HomeMy WebLinkAboutBOARD STANDING COMMITTEES - 02272023 - FHS Cte Agenda PktFAMILY & HUMAN SERVICES
COMMITTEE
February 27, 2023
10:30 A.M.
To slow the spread of COVID-19, in lieu of a public gathering, the meeting will be accessible
via Zoom to all members of the public as permitted by Government Code section 54953(e).
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Supervisor Candace Andersen, Chair
Supervisor Ken Carlson, Vice Chair
Agenda Items:Items may be taken out of order based on the business of the day and preference of the Committee
1.Introductions
2.Public comment on any item under the jurisdiction of the Committee and not on this agenda (speakers may be
limited to three minutes).
3.RECEIVE and APPROVE the Record of Action for the November 28, 2022 Family and Human Services
Committee (FHS) Meeting. (Danielle Fokkema, FHS Staff)
4.CONSIDER recommending to the Board of Supervisors the appointment of Liliana Gonzalez to the First 5 seat on
the Family & Children’s Trust Committee (FACT) with a term expiring September 30, 2024 and the appointment
of Erin Cabezas to the Mental Health seat on the FACT with a term expiring September 30, 2023, as
recommended by the Employment and Human Services Department. (Laura Malone, FACT Staff)
5.CONSIDER recommending to the Board of Supervisors the appointment of Cate Burkhart to the City of
Richmond Local seat on the Contra Costa Advisory Council on Aging (ACOA) with a term expiring September
30, 2024 and the appointment of Thomas Lang to the At-Large Alternate #4 seat on the ACOA with a term
expiring September 30, 2023, as recommended by the Employment and Human Services Department. (Ana Bagtas,
ACOA Staff)
6.CONSIDER recommending to the Board of Supervisors the appointment of Sean Laurant to the Governmental
and Economic and Community Development Seat #1 of the Workforce Development Board for a term expiring
June 30, 2027, as recommended by the Workforce Development Board and the Employment Human Services
Department. (Tamia Brown, WDB Executive Director)
7.CONSIDER accepting the annual reports on the Policy Options for Protecting Youth from Tobacco Influences in
FHS Feb 23 2023 Packet Page 1 of 174
7.CONSIDER accepting the annual reports on the Policy Options for Protecting Youth from Tobacco Influences in
the Retail Environment and the Secondhand Smoke Protections ordinances, including program and funding
recommendations for cannabis education; and directing staff to forward the reports to the Board of Supervisors for
their information, as recommeded by the Health Services Department and Public Health Officer. (Sefanit Mekuria,
MD, MPH, Deputy Health Officer; and Mayra Lopez, Tobacco Prevention Program Manager)
8.DISCUSS the issues presented and the policy option recommendations from the Health Services Department
Public Health Division staff on the topic of Healthy Options at Point of Sale and DIRECT staff on the appropriate
next steps for further discussion and considerations on the topics presented. (Ali Wohlgemuth, Ingrid De Santiago,
Denise Milosevich, Mayra Lopez, and HOPS Youth Advocates)
9.CONSIDER accepting the Council on Homelessness (COH) Quarter 4 report, directing staff to forward the report
to the Board of Supervisors for their information, and consider recommending that the Board of Supervisors direct
County departments to build on partnerships created through Measure X, Homekey, and CalAIM to maximize
funding and resources to people experiencing homelessness in the County. (Jaime Jenett, Staff to the COH)
10.CONSIDER approving the 2023 Family and Human Services Committee meeting schedule, meeting format and
work plan. (Danielle Fokkema, FHS Staff)
11.The March 27th meeting is canceled. The next meeting is tentatively scheduled for March 23, 2023.
12.Adjourn
The Family & Human Services Committee will provide reasonable accommodations for persons with disabilities planning to
attend Family & Human Services Committee meetings. Contact the staff person listed below at least 72 hours before the
meeting.
Any disclosable public records related to an open session item on a regular meeting agenda and distributed by the County to a
majority of members of the Family & Human Services Committee less than 96 hours prior to that meeting are available for
public inspection at 1025 Escobar St., 4th Floor, Martinez, during normal business hours.
Public comment may be submitted via electronic mail on agenda items at least one full work day prior to the published meeting
time.
For Additional Information Contact:
Danielle Fokkema, Committee Staff
Phone (925) 655-2047, Fax (925) 655-2066
Danielle.Fokkema@cao.cccounty.us
FHS Feb 23 2023 Packet Page 2 of 174
FAMILY AND HUMAN SERVICES COMMITTEE 3.
Meeting Date:02/27/2023
Subject:Record of Action for the November 28, 2022 Meeting
Submitted For: FAMILY & HUMAN SERVICES COMMITTEE,
Department:County Administrator
Referral No.: N/A
Referral Name: N/A
Presenter: Danielle Fokkema, Sr. Deputy County Administrator Contact: Danielle Fokkema, (925) 655-2047
Referral History:
County Ordinance requires that each County body keep a record of its meetings. Though the record need not be
verbatim, it must accurately reflect the agenda and the decisions made in the meeting.
Referral Update:
Attached is the record of action for the November 28, 2022 Family and Human Services Committee meeting.
Recommendation(s)/Next Step(s):
RECEIVE and APPROVE the Record of Action for the November 28, 2022 Family and Human Services Committee meeting,
including the Assisted Outpatient Treatment Program presentation slides that were revised after the meeting agenda publication
and as presented at the meeting.
Fiscal Impact (if any):
There is no fiscal impact.
Attachments
11-28-22 Record of Action
Updated AOT Presentation
FHS Feb 23 2023 Packet Page 3 of 174
D R A F T
FAMILY AND HUMAN SERVICES
COMMITTEE
RECORD OF ACTION FOR
November 28, 2022
Supervisor Candace Andersen, Chair
Supervisor Ken Carlson, Vice Chair
Present: Diane Burgis, Chair
Candace Andersen, Vice Chair
1.Introductions
Chair Burgis called the meeting to order at 9:01 a.m.
2.Public comment on any item under the jurisdiction of the Committee and not on this agenda (speakers
may be limited to three minutes).
No one requested to speak during the general public comment period.
3.RECEIVE and APPROVE the Record of Action for the October 24, 2022 Family and Human Services
Committee meeting.
The Committee approved the Record of Action for the October 24, 2022 meeting as
presented.
AYE: Chair Diane Burgis
Vice Chair Candace Andersen
4.RECOMMEND to the Board of Supervisors the appointment of Steven A. France to the Education &
Training Seat #1 of the Workforce Development Board with a term expiring June 30, 2026.
The Committee approved the appointments for Board of Supervisor approval as recommended.
AYE: Chair Diane Burgis
Vice Chair Candace Andersen
5.CONSIDER recommending to the Board of Supervisors the reappointment of Audra Carrion to the
At-Large 1 seat, the appointment of Shelley Clark to the At-Large 2 seat, and the appointment of
Alejandra Chamberlain to the School Representative Seat on the Family & Children’s Trust Committee
(FACT) with terms expiring September 30, 2024, and the appointment of Kirsten Rigsby to the At-Large 3
seat and the appointment of Yvonne Wadleigh to the At-Large 4 seat on the FACT with terms expiring on
September 30, 2023, as recommended by the Employment and Human Services Department.
The Committe approved the appointments for Board of Supervisor approval as recommended.
FHS Feb 23 2023 Packet Page 4 of 174
AYE: Chair Diane Burgis
Vice Chair Candace Andersen
6.1. RECEIVE and ACCEPT the recommended changes to the Council on Homelessness bylaws; and
2. RECOMMEND to the Board of Supervisors the reappointment of the following candidates for seats on
the Council on Homelessness for two-year terms through December 31, 2024:
1) Affordable Housing Developer, Iman Novin, Novin Development;
2) Behavioral Health, Margaret Schlitz, The Hume Center;
3) City Government, Teri House, City of Antioch;
4) Educational/Vocational, Alejandra Chamberlain, CC Office of Education;
5) Emergency Solutions Grant, Gabriel Lemus, Dept. of Conservation and Development;
6) Healthcare, Maria Fairbanks, Healthcare for the Homeless;
7) Homeless Service Provider, Deanne Pearn, Hope Solutions;
8) Lived Experience Seat #1, Juno (Renee) Hedrick; and
9)Lived Experience Seat #2 [pending approval by BOS of creation of the second Lived
Experience Seat through pending Bylaws revisions], Jo Bruno;
3. RECOMMEND to the Board of Supervisors the appointment of the following candidates for seats on
the Council on Homelessness for 2-year terms:
1) Veteran, Jai De Lotto, Department of Veteran Affairs;
2) Workforce Development; Janae Thomas, Swords to Plowshares; and
3) Youth, Anastasia Padilla.
4. ACCEPT the Council on Homelessness Q3 report; and
5. DIRECT staff to forward the Q3 report to the Board of Supervisors for their information, and the bylaws
revisions and seat appointments to the Board of Supervisors for their approval.
The Committee approved the recommended changes to the bylaws and directed staff to
forward to the Board of Supervisors for their approval.
The Committee approved the appointments and reappointments and directed staff to
forward to the Board of Supervisors for their approval.
The Committee accepted the Council on Homelessness Q3 report and directed staff to
forward the Q3 report to the Board of Supervisors for their information.
The Committee discussed reducing the Law Enforcement seats from two to one and
adding a seat for lived experience. Committee members also requested that attendance
records be examined for reappointments. During Public Comment there was a
suggestion that a seat be created for the voice of landlords.
Committee members requested that the Council of Homeless prepare a report in the first
quarter of 2023. The report should address the issues surrounding the Governors
funding, where resources are going for Care Courts and how landlords can partner with
the County to reduce homelessness.
AYE: Chair Diane Burgis
Vice Chair Candace Andersen
7.ACCEPT the report from the Employment and Human Services Department on Aging and Adult Services,
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7.ACCEPT the report from the Employment and Human Services Department on Aging and Adult Services,
including the Master Plan on Aging.
The Committee accepted the report and Supervisor Anderson requested that this be
brought as a Discussion Item to the full Board of Supervisors sometime in the first
quarter of 2023.
AYE: Chair Diane Burgis
Vice Chair Candace Andersen
8.ACCEPT the cumulative evaluation survey summary from the Health Services Department on
the implementation of Laura’s Law – Assisted Outpatient Treatment (AOT) program during the
period July 2020 through June 2021, DIRECT staff to forward the report to the Board of
Supervisors for their information, and DIRECT the Department to forward future survey
summaries annually and directly to the Board of Supervisors for their information.
The Health Services Department's consultant RDA Consulting presented a PowerPoint
presentation that was slightly different from the one included in the agenda packet. The
Committee accepted this but requested that the updated PowerPoint be included with
the meeting minutes.
The Committee accepted the report and approved staff forwarding it to the Board of
Supervisors for their information. The Committee approved the department to forward
survey summaries annually and directly to the Board of Supervisors for their information.
AYE: Chair Diane Burgis
Vice Chair Candace Andersen
9.The next meeting is currently scheduled for January or February 2023 on a date to be determined.
10.Adjourn
Chair Burgis adjourned the meeting at 10:59 a.m.
For Additional Information Contact:
Danielle Fokkema, Committee Staff
Phone (925) 655-2047, Fax (925) 655-2066
Danielle.Fokkema@cao.cccounty.us
FHS Feb 23 2023 Packet Page 6 of 174
Contra Costa County Assisted
Outpatient Treatment Program
FY 2020-2021 DHCS AOT Outcome Evaluation
November 2022
FHS Feb 23 2023 Packet Page 7 of 174
2
FY 2020-2021 DHCS AOT Outcome
Evaluation
Purpose of the Evaluation
• Meet state-mandated reporting requirements for AOT programs:
• CQI process to support the AOT program to meet its intended goals.
Evaluation Activities & Details
•Secondary data analysis on Pre-AOT and AOT Enrollment between
July 1, 2020 - June 30, 2021.
•BHS & MHS Data Sources:
□Referrals, investigations, & petitions
□Service utilization, jail bookings, & assessments
Enrollment & Engagement Skills & Functioning Treatment & Services Legal & Safety
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3
DHCS Changes & Other
Considerations
Changes to DCHS AOT Reporting Tool
• Updated format, distribution, & submission
• Expanded & reformatted questions
•DHCS reporting is focused on court-involved
consumer sample
Other Evaluation Considerations
•Staff turnover had implications for evaluation timing,
data, & approach
•COVID-19 impacted agency data collection processes
• Housing and employment data are self-reported
FHS Feb 23 2023 Packet Page 9 of 174
Pre-AOT Enrollment
SECTION TWO
4
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5
Referrals to AOT
Total number of people
referred to Contra
Costa’s AOT Program
during FY20-21
108
Total number of people
found statutorily
ineligible for the AOT
program during FY20-21
31
Average number of
investigation days for
prospective AOT
consumers during
FY20-21
83
(FY19-20 Total: 117)
Fiscal Year 20-21
FY20-21 Range: 2-248(FY19-20 Total: 21)
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6
FMH Investigation & MHS
Outreach
Investigation Outcome Referred
Consumers
Referred to MHS 19% (n=21)
Engaged or Re-Engaged with
other Provider or Program
26% (n=28)
Investigated and Closed 55% (n=59)
On average, the initial
outreach period was one
month (34 days) for all
consumers. At minimum,
initial outreach took two days
and at maximum, over three
months (101 days).
Fiscal Year 20-21
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AOT Enrollment
SECTION THREE
7
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8
Enrollment Status
Total number of
consumers who
received voluntary
services during FY20-21
106
Total number of
court-involved
consumers served
during FY20-21
15
Total number of
court-involved
consumers petitioned in
FY19-20 that continued
receiving services in
FY20-21
2
(FY19-20 Total: 77)
Fiscal Year 20-21
(FY19-20 Total: 9)(FY19-20 Total: 11)
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9
Hospitalizations (N=15)
Fewer court-involved consumers experienced hospitalizations during
AOT enrollment compared to pre-AOT enrollment for FY20-21.
Total number of
hospitalization days
reduced between
pre-AOT enrollment to
during AOT enrollment
for FY20-21
6.4Consumer Hospitalizations
Hospitalizations include: Detox, Crisis Residential,
Crisis Stabilization, Hospital, Inpatient, IMD, and
Skilled Nursing Facility
Pre-AOT
Enrollment
During AOT
Enrollment
Proportion of
Consumers 87% (n=13)20%
(n=3)
Fiscal Year 20-21
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10
Jail Incarcerations (N=15)
Fewer court-involved consumers experienced jail incarcerations
during AOT enrollment compared to pre-AOT enrollment for FY20-21.
Total number of jail
incarceration days
reduced between
pre-AOT enrollment to
during AOT enrollment
for FY20-21
6.4Consumer Jail Incarcerations
Pre-AOT
Enrollment
During AOT
Enrollment
Proportion of
Consumers 53%
(n=8)
7%
(n=1)
Fiscal Year 20-21
FHS Feb 23 2023 Packet Page 16 of 174
11
Employment & Housing (N=15)
Consumer Employment
Pre-AOT
Enrollment
During AOT
Enrollment
Proportion of
Consumers 7%
(n=1)
33%
(n=5)
Consumer Homelessness
Pre-AOT
Enrollment
During AOT
Enrollment
Proportion of
Consumers 40%
(n=6)
27%
(n=4)
More court-involved consumers
were employed during AOT
enrollment compared to pre-AOT
enrollment for FY20-21.
Fewer court-involved consumers
experienced homelessness during
AOT enrollment compared to
pre-AOT enrollment for FY20-21.
73% (n=11) of court-involved
consumers were housed at some
point during their AOT enrollment
in FY20-21.
Fiscal Year 20-21
FHS Feb 23 2023 Packet Page 17 of 174
12
Discussion
•The AOT Care Team collaborated to connectreferred individuals to the appropriate mental health services.
•Outreach and engagement efforts resulted inconsumers being enrolled into MHS relatively quickly.
•Fewer court-involved consumers experiencedjail stays, hospitalizations, and homelessness during AOT enrollment compared to pre-enrollment.
FHS Feb 23 2023 Packet Page 18 of 174
Thank you!
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FAMILY AND HUMAN SERVICES COMMITTEE 4.
Meeting Date:02/27/2023
Subject:
Submitted For: FAMILY & HUMAN SERVICES COMMITTEE,
Department:County Administrator
Referral No.: N/A
Referral Name: Appointments to Advisory Bodies
Presenter: N/A Contact: Laura Malone, 925-608-4943
Referral History:
On January 7, 2020 the Board of Supervisors adopted Resolution No. 2020/1 adopting policy governing
appointments to boards, committees, and commissions that are advisory to the Board of Supervisors. Included in
this resolution was the requirement that applications for at large/countywide seats be reviewed by a Board of
Supervisors committee.
The Family and Children’s Trust Committee (FACT), was established in 1982 by the Contra Costa County Board
of Supervisors to make funding recommendations on the allocation of a variety of funds for prevention and
intervention services to reduce child abuse and neglect, provide supportive services to families and children, and
promote a more coordinated, seamless system of services for families. Funding for FACT supported projects
derived from federal and state program legislation, and donations to the County’s Family and Children’s Trust Fund.
Every two years, the members of the FACT establish a series of County priorities for the use of these funds through
review of existing data and reports and by holding Public Hearings in various areas of the county. The Committee
then develops a competitive bidding process to select non-profit, community-based agencies that can best provide
the services determined to be most important. Program recommendations are made to the Board of Supervisors
which makes the final funding decisions. The Committee continues to evaluate these funded programs to ensure
continued provision of quality service and achievement of stated goals. Programs currently being supported include
countywide parenting classes, therapeutic day care for emotionally disturbed children, treatment for families, young
children and teens with both substance abuse and child abuse issues, services for homeless families, and projects to
support children whose mothers have been victims of domestic violence and sexual assault.
The FACT has up to fifteen members who are appointed by the Board and include citizens with expertise in
children’s issues, education, law, non-profit agency management, public health, and program research/evaluation.
In addition, the Director of the Child Abuse Prevention Council sits as ex-officio member of the Committee and
participates in all matters except actually voting on funding recommendations. Terms for all Commission seats are
two years.
At Large and non-District appointed seat vacancies on the FACT have been assigned for Family and Human
Services Committee review since 2003.
Referral Update:
1. The purpose of this committee is to establish priorities and make funding recommendations to the Board of
FHS Feb 23 2023 Packet Page 20 of 174
1. The purpose of this committee is to establish priorities and make funding recommendations to the Board of
Supervisors on the allocation of specific funds for the prevention/amelioration of child abuse and neglect, and the
promotion of positive family functioning. These funds include: Child Abuse Prevention, Intervention, and
Treatment funds (CAPIT) funds, (AB 1733), Birth Certificate revenue to the County Children’s Trust (AB2994),
the Ann Adler Children’s Trust funds, Community-Based Child Abuse Prevention funds (CBCAP) and other funds
as may be subsequently directed by the Board of Supervisors.
2. The FACT Committee, in conjunction with the County Administrator’s Office, performs extensive efforts to fill
its vacant seats. The recent recruitment efforts resulted in the receipt of six (6) applications, of which five (5) were
received in the last 90 days. The recruitment efforts include releasing public notices on the Employment and Human
Services (EHSD) social media sites, outreach to educational partners, outreach to CFS Community Partnership
distribution, outreach to each district Supervisor’s office and releasing public notice, inviting interested parties to
consider membership and soliciting the support of current members to outreach to potential candidates for
consideration for membership.
3. Since April 2022, the FACT Committee has been unable to meet due to lack of quorum, membership and
vacancies. As of current there are nine (9) of fifteen (15) seats vacant. Given the severity of the situation and
resulting impact to critical child abuse prevention funding and services, EHSD sought guidance from the County
Administrator’s Office (CAO) to pursue alternate committee recruitment and appointment options. CAO provided
direction to have the EHSD Director request recommendation of FACT Committee appointments/reappointments
based on review and recommendation by FACT Chair and FACT Co-Chair.
4. To ensure involvement from a voice in the community with the Committee appointments, each new applicant
was reviewed and vetted by the FACT Chair and FACT Co-Chair via an interview and evaluation process. The
FACT Chair and FACT Co-Chair provided interview and evaluation results with recommendation for applicant
appointments.
The FACT Committee met on February 6, 2023 and vetted the applicants. Each candidate has the background and
experience to support the discipline specific seat designation. After a thorough review, the Committee voted to
appoint Liliana Gonzalez to the First 5 seat and Erin Cabezas to the Mental Health seat.
Recommendation(s)/Next Step(s):
RECOMMEND to the Board of Supervisors the appointment of Liliana Gonzalez to the First 5 seat on the Family
& Children’s Trust Committee (FACT) with a term expiring September 30, 2024 and the appointment of Erin
Cabezas to the Mental Health seat on the FACT with a term expiring September 30, 2023, as recommended by the
Employment and Human Services Department.
Fiscal Impact (if any):
There is no fiscal impact.
Attachments
FHS Appointment Request Memo
Application E. Cabezas
Application L. Gonzalez
FACT Roster
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FACT ROSTER February 2023
Committee Seats (5) At-Large Members (5) District Seats (5)
1.First 5 Commission
Exp. 09/30/2024 Liliana Gonzalez
Concord, CA 94520
lgonzalez@gmail.com
2. School Representative
Exp. 09/30/2024
Alejandra Chamberlain
Pleasant Hill, CA 94523
achamberlain@cccoe.k12.ca.us
3.Child Development
Early Childhood
Education/Local Planning
Council
Exp. 09/30/2022
Vacant
4.Child Abuse Prevention
Council
Exp. 09/30/2023 Carol Carrillo, MSW
Concord, CA 94520
ccarrillo@capc-coco.org
5.Mental Health
Exp. 09/30/2023
Erin Cabezas
Concord, CA 94521
erin.emily.carter@gmail.com
1.Audra Carrion
Exp. 09/30/2024 San Ramon, CA 94583
audracarrion@gmail.com
2.Shelley Clark
Exp. 09/30/2024 Danville, CA 94526
sclark@westcaltech.com
3.Kirsten Rigsby
Exp. 09/30/2023
Oakley, CA 94561
P: (925) 584-9051
kirsten@vcrcbrentwoodca.org
4.Yvonne Wadleigh
Exp. 09/30/2023
San Ramon, CA 94583
yrwadleigh@gmail.com
5.Vacant
Exp. 09/30/2022
District I
Exp. 09/30/2023
Supervisor John Gioia
Demnlus Johnson
Richmond, CA 94805
johnsondemnlus@yahoo.com
District II
Exp. 09/30/2023
Supervisor Candace Andersen
Mary Flott
Alamo, CA 94507
flottmary@gmail.com
District III
Exp. 09/30/2024
Supervisor Diane Burgis
Pa’tanisha Davis
Brentwood, CA 94513 pat@keycounselpc.com
District IV
Exp. 09/30/2023
Supervisor Ken Carlson
David Leimsieder*
Walnut Creek, CA 94596
djliemer05@gmail.com
District V
Exp. 09/30/2023
Supervisor Federal Glover
Ani Pereira-Sekhon**
Lafayette, CA 94549
bernadettepereira@gmail.com
*Chair
**Co-Chair
Staff to FACT
Laura Malone
40 Douglas Drive
Martinez, CA 94553
O: (925) 608-4943
malonl@ehsd.cccounty.us
Jan Nelson
40 Douglas Drive
Martinez, CA 94553
O: (925) 608-4941
nelsojb@ehsd.cccounty.us
Reception: (925) 608-5000
DRAFT - Updated January 15, 2023
Blue Highlights represent Appointments Pending Final Approvals
FHS Feb 23 2023 Packet Page 40 of 174
FAMILY AND HUMAN SERVICES COMMITTEE 5.
Meeting Date:02/27/2023
Subject:Appointments to the Advisory Council on Aging
Submitted For: FAMILY & HUMAN SERVICES COMMITTEE,
Department:County Administrator
Referral No.: N/A
Referral Name: Appointments to Advisory Bodies
Presenter: N/A Contact: Anthony Macias, 925-602-4175
Referral History:
On January 7, 2020, the Board of Supervisors adopted Resolution No. 2020/1 adopting policy amendments governing
appointments to boards, committees, and commissions that are advisory to the Board of Supervisors. Included in this resolution
was a requirement that applications for at-large/countywide seats be reviewed by a Board of Supervisors committee.
The Advisory Council on Aging (ACOA) provides a means for county-wide planning, cooperation and coordination for
individuals and groups interested in improving and developing services and opportunities for the older residents of this County.
The Council provides leadership and advocacy on behalf of older persons and serves as a channel of communication and
information on aging.
The Advisory Council on Aging consists of 40 members serving 2 year staggered terms, each ending on September 30. The
Council consists of representatives of the target population and the general public, including older low-income and military
persons; at least one-half of the membership must be made up of actual consumers of services under the Area Plan. The
Council includes: 19 representatives recommended from each Local Committee on Aging, 1 representative from the Nutrition
Project Council, 1 Retired Senior Volunteer Program, and 19 Members at-Large.
Pursuant to the ACOA Bylaws, the ACOA may recommend for appointment up to four (4) alternate Member-at-Large (MAL)
members, who shall serve and vote in place of members (City or MAL) who are absent from, or who are disqualifying
themselves from participating in a meeting of the ACOA.
The Area Agency on Aging, the ACOA and the Clerk of the Board, using Contra Costa TV (CCTV), assisted with recruitment.
Area Agency on Aging staff has encouraged interested individuals including minorities to apply through announcements
provided at the Senior Coalition meetings and at the regular monthly meetings of the ACOA. The Contra Costa County
Employment and Human Services Department (EHSD) website contains dedicated web content where interested members of
the public are encouraged to apply. The website provides access to the Board of Supervisors' official application with
instructions on whom to contact for ACOA related inquiries, including application procedures.
Referral Update:
The Contra Costa Area Agency on Aging (AAA) recommends the following individual for appointment to the City of
Richmond Local seat assigned to the Contra Costa Advisory Council on Aging (ACOA) with a term expiring on September 30,
2024:
City of Richmond Local Seat: Cate Burkhart
Ms. Burkhart submitted an application for ACOA membership dated 10/20/22 that is provided as a separate attachment. The
Richmond City Council interviewed Ms. Burkhart on 11/15/22 and they recommended that she serve as the City of Richmond
representative on the Contra Costa Advisory Council on Aging (ACOA).
The Contra Costa Area Agency on Aging (AAA) recommends the following individual for appointment to the At-Larrge
Alternate #4 Seat assigned to the Contra Costa Advisory Council on Aging (ACOA) with a term expiring on September 30,
2023: FHS Feb 23 2023 Packet Page 41 of 174
2023:
Alternate #4 Member At-Large Seat: Thomas Lang
Mr. Lang submitted an application for ACOA membership dated 11/28/22 that is provided as a separate attachment. The
ACOA Membership Committee interviewed Mr. Lang on12/21/22. The Membership Committee recommended Mr. Lang to the
ACOA Executive Committee to fill the Alternate #4 Member At-Large Seat. The ACOA Executive Committee approved Mr.
Lang to fill the Alternate #4 Member At-Large Seat at their meeting on 1/19/23. Members of the ACOA voted unanimously to
approve Mr. Lang’s appointment to the Alternate #4 Member At-Large Seat.
Recommendation(s)/Next Step(s):
RECOMMEND to the Board of Supervisors the appointment of the following individual to the Contra Costa Advisory Council
on Aging (ACOA) with a term expiring on September 30, 2024:
City of Richmond Local Seat: Cate Burkhart
RECOMMEND to the Board of Supervisors the appointment of the following individual to the Contra Costa Advisory Council
on Aging (ACOA) with a term expiring on September 30, 2023:
Alternate #4 Member At-Large Seat: Thomas Lang
Fiscal Impact (if any):
There is no fiscal impact for this action.
Attachments
ACOA Roster
Application C. Burkhart
Application T. Lang
FHS Feb 23 2023 Packet Page 42 of 174
Advisory Board Seat Title Term Expiratio Current Incumbent
Incumbent
Supervisor
District
Advisory Council on Aging Nutrition Project Council Vacant
Advisory Council on Aging At-Large 1 9/30/2024 Reed, Penny I
Advisory Council on Aging At-Large 2 9/30/2024 Krohn, Shirley IV
Advisory Council on Aging At-Large 3 Vacant
Advisory Council on Aging At-Large 4 9/30/2024 Shafiabady, Sara V
Advisory Council on Aging At-Large 5 9/30/2024 Card, Deborah V
Advisory Council on Aging At-Large 6 9/30/2024 Lipson, Steve I
Advisory Council on Aging At-Large 7 Vacant
Advisory Council on Aging At-Large 8 Vacant
Advisory Council on Aging At-Large 9 9/30/2023 Richards, Gerald V
Advisory Council on Aging At-Large 10 9/30/2024 Tobey, Terri II
Advisory Council on Aging At-Large 11 9/30/2023 Bhambra, Jagjit V
Advisory Council on Aging At-Large 12 9/30/2024 Neemuchwalla, Nuru IV
Advisory Council on Aging At-Large 13 Vacant
Advisory Council on Aging At-Large 14 9/30/2023 Yee, Dennis IV
Advisory Council on Aging At-Large 15 9/30/2024 Bruns, Mary IV
Advisory Council on Aging At-Large 16 9/30/2023 O'Toole, Brian IV
Advisory Council on Aging At-Large 17 9/30/2024 Donovan, Kevin D.II
Advisory Council on Aging At-Large 18 9/30/2024 Wener, Michael II
Advisory Council on Aging At-Large 19 9/30/2023 Kleiner, Jill II
Advisory Council on Aging At-Large 20 9/30/2024 Sakai-Miller, Sharon II
Advisory Council on Aging Local Committee Antioch 9/30/2024 Fernandez, Rudy III
Advisory Council on Aging Local Committee Brentwood 9/30/2023 Kee, Arthur III
Advisory Council on Aging Local Committee Clayton 9/30/2023 Berman, Michelle IV
Advisory Council on Aging Local Committee Concord 9/30/2023 John Haberkorn IV
Advisory Council on Aging Local Committee Danville 9/30/2023 Donnelly, James II
Advisory Council on Aging Local Committee El Cerrito 9/30/2024 Kehoe, Carol I
Advisory Council on Aging Local Committee Hercules 9/30/2024 Doran, Jennifer V
Advisory Council on Aging Local Committee Lafayette 9/30/2023 Partridge, Erin II
FHS Feb 23 2023 Packet Page 43 of 174
Advisory Council on Aging Local Committee Martinez 9/30/2023 Iorns, Jody
Advisory Council on Aging Local Committee Moraga 9/30/2023 Aufhauser, Martin II
Advisory Council on Aging Local Committee Oakley 9/30/2023 Rigsby, Michael III
Advisory Council on Aging Local Committee Orinda 9/30/2023 Evans, Candace II
Advisory Council on Aging Local Committee Pinole Vacant
Advisory Council on Aging Local Committee Pittsburg 9/30/2023 Carterelliott, Kacey V
Advisory Council on Aging Local Committee Pleasant Hill 9/30/2023 Van Ackeren, Lorna IV
Advisory Council on Aging Local Committee Richmond Pending Burkhart, Cate
Advisory Council on Aging Local Committee San Pablo Vacant
Advisory Council on Aging Local Committee San Ramon 9/30/2023 Bajpai, Swamini II
Advisory Council on Aging Local Committee Walnut Creek 9/30/2023 Freitag, Eric IV
Advisory Council on Aging Alternate Member 1 9/30/2023 Awadalla, Mike II
Advisory Council on Aging Alternate Member 2 9/30/2023 Lee, George V
Advisory Council on Aging Alternate Member 3 9/30/2023 Raju, Ramapriya III
Advisory Council on Aging Alternate Member 4 Pending Lang, Thomas
Term length: 24 months
Pending BOS Approval
Vacant
FHS Feb 23 2023 Packet Page 44 of 174
FHS Feb 23 2023 Packet Page 45 of 174
FHS Feb 23 2023 Packet Page 46 of 174
FHS Feb 23 2023 Packet Page 47 of 174
FHS Feb 23 2023 Packet Page 48 of 174
FAMILY AND HUMAN SERVICES COMMITTEE 6.
Meeting Date:02/27/2023
Subject:Appointment to the Workforce Development Board
Submitted For: FAMILY & HUMAN SERVICES COMMITTEE,
Department:County Administrator
Referral No.: N/A
Referral Name: Appointments to Advisory Bodies
Presenter: N/A Contact: Tamia Brown, 925-671-4560
Referral History:
On January 7, 2020, the Board of Supervisors (BOS) adopted Resolution No. 2020/1 adopting policy governing appointments
to boards, committees, and commissions that are advisory to the BOS. Section III.A. of this resolution states that when an
advisory body conducts interviews for at-large/countywide seats, the body's recommendation will be provided to a Board
committee for further review, along with all applications received for the applicable seat(s). In all cases, the Board Committee
decides which applicants to nominate for full Board action.
The Workforce Development Board implements federal requirements for programs to address the education, skills, and
employment needs for a skilled workforce, and that lead to an increase in the skills and earnings of Contra Costa residents.
On March 14, 2016, the Family and Human Services Committee (FHS) accepted the Employment and Human Services
Department's recommendation to decertify the then-current Workforce Investment Act local Board and re-certify a new board
structure in compliance with the new Workforce Innovation and Opportunity Act (WIOA). FHS approved these
recommendations, and the Board did the same at its March 29, 2016 meeting.
Under new standards in WIOA (2016) and as adopted by the Board on March 29, 2016, the new Workforce Development
Board structure is: a total of 23 required seats and 2 "optional seats", consisting of: 13 Business representatives, 5 Workforce
representatives, and 5 Education and Training representatives as follows: (1) Adult Education/Literacy; (2) Higher Education;
(3) Economic & Community Development; (4) Wagner Peyser representative; (5) Vocational Rehabilitation. Also two
additional/"optional" seats that may be filled from any of the 3 categories above.
Referral Update:
Local board structure and size:
Compared to predecessor legislation, the Workforce Innovation and Opportunity Act (WIOA) substantially changes Local
Board composition by reducing local workforce development board size while maintaining a business and industry majority
and ensuring representation from labor and employment and training organizations.
Category – Representatives of Business (WIOA Section 107(b)(2)(A))
Thirteen (13) representatives (52%)
Category – Representatives of Workforce (WIOA Section 107(b)(2)(A))
Five (5) representatives (20%)
Category – Representatives of Education and Training (WIOA Section 107(b)(2)(C))
One (1) Adult Education/Literacy Representative (WIOA title II)
One (1) Higher Education Representative
One (1) Economic and Community Development Representative
One (1) Wagner Peyser Representative
One (1) Vocational Rehabilitation Representative
Two (2) additional seats from the above categories, including constituencies referenced in Attachment III of Training
Employment & Guidance Letter (TEGL) 27-14.
FHS Feb 23 2023 Packet Page 49 of 174
The Workforce Development Board Executive Committee, approved on February 7, 2023 the recommended appointment of
Sean Laurant to the Governmental and Economic and Community Development Seat #1. No other candidates competed for the
seat.
Please see the attached memo and application for additional information.
Recommendation(s)/Next Step(s):
RECOMMEND to the Board of Supervisors the appointment of Sean Laurant to the Governmental and Economic and
Community Development Seat #1 of the Workforce Development Board with a term expiring June 30, 2027.
Fiscal Impact (if any):
There is no fiscal impact.
Attachments
WDB Appointment Recommendation Memo
Application S. Laurant
WDB Roster
FHS Feb 23 2023 Packet Page 50 of 174
WORKFORCE DEVELOPMENT BOARD OF CONTRA COSTA COUNTY
4071 Port Chicago Highway • Suite 250 • Concord, CA 94520
Tel. (925) 671-4560 • Fax (925) 228-0238
Website: www.wdbcc.com
MEMORANDUM
DATE: February 14, 2023
TO: Family and Human Services Committee
CC: Danielle Fokkema, CAO Sr. Deputy County Administrator
FROM: Tamia Brown, Executive Director
SUBJECT: Appointment to Workforce Development Board
This memorandum requests the Family and Human Services Committee recommend to the Contra Costa County
Board of Supervisors the appointment of the following candidates to the new WIOA compliant Workforce
Development Board of Contra Costa County.
Background:
Local board structure and size:
Compared to predecessor legislation, the Workforce Innovation and Opportunity Act (WIOA) substantially
changes Local Board composition by reducing local workforce development board size while maintaining a
business and industry majority and ensuring representation from labor and employment and training
organizations.
To meet the categorical membership percentages, the WDB recommended a board of twenty-five (25)
members. This option represents the minimum required local board size under WIOA plus an additional six (6)
optional representatives in the following enumerated categories: 1) business; 2) workforce; 3) education and
training.
Category – Representatives of Business (WIOA Section 107(b)(2)(A))
•Thirteen (13) representatives (52%)
Category – Representatives of Workforce (WIOA Section 107(b)(2)(A))
•Five (5) representatives (20%)
Category – Representatives of Education and Training (WIOA Section 107(b)(2)(C))
•One (1) Adult Education/Literacy Representative (WIOA title II)
•One (1) Higher Education Representative
•One (1) Economic and Community Development Representative
•One (1) Wagner Peyser Representative
•One (1) Vocational Rehabilitation Representative
Two (2) additional seats from the above categories, including constituencies referenced in
Attachment III of Training Employment & Guidance Letter (TEGL) 27-14.
Recommendation:
a)Recommend approval of local board candidate for the vacant board seat. (Attached application and
board roster) - Approved on February 7, 2023 at the Full Board Meeting
•Sean Laurant – Governmental and Economic and Community Development Seat #1
TAMIA BROWN
EXECUTIVE DIRECTOR
FHS Feb 23 2023 Packet Page 51 of 174
**No other candidate competed for the Governmental and Economic and Community Development Seat #1
NEW APPOINTMENT
Seat Last Name First Name Address &
District #
Term
Start Date
Term of
Expiration
District
(Resident)
Governmental &
Economic &
Community
Development
Seat # 1
Laurant Sean R. Pittsburg, CA
District # 5
3/1/2023 6/30/2027 Suisun, CA
Thank you
/rms
attachment
FHS Feb 23 2023 Packet Page 52 of 174
I Print Form I
Please return completed applications to: Contra
Costa
County
Clerk of the Board of Supervisors 1025 Escobar Street, 1st Floor Martinez, CA 94553 or email to: ClerkofTheBoard@cob.cccounty.us
BOARDS, COMMITTEES, AND COMMISSIONS APPLICATION
First Name
lsean
Home Address -Street
Middle Initial
IR I
City
lsuisun
Email Address
Last Name
ILaurant
Resident of Supervisorial District (if out of County, please enter N/ A): IN/A ----
State
ICA I
Postal Code
194585
Do you work in Contra Costa County? [Z] Yes D No If Yes, in which District do you work? lconcord
Current Employer Job Title
I District Administator I District Administator
How long have you lived or worked in Contra Costa County? IN/A ___ ___,
Board, Committee, or Commission
!Youth Committee
Seat Name
Length of Employment
120 years
Have you ever attended a meeting of the advisory board for which you are applying?
Pease check one: OYes 0 No If Yes, how many?
EDUCATION
Check appropriate box if you possess one of the following:
[Z] High School Diploma D CA High School Proficiency Certificate
Colleges or Universities Attended Degree Type/ Course of Study/Major University of North Carolina BAS
San Diego State University MA
Occupational Licenses Completed:
,--------------, ...._ __________ __,
D G.E.D. Certificate
Degree Awarded
l✓I Yes
f7l Yes□Yes
I I No
ONo □No
.-------------------, Certificate Awarded for Training? 1-----------------11 D Yes 0 NoOther Trainings Completed: _ D Yes 0 No
Do you have any obligations that might affect your attendance at scheduled meetings? D Yes [Z] No
If Yes, please explain:
Would you like to be considered for appointment to other advisory bodies for which you may be qualified? [Z]YesONo
Are you a veteran of the U.S. Armed Forces? OYes [Z] No
PAGE 1 of 3
THIS FORM IS A PUBLIC DOCUMENT FHS Feb 23 2023 Packet Page 53 of 174
FHS Feb 23 2023 Packet Page 54 of 174
FHS Feb 23 2023 Packet Page 55 of 174
FHS Feb 23 2023 Packet Page 56 of 174
FHS Feb 23 2023 Packet Page 57 of 174
BOARD MEMBERS
Public Roster
MICHAEL MCGILL JERRY L. ARANAS YOLANDA VEGA (CHAIR)
MMS Design Associates, Inc.Lam Research Peak Performance Corporate Training
President/Principal Engineer Business Manager Principal
Committee: Executive & Youth Committee Committee: Youth Committee Committee: Executive & Business & Economic Dev.
Business Seat #1 Business Seat #2 Business Seat #3
Appointment Date: 7/1/2020 Appointment Date: 7/26/2022 Appointment Date: 7/1/2020
Term End Date: 6/30/2024 Term End Date: 6/30/2026 Term End Date: 6/30/2024
TERRY CURLEY (VICE CHAIR)DOUGLAS R. LEZAMETA SARAH A. CHODAKEWITZ
Executive Vice President Founder Director, Government and Community Affairs
United Business Bank Fusion Latina Network John Muir Health
Committee: Executive & Business & Economic Dev. Committee: Business & Economic Development Committee Committee: Business & Economic Development Committee
Business Seat #4 Business Seat #5 Business Seat #6
Appointment Date: 7/26/2022 Appointment Date: 08/01/2021 Appointment Date: 6/7/2022
Term End Date: 6/30/2026 Term End Date: 06/30/2025 Term End Date: 6/30/2026
NICHOL CARRANZA VACANT ROBERT MULLER
Sr. Rep. Corporate Social Responsibility & Public Affairs Martinez Refining Company
Marathon Petroleum Corporation Learning Manager
Committee: Business & Economic Development Committee Committee: Committee: Executive & Youth Committee
Business Seat #7 Business Seat #8 Business Seat #9
Appointment Date: 6/7/2022 Appointment Date: Appointment Date: 7/11/2017
Term End Date: 06/30/2026 Term End Date: 6/30/20XX Term End Date: 6/30/2023
LAURA TREVINO - FERNANDEZ STEPHANIE RIVERA (VICE CHAIR)MONICA MAGEE
Hargrove Engineer & Contractors Lazarex Cancer Foundation Bishop Ranch
Senior Recruiter Specialist Chief Executive Officer Director of Marketing
Committee: Business & Economic Development Committee Committee: Executive & Business & Economic Dev. Committee Committee: Business & Economic Development Committee
Business Seat # 10 Business Seat # 11 Business Seat #12
Appointment Date: 7/1/2020 Appointment Date: 7/1/2020 Appointment Date: 7/1/2020
Term End Date: 06/30/2024 Term End Date: 06/30/2024 Term End Date: 06/30/2024
CORRY KENNEDY
Chevron
Human Resource Manager
Committee: Business & Economic Development Committee
Business Seat # 13
Appointment Date: 7/1/2020
Term End Date: 06/30/2024
BUSINESS SEATS
Tamia Brown
Executive Director
FHS Feb 23 2023 Packet Page 58 of 174
BOARD MEMBERS
Public Roster
THOMAS HANSEN JOSHUA ANIJAR TIMOTHY JEFFRIES
IBEW Local 302 Central Labor Council Contra Costa County BM Local 549
Business Manager Executive Director
Committee: Executive & Youth Committee Committee: Executive Committee:
Workforce & Labor Seat #1 Workforce and Labor Seat # 2 Workforce and Labor Seat #3
Appointment Date: 07/01/2021 Appointment Date: 12/10/2019 Appointment Date: 07/1/2021
Term End Date: 6/30/2025 Term End Date: 6/30/2023 Term End Date: 6/30/2025
STEVE OLDER TRACI YOUNG
Machinists Union Local 1173 Central Labor Council Contra Costa County
Area Director/Business Representative Community Services Director, Labor Liaison to UWBA
Committee: Committee: Business & Economic Development Committee
Workforce and Labor Seat #4 Workforce and Labor Seat #5
Appointment Date: 08/01/2021 Appointment Date: 08/01/2021
Term End Date: 6/30/2025 Term End Date: 6/30/2025
STEVEN A. FRANCE KELLY SCHELIN
Del Valle Education Center Contra Costa College
Director Associate Vice Chancellor, Educational Services
Committee: Committee: Business & Economic Development Committee
Education & Training Seat #1 Seat No: Business #2
Appointment Date: 12/1/2022 Appointment Date: 7/1/2020
Term End Date: 06/30/2026 Term End Date: 6/30/2024
SEAN A. LAURANT (PENDING)RICHARD JOHNSON KWAME REED
Department of Rehabilitation California Employment Development Department City of Antioch
District Administrator Employment Service/Program Manager II Economic & Community Development
Committee: Committee: Business & Economic Development Committee Committee: Executive & Business & Economic Dev.
Governmental & Eco. & Community Dev. Seat #1 Governmental & Eco. & Community Dev. Seat #2 Governmental & Eco. & Community Dev. Seat #3
Appointment Date: Appointment Date: 7/1/2020 Appointment Date: 7/1/2020
Term End Date: 6/30/20XX Term End Date: 6/30/2024 Term End Date: 6/30/2024
WORKFORCE AND LABOR SEATS
EDUCATION AND TRAINING SEATS
GOVERNMENTAL AND ECONOMIC AND COMMUNITY DEVELOPMENT SEATS
Tamia BrownExecutive Director
FHS Feb 23 2023 Packet Page 59 of 174
BOARD MEMBERS
Public Roster
LESLAY CHOY DEVONN POWERS
San Pablo Economic Development Humanity Way, Inc.
Executive Director Founder/Chief Executive Director
Committee: Business & Economic Development Committee Committee:
Flex Seat #1 Flex Seat #2
Appointment Date: 7/1/2020 Appointment Date: 12/1/2020
Term End Date: 6/30/2024 Term End Date: 6/30/2024
FLEX SEATS
Tamia Brown
Executive Director
FHS Feb 23 2023 Packet Page 60 of 174
FAMILY AND HUMAN SERVICES COMMITTEE 7.
Meeting Date:02/27/2023
Subject:Annual Updates on the Tobacco Retail License and Secondhand Smoke Ordinances
Submitted For: Anna Roth, Health Services Director
Department:Health Services
Referral No.: 112 & 82
Referral Name: Policy Options for Protecting Youth from Tobacco Influences in the Retail Environment & Secondhand
Smoke Ordinance
Presenter: Dr. Sefanit Mekuria, MD, MPH; and Mayra Lopez Contact: Enid Mendoza, (925) 655-2051
Referral History:
FHS Referral No. 112 - Policy Options for Protecting Youth from Tobacco Influences in the Retail Environment
The Board of Supervisors approved two tobacco control ordinances in July 2017 to protect youth from tobacco influences in
the retail environment: a zoning ordinance and a tobacco retailer licensing ordinance. Of particular concern were the marketing
and availability of youth-friendly flavored tobacco products, small pack sizes of cigars and cigarillos, and density and location
of tobacco retailers, since these contribute largely to youth exposure to tobacco influences and tobacco use.
The tobacco retailer licensing ordinance required extensive preparation for implementation, and tobacco retailers were required
to be compliant with the new provisions by January 1, 2018. Health Services Department Public Health staff provided a report
to the Board of Supervisors in March 2018 on preliminary implementation efforts.
In November 2019, the Board of Supervisors adopted Ordinance 2019-34 (Sale of Electronic Smoking Devices and E-Liquids
Prohibited) which increased the protections for youth from tobacco influences in the retail environment. Ordinance 2019-34
was a necessary response to an epidemic rise in youth vaping where young people were vulnerable to tobacco addiction as well
as concerns related to E-cigarette/Vaping Associated Lung Injury (EVALI). The ordinance also expanded the restrictions on
the sale of flavored tobacco in all areas of the unincorporated areas of the County, rather than just within 1,000 feet of
youth-sensitive areas.
At the October 29, 2020 Family and Human Services Committee (FHS) meeting, Public Health staff reported on the
implementation of the newly adopted Ordinance 2019-34, including information on strategies to continue tobacco retailer
licensing and businesses zoning ordinance implementation activities despite the challenges presented by the COVID-19
pandemic.
At the February 28, 2022, FHS Committee meeting, Public Health staff were directed to include in the next report, an update
on SB793/Prop 31, which is the statewide flavored tobacco ban and to provide updates on enforcement of the tobacco control
laws.
At the December 3, 2022, the Board of Supervisors meeting, Public Health staff were directed to provide recommendations on
cannabis youth education campaigns and/or programs.
FHS Referral No. 82 - Secondhand Smoke Ordinance
At the November 13, 2017 Family and Human Services Committee meeting, Public Health presented its annual report on the
implementation of the County’s Secondhand Smoke Ordinance with a recommendation that the Committee consider a proposed
ordinance to strengthen the current smoking protections to prohibit smoking inside dwelling units of multi-unit housing,
including condos and townhomes. The Committee accepted the report and recommendations, requested that language be added
to extend smoking restrictions to guest rooms of hotels and motels, and directed staff to forward those recommendations to the
Board of Supervisors for discussion and approval.
FHS Feb 23 2023 Packet Page 61 of 174
The ordinance, titled Smoke-free Multi Unit Residences, was adopted by the Board of Supervisors on March 13, 2018 with
implementation to begin for new and renewing leases on July 1, 2018, and for continuing leases and owner-occupied units on
July 1, 2019. At the request of the Board of Supervisors, Contra Costa Public Health staff provided reports in March 2018 on
preliminary implementation of the ordinances. A follow up report was later presented to the FHS in October of 2018, at which
the FHS asked Public Health staff to send a letter to each City Manager inviting them to model their own city ordinances after
the County's ordinance.
At the October 29, 2020 FHS meeting, Public Health staff reported on the implementation of the Secondhand Smoke
Protections Ordinance. The report included updates on the implementation of the Multi-Unit Housing Ordinance, compliance
challenges and the technical assistance provided to cities within Contra Costa County.
At the February 28, 2022, FHS meeting, Public Health staff reported on the implementation of the Secondhand Smoke
Protections Ordinance. The report included updates on the implementation of the Multi-Unit Housing Ordinance, compliance
challenges and the technical assistance provided to cities within Contra Costa County.
Referral Update:
Please see the attached reports and presentation materials for updates on the implementation of Tobacco Retail Licensing
Ordinance No. 2019-34 and Secondhand Smote Protections Ordinance No. 2018-07.
Recommendation(s)/Next Step(s):
ACCEPT the annual reports from the Health Services Department's Public Health Division with updates on the implementation
of the Tobacco Retail Licensing and Secondhand Smoke Protections ordinances, and DIRECT staff to forward the reports to the
Board of Supervisors for their information.
ACCEPT the following four cannabis education, outreach, and support recommendations, totaling approximately $634,225,
from the Health Services Department's Tobacco Prevention Program staff in response to the directive given by the Board of
Supervisors at their January 10, 2023 meeting, and DIRECT staff to forward the recommendations for Board of Supervisors
consideration:
Provide additional funding of $300,000 to existing intervention efforts at the school-based level;1.
Provide funding of up to $200,000 for local schools to hire restorative practice specialists;2.
Provide funding of approximately $34,225 to pilot a youth-led cannabis social media program; and3.
Provide approximately $100,000 to fund a youth town hall campaign geared towards sharing information about the
harms of youth use of cannabis with a unique view of working with ethnic media sources.
4.
Fiscal Impact (if any):
There is no fiscal impact.
Attachments
Report on the Tobacco Retailer License Ordinance Updates
Report on the Secondhand Smoke Protections Ordinance Updates
Tobacco Prevention Program Presentation Slides
FHS Feb 23 2023 Packet Page 62 of 174
To: Family and Human Services Committee, Contra Costa Board of Supervisors
From: Ori Tzvieli, MD
Health Officer, Contra Costa County
Public Health Director, Contra Costa Health Services
Re: Annual Report on the Implementation of Tobacco Retail Licensing Ordinance 2019-34
and Recommendations for Cannabis Youth Education and Outreach Campaigns
Date: 02/27/2023
I.Summary
This report provides details of tobacco enforcement of the Ordinance 2019-34, specifically
activities conducted since the last report made to this committee in February 2022. The report
includes the support provided to the surrounding cities within Contra Costa during the pas t year.
Lastly, it presents the program and media campaign options as directed by the Board of Supervisors
when they discussed and passed the resolution to repeal the Cannabis Vaping Prohibitions on
December 3, 2022, and January 10, 2023.
II.Background and Emerging Issues on Tobacco Policy National, State, and Local level
In 2009, the Family Smoking Prevention and Tobacco Control Act prohibited the sale of all
flavored cigarettes except for Menthol. In 2017 and 2019, Contra Costa’s Board of Supervisors
strengthened protections for youth against tobacco influences in the retail environment by
restricting the sale of all flavored tobacco products and vaping devices not approved by the FDA1.
In 2022, the FDA began the rulemaking process to prohibit on a national level the sale and
manufacture of menthol cigarettes and flavored cigars (See Table 1. Background on Flavored
1 Tobacco Retailer License Ordinance Background: On September 12, 2019, the Board of Supervisors directed Public Health staff to prepare policy
options that would address mounting concerns related to the rapid increase of use with electronic cigarettes by minors as wel l as the co-occurring
epidemic of serious lung disease that has been linked to the use of vaping devices. On November 18, 2019, Public Health staff provided the policy
recommendations listed below:
1.Revise Division 445-6.006 (Secondhand Smoke and Tobacco Product Control) of the County Ordinance Code to prohibit the sale of any
electronic smoking device or e-liquid that is required to obtain, but has not yet obtained, a premarket review order from the U.S. Food and
Drug Administration pursuant to the federal Family Smoking Prevention and Tobacco Control Act.
2.Revise Section 445-6.006 of the County Ordinance Code to prohibit the sale of flavored tobacco products and menthol cigarettes expanding
this prohibition to the entirety of the unincorporated county. Previously, the sale of these products was only prohibited within 1,000 feet of
a public or private school, playground, park, or library.
3.Amend Section 413-4.608 (Commercial Cannabis Health Permits) of the County Ordinance Code to prohibit the sale or delivery of any e-
liquid that contains tetrahydrocannabinol or any other cannabinoid, and to prohibit the sale or delivery of any electronic smoking device
that can be used to deliver tetrahydrocannabinol or any other cannabinoid in aerosolized or vaporized form.
FHS Feb 23 2023 Packet Page 63 of 174
Tobacco Policy). Most recently, in November 2022, California voters upheld the State law
prohibiting tobacco retailers from selling most flavored tobacco products (See Table 2. California
Prohibited Flavored Tobacco Products). The FDA has reviewed close to 1 million ‘new tobacco
product’ applications (application per product rather than per company) to assess risk and benefits
to population health. As of November 2022, the FDA issued 44 authorizations and thousands of
denial marketing orders. Additionally, the FDA is also reviewing public comments that were
submitted in August 2022 in response to the federal ban on menthol cigarettes and flavored cigars.
Lastly, due to product safety concerns and youth consumption, the FDA issued a moratorium on
the sale of all synthetic nicotine products (including Puff Bars, disposable vapes, etc.) until further
notice. In response to the Statewide flavor tobacco ban in California, since, December 2022, there
has been an increase in the retailing of “nonmenthol products.”
Year Level Prohibited Tobacco Products
2009 Federal Flavored cigarettes, except for menthol
2017 County
All flavored tobacco products, including menthol, within 1,000 ft
of any school, playground, park or library; small pack cigar sales
(no packs less than 10, unless cigar is over $5)
2019 County All flavored tobacco regardless of location; all e-cigs or e-liquids
pending FDA approval
2020 Federal Flavored cartridge-based e-cigarettes (menthol flavor exempt)
2021 Federal FDA proposes to prohibit menthol cigarettes and flavored cigars
2022 State Most flavored tobacco products (flavored hookah/shisha, pipe
tobacco, and premium cigars are exempt).
*In November 2022, The Department of Cannabis Control (DCC) issued a ban on all vaping additives including flavors that are not natural of the cannabis flower.
III.Implementation of Ordinance 2019-34 Since February 2022 Report
The Tobacco Prevention Program (TPP) facilitates the implementation of the unincorporated
County’s tobacco retail license ordinance and collaborates with the Contra Costa Sheriff’s
Department for the enforcement of commercial tobacco sales. Additionally, TPP supports all
Contra Costa jurisdictions with education to support decisionmakers with information about the
public health framework and understanding of best practices in tobacco control. This support is by
provided through tailored technical assistance, tobacco educational packets and materials, public
health law resources.
TPP partners with the Contra Costa County Business License Office and Tax Collectors Office to
educate all retailers on how to renew their tobacco business license and update them annually on
any policy changes that affect them. In May 2022, the Business License Office mailed the annual
business renewal reminder letters to 85 tobacco retailers in unincorporated Contra Costa.
FHS Feb 23 2023 Packet Page 64 of 174
In order to sell tobacco in unincorporated Contra Costa, a retailer must apply for a local tobacco
retailer license (in addition to state tobacco license). TPP oversees the tobacco retailer license
application process. TPP monitors all existing and new tobacco stores and provides education to
retailers about the everchanging tobacco policy landscape. The Sheriff's Department distributes
retailer education flyers developed by TPP during inspections to store clerks and owners.
IV.Enforcement of Ordinance 2019-34 Since February 2022 Report
In May 2022, TPP hired one staff member to focus on retailer engagement and enforcement efforts.
The Sheriff's Department is the primary enforcer of Ordinance 2019-34, though it is a
collaborative effort between the Tobacco Prevention Program staff and the Sheriff’s Tobacco
Enforcement Unit.
However, during the pandemic, the Sheriff's Department priorities shifted, and tobacco
enforcement was based on complaints from the community. During that time, several businesses
were identified as non-compliant and were found selling or intending to sell unlawful tobacco
products (including, the sale of flavored tobacco, vapes, small packs of 5 cigarillos, and single
cigarillos). In 2022 as recovery from the pandemic continued, compliance checks were allowed to
begin again. There were five inspection visits conducted in collaboration with the Sheriff’s
Department. Two compliance visits led by the Sheriff’s Department led to a retail license
suspension hearing and another compliance visit at a separate location led to an administrative
fine. TPP staff identified a need to educate enforcers on the characterization of flavored tobacco
and the County's tobacco ordinance. A need was also identified to assist the detectives in providing
appropriate resources and education to retailers during inspections visits. TPP plans to address
this matter with the development and implementation of a new inspection process to include at
minimum annual inspections which will incorporate youth decoy operations as stated in the
County's ordinance.
TPP applied for and was awarded funding in November 2022 from the California Department of
Justice, in the amount of $443,000 over three years. Programmatic deliverables include conducting
bimonthly trainings on tobacco control laws and facilitating monthly workshops with law
enforcement agencies and city staff on implementation and enforcement of tobacco control laws,
including education on characterizing flavors and distinguishing what constitutes a flavored
tobacco product. For example, there has been a rise in ‘concept’ flavors in the retail market which
has posed challenges to agencies enforcing flavored tobacco laws.
V.Technical Assistance to Contra Costa Cities
TPP Staff continue to offer comprehensive technical assistance to Contra Costa cities interested
in considering tobacco control policies that prohibit the sale of flavored tobacco products and
vaping devices.
Over the past year, the following cities have either adopted or are considered expanding their
tobacco retail control policies:
FHS Feb 23 2023 Packet Page 65 of 174
City Policy Description Date adopted/ Date effective
Brentwood Moratorium on New Tobacco
Smoke Shops, June 2022-August
2022
Effective: through August 2023
Moraga Flavor ban (NO EXEMPTIONS) Adopted: October 12, 2022 Effective:
January 1, 2023
Orinda Flavor ban (NO EXEMPTIONS) Adopted: May 3, 2022 Effective:
January1, 2023
Antioch Adopt comprehensive tobacco
retailer license with a flavors
restriction and a minimum pack
size requirement
Antioch’s City Council directed staff
to develop draft ordinance (like
County’s policy) in May 2021/ 1st
reading of TRL ordinance pending
On March 8, 2022, Antioch City
Council adopted Ordinance NO. 2206-
C-S, a
On June 14, 2022, Antioch City
Council adopted Ordinance 2215-C-S,
officially granting tobacco retailers
until December 2022before the
enforcement began. Effective date:
December 2022
Pittsburg Adopt a comprehensive tobacco
retailer license ordinance
inclusive of flavored tobacco
restrictions and a minimum pack
size requirement
On December 12, 2022, the Ad-Hoc
Committee met and directed the Public
Health Policy Consultant to create a
draft ordinance and complete a
community survey to get resident input
on this issue. Council will discuss
prioritizing TRL in March.
Danville Prohibits the sale of vaping
devices and electronic smoking
devices
February 18, 2020/
March 18, 2020
FHS Feb 23 2023 Packet Page 66 of 174
Concord Adopt comprehensive tobacco
retailer restrictions that are
inclusive of flavored tobacco
restrictions and a minimum price
Staff directed to draft ordinance.
Draft expected to be presented March
2023.
San Ramon Comprehensive tobacco retail
license with vaping sales
restrictions, minimum pack size,
minimum price, tobacco free
pharmacies, no exemptions
TPP staff provided overview of best
practices to San Ramon Teen Council
in November 2022.
Walnut
Creek
Adopt tobacco retail license with
same exemptions as SB 793
(hookah, pipe tobacco, and roll
your own tobacco leaves exempt
from flavors restrictions)
Adopted November 9, 2021
Implemented April 9, 2022
Pleasant
Hill
Adopt flavored tobacco sales
restriction and vaping device sales
ban with same exemptions as SB
793 (hookah, pipe tobacco, and
roll your own tobacco leaves
exempt from flavors restrictions)
Adopted February 7, 2022/
Implemented January 2023
Finally, the passing of Prop 31, the statewide flavored tobacco ban, requires all jurisdictions to
enforce this new law with or without a local tobacco retail license policy. Given this monumental
change in tobacco policy, providing education and support to all agencies through regular
workgroup meetings will be crucial to ensure all 19 jurisdictions in the County are well equipped
with the understanding needed to carry out enforcement of the state (and local) policies.
VI.Technical Assistance on Vaping Policies
On June 26, 2018, the Board of Supervisors adopted cannabis land use Ordinance Nos.2018- 18
and 2018-19 to regulate commercial cannabis activities and personal cannabis cultivation in
unincorporated county, including requiring land use permits to engage in commercial cannabis
activities. Considering the newness of regulating the commercial cannabis industry and the
evolving landscape of cannabis regulation, Contra Costa Health Services recommended a
cautionary approach to local regulation that emphasizes protections for consumers, the public, and
at-risk groups such as youth and individuals challenged with substance use disorders.
In November 2019, Ordinance 2019-34 was introduced and subsequently adopted amending three
sections of County code to bring alignment between County Tobacco Control Policy and Cannabis
regulation. In particular, the provision prohibiting the sale of flavored cannabis products and any
electronic smoking device that contains tetrahydrocannabinol or any other cannabinoid.
At the request of the Board of Supervisors, in May 2021 and July 2021 TPP Staff provided reports
on the Triangulum between tobacco, cannabis and electronic smoking or vape devices, current
FHS Feb 23 2023 Packet Page 67 of 174
trends in use among youth, and the negative health impacts associated with the use of vape devices,
in particularly among vulnerable populations such as underage youth.
In 2022, TPP had the opportunity to hire an intern temporarily to research cannabis ordinances
locally and nationally to determine best practices. As a result of this research the intern developed
a document entitled “Protecting Communities from Adverse Health Effects of Cannabis Products”
where the following recommendations based on the research was made.
The main finding was that legalization should not imply normalization. This can be achieved by
implementing policies that prevent aggressive marketing practices, ensuring health warning are
predominantly displayed at checkout, and not allowing consumption of cannabis at public places,
including on premises of a cannabis retailer.
With the support of the Board of Supervisors, the Contra Costa Tobacco Prevention Program
continues to advance tobacco prevention policies and responds to various requests to provide
technical assistance and work collaboratively with other public health departments on both
tobacco and the other aerosolized substances, throughout the State, including San Francisco,
Alameda, Sonoma, Santa Barbara, Los Angeles, and San Diego Counties. Technical assistance
includes sharing best practices on the adoption, implementation, and enforcement of local tobacco
prevention ordinances.
Youth, who are most vulnerable to nicotine addiction and the harmful effects of tobacco, use
tobacco at alarming rates. Contra Costa Health Services’ Tobacco Prevention Program is focused
on addressing both ongoing and emerging issues that affect youth access to and use of tobacco
products. Some of these emerging issues include the increasing co-use of tobacco with aerosolized
substances such as hemp and cannabis, the potential increased use among youth of non-menthol
cigarettes, and the lack of pro-active enforcement of tobacco policies across the county. Another
concern TPP is focused on is countering the tobacco industry’s messaging that inaccurately
promotes inhalable harm reduction/modified risk tobacco products as cessation aids. These issues
are interconnected and have direct consequences on youth tobacco use and prevention, as well as
TPP’s work.
VII.Recommendations
a.Tobacco retailers in Contra Costa must follow all state and local laws relating to the sale
of tobacco, tobacco paraphernalia, drug paraphernalia, and controlled substances. Contra
Costa has strong tobacco control policies which incorporates many components of a model
Tobacco Retail Licensing Policy. Best practices for tobacco retail license policies also
include a minimum price of $10 (per pack of cigarettes, little cigars, or cigars) and
minimum pack size of 20 little cigars/cigarillos; and prohibition of tobacco coupons and
discounting and the County’s tobacco policy currently does not include that The
availability of inexpensive tobacco products leads to increased tobacco use as evidenced
by more than 100 academic studies that conclusively show that when tobacco products are
made more expensive, fewer people use tobacco, fewer initiate tobacco use, and more
people quit tobacco use (citations 1-9, PHLC 2023). TPP asks that they be directed to
further explore the benefits of considering these provisions in Contra Costa.
FHS Feb 23 2023 Packet Page 68 of 174
b.TPP ask that staff be directed to continue to inform the FHS Committee and Board of
Supervisors of the FDA’s final decision on menthol cigarettes and flavored cigars, and to
provide updates on emerging trends in tobacco retail environment that have an impact on
youth use of vaping.
c.As has been previously mentioned in this report, TPP Staff was directed by the Board of
Supervisors when they discussed and passed the resolution to repeal the Cannabis Vaping
Prohibitions on December 3, 2022, and January 10, 2023.
The following recommendations are in response to this directive and offer four options that
TPP Staff would like to offer for consideration that support outreach and education efforts
to increase the knowledge of youth about the harmful health impacts of youth use of
cannabis products.
1.) Fund Existing Intervention Efforts at School Based Level:
TPP Staff proposes providing $300,000 in additional funds for student services to existing
programs such as TUPE to continue implementing and expanding their 1-1 brief
interventions and YVAPE, an after- school education program that serves as an alternative
to suspension, when youth are caught smoking or vaping on school campus. As highlighted
through an analysis of California Healthy Kids Survey Data, it has become cri tical to
specifically address the disparities that exist at the intersection of tobacco, cannabis, and
youth mental health. This additional funding would ensure all youth’s needs are met by
making these services available to all students on campus, along with two student
demographics, LGBTQ+ students and Non-traditional students, who have been
disproportionately affected by tobacco and cannabis use and are in need these services
more.
2.) Fund a Restorative Justice After School Program
TPP Staff proposes (1) providing funding up to $200,000 to schools to hire (3) Restorative
Practice Specialists to implement Restorative Justice Programs that focus on building a
sense of school community and resolve conflict by repairing harm and restoring positive
relationships through the use of regular coaching and “restorative circles” where students
and educators work together to set academic goals, develop core values for the classroom
community, and resolve conflicts; and (2) providing additional funding to community-
based organizations that focus on providing resources and assistance to schools to
implement alternatives to school suspensions for those students caught using or holding
vaping products.
Decades of research has shown that suspension is not an effective tool to reduce youth use
of substances like tobacco. Students who are suspended are far more likely to drop out and
get involved with the juvenile justice system. In 2011, Richmond High School in West
Contra Costa Unified School District implemented a Restorative School Discipline
Program that resulted in decreasing the school’s nearly 500 suspensions (Jan 2011) in half
FHS Feb 23 2023 Packet Page 69 of 174
by January 2012. Implementing this Restorative Justice Program would ensure the areas of
the County with the highest need for additional support are met.
3.) Fund a Countywide Cannabis Youth Social Media Program:
TPP Staff propose piloting a youth-led cannabis social media program. The program would
have 25 youth and young adult participants that meet every month virtually and in-person
to create personalized social media posts that showcase their daily lives and how they are
staying safe from the harmful effects of cannabis. The goal of the program would be to
increase knowledge, change attitudes, and increase positive behaviors among young people
aged 14 to 24 through peer-to-peer education and leading by example via social media
prevention and education messaging. Social media has become the main source of
information for many young people. TPP Staff plan to tailor education and prevention
efforts to meet the needs of youth in the community by using and meeting youth where
they are on social media.
Youth participants would be responsible for (1) attending one Creative Focus Group per
month to brainstorm themes, draft social media posts, and create monthly campaigns, (2)
attending one monthly meetup per month where they will have the opportunity to connect
with their fellow program participants, receive presentations and trainings from experts in
the cannabis prevention field, and engage in discussion regarding emerging topics related
to cannabis, (3) creating a minimum of 3 social media posts per month, and (4) planning
and hosting one workshop for the public on a topic related to cannabis prevention (e.g.
cannabis and mental health).
The pilot program would run for one year and each participant would complete a
minimum of 35 hours and up to 70 hours and receive a stipend at $15 per hour rate. A
total budget of $34,225 would be needed to run this program successfully. The budget
justification is as follows:
•Youth Stipends (70 hours x $15.50/hour x 25 YYA): $27,125
•Social Media Analytics Platform (1 year subscription): $3,600
•Workshop Venue: ~$1,000
•Honorariums for Guest Speakers and Trainers: $1,000
•Food and supplies for workshop: $500
•Youth Incentives: $1,000
TPP Staff will utilize (1) Instagram analytics, (2) Creative Focus Group discussions,
and (3) monthly feedback sessions with program participants during the Monthly Meet
Up to evaluate the effectiveness of the program on a quarterly basis to ensure program
goals are being met and changes are being implemented as needed throughout the
duration of the program.
FHS Feb 23 2023 Packet Page 70 of 174
4.) Fund Youth Town Hall –"What's Up with Cannabis Vaping?"
TPP staff propose hosting one town hall in collaboration with local partners to share insight
into what cannabis vaping looks like and its effects through the eyes of a doctor, a local
community-based organization that works with youth and 2 – 3 young people from
throughout Contra Costa County. Local media will be engaged in this effort in order to
widen the messaging about the impacts of cannabis vaping.
Youth cannabis vaping continues to be a widespread issue as the 2022 Monitoring the
Future report shared that 20.6% of 12th graders reported vaping cannabis within the past
year compared to 27.3% of 12th graders who reported vaping nicotine. Given the high rate
of cannabis vape use among youth TPP finds it to be an important time to dispel myths
around cannabis vaping and youth and propose doing so in a widely publicized town hall.
A similar town hall was conducted with the Tobacco Prevention Project in collaboration
with Full Court Press and Global Media X for $20,000 focused on elevating the social
injustices of the tobacco industry and their marketing of flavored tobacco products in two
communities. A significantly larger style campaign of $100,000 geared towards sharing
information about the harms of youth use of cannabis is being proposed with the unique
view of working with ethnic media sources.
d.Finally, TPP Staff recommends that the Family and Human Services Committee accept the
report and direct staff to continue to provide updates on implementation of the ordinance as part
of staff’s annual report on the County’s Tobacco Retail Licensing Ordinance.
FHS Feb 23 2023 Packet Page 71 of 174
Citations:
Institute of Medicine. Ending the Tobacco Problem: A Blueprint for the Nation. Washington,
DC. 2007. Available at: https://www.nap.edu/catalog/11795/ending-the-tobacco-problem-a-
blueprint-for-the-nation.
Community Preventive Services Task Force. Reducing Tobacco Use and Secondhand Smoke
Exposure: Interventions to Increase the Unit Price for Tobacco Products. 2012. Available at:
https://www.thecommunityguide.org/findings/tobacco-use-interventions-increase-unit-price-
tobacco.
Centers for Disease Control and Prevention. State Cigarette Minimum Price Laws — United
States, 2009. MMWR Morb Mortal Wkly Rep. 2010;59(13):389-392.
Chaloupka FJ, Cummings KM, Morley C, Horan J. Tax, price and cigarette smoking: evidence
from the tobacco documents and implications for tobacco company marketing strategies. Tob
Control. 2002;11(Supplement 1):i62-i72. doi: 10.1136/tc.11.suppl_1.i8
Jawad M, Lee JT, Glantz S, Millett C. Price elasticity of demand of non -cigarette tobacco
products: a systematic review and meta-analysis. Tob Control. 2018. doi:
10.1136/tobaccocontrol-2017-054056.
Centers for Disease Control and Prevention. STATE System Excise Tax Fact Sheet.
https://www.cdc.gov/statesystem/ factsheets/excisetax/ExciseTax.html. Accessed May 27,
2020. 60 Cal. Rev. & Tax. Code § 30111.
Schleicher NC, Johnson T, Ahmad I, Henriksen L. Tobacco Marketing in California’s Retail
Environment (2011–2014). Palo Alto, CA: Stanford Prevention Research Center, Stanford
University School of Medicine. 2015.
Federal Trade Commission. Cigarette Report for 2018. 2019. Available at:
https://www.ftc.gov/reports/federal-trade-commission-cigarette-report-2018-smokeless-
tobacco-report-2018.
Wang TW, Falvey K, Gammon DG, et al. Sales Trends in Price-Discounted Cigarettes, Large
Cigars, Little Cigars, and Cigarillos-United States, 2011-2016. Nicotine Tob Res.
2018;20(11):1401-1406. doi: 10.1093/ntr/ntx249
https://www.nytimes.com/2023/01/11/health/cigarettes-flavor-ban-california.html
FHS Feb 23 2023 Packet Page 72 of 174
To: Family and Human Services Committee, Contra Costa Board of Supervisors
From: Ori Tzvieli, MD
Health Officer, Contra Costa County
Public Health Director, Contra Costa Health Services
Re: Annual Report on Implementation of Secondhand Smoke Protections Ordinance 2018-07
Date: 2/27/2023
I.Summary
The Contra Costa Board of Supervisors adopted Smoke-free Multi-Unit Residences Ordinance
2018-07 on March 13, 2018, which increased secondhand smoke protections for persons and
families living within multiunit housing. Implementation of Ordinance 2018-07 for new and
renewing leases began on July 1, 2018, whereas for continuing leases and owner-occupied units,
implementation would start on July 1, 2019. This brief report is specific to the continued
implementation of the broader Smoke-free Secondhand Protections (Division 445-4) and the
modified strategies utilized to continue activities as the project continues to be impacted by the
COVID-19 pandemic.
II.Secondhand Smoke Ordinance Background
Across the State of California, and nationally, Contra Costa County continues to be recognized as
a leader in developing and implementing local tobacco control policies. The County’s secondhand
smoke protections have been updated and strengthened by the Contra Costa Board of Supervisors
for more than a decade, with additional policies being adopted in October 2009, October 2010,
April 2013, June 2014, July 2017, and March 2018.
Amendments to the County’s Secondhand Smoke policy (Division 445-4) have expanded
secondhand smoke protections and include the following: requiring all County-owned properties
be 100% smoke-free; the inclusion of electronic smoking devices and cannabis in defining
“secondhand smoke”; and the expansion of 100% smoke-free multiunit housing to include condos,
townhomes, and the guest rooms of hotels and motels.
III.Implementation of Ordinance 2018-07 Since February 2022 Report
The Smoke-free Multi-Unit Residence Ordinance 2018-07 is implemented through the activities
of the Tobacco Prevention Program (TPP) for the Public Health Division of Contra Costa Health
Services. TPP operates a secondhand smoke complaint line and provides resources and education
to community members about smoke-free multiunit housing tobacco control policies through email
and phone calls.
TPP Staff last reported to the Family and Human Services Committee in February 2022. The
following is a summary of activities conducted March 2022 through December 2022.
FHS Feb 23 2023 Packet Page 73 of 174
From March through December 2022, TPP received 53 secondhand smoke complaints from
residents and landlords within the unincorporated areas and incorporated cities throughout the
County. TPP Staff tracks secondhand smoke complaints in a spreadsheet and conducts follow-up
by phone or email within 48 hours. TPP Staff provides residents with appropriate resources such
as how to address the issue with the smoker and/or landlord, how to document smoking
occurrences, and legal options for tenants affected by secondhand smoke. For complaints within
unincorporated Contra Costa, TPP communicates with property managers, HOA, and owner-
occupied units to ensure that compliance with signage and lease addendums is being followed. On-
site compliance visits are conducted to address questions about where smoking is allowed and for
unresolved complaints. Between March and December 2022, three on-site visits were conducted.
Most complaints can be addressed with additional information provided to property managers.
However, some cases have led to tenants moving towards legal action or moving out of current
multiunit housing residence. When complaints are from incorporated cities in Contra Costa, after
GIS address verification and secondhand smoke policy review, TPP Staff provide information
about the relevant community’s policy and refer complainants to appropriate resources such as
city staff, law and or code enforcement.
As illustrated in Graph 1, of the 53 secondhand
smoke complaints received between March and
December 2022, over one third came from
unincorporated Contra Costa. The next highest
number of complaints came from the cities of
Concord, Martinez and Richmond residents
(Graph 1).
Among the complaints from unincorporated
communities, almost half were from
unincorporated Walnut Creek, with smaller
percentages from the unincorporated areas of
El Sobrante, Danville, Bay Point and Crocket
(See Graph 2).
FHS Feb 23 2023 Packet Page 74 of 174
In terms of types of SHS complaints received
March through December 2022, 57% of
complaints were for combustible cigarette
smoke, while 34% were for cannabis smoke;
9% were complaints for both cannabis and
tobacco (Graph 3).
IV.Technical Assistance to Contra Costa Cities
TPP Staff provided technical assistance to local jurisdictions to incorporate components of the
model ordinance and seeks to inform and educate those local jurisdictions that do not have tobacco
control policy so that they consider protective smoke-free multiunit dwelling policies.
Resources and downloadable smoke-free signs in four languages continue to be available on the
CCHS TPP website. The smoke-free signs highlight that cannabis, vaping, and cigarette smoke is
prohibited. Smoke free signage and decals can be provided upon request to all. The secondhand
smoke webpage had 697 page views and 539 visitors between January 1, 2022, and June 30, 2022.
TPP Staff plans to update the webpage to include additional information on other smoke-free MUH
policies throughout the county in the future. Smoke-free messages that focus on reaching residents
in unincorporated Contra Costa are posted regularly on the Tobacco Prevention Coalition ’s
Facebook and Instagram social media platforms in collaboration with TPP Staff regularly.
TPP Staff will continue to respond to requests for resources, assistance and information from
residents, property managers and owners by phone and by email. TPP Staff plans to resume
auditing and inspecting properties at random to confirm compliance with the smoke-free multiunit
housing tobacco control policies early 2022 if funding is secured for these activities.
TPP Staff provided education and resources to community members who filed complaints and
forward the complaint to the appropriate contact in those cities when possible.
Of the 19 jurisdictions, TPP Staff provided technical assistance to the cities of Pinole, Richmond,
Hercules, Concord, and Pittsburg to either adopt, implement, or enforce secondhand smoke
protection laws in their community.
V.Next Steps for Technical Assistance to Contra Costa Cities
TPP Staff will continue smoke-free efforts in 2023-2025 to help expand smoke-free protections to
residents in Antioch and Pittsburg. TPP Staff has made moderate progress to date in these
communities by informing and educating policymakers and community members on the
importance of secondhand smoke model policy and best practices.
FHS Feb 23 2023 Packet Page 75 of 174
VI.Recommendations
TPP Staff requests that the Family and Human Services Committee accept the report and direct
staff to continue to provide updates on implementation of the ordinance as part of staff’s annual
report on Contra Costa’s Secondhand Smoke Protections Ordinance.
FHS Feb 23 2023 Packet Page 76 of 174
Tobacco Prevention Program
Annual Report
Board of Supervisors
Family & Human Services Committee
2/27/2023
FHS Feb 23 2023 Packet Page 77 of 174
Mission and Vision
To educate and empower Contra Costa County
residents through community research, capacity
building, and laws to protect public health for all.
Mission
Tobacco Prevention Program
Vision
A Contra Costa free of harmful effects of tobacco
and secondhand smoke
FHS Feb 23 2023 Packet Page 78 of 174
Tobacco Prevention Program
Goals
Adopt secondhand smoke
protections throughout Contra
Costa County
Adopt comprehensive Tobacco
Retail Licensing Policies throughout
Contra Costa County
11/19 jurisdictions
14/19 jurisdictions
Utilize a community engagement
approach with a special
emphasis on youth and
multi-unit housing residents
FHS Feb 23 2023 Packet Page 79 of 174
Smoke Free Multi-Unit Housing Policy
Picture Courtesy:
CDPH
FHS Feb 23 2023 Packet Page 80 of 174
Smoke Free Multi-Unit Housing in Unincorporated County
Adopted March 2018
Update since 2022 FHS Report
Technical Assistance
FHS Feb 23 2023 Packet Page 81 of 174
FHS Feb 23 2023 Packet Page 82 of 174
Contra Costa Smoke-Free Multi Unit Housing Policies
FHS Feb 23 2023 Packet Page 83 of 174
Second-Hand Smoke (SHS) Data-
2022
FHS Feb 23 2023 Packet Page 84 of 174
Tobacco Retailer Licensing Policy
Photo: Public Health Law Center PHLC TRL Enforcement Guide FHS Feb 23 2023 Packet Page 85 of 174
Tobacco Retail Licensing Overview
Compliance
Checks
SB793
Prop 31
Technical
Assistance
Tobacco
Education
FHS Feb 23 2023 Packet Page 86 of 174
The Board of Supervisors
Adopted Ordinance 2019-34
in November 2019.
No sale of flavored tobacco (including
menthol)
No sale of e-cigarette/vaping devices
Little cigars must be sold in packs of at least 10
No new tobacco retailers within 1,000 ft of
youth
sensitive areas or 500 ft of another retailer
Cap on tobacco retailers (90)
Prohibits coupons
Ordinance 2019-34
Contra Costa County Tobacco Retail Licensing Ordinance
No new significant tobacco retailers including
smoke shops and hookah lounges FHS Feb 23 2023 Packet Page 87 of 174
Compliance
Inspection Visits:
5
1 visit led to Retail
License
Suspension
Hearing that
resulted in 21 day
suspension
1 visit led to a
Notice of Fine for
operating without
a license
3 visits led to
warnings
The Board of Supervisors
Adopted Ordinance 2019-34
in November 2019.
Sale of flavored tobacco
Sale of e-cigarette/vaping devices
Sale of little cigars in packs less than 10
Ordinance 2019-34
Tobacco Compliance Inspections
Sales to Minors
FHS Feb 23 2023 Packet Page 88 of 174
Flavored Tobacco Policy Background
2017 & 2019 2022 20222009
The Family
Smoking
Prevention
Act
Adopted
Ordinance
2019-34
Board of
Supervisors
strengthened
ordinance -
prohibiting sale
of all flavored
tobacco
products and
restricting sales
of vaping
devices
FDA began
rule-making
process to
prohibit the
sale and
manufacturing
of vaping
devices
without FDA
approval
CA voters
upheld state
law
prohibiting
tobacco
retailers from
selling most
flavored
tobacco
products
2020
FDA
prohibits
flavored
cartridge
based e-
cigarettes
(menthol
exempt)
FHS Feb 23 2023 Packet Page 89 of 174
Retailers and their employees who sell, offer
for sale, or possess with intent to sell or offer
for sale, prohibited flavored tobacco
products will be found guilty of an infraction
and fined $250 for violation of Prop 31.
**Local Enforcement Agencies determine if they
will fine $250 per product, per package/carton, or
per visit**
Proposition 31
SB 793: Flavored Tobacco
Products
FHS Feb 23 2023 Packet Page 90 of 174
"Characterizing flavor" means a
distinguishable taste or aroma imparted by
a tobacco product or any byproduct
produced by the tobacco product that is
perceivable by an ordinary consumer by
either the sense of taste or smell, other than
the taste or aroma of tobacco.
A "characterizing flavor" includes, but is not
limited to, a taste or aroma relating to a fruit,
chocolate, vanilla, honey, candy, cocoa,
dessert, alcoholic beverage, menthol, mint,
wintergreen, herb, or spice.
Concept & Characterizing Flavors
FHS Feb 23 2023 Packet Page 91 of 174
FHS Feb 23 2023 Packet Page 92 of 174
Tobacco Retail Policy Landscape per City
FHS Feb 23 2023 Packet Page 93 of 174
Health Impact of Cannabis on Adolescents
Cannabis affects the developing brain leading to potential
changes on how we feel, think, and how stress affects us
Standford Medicine-Cannabis Prevention and Awareness Toolkit, 2023
Youth "training" the brain
to get pleasure from
cannabis use & then
myelinating that, and
training the brain to also
think it's important
Use cheats brain from
improving or perfecting a
cool, new skill that fires off
dopamine naturally for
youth
Finding what naturally
releases dopamine for
each individual is key
for youth development
FHS Feb 23 2023 Packet Page 94 of 174
Recommendations for Cannabis Education
and Prevention Programs for Youth
Youth
Town
Hall
Youth
Education/
Social Media
Program
School-Based
Interventions
FHS Feb 23 2023 Packet Page 95 of 174
THANK YOU
FHS Feb 23 2023 Packet Page 96 of 174
FAMILY AND HUMAN SERVICES COMMITTEE 8.
Meeting Date:02/27/2023
Subject:Consideration for a Healthy Retail Ordinance
Submitted For: Anna Roth, Health Services Director
Department:Health Services
Referral No.: 122 - New 2023
Referral Name: Policy Options for Healthy Options at the Point of Sale (HOPS)
Presenter: Ali Wohlgemuth, Ingrid De Santiago, Denise Milosevich, Mayra
Lopez, HOPS Youth Advocates
Contact: Enid Mendoza, (925)
655-2051
Referral History:
At the May 24, 2022 Board of Supervisors meeting, Healthy Options at Point of Sale (HOPS) youth advocates presented
information and recommendations for healthy food options and condom accessibility in the retail environment of
unincorporated Contra Costa County. The presentation concluded with a unanimous Board vote to refer to the Family and
Human Services Committee the topic of Healthy Options at Point of Sale so that the Health Services Department's Public
Health Division, in collaboration with the HOPS youth advocates, could look further into the issues presented and prepare
policy or ordinance recommendations for the full Board's consideration.
Referral Update:
The policy being considered is the Healthy Retail Ordinance, which would set minimum nutrition standards for foods and
drinks at checkout, and require condoms to be available to customers without staff assistance, in food retail stores over 2000
square feet throughout unincorporated Contra Costa County.
The purpose of this policy is to address inequitable marketing and placement of unhealthy foods and drinks in the retail
environment and ultimately decrease the prevalence of diet related chronic diseases in Contra Costa County.
The secondary purpose is to address the gap in condom availability through the retail environment to mitigate the
disproportionate rates of Sexually Transmitted Infections (STIs).
Recommendation(s)/Next Step(s):
DISCUSS the issues presented and the policy option recommendations from the Health Services Department Public Health
Division staff on the topic of Healthy Options at Point of Sale;
AND
ACCEPT the reports and workplan as presented by the Health Services Department Public Health Division staff regarding its
findings and recommendations on the topic of Healthy Options at Point of Sale and DIRECT staff to forward the reports and
recommendations to the Board of Supervisors for further consideration;
OR
DIRECT staff regarding further follow up information needed for continuing the discussion at this Committee.
Fiscal Impact (if any):
There is no fiscal impact.
Attachments
Healthy Retail Staff Report
Retailer Implementation Packet
FHS Feb 23 2023 Packet Page 97 of 174
Proposal for Healthy Checkout Model Ordinance
Healthy Retail Presentation Slides
FHS Feb 23 2023 Packet Page 98 of 174
To: Family and Human Services Committee, Contra Costa Board of Supervisors
From: Ori Tzvieli, MD, Director Public Health
Re: Healthy Options at Point of Sale
Date: 2/27/23
I.Background
On May 24, 2022, Contra Costa Health Services (CCHS) and a local community organization
named Bay Area Community Resources (BACR) presented along with their youth led advocacy
team known as Healthy Options at Point of Sale (HOPS) with the prospective health benefits of a
Healthy Retail policy to the Board of Supervisors. The recommended policy would require the
placement of healthy food options in checkout queues or point of sale and make condoms
accessible without retailer assistance with the overarching goal of reducing the negative health
impacts associated with poor nutrition and sexually transmitted infections (STIs) resulting from
unprotected sexual activity.
At the conclusion of the presentation the Board of Supervisors requested that Contra Costa Health
Services staff work with BACR to further explore Healthy Retail policy options and the matter
was referred to the Family and Human Services Committee for continued discussion. This report
seeks to provide supplementary information regarding Healthy Retail health benefits and offer
considerations for action to be reviewed by this committee and the full Board of Supervisors.
II.Contra Costa Health Services Nutrition and Physical Promotion Program
The overall goal of the CCHS Nutrition and Physical Activity Promotion Program (NPAP) is to
use evidence-based approaches to reduce rates of obesity and chronic diseases associated with
poor nutrition and physical inactivity. This is accomplished through a comprehensive nutrition
education and physical activity promotion program that seeks to increase access to and the
consumption of healthy foods and water; reduce sugar-sweetened beverage accessibility; increase
opportunities for safe, physical activity; and increase food security among the most vulnerable
Contra Costa County residents. As a U.S. Department of Agriculture (USDA) Supplemental
Nutrition Assistance Program Education (SNAP-Ed) funded program, NPAP prioritizes partnering
with communities that are living <185% below the federal poverty line to support and enhance the
probability that persons eligible for SNAP will make healthier food choices and choose physically
active lifestyles as an outcome of the program’s strategies and interventions that focus on
education and training; social marketing and retailer engagement; as well as policy, systems, and
environmental changes (PSE) that make the healthy choice the easy choice.
The work developed by NPAP is guided by several public health best practices and model
frameworks that influence a person’s health within a community.
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III.Model Frameworks of Public Health
Public Health Social-Ecological Model for Food & Physical Activity Decisions
The Social Ecological Model is a guiding principle for SNAP-Ed program that demonstrates how
various influences ranging from individual factors to social and cultural norms can shape decisions
regarding physical activity patterns, food and beverage consumption, and, eventually, health
outcomes. The social-ecological model used by the USDA places individual factors such as
knowledge and taste within environmental settings (the food environment). For example, a
participant’s behavioral changes resulting from nutrition education and physical activity class
and/or workshop. Individual behaviors are then influenced within the sectors, systems,
organizations, businesses, and industries. This includes agriculture, marketing, retail, and
government influence on the food environment, which are set within social and cultural norms and
values. Within these sectors are the settings where individuals eat, learn, live, play, shop, and work.
The settings influence those individuals’ behaviors through the PSE changes.
Similar conceptual upstream frameworks, such as Bay Area Regional Health Inequities Initiative,
illustrates the connection between social inequities and health, and focuses attention on measures
which have not characteristically been within the scope of public health department epidemiology.
This framework has been used widely as a guide to health departments undertaking work to address
health inequities. Changes to public policies to improve health equity remains an important tenet
of NPAP’s work in Contra Costa County.
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IV.National and Local Health Outcomes
National and Local Rates of Adult Obesity
Over 4 out of every 10 American adults are
obese, according to a study by the CDC. 1 out of
every 10, the study says, is severely obese. This
chart shows the percentage of Americans who
are obese based on a height and weight survey.
The findings come from the Centers for Disease
Control and Prevention annual health survey
from 2017-2018, where over 5,000 U.S. adults
measured their height and weight. For 2017-
2018, the survey recorded a record 42 percent of
people within the obesity threshold, with over 9
percent within the severely obese threshold
(NHANES, 2021). These numbers are up 2
percent and 8 percent, respectively, from the
health survey of 2015-2016. According to the
CDC, obesity rates in the country have been
steadily climbing for the past two decades. In 1999-2000, the same health survey found an obesity
rate around 30 percent – much lower than the 42 percent recorded in 2017-2018 (NHANES, 2021).
Other national data from the 2017-2020
National Health and Nutrition
Examination Survey also show nationally,
41.9 percent of adults have obesity, with
African Americans adults having the
highest level of adult obesity at 49.9%,
followed by Hispanic adults with a rate of
45.6%, White adults at a rate of 41.4%, and
Asian adults with the lowest obesity rate of
16.1% (NHANES, 2021). In Contra Costa
County the obesity rate continues to rise,
with over 25% of the adult population with
obesity.
National and Local Rates of Childhood Obesity
The CDC states that childhood and adolescent (ages 2-19 years) obesity rates have reached
epidemic levels in the United States. Currently, about 17% (14.7 million) of US children and
adolescents are obese. Yet not all communities experience the same level of negative impacts by
this health condition, making it also an issue of health equity. Childhood obesity is also more
common among certain populations.
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According to the CDC, the obesity prevalence was the highest among Hispanic children at 26.2%,
compared to 24.8% among non-Hispanic Black children, 16.6% among non-Hispanic White
children, and 9.0% among non-Hispanic Asian children (Stierman, 2021). In addition, the CDC
revealed that obesity prevalence was correlated with socioeconomic status. Its study found higher
obesity rates of 18.9% among children and adolescents aged 2-19 years in the lowest income
group, compared to 10.9% among those in the highest income group. Local data, such as the
FitnessGram Report, is a reference that allows tracking of the physical fitness assessment scores
and healthy zone achievement among students in 5th, 7th, and 9th grade.
In Contra Costa County, the FitnessGram Report revealed that 36.5% of 5th and 7th grade students
are obese, with its highest obesity rates among children of color. Rates are highest among
communities of color with over 40% for African Americans, close to 50% for Hispanic and
Latinos, and 60% for Native Hawaiian/ Pacific Islanders.
National and Local Leading Causes of Death
The CDC further states that obesity has individual and societal consequences for both children and
adults as it has the potential to increase the risk of numerous health conditions that lead to illness
and death, decrease quality of life, increase risks for mental health challenges, and medical costs.
According to the CDC, these conditions themselves can lead to other chronic illnesses and health
maladies that impact quality
of life such as heart disease
and stroke, certain cancers
(including colorectal cancer
and breast cancer), Type 2
diabetes, and tooth decay;
these conditions can also be
disruptive to one’s work life
and contribute to a loss of
income for an individual.
Psychological problems such
as anxiety and depression, low
self-esteem and lower self-
reported quality of life, social
problems such as bullying and
stigma result in impacting
children and adolescents
overall physical health. In fact, heart disease remains the leading cause of death in the United
States, at 165 deaths per 100,000 individuals in 2017 (Morrison, 2015).
Other diseases related to cardiometabolic health saw increases. CDC’s National Center for Health
Statistics (NCHS) revealed that strokes and diabetes each caused a small but significant increase
in deaths in 2017, which saw a 1-year increase to 37.6 from 37.3 stroke deaths per 100,000 people.
Diabetes deaths increased to 21.5 from 21 per 100,000 the previous year (NHANES, 2021). Stroke
was the fifth and diabetes the seventh most common cause of death, according to the data brief
published by the CDC’s National Center for Health Statistics.
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The Behavioral Risk Factor Surveillance
System (BRFSS), which collects county
health data through telephone surveys,
along with research from the California
Department of Public Health (CDPH),
revealed that among adults in Contra
Costa, 9.06% have been diagnosed with
heart disease within the last 5 years.
Moreover, the 2017-2019 Centers for
Disease Control’s Interactive Atlas of
Heart Disease and Stroke estimated the
average hypertension hospitalization rate
for Contra Costa County adults over 65
years old was 14.4%, with rates for
African Americans being the highest. In
fact, according to the CDPH Contra Costa County Health Status Profile for 2018, the leading cause
of death is attributed to heart disease. The report also stated in 2019-2020, adults diagnosed with
high blood pressure was 27.15%, with 9.87% being diagnosed with diabetes. Rates were higher
overall for adults living 185% below the Federal Poverty Level (FPL) illustrating the health
disparities that continue to exist for those underserved communities within the county (CDPH,
2020).
Health Impact and Access within the Retail Environment
Increasing attention has been given to the role of retail food environments in shaping dietary
behavior and obesity risk. Studies show an association between living in a neighborhood near
healthy food options and better dietary quality, higher fruit/vegetable intake, and a lower risk of
having a higher body weight, even after controlling for individual level characteristics (Pem,
2015). Promoting healthier foods and beverages in retail environments near underserved
communities of color who frequently lack full-service grocery stores is one solution to promote
health and prevent chronic disease.
Individual circumstances, such as mobility, financial resources, travel time, and transportation
availability, greatly influence food access. The United States Department of Agriculture’s (USDA)
Economic Research Service defines food deserts as “areas with limited access to affordable and
nutritious food.” There are various measures of access, including distance to the store, income,
and availability of transportation (personal vehicle or public transit). The USDA Economic
Research Service estimates that 2% to 5% of the United States population lives outside of walking
distance from a supermarket and has no vehicle access. In 20% of rural counties, residents must
travel more than ten miles to the closest supermarket or superstore (USDA, 2023). While urban
community members may have access to supermarkets via public transportation, they face other
challenges, such as the cost of using public transit and significant travel time to and from food
retailers.
In the absence of conveniently accessible supermarkets or conventional grocery stores, small stores
may serve as the primary retail food source for many community residents. In some communities,
FHS Feb 23 2023 Packet Page 103 of 174
small stores are the only place for SNAP recipients to use their benefits. While corner stores stock
a range of options (hot and cold prepared foods, packaged items, beverages), their inventories tend
to feature high-calorie, low-nutrient items, such as fried foods, snacks, and packaged baked goods.
Consequently, the USDA Economic Research Services research states that individuals who rely
on these establishments have difficulty obtaining the quality and quantity of healthy food they
need to meet dietary guidelines. The items stocked by corner stores often reflect the goods
available to them. Independently owned businesses constitute 63 percent of the nearly 153,000
small stores that operate in the United States. Supply chain and distribution channels can make it
difficult for these stores to stock healthy items because they may not, given their size, meet
distributors’ minimum order requirements and may face cost issues, namely that healthy items
must be purchased in smaller quantities due to shorter shelf lives and are often more expensive to
stock. Additional barriers to stocking fresh food include: a lack of equipment for proper storage,
staff knowledge regarding handling and food safety, and understanding of what constitutes healthy
food.
Research suggests that communities without access to grocery stores are at higher risk of being
overweight or obese (Morland et al. 2006). Instead of grocery stores, these areas are often high in
stores that sell less nutritious foods, including fast food restaurants and convenience stores. This
combination is especially prevalent in low-income urban areas, and the high density of non-
nutritive food options has led some researchers to term these areas “food swamps.” Food swamps
are abundant throughout Black, Indigenous, People of Color (BIPOC) communities where fast
foods and junk foods are more abundant than healthy foods (Hager et al, 2017).
The USDA’s Food Access Research Atlas provides data to showcase food access indicators for
low-income communities, which map the accessibility to sources of healthy food as measured by
distance to a store or by the number of stores in an area. Below is the 2019 food access map for
Contra Costa County. The green highlighted areas depict the communities that are low-income
and have a lack of access to food, otherwise known as the county’s food deserts. From examining
the map, low-income communities of East and West Contra Costa County have more than a 1-
mile distance to the nearest supermarket with vehicle availability within the county.
Retail environments can make the difference to reduce the obesity rates among all populations by
offering foods or snacks that are healthier and can be prepared at home. Moreover, studies have
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found that retail outlets can be readily available and accessible for those last minute purchases that
are important, such as condoms, for preventing the spread of STIs.
Local Rates of Sexually Transmitted Infections
Contra Costa Health Services HIV/AIDS and STI Program is dedicated to fostering the
development, implementation, and coordination of programs to reduce the transmission of HIV
and STIs; provide education, prevention and testing services including free condoms and lube,
HIV and Hepatitis C testing services, PrEP Navigation, and trainings for community and providers.
STIs are steadily increasing in Contra Costa. The numbers are very high in sexually active youth
under the age of 25 years. The program encourages all persons who are sexually active to practice
safer sex. By using a barrier such as an intact condom, the risk of spreading an infection is
decreased. In Contra Costa County 275 of every 100,000 residents (age 13 and above) are living
with human immunodeficiency virus, or HIV. Chlamydia cases have also risen at 521.7 new cases
diagnosed per 100,000 people, based on 2019 data. The chart below indicates county, state, and
national trends for STIs from 2007 to 2019.
Retail Setting and Condom Accessibility
One of the instrumental programs of the HIV/AIDS and STI program has been educating and
assisting youth with access to condoms. The Essential Access Health's Condom Access Project is
expanding its free home mailer condom distribution program for teens to Contra Costa County in
partnership with CCHS. The program is being launched locally to address high STI rates among
youth in the region. In addition, to combat the rising STI rates, the Condom Access Project allows
teens and young adults in Contra Costa to sign up for free, confidential delivery of condoms to
their homes as often as once a month. The service, already offered in eight other counties, including
Alameda and San Francisco, has delivered more than 753,000 free condoms to date. However,
more work still needs to be done to increase access in retail outlets.
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Locking up condoms or keeping them behind a counter creates barriers that make it more difficult
for individuals at the time of purchase. Requiring customers to ask a store clerk to unlock a shelf
or select a condom from behind the counter discourages youth and adults from purchasing
condoms because of feelings of shame and stigma. It is important that retailers be supported and
encouraged to sell condoms and keep them unlocked on shelves that are always accessible to foster
safe sexual behaviors. Condoms are considered a high-risk theft item by retailers. However,
according to a report conducted by The Pharmacy Practice, a 2010 pilot study was done with eight
Midwestern pharmacies, in which all condoms were unlocked and on the shelf for three months.
The study showed that after removing condoms from locked displays, more condoms were
purchased and less were stolen from the pilot study pharmacies. It was revealed that sales
outweighed theft in all pharmacies. It is believed that Contra Costa could experience the same over
time, if retailers practice increasing condoms accessibility in high need areas, and that this could
potentially result in a decrease in STIs.
V.Inequities of Access to Healthy Food within the Social-Ecological Model
Marketing and Advertising in Low Income Communities of Color
According to Rudd Center for Food Policy & Obesity; Council on Black Health, U.S. food
companies disproportionately target Black and Hispanic consumers with marketing for high-
calorie, low-nutrient products including candy, sugary drinks, snacks, and fast food (Durfee,
2021). The more than one billion spent on this targeted marketing exacerbates inequities in poor
diet and diet-related diseases in communities of color, including heart disease, obesity, and
diabetes. The marketing of unhealthy foods and beverages to youth may contribute to obesity by
influencing their food choices, taking advantage of their developmental vulnerabilities. The food
and beverage industry spends approximately $2 billion per year marketing to youth (Kovacic, W.
e. 2008). Low-income and BIPOC people in the United States are targeted by the food and
beverage industries with disproportionate in-store and media-based advertising. In 2017, food
companies spent $1.1 billion targeting Black, and Hispanic television viewers, and Black teens
saw twice as many advertisements for unhealthy foods as their white counterparts (Harris, 2018).
A meta-analysis of 22 studies showed that food advertising is linked to increased food
consumption in children, particularly after kids have viewed ads for highly processed foods
(Boyland et al, 2016).
Furthermore, the food industry pays to place products at checkout. Product promotion, like that
referenced above, occurs not just on television and online but also in retail stores. The industry
pays slotting fees to get highly processed, often sugar-sweetened products in front of consumers
throughout the grocery store (Rivlin, 2016). Research shows that this strategic placement can
prompt children’s requests for foods (Horsley, 2014) and adult purchases (Kerr, 2012). Products
at checkout are currently unavoidable and contribute to impulse buys that harm health (Cohen,
2012).
Data from the Journal of American Diabetics stated that empty calories from added sugars and
solid fats contribute to 40% of daily calories for children and adolescents age 2–18 years—
affecting the overall quality of their diets (Reedy, J, Krebs-Smith SM, 2010). Approximately half
of these empty calories come from six sources: soda, fruit drinks, dairy desserts, grain desserts,
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pizza, and whole milk (Reedy J, Krebs-Smith SM, 2010). Most youth do not consume the
recommended amount of total water (Drewnowski A, Rehm CD, Constant F., 2013.) Experts and
researchers agree that high levels of consumption of unhealthy foods is a huge contributor to the
steep rise in rates of diabetes, high blood pressure, and even strokes.
Healthy Stores Healthy Communities (HSHC) Survey – Contra Costa County
In 2019 NPAP, the HIV/AIDS and STI, Tobacco Prevention and Alcohol and Other Drugs
Program and their partners, including BACR, participated in the CDPH Healthy Stores Healthy
Communities (HSHC) campaign whose goal is to improve the health of residents and reduce health
inequities by supporting healthy changes in the retail store (including convenience stores and gas
stations) environment. Below are the findings from the survey.
Findings: Access to Healthy Foods in Contra Costa County
Of the 183 Tobacco retail stores surveyed by the HSHC Taskforce, 54% of those stores carried a
selection of fresh fruits and vegetables for purchase and 33.9% stocked low-or non-fat milk. In
comparison, over 50% of unhealthy sugary drink storefront ads and access to sugary drinks were
advertised at the point of checkout. The dearth of availability of fresh, quality, nutritious foods and
drinks in the retail store environment is apparent in the data.
Findings: Condom Accessibility in Contra Costa County
While the abundance of unhealthy foods and beverages are a concern due to their profound impact
on consumer health, the HSHC campaign also revealed barriers regarding the accessibility of
condoms in the same communities that face a high burden of sexually transmitted infection. The
data collected by HSHC on condom inaccessibility in unincorporated communities was alarming
with 86% of county retailers selling condoms; of those, 57% kept condoms locked on shelves or
behind the checkout counter.
VI.Community Collaboration for Change
Historically NPAP has engaged local retailers in education and social marketing strategies to
improve their store environment and encourage patrons to purchase healthy foods. For example,
NPAP has conducted store tours, provided recipes for retailers to provide to their customers, and
conducted food demonstrations in the stores themselves.
In addition, NPAP has intentionally developed strong ties and relationships with youth-serving
agencies as empowering young people to make healthy choices to improve their quality of life has
been a priority for the project. Bay Area Community Resources is one of several youth-serving
agencies that NPAP has also awarded subcontracts to engage young people in developing healthy
eating habits and physically active lifestyles in the early stages of life.
BACR and the HOPS Youth Advocacy Team
BACR’s program uses a Youth Participatory Action Research (YPAR) model which engages
young people to conduct community-based research, analyze data, and use this data to develop
policy, systems or other environmental change proposals. In engaging youth as co-researchers,
youth participants gain transferable, real-world skills in project planning, communication, and
complex problem-solving.
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In 2019, BACR began a project working with high school aged youth in the West Contra Costa
Unified School District. The youth wanted to assess the prevalence of sugar-sweetened foods and
beverages in the retail environment. The project later became known as the Healthy Options at
Point of Sale youth advocacy team.
Community-based Research and Findings
Incorporating the tenets of the YPAR framework, the HOPS youth gathered information and
conducted in-store retail observations throughout Richmond and unincorporated areas of Contra
Costa County. The youth also conducted surveys, resident focus groups, and expert interviews in
Richmond, North Richmond, East Richmond Heights, and El Sobrante neighborhoods. This two-
year effort and assessment resulted in data being collected from 40 grocery and corner stores, 5
focus groups, 8 key interviews (local health providers, educators), and 3 retailer interviews (local
grocery and convenience stores in Richmond) and 562 Richmond voters being surveyed.
Their findings revealed that in the unincorporated communities of Contra Costa, 69% of beverages
at the local stores’ checkout area were unhealthy compared to only 24% healthy options that were
available. Similarly, 55.5% of foods sold were unhealthy with chips, candy, and high sugar snacks
available at the checkout, while only 4.5% of foods present were healthy with bananas, mixed nuts,
and dried fruit available at the point of sale. The remaining 40% of food options was made up
exclusively of gum and mints. Overall, the HOPS advocacy team findings revealed that candy
made up 35% of all foods sold at checkout.
Focus group and key informant findings had unanimous support for healthy checkout. The main
motivators for this support included the acknowledgement that unhealthy items appeared to be
targeting children; a concern for long term health effects on youth who consume unhealthy foods
and beverages; a lack of access to quality foods in low-income neighborhoods; inaccessibility to
healthier groceries stores; and the desire to support local farmers in their produce purchases. Of
the 562 Richmond voters surveyed, 77% supported a policy or ordinance of healthier options at
the point of checkout. Of the 3 retailers interviewed, all were in full support for a healthy checkout,
with their main concerns centered around a perceived lack of demand, short life of produce, but
they agreed that consumers should have the choice to eat healthier foods.
Community and Partner Collaboration
In July of 2021, the HOPS youth advocates presented their findings and proposal for a healthy
checkout policy to the countywide Families CAN coalition, hosted by the NPAP team.
Subsequently, NPAP invited HOPS to present at an HSHC Taskforce meeting. From this
collaboration came the addition of condom access to HOPS’ proposal. Upon considering both
healthy retail efforts, there was an apparent opportunity for HOPS to amplify the impact of healthy
retail and to pursue wider health outcomes in unincorporated areas by including condom access.
Many of the 32 stores under healthy checkout are stores which sell condoms but restrict access
and are situated in areas experiencing higher STI rates. With the guidance of the HSHC Taskforce
and the HIV/AIDS and STI program, HOPS integrated education around this issue into their
ongoing campaign. Countless other community partners from across the county, several of whom
were fellow subgrantees of NPAP, hosted the youth advocates’ presentations and provided
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feedback and letters of support. These included organizations such as Healthy and Active Before
5, 18 Reasons, Fresh Approach, and the UC Cooperative Extension.
Youth Advocacy
The HOPS youth advocacy team has presented the findings above to the Richmond City Council
and the Contra Costa Board of Supervisors requesting that strong consideration in both
jurisdictions be given to a policy that would require that items stocked at checkout consist of 5 or
less grams of added sugar per serving, 200mg or less of sodium per serving, and that beverages
exclude added sugar and sweeteners. This policy recommendation puts healthier snack options in
front of waiting customers. This makes it easier for customers to make healthy choices, while still
allowing them to purchase their favorite treats in other store aisles.
VII.Research Best Practices in Healthy Retail
International Research
To address obesity and corresponding metabolic disease, the United Kingdom (UK) now
implements restrictions on less healthy food items, which are no longer permitted within two
meters of designated queuing area or point of sale (Department of Health and Social Care, 2021).
It also disallows the placement of less healthy foods in prime locations such as aisle end caps. The
regulations come following years of research throughout Europe supporting strong, consistent
policy for healthy foods at checkout.
Before the UK implemented national policy, many supermarkets across the UK piloted voluntary
healthy checkout initiatives, reducing the less healthy options stocked at checkout. Studies
conducted on these stores found that those with clear, consistent policies were the most effective
at implementation (Lam et al., 2018). In the year following the implementation of these healthy
checkout policies, there was a 15% decrease in the purchase of less healthy items like chocolate,
candy, and chips that were previously stocked at checkout (UKCRC Centre for Diet and Activity
Research, 2020). A corresponding study by Dutch researchers found that when implementing
healthy checkout, the complete substitution of less healthy snacks with healthier alternatives is
most effective at reducing less healthy purchases (Huitink et al., 2020).
Local Research
In a national study, one in three adults reported purchasing foods from the checkout aisle during
their last shopping trip, with lower-income shoppers more likely to purchase from checkout than
higher-income shoppers (Falbe et al., 2021). Falbe’s research indicates that healthy checkout
policies have the potential to impact both nutrition and health equity.
A meta-analysis of sugar-sweetened beverage tax policies, like those enacted in Berkeley, Albany,
Oakland, and San Francisco also work to reduce the purchase of sugary drinks through higher
prices (Andreyeva et al., 2022).
VIII.Bay Area Healthy Retail Initiatives
Healthy retail is a priority for many leading health organizations and local health departments.
In Contra Costa County, NPAP has been a long-standing grantee of the California Department of
Public Health’s Nutrition, Education, Obesity Program (CDPH-NEOP) Branch to deliver nutrition
and physical activity programming to low-income families within the county. The program’s
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funding with CDPH-NEOP grant is aimed to assist families who are enrolled and/or are eligible
for SNAP for themselves and their families. Its programming offers SNAP participants with
nutrition education classes, social marketing campaigns, and efforts to improve policies, systems,
and the environment of communities. It also encourages efforts to promote retail-based PSE
change strategies to encourage storeowners to increase access to and availability of healthy food
choices. The SHOP Healthy Here (SHH)- Healthy Retail Recognition Program facilitates
partnerships between qualifying small neighborhood grocery stores and local health departments
to increase the purchase and consumption of healthy foods and beverages among SNAP-eligible
Californians. By providing retailers with a variety of tools, resources, and outreach activities, SHH
builds the capacity of retailers to inspire healthy changes among consumers.
Funds granted to CCHS-NPAP include the Healthy Refrigeration Grant Program from the
California Department of Food and Agriculture to support additional retail environment
interventions. The funds support energy efficient refrigeration units in corner stores, small
businesses in low-income or low-access areas throughout the state to stock California-grown
healthy, minimally processed, and culturally appropriate foods. CCHS is partnering with local
retail stores to provide technical assistance to retailers to apply for energy-efficient refrigeration
for quality produce, connect retail stores to local farms for better quality produce, stimulate the
local economy and minimize transportation needs, and marketing strategies, including in-store
cooking demonstrations and healthy advertising.
Other local partners, such as BACR and the Berkeley HOPS youth advocacy team, have been
awarded by the Healthy Berkeley Community Grants Program to lead efforts to pass the Healthy
Checkout Ordinance for the City of Berkeley, the first of its kind in the United States. This
ordinance applies to stores larger than 2,500 square feet and prohibits stores from selling food
items that contain more than five grams (5g) of added sugars or 200 milligrams (200mg) of sodium
per serving or beverages with any added sugar or sweeteners, within three feet of a cash register.
The City of Berkeley’s ordinance went into effect on March 1, 2021, and enforcement began on
January 1, 2022. Youth-led HOPS teams are currently working in the cities of Richmond and
Oakland to introduce similar healthy retail policies.
Finally, other Bay Area counties that have passed similar policies include the County of San
Francisco that in 2013, adopted The Healthy Food Retailer Ordinance to improve health outcomes
by increasing access to healthy food and reducing unhealthy influences such as tobacco, alcohol,
and processed foods in underserved parts of the city. Technical assistance and store redesign to
support a healthy retail environment are key components of the program.
IX.Policy Considerations for a Healthy Retail Ordinance in the unincorporated
communities of Contra Costa County
Contra Costa County’s retail environment plays a critical role in the overall health of the county.
The retail food environment impacts the local economy and affects the physical health of the
neighborhood. Other essential items that contribute to an individual’s health, include access to
condoms. Retail outlets are ideal convenience hubs to purchase condoms for adolescents and adults
alike.
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It is with this understanding, coupled with findings from data gathered through extensive research
from local and national studies, the HOPS youth advocacy assessments and HSHC retail findings,
that Contra Costa Health Services recommends the following actions designed to help protect
youth and other sensitive populations from the potential negative health impacts associated with
poor nutrition, physical inactivity, and inaccessibility to condoms in the unincorporated
communities of Contra Costa County.
Policy Recommendation
Contra Costa Health Service’s NPAP staff and BACR recommend adopting a two-phase
approach to healthy retail policy for stores greater than 2000 square feet in unincorporated Contra
Costa County.
Phase 1: Adopt a policy to advance healthy checkout which would require, in designated checkout
aisles and within 3 feet of a register:
●Foods with ≤ 5 grams added sugar and ≤ 200 mg sodium per serving
●Gum and mints with no added sugar
●Beverages with no added sugar and no low- and no-calorie sweeteners
Timeframe for Phase 1
Phase 2: Adopt a policy that would make one or more external condoms available in retail stores
without clerk assistance.
Timeframe for Phase 2
FHS Feb 23 2023 Packet Page 111 of 174
Implementation
Contra Costa Health Services staff and BACR’s HOPS youth will provide Healthy Retail
education and technical assistance to 32 retail stores. This assistance will include: 1) distributing
retailer education packets, information cards, list of healthy options, and health promotion posters;
2)providing one-on-one technical assistance for all stores by phone, email and in-person visits;
and 3) conducting no penalty store evaluations and evaluation feedback for store managers.
Enforcement
It is recommended that the Health Services Department staff will be responsible for the
enforcement of the sale of healthy food and beverage options at checkout, which will begin nine
months after the passing of the ordinance to allow time for retailer education and engagement.
The Health Services Department staff will make at least one visit to each retailer each year to
ensure stores are compliant in stocking healthier foods and beverages at checkout. Retailers in
violation will be rechecked within three months.
●Step 1: Conduct annual spot checks of 10 or more products stocked at checkout and,
when phased in, condom accessibility;
● Step 2: Send letter with feedback to stores, with opportunities for correction as needed;
● Step 3: Revisit stores that need to make corrections; if corrections are made at time of
revisit, no fee will be assessed, if stores continue to stock ineligible products at checkout a
nominal fee would be assessed.
Violation-Penalty
It is recommended that those retailers in violation of the proposed Healthy Retail Ordinance would
be subject to administrative citations in accordance to the following:
●1st Violation: Store owner will be served with a written notice to comply with the Healthy
Retail Ordinance and re-inspection.
●2nd Violation: Impose a $100 violation fee*
●3rd Violation: $200 violation fee*
●4th Violation: $500 violation fee*
*Fee Violation is based on Chapter 445-6 Tobacco Sales Ordinance
X.Additional Considerations
Direct Health Services staff to request guidance and legal support from County Counsel to develop
a DRAFT Healthy Retail Ordinance for review to the Board of Supervisors for a formal vote of
action.
FHS Feb 23 2023 Packet Page 112 of 174
References
Andreyeva T, Marple K, Marinello S, Moore TE, Powell LM. Outcomes following taxation of
sugar-sweetened beverages. JAMA Network Open. 2022;5(6).
Boyland EJ, Nolan S, Kelly B, Tudur-Smith C, Jones A, Halford JC, et al. Advertising as a cue
to consume: A systematic review and meta-analysis of the effects of acute exposure to unhealthy
food and nonalcoholic beverage advertising on intake in children and adults. American Journal
of Clinical Nutrition [Internet]. 2016 [cited 2022Apr20];103(2):519–33. Available from:
https://academic.oup.com/ajcn/article/103/2/519/4662876
California Department of Public Health. Nutrition, Education and Obesity Prevention (NEOP)
Branch.https://www.cdph.ca.gov/Programs/CCDPHP/DCDIC/NEOPB/Pages/SNAPEdCountyPr
ofileDashboard.aspx. February 2023.
Cohen DA, Babey SH. Contextual influences on eating behaviours: Heuristic processing and
dietary choices. Obesity Reviews. 2012;13(9):766–79.
Department of Health and Social Care. Promotions of unhealthy foods restricted from October
2022 [Internet]. GOV.UK News. GOV.UK; 2021 [cited 2023Jan20]. Available from:
https://www.gov.uk/government/news/promotions-of-unhealthy-foods-restricted-from-october-
2022
Drewnowski A, Rehm CD, Constant F. Water and beverage consumption among children age 4–
13 years in the United States: Analyses of 2005–2010 NHANES data. Nutr J. 2013;12(1):85.
Durfee T, Myers Jr. S, Wolfson J, DeMarco M, Harnak L, Caspi C. The determinants of racial
disparities in obesity: baseline evidence from a natural experiment. Agricultural and Resource
Economics Review (2021) 1-26. https://www.doi.org/10.1017/age.2021.21.
Falbe J, White JS, Sigala DM, Grummon AH, Solar SE, Powell LM. The potential for healthy
checkout policies to advance nutrition equity. Nutrients. 2021;13(11):4181.
Hager ER, Cockerham A, O’Reilly N, Harrington D, Harding J, Hurley KM, et al. Food swamps
and food deserts in Baltimore City, MD, USA: Associations with dietary behaviours among
urban adolescent girls. Public Health Nutrition [Internet]. 2017Oct20 [cited
2023Jan15];20(14):2598–607. Available from: https://pubmed.ncbi.nlm.nih.gov/27652511/ .
Harris JL, Frazier W. Increasing disparities in unhealthy food advertising targeted to Hispanic
and Black youth. Hartford, CT: UConn; 2018 p. 4–9.
FHS Feb 23 2023 Packet Page 113 of 174
Horsley JA, Absalom KAR, Akiens EM, Dunk RJ, Ferguson AM. The proportion of unhealthy
foodstuffs children are exposed to at the checkout of Convenience Supermarkets. Public Health
Nutrition. 2014;17(11):2453–8.
Huitink M, Poelman MP, Seidell JC, Kuijper LD, Hoekstsra T, Dijkstra C. Can healthy checkout
counters improve food purchases? Two real-life experiments in Dutch supermarkets.
International Journal of Environmental Research and Public Health. 2020;17(22):8611.
Kerr J, Rosenberg D, Frank L. The role of the built environment in healthy aging. Journal of
Planning Literature. 2012;27(1):43–60.
Kovacic, W. e. (2008). Marketing food to children and adolescents: A review of industry
expenditures, activities, and self-regulation: A Federal Trade Commission report to Congress.
Federal Trade Commission.
Lam CC, Ejlerskov KT, White M, Adams J. Voluntary policies on checkout foods and
healthfulness of foods displayed at, or near, Supermarket Checkout Areas: A cross-sectional
survey. Public Health Nutrition. 2018;21(18):3462–8.
Morland K, Diez Roux AV, Wing S. Supermarkets, other food stores, and Obesity. American
Journal of Preventive Medicine. 2006Apr;30(4):333–9.
Morrison KM, Shin S, Tarnopolsky M, et al. Association of depression and health related quality
of life with body composition in children and youth with obesity. Journal of Affective Disorders
2015;172:18–23.
National Health and Nutrition Examination Survey(NHANES). CDC National Center for Health
Statistics (NCHS) Data Brief, March 2017-2021
Pem D, Jeewon R. Fruit and Vegetable Intake: Benefits and Progress of Nutrition Education
Interventions- Narrative Review Article. Iran J Public Health. 2015 Oct;44(10):1309-21. PMID:
26576343; PMCID: PMC4644575.
Reedy J, Krebs-Smith SM. Dietary Sources of Energy, Solid fats, and added sugars among
children and adolescents in the United States. Journal of the American Dietetic Association.
2010;110:1477–1484.
Rivlin G. [Internet]. Rigged Supermarket Shelves for Sale. Center for Science in the Public
Interest (CSPI); 2016 Sep [cited 2023Jan18]. Available from:
https://www.cspinet.org/sites/default/files/media/documents/misc/CSPI_Rigged_4_small.pdf
Stierman, Bryan;Afful, Joseph;Carroll, Margaret D.;Chen, Te-Ching;Davy, Orlando;Fink,
Steven;Fryar, Cheryl D.;Gu, Qiuping;Hales, Craig M.;Hughes, Jeffery P.;Ostchega,
FHS Feb 23 2023 Packet Page 114 of 174
UKCRC Centre for Diet and Activity Research (CEDAR), Evidence Brief 19 – Effects of UK
supermarket policies on healthier food at the tills – February 2020.
www.cedar.iph.cam.ac.uk/resources/evidence/eb-19-checking-out-checkout-food/
United States Department of Agriculture (USDA), Economic Research Service.
https://www.ers.usda.gov/data-products/food-access-research-atlas/go-to-the-atlas/.,February,
2023.
Yechiam;Storandt, Renee J.;Akinbami, Lara J.; National Health and Nutrition Examination
Survey 2017–March 2020 Pre Pandemic Data Files Development of Files and Prevalence
Estimates for Selected Health Outcomes, June 2021.
FHS Feb 23 2023 Packet Page 115 of 174
DATE
To Store Management:
We are writing to inform you about a new policy known as the Healthy Retail Ordinance which
was approved by the Contra Costa Board of Supervisors in December of 2022 and will take
effect March 1, 2023. For stores in unincorporated areas of Contra Costa County that are 2,000
square feet or larger, any food or beverages sold in checkout lanes and within a three-foot
radius of the point-of-sale will need to be a healthier item. A healthier food item is defined as a
food that contains no more than 5 grams of added sugar per serving and no more than 200
milligrams of sodium per serving; a healthier beverage is one that contains no added sugar or
artificial sweeteners. In addition, these stores will need to place at least one facing of condoms
unlocked for customers to access without assistance.
Healthy Options at Point of Sale (HOPS) is the advocacy group that has been working in Contra
Costa to bring this initiative to the Board of Supervisors. Healthy Retail will not only positively
impact the retail environment by setting minimum nutrition standards to help change people’s
snacking habits, but also ensure lower rates of sexually transmitted infections, so that we may
have an all around healthier county.
Our team is committed to assisting retailers throughout unincorporated areas with the
transition. To that end, you will find documents attached to help guide your process and
information on how we can support you through implementation:
●HOPS Implementation Support Options
●Condom Accessibility Standards
●Checkout Food and Beverage Standards and Examples
●Retailer Factsheet
●Healthy Retail Ordinance
Our team is very excited to partner with you in supporting community wellness. We are also
mailing you a hard copy of this information and we will be reaching out over the next few
months. If we can be of assistance to you as you move towards Healthy Retail, please let us
know. Together, we can make a healthier Contra Costa.
Sincerely,
Elvira Martin-Bautista, Selena Din, Anjelika Khadka, Ingrid De Santiago
Ingrid De Santiago & The HOPS Advocates
FHS Feb 23 2023 Packet Page 116 of 174
HOPS Implementation Support Options
Healthy Options at Point of Sale (HOPS) is a Richmond-based health advocacy team that has
been working on Healthy Retail for the past three years. Our team is available to support your
store's transition to meet the Healthy Retail Ordinance standards.
●Provide General Consultation
We can schedule an in-person or Zoom consultation meeting to walk through the nutrition
standards for checkout, condom guidelines, answer questions, and provide guidance.
●Evaluate items you sell throughout the store
We can look at the items currently sold throughout your store to determine which products
meet the nutrition standards and could be included in the checkout lanes.
●Check your suppliers to see which items meet criteria for Healthy Retail
If you have slotting fees with specific companies, we can research which of their snacks and
beverages meet the checkout requirements.
●Feedback on the food and beverages in checkout lanes and/or condom placement
We can review and provide feedback on the store’s healthy checkout lane(s) and/or condoms
selection and placement, at any stage of the transition.
●Promote your business
We can create and publish posts featuring your business as a Healthy Retail participant on our
Facebook, Instagram, and other social media platforms.
Thank you for helping us create a healthier community! HOPS is happy to help your business in
any way we can. Please feel free to contact us with any questions or concerns, at
idesantiago@bacr.org.
FHS Feb 23 2023 Packet Page 117 of 174
Healthy Retail
Condoms Placement Standard
##.##. Condoms Accessibility
Each Retail Store shall, at all hours during which the Retail Store is open to the
public, ensure that:
A. One or more facings of External Condoms be displayed and accessible to
customers without staff assistance.
Condoms Best Retail Practices
Condoms Accessibility
A best practice suggestion, though not required, is for each Retail Store, at
all hours which the Retail Store is open to the public, to ensure that:
A.At least one facing of latex External Condoms and at least one facing
of non-latex External Condoms be displayed and accessible to
customers without staff assistance.
FHS Feb 23 2023 Packet Page 118 of 174
Healthy Retail
Sample of Qualifying Food and Beverage Items
#.##.###. Healthy Checkout Areas.
Each Retail Store shall at all hours during which the Retail Store is open to
the public, ensure that all foods and beverages displayed for sale in the
Checkout Areas meet the following standards in Sec #.##.###.:
A. Beverages with no added sugars and no artificial sweeteners.
B. Beverages must be in the following categories: waters, milk and milk
alternatives, 100% juice, coffee, and tea.
C. Food items with no more than 5 grams of Added Sugars and 200
milligrams of sodium per labeled serving.
The following pages showcase a small sampling of products that meet the
above requirements and could be placed at checkout. Please feel
welcome to reach out to the HOPS team if you have questions,
idesantiago@bacr.org.
FHS Feb 23 2023 Packet Page 119 of 174
Chewing Gum & Mints
Trident Spearmint Gum
Brand: Trident
Parent Company: Mondelez
Added Sugar: 0g
Sodium: 0 mg
Ice Breakers Duo Watermelon
Brand: Ice Breakers
Parent Company: Hershey Trust Company
Added Sugar: 0g
Sodium: 0 mg
Extra Classic Bubble
Brand: Extra
Parent Company: Wrigley Jr. Company
Added Sugar: 0g
Sodium: 0mg
Altoids Peppermint
Brand: Altoids
Parent Company: Wrigley Jr. Company
Added Sugar: 0g
Sodium: 35mg
FHS Feb 23 2023 Packet Page 120 of 174
Fruit and Vegetables
Dried Chili Mango
Brand: Peeled
Parent Company: Peel Snacks
Added Sugar: 0g
Sodium: Varies
No Sugar Added Organic Applesauce
Brand: Mott’s
Parent Company: Keurig Dr. Pepper
Added Sugar: 0g
Sodium: 5mg
Diced Yellow Cling Peaches in 100% Fruit Juice
Brand: Dole
Parent Company: Dole Food Company, Inc.
Added Sugar: 0g
Sodium: 5mg
Terra Original Chips
Parent Company: Hain Celestial Group
Added Sugar: 0g
Sodium: 110mg
Brand: Terra
Whole Fruits and Vegetables
Brand: Varies
Parent Company: Varies
Added Sugar: 0g
Sodium: 30mg
FHS Feb 23 2023 Packet Page 121 of 174
Nuts, Seeds & Legumes
Snak Club Yogurt Trail Mix
Brand: Snak Club
Parent Company: Insignia Capital Group
Added Sugar: 3g
Sodium: 0mg
Dry Roasted Pistachios
Brand: Planters
Parent Company: Kraft-Heinz
Added Sugar: 0g
Sodium: 150mg
Mesquite Barbeque Crunchy Broad Beans
Brand: Bada Bean Bada Boom
Parent Company: Enlightened
Added Sugar: 1g
Sodium: 150 mg
Vegan White Cheddar Hippeas
Brand: Hippeas Organic Chickpea Snacks
Parent Company: Green Park Snacks Ltd.
Added Sugar: 1g
Sodium: 140mg
Blue Diamond Whole Natural Almonds
Brand: Blue Diamond
Parent Company: Co-op
Added Sugar: 0g
Sodium: 0 mg
FHS Feb 23 2023 Packet Page 122 of 174
Whole Grains
Smart50 Sea Salt Popcorn
Brand: Smartfood
Parent Company: PepsiCo
Added Sugar: 0g
Sodium: 150mg
Boom Chicka Pop Sea Salt Popcorn
Brand: Angie’s Boom Chicka Pop
Parent Company: Conagra Brands
Added Sugar: 0g
Sodium: 130mg
Kids Organic Whole Grain Bites
Brand: Quaker
Parent Company: PepsiCo
Added Sugar: 4g
Sodium: 55 mg
Apple Cinnamon Crunchy Rice Rollers
Brand: Crunchy Rollers
Parent Company: General Mills
Sodium: 0 mg
*Estimate (contains 3g total sugar)
Added Sugar: 3g*
Kracklin’ Kamu Brand Ancient Grain – Sea Salt
Brand: Kracklin' Kamut
Parent Company: Big Sandy Organics
Added Sugar: 0g
Sodium: 180mg
FHS Feb 23 2023 Packet Page 123 of 174
Yogurt & Cheese
Chobani Clingstone Peach Less Sugar
Greek Yogurt
Brand: Chobani
Parent Company: Chobani Global Holdings, Inc.
Added Sugar: 5g
Sodium: 50mg
Siggi’s Vanilla Skyr
Brand: Siggi’s
Parent Company: Lactalis
Added Sugar: 5g
Sodium: 55mg
Tillamook Medium Cheddar
Parent Company: Tillamook County Creamery
Association (TCCA)
Added Sugar: 0g
Sodium: 125mg
Sargento String Cheese
Brand: Sargento
Parent Company: Gentine family
Added Sugar: 0g
Sodium: 190mg
Brand: Tillamook
FHS Feb 23 2023 Packet Page 124 of 174
Multi-Category Foods
Blueberry Vanilla Cashew Kind Bar
Brand: Kind
Parent Company: Mars
Added Sugar: 4g
Sodium: 20mg
Toasted Coconut Almond Granola
Brand: Bear Naked
Parent Company: Kellogg’s
Added Sugar: 5g
Sodium: 10mg
Kashi Peanut Peanut Butter Granola Bar
Brand: Kashi
Parent Company: Kellogg’s
Added Sugar: 5g
Sodium: 100mg
Mint Chip Brownie Lärabar
Brand: Lärabar
Parent Company: General Mills
Added Sugar: 4g
Sodium: 0 mg
Tart Cherry and Apple Superfood Bites
Brand: Urban Foods
Parent Company: Urban Foods
Added Sugar: 3g
Sodium: 0 mg
FHS Feb 23 2023 Packet Page 125 of 174
Spindrift, Blackberry
Brand: Spindrift
Parent Company: VMG Partners
Added Sugar: 0g
Sodium: 0mg
La Colombe Pure Black Cold-Pressed Coffee
Brand: La Colombe
Parent Company: La Colombe
Added Sugar: 0g
Sodium: 25mg
Aquafina
Brand: Aquafina
Parent Company: PepsiCo
Added Sugar: 0g
Sodium: 0mg
Minute Maid 100% Orange Juice
Brand: Minute Maid
Parent Company: Coca-Cola
Added Sugar: 0g
Sodium: 25 mg
Bubly, Strawberry
Brand: Bubly
Parent Company: PepsiCo
Added Sugar: 0g
Sodium: 0
Beverages
FHS Feb 23 2023 Packet Page 126 of 174
69%
In unincorporated Contra Costa County, where there are few full service grocery stores, unhealthy
food and beverages are promoted repeatedly throughout stores. Snacks high in sodium, saturated fat,
and added sugars dominate checkout lanes and aisle endcaps, which are designed to prompt impulse
purchases. Such curated food environments in largely low income rural and urban areas and
communities of color have been shown to contribute to health issues such as dental cavities, heart
disease, and type 2 diabetes. This especially impacts families; 1 in 2 children of color in the US will be
diagnosed with type 2 diabetes in their lifetime. Additionally, sexual health and condom availability is
another a challenge in our communities that retailers play a role in.
of all beverages
at checkout are
sugar sweetened,
Questions? Contact Ingrid De Santiago at idesantiago@bacr.org
Healthy Options at Point of Sale (HOPS)
Few stores
stock fresh
fruits and
veggies
Social
responsibility
to youth
Desire
to purchase
from local
farmers
Exposure
to greater
healthy
variety
100%100%
support fromsupport from
intervieweesinterviewees
and gum and mints aside,
snacking options are
almost entirely unhealthy.
Contra Costa County can be
the first County in the nation
to implement Healthy Retail.
By doing so, we will increase
access to healthy snacks and
beverages, encourage healthy eating
habits, create precedent for other
community led public health initiatives,
and support the health of all residents!
Healthy Food
4.5%
Gum and
Mints
40%
Unhealthy
Food
55.5%
FHS Feb 23 2023 Packet Page 127 of 174
of
c
o
n
doms sold a r e locked upof
c
o
n
doms sold a r e locked upIn a 2010 pilot study of 8
Midwestern pharmacies,
condoms were unlocked and
placed on the shelf for
three months. While some
condoms were stolen, sales
outweighed theft across the
board. Retailers can increase
sales while making condoms
more accessible.
Areas of the County in
which 88-95% of the
stores restrict access
to or do not carry
condoms have the
highest rates of
chlamydia and
gonorrhea.
Subsequently, areas
where few stores lock
up condoms are areas
with lower rates
of these STIs.
57%57%
Questions? Contact Ingrid De Santiago at idesantiago@bacr.org
While food and drinks are the majority of products sold at checkout,
they are not the only items present that impact consumers' health.
Research shows that condom availability is integral to promoting sexual
health and, thus, overall wellness. Retailers are in a perfect position to
increase availability because they are open day and night and are often a
go-to source for most resident needs, including condoms.
However, in many communities, condoms are locked up or behind the
counter. Unfortunately, the stigma around sex can prevent individuals
from asking for them. In particular, youth and young adults are often too
embarrassed to ask cashiers for condoms. Making condoms reachable
will increase their accessibility in the community, help us keep youth
safe, and prevent the spread of sexually transmitted infections.of stores in Co n t r a Costa sell c
o
ndoms of stores in Co n t r a Costa sell c
o
ndoms 86%86%
H O W EVER,H O W EVER,
One latex option
One non-latex
option
FHS Feb 23 2023 Packet Page 128 of 174
FHS Feb 23 2023 Packet Page 129 of 174
FHS Feb 23 2023 Packet Page 130 of 174
FHS Feb 23 2023 Packet Page 131 of 174
FHS Feb 23 2023 Packet Page 132 of 174
DRAFTHealthy Retail Ordinance
Chapter ##.## - Healthy Retail.
##.## - Findings.
(a) Diets with an excess of added sugars and sodium are correlated with chronic health issues
including hypertension, type 2 diabetes, tooth decay, and stroke.
(b) The safety of many low/reduced-calorie sweeteners is questionable, especially for children.
Many have not been well tested, some appear to pose a risk of cancer, and some can cause
gastrointestinal distress, especially when consumed in large amounts.
(c) Grocery and convenience stores are Americans’ top source for foods and beverages. More than 65
percent of Americans’ caloric intake comes from food items purchased at large grocery retailers.
(d) The environments in which food choices are made affect those choices. The placement of
unhealthy snack foods and beverages near the checkout registers and on aisle endcaps and
freestanding displays throughout retail stores increases the likelihood that consumers will make
unplanned purchases of unhealthy foods. The placement of unhealthy snack foods and
sugar-sweetened beverages at checkout, therefore, undermines public health initiatives and
consumers’ desire to make healthy choices.
(e) While over 80 percent of grocery, pharmacy, and corner stores across California and Contra Costa
County sell condoms, only 43 percent of stores make them available for purchase without asking
for assistance. This is a real barrier for the prevention of unwanted pregnancy and Sexually
Transmitted Infections.
(f) In Contra Costa County there are increased rates of chlamydia and gonorrhea in zipcodes where
accessing condoms requires clerk assistance.
(g) Providing customers with the choice to avoid undue pressure to purchase high-calorie,
low-nutrient food when they shop as well as making condoms more accessible is in the interest of
the health, safety, and welfare of all who live, work, and do business in Contra Costa County.
##.## - Purpose.
(a) The purpose of the ordinance is to encourage healthy purchases and improve the health of Contra
Costa residents by providing healthy food and beverage alternatives to consumers in checkout
areas, limiting consumer exposure to sugar-sweetened beverages and unhealthy foods, and
increasing accessibility of condoms in retail stores in unincorporated areas of Contra Costa
County.
##.## - Definitions.
(a) “Added sugars” means sugars that are added during the processing of foods and beverages, or
are packaged as such, and include sugars (free, mono and disaccharides), sugars from syrups
and honey, and sugars from concentrated fruit or vegetable juices that are in excess of what
would be expected from the same volume of 100 percent fruit or vegetable juice of the same type,
as defined in Section 101.9 of Title 21 of the Code of Federal Regulations.
(b) “Category list” means the list of foods and beverages which meet the standards of XXX.
(c) “Checkout area” means any area that is accessible to a customer of the Retail Store that is:
(i) Within 3 feet in any direction of any Register; or
FHS Feb 23 2023 Packet Page 133 of 174
DRAFT(ii) Designated primarily for or utilized primarily by customers to wait in line to make a
purchase at a register; up to and including the Checkout Endcap.
(d) “Checkout endcap” means product displays placed at endpoints of areas designated primarily
for or utilized primarily by customers to wait in line to make a purchase.
(e) “External condom” means a sheath which completely covers the penis with a closely fitting
membrane, designed primarily for contraceptive and prophylactic purposes.
(f) “Healthy Checkout Areas Standards” means the standards for foods and beverages set forth in
[##.## (a)-(d)].
(g) “Low- and no-calorie sweeteners” means sweeteners with few to no calories that have a higher
intensity of sweeteners per gram than sucrose.
(h) “Register” means a device used for monetary transactions that calculates the sales of goods and
displays the amount of sales for the customer.
(i) “Retail store” means a commercial establishment, located within Contra Costa County, selling
goods to the public with a total floor area of 2000 square feet or more and selling 25 linear feet or
more of food and beverage products.
##.## - Healthy Checkout Areas.
Each retail store shall at all hours during which the retail store is open to the public ensure that all
foods and beverages displayed for sale in the checkout areas meet the following standards:
(a) Beverages shall contain no added sugars and no low- and no-calorie sweeteners.
(b) Beverages shall be from the following category list: water, milk and milk alternative, 100% juice,
coffee, and tea.
(c) Food items shall contain no more than 5 grams of Added Sugars and 200 milligrams of sodium
per labeled serving.
(d) Gum and mints shall contain no added sugars.
Contra Costa County shall conduct an annual review of qualifying beverage categories in the Healthy
Checkout Areas Standards. There shall be a 180-day phase-in period if changes to the Healthy
Checkout Area Standards are made.
##.## - Condom Accessibility.
Each retail store offering external condoms for sale shall at all hours during which the retail store is
open to the public ensure that:
(a) One or more facings of external condoms be displayed and accessible to customers without staff
assistance.
##.## - Enforcement.
(a) Contra Costa County is authorized to issue all rules and regulations consistent with this
ordinance.
(b) Contra Costa Health Services staff will implement enforcement of this chapter.
(c) Contra Costa County may require retail stores to report information necessary to determine
compliance with this chapter.
##.## - Violations – Penalties.
FHS Feb 23 2023 Packet Page 134 of 174
DRAFT(a) A retail store found to be in violation of this chapter may be subject to [PENALTY]
##.## - Severability.
(a) If any part or provision of this chapter or its application to a person is held invalid, the invalidity
of that part, provision or application does not affect other parts, provisions, or applications of this
chapter that can be given effect without the invalid part, provision, or application.
##.## - Effective Date.
This ordinance and the legal requirements set forth herein shall take effect and be in
force for retail stores as of [DATE]. Enforcement pursuant to [##.##] shall commence no sooner
than [DATE].
FHS Feb 23 2023 Packet Page 135 of 174
Healthy Retail in Contra Costa
Family and Human Services Committee Presentation |February 27,2023
Dr.Sefanit Mekuria |CCHS Public Health
Denise Milosevich |CCHS Community Wellness &Prevention Program
Obiel Leyva,HIV/AIDS STD Program
HOPS Youth Advocacy Team /Bay Area Community Resources
FHS Feb 23 2023 Packet Page 136 of 174
Guiding Public Health Framework
Social Determina n ts of Health
FHS Feb 23 2023 Packet Page 137 of 174
●Pre-diabetes prevalence is ~ 47%
for adults in CCC
●In 94575 (Moraga) diabetes
prevalence is 1.2%; in 94804
(Richmond) it’s 12.2%
Health Inequities in Contra Costa
●Over 30% of children in 5th, 7th
& 9th grades have overweight
or obesity
●Inequities in obesity
○40% of African American
children have overweight or
obesity
○50% of Latino children have
overweight or obesity
C hildren Adults
●STI rates are 7-10 times higher
in Antioch & Richmond than in
Danville
FHS Feb 23 2023 Packet Page 138 of 174
Public Health and the Retail Environment
Poor nutrition is one of the leading causes of
preventable deadly illness
Lack of healthy food access affects low-income
neighborhoods and communities of color the hardest
African American and Latino youth are disproportionally
targeted with unhealthy marketing by the food and beverage
industry
Condom availability varies drastically by income level
FHS Feb 23 2023 Packet Page 139 of 174
Youth-led Healthy Retail Initiative
C o m m u n i t y A s s e s s m e n t s :
•Survey 40 Food Stores: 55.5% foods unhealthy, 4.5% healthy, 40%gum/mints
•5 Focus Groups, 8 Community Interviews & 3 Retailer Interviews
o Unanimous support
•562 Richmond voters surveyed
o 77% support for the policy; 73% low -income shoppers 'support
FHS Feb 23 2023 Packet Page 140 of 174
Health Inequities Of Sexually Transmitted
Infections In Contra Costa
Chlamydia & Gonorrhea Annual Rate/100,000
790-1573 556-789 339-555 94-338 0-93
% Individuals Living Below 200% of Federal Poverty Level
28.8%-46.7%18.5%-28.7%12.3%-18.4%6.6%-12.2%0%-6.5%
Source: CalREDIE DDP,12/15/2020FHS Feb 23 2023 Packet Page 141 of 174
790-1573 556-789 339-555 94-338 0-93
% Stores Selling
Unrestricted Condoms
5%-12%24%-40%50%-69%
Chlamydia & Gonorrhea Annual Rate/100,000
HSHC Survey –Condom Accessibility & STI Rates
Source: CalREDIE DDP,12/15/2020
HSHC 2019 SurveyFHS Feb 23 2023 Packet Page 142 of 174
790-1573 556-789 339-555 94-338 0-93
% Stores Selling
Unrestricted Condoms
5%-12%24%-40%50%-69%
Chlamydia & Gonorrhea Annual Rate/100,000
32 Proposed Locations for Healthy Checkout Interventions
Source: CalREDIE DDP,12/15/2020
HSHC 2019 Survey
Stores Included in
Proposed Ordinance
FHS Feb 23 2023 Packet Page 143 of 174
VISION FOR
HEALTHY
RETAIL IN
CONTRA COSTA
A healthy retail environment is an environment
where it is easier to make healthy choices than
unhealthy ones.
FHS Feb 23 2023 Packet Page 144 of 174
RECOMMENDATION: A HEALTHY RETAIL ORDINANCE
FOR STORES >2000 SQ.FT
Stock checkouts with more nutritious snacks
in queues & within 3 ft of register:
Foods
•5 or less grams of added sugar per
serving
•200 mg or less of sodium per serving
Gum and mints
•No added sugar
Beverages
•No added sugar
•No low-or no-calorie sweeteners
For future consideration: 1 facing of external
condoms accessible without clerk assistance
FHS Feb 23 2023 Packet Page 145 of 174
TIMEFRAME: HEALTHY RETAIL ORDINANCE
Step 1
Healthy Retail
Ordinance
Step 2
Implementation
(months 1-8)
Step 3
Enforcement
@ 9 months
Step 4
Condom
Amendment
@ 15 months
1.Engage Retailers:
Continue work with
retailers
2.Ordinance
Adoption: Present
DRAFT Ordinance
to set nutrition
standards for items
stocked at checkout
3.Develop Enforcement
Structure
4. Support Retailers:
BACR & CCHS Staff will
provide education and
technical assistance to
32 unincorporated
retailers including:
•Materials
•1-on-1 TA
•No penalty
inspections
5. Begin Enforcement:
CCHS staff will conduct
annual spot checks at
checkout
Stores in violation will
be subject to an
incremental system
beginning with a
warning and
increasing from $100-
$500 with subsequent
violations
6. Conduct Research:
additional research and
outreach around condom
access
7. Make Recommendations:
to the BOS that the
ordinance be amended to
include condom access –
making one type of condom
available without staff
assistance
FHS Feb 23 2023 Packet Page 146 of 174
Thank you!
FHS Feb 23 2023 Packet Page 147 of 174
FAMILY AND HUMAN SERVICES COMMITTEE 9.
Meeting Date:02/27/2023
Subject:Council on Homelessness 2022 Quarter 4 Report
Submitted For: Anna Roth, Health Services Director
Department:Health Services
Referral No.: 5
Referral Name: Homeless Continuum of Care - Quarterly Report
Presenter: Jaime Jenett, Health Services Community Engagement Specialist Contact: Enid Mendoza, (925) 655-2051
Referral History:
In November 2014, the Board approved “Forging Ahead Towards Preventing and Ending Homelessness: An Update to Contra
Costa’s 2004 Strategic Plan”, that renewed the County's 2004 plan with the latest data, best practices, and community
feedback and reaffirmed the County's commitment to the Housing First approach. As such, “Forging Ahead” establishes this
guiding principle:
“Homelessness is first a housing issue, and necessary supports and services are critical to help people remain housed. Our
system must be nimble and flexible enough to respond through shared responsibility, accountability, and transparency of the
community.”
The Strategic Plan Update identifies two goals:
1) Decrease the length of time people experience homelessness by focusing on providing Permanent Housing and Services; and
2) Decrease the percentage of people who become homeless by providing Prevention activities.
To achieve these goals, three strategies emerged:
Implement a coordinated entry/assessment system to streamline access to housing and services while addressing
barriers, getting the right resources to the right people at the right time; and
Use best, promising , and most effective practices to give the consumer the best possible experience through the
strategic use of resources; and
Develop the most effective platforms to provide access, support advocacy, and connect to the community about
homelessness and available resources.
The Contra Costa Council on Homelessness (COH), a Board of Supervisors appointed body, provides advice and input on the
operations of homeless services, program operations, and program development efforts in the County. The COH establishes the
local process for applying, reviewing and prioritizing project applications for funding in the HUD Homeless Assistance Grant
Competitions, including the Continuum of Care (CoC) Program and the Emergency Solutions Grant Program.
The County Health, Housing and Homeless Services Division (H3) of the Health Services Department partners with the COH
to develop and carry out an annual action plan that identifies the objectives and benchmarks related to each of the goals and
strategies of Forging Ahead. Further, H3 incorporates the strategic plan goals into its own delivery system of comprehensive
services, interim housing and permanent supportive housing as well as contracting with community agencies to provide
additional homeless services and housing with the goal of ending homelessness in our community.
The Council submitted its last quarterly report (Q3) to the Family and Human Services Committee on November 28, 2022,
which was later approved and accepted by the Board of Supervisors at their December 13, 2022 meeting. At the November
FHS meeting, members requested updates on the Homeless Housing, Assistance Prevenetion (HHAP) Grant when available, as
well as considerations for the inclusion of the landlord voice in the reports or advisory body membership.
FHS Feb 23 2023 Packet Page 148 of 174
Referral Update:
Please see the attached Council on Homelessness Quarter 4 report for updates.
Recommendation(s)/Next Step(s):
ACCEPT the Council on Homelessness Quarter 4 report, DIRECT staff to forward the report to the Board of Supervisors for
their information, and RECOMMEND to the Board of Supervisors that they direct County departments to build on partnerships
created through Measure X, Homekey, and CalAIM to maximize funding and resources to people experiencing homelessness in
the County.
Fiscal Impact (if any):
There is no fiscal impact.
Attachments
Council on Homelessness 2022 Q4 Report
COH Q4 Report Presentation Slides
FHS Feb 23 2023 Packet Page 149 of 174
STAFF REPORT FROM THE CONTRA COSTA COUNCIL ON HOMELESSNESS
Contra Costa County Homeless System of Care Quarterly Report for
Quarter 4 of 2022 (October-December)
LETTER FROM THE CHAIR AND VICE CHAIR
Dear Contra Costa County Board of Supervisors,
This quarter brought concrete work plans for a number of our committees, system changes to
better amplify the voices of people with a lived experience of homelessness and many
wonderful tools and events to mark Homelessness Awareness Month. Next quarter we look
forward to kicking off a number of new and/or ad hoc committees to keep the work moving
and seeing what wonderful programs and services come to fruition with the Measure X funding
opportunities.
Sincerely,
Juno Hedrick, Chair of the Council on Homelessness
and
Jo Bruno, Vice Chair of the Council on Homelessness
FHS Feb 23 2023 Packet Page 150 of 174
COH QUARTERLY REPORT
2
INTRODUCTION
The Contra Costa Council on Homelessness (CoH) is the governing and oversight body for the
County homeless Continuum of Care (CoC) and is appointed by the Board of Supervisors. The
Council provides advice and input to the Board of Supervisors on the operations of homeless
services, program operations, and program development efforts in Contra Costa County. The
Contra Costa Council on Homelessness is the governing body for the Contra Costa County
Continuum of Care (CoC).
The Contra Costa CoC is comprised of multiple partners, including service providers, members
of faith communities, local businesses, private and public funders, community members,
education systems and law enforcement, and others who are working collaboratively to end
homelessness. The COH and COC are supported by Contra Costa Health Services Health,
Housing & Homeless Services (H3) Division. H3 functions as the CoC administrative entity and
collaborative applicant, CoC Lead Agency and Homeless Management Information System
(HMIS database) Lead Agency.
The purpose of this report is to share information about the CoC and COH activities with the
Contra Costa County Board of Supervisors and to provide recommendations from the COH to
the County Board of Supervisors on long range planning and policy formulation that would
support the county homeless CoC. This report includes information on system data, funding and
policy activities, and CoC initiatives. All information will reflect activities and data for the prior
quarter.
This report was produced on behalf of the CoH by H3 in collaboration with the CoH and CoC
partners.
SYSTEM FUNDING
This quarter the CoC continued to evaluate the system of care and pursued funding
opportunities to address the gaps in Contra Costa’s homeless system, including our largest
source of funding, the Housing and Urban Development (HUD) Continuum of Care (CoC) Notice
of Funding Opportunity (NOFO).
FEDERAL
HUD Unsheltered NOFO: In late June, the U.S. Department of Housing and Urban Development
(HUD) released a first-of-its-kind package of resources to address unsheltered homelessness
and homeless encampments, including funds set aside specifically to address homelessness in
rural communities. Contra Costa submitted an application and is waiting for more information
about awards.
FHS Feb 23 2023 Packet Page 151 of 174
COH QUARTERLY REPORT
3
Housing Stability Voucher Program: In October, Housing Authority of Contra Costa County,
with support from the CoC, submitted a Letter of Intent to HUD to request Housing Stability
Vouchers. These vouchers will be prioritized for Public Housing Agencies and CoCs who are
awarded through the HUD Unsheltered NOFO. These vouchers are highly sought after and are
competitively awarded. Contra Costa submitted an application and is waiting for more
information about awards.
STATE
Bringing Families Home: The Bringing Families Home Program, funded by the State of California
Department of Social Services (CDSS), will provide housing supports and services to referred
families receiving Contra Costa County child welfare services who are experiencing, or at risk of,
homelessness, thereby increasing family reunification and preventing foster care placement.
The RFQ process took place in October and November 2022 and contract was awarded to
Caminar. Services are slated to start in February 2023.
Homeless, Housing and Assistance Program (HHAP): HHAP Round 3 is a $1 billion grant
through the California Interagency Council on Homelessness (Cal-ICH) that provides local
jurisdictions, including federally recognized tribal governments, with flexible funding to
continue efforts to end and prevent homelessness in their communities. HHAP Round 4 was
submitted in November and additional revisions were requested to HHAP 3 applications
statewide, including Contra Costa County.
Homekey 3: The RFP release date was pushed from September 2022 to March 2023. H3 will
apply when the RFP is released.
LOCAL
Measure X: The Council heard updates from Health, Housing and Homeless Services about the
RFP process for Measure X funding allocated for housing/homeless services.
SYSTEM INITI ATIVES
The CoC regularly engages in multiple activities, partnerships, evaluations, and improvement
that are designed to improve services to clients and achieve various system goals.
Equity: The Equity Committee finalized a Work Plan to achieve this 2023 goal: Create accessible
information, outreach, and educational materials to engage hard to reach or previously
unreached communities in Contra Costa County.
Engagement of People with Lived Experience of Homelessness:
FHS Feb 23 2023 Packet Page 152 of 174
COH QUARTERLY REPORT
4
• Recruitment: The Council actively recruited for applicants for the Lived Experience seat
and Youth Representative on the Council and received 10 qualified applications (plus 3
more that did not complete the application process) for the Lived Experience Advisor
seat and one for the Youth Representative seat. Staff added two “Office Hours” (one
remote and one in person) to support people with the application process. The Council
ultimately selected Jo Bruno and Juno Hedrick for Lived Experience Seats and Anastasia
Padilla for the Youth Representative Seat.
• Homelessness Awareness Month: A number of people with lived experience of
homelessness were deeply involved in this quarter’s Homelessness Awareness Month
activities, including helping develop the toolkit; conducting and being the subject of
interviews for the short video; participating in the panel discussion; nominating and
being nominated for candidates for the Thriving in the Face of Homelessness
recognition category; and the Chair and Vice Chair, both who have a lived experience of
homelessness, led the presentation to the Board of Supervisors.
• Policies and Procedures: H3, as staff to the Council and other CoC activities made
progress researching and developing policies and procedures, including a compensation
policy, for engaging people with a lived experience of homelessness in system level
work.
HMIS Evaluation: H3 contracted with Focus Strategies to assess the configuration and use of
the Homeless Management Information System (HMIS) to ensure that HMIS workflows, data
and reporting enable providers to be successful with new program models and performance-
based contracting. H3 and Focus Strategies worked on data collection through surveys, focus
groups, and one-on-one interviews with partner providers, H3 staff, and people experiencing
homelessness to get a robust understanding of challenges and opportunities in the HMIS. H3
and Focus Strategies share initial findings with the HMIS Policy Committee in November and
discussed recommendations. In December 2022, Focus Strategies provided H3 with the final
report based on feedback gathered through data collection activities.
Homelessness Awareness Month: To mark Homelessness Awareness Month (November), the
Council on Homelessness supported the following activities:
• Development of a 100+ page toolkit (https://cchealth.org/h3/coc/pdf/Homeless-
Awarenes-Toolkit-2022.pdf )
• Creation of a short video amplifying the voices of people with lived experience of
homelessness (https://express.adobe.com/video/kP6MsvYeoN4te
• Recognition of over 40 outstanding individuals and agencies impacting homelessness
(https://cchealth.org/h3/coc/advocate.php)
• Presentation about Homelessness Awareness Month and sought adoption of a
Resolution Declaring November Homelessness Awareness Month to the Board of
Supervisors on 11/8.
• Hosting of a CoC Learning Hub on 11/14 called "R.O.O.T.S: Reflecting On Our Truth And
Stories”, a panel discussion featuring people with lived experience in our community. A
FHS Feb 23 2023 Packet Page 153 of 174
COH QUARTERLY REPORT
5
recording of the Learning Hub can be viewed here:
https://www.youtube.com/watch?v=-CeQjhH7qgk .
• Hosting of a Homeless Person’s Memorial Event on 12/21 with a number of community
and faith leaders (https://youtu.be/7Cyv9pAbCkc)
• Requested the Board of Supervisors adopt a resolution declaring 12/21 Homeless
Person’s Memorial Day.
Monitoring: Homebase is leading the 2022 monitoring process for 19 Continuum of Care-
funded projects and will ensure grant activities are following the Department of Housing and
Urban Development rules and regulations; improve individual program performance; and
increase provider capacity regarding Continuum of Care compliance and financial management.
An update on the Monitoring process was provided to the Oversight committee in November.
Performance Based Contracting: After training providers on how to use their performance
Health, Housing and Homeless Services (H3) began monitoring performance of programs within
the program models through the performance dashboards created in the Homeless
Management Information System (HMIS) by the Research, Evaluation and Data (RED) team at
H3 with the first quarterly report due in December.
COLLABORATIONS
Homeless Services-Workforce Development Integration (H-WIN)- These quarterly provide an
opportunity for people working in Homeless Services and Workforce Development in Contra
Costa to connect with and understand each other’s resources and services. One meeting was
held this quarter (10/12/22), with 30 partners in attendance.
REGIONAL ACTION PLAN
Contra Costa is committed to the Regional Action plan which aims to reduce unsheltered
homelessness by 75% by 2024. The Regional Action Plan proposes a 1-2-4 framework which
posits that to accomplish this reduction, for every 1 additional interim housing unit funded, 2
permanent housing solutions, and 4 prevention interventions are needed.
PATH Innovations Committee: The Plan for Accelerating Transformative Housing (PATH)
Innovations Committee of the Council on Homelessness refined their work to examine
prevention and rapid exit resources as mechanisms to reduce unsheltered homelessness. The
committee also engaged with prevention and rapid exit providers to understand referral
processes, program components, and outcomes. The committee drafted and finalized a work
plan for 2023 to identify priorities and activities for the upcoming year.
Funding Opportunities: All of the funding opportunities mentioned earlier in the report would
support Contra Costa’s efforts to achieve the Regional Action Plan goal of reducing unsheltered
homelessness by 75% by 2024.
FHS Feb 23 2023 Packet Page 154 of 174
COH QUARTERLY REPORT
6
GOVERNANCE/REPORTING
• The Chair and Vice Chair presented the Q3 Council on Homelessness report, proposed
revisions to bylaws and proposed slate of new Council members at the November FHS
Committee meeting.
• The revised bylaws were approved by the Board of Supervisors in December 2022 and
included the conversion of Public Safety #1 Seat to Lived Experience Advisor #2 Seat;
refined transparency and equitable practices section with emphasis on engagement of
people with a lived experience of homelessness in Committee and Working Group
activities; revised terms of Chair and Vice Chair from 2 years to 1 year to account for
staggered expiration of seats and revised/Clarified Committees and Working Group
names and descriptions.
o Governance Committee will convene in Q1, 2023 and will agendize discussion of
seat composition, including possible addition of new seats, such as a Landlord
Representative seat, as suggested by this Committee during our last Quarterly
report presentation.
• The proposed new Council members were approved by the BOS on 12/13/22. (See
Appendix B for Roster with District information included, as requested).
• Submitted the annual Advisory Committee report to Clerk of the Board in December
2022.
MEETINGS, TRAININGS AND EVENTS
Council on Homelessness (COH) Meetings: The Council on Homelessness held three (3) regular
business meetings. In addition to the regular Council on Homelessness meetings, the following
committees met:
Committee Purpose
Equity Committee Create accessible information, outreach, and educational materials
to engage hard to reach or previously unreached communities in
Contra Costa County.
HMIS Policy Committee Develops and shares updates on HMIS policies and practices,
compliance, and troubleshooting; Plans technical assistance and
training; Informs standards of practice and monitoring
Homelessness
Awareness Month
Planning Committee
Developing materials, tools and events to mark Homelessness
Awareness Month in November.
Nominating Committee Reviews and revises application process for potential new CoH
members and provides recommendations to the full Council.
FHS Feb 23 2023 Packet Page 155 of 174
COH QUARTERLY REPORT
7
Oversight Committee Reviewing and assessing the development, implementation, and
improvement of the CoC, Coordinated Entry System, HMIS
database, and system outcomes
PATH Innovation
Committee
Work towards the goal of reducing unsheltered homeless in Contra
Costa County by 75% by 2024
Trainings
• Trauma Informed Care (10/24/22)
• Motivational Interviewing (11/28/22)
• Case Management (12/12/22)
Events
• CoC Provider Meetings (3)
• CoC Learning Hub: "R.O.O.T.S: Reflecting On Our Truth And Stories (11/14)
• H-WIN meeting (10/12)
• Homeless Person’s Memorial Event (12/21)
The recordings, minutes and materials for trainings and meetings can be found on the H3
website1 and on the County agenda center2, and a calendar of upcoming meetings and events
can be found on the H3 website.
RECOMMENDATIONS
• Direct county departments to build on partnerships created through Measure X,
Homekey, and CalAIM to maximize funding toward resources dedicated to people
experiencing homelessness in Contra Costa.
1 https://cchealth.org/h3/coc/partners.php#Training
2 https://www.contracosta.ca.gov/agendacenter
FHS Feb 23 2023 Packet Page 156 of 174
COH QUARTERLY REPORT
8
APPENDIX A
Commonly Used Acronyms and Terms
Acronym Definition
APR Annual Performance Report (for HUD homeless programs)
BIPOC Black and Indigenous People of Color
CARE Coordinated Assessment and Resource
CCYCS Contra Costa Youth Continuum of Services
CDBG,
CDBG-CV
Community Development Block Grant (federal and state programs) and the federal Community Development Block
Grant CARES Act coronavirus allocation.
CESH California Emergency Solutions and Housing program (state funding)
Continuum of
Care (CoC)
Continuum of Care approach to assistance to the homeless. Federal grant program promoting and funding
permanent solutions to homelessness.
Con Plan Consolidated Plan, a locally developed plan for housing assistance and urban development under CDBG.
CORE Coordinated Outreach Referral, Engagement program
COVID-19 Coronavirus
DCD (Contra Costa County) Department of Conservation and Development
DOC Department Operations Center
EHSD (Contra Costa County) Employment and Human Services Division
EOC Emergency Operations Center
ESG and ESG-
CV
Emergency Solutions Grant (federal and state program) and the federal Emergency Solutions Grant CARES Act
coronavirus allocation.
ESG-CV Emergency Solutions Grant CARES
FMR Fair Market Rent (maximum rent for Section 8 rental assistance/CoC grants)
HCD Housing and Community Development (State office)
HEAP Homeless Emergency Aid Program (State funding)
HEARTH Homeless Emergency and Rapid Transition to Housing (HEARTH) Act of 2009
HHAP Homeless Housing and Assistance Program
HMIS Homeless Management Information System
HOME Home Investment Partnerships (CPD program)
HUD U.S. Department of Housing and Urban Development (federal)
MHSA Mental Health Services Act
NOFA/NOFO Notice of Funding Availability/ Notice of Funding Opportunity
PHA Public Housing Authority
PUI Persons Under Investigation
PWLE People With Lived Experience of Homelessness
SAMHSA Substance Abuse & Mental Health Services Administration
SRO Single-Room Occupancy housing units
SSDI Social Security Disability Income
SSI Supplemental Security Income
TA Technical Assistance
FHS Feb 23 2023 Packet Page 157 of 174
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TAY Transition Age Youth (usually ages 18-24)
VA Veterans Affairs (U.S. Department of)
VASH Veterans Affairs Supportive Housing
VI-SPDAT Vulnerability Index – Service Prioritization Decision Assistance Tool
Contra Costa County COVID-19 Resources:
Please see below for additional resources on COVID-19.
• Health Services COVID Data Dashboard- https://www.coronavirus.cchealth.org/dashboard
• Health Services Homeless Specific Data Dashboard- https://www.coronavirus.cchealth.org/homeless-dashboard
• Health Services COVID Updates- https://www.coronavirus.cchealth.org/health-services-updates
• Health Services Homeless-Specific COVID Resources -https://www.coronavirus.cchealth.org/for-the-homeless
FHS Feb 23 2023 Packet Page 158 of 174
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APPENDIX B
Council on Homelessness 2023 Members
Seat Name Appointee Affiliation District Live District Work Term Ends
1. Affordable Housing Developer Representative Iman Novin Novin Development Consulting 4 All 12.31.24
2. Behavioral Health Representative Margaret Schlitz Portia Bell HumeCenter's West County FSP program
N/A 1 12.31.24
3. City Government Representative Teri House CDBG Consultant, City of Antioch 5 3 & 5 12.31.24
4. CoC/ESG Program Grantee Representative Leslie Gleason Executive Director, Trinity Center N/A 4 12.31.23
5. Community Member Representative Keva Dean 1 5 12.31.23
6. Education and Vocational Services Representative Alejandra Chamberlain Homeless Education Liaison, Contra Costa Office of Education 3 All 12.31.24
7. Emergency Solutions Grants Representative Gabriel Lemus Contra Costa Department of Conservation and Development 5 All 12.31.24
8. Employment and Human Services (EHSD) Representative Angela Bullock-Hayes Division Manager, EHSD 3 4 12.31.23
9. Faith Community Representative Wayne Earl Pastor, Rock Harbor Christian Fellowship 1 1 12.31.23
10. Health Care Representative Mia Fairbanks Healthcare for the Homeless 5 All 12.31.24
11. Homeless Service Provider Representative Deanne Pearn Executive Director, Hope Solutions 2 All 12.31.24
12 Lived Experience Advisor #1 Juno Hedrick 1 N/A 12.31.24 13. Lived Experience Advisor #2 Jo Bruno Person with lived experience 3 3 12.31.24
14. Public Housing Authority Representative Tony Ucciferri Special Assistant to the Executive Director, Housing Authority of County of Contra Costa 4 5 12.31.23
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15. Public Safety Representative #2 Shawn Ray Lieutenant, San Pablo Police Department 2 1 12.31.23
16. Reentry Services Representative Pat Mims Director, Reentry Success Center 1 1 12.31.23
17. Veterans Administration Representative Jai De Lotto Northern California VA Healthcare System N/A All 12.31.24
18. Workforce Development Representative Janae Thomas Swords to Plowshares N/A All 12.31.24
19. Youth Representative Anastasia Flores TAY with Lived Experience 1 N/A 12.31.24
FHS Feb 23 2023 Packet Page 160 of 174
Q4, 2022 REPORT FROM THE COUNCIL ON HOMELESSNESS
February 27, 2023
FHS Feb 23 2023 Packet Page 161 of 174
SYSTEM FUNDING
Federal
•HUD Special Unsheltered NOFO
•Housing Stability Voucher Program:
State
•Bringing Families Home
•Homeless, Housing and Assistance Program
•Homekey 3
Local
•Measure X
FHS Feb 23 2023 Packet Page 162 of 174
SYSTEM INITIATIVES
Equity
People with
lived
experience
HMIS
Evaluation
Homelessness
Awareness
Month
Monitoring
Performance
Based
Contracting
FHS Feb 23 2023 Packet Page 163 of 174
COLLABORATIONS
Homeless Services-
Workforce
Development
Integration (H-WIN)
FHS Feb 23 2023 Packet Page 164 of 174
REGIONAL ACTION PLAN PROGRESS
PATH
Innovations
Committee
Funding
Opportunities
FHS Feb 23 2023 Packet Page 165 of 174
GOVERNANCE/REPORTING
Revised Bylaws
New Members
Annual Advisory Board report
FHS Feb 23 2023 Packet Page 166 of 174
MEETINGS, TRAININGS AND EVENTS
Committees
•Equity
•HMIS Policy
•Homelessness
Awareness Month
•Nominating
•Oversight
•PATH Innovations
Trainings
•Trauma Informed
Care
•Motivational
Interviewing
•Case Management
Events
CoC Provider
Meetings
CoC Learning Hub:
"R.O.O.T.S:
Reflecting On Our
Truth And Stories
H-WIN meeting
Homeless Person’s
Memorial Event
FHS Feb 23 2023 Packet Page 167 of 174
RECOMMENDATIONS
Direct county departments to build on
partnerships created through Measure X,
Homekey, and CalAIM to maximize funding toward
resources dedicated to people experiencing
homelessness in Contra Costa.
FHS Feb 23 2023 Packet Page 168 of 174
QUESTIONS?
FHS Feb 23 2023 Packet Page 169 of 174
CONTACT
Jaime Jenett, Staff to the Council on Homelessness
Jaime.jenett@cchealth.org
925-464-0152
FHS Feb 23 2023 Packet Page 170 of 174
FAMILY AND HUMAN SERVICES COMMITTEE 10.
Meeting Date:02/27/2023
Subject:2023 Family and Human Services Committee Workplan
Submitted For: FAMILY & HUMAN SERVICES COMMITTEE,
Department:County Administrator
Referral No.: N/A
Referral Name: N/A
Presenter: Danielle Fokkema Contact: Danielle Fokkema, 925-622-2047
Referral History:
Family and Human Services Committee (Committee) Referrals:
During the 2022 calendar year, the Committee heard a total of 19 reports for the following 13 Committee referrals:
Referral #5 – Homeless Continuum of Care Plan for the Homeless / Healthcare for the Homeless
Referral #20 – Public Service Recommendations of the County’s Community Development Block Grant and Emergency
Services Grant Action Plan
Referral #45 – Adult Protective Services and Challenges for Aged & Disability Populations, Including the Status of the
Master Plan on Aging
Referral #61 – HIV Prevention/Needle Exchange Program
Referral #78 – Community Services Bureau/Head Start Oversight
Referral #82 – Secondhand Smoke Ordinance
Referral #93 – Youth Services Report, Including the Independent Living Skills Program
Referral #103 – SNAP/CalFresh (formerly known as Food Stamp) Program
Referral #107 – Assisted Outpatient Treatment Program (Laura’s Law)
Referral #109 – Workforce Innovation and Opportunity Act
Referral #110 – Innovative Community Partnerships
Referral #111 – Family Justice Center & Commercially Sexually Exploited Children
Referral #112 – Policy Options to Protect Youth from Tobacco Influences in the Retail Environment
Due to scheduling conflicts, vacancies in leadership positions, and/or the ongoing demands of the County’s
COVID-19 response, the Committee did not receive reports in 2022 for the following referrals:
Referral #44 – Challenges for EHSD (Continuum of Care Reform)
Referral #56 – East Bay Stand Downs for Homeless Veterans / Stand Down on the Delta
Referral #81 – Local Child Care & Development Planning Council Activities
Referral #92 – Local Planning Council – Child Care Needs Assessment
Referral #114 – Impacts of Technology on Access to Public Benefits
Referral #116 – Public Mental Health Care Systems, Including Psychiatric Services to Children and Youth
The Board of Supervisors, at is May 24, 2022, meeting referred to the Committee the topic of Healthy Options at
Point of Sale (HOPS) and provided direction for Health Services Department Public Health Division staff to
collaborate with HOPS youth advocates to look further into the issues presented and to prepare policy or ordinance
recommendations that this Committee could forward on for the full Board's consideration. This referral has been
added as Family and Human Services Referral No. 122 and is entitled, Policy Options for Healthy Options at Point
of Sale (HOPS).
Standing Committee Schedule and Format:FHS Feb 23 2023 Packet Page 171 of 174
Standing Committee Schedule and Format:
The Committe's 2023 standing meeting date and time is set for the fourth Monday of each month at 10:30 a.m. Due
to scheduling conflicts, four meeting dates are proposed as follows:
Cancel the March 27th meeting and set a special meeting for that month on Thursday, March 23rd at 10:30 a.m.
Cancel the April 24th meeting and set a special meeting for that month on Friday, April 28th at 10:00 a.m.
Cancel the July 24th meeting and set a special meeting for that month on Monday, July 31st at 10:30 a.m.
Cancel the December 25th meeting due to the County holiday, and if the need to hold a meeting in December is
determined later in the year, a special meeting can be scheduled by staff
Effective March 1, 2023, the Board's standing committees have been directed by the Board to use a hybrid meeting
format that will enable the public to continue to participate in meetings electronically from remote locations. Under
new legislation, Committee members may attend meetings remotely for limited "just cause" or "emergency"
reasons no more than two times nor more than 20% of the regular meetings per calendar year, as long as at least one
Committee member (a quorum) participates in person. Additionally, the Brown Act and County's Better
Government Ordinance permits remote participation of a Committee member under these rules:
At least a quorum of the Committee (one member) must participate from a location in the county.
Each telephone conference location and the meeting location must be shown on the agenda for the meeting. In addition,
the agenda must provide an opportunity for members of the public to give public comment from each teleconference
location.
In addition to the usual agenda-posting agenda locations and the County website, an agenda must be posted at each
teleconference location 96 hours in advance of the meeting.
Each teleconference location must be open and accessible to members of the public. All votes taken during a
teleconference meeting must be by roll call.
A hybrid format would consist of either a two-way audiovisual platform, or a two-way telephonic service and a live
webcasting of the meeting, so that the public may remotely hear and visually observe the meeting, and remotely
address the body. The Board's standing committees are scheduled to meet in Conference Room 110 at the County
Administration Building, 1025 Escobar Street, Martinez. This room is equipped to host hybrid meetings.
Referral Update:
Based on the actions taken by the 2022 Family and Human Services Committee and the Board of Supervisors, the following
FHS referrals will continue in 2023, unless otherwise directed by the Committee:
Referral #5 – Homeless Continuum of Care Plan for the Homeless / Healthcare for the Homeless
Referral #20 – Public Service Recommendations of the County’s Community Development Block Grant and Emergency
Services Grant Action Plan
Referral #44 – Challenges for EHSD (Continuum of Care Reform)
Referral #45 – Adult Protective Services and Challenges for Aged & Disability Populations, Including the Status of the
Master Plan on Aging
Referral #56 – East Bay Stand Downs for Homeless Veterans / Stand Down on the Delta
Referral #61 – HIV Prevention/Needle Exchange Program
Referral #78 – Community Services Bureau/Head Start Oversight
Referral #81 – Local Child Care & Development Planning Council Activities
Referral #82 – Secondhand Smoke Ordinance
Referral #92 – Local Planning Council – Child Care Needs Assessment
Referral #93 – Youth Services Report, Including the Independent Living Skills Program
Referral #103 – SNAP/CalFresh (formerly known as Food Stamp) Program
Referral #107 – Assisted Outpatient Treatment Program (Laura’s Law)
Referral #109 – Workforce Innovation and Opportunity Act
Referral #110 – Innovative Community Partnerships
Referral #111 – Family Justice Center & Commercially Sexually Exploited Children
Referral #112 – Policy Options to Protect Youth from Tobacco Influences in the Retail Environment
Referral #114 – Impacts of Technology on Access to Public Benefits
Referral #116 – Public Mental Health Care Systems, Including Psychiatric Services for Children and Youth
Referral #112 – Policy Options for Healthy Options at Point of Sale (HOPS)
The recommended 2023 referrals include all 2022 referrals, with the exception of Referral #61 – HIV Prevention Needle
Exchange Program since that report is a biennial report to this Committee on even years and a biennial consent report directly
to the Board of Supervisors on odd years. Additionally, the 2023 referral recomendations include the new referral on the topic
FHS Feb 23 2023 Packet Page 172 of 174
of Healthy Options at Point of Sale.
Attached for the Committee's review is the proposed meeting schedule and work plan for hearing each of the 2023 referrals.
Recommendation(s)/Next Step(s):
APPROVE the proposed 2023 Family and Human Services Committee meeting schedule, referral workplan, and meeting
format, or provide direction to staff regarding any changes thereto.
Fiscal Impact (if any):
There is no fiscal impact.
Attachments
Proposed 2023 FHS Workplan
FHS Feb 23 2023 Packet Page 173 of 174
Meeting Details Agenda Items
#121: Healthy Options at Point of Sale
#82: Secondhand Smoke Ordinance and #112: Policy Options for Protecting Youth from
Tobacco Influences in the Retail Environment
FHS 2023 Meeting Schedule, Workplan and Format‐ Staff Report
#5: Homeless Continuum of Care (Health, Housing and Homeless Services) Quarterly Report
Advisory Body Appointment Recommendations (as needed)
#78: Community Services Bureau (non‐Head Start services)
#45: Adult Protective Services and Challenges for Aged & Disability Populations including
status of the Aging Master Plan
#20: Public Service Recommendations of the County's FY2023/24 CDBG Public Service and
ESG
Advisory Body Appointment Recommendations (as needed)
#114: EHSD Technology (Including CalSAWS Transition)
#116: Public Mental Health Care System
Advisory Body Appointment Recommendations (as needed)
#109: Workforce Investment Act Update / Workforce Innovation and Opportunity Act
#5: Homeless Continuum of Care (Health, Housing and Homeless Services) Quarterly Report
Advisory Body Appointment Recommendations (as needed)
#111: FJC & commercially Sexually Exploited Children
#103: SNAP/CalFresh Update
Advisory Body Appointment Recommendations (as needed)
#44: Challenges for EHSD (Includes Continuum of Care Reform Report)
#56 Stand Downs for Homeless Veterans (Standdown on the Delta)
Advisory Body Appointment Recommendations (as needed)
#93: Youth Sevices Report (Includes Independent Living Skills Program Report)
#107: Assisted Outpatient Treatment (AOT)
#115: Child/Adolescent Mental Health Services
Advisory Body Appointment Recommendations (as needed)
#5: Homeless Continuum of Care (Health, Housing and Homeless Services) and Healthcare
for the Homeless Annual Reports
Advisory Body Appointment Recommendations (as needed)
#110: Innovative Community Services (Including Measure X Programs)
Advisory Body Appointment Recommendations (as needed)
#120: Role of the FACT Committee
#5: Homeless Continuum of Care (Health, Housing and Homeless Services) Quarterly Report
Advisory Body Appointment Recommendations (as needed)
PROPOSED 2023 Family and Human Services Committee Workplan
October, Monday 23rd at 10:30am
November, Monday 27th at 10:30am
December 25th Recommendation to cancel meeting due to County Holiday
May, Monday 22th at 10:30am
June, Monday 26th at 10:30am
July, Monday 31st at 10:30am ‐
Special Meeting
August, Monday 28th at 10:30am
September, Monday 25th at 10:30am
January No Meeting
February, Monday 27th at 10:30am
March, Thursday 23rd at 10:30am ‐
Special Meeting
April, Friday 28th at 10:00am ‐
Special Meeting
as presented on 2/27/2023 FHS Feb 23 2023 Packet Page 174 of 174