 8th meeting of the Board of Supervisors if we could begin with a roll call, please Supervisor Leopold here Coonerty here Caput here McPherson Chair friend here if you could please join us in a brief moment of silence in the Pledge of Allegiance The Allegiance to the flag of the United States of America and to the Republic for which it stands one nation under God indivisible with liberty and justice for all Good morning Mr. Prasio, so are there any changes to today's agenda? Yes, and what may be a first we have no corrections or additions to the agenda today Yeah, right before your performance evaluation was done I noticed Very very suspect let the record reflect All right, well now move on to the consent agenda we'll begin with Supervisor Caput There's an opportunity for you to either pull items or briefly comment on items on consent Are there any items you'd like to comment on? I'm okay. Thank you Supervisor Caput. Good morning Supervisor McPherson Good morning Supervisor Coonerty Just real briefly on item number 22 I'm really excited to have another downtown outreach worker To do important outreach downtown and to give us full week coverage Thank you. Good morning Supervisor Leopold Good morning chair. Just a couple items. I'd like to comment on On item number 17, which is the 2017 quarter 4 Whole person cares port whole person cares report and the some annual summary report You know, it's it's amazing how quickly the time goes on these projects And I really appreciate the work that is going on I hope that is shared with our other jurisdictional partners So they can see the progress that we're making and I just want to encourage the staff That this is a critical program and to keep on working hard to make sure that we maximize its utility On item number 19 and number 23 I want to recognize our water resources department I see John Ricker here but both these are important agreements to look at our groundwater basins And I appreciate the work that our staff does in order to help address this pressing issue here in Santa Cruz County I really appreciate it and that's it Thank you also briefly comment on item 17 just to say for the whole person care project It's really useful to have the data as opposed to a lot of the information that people do share out in the community This is actually useful just to see the actual breakdown of information associated with that I'll select you on item 29 I support the principal planner for the planning department I think it's really important with our work that we're doing within the housing section right now to have that addition Now we'll open it up to the community This is a member there's an opportunity for members of the community to comment on items on the consent agenda If anybody would like to address us on the consent agenda, please feel free to step forward The consent agenda is items number six through 42 Would anybody like to address us on the consent agenda? Okay, seeing none we'll bring it back to the board I will move approval of the consent agenda Second We have a motion from Supervisor Leopold a second from Supervisor Coonerty all those in favor Aye Opposed? It passes unanimously We'll now move on to oral communications This is an opportunity for members of the community to address us on items that are not on today's agenda But within the purview of the Board of Supervisors, you'll have three minutes. Good morning and welcome Good morning Supervisor Kent Washburn member of your Housing Advisory Commission I cycle through here periodically to remind you that every single day Households in Santa Cruz County are falling out of safe housing Because we have not done our job as commissioners and as leaders of the community To take the political debate where it must go in order for us to supply even a fraction of that need And I want to urge you as gracefully but as firmly as I can to give us on the commission more work to do We'll try to do it and let's advance this down the field toward the goal line Thank you Thank you for your work on the commission and the recent hearing that you held Good morning and welcome Good morning Good morning Chair Friend and members of the board My name is Jennifer Herrera I am the Director of Nursing over at HSA Public Health And I just on behalf of HSA our Director Jane Nguyen Our Assistant Director Mimi Hall and Health Officer Dr. Arnie Leff I'd like to thank the board for recognizing Nurses Week 2018 May 6th through 12th This year's theme is Nurses Inspire, Innovate and Influence Here in Santa Cruz County our nurses truly inspire, innovate and positively influence the wellness of our residents At HSA we have nurses who inspire their patients by promoting healthy behaviors and family bonding We have nurses whose innovation helped mitigate disease outbreaks such as hepatitis A We have nurses who provide case management to positively influence the lives of people living with chronic illnesses The impact of our work can be felt on many levels For instance we have nurses who provide outstanding direct patient care in clinics And as you know our agency director Jane is a nurse whose strong leadership has guided our agency to meet the health-related needs of the community But HSA holds just a snapshot of the amazing capabilities of nurses Countywide the inspiration, innovation and influence of nurses add to the excellent standard of care deserving of every resident in Santa Cruz County Thank you Thank you and thank you for your work protecting the most vulnerable in our community My mom is a nurse so I have a special place for them in my heart I appreciate your work Is there anybody else that would like to address us during oral communications? This is your opportunity to address us during oral communications You already did the consent agenda Yes Okay you're fast today Good morning Ms. Garrett welcome back Let's see this 4G, 5G wireless microwave technology is really proliferating And 5G you hear about how wonderful it is Well here's some facts you don't hear too much about 5G and the internet of things will cause even greater biological harm Then we're already experiencing some half-dub plans for a new network of extremely high-milled in their way Small antennas and smart meters on steroids There is no doubt that the telecom industry's plans for 5G deployment on top of the existing 4G towers Which are right near me on Freedom Boulevard I understand thanks to your leadership Zach Friend It's very damaging Represent the single biggest threat to our safety, health, privacy and cybersecurity Since smart grid deployment began More details can be found at whatis5g.info Millimeter waves are utilized by the US Army In crowd dispersal guns and weapons called active denial system 5G applications will require unlocking of new spectrum bands In higher frequency ranges above 6 GHz to 100 GHz and beyond Utilizing sub-millimeter and millimeter waves to allow extra high rates of data to be transmitted Most people are unaware that these waves are cycling several billion times per second 75 GHz is in fact 75, I think that's a billion cycles per second Stated Dr. Debra Davis about these frequency rapidly penetrating the skin On tonight's Watsonville agenda You represent a lot of the Watsonville area Supervisor Caput Under unfinished business is a change of their wireless ordinance to allow the telecom industry Without notification or hearing to put their radiation devices in the public right of way On utility poles and light standards throughout the city There's virtually been no discussion or public awareness This needs to be halted They need to reconsider it And it means you'll have this right outside bedroom windows everywhere This is a good if I were going door-to-door in elections I'd say I'm trying to protect the community Thank you Ms. Garrett This is not healthy, thank you Thank you, does anybody else like to address us during oral communications? All right, see none will close oral communications And we'll begin the regular agenda which is item 43 There is a public hearing to consider resolution confirming proposed FY 2018-19 Benefit assessment rate and service charge reports for county service areas Number 53, 53N and 53S for mosquito abatement and disease controls outlined In the memo of the agricultural commissioner We have the board memo of the assessment rates and the resolution Good morning Mr. Binding Good morning Good morning Chairman Friend, Supervisors and staff, members of the public I am Paul Binding and I manage the mosquito abatement Vector control division of the agricultural commissioner Called County Service Area 53 On April 10th your board set today as a public hearing For the annual confirmation of the three benefit assessment rate reports To provide operational funding for CSA 53 These rates have previously been approved by your board One remains the same as in 2017-18 And the other two have been increased by the consumer price increase As approved in previous elections We recommend that your board I'm sorry these rates have been posted in local newspapers And the rate reports made available to the public at the clerk of the board And on the mosquito abatement website prior to today's hearing If approved the rate reports will be forwarded to the auditor Controller by August 10th to be included in the 2018-19 Property tax assessment role We recommend that your board open the public hearing Hear any objections or protest to the proposed three assessment rate reports For CSA 53 which are the north and south county Mosquito and disease control assessments And the original mosquito abatement vector control assessment Then please close the public hearing And adopt the resolution confirming the benefit assessment rate reports For CSA 53 for fiscal year 2018-19 We at the agricultural commissioner thank you for your ongoing support And welcome you staff and the public to our open house To be held sometime in the fall To showcase the improvements you authorized to 640 capitol a road Thank you again Thank you Mr. Bonnier Any other questions from board members Before we open up the public hearing We will now open up the public hearing This is an opportunity for members of the community to address us On the assessment rates associated with CSA's Number 53, 53N and 53S For mosquito abatement and disease control Good morning Good morning could you I'm like you to state publicly What the assessment rate is And I'd like details of your mosquito abatement program What you're using because pesticides and herbicides Often target the unspecified insect And affect the entire environment As is described so well in Rachel Carson's famous 1962 book Silent Spring Where DDT was spraying to kill mosquitoes and insects But it ended up killing the birds And all kinds of creatures That's why she called the book Silent Spring The birds were not singing So I would I'm very leery of pesticides I myself was tested for DDT As a nursing mother in 1969 And all those nursing mothers had DDT And our breast milk and carcinogen So I'm very interested in what are ecological Nontoxic methods of how you're controlling mosquitoes What you're doing specifically So I will listen for a response to that Thank you Thank you Is there anybody else that would like to address us In the public hearing? Okay we'll close the public hearing Just in regards to the rates There's only two attachments to this item And one of them lists all the rates Take quite some time to read through them all But you can see the attachment But there are no rate changes on CSA 53 Just to give you an idea it's $11.59 For a single family home Mr. Binding if you would like to very briefly Address just the general issue Which does come up repeatedly about The methods by which you employ Yes on our website there is A description of the integrated vector management Process and the way we control mosquitoes And rodents and yellow jackets and ticks And also the annual report gives More detailed discussion of our services And the benefits to the public Thank you I mean today we're just considering the rates Is there a supervisor Leopold? Thank you chair You know the CDC recently came out With a report just a couple weeks ago Saying that the number of Americans Sickened by mosquitoes ticks and fleas Has tripled from 2004 to 2016 And that 80% of the vector control Organizations didn't have enough money To stop these fast spreading diseases So to me this is a model that works I think you guys should wear capes Because you're really providing An incredibly important service About preventing the spread of disease In Santa Cruz County I would move the recommended actions And thank the staff for their ongoing work Is there a second? Alright we have a motion from supervisor Leopold And a second from supervisor Capito Are there any additional comments or questions from Board members seeing none all those in favor Aye Opposed it passes unanimously thank you both For your work We'll move on to item 44 Which is as the Board of Directors Of the Davenport County Sanitation District A public hearing on proposed ordinance Amending district code establishing the 2018-2019 water and sewer service charges And take related actions as outlined In the memo the interim district engineer We have the board memo the ordinance Number 87 with the strike out and underline The ordinance with the clean copy The ordinance for sewer for the strike out Underline the ordinance for sewer and The clean copy the first two ordinances We have the service charge reports and the notice Of public hearing And good morning and welcome Good morning Chairman Friend and members of the board I'm Kent Edler with the department of public works And the Davenport County Sanitation District On March 13th your board set today as the date And date for the public hearing to consider The attached ordinances regarding water and sewer rates For the Davenport County Sanitation District The service charges will become effective As of July 1st 2018 The service charge increases are at Or below the bay area consumer price index Of 2.9% water service charges are being Proposed to increase by 2.6 overall With a 2.9% individual maximum Sewer service charges are being proposed With a 2% overall increase With a 2.9% individual maximum We are recommending that your board Open the public hearing consider objections Or protests and upon its conclusion Adopting concept ordinances 87 and 88 Establishing water and sewer service charges For fiscal year 2018-2019 Direct the clerk of the board to place The attached ordinances on the next available Agenda for final adoption Set Tuesday June 12th 2018 At 9 a.m. or thereafter as the date And time for the public hearing On the service charge reports And direct the clerk of the board To publish the notice of public hearing once a week For two weeks prior to the hearing And after that, this is a paper of general Circulation. Thank you, are there any questions from Board members on this item? No questions. No one likes rates going up, but Kent And his team have been really amazing At trying to serve this community in Every way possible and keep the rates as recent as possible. And so I just want to thank you for Your work on both the water and sewer. Thank you, Supervisor Coonerty. We'll now open up the public hearing. Is there anybody from the community that'd like To address this specifically regarding the rates district just a comment that if you had the evening meetings more people could participate at 9 a.m. most people except for old retired teachers like me are unable to come and participate so you have a public hearing and the public is precluded most of them from being here the cities in this county all have evening meetings I think you need to do the same so that you can actually hear from more members of the public in person thank you thank you Ms. Garrett is there anybody else I'd like to address us on the public hearing regarding the Denver County Sanitation District Rates see none we will close the public hearing bring it back to the board for action approval second we have a motion from Supervisor Coonerty and a second from Supervisor Leopold for the recommended actions all those in favor aye opposed it passes unanimously we'll now move on to the next item which is item 45 which is of the board of directors the Freedom County Sanitation District a public hearing on proposed ordinance amending district code establishing the 2018-2019 sewer service charges and take related actions as outlined in the memo of the interim district engineer we have the board memo the notice of public hearing the ordinance with the strikeout and clean copy and the electronic charge reports Mr. Adler welcome back good morning so on March 13th your board set today as the date and is the date for the public hearing to consider the attached ordinance establishing changes to the sewer service charges for the Freedom County Sanitation District these charges will become effective as of July 1st 2018 the proposed sewer service charges are being proposed with an overall 6.6% increase which is higher than the Bay Area Consumer Price Index of 2.9% this is attributed to higher treatment costs that the district pays to the City of Watsonville's treatment plant increased contribution to the capital improvement program and additional collection expenses we're recommending that your board open the public hearing consider objections or protests and upon its conclusion adopting concept ordinance f23 establishing sewer service charges for fiscal year 2018-2019 direct the clerk of the board to place the attached ordinance on the next available agenda for final adoption set Tuesday June 12th 2018 at 9 a.m. or thereafter as the date and time for public hearing on the service on the service charge reports and direct the clerk of the board to publish the notice of public hearing once a week for two weeks prior to the hearing and then newspaper of general circulation thank you there any questions from board members alright see none we'll now open the public hearing is there anybody else they'd like to address us on the Freedom County Sanitation District rates see none we will close the public hearing I'll make a similar comment to what Supervisor Coonerty said you've done outstanding work especially in receiving recent grant funding for the disadvantaged community that has served under the Freedom County Sanitation District I appreciate all the work that you've done in that area is there a motion on this item so move the recommended actions we have a motion from Supervisor Leopold a second from Supervisor McPherson all those in favor I opposed it passes unanimously thank you for your work I move on to item 46 which is to consider report and presentation on the accessory dwelling unit ADU program including public guidance documents and web tools available to the public is outlined in the memo of the planning director we have the agenda item board memo the ADU basics guide the ADU design book the ADU financing guide and the accessory dwelling units planning department web link good morning and welcome good morning this morning we're happy to be here to show your board the results of some work that the planning department did along with the consulting team to come up with a program that supports and encourages the construction of accessory dwelling units there's an outreach component that we'll speak about today it's part of a bigger program that includes excuse me dedicated staff to process accessory dwelling unit permits we went through two rounds of changes to the regulations over the last two years to make those more simple and easier to build an ADU so a lot of components of this program and this is the last piece to be put in place with me is Sarah noisy previously of the planning department she's now at the city of Santa Cruz and came back today to visit to be part of showing you something that she was a very important part of creating so I'm glad that she's here and also thank you to Julie Conway at the planning department in the housing section because she also contributed quite a bit our goal with this program is to reach the property owners who are interested in building ADUs but haven't been able to find their way over the finish line we did quite a bit of research to figure out what the barriers are to building ADUs and to target our work to those particular barriers we interviewed lots of people in the industry and importantly we did a community survey and we spoke with people who came to the counter and investigated building ADU but weren't able to proceed so we hope that we've found the places where we can have a program that's the very most useful there are three guidance documents that are part of the outreach program they were devised to be mostly used online and as tear sheets for people to print as needed but we also will provide them in hard copy to people who need that the first is the ADU basics guide there with me for just a moment one thing you'll notice is that the URL of the website is here and we're launching that today Jason Hoppin is going to help us do outreach and publicize it we have a pretty robust website now where people can do a lot of research on their own and prepare themselves to go through the permit process we begin with an eligibility flow chart and that allows people to ask themselves some questions about their property and walk through the permit process actually walk through the process from the start where you're collecting information then coming into the planning department and people are able to see what is able to be done on their property it begins with finding out whether your property is eligible for an ADU and it delivers at the end information about the maximum size ADU that you can build gives you the the different sizes and you can actually access this from the website this is the home page for ADUs and one of the options is the GIS tool when you enter the GIS tool if you have your property address or parcel number you include that and what it returns is the maximum size ADU you can build and it also tells you all the special districts that your property is located within the special districts are important because those fees are an important part of how much it will ultimately cost you to produce that ADU and they very very much depending on where you're located in the in the county it includes a design guide that is designed to visually illustrate the site standards for all the different circumstances in which one might want to build an ADU and for the different styles of ADUs this one this example is for a conversion ADU and conversions where if a property owner can find space either in an existing accessory structure such as a garage or in their home that's the very most cost-effective way to develop a housing unit so here's an example of how we show conversion ADUs and here we're illustrating the fact that on a small lot you can have a little bit of extra floor area ratio or space to facilitate turning a garage or an accessory structure into an ADU each tear sheet has a visual on the site standards there are always photos on the left showing examples of that kind of an ADU and they have floor plans as well this one shows detached new construction and the site standards are complicated in some cases with more than one height standard applying so when you have a visual representation people are able to see how the site standards relate to one another heights as well as some of the other site regulations depend on where the ADU is on the parcel so we take some some space to illustrate each of the circumstances so people can find their circumstance in the array of examples and go from there all of the documents are photo rich we try and illustrate design ideas so that it's just simpler and people can have a sense that this is kind of a doable process in this case we're showing how one can use basement space or attic space to carve out an ADU in an existing home we also produced a cost and financing guide ADUs have some financing challenges that are different from regular single family dwellings we go into those we lay out the financing options we also spend on quite a bit of effort on fully disclosing the fees and we cover all the county department fees as well as special district fees in the hope that we can give people really the most full picture of what it takes to create an ADU and then of course help them help them work through each of those steps here's an excerpt from the fee chart and the way we set this up is we focus on examples of different kinds of accessory dwelling units and then we call out the basis for every fee the idea here is we try and show people what aspects of the costs they can control with their design and that way show people that there really is a range and there are ways that you can work with even things like the fees to minimize your costs and this of course is after your board made an effort to find the places where fees could be reduced and minimized overall and we did bring that to your board with the regulations just showing you that we cover all the different county departments understanding how the fees are based really is a powerful way to reduce your cost for example the roadside and transportation fees only apply if your ADU requires a parking space and you can design so that that parking space isn't necessary and that way you can minimize one of the more sizable fees we cover the special districts this example are the fees for the fire protection districts we also include the school districts and the water districts the financing guy tells the story of the costs and the financing through using prototype examples the prototypes we explain are the single family well I'm sorry the detached accessory dwelling unit the accessory dwelling unit over a garage one that's not pictured is very popular as a conversion of an existing garage and then lastly this is a photo of space within an existing dwelling if you have space for a mini kitchen and some other small changes a master bedroom suite a regular bedroom or a den can be used as a space that can produce a very nice accessory dwelling unit the guide goes over the fees and the costs for each of those prototypes and what we call the remodel alternative and really the bottom line is that building a detached structure is the most expensive option and that it's very cost effective to do the remodel alternative and we made changes to the code so that that remodel alternative is is facilitated you can do the latter the remodel alternative for under thirty thousand dollars this is a visual of a tool that's on the website it's the adu cost estimator and it has a couple of pieces one is a construction estimator and what this does is it helps people see and plan for each of the categories of costs they can expect the hard costs the soft costs and the fees it returns a total a total expected cost and then that is fed into another tool these are based on Excel spreadsheets and their access through the same web portal where people can begin to see what their cash flow would be this one allows people to this is a static example but you can put in different scenarios and it helps people explore what the costs of different kinds of financing would be and what different rents would return to them over time and in this one example this is for a household of one in a six hundred and forty square foot adu over a garage and you can see that it returns a positive cash flow monthly and then of course after twenty years or whatever the term of the loan is that investment the cash flow increases substantially one of the ways we hope this will be used is there are portions of the guidance that speak about the housing choice voucher program also known as section eight and we compare the the value of a voucher against fair market value and and the the current data we have on rents to show that there are circumstances where that's a really fairly positive comparison and that it might make economic sense to rent to somebody who holds one of those vouchers other aspects of the program include pointing people to outside of the county resources we of course highlight the county program the loan program that people can potentially receive a forgivable loan of up to forty thousand dollars in return for the unit being deed restricted for 20 years there are also outside organizations like Bay Federal for example which has a loan program or is developing one that's directed specifically to accessory dwelling units so overall there's a web presence there are documents we have new brochures the new regulations are in place and there's county staff trained up and available to really help guide people through the adu process and we report to the board annually on the number of adus that have been built that previous year with the growth goal and we're looking forward to keeping track and seeing whether new adus really are encouraged and reporting that to the board thank you very much thank you miss living for that wonderful presentation and welcome back to us noisy for the day is there anybody that would like to ask questions before we open it up for the community so if I should be able thank you chair thank you for the presentation and for the hard work that went in to creating these documents in this website early version of this I shared with a neighbor you know when was in draft form to give some sense about what it would cost to build an adu on my block and she found it very helpful and this before all these additional tools were added so as I look at this cost estimator and all the other pieces that you put some time into creating it seems like it will do a great job in answering questions for people as they think about adus I'm sure I'm not the only one up here who gets questions from constituents who are very interested in doing this and sometimes they're prepared to know that it's gonna cost could could cost a hundred thousand dollars and some are shocked to find out how much it actually cost and so to be able to do this to have the estimator in terms of the rent the mortgage a number of different factors I think will give people a really good idea of what it is they're getting into at the front end I also think this is a great model for other things within the planning department because one of the other questions we get is I came to do something on my property and I didn't know I was gonna have to pay this public works fee or this this school fee or something else and so being able to share with people the cost of fees on the front end is a really effective way to make sure that they're happy on the back end and I just appreciate all the work that went into this and Ms. Noisy glad to have you back for this hearing so sorry to leave you to have you leave as a member of the county family glad you're still here in Santa Cruz yeah I congratulations on our job very well done I think have you now that you have this model have you received anything back we'd like just a little more of something else and I know you went through that process once there is this been a process in general but is there anything that did you see it we need more of this we do know that this whole system will have to be updated fairly frequently there's a new batch of bills in Sacramento that we may be back here making further further amendments to the site standards and the not too distant as a result of that so there's definitely there's still barriers and there's more work to be done and we will definitely be tracking that and changing things as needed I know there's ongoing and I think that the state saw and their their legislation and this is probably the the best most immediate answer to address our housing crisis that we have here and throughout the state I think one thing that folks want more of is assurance okay this is I can be told what to do and go ahead and have confidence that that's all I need to do I think this is a step a tremendous step in this direction if somebody is depends on how familiar they are with the website and so forth but how long would you think would take for them to get a to make an application and say yes you can go ahead I mean is there any kind of a timeline we hear the stories from the past way past that this has taken me three years and I still can't get it done is there any timeline of a general timeline that you think that people can go in and say this is what I want to do I can get the straight answer and move ahead or decide not to do it the key thing is that in almost every single case it's a ministerial permit meaning it's just a building permit and when you hear about those stretched out timeframes it's usually because there's an associated discretionary permit public hearing as part of what somebody is trying to accomplish when it's a straight building permit then that time frame is really quite shortened just you know for that reason also the stretched out timeframes tend to be properties that have complications and we you know we work quite a bit with environmental health and to give people some upfront information about septic considerations which is a big thing in the mountain areas that has been difficult and your your board made a change to the general plan as part of this in an earlier iteration that the one acre minimum no longer replies on on on certain sites and watershed so lots of things have become simpler and they're all ministerial permits you know except for certain particular circumstance in the coastal zone or on ag land again I want to congratulate you for taking with the state passed through legislation and implementing it here it seems like it's the most straightforward way we can we can use to address our housing crisis here in Santa Cruz County thank you very much I'll make some brief comments I mean I do I think that this is a significant I don't think we can underscore enough how this is a significant step forward 80 use are one of the fastest and least expensive ways to increase affordable housing in Santa Cruz County and over the last year we have slashed the fees significantly streamline the process so that it's much faster to get to construction and even created a forgivable loan program that in some instances could fully fund the construction and fees associated with a new ADU if you're willing to deed restrict it for affordable housing I would expect that this really will incent a lot of new ADU construction within the county which is a set which is sorely needed and could help bring a number of new affordable housing units into the county in the next 12 to 24 months and this is due directly to the work that you brought forward in the board prioritized I just appreciate the work that the planning department's done on this I would like to open it up for the community is an opportunity for members of community to address us on item 46 the ADU program good morning good morning thank you for your presentation that was quite informative I didn't know that the ADUs could also be a conversion like of a garage for instance and then I have a few questions that came up as you were speaking in terms of and your comments supervisor McPherson I think the the homeless problem and the inequities of this capitalist society are so vast and foundation is so you know unfair it may help a little bit but I think we need more structural changes is this to receive a building permit for the ADU here's one question it does this have to be like for section 8 voucher HUD housing for affordable however that's to find housing that's one question my second question is when I hear about streamlining a process what I've been learning over the years it's often environmental requirements to protect the environment they seem to be waived so how does this new ADU policy coincide or does it say CEQA is a negative declaration California Environmental Quality Act so those are my two questions that appreciate an answer thank you for your presentation again thank you is there anybody else from the community that'd like to address us on this item okay we'll see none supervisor Coonerty yeah I just want to take a moment and thank you this is really really good work it's accessible it's simplified it's exactly I think what people need to just demystify a process that is a real big opportunity to allow people to age in place to allow more affordable units be built it's a it's a tremendous opportunity and I just want to this far exceeds any expectation that I had though and I had high expectations but you exceeded them and so I want to thank you for this work and I think it's just really important that my colleagues and I all include this in our newsletters to start spreading the word that we use social media we can you know focus on homeowners who may be the perfect market for this in the unincorporated areas so I think there's a lot of opportunities to reach people where they are make sure we get this information just when they're beginning to think through this opportunity so there's no other further comments or questions I'll move the recommended action second just one question we do have a motion from supervisor Coonerty second from supervisor Leopold supervisor Caput but when they when they do the the additional unit to the property the reassessment of the property tax would be based on the cost of the construction yeah there is a section that covers that in in the in the document and there is a there's not an overall reassessment of the property so any benefit a homeowner has from having had the property for a long time for example under proposition 13 rules no no large-scale reassessment is triggered the assessor will increase the value of the property incrementally to recognize the value of the ad you the way they do that sounds like is somewhat art and somewhat science I don't know this the details of that but there is an incremental but very much limited change to the property taxes a result it's the same as if you would have remodeled your house and increased its value in the traditional way thank you and just to briefly answer the two questions that were asked on the environmental this does nothing to reduce the environmental review this creates site standards and in essence we went through a pretty extensive process to say when where and how these could be built and this allows you if you meet those guidelines to come in and just get an over-the-counter permit and I'm simplifying an extensive discussion but this was an extensive discussion of where these can and can't be done and no you don't have to be section 8 but we do have a we do have forgivable loans for those that are willing to build deed restricted affordable housing as you know that's based on the area median income and a percentage of that we did make restrictions on these being short they can't be short-term rentals for examples they can't be an Airbnb they're designed for long-term rentals for people to be able to age in place for example people in my district have said parents have said they want to move into an ad you and let their kids be able to take over the front unit they wouldn't otherwise be able to do that there's local teachers that don't have a place to start off this allows that they're affordable even by design because by definition they're not as large as a home and so they although they afford a lot of the amenities of a home they're much cheaper than the average rent would be for other things so hope that addresses your questions we do have a motion and a second all those in favor I opposed passes unanimously thank you sir don't bill us back for that time we'll move on to item 47 which is to consider report and presentation on homeless outreach proactive engagement and services or the hopes implementation plan and performance measures and direct the health services agency to return during budget hearings in June 2018 with an update as outlined in the memo of the director of health services we have an agenda board memo and mr. Rara welcome good morning this morning I wanted to do a quick review on the background of the development of the hopes team walk through some of the goals that were established for the hopes program as well as the model that's currently been developed as a refinement of the prior packed team model and then review a set of hopes performance measures with the board and then we have two recommendations for your consideration this morning in terms of some background the Bob Lee partnership for accountability connection in treatment the packed program was a prior iteration of hopes and the board directed our health services agency to work with the packed executive committee and the city of Santa Cruz to redesign the packed program in response to an evaluation that was done by CSUM be the board approved that packed redesign and approved to the hopes team model on December 12th 2017 the Santa Cruz City Council in turn was presented the same model and offered its approval on January 9th of 2018 the health services agency was directed by the board to present a set of performance measures or outcomes this spring of 2018 and a program update which we plan to do during our budget hearings in June hopes goals what do we do with the hopes program our primary role is really to offer some stability for our community's most vulnerable citizens who are homeless they often have a mental illness and or substance use disorder frequent contact with law enforcement the public or local community businesses and are often having difficulty engaging in services the hopes team is a multi-disciplinary team made up of the health services agency programs such as the homeless person's health project our mobile emergency response team our community mental health programs and adult services services from the human services department and our homeless policy steering committee the hopes team uses an early and open referral process and I'll talk about that a little bit in a few slides an intensive monitoring and engagement model and we offer triage and coordinated access to existing programs and services in the community this program's funded jointly by the city and the county the hopes model is a county wide model but we have a special emphasis on areas most impacted in the county particularly the city of sounding crews in the downtown area as I mentioned before it's a collaborative model we have participation and input from our homeless policy steering committee within the county our human services department and our health services agency and then we have a set of core members who actually participate several times a week in a multi disciplinary team meeting from the HPHP program county behavioral health our downtown outreach workers our mogul emergency response team our veterans advocate and our behavioral health court liaison there are a number of underlying principles which went into developing this new model the first being that we're seeking to integrate care ensure a coordinated response for services based on what the client's needs are at that time we are looking to implement a responsive and supportive approach to the community as an equal partner in the program and we've utilized existing funding to operate primarily weekdays 8 to 5 and we have some extended coverage on weekends and evenings and the program utilizes a no wrong door model to care so our goal is to support all individuals and connect them to the services that they need at that time our current referral process is that multi disciplinary team members the partners that I mentioned before can bring in referrals to the team during those case conferences that take place several times a week we began with an email referral system which I've listed on this slide and have since moved to a secure web portal which we went live with this week and any individual or agency or stakeholder in the community that makes a referral to the hopes team receives information back as well in terms of how they can contact our hopes team project manager for additional information or to provide additional feedback on it on the work of the team and we do do quite a bit of work with local enforcement jail staff and community partners such as local businesses and our local hospitals to also solicit referrals for the team in terms of next steps to enhance the referral process we are recruiting for public health nurse to establish direct referral line and also provide enhanced medical triage for referrals coming into the team and I did want to take a moment to recognize Jasmine Nehera Jasmine's in the audience here today and Jasmine's our program director for the team and has been leading this program since it began on March 12th this year and I the board is seeing these slides and I thought I'd take a moment just to walk through our referral and assessment model that the team utilizes again when referrals come into the hopes team we start with an initial initial triage by a hopes team member to determine what type of response level do we need for this particular referral is this an immediate crisis response or can we refer it for a later response by the team depending on what the immediate needs are being presented. Step two is working on an assessment outreach and engagement plan for that particular referral we utilize a stages of change model this is the point where we would be introducing a harm reduction approach to working with the individual in the community. We're assessing treatment readiness and we're working to engage them to support that individual connecting with services and we have a number of different tracks that we work to engage the individual into depending on their level of court or legal involvement and the severity of their mental illness and those are listed in step three and in terms of I did want to mention the Bob Lee packed program continues to exist as a specialty court at this point so you'll see that in the second box for individuals who have a mild to moderate mental health condition a mild to severe substance use disorder generally misdemeanor crime that's pending they could be referred to the Bob Lee packed court and we'll talk about some specific outcomes related to the packed court later in terms of our proposed performance measures we've performed we've proposed a series of measures across five different system domains first or a set of system measures health measures community criminal justice and individual level measures and these five different domains will be informing five different outcome areas which will be developed in the near future housing status and stability public service use and cost substance use mental health and quality of life in phase one we're proposing to develop a set of baseline data through December 2018 our big challenge in working with these different data sets is that the data on the clients that we're working with in hopes is located in multiple sources and it's difficult to link these different databases to come up with specific outcome measures for this population we have developed a client registry that we're able to run individualized reports off of the databases that we have current access to and that client registry also locates also notes the location of the client so that we can generate reports based on where the referrals coming from and again in phase one we're looking to establish some baseline data which will help inform the outcomes development in phase two which we're projecting to start in January of 2019 part of what we plan to use to support the development of outcomes measures is a new platform within the Santa Cruz health information exchange called cross TX this products being supported through our whole person care initiative and that will create a an individualized patient dashboard which will have measures and information from multiple different data sources to provide the treatment team a more holistic view of what's happening with that particular referral the performance measures that we're proposing for phase one total 23 and you can see a breakdown of the numbers of measures in both phase one and phase two by the five different domain areas to give us a total of 33 by the end of phase two which is quite a significant number of measures and here's a summary chart the items that are highlighted in yellow are those for phase one and the ones highlighted in gray or for phase two and we're anticipating that those gray items will be worked into our overall set of measures although they present some challenges in terms of accessing that information for a team right now we have two recommendations for your board's consideration first is that you approve the hopes implementation plan and performance measures and that the second that you direct us to return back to the board and during the budget hearings to provide an update on the program as well as the projected costs for developing an evaluation and outcomes data model and that we need some outside consultation on are there any questions thank you there any questions or comments from board members on this item Supervisor Coonerty sure yeah I just some comments first I appreciate the work I will say that Jasmine's already getting rave reviews from folks I know downtown who have appreciated her outreach or follow-up and so having her on the team is is is essential to success I think one of the things I really want to focus on is that the PAC program always started as a community driven program to reduce community impacts these are often the most challenging folks and people people and a lot of programs always pointed a different direction for who who had responsibility for dealing with this particular population and so the fact that we have a program here who who is who starts with the community impacts helps people in whatever way they can and then was is responsive to the community is is to me the essential element of of this hopes program and I want to make sure that that's the focus we have a lot of outcomes and I'm always in favor of tracking outcomes that as I make clear to your team I don't want the team to spend their whole time tracking outcomes instead of doing outreach and I also don't want to create a system where people where there's incentives and maybe not take the hardest people because they're gonna be the hardest people to get good outcomes for but where we hear from the community about what's the biggest concern and this team is proactive and responsive in in trying to address that concern using every method possible and so I think this is an exciting step forward and I appreciate the the City County collaboration on this program thank you and I would also like to thank the board for its support and direction in terms of supporting the health services agency and improving the program moving forward so far Sir Leopold thank you chair thank you for the presentation and the ongoing work on on reimagining this program I think it's a it's a good sign that we evaluated took a look at reconfigured and have come up with something that still that meets the needs of the and the goals of the original program in a way that is that I think will work even better than it did before I particularly like these 33 different outcome measures and there are some things that we wouldn't have thought of three or four years ago to include their like vaccinations but after going through the hepatitis a epidemic just last year and understanding the role of public health and and the strain that it puts on the public health system and the risk that that people who are homeless face and contracting disease I think it really makes sense as I look over these these 33 measures I wanted to ask you though about the reporting system it is both a great opportunity that people will be able to report in through this portal and I'm a little concerned about what the expectation is so if if I or downtown merchant or somebody live oak re reports in through the portal that there is someone that in need of assistance what kind of information should they expect that they'll actually get back from the staff well is limited specific information that we could share in that example with a downtown merchant but part of our approach is to work both with the individual being referred and the merchant as equal partners as as mentioned earlier so that our staff will be engaging both and connecting back to the merchant and letting them know in general terms what they can expect for a response from the county trying to address any ongoing concerns that they may have about the particular referral of the situation and we're certainly there to listen and be as responsive as we can without violating an individual's right to privacy but if a particular merchant says you know hey Jasmine I keep seeing this person I know I can see you talking to them every day but they come back three hours later and they're continuing to cause problems for me we can help problem solve that particular situation with the merchant without getting into the into the areas of violating a person's privacy so we're seeking to use use both approaches in terms of each of these referrals yeah well I think we're we're asking a lot of Jasmine and and others because if someone's creating a problem or that perceived problem and we can't share information about what we're actually doing with the person and that person keeps on showing up it's to be able to work on both sides of that equation it's gonna be very challenging so it is it is I I wish you good luck thank and being able to take care of that and we should all be realistic about what we what we would expect to see with something like that you've been doing this since the beginning of March or middle of March now we're in the middle of May is it working and have there been any successes that you could point to it it really is working and there have been a number of success stories particularly for some challenging individuals and Jasmine and I have the opportunity to review these these stories from time to time and I think it's the team also has an opportunity to review and celebrate success stories as well because we often hear about problem cases but we don't often hear about the successes that we have in the community either through the work that that this team does and there are a couple that come to mind one that she and I were talking about was an elderly homeless man who had been at the jail and was scheduled to be discharged back to homelessness and he happened to be in a wheelchair and we had the opportunity to meet with him prior to being discharged from the jail to see what kind of plan we could put into place for him and he was someone that was very well known in the community and had had frequent contacts with a number of people and struggled with issues around sobriety so they were able to at the time of discharge secure a temporary spot for him at the River Street camp for one night until we could move him into a shelter bed and that shelter bed was able to provide him some stability until we could work on a longer-term plan he had not been connected to medical services and we were able to connect him to medical care through our homeless persons health project and he had also lost his social security disability benefits which are a key to him having access to resources in the community and we're able to work with him to get his SSI benefits reinstated we work with him on a daily basis we're also connecting him with VA services and he's doing quite well right now and he's someone that I would definitely consider to be a success story that had been a failure in the community prior to the hopes hopes model another one that that I mentioned because it was particularly striking was an individual that was frequently visiting the emergency apartment at Dominican Hospital and they have a group called the high-utilizer group that meets quite frequently around these cases and made a referral of this individual to the hopes team and nothing had worked in the past and that's the types of folks that the hugs team is reviewing so they referred him to hopes as a kind of a last-ditched model I guess of trying to get him the help that he needed and he often visited the emergency department for issues around alcohol abuse the hopes team engaged him and they were actually able to get him into treatment at Janice and he is also connected with a sober living environment while he's awaiting permanent housing so he's another highly successful story that really is striking because it's someone that we had not had success for in the past prior to implementing hopes so there are countless stories that I've heard about from Jasmine and the team about successes but those are two that come to mind that I thought I mentioned today well it sounds like a good hugs to hope a handoff and I think that that when we look at these measures we'll start seeing some of that data then come out right people using the emergency room last people getting into treatment people getting into housing that that will help tell the story about whether this model is working and so I look forward to seeing that information appreciate the ongoing work and I this is an this is an issue in which gets a lot of discussion out in the community and trying to come up with new ways to address a pressing social problem is really critical so I appreciate the work of you and your team thank you Jasmine for your work to survive some person yeah I do think I do appreciate your work and putting this hopes process together I think this is the most intense and explosive program we have in our community and throughout the communities around us one one significant thing was we just received our budget proposed budget a couple days ago and this to implement this I'm sure is going to cost some some funds I don't know that we really don't know exactly the program the full implementation and I know that from experience that state and federal funding for this is should we say it's fluctuating all the time do we have do we have anything earmarked for this of what it might cost or anything in the budget in the proposed budget I don't at this time you know we we don't know what the cost is going to be I can understand that but do we have anything in there that's proposed in the proposed budget for the overall hopes program but yeah yeah we have level funding set aside for next year to maintain the program through the year what we don't have currently is an estimate on the cost for a consultant to help us develop the the specific outcomes measures and evaluation tool okay well I think this is a problem that it's going to be community a community resolution to it it's going to take a lot of work by a lot of people and the privacy aspect you did mention that too is that does that create how big of a problem does that create I mean is it 30% of the people that you that you go to assist they say I don't want any of your help or is there any percentage of people that say just get out of my life I think with this particular group a lot of them have challenges around engaging in treatment and we have different models that we can use to continue working with the person to get them to that point but one of the big challenges for us is is being able to tell that story so we can't share what we're doing or why you know we're not seeing particular results with the client that we're working with on hopes because they have a right to privacy around that information so it makes it difficult for us to share on a specific basis well why am I why do I keep seeing this person in this area and you're not helping them and we may be doing lots of things with them but we can't share that specific information so it becomes a challenge for us to share both our successes but also the barriers that we run into because everyone has a right to refuse treatment and we can work with an individual to you know continue engaging them and hopefully get them to the point at some point where they're ready and able to engage in services but we can't compel that and that's a right that every citizen of our state has and it often presents big challenges for us well this is one where the government is at the end of the of the situation it and has to come up with a solution and it's a big big challenge for us I hope the the community in general realizes that and I appreciate you're putting together this package in the 33 issues that you had said that we're going to address and include in this I think it's very important so there's some fluctuation and these are individuals we're working with and they all have different problems that need to be addressed but thank you and Jasmine and the whole team for putting this together it's very much needed at this time thank you Supervisor Caput yeah I want to thank you also I think this is a great idea I want to congratulate you and your staff for actually looking at something and coming up with something that's going to help alleviate a problem and you mentioned something interesting about social security that maybe they weren't able to get the check to the individual you were talking about I maybe this is a social security question but do they mail it to some address and then it comes back to them and then they cancel it and when they reinstated do they give the money that was returned to them all in one lump sum it's a it's a complicated question you know some people lose their benefits because they didn't go through a redetermination process some people don't have a bank account some people may have had a payee established where they have to pick up their check from somebody else so it's it's there are lots of people that might be entitled to benefits that aren't receiving them for number different reasons and we work with our human services department and our other partners in the community to make sure that if somebody's entitled to those benefits that they get access to them and if they're owed past past payments they do get those retroactively generally do you do you overlap a little bit with veterans services because we do have an outreach veterans outreach worker that goes out there too so you kind of work together yes the veterans advocate is part of our hopes team multidisciplinary team and then they would get separate treatment they would probably be referred to either Pella Walter or now the new hospital basically in Monterey if they're eligible for those services we do have veterans that aren't that don't have a service connected disability for example so they may not be able to access medical services through the VA but that's part of the role of the advocate is to determine what they're eligible for and not congratulations all of you for looking at this and coming up with something thank you thank you thank you this is we'll now open it up to the community is an opportunity for members of the community to address us specifically on this item good morning thank you for waiting hi my name is Nina I reside in the live oak area but I utilize lots of things downtown frequently the shopping the entertainment so I see this gentleman is talking about I can see that he does offer assistance for the population that I often see living rough about my one question or comment would be on statement he made that the most impacted area was the downtown area and I wondered if that was maybe just the most visible I do a lot of volunteer work in the environment and specifically the waterways Watsonville recently I did the snapshot water exploration science citizen science and I find there are a lot of people living rough in encampments all over in our waterways not just around a gulch my work this week was with the lower carbonara and brands of 40 so anyway just to the board not to say anything against what he's doing but we need to keep that in mind too it's lovely to see them moving away from the downtown area I feel much more comfortable I ride my bike a lot I'm 67 so I'm older and little intimidated by groups of men sometimes but I'm seeing they've a lot of them have moved into our waterway areas so just don't lose sight of that that's it thank you thank you for those comments is there anybody else I'd like to address this on this item I definitely appreciate your your intentions and desire to help the homeless I see this so much as a band aids on a gushing wounds because of the inequities of the society like why do we have homeless and unemployment in what is this one of the wealthiest nations and the world there's something the matter here and try as you may this is such a small area of assistance for what is actually needed you spoke about meeting the needs of people supervisor Leopold if we really met the needs of people and I'm not blaming you people would have employment housing food a healthy environment and we're trying to mitigate what we don't have what I say is the profit system and what the corporations are doing I have a question here also about and I always think of how the military gets about 50% of the income that you know we're paying taxes that I would like to see go into this county for services that we actually need schools and social services and housing and etc. and it's being siphoned out to you know kill people in other countries that's not right when you talk about treatment so often what does that mean does that mean pharmaceuticals I've read a lot about pharmaceutical the downside of this you know pharmaceutical industry and the harm to people what does it mean treatment is different in different cases thank you for the few examples you gave of the outreach I think that's really important what you're actually doing and I have the same sense you do supervisor Coonerty about you know your marking performance and data but it is there too much of that and too much complication and we need much more assistance meaningful help to people thank you thank you is there anybody else like to address this on this item see then we'll bring it back to the board Supervisor Caput thank you actually Marilyn you brought up a good point I guess some of your referral when somebody goes out there when the new mental health facility opens up in Watsonville would they be referred to like a psychiatrist counselor for ongoing conversation that they can have with somebody a professional yes absolutely and I had mentioned there were the four tracks in terms of referral pathways two of them are through specialty courts that we have and then we have a third track for our integrated behavioral health program which is embedded in our clinics both in North County and South County and then our specialty mental health services in North County and South County so it really depends on the individual's needs the severity of their mental illness what type of substance use disorder issues they may have in terms of what services we're connecting them to but yeah the the new Watsonville behavioral health office building and its expanded staffing will definitely offer some additional resources for South County Supervisor Leopold just one last quick quick quick question are you making a presentation about this to the Santa Cruz City Council I have offered to make the same presentation to the city council I haven't gotten a date yet they were thinking sometime perhaps in August for a presentation but I have made that offer to them as well yeah I would encourage that and encourage our County Administrative Officer and in conversations with the city manager there I think sharing this information is a is very important I am ready to move the recommended actions second we have a motion from Supervisor Leopold a second from Supervisor Coonerty all those in favor I opposed it passes unanimously thank you for your presentation thank you if you could just stick around because I there's an item that I want to call back up yes that you might need to address yes so item 48 is to consider the final appointment of Bryce route to the workforce development board as a representative of local business for a term to expire June 30th of 2020 we have the final appointment memo in the workforce development board application are there any questions from board members is there anybody from the community that like to address us on this item see none so much approval second we have a motion from Supervisor Leopold a second from Supervisor Caput all those in favor I opposed it passes unanimously and I know that there was an item on consent that Supervisor Leopold wanted to make a minor direction on Supervisor Leopold which chair I look to County Council I on item 20 there was which was an item about approving amendment to the telecare contract for provision of augmented crisis stabilization program for minors I wanted to add an additional direction about getting report back about the physical facility next to our behavioral health center because I understood that that to be something that was also going to help young people and we haven't heard a status report and I was wondering if we could get a report back at our June 12th meeting okay I guess the question is do I need to we have a motion for reconsider item 20 second that I would move for reconsider the consent agenda and then entire okay okay so I reconsidered the consent agenda and seconded by Supervisor Coonerty are there any other comments on this all those in favor of the reconsideration of the consent agenda say aye opposed it passes unanimously then I would ask for a report back on the construction schedule for the facility directly next to our behavioral health center back before our board on at our June 12th meeting I think that's our meeting date yeah okay is we'd like to open it up now for the community there's an opportunity for members of the community to address us we have an item here on consent item 20 that now received additional direction would anybody else like to comment on that item bringing it back to the board we would now need a motion for consent with as amended I would move the consent agenda as amended thank you second we have a motion from Supervisor Leopold a second from Supervisor Coonerty with additional direction on item 20 all those in favor I opposed it passes unanimously we have no closed session today so this does complete this meeting like to thank the Sentinel and Community TV for covering today's meeting and we'll see you here in a couple weeks