 1806 Page 4 Grand Jury Reports are posted at http://www.cccourts.org/grandjury Naltrexone: sold as ReVia and Vivitrol and used to manage opioid and alcohol dependence. Beneficial effects to counter cravings start within 30 minutes after taking it. Methadone: an opioid prescribed under controlled circumstances to treat the symptoms of heroin withdrawal without causing the “high” associated with drug addiction. It is part of addiction detoxification and recovery maintenance programs. Buprenorphine: a medication used to treat opioid dependence and relieve drug cravings. DISCUSSION Communities and families in the County are facing the losses associated with opioid addiction (jobs, health, family, premature death, and other). The following chart presents the 2015 and 2016 reported deaths from opioid overdose in cities within the County. The data do not show any correlation between the reported deaths and geographic location or economic status. Furthermore, about half of the cities experienced a decrease in deaths from 2015 to 2016, while the other half showed an increase in deaths over the same period highlighting the complexity of the opioid epidemic No community is immune to this epidemic, according to the County’s Medication Education and Disposal Safety (MEDS) Coalition. The MEDS Coalition is an organization formed by a diverse group of public and private County stakeholders. 0 5 10 15 20 Contra Costa Deaths from Opioid Overdose Age-Adjusted Rate per 100,000 Residents 2015 2016 Note : Moraga reported zero deaths in 2015 and 2016 Source -California Opioid Overdose Dashboard August 14, 2018 BOS Minutes 565 Contra Costa County 2017-2018 Grand Jury Report 1806 Page 5 Grand Jury Reports are posted at http://www.cccourts.org/grandjury Individuals with OUD tend to be white males, between the ages of 18-49 with access to medical care and to doctors who prescribe opioids. There is a misperception that opioid deaths affect only individuals with substance dependency issues. The National Institute of Drug Addiction reports that combining fentanyl with other illicit drugs, such as cocaine or ecstasy, is exposing recreational users and young people experimenting with party drugs to the same risk of death as habitual addicts. Altered Opioids A mounting number of opioid addicts are encountering a more lethal supply of drugs. The new and deadlier drugs are altered opioids that bind in more powerful ways to the brain’s receptors and act more quickly. The combination of factors makes these drugs hundreds of times deadlier. All opioids connect to particular brain and nervous system receptors that upon activation release the body’s natural pain killer, endorphins. In medicine and law enforcement, the relative strength of various opioids is measured in comparison to morphine. Oxycodone, the opioid in Oxycontin and Percocet, is about 50% stronger than morphine. Marketed in the 1800s as a solution to morphine addiction, heroin ranges from twice as strong to five times as strong as morphine. Fentanyl is over 50 times stronger than morphine or heroin. Unlike many medically prescribed opioids, the street supply of fentanyl comes primarily from illegal production. Heroin users often do not know what has been mixed with the powder. This unknown mixture increases the risk of unknowingly receiving more powerful opioids or other toxic chemicals. Because fentanyl is so cheap and readily available, it is often mixed with heroin, creating a deadlier dosage. Lethal doses of heroin and fentanyl August 14, 2018 BOS Minutes 566 Contra Costa County 2017-2018 Grand Jury Report 1806 Page 6 Grand Jury Reports are posted at http://www.cccourts.org/grandjury Rehabilitation No single form of care is effective for all individuals with opioid dependence. Diverse treatment options are needed. Detoxification Drug detoxification is the intervention in a case of physical dependence to a drug. A detoxification by itself does not address the elements of addiction, social factors, psychological addiction, or the complex behavioral issues that intermingle with addiction. Drug detoxification is the first step for many forms of longer-term abstinence-based treatment. Detoxification includes a way for addicted persons or first responders to gain immediate access to treatment. This treatment includes withdrawal management and access to acute addiction treatment. (World Health Organization, www.who.int) Detoxification is known to prevent fatal consequences resulting from sudden cessation of use and can aid the patient in becoming abstinent from drugs. Relapse following detoxification is common. Detox alone does not typically induce lasting behavioral changes. According to County senior health care officials, among opioid addicts limited to a 28-day in-patient detoxification program, 80-90 percent are likely to relapse in a matter of weeks or days. Withdrawal Management Opioid withdrawal includes a wide range of symptoms that occur after stopping or dramatically reducing the dose of opioid drugs following heavy and prolonged use. For short-acting opioids such as oxycodone and heroin, withdrawal symptoms usually emerge within 12 hours of the last opioid use. Withdrawal will peak within 24-48 hours and diminish over 3-5 days. August 14, 2018 BOS Minutes 567 Contra Costa County 2017-2018 Grand Jury Report 1806 Page 7 Grand Jury Reports are posted at http://www.cccourts.org/grandjury For long-acting opioids such as fentanyl and morphine, withdrawal symptoms may last up to 10 days. Opioid withdrawal syndrome is rarely life-threatening. Abrupt discontinuation of opioids may precipitate withdrawal symptoms, leading to continued cravings and resulting in relapse. Medication-Assisted Treatment Most afflicted individuals cannot escape on their own from the misery and risks of drug addiction. One important component used for rehabilitation is called Medication- Assisted Treatment (MAT), the goal of which is to save lives and foster recovery. In May 2017, the BOS approved Resolution 2017/87 recognizing that access to MAT should be expanded to assist people recovering from their Substance Use Disorder (SUD). Treatment for Adolescents According to the 2017 California Student Survey conducted by WestEd, use of drugs increases in the middle and high school years. The survey further shows that high- school staff see drug use as a moderate to severe problem among 64% of students. (www.kidsdata.org) Opioid drug use often begins with teens taking medications prescribed for a family member or friend. When that supply is exhausted, teens seek outside drug sources. Senior officials indicated when addicts cannot afford prescription opioids, they often turn to more affordable heroin. August 14, 2018 BOS Minutes 568 Contra Costa County 2017-2018 Grand Jury Report 1806 Page 8 Grand Jury Reports are posted at http://www.cccourts.org/grandjury In the County, demand for treatment of addicted adolescents overwhelms the limited resources, with no residential in-patient options available. Residential opioid addiction treatment centers are useful for teens who need to be separated from their drug source environment and focus solely on recovery. They require that the teen live at the facility for the duration of the recovery program. Programs typically last between 30 and 90 days, but they can be extended to accommodate needs. They often provide dual diagnoses to see if the teen suffers from a co-occurring mental or behavioral health disorder. Naloxone can reverse an opioid overdose. Treatment professionals recommend making naloxone available to public schools. Health care professionals use the analogy of naloxone as the EpiPen of opioid overdoses. Known as the California Marijuana Tax Fund, Assembly Bill 1748 requires that a portion of the taxes from legal marijuana sales be used for youth drug abuse treatment programs. These funds could be an option for the creation of in-county residential in- patient treatment. Additionally, the Bill authorizes school districts to make naloxone available to school nurses and trained personnel to provide emergency medical aid to persons suffering from an opioid overdose. Treatment in Adult Detention Facilities The criminality associated with addiction follows directly from the need to purchase drugs. Addicts are known to shoplift, steal, and rob as ways to obtain funds to pay the drug supplier. Contra Costa County Alcohol & Other Drug Services (AODS), a division of Behavioral Health Services, informed the Grand Jury that it is difficult to motivate incarcerated individuals to enter treatment. Assembly Bill 109 and Proposition 47 transferred responsibility for supervising certain kinds of felony offenders from state prisons to county jails, which strained the County’s SUD treatment resources. According to the 2015 “Jail Needs Assessment” report conducted for the County Office of the Sheriff, County’s jails offer limited support to address SUD because they do not have the number of clinicians needed to meet the treatment demand. The American Association for the Treatment of Opioid Dependence stresses the importance of keeping clinical decision-making about medications in the hands of SUD clinicians. Deciding on the appropriate medication is a matter of clinical discretion. Treatment Long-Term The scientific and medical communities acknowledge that OUD is a chronic, recurrent disorder with patterns of adherence to treatment and relapse. This disorder is similar to other chronic disorders such as hypertension, diabetes, and asthma. Limiting the time needed for treatment is inconsistent with the course of OUD. Treatment interruption can increase the risk of death and underlies serious effects associated with OUD. August 14, 2018 BOS Minutes 569 Contra Costa County 2017-2018 Grand Jury Report 1806 Page 9 Grand Jury Reports are posted at http://www.cccourts.org/grandjury Addiction sufferers often need specific treatment programs addressing the addiction itself and withdrawal symptoms. Associated disorders of anxiety and depression can accompany withdrawal. In the nation, an estimated eight million adults suffer both SUD and mental illness simultaneously. Less than 9% receive both mental health care and substance use treatment. Over half receive no treatment. (Substance Abuse and Mental Health Services Administration 2017) The Contra Costa County Behavioral Health Services Division (CCBHS), oversees the AODS system of care. Treatment for SUD is delivered through contracts with community-based and County-operated SUD treatment programs. In the current system, addicts can either get direct access or a referral to treatment providers who complete an initial assessment and conduct the intake screening process. (Contra Costa County Drug Medi-Cal Organized Delivery System Implementation Plan, 2016) The County’s Choosing Change Clinics provide out-patient opioid treatment services. Persons who are doctor-approved to receive buprenorphine can be helped with detoxification and maintenance therapy. Choosing Change groups meet weekly and are led by an addiction medicine specialist. Currently, there are Choosing Change Clinics located at the County health centers in Concord, West County, Pittsburg, and Antioch, and the Wellness Center in Martinez. The Choosing Change Clinics in Antioch, San Pablo, and Pittsburg are open one day each week for four hours. The Concord clinic is open two days each week for four hours, and the Martinez clinic is open three days each week for four hours. Healthcare professionals, County staff, and recovering addicts interviewed by the Grand Jury all emphasized that treatment models that support acute addiction care through to long-term recovery warrant expansion. More sobering centers, detoxification beds, and sober living environments are needed. Senior health care officials indicated that in the County’s detention facilities more mental health positions are needed to be able to cover the facilities 24/7. Some positions are staffed weekdays only and none on Saturday or Sunday, when the need is greatest. Barriers to Treatment OUD sufferers who do not get access to required treatment when they need it most end up having poor outcomes. They are more likely to die prematurely as a result of lack of access and care coordination. In a 2018 Substance Abuse and Mental Health Services Administration federal study of patients seeking medical care and entering a rehabilitation in-take center, the average wait time to enter a treatment program after initial contact with a provider was 42 days. Approximately one third received an appointment within 24 hours. (Substance Abuse and Mental Health Services Administration survey 2018) August 14, 2018 BOS Minutes 570 Contra Costa County 2017-2018 Grand Jury Report 1806 Page 10 Grand Jury Reports are posted at http://www.cccourts.org/grandjury There is a gap between the number of people who need SUD treatment and the number of people who receive any type of treatment. In a recent year, only 18% of opioid addiction sufferers received treatment from self-help groups or emergency care. Among Contra Costa’s estimated 54,000 individuals with opioid use disorder, fewer than 10% can be treated long-term given current care capacity. (www.urban.org/sites/default/files/contra_costa.pdf ) This rate of treatment is lower compared to other common health conditions such as hypertension (77%), diabetes (73%), and major depression (71%). A federal Substance Abuse and Mental Health Services Administration survey in 2017 identified obstacles individuals face when seeking OUD treatment:  40% say they are not ready to stop using  37% have no health coverage and cannot afford the cost of treatment  9% do not know where to go for treatment  7% have health coverage that does not cover treatment or costs  7% say treatment is inconvenient or they lack transportation Other challenges complicate the efforts to offer same-day services that include: application obstacles, long waiting periods, too much paperwork, lack of referrals, loss of child custody, fear, community resistance, and privacy concerns. For homeless addicts, one major barrier can be having no place to stay while beginning treatment. Federal regulations require that clinicians seeking to prescribe buprenorphine must undergo specialized training. The County does not have enough healthcare professionals who have been legally authorized to prescribe buprenorphine for opioid addiction patients. Providers eligible for specialized training include doctors of general and osteopathic medicine, nurse practitioners, and physician assistants. Of the 5,585 public and private potential prescribers practicing throughout the County, only 3.2% have a buprenorphine waiver. (County-Level Estimates of Opioid Use Disorder and Treatment Needs in California, The Urban Institute, 2016) Stigmatization of Opioid Dependence What is often keeping the patient from agreement to treatment is embarrassment. It is generally recognized that just as there is a social stigma around mental illness, so there is shame being identified as a drug addict or drug-dependent. Treatment professionals point out that people addicted to substances exist in every walk of life regardless of gender, sexual orientation, race, ethnicity, employment, or economic status. Opioid addiction is a condition that can affect anyone. August 14, 2018 BOS Minutes 571 Contra Costa County 2017-2018 Grand Jury Report 1806 Page 11 Grand Jury Reports are posted at http://www.cccourts.org/grandjury The stigma of opioid dependence is a major hurdle to getting addicts into treatment. Health professionals emphasize to patients and their families that long-term opiate habits change the brain, it becomes a biomedical problem, and it’s not about being a weak person or some other issue. FINDINGS F1. The availability of MAT in the County’s emergency rooms, medical offices, County health clinics, and the County’s detoxification sites does not meet the needs of people with OUD. F2. Only 3.2% of the nearly 5,600 private and public medical providers in the County have acquired the Drug Enforcement Agency waiver to prescribe buprenorphine, creating a MAT gap for people seeking treatment. F3. The limited open hours at the County-operated Choosing Change Clinics are a barrier to treatment for OUD users. F4. The 2016 California Marijuana Tax Fund (AB 1748) requires that a portion of taxes paid be used for youth drug abuse treatment programs. F5. The demands for programs addressing high-school drug abuse throughout the County exceed the resources available. F6. The demand for programs throughout the county to educate high school students and their parents on overdose prevention, the dangers of opioid use, and responses to overdoses exceed the available supply. F7. There are no in-County adolescent residential treatment facilities. Youth requiring residential treatment are directed to seek care outside the County. F8. Stigma of drug addiction is a barrier to treatment, and presents barriers to providing more in-County recovery facilities. F9. For incarcerated opioid addicts, there are staffing gaps in the detention facilities during the week for intake screening, withdrawal management, and clinical treatment. F10. The majority of those who abuse opioid prescription medications do not get them from the street. Instead, they obtain these from the homes of family and friends. The danger is exacerbated by the lack of sufficient public awareness. F11. In a 2018 Substance Abuse and Mental Health Services Administration study of patients seeking medical care and entering a rehabilitation intake center, the average wait time to enter a treatment program after initial contact with a provider was 42 days. Only about a third received an appointment within 24 hours. August 14, 2018 BOS Minutes 572 Contra Costa County 2017-2018 Grand Jury Report 1806 Page 12 Grand Jury Reports are posted at http://www.cccourts.org/grandjury F12. Among the County’s estimated 54,000 persons with opioid use disorder, fewer than 10% can be treated long-term, given current care capacity. RECOMMENDATIONS R1. The BOS should consider requesting Behavioral Health Services to develop a plan by December 2018 to motivate more physicians to complete their qualifications for a waiver to prescribe and dispense buprenorphine starting in 2019. R2. The BOS should consider seeking funds, in the FY2019-2020 budget, for Behavioral Health Services to offer the course “Buprenorphine Treatment: Training for Multidisciplinary Addiction Professions” or equivalent to all of the County’s public medical care providers starting July 1, 2019. R3. The BOS should consider seeking funds, in the FY2019-2020 budget, for Behavioral Health Services to hire more buprenorphine clinicians beginning July1, 2019. R4. The BOS should consider requesting the Alcohol and Other Drugs Services (AODS) division of Behavioral Health Services to use funds available under the California Marijuana Tax Fund legislation (AB 1748) for in-county adolescent outpatient and residential inpatient treatment. R5. The Contra Costa County Office of Education should consider seeking funds, in the FY2019-2020 budget, to provide free NARCAN kits in all County school districts. R6. The BOS should consider seeking funds, in the FY2019-2020 budget, for Behavioral Health Services to develop a plan to increase clinical treatment of substance use disorders in the three detention facilities. R7. The BOS should consider seeking funds, in the FY2019-2020 budget, for Behavioral Health Services to develop and deliver educational campaigns to improve public awareness of the County’s opioid addiction crisis and available treatment options, starting July 1, 2019. R8. The BOS should consider seeking funds, in the FY2019-2020 budget, for Behavioral Health Services to use multiple modes of communication such as news media, social media, community TV/Radio, and billboards, with a positive message to help alleviate the stigma of OUD, starting July 1, 2019. August 14, 2018 BOS Minutes 573 Contra Costa County 2017-2018 Grand Jury Report 1806 Page 13 Grand Jury Reports are posted at http://www.cccourts.org/grandjury REQUIRED RESPONSES Findings Recommendations Contra Costa County Board of Supervisors F1, F2, F3, F4, F5, F7, F8, F9, F10, F11, and F12 R1, R2, R3, R4, R6, R7, and R8 Contra Costa County Office of Education F6 R5 These responses must be provided in the format and by the date set forth in the cover letter that accompanies this report. An electronic copy of these responses in the form of a Word document should be sent by email to ctadmin@contracosta.courts.ca.gov and a hard (paper) copy should be sent to: Civil Grand Jury – Foreperson 725 Court Street P.O. Box 431 Martinez, CA 94553-0091 ACRONYMS AODS – Alcohol and Other Drugs Services BHS – Behavioral Health Services BOS – Board of Supervisors MAT – Medication-Assisted Treatment MEDS – Medication Education and Disposal Safety OUD – Opioid Use Disorder SUD – Substance Use Disorder August 14, 2018 BOS Minutes 574 RECOMMENDATION(S): APPROVE and AUTHORIZE the Health Services Director, or designee, to execute on behalf of the County, Contract #22-983-4, the Unpaid Student Training Agreement with Mt. Diablo Unified School District, Adult Education, an educational institution, to provide supervised field instruction in the County’s Public Health Division to dental assistant students for the period July 1, 2018 through June 30, 2020. FISCAL IMPACT: This is a non-financial agreement. BACKGROUND: The purpose of this agreement is to provide Mt. Diablo Unified School District, Adult Education dental assistant students with the opportunity to integrate academic knowledge with applied skills at progressively higher levels of performance and responsibility. Supervised fieldwork experience for students is considered to be an integral part of both educational and professional preparation. The Health Services Department can provide the requisite field education, while at the same time, benefiting from the students’ services to patients. APPROVE OTHER RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE Action of Board On: 08/14/2018 APPROVED AS RECOMMENDED OTHER Clerks Notes: VOTE OF SUPERVISORS AYE:Candace Andersen, District II Supervisor Diane Burgis, District III Supervisor Karen Mitchoff, District IV Supervisor Federal D. Glover, District V Supervisor ABSENT:John Gioia, District I Supervisor Contact: Dan Peddycord, 925-313-6712 I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown. ATTESTED: August 14, 2018 David J. Twa, County Administrator and Clerk of the Board of Supervisors By: June McHuen, Deputy cc: D Morgan, M WILHELM C. 80 To:Board of Supervisors From:Anna Roth, Health Services Director Date:August 14, 2018 Contra Costa County Subject:Unpaid Student Training Agreement #22-983-4 with Mt. Diablo Unified School District, Adult Education August 14, 2018 BOS Minutes 575 BACKGROUND: (CONT'D) On May 10, 2016, the Board of Supervisors approved Contract #22-983-3 with Mt. Diablo Unified School District, Adult Education for the period from July 1, 2016 through June 30, 2018 for the provision of supervised fieldwork instruction experience with Health Services. Approval of Unpaid Student Training Agreement #22-983-4 will allow Mt. Diablo Unified School District, Adult Education's dental assistant students to receive supervised fieldwork instruction experience in the County’s Public Health Division, through June 30, 2020. CONSEQUENCE OF NEGATIVE ACTION: If this contract is not approved, the students will not receive supervised fieldwork instruction experience in the County’s Public Health Division. August 14, 2018 BOS Minutes 576 RECOMMENDATION(S): APPROVE and AUTHORIZE the Health Services Director, or designee, to execute on behalf of the County, Memorandum of Understanding (MOU) #74-566 with the City of Walnut Creek for its Police Department, a government agency, to develop and implement an outreach program designed for a specific population of adult Contra Costa County residents who have serious and persistent mental illness, for the period June 1, 2018 through May 31, 2019. FISCAL IMPACT: This is a non-financial agreement. BACKGROUND: The County's Behavior Health Services Division (BHSD) recommends partnering with law enforcement in East, Central, and West Contra Costa County to develop the Mental Health Evaluation Team (MHET) Program. The MHET Program will provide welfare checks, case management, and link available mental health services for its target population. MHET's target population is the adult Contra Costa County resident who has been identified as having a serious and persistent mental illness and is described by at least one of the following: having experienced a recent psychiatric crisis; having been placed on one or more Welfare & Institutions Code section 5150 holds; having a history of violence; having access to firearms; or having been the subject of multiple calls for service with local law enforcement. APPROVE OTHER RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE Action of Board On: 08/14/2018 APPROVED AS RECOMMENDED OTHER Clerks Notes: VOTE OF SUPERVISORS AYE:Candace Andersen, District II Supervisor Diane Burgis, District III Supervisor Karen Mitchoff, District IV Supervisor Federal D. Glover, District V Supervisor ABSENT:John Gioia, District I Supervisor Contact: Matthew White, M.D. 95-957-5201 I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown. ATTESTED: August 14, 2018 David J. Twa, County Administrator and Clerk of the Board of Supervisors By: June McHuen, Deputy cc: D Morgan, M Wilhelm C. 81 To:Board of Supervisors From:Anna Roth, Health Services Director Date:August 14, 2018 Contra Costa County Subject:Memorandum of Understanding #74-566 with the City of Walnut Creek for its Police Department August 14, 2018 BOS Minutes 577 BACKGROUND: (CONT'D) The MHET Program's objectives include reducing the number of preventable visits to Psychiatric Emergency Services, facilitating access to BHSD's system of care, increasing effective use of available outpatient mental health services, reducing the number of violent encounters between police officers and the mentally ill, providing support, referrals and safety planning to family members, and providing a safer, better quality of life for the community. The Memorandum of Understanding #74-566 includes mutual indemnification. CONSEQUENCE OF NEGATIVE ACTION: If this agreement is not approved, the County's BHSD will be unable to participate on the MHET and therefore unable to provide the level of targeted assistance contemplated for the specific population described above. August 14, 2018 BOS Minutes 578 RECOMMENDATION(S): APPROVE and AUTHORIZE the Clerk-Recorder or designee to execute a one-day use permit with the City of Richmond Community Services Department for the use of the Lucretia Edwards Shoreline Park on September 7, 2018. Use of the park requires a permit in which the County agrees to indemnify and hold harmless the City of Richmond for any claims arising out of the County's use of the park during the permitted date and time. FISCAL IMPACT: None. BACKGROUND: The County Clerk-Recorder will conduct civil wedding ceremonies at the Lucretia Edwards Shoreline Park on September 7, 2018. Use of the park requires a permit in which the County agrees to indemnify and hold the City of Richmond harmless for any claims arising out of the County's use of the park during the permitted date and time. CONSEQUENCE OF NEGATIVE ACTION: The Clerk-Recorder Division will be unable to conduct ceremonies at the Lucretia Edwards Shoreline Park. APPROVE OTHER RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE Action of Board On: 08/14/2018 APPROVED AS RECOMMENDED OTHER Clerks Notes: VOTE OF SUPERVISORS AYE:Candace Andersen, District II Supervisor Diane Burgis, District III Supervisor Karen Mitchoff, District IV Supervisor Federal D. Glover, District V Supervisor ABSENT:John Gioia, District I Supervisor Contact: Barbara Dunmore 925-335-7919 I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown. ATTESTED: August 14, 2018 David J. Twa, County Administrator and Clerk of the Board of Supervisors By: June McHuen, Deputy cc: C. 82 To:Board of Supervisors From:Joseph E. Canciamilla, Clerk-Recorder Date:August 14, 2018 Contra Costa County Subject:Approve Permit for Use of Lucretia Edwards Shoreline Park for Civil Wedding Ceremonies August 14, 2018 BOS Minutes 579 RECOMMENDATION(S): APPROVE and AUTHORIZE the Health Services Director, or designee, to execute on behalf of the County, Agreement #72-114 with AAA Northern California, Nevada & Utah, a non-financial agreement, for the AAA Child Passenger Safety (CPS) Donation Program, for the period from August 7, 2018 through December 14, 2018. FISCAL IMPACT: This is a non-financial agreement. BACKGROUND: The purpose of the collaboration is to facilitate distribution of car seats and booster seats to the Public Health Division’s Clinic Services program and partnering agencies including First 5, family resource centers, hospitals, Head Start, community and outreach programs. The recipients of the car seats and car seat boosters will receive education on how to properly use them from a certified Public Health Division employee. Under Contract #72-114, the County will distribute 40 child car seats and 20 car seat boosters to APPROVE OTHER RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE Action of Board On: 08/14/2018 APPROVED AS RECOMMENDED OTHER Clerks Notes: VOTE OF SUPERVISORS AYE:Candace Andersen, District II Supervisor Diane Burgis, District III Supervisor Karen Mitchoff, District IV Supervisor Federal D. Glover, District V Supervisor ABSENT:John Gioia, District I Supervisor Contact: Dan Peddycord, 925-313-6712 I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown. ATTESTED: August 14, 2018 David J. Twa, County Administrator and Clerk of the Board of Supervisors By: June McHuen, Deputy cc: D Morgan, M Wilhelm C. 83 To:Board of Supervisors From:Anna Roth, Health Services Director Date:August 14, 2018 Contra Costa County Subject:Agreement #72-114 with AAA Northern California, Nevada & Utah August 14, 2018 BOS Minutes 580 BACKGROUND: (CONT'D) low-income families in Contra Costa County through December 14, 2018. This agreement includes agreeing to mutually indemnify and hold the other party harmless from any claims arising out of the performance of this contract. CONSEQUENCE OF NEGATIVE ACTION: If not approved, Health Services Department will not receive child passenger safety seats from AAA’s Child Passenger Safety Seat Donation Program. CHILDREN'S IMPACT STATEMENT: This program supports the following Board of Supervisors’ community outcomes: “Children Ready For and Succeeding in School”; “Families that are Safe, Stable, and Nurturing”; and “Communities that are Safe and Provide a High Quality of Life for Children and Families”. Expected program outcomes include fewer injuries in car accidents. August 14, 2018 BOS Minutes 581 RECOMMENDATION(S): APPROVE and ACKNOWLEDGE that the contractor, in the contract between the County and Compass Group USA, Inc., dba Bateman Community Living, pertaining to the provision of home delivered meals to the County's Senior Nutrition Program and initially approved by the Board on May 22, 2018 (Item C.69), has changed its name to Elior, Inc., dba Bateman Community Living, LLC with no change in the payment limit of $2,868,382 or in the term of July 1, 2018 through June 30, 2019, with a three-month automatic extension through September 30, 2019. FISCAL IMPACT: There is no fiscal impact with this acknowledgement action. BACKGROUND: On May 22, 2018, the Board of Supervisors approved Contract #22-219-61 with Compass Group USA, Inc. (dba Bateman Community Living) for the provision of home delivered meals to the Contra Costa County Senior Nutrition Program for the period from July 1, 2018 through June 30, 2019. The contract was in the process of being executed and on July 1, 2018, the department was notified that the contractor changed its name to Elior, Inc. (dba Bateman Community Living, LLC). The purpose of this board order is to acknowledge the current legal name of the contractor as Elior, Inc., dba Bateman Community Living, LLC, instead of Compass Group, USA, Inc. APPROVE OTHER RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE Action of Board On: 08/14/2018 APPROVED AS RECOMMENDED OTHER Clerks Notes: VOTE OF SUPERVISORS AYE:Candace Andersen, District II Supervisor Diane Burgis, District III Supervisor Karen Mitchoff, District IV Supervisor Federal D. Glover, District V Supervisor ABSENT:John Gioia, District I Supervisor Contact: Dan Peddycord, 925-313-6712 I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown. ATTESTED: August 14, 2018 David J. Twa, County Administrator and Clerk of the Board of Supervisors By: June McHuen, Deputy cc: D Morgan, M Wilhelm C. 84 To:Board of Supervisors From:Anna Roth, Health Services Director Date:August 14, 2018 Contra Costa County Subject:Contractor Name Change for Contract with Compass Group USA, Inc. (dba Bateman Community Living) August 14, 2018 BOS Minutes 582 CONSEQUENCE OF NEGATIVE ACTION: If this correction is not approved, the Board authorization will not match the Contractor’s legal name. August 14, 2018 BOS Minutes 583 RECOMMENDATION(S): ACCEPT report on the FY 2017/18 activities and key accomplishments and proposed 2018/19 work plan of the Local Planning Council as they relate to membership and funding of local child care and development planning in Contra Costa County. FISCAL IMPACT: No fiscal impact. BACKGROUND: The Board of Supervisors referred updates on the activities of the Local Planning and Advisory Council for Early Care and Education (formerly known as the Local Planning Council for Child Care and Development) to the Family and Human Services Committee on January 17, 2006. The last report was provided to the Family and Human Services Committee on June 13, 2016. Please see the attached report for an update on the FY 2017/18 activities and key accomplishments and proposed new year work plan of the Local Planning Council as they relate to membership and funding of local child care and development planning in Contra Costa County. This attached report was reviewed and accepted by the Family and Human Services Committee at its regular meeting on July 23, 2018. Susan Jeong presented the report, noting APPROVE OTHER RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE Action of Board On: 08/14/2018 APPROVED AS RECOMMENDED OTHER Clerks Notes: VOTE OF SUPERVISORS AYE:Candace Andersen, District II Supervisor Diane Burgis, District III Supervisor Karen Mitchoff, District IV Supervisor Federal D. Glover, District V Supervisor ABSENT:John Gioia, District I Supervisor Contact: Susan Jeong (925) 942-3413 I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown. ATTESTED: August 14, 2018 David J. Twa, County Administrator and Clerk of the Board of Supervisors By: June McHuen, Deputy cc: C. 85 To:Board of Supervisors From:FAMILY & HUMAN SERVICES COMMITTEE Date:August 14, 2018 Contra Costa County Subject:Local Child Care & Development Planning Council Activities Update August 14, 2018 BOS Minutes 584 BACKGROUND: (CONT'D) that a needs assessment is completed every five years and that the current needs assessment is not quite complete. She highlighted that the current needs assessment will include a facilities survey to help demonstrate in State grant applications the unmet facilities needs in Contra Costa County. She estimated that there is a need for 10,000 more infant/toddler slots and 2.700 more preschool slots. She also highlighted the upcoming annual forum and the struggle to expend $134,000 in preschool teacher tuition funding, which can be used to reimburse tuition only after it has been paid upfront by a preschool teacher, which can be a financial hardship for some teachers. ATTACHMENTS FY 2017/18 Local Planning Council for Early Child Care and Education Report August 14, 2018 BOS Minutes 585 Page 1 of 7 M E M O R A N D U M DATE: July 23, 2018 TO: Supervisor Candace Andersen, District II, Vice Chair Supervisor John Gioia, District I, Chair FROM: Susan K. Jeong, LPC Coordinator/Manager, Educational Services SUBJECT: Local Planning and Advisory Council for Early Care and Education (LPC) Council Activities -Referral #81 CC: Karen Sakata, Contra Costa County Superintendent of Schools Lynn Mackey , Deputy Superintendent of Schools LPC Chair and Vice Chairs RECOMMENDATION(S): 1) ACCEPT the activities report and key accomplishments during fiscal year 2016-2017 for the LPC as they relate to Education Code - Section 8499.3 – 8499.7 . REASON/S FOR RECOMMENDATION: Projects and activities of the Contra Costa LPC align with legislative intent for Local Planning Councils to serve as a forum to address the child care needs of all families and all child care programs , both subsidized and non-subsidized in Contra Costa County (Ed code Sections 8499.3 and 8499.5). BACKGROUND: The Contra Costa County Local Planning and Advisory Council for Early Care and Education (LPC) was established in April 1998. Required by AB 1542, which was passed in 1993, thirty members of the LPC were appointed by the County Board of Supervisors and the County Superintendent of Schools. Childcare consumers and providers, public agency representatives, and community representatives each comprise 20% of the LPC. The remaining 20% are discretionary appointees. Membership is for a three year term. On January 7, 2003, membership was decreased from 30 to 25 members, due to the difficulty being experienced in filling all of the seats. On September 19, 2012 membership was decreased from 25 to 20, due to continued difficulty to fill vacant seats. Official reduction of appointed seats provides flexibility to ensure quorum is met in order to conduct Council business. August 14, 2018 BOS Minutes 586 Page 2 of 7 I. SUMMARY OF ACTIVITIES a. New LPC Coordinator. A new LPC Coordinator was hired in January 2018. b. Hosted the 14 th Annual Young Children’s Issues Forum – Speak Out for Children: Educate and Advocate on Saturday, March 17, 2018 . Over 150 teachers, school administrators, college faculty, community advocates, local government officials, parents, business leaders, and state legislators attended the Forum held at the Pleasant Hill Community Center, in Pleasant Hill, CA. This event continues to be a catalyst to ongoing and active community engagement and advocacy in the early care and education community. c. Initiated the 2017 - 2020 Countywide Child Care Needs Assessment and Child Care Facility Development Study for Contra Costa County. The LPC is currently coordinating their 2017 Needs Assessment and Child Care Facility Study. The child care needs assessment is conducted every five years and aims to determine the child care needs as mandated by California Education Code for all LPCs across the State. Based on recommendations made by the LPC’s Ad Hoc Child Care Facilities Committee the LP C commissioned a comprehensive countywide needs assessment study for child care for children ages 0 to 12 that includes current conditions of existing facilities, interest in expansion from current providers, potential financing models, and roles for various stakeholders. The Study is expected for public release in September/October 2018. Early data shared at the First 5 Contra Costa Coffee & Kids event held in May 2018 indicated a shortage of child care for children in Contra Costa. There is a shortage of nearly 10,000 infant/toddler spaces and 2,700 spaces for preschool-aged children. d. Coordinated and Facilitated Quarterly State Funded Program Administrators Network (SFPAN) meetings held at the CCCOE and facilitated by the LPC Coordinator . The State Funded Administrators Network (SFPAN) convenes 14 agencies that contract with the California Department of Education to provide General Child Care Services for children ages 0-12 years and State Preschool services for high need families and children throughout Contra Costa. The SFPAN includes the county’s Head Start and Early Head Start providers and the CalWORKs child care voucher program known as the Alternative Payment Program which includes stage 1, stage 2 and stage 3 families. e. Coordinated planning for the Contra Costa County Child Care Subsidy Pilot Plan. In October 2017, Governor Brown approved AB 435, authorizing an individualized child care subsidy plan for the County of Contra Costa. Authored by Assemblymember Tony Thurmond, the legislation allows Contra Costa County to develop and implement a plan through January 1, 2023. Upon approval of the Contra Costa County Plan (to be sent to the California State Department of Education in July 2018) by the state, the planning for implementation will begin. To date nine state-funded contractors have signed on to participate in the Pilot. f. Support and Fiscal Consultation/Coaching Services for Administrators of State Funded Programs - Title 5 contractors with the California Department of Education, Early Education and Support Division (CDE-EESD) continue to struggle to fully earn their contract allocation due to low state reimbursement rates, unrealistic family income eligibility guidelines and staff turn-over. Providers cannot cover their operational costs, and therefore, are unable to utilize their full allocation of state August 14, 2018 BOS Minutes 587 Page 3 of 7 and federal child care and child development funds. Over the past four years, the amount of unearned state child care and development funds in Contra Costa County has steadily increased. The LPC also gathered local data from state-funded program administrators that indicated a need for additional training, coaching and technical assistance (TA) for Program Administrators and Directors. During 2016 – 2017, the LPC decided to allocate AB 212 funds to “pilot” consultations services to administrators with the goal of improving efficient contract management for full earning of allocation. Over the past two years, three Title 5 programs experienced changes in administration and leadership which impacted the stability of the programs greatly. Other local challenges among Title 5 contractors include: lack of available child care facilities and low enrollment. g. LPC Coordinator is CCCOE’s administrator for the California State Preschool Program QRIS Block Grant and Infant and Toddler QRIS Block Grant contracts for Contra Costa County. The LPC is actively involved in the local planning, coordination and implementation of quality improvement services, professional development and growth activities and incentives, and countywide efforts to increase public awareness of “quality indicators” through the Contra Costa Quality Matters program. II. ACCOMPLISHMENTS Nurture and Retain a Qualified Early Care and Education Workforce As in previous years, the LPC has offered multiple professional growth and development services and incentives in Contra Costa County. The LPC was approved by the California Department of Education (CDE) in 2017 -2018 to support teaching staff by providing stipends for participation at various levels and through multiple commitments to participation paid with AB 212 funds. Total stipends issued from AB 212 of $91,2 00.00 were paid to 84 AB 212 eligible staff. The LPC chose to implement the following activities under the sponsorship of AB 212 funding: • Professional Development Program (PDP) Services and Incentives: During fiscal year (FY) 2017-2018, the Contra Costa LPC continued the partnership with First 5 Contra Costa for Professional Development Program funding. During the application period, 1 23 applications were received from AB 212 educators. After completing approved PDP activities, a total of 84 AB 212 staff received incentives in one or more components or incentive categories, including 12 participants who exceeded the maximum number of college units approved in PDP, but were able to be awarded additional ly through remaining AB 212 funds. • Foreign Transcript Evaluation Services continued to be funded and provided through AB 212 allocations and were offered in PDP – Assistance was provided by AB 212 staff to one (1) PDP participant who was not funded for a stipend through AB 212 but who required the staff assistance to meet PDP program requirements and to meet agreements in the MOU with partners in the 2017-2018. Education completed from higher education institutions from outside the United States supports PDP participants with applying for or advancing on the Child Development Permit or degree completion. Contracted services with Educational Records and Evaluation Services has been provided by the LPC for over ten years. • Additional AB 212 Support Services: 112 applications were received from AB 212 educators for participation in the Professional Development Program by advisors at each of the three colleges in August 14, 2018 BOS Minutes 588 Page 4 of 7 the Contra Costa Community College District or by AB 212 Staff. The college advisors provided Information Sessions, education advising towards degrees, regular individual advising sessions, and documentation acceptance from July 2016 through January 2017. AB 212 staff continued to provide the same services at state-funded employment sites, through advising appointments, Child Development Permit application processing and related professional growth advising sessions, and training, as needed, for understanding of renewal requirements for the Child Development Permit and for successful participation in PDP. PDP stipend details follow in Table 1- the number of participants completing each type of professional development and the stipend amounts by category is represented in the next page. • Permit Applications: AB 212 staff continued to assist early childhood educators to apply for new, renewal and upgrade Child Development Permit applications. A total of 1 01 permit applications were processed to date with 19 from AB 212 Professional Development Program (PDP) participants who submitted Permit applications. In the past several years, AB 212 staff have seen an increase in online renewals by Contra Costa County early childhood professionals. There seems to be a better understanding of the process for online renewals and many have become more aware of the services which can be provided online. Recent history has shown that fewer individuals are needing assistance with accessing their Permit information online and may contact AB 212 staff for guidance in making payment, submitting the application for renewal, or editing personal information due to marital status, address changes, or incorrect information. Professional Growth Advising and the development of awareness of that may have also increased this online engagement with the Commission on Teacher Credentialing (CTC). 2017-2018 Professional Development Program (PDP) Incentive Summary - Table 1 Stipend Type and amount Number per Stipend Type Total per Stipend Type Course Completion Stipend = $600 for 6 units completed 80 $48,000 Professional Training Hours = $150 (for completion of 12 or more hours 2 $ 300 Coursework Bonus for completing additional units after first 6 units. $100 per unit with MAX $1200 56 $23,900 Reflective Practice Seminar = $300 required concurrent enrollment in one three-unit course. 28 $8,400 Education Milestone M1 - completion of 24 ECE/CD and 16 GE for Teacher Permit = $300, M2 - completion of AA/AS degree = $300 M3 -completion of BA/BS =$300 10 M1 = 7 M2 = 3 M3 = 0 M1 = $2,100 M2 = $ 900 M3 =$0 Lost Wages - Completion of lab or community-based supervised field experience which required absence from employment, based on hours completed MAXIMUM $1250 2 $2,500 Additional Course Completion Stipend for exceeding the 12 units max in PDP 10 $5,100.00 Total stipend types paid to 79 approved and eligible participants 188 $91,200 August 14, 2018 BOS Minutes 589 Page 5 of 7 Permit Applications Processed During 2016 - 2017 for State-Funded Programs Permit Level by Job Title Job Title No Permit Yet Assistant Associate Teacher Teacher Master Teacher Site Supervisor Program Director Total TAT or Assistant 31 1 3 - - - - 35 Associate Teacher 10 - 16 2 - 28 Teacher 2 - 2 5 1 1 - 11 Master/Lead Teacher 1 - 1 1 1 2 1 7 Site Supervisor -1 - - - - 1 Program Director -1 - - - - - 1 2 Total 46 1 22 8 2 3 2 84 Retention by Job Title Job Title and Years of Employment Years of Employment Totals Job Titles Not provided < 3 years 3 -5 years 5 -10 years More than 10 years Assistant 4 23 4 2 2 35 Associate Teacher 2 13 6 3 4 2 8 Teacher 2 2 3 1 3 1 1 Master Teacher - 2 1 5 8 Site Supervisor - - 1 1 Program Director - - - 1 1 Total - Central 8 40 1 4 6 16 8 4 August 14, 2018 BOS Minutes 590 Page 6 of 7 In addition to the AB 212 funds, the LPC’s oversight and implementation of the state funded California Transitional Kindergarten Stipend (CTKS) program continues to support the professional development of transitional kindergarten and California State Preschool Program (CSPP) teachers. The program functions as a reimbursement program – reimbursing teachers for the cost of tuition and other education-related expenses, for higher education and training in early care and education/child development coursework and training. Below is a chart that shows the total amounts reimbursed by site type and county regions. 2017-2018 CTKS Reimbursements Amount Summary by County and Program Type III. PROPOSED WORK PLAN/OBJECTIVES FOR 2018 - 2019 The LPC will continue to oversee the design and implementation of the following projects and priority activities: • Plan, Coordinate and Host the 15 th Annual Young Children’s Issues Forum – Speak Out for Children: Educate and Advocate scheduled for Saturday, March 16th, 201 9. • Complete the new Countywide Child Care Needs Assessment and Facility Development Study 2017-2020 The Early Learning Facilities Needs Assessment would update the prior Child Care Needs Assessment for 2017 (a statutory mandate for the LPC) and would provide key analysis and data on an implementation effort to increase the supply of child care facilities in the County. The study is expected to be completed by September/October 2018. • Convene Annual LPC Member Retreat in October/November 2018 to begin strategic planning process for Contra Costa County Comprehensive Countywide Early Care and Education Plan 2017- 2020. • Participate, support and align funding goals to support countywide efforts to improve the quality of all Early Care and Education programs through the Quality Matters (QRIS) Project. • Co-sponsor teacher incentives and professional development services offered through Contra Costa County PDP utilizing AB 212 funding and in partnership with First 5 Contra Costa. $27,418.08 $19,006.14 $6,330.98 $688.05 $27,675.12 $360.40 $- $5,000.00 $10,000.00 $15,000.00 $20,000.00 $25,000.00 $30,000.00 CSPP TK CSPP TK CSPP TK Central East West August 14, 2018 BOS Minutes 591 Page 7 of 7 • Continue implementation of the California Transitional Kindergarten Stipend Project (CTKS) by continuing to build and maintain relationships with TK Coordinators, State Preschool (CSPP) Administrators and TK/CSPP teachers in Contra Costa County. • Quality Matters Site Supervisor and Director Professional Learning Communities (PLC) /Community of Practice (COP) – The LPC in partnership with Quality Matters will pilot a leadership cohort of state-funded Quality Matters participating site program directors and/or site supervisors for one program year beginning August 2018. The goals of the pilot are to build leadership and coaching capacity of state-funded sites that have reached top Tier ratings. August 14, 2018 BOS Minutes 592 RECOMMENDATION(S): APPROVE clarification of Board action of June 5, 2018 (C.85) which authorized the Health Services Director to execute Contract #23-628 with Groupware Technology, Inc., a corporation, to reflect the correct contract term of June 5, 2018 through December 31, 2018, rather than May 8, 2018 through December 31, 2018 with no change in the payment limit. FISCAL IMPACT: This contract is funded 100% by Hospital Enterprise Fund I. (No rate increase) BACKGROUND: On June 5, 2018, the Board of Supervisors approved Contract #23-628 with Groupware Technology, Inc. to provide consulting and technical assistance for data migration to the Health Service Department’s Information Technology Unit Data Center for the period May 8, 2018 through December 31, 2018. The effective date of May 8, 2018 was incorrectly entered and the purpose of this Board Order is to correct the effective date on the Board Order Item (Item C.85) to reflect the intent of the parties. APPROVE OTHER RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE Action of Board On: 08/14/2018 APPROVED AS RECOMMENDED OTHER Clerks Notes: VOTE OF SUPERVISORS AYE:Candace Andersen, District II Supervisor Diane Burgis, District III Supervisor Karen Mitchoff, District IV Supervisor Federal D. Glover, District V Supervisor ABSENT:John Gioia, District I Supervisor Contact: Patrick Wilson, 925-335-8700 I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown. ATTESTED: August 14, 2018 David J. Twa, County Administrator and Clerk of the Board of Supervisors By: June McHuen, Deputy cc: K Cyr, M Wilhelm C. 86 To:Board of Supervisors From:Anna Roth, Health Services Director Date:August 14, 2018 Contra Costa County Subject:Correct Board Order Item #C.85 with Groupware Technology, Inc. August 14, 2018 BOS Minutes 593 CONSEQUENCE OF NEGATIVE ACTION: If this correction is not approved, the Board Order will not reflect the corrected effective date of June 5, 2018. August 14, 2018 BOS Minutes 594 RECOMMENDATION(S): ACCEPT this report from the Employment and Human Services Department on youth services and the Independent Living Skills Program (ILSP); and continue to support the Children and Family Services Bureau and its efforts to serve foster youth in the ILSP program. FISCAL IMPACT: None. This is an informational report. BACKGROUND: An annual update of the Independent Living Schools Program administered by the Employment and Human Services Department (EHSD) was first referred to the Family and Human Services Committee by the Board of Supervisors on October 17, 2006. On June 7, 2016, EHSD requested, and the Board approved, expanding the referral to include additional youth services updates and retitling the referral to “Youth Services Report”, so that the department can include reports on all youth services offered in the community through EHSD, including Workforce Investment and Opportunity Act (WIOA) and CalWorks youth services. The last annual report on this referral was received by the Committee on July 31, 2017. The Omnibus Budget Reconciliation Act of 1993 permanently authorized the Independent Living Program (ILP) which offers training, services and programs to assist current and former foster youth achieve APPROVE OTHER RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE Action of Board On: 08/14/2018 APPROVED AS RECOMMENDED OTHER Clerks Notes: VOTE OF SUPERVISORS AYE:Candace Andersen, District II Supervisor Diane Burgis, District III Supervisor Karen Mitchoff, District IV Supervisor Federal D. Glover, District V Supervisor ABSENT:John Gioia, District I Supervisor Contact: Kathy Marsh (925) 608-4815 I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown. ATTESTED: August 14, 2018 , County Administrator and Clerk of the Board of Supervisors By: June McHuen, Deputy cc: C. 87 To:Board of Supervisors From:FAMILY & HUMAN SERVICES COMMITTEE Date:August 14, 2018 Contra Costa County Subject:Youth Services - Independent Living Skills Program Update August 14, 2018 BOS Minutes 595 BACKGROUND: (CONT'D) self-sufficiency prior to and after leaving the foster care system. The Chafee Foster Care Independence Program (CFCIP) Act of 1999 (Public Law 106-169), amended Section 477 of the Social Security Act providing more flexibility in the use of ILP funding (see 42 USC 677). In California, County Welfare Departments have the flexibility to design services to meet a wide range of individual needs and circumstances for current and former foster youth. Every California County operates an ILP. Youth participation is voluntary. Overwhelming evidence supports the fact that youth leaving foster care are in need of greater support as they transition into adulthood. Foster youth nationwide are found to have an increased likelihood of early parenting, instability in relationships, not graduating from high school, lower school performance, increased health and mental health concerns, homelessness, incarceration, substance abuse, and a higher rate of unemployment. In September 2010, Governor Schwarzenegger signed into law Assembly Bill 12, the California Fostering Connections to Success Act. AB12 took effect on January 1, 2012 and allows young adults to be provided transitional support to age 21 and ensure that they are given the necessary skills to survive on their own. A young adult must be in a high school or a GED program, enrolled in a college or vocational program, employed at least 80 hours per month, participating in a program designed to remove barriers to employment, or unable to work/attend school because of a medical condition. The young adult must also live in an approved placement and sign a mutual agreement with their case worker, Supervised Independent Living Placement (SILP). With this legislation, young adults will receive the support of the foster care system to age 21, extending the time to work with young adults in foster care with more parity in assistance provided to children from intact families. For the past 29 years, the Children and Family Services Bureau of the Employment and Human Services Department has provided services through the Independent Living Skills Program (ILSP). This program educates and supports youth in a wide variety of areas designed to inspire a successful transition to adulthood, and empowers foster youth to become responsible adults. Staff working in the program are Contra Costa County employees. Under the direction of a Program Coordinator and an Assistant Coordinator, the five program specialists continue to provide services to Contra Costa County foster youth, out of county youth and probation youth, while embracing the CCC CFS ILSP Vision statement: “Our vision is to move every youth from stagnation to motivation, from limitations to possibilities; from dependency to self-sufficiency; from the past to the future.” As a result of their successful approach and accomplishments, Contra Costa County CFS Independent Living Skills Program has received recognition throughout the State of California and nation for its performance and youth services. The program continues to emphasize and promote positive youth development to support young people in developing a sense of competence, usefulness, belonging and empowerment. ILSP is funded by the federal Title IV-E and state dollars. ILSP offers a variety of skill building trainings and youth engagement activities to promote self-sufficiency in foster youth. Development activities and programs include, but are not limited to, employment preparation, vocational training support, education resources, financial literacy and housing assistance. ILSP spotlights four core areas called the Four Pillars when providing hands-on, experiential learning experiences. The Four Pillars consist of Education, Employment, Housing and Well Being. Workshops and events are provided in the East, West, and Central parts of the county to attract more youth participation and to provide a shorter travel distance for care providers and youth attending weekly workshops and events. August 14, 2018 BOS Minutes 596 This past fiscal year, six hundred and forty (640) current and former foster youth were served both individually and in group settings (i.e. workshops, classes, etc.), one hundred and fifty nine (159) of these youth are deemed “Non-Minor Dependents,” and have chosen to remain in foster care under Assembly Bill 12. ILSP Pillar - Housing ILSP provide workshops to youth in all areas of housing. The workshops cover topics such as: How to look for affordable safe housing Options for housing, including transitional housing programs Tenant rights and responsibilities How to get along with roommates Completing rental applications and securing deposits Differences between renting, leasing and owning Transitional Housing Programs and options Avoiding scams, starting up utilities Housing continues to be a significant challenge for young adults as they emancipate. There is an increase in need for housing to serve those young adults opting out of extended foster care and for those youth who have their AB12 services terminated due to non-compliance prior to age 21. ILSP maintains its efforts to develop alternative to THP housing options in the community through collaborations with community based organizations, faith based organizations and individual citizens whom are willing to offer support (i.e. room for rent). The constant goal in this area is to develop more permanent housing options for foster youth. ILSP has established connections with the Housing Authority and receives Section 8 lists when they become available so that ILSP participants can apply. ILSP staff assists youth in applying for these opportunities. Housing opportunities and Section 8 Openings are posted on the ILSP website and Facebook pages and sent to youth and social workers via email. Contra Costa County continues to coordinate services from multiple transitional housing programs and resources. ILSP has established specialized relationships and collaborations with the following agencies to provide a seamless transition upon emancipation from foster care: East County Faith-Based Resources. ECFBR offers full kitchen kits to youth moving into their own apartments. Each youth receives a pot and pan set, kitchen utensils, kitchen towels, pot holders, knife block, silverware, 20 piece dish set. Interfaith Coalition. This program provides gently used furniture to young adults within ILSP who are moving into their own house or apartment. Youth apply through ILSP and ILSP helps deliver the furniture to the youth. Safe Time (Host Home NMDs). This program has host homes that have provided temporary housing to ILSPs non-minor dependents (NMD) and emancipated youth who are at risk of homelessness or are experiencing homelessness.NMDs/emancipated youth must be sober and able to pass a background check.They guest with a family at no cost for a small number of months until a more permanent housing solution is established. Uplift Family Services (THPP, THP+FC). Uplift is a scattered-site housing program with over 50 furnished apartments that house THPP program (16-17.9 yrs.) and THP+FC (18-21) participants. They have 5 on-site monitors who meet with youth weekly (THPP, THP+FC, THP Plus) and check in on them daily (only THPP). Youth are assisted in learning life skills necessary to live independently in an apartment setting. They learn money management, cooking, shopping smart and bill paying techniques. They also August 14, 2018 BOS Minutes 597 assist youth in learning how to resolve roommate problems. They are unique in that they have a Tier 2 in their THP+FC program with a flexible roommate option and one bedroom unit option. First Place for Youth (THP+FC, THP Plus). FPFY is a scattered-site housing program that has a THPP program as well as a THP+FC and a limited THP Plus program (24 month program for emancipated youth over 18).They employ youth advocates who work with youth weekly in the areas of employment, education, housing and healthy living while they are residing within their program.They conduct roommate meetings to discuss any issues between participants. Lutheran Social Services (THP+FC, THP Plus). LSS has a single-site housing program located in Concord, CA. They have a single-site THP Plus home that houses 6 emancipated foster youth (18-24 yrs.) They have an on-site monitor at the home who meets with youth regularly. They assist youth in meeting their goals in employment, education, and housing. EA Family Services (formerly Environmental Alternatives) (THP+FC). For youth to be referred to this program they must have the highest level of independence.Youth find their own apartments with assistance from EA that meet with the EA standards.The youth’s name is on the lease so that they can take over the apartment fully upon attaining the age of 21 if they so desire.The youth has a social worker who meets with them weekly or bi-weekly depending on the youth’s schedule and need.Youth are responsible to pay their own rent and utilities with the stipend provided by the program.Youth learn to budget and save money, how to handle landlord/tenant issues, how to apply for apartments, how to search for resources.Youth can live with another eligible youth or with a roommate of their choosing providing they can pass the mandatory background check and provide verification of their ability to share equally in maintenance of the rent, utilities, etc. Pomona Apartments (THP Plus Program). Pomona Apartments in Crockett is a 24 month transitional living program for homeless youth ages 18-24, including those exiting foster care, who need mental health services and support as they transition into adulthood. Pomona Apartments is on a large property with small bungalows. Up to 8 residents receive guidance and support from a personal service coordination team that prepares each youth in their movement towards wellness and greater self-sufficiency. Appian House (THP Plus Program). Appian House is a 6 bed transitional living program for foster youth who have emancipated from the foster care system. Youth ages 18 through 21 are eligible for entry into the program and may stay 18 to 24 months. Staffed 24 hours a day, residents are provided guidance and support to develop life skills, to address their health needs, and sustain long-term housing. They team with BH Mental Health, Eastbay Works, and Richmond Works. ILSP Pillar- Employment ILSP has provided support and training to all eligible foster youth in the following areas: Where and how to find employment, on-line application processes, resume and cover letter writing, soft skill mastery, understanding employment terms and laws, how to ace the interview, dress for success, how to leave your job on a positive note. We assist youth one on one in creating resumes and cover letters or updating current resumes. ILSP has been partnering with the Workforce Development Board of Contra Costa County to deliver employment services to eligible foster youth through the Workforce Innovation and Opportunity Act. ILSP refers youth to participate in the Earn and Learn Summer Employment Program. ILSP has established specialized relationships and collaborations with the following agencies to provide a seamless transition upon emancipation from foster care: Community Health Care District. The East County Youth in Transition Committee comprised of Uplift Family Services, The Contra Costa County Office of Education Foster Youth Services and The Contra Costa County Children and Family Services' Independent Living Skills Program has been partnering with the Los Medanos Community Healthcare District since 2011 to provide summer internships for youth August 14, 2018 BOS Minutes 598 transitioning out of the foster care system. The Internship is designed to provide valuable employment skills to the youth participants. Youth work in groups and learn public speaking skills and they conduct research on health care issues identified by the Los Medanos Community Healthcare District. This summer will be the seventh year of this award winning internship. WIOA (Workforce Innovation and Opportunity Act). WIOA operates 2 programs designed to provide employment support to youth. One is the In-School program for youth who are currently enrolled in school and their Out-of-School program for those who are not. Twenty percent of the caseloads of the WIOA programs are slated for foster youth. ILSP makes direct referrals and WIOA case managers attend ILSP workshops to recruit eligible youth. Opportunity Junction. This program provides computer skills training, employability skills, case management, employment placement assistance and paid work experience. ILSP directly refers youth to this program that provides 12 weeks of full-time training and job placement assistance. ILSP Pillar- Education It is well documented that foster youth are under-educated, lack basic educational skills and often drop out of high school. ILSP supports and encourages foster youth to stay in school through curriculum that motivates youth to strive towards graduation, pursue a higher education and embrace learning as a lifelong process. ILSP maintains collaboration with the County Office of Education and Mt. Diablo Foster Youth Services to create resources and support to youth in need. In addition, we are embarking on a partnership with FosterEd, West Contra Costa Unified School District and the Contra Costa County Office of Education to create a demonstration site that serves youth in the foster care system. FosterEd is a National Center for Youth Law initiative aimed at improving the educational outcomes of system-involved youth. This past year, one hundred and twelve participants graduated from high school and eleven graduated from college. All of the graduates were honored at the 30th Annual ILSP Recognition Event where fifty-three scholarships totaling over seventy thousand dollars, were awarded. ILSP provides the following trainings and events to foster youth with a concentration on Senior Youth, to better prepare them for post-secondary education: Scholarship Workshop Financial Aid Workshop Preparing Personal Statements Navigating the Community College System College Campus Tours Understanding the FAFSA, Chafee Grant and Board of Governor’s Fee Waiver Senior Night Workshop College Luncheon Understanding the UC and the CSU system ILSP has established specialized relationships and collaborations with the following agencies and colleges to provide a seamless transition upon emancipation from foster care: Discovery ChalleNGe Academy. This program is run by the National Guard. They provide residential educational credit recovery. Youth live on site at their facility in Lathrop, CA. It is a highly structured program for youth between the ages of 16-18. Youth cannot turn 19 before the start of the program). They serve youth that are at risk of dropping out and are credit deficient. They enhance life skills, education levels and employment potential. They are a 5 month program that assists youth in attaining their HS Diploma or GED or assist in returning to high school to complete with their graduating class. Youth must want to attend. August 14, 2018 BOS Minutes 599 Youth Development Services. YDS collaborates with ILSP to provide services to ILSP youth who are experiencing barriers and need support to finish high school or pursue employment. They are grant funded by the Contra Costa County Office of Education. Los Medanos Community College. A “Student Connection Team” was developed to provide youth with a direct contact person within each department on campus, giving them a person to connect with while navigating the community college system. ILSP East County Life Skills trainings are held on campus once per week, exposing youth to the college environment. Tours and information about the various programs and areas of study at Los Medanos Community College are included as a part of the Life Skills Curriculum. Presentations from departments are held as often as possible. Job Corps – Treasure Island. ILSP continues to maintain a relationship with Job Corps, one of the largest career technical training and education programs in the nation for students ages 16 through 24. Job Corps provides hands on training in careers such as the Culinary Arts, Construction, Healthcare, Security and Protective Services. Housing, meals and basic medical care are afforded to our youth through the course of the program. ILSP is offered site visits for youth who are interested in enrolling at Job Corps and priority opportunities have also been made available to ILSP youth. Under AB12, this is an approved Supervised Independent Living Placement (SILP) for our young adults. Sierra College. The Sierra College provides foster youth various programs, inclusive of an on-campus housing option. Programs such as the TRiO program, Umoja, Puente, First Year Experience, EOPS and CARE have proven to benefit ILSP youth. Our continued relationship has nurtured a priority enrollment and registration into these programs. Several times per year, ILSP takes appropriate youth to the campus for tours, assessments and introductions of the services available to them. College Counselors are on site during these presentations and financial relationships are in place to assist our youth with securing housing/dorm deposits should they choose to attend Sierra College. Under AB12, this is also an approved Supervised Independent Living Placement (SILP) for our youth. ILSP has developed relationships with the following agencies and organizations to better serve our foster youth and to support programs and events: The Assistance League of Diablo Valley. ILSP has collaborated with the Assistance League of Diablo Valley to develop a Senior Sponsorship Program as well as various scholarships for our youth. The Senior Sponsorship Program is designed to financially assist graduating seniors with the expenses for typical events during their Senior Year in High School. The program funds such things as senior pictures, yearbooks, prom tickets, cap/gown expenses, graduation announcements, as well as laptop/tablet purchases. This past year, 25 ILSP participants were sponsored $400.00 each totaling $10,000.00. In addition, the Assistance League provides each emancipating youth with an “On Your Way” Duffle bag filled with various household products and basic necessities to assist them as they progress into adulthood. Volunteer Emergency Services Team In Action, Inc. (VESTIA). VESTIA has served as a fiduciary agent for ILSP donations. In addition, this past year, the VESTIA Board sponsored a part of the expenses for the 30th Annual Recognition Event held to honor graduating seniors. The VESTIA scholarship committee awarded eleven (11) scholarships totaling $11,000.00 that evening. We receive items for our onsite Food Pantry, donated clothing for our onsite clothes closet and school supplies for our youth as often as needed. The Orinda Woman’s Club. The Orinda Woman’s Club has provided scholarships annually to our graduating seniors. This past year, 8 youth benefited from a total of $8,000.00 in scholarships towards their college education. Honorable Judge Lois Haight Foster Youth Foundation. In 2001, Honorable Judge Lois Haight established a foundation specifically to serve our population of youth and has since provided hundreds of scholarships to our youth in excess of $440,000.00. This past June, she presented twenty (25) scholarships totaling $25,000.00 to seniors of the class of 2018. August 14, 2018 BOS Minutes 600 The Wilhelmina Johnson ILSP Youth Award. Wilhelmina Johnson was an avid youth advocate, social worker and program analyst who dedicated 24 years to Contra Costa County youth and was instrumental in the establishment of Contra Costa County’s Independent Living Skills Program. She believed that every youth deserved a chance regardless of their background. ILSP honors youth who have demonstrated the ability to overcome significant barriers and achieved personal growth with this scholarship each year. Foster A Dream. ILSP collaborates with Foster A Dream to host the annual Holiday Network Event as part of the Well-Being Pillar. In addition, Foster a Dream has provided our youth with backpacks containing school supplies during our Fall Retreat Kick-off Event. Foster A Dream also provides scholarships to graduating seniors each year. Free Senior Portraits by Suzy Todd Photography. Suzy Todd approached ILSP several years ago and offered her professional services to ILSP seniors. She wanted to give back and does so by providing seniors with free senior portrait packages valued at $300 each. The Secret Elves. During the Holiday season, ILSP hosts a Holiday Social event for our youth to provide them with donated gifts from the Secret Elves. The Secret Elves have provided gifts that teens are able to enjoy during the holiday season. This past year, The Secret Elves provided each youth a ukulele and lessons on how to play one. In addition, youth were given gift cards to purchase a personal item of their choice. Friends of ILSP. “Friends of ILSP” is an informal group of ten members of the Philanthropic and Educational Organization that provides scholarships and financial assistance to ILSP graduates. This organization is providing scholarship monies to upcoming or former graduates of the Independent Living Skills Program that wish to or are pursuing higher education or certification from a trade school. Applications are accepted throughout the school year and contact by this organization is ongoing. They provide birthday and holiday cards and frequent contact throughout the year to let our young adults know that they are cared for. ILSP Well-Being Youth in foster care often do not experience childhood in the way most children who live with their families of origin do. They have suffered child abuse and neglect, been removed from their families and many older youth spend the remainder of their childhood moving from home to home. The foster care system is designed to fund board and care and basic needs, but not necessarily extra-curricular activities such as participating in sports, arts, birthday parties, spending the night at friend’s homes, etc. They are in turn exposed to the sub-culture of foster care. They learn the survival skills needed to cope with placement changes, rejection from resource parents, and the grief of not being with their families. Instead of developing positive social skills, for instance, some are learning to cope with living in a group setting with other foster youth who are struggling with their own issues. ILSP provides activities and supportive services to help encourage positive social development and exposure to typical child hood activities. Through a variety of excursions such as outings to baseball and football games, field trips to beaches, bike riding, ski trips and water rafting, foster youth are able to experience fun activities that a typical teenager might, but are also mentored in developing positive social skills and are further engaged in the ILS program. The State of California Department of Social Services has emphasized the importance of supporting the well-being of foster youth and ILSP is the perfect mechanism to provide this intervention. The ILSP staff is trained in an approach called Positive Youth Development. This approach enables them to engage youth and motivate them to strive to improve their lives and grow into happy and healthy adults. Some of the events and excursions provided to youth: Yosemite Exploration Excursion - Youth learn conservation and appreciation of nature and its resources. Youth go on hikes, swimming and park ranger led tours. The youth learn to cook, clean and plan for daily trips. They make snacks, take pictures and create memories. August 14, 2018 BOS Minutes 601 Sea Kayaking - Youth go to Tomales Bay and kayak in pairs with staff. They prepare snacks and learn water safety and conservation. They learn teamwork and problem solving. Local sporting events - Youth attend local sports team events as a group when ILSP receives donated tickets. They learn to take public transportation out of their area and how to plan to arrive and depart on time. Monterey Bay Aquarium - Youth learned about conservation of the earth’s resources. They learn about local wildlife and fauna. ILSP has established specialized relationships and collaborations with the following agencies to provide a seamless transition upon emancipation from foster care: First Hope Early Identification and Intervention to Prevent Psychosis Program. This is a Mental Health Services Act Prevention and Early Intervention Program of Contra Costa County Behavioral Health Services. The mission of the First Hope program is to reduce the incidence and disability of psychotic illnesses through early identification of young people between ages 12 and 25 living in Contra Costa County, who are at risk for or showing early signs of psychosis. They engage and rapidly treat youth identified as "at-risk," while maintaining progress in school, work and in social relationships. ARM of Care. Arm of Care uses the Creative Arts to restore and empower individuals who have been exploited through human trafficking.Arm of Care has been providing creativity workshops and events to ILSP youth to help them express themselves and promote healing. Contra Costa County CASA Organization Sexual Reproductive Health Care Initiative. The goal of this collaboration is to provide education to both our foster youth as well as the many adults who play a key supporting role in their lives on topics related to sexual and reproductive health care in order to prevent unintended pregnancies among foster youth (separate trainings will be provided for adults and foster youth). Adults will learn how to communicate with youth about these topics. After completing the trainings youth are invited to schedule an appointment at a Planned Parenthood center in Contra Costa County and receive individual private counseling. At the completion of their visit, they will each receive a $50 gift certificate just for attending the appointment. VESTIA Clothing Closet. Volunteers Emergency Services Team in Action provides on-going donations of hygiene kits and age appropriate donated clothing, accessories and shoes for the ILSP Clothing Closet. One Closet. This youth run organization collects and donates clothes from teens, for teens. ILSP puts in requests for types of clothing needed and One Closet delivers boxes of clothing meeting those requests. Project Linus. This program provides blankets to foster youth within our program. They have customized their donations in regards to the size of the blankets. Blankets for our program are more appropriate in size and design for teen and young adult youth. Community Violence Solutions. CVS provides support and services to youth who have experienced abuse or assault.They have been providing support to foster youth who have experienced Commercial Sexual Exploitation or abuse at the hands of a significant other. ILSP - Aftercare Each year, 100-150 foster youth are eligible to age out of foster care at age 18 or 19 years old. If they choose to emancipate out of foster care, then at that point, they are on their own to support themselves. Some foster youth are fortunate to remain with their resource parents or relatives; other youth are able to participate in a Transitional Housing Program, but most of them will struggle once they leave the system. The funds provide supportive services to emancipated foster youth up to age 21 years old. The August 14, 2018 BOS Minutes 602 needs of emancipated youth are severe. They often call in crisis, homeless and in need of basic necessities such as transportation, food and shelter. The Aftercare program provides emancipated foster youth as well as Non Minor Dependent young adults living under AB12 regulations supportive housing, employment, educational, and crisis services. ILSP has established specialized relationships and collaborations with the following agencies s to provide a seamless transition upon emancipation from foster care: Calli House. A shelter/program that is available 24 hours/day and the program is a safe haven off the streets. During the day, food, clothing, showers, crisis intervention, counseling, life skills education, peer-led support groups, and case management is provided. In the evening, there are currently 15 beds for youth ages 18-21. Calli House also partners with: Mental Health, HCH, WCCUSD, and Community Violence Solutions. Emancipated youth who are eligible for re-entry into extended foster care will automatically be referred to an attorney that can assist with Re-Entry. AB12 eligible youth will also be paired with a case manager who will assist with identifying possible future housing options. Some of the ILSP resources for after care include: ILSP Pantry. The ILSP office provides a food pantry for youth who are homeless or struggling financially by providing non-perishable food as well as listings for local food pantries. Staff meets with youth to discuss strategies for managing finances to budget for food. ILSP Shower. The ILSP office has a shower installed to assist those youth who have chosen not to participate in extended foster care or have had their cases closed due to non-compliance with AB12 requirements. They are able to shower in the ILSP facility and choose clothing from the ILSP Clothing Closet. ILSP Clothing Closet. ILSP provides a clothes closet for in-care and emancipated foster youth. All items are donated by other organizations and are free to youth. The closet has both casual and business attire and accessories. Leadership Development ILSP promotes the development of leadership in foster youth. Whenever possible, emancipated foster youth are invited to share their experiences with ILSP youth and to facilitate workshops or trainings. In addition, ILSP promotes participation and support of the Contra Costa County California Youth Connection (CYC) chapter. CYC is a statewide advocacy organization specifically geared towards developing leadership in and advocacy skills to engage foster youth with policy makers to improve the foster care system. CYC is mainly responsible for all of the positive legislative changes impacting the child welfare system. Additionally, each year ILSP prepares foster youth to participate in a leadership group called the Speaker’s Bureau. These youth are trained in public speaking and work with ILSP to speak to community groups, advocate for legislation at the State Capitol and be the Youth voice in the child welfare system. This past year, our local chapter of CYC received the Local Issue Award for bringing healthy eating awareness to our local group homes and for hosting the Iron Chef Challenge, which paired our participants with care providers who prepared a nutritious meal under the training and supervision provided by Chef Cindy Gershen’s team at Mt. Diablo High School’s Sustainable Hospitality Program. Summary/Conclusion Youth who emancipate from foster care are expected to become self-sufficient by age of twenty-one. This entails the ability to maintain stable housing, maintain employment, and maintain one’s physical August 14, 2018 BOS Minutes 603 and mental health. Research on the outcomes of emancipated foster youth indicates that this task is difficult for this population. Rates of homelessness for emancipated foster youth have been found to be as high as 42% and housing moves are generally related to poverty and lack of stable family relationships. Foster youth also have high rates of incarceration, especially when they have experienced multiple placements and time in the foster care system. ILS programs have been implemented by Child Welfare programs in order to help prevent these negative outcomes. The Contra Costa County CFS ILSP has upwards of 800 eligible youth each year and endeavors to provide resources in collaboration with the foster care system. Much of the work of the ILSP Coordinators and staff is spent cultivating collaborative partnerships with community based organizations and other foster youth serving groups. Their expertise in engaging youth and motivating them to stay in school, graduate, and obtain life sustaining employment is critical. ATTACHMENTS ILSP Powerpoint 7-23-18 August 14, 2018 BOS Minutes 604 Moving the agency in a positive direction with regards to helping families become stronger so they can care for their children, helping family be able to care for children when their parents cannot, and to create and maintain a workforce committed to excellence. 1 2017/2018 PROGRAM REPORT FAMILY AND HUMAN SERVICES’ COMMITTEE July 23, 2018 August 14, 2018 BOS Minutes 605 The Forward Movement of Children & Family Services Service Delivery to strengthen families in the community •Prioritizing Staffing •Ombudsman specific for CFS •Caregiver Liaison •Mental Health Navigator •Safety Organized Practice (SOP) •Children’s Leadership Team (CLT) •The County Culture Workgroup •Intensive Family Services (IFS) •Structured Decision Making (SDM) •Resource Family Approval (RFA) •Continuum of Care Reform (CCR) •Continuous Quality Improvement (CQI) 2 August 14, 2018 BOS Minutes 606 •Programming to support foster youth age 16 to 21 years old to become self-sufficient through skill building, supportive services and positive youth development. •Funding and services expanded to State and Federal government via the John H. Chafee Foster Care Independence Act in 1999. •Assembly Bill 12, the California Fostering Connections to Success Act allows young adults to be provided transitional support to age 21 to ensure the necessary skills to survive on their own. 3 August 14, 2018 BOS Minutes 607 The Independent Living Skills Program “Our vision is to move every youth from stagnation to motivation, from limitations to possibilities; from dependency to self-sufficiency; from the past to the FUTURE.” 4 August 14, 2018 BOS Minutes 608 •Children who have been removed from their family’s custody due to neglect and abuse. •Children who have not reunified with their family nor have they found a permanent home (i.e. adoption) •Children who may have grown up in foster care or just entered as adolescents. •Youth who have a Placement Order through the Juvenile Probation Department at the age of 16. 5 August 14, 2018 BOS Minutes 609 6 Children who emancipate from the foster care system face higher rates of: •Unemployment •Lower Educational Attainment •Incarceration •Dependence on public assistance •Substance abuse •Early parenting •Homelessness •Increased Health and Mental Health problems •Other high-risk behaviors August 14, 2018 BOS Minutes 610 •Staff consists of an ILSP Coordinator, Assistant Coordinator and 5 Program Specialists •Serves all foster youth from Contra Costa County, including youth from other counties placed in Contra Costa County •ILSP Youth Center opened in 2001 •Collaborative Partners include: CCC Office of Education The Assistance League of Diablo Valley CCC Community College District The Orinda Woman’s Club Wellness City Challenge Bay Area Community Resources Job Corps –Treasure Island The Secret Elves Suzy Todd Photography Arm of Care, Inc. Friends of ILSP Organization Foster A Dream The Los Medanos Community Healthcare District Honorable Judge Lois Haight Foster Youth Foundation CCC Workforce Development Board Youth Council –WIOA Volunteer Emergency Services Team In Action (VESTIA) iFoster Jobs Program Discovery ChalleNGe Academy Sierra Community College 7 August 14, 2018 BOS Minutes 611 •ILSP spotlights four core areas called “The Four Pillars” when providing hands-on, experiential learning experiences for participants. The Four Pillars consist of Education, Employment, Housing and Well-Being. Workshops are offered in all three regions of the county (East, Central & West) to increase participation. •Aftercare program for emancipated youth/AB12 youth •Leadership Development through California Youth Connection (CYC) 8 August 14, 2018 BOS Minutes 612 9 •This past fiscal year, 640 current and former foster youth were served both individually and in group settings (i.e. workshops, classes, etc.) •159 of these youth were Non-Minor Dependents •THP+ has the capacity for 44 emancipated youth and THPP has the capacity for 24 in care youth •THP+FC is expanding as new providers are becoming certified to offer housing services to our Non Minor Dependent Population. We currently work with six licensed agencies. •112 ILSP youth graduated High School in 2018 •10 graduated college August 14, 2018 BOS Minutes 613 10 ARM of Care –CSEC August 14, 2018 BOS Minutes 614 11 August 14, 2018 BOS Minutes 615 12 California Youth Connection Day at the Capitol Conference August 14, 2018 BOS Minutes 616 Summer Network Event –WaterWorld 13 August 14, 2018 BOS Minutes 617 14 August 14, 2018 BOS Minutes 618 Los Medanos Community College -Foster Youth Education Summit 15 August 14, 2018 BOS Minutes 619 16 Transitional Housing Workshop August 14, 2018 BOS Minutes 620 17 August 14, 2018 BOS Minutes 621 18 2018 Road to the Future: Foster Care Youth Conference August 14, 2018 BOS Minutes 622 Iron Chef Youth Challenge Event 19 August 14, 2018 BOS Minutes 623 20 August 14, 2018 BOS Minutes 624 21 August 14, 2018 BOS Minutes 625 College Luncheon Event & Writing a Personal Statement Workshop 22 August 14, 2018 BOS Minutes 626 23 Healthy Relationships, Sexual & Reproductive Health Workshops August 14, 2018 BOS Minutes 627 24 August 14, 2018 BOS Minutes 628 Bear Valley Overnight Ski Trip 25 August 14, 2018 BOS Minutes 629 ILSP Senior Kick Off Event 26 August 14, 2018 BOS Minutes 630 27 August 14, 2018 BOS Minutes 631 28 August 14, 2018 BOS Minutes 632 29 August 14, 2018 BOS Minutes 633 30 August 14, 2018 BOS Minutes 634 31 August 14, 2018 BOS Minutes 635 •In the current economic climate, ILSP plays an even greater role in the lives of foster youth. •For some emancipated youth, ILSP is the only support they have in times of crisis. •For youth opting to remain in foster care under AB12, ILSP will continue to provide support, direct services and resources. •ILSP addresses the social and well-being aspects of foster youth. 32 August 14, 2018 BOS Minutes 636 RECOMMENDATION(S): 1. APPROVE response to Civil Grand Jury Report No. 1809, "Community Reentry from Jail", and 2. DIRECT the Clerk of the Board to forward the response to the Superior Court immediately following Board action. FISCAL IMPACT: No fiscal impact. This is an informational report. BACKGROUND: On June 8, 2018 the 2017/18 Civil Grand Jury filed the above-referenced report regarding Community Reentry from Jail. The Report was referred to the County Administrator by the Board of Supervisors on June 26, 2018 for response. The County Administrator has prepared a response for consideration by the Board of Supervisors, which clearly specifies: Whether a finding or recommendation is accepted or will be implemented; APPROVE OTHER RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE Action of Board On: 08/14/2018 APPROVED AS RECOMMENDED OTHER Clerks Notes: VOTE OF SUPERVISORS AYE:Candace Andersen, District II Supervisor Diane Burgis, District III Supervisor Karen Mitchoff, District IV Supervisor Federal D. Glover, District V Supervisor ABSENT:John Gioia, District I Supervisor Contact: Timothy Ewell, (925) 335-1036 I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown. ATTESTED: August 14, 2018 David J. Twa, County Administrator and Clerk of the Board of Supervisors By: June McHuen, Deputy cc: C. 88 To:Board of Supervisors From:David Twa, County Administrator Date:August 14, 2018 Contra Costa County Subject:RESPONSE TO CIVIL GRAND JURY REPORT NO. 1809, "Community Reentry from Jail" August 14, 2018 BOS Minutes 637 BACKGROUND: (CONT'D) If a recommendation is accepted, a statement as to who will be responsible for implementation and by what definite target date; A delineation of the constraints if a recommendation is accepted but cannot be implemented within a six-month period; and The reason for not accepting or adopting a finding or recommendation. CONSEQUENCE OF NEGATIVE ACTION: In order to comply with statutory requirements, the Board of Supervisors must provide a response to the Superior Court within ninety days of submission of the report. CHILDREN'S IMPACT STATEMENT: No impact. ATTACHMENTS Grand Jury Report No. 1809, "Community Reentry from Jail" Response to Grand Jury Report No. 1809, "Community Reentry from Jail" August 14, 2018 BOS Minutes 638 August 14, 2018BOS Minutes639 August 14, 2018BOS Minutes640 August 14, 2018BOS Minutes641 August 14, 2018BOS Minutes642 August 14, 2018BOS Minutes643 August 14, 2018BOS Minutes644 August 14, 2018BOS Minutes645 August 14, 2018BOS Minutes646 August 14, 2018BOS Minutes647 August 14, 2018BOS Minutes648 August 14, 2018BOS Minutes649 August 14, 2018BOS Minutes650 August 14, 2018BOS Minutes651 August 14, 2018BOS Minutes652 Page 1 of 4 CONTRA COSTA COUNTY CIVIL GRAND JURY REPORT NO. 1809 "Community Reentry from Jail” BOARD OF SUPERVISORS ’ RESPONSE FINDINGS – California Penal Code Section 933.5(a) requires a response to the designated findings of the Grand Jury. F1. Currently, the County has no single data system that collects and reports on services and outcomes for both county and community agencies. A data system such as SAFE could support integrated provision of a continuum of service from intake to reentry. Response: Partially Disagree. It is true that the County does not have a single data system that collects and reports on services and outcomes for individuals from intake to reentry AND is accessible by both County and community agencies. It is difficult for one such system to be successfully deployed to meet the unique needs and missions of public and private agencies charged with varying responsibilities throughout the justice system. For example, the Jail Management System (JMS) used by the Sheriff’s Office during the intake process at booking could not be simply replaced by a module of a software system such as SAFE. Similarly, the recently deployed case management systems in the Di strict Attorney’s Office and Probation Department could not simply be replaced by a module of a software system such as SAFE. The County is working on ways that each unique data system can share information to assist with the mission of each public and community agency where appropriate. F2. Resources and Job Fairs are held at WCDF only and not at the other detention facilities, providing an opportunity for more outreach current and former inmates. Response: Agree. It is important to note that the Sheriff’s Office plans to hold a Resource Fair at the Marsh Creek Detention Facility in August 2018. The Martinez Detention Facility does not have appropriate programming space to accommodate such resource fairs. August 14, 2018 BOS Minutes 653 Page 2 of 4 F3. Since the creation of the Reentry Transition Specialist position in 2017, demand has grown from 36 enrollees to over 100. Demand for reentry services exceeds available resources. Response: Agree. It is important to note that the Reentry Transition Specialist is an employee of the Contra Costa County Office of Education and not Contra Costa County. The County has no control over the employment or activities of the Reentry Transition Specialist. F4. Recent surveys indicate that nearly 60% of inmates upon release are either homeless or at risk of homelessness, leaving them vulnerable to reoffend. The County currently has neither a plan in place nor funds allocated to address the projected 1,000 to 2,000 housing placement needed annually. Response: Disagree. The County provides a significant amount of resources for residents confronted with homelessness regardless of criminal history. For example, in fiscal year 2018/19 the County has budgeted $73.1 million in the Health Services and Employment & Human Services departments related to homelessness & housing issues, including short and long-term housing access and supportive housing programs. F5. Clean Slate is also tasked with petitioning the court for relief on the estimated 3,000 marijuana cases eligible for reduction, dismissal, or sealing of prior convictions, under Proposition 64 (the California Marijuana Legislation Initiative) enacted in late 2016. With current County staffing, Clean Slate has been able to submit only 200 petitions to the court to resolve these cases. The demand for services exceeds the currently available staffing. Response: Agree. F6. There is one social service worker in the Office of the Public Defender to serve all indigent defense cases. The demand for services exceeds the currently available staffing to address the backlog of Clean Slate reclassification cases. Response: Agree. It is important to note that Social Workers in the Public Defender’s Office do not work on Clean Slate reclassification cases. Clean Slate reclassification work is completed by attorney staff within that department. Also, the County Employment and Human Services department is the primary service provider for social services in the County. Indigent clients receiving defense counsel from the Public Defender’s Office may also seek social services from the Employment and Human Services department. August 14, 2018 BOS Minutes 654 Page 3 of 4 RECOMMENDATIONS - California Penal Code Section 933.05(b) requires a response to the designated recommendations of the Grand Jury. R1. The BOS should consider seeking funds, in time for the FY2019-2020 budget cycle, for adoption of the SAFE database system (or equivalent) countywide, for implementing, tracking, and evaluating reentry services. Response: The recommendation will not be implemented because it is not warranted or is not reasonable. As stated in our response to Finding No. 1, consolidating several unique information system s across several departments into one system to prioritize tracking of reentry programs in not feasible. The County will continue its efforts ensure that various data systems interface with one-another as needed to allow for necessary tracking and evaluation of reentry services. R2. The BOS should consider seeking funds, in time for the FY2019-2020 budget cycle, to sponsor annual or semiannual Job and Resource Fairs, modeled after the current WCDF Job and Resources Fairs, to serve those who have been released from incarceration. Response: This recommendation requires further analysis. The County budget process begins in January and concludes in May of each year. Although the Board is supportive Job and Resource Fairs, like the ones carried out at the WCDF, we must consider funding needs from across the County during the budget process. For this reason, we cannot formally commit to funding expenditure appropriations until a vote is taken on the entire budget each year. R3. The BOS should consider seeking funds, in time for the FY2019-2020 budget cycle, for additional Reentry Transition Specialists, in support of reentry programs. Response: The recommendation will not be implemented because it is not warranted or is not reasonable. As stated in Finding No. 3, the services provided by the Reentry Transition Specialist are a function of the Contra Costa County Office of Education. Although the Board is supportive the work of Reentry Transition Specialists supporting reentry programs, the County must prioritize the use of available County financial resources to first fund its own mandated functions and activities. R4. The BOS should consider requesting the Community Corrections Partnership, in consultation with the County’s Council on Homelessness, to provide a report to the BOS prior to June 30, 2019, on the housing needs of AB109 offenders and the current availability and utilization rates of AB109-related housing programs, including any relevant recommendations. August 14, 2018 BOS Minutes 655 Page 4 of 4 Response: The recommendation will not be implemented because it is not warranted or is not reasonable. The Community C orrections Partnership produces an Annual Report each year that discusses outcomes, in part, of funding initiatives to assist returning citizens with short and long-term housing. This includes AB109-related housing programs funded by the County through the Community Corrections Partnership budget. In practice, the Grand Jury’s request has essentially been implemented for the last several years and is integrated into the Community Corrections Partnership annual budget process. R5. The BOS should consider requesting the Community Corrections Partnership to develop a five-year plan, in time for the FY2019-2020 budget cycle, to provide funding for transitional housing resources to ensure that inmates released from jail do not become homeless. Response: The recommendation will not be implemented because it is not warranted or is not reasonable. The County’s fiscal year 2018/19 Adopted Budget fully allocates AB109 Community Corrections Partnership revenue remitted to the County by the State and relies on a n additional $1.7 million from one-time resources to balance. It would not be appropriate to fund additional ongoing housing resources with an increased allocation of one -time funding. R6. The BOS should consider seeking funds, in time for the FY2019-2020 budget cycle, for the Office of the Public Defender to address the backlog of Proposition 64 marijuana cases eligible for reduction, dismissal, or sealing. Response: This recommendation requires further analysis. The County budget process begins in January and concludes in May of each year. Although the Board is supportive the Public Defender addressing the backlog of Proposition 64 marijuana cases eligible for reduction, dismissal or sealing, we must consider funding needs from across the County during the budget process. For this reason, we cannot formally commit to funding expenditure appropriations until a vote is taken on the entire budget each year. August 14, 2018 BOS Minutes 656