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DATE: |
November 15, 2022 |
09 |
SUBJECT
Title
Health and Human Services Agency Administrative Codes and Board Policy Sunset Review 2022 (DISTRICTS: ALL)
Body
OVERVIEW
In accordance with San Diego County Board of Supervisors (Board) Policy A-76, Sunset Review Process, the County of San Diego (County) Health and Human Services Agency (HHSA) periodically reviews County Administrative Code and Board Policy to ensure policies reflect current Board standards and practices.
Today’s actions seek Board approval to amend the following Board Policies and extend the sunset review date for:
• E-010, Comprehensive Health and Social Services System
• E-011, The Role and Function of Edgemoor Distinct Part Skilled Nursing Facility
Additionally, today’s actions seek Board approval to retire Board Policy A-110, Zero Tolerance of Illegal Drug Activity in Housing.
This item supports the County’s vision of a just, sustainable, and resilient future for all, specifically those communities and populations in San Diego County that have been historically underserved as well as our ongoing commitment to the regional Live Well San Diego vision of healthy, safe, and thriving communities. This will be accomplished as these County Administrative Codes and Board Policies provide a framework for a county that is healthy, safe, and thriving. Additionally, in alignment with the Board’s commitment to transparency and open government, the Sunset Review process is an opportunity for HHSA to reflect on current policies through an equity lens and recommend changes that allow for greater transparency.
RECOMMENDATION(S)
CHIEF ADMINISTRATIVE OFFICER
1. Approve amendments to Board Policy E-010, Comprehensive Health and Social Services System, and extend the sunset review dates to December 31, 2029.
2. Determine no change is necessary to Board Policy E-011, The Role and Function of Edgemoor Distinct Part Skilled Nursing Facility, and approve the sunset review date of December 31, 2029.
3. Approve the retirement of Board Policy A-110, Zero Tolerance of Illegal Drug Activity in Housing upon sunset date of December 31, 2022.
EQUITY IMPACT STATEMENT
As part of standard practice, the County of San Diego (County) Health and Human Services Agency (HHSA) performs an annual review of Board Policies and County Administrative and Regulatory Codes that are sunsetting to ensure alignment with current San Diego County Board of Supervisors (Board) values and to ensure that they are updated to reflect applicable laws and regulations. In alignment with the Board’s commitment to transparency and open government, the Sunset Review process is an opportunity for HHSA to reflect on current policies through an equity lens and recommend changes that allow for greater transparency.
The changes recommended support the Board’s framework toward achieving better outcomes for consumers. The recommended changes regarding Board Policy A-110, Zero Tolerance of Illegal Drug Activity in Housing, reflect the County’s priority in addressing disparities in housing programs and creating more equitable housing opportunities for vulnerable residents in San Diego County. In addition, the recommended changes regarding Board Policy E-010, Comprehensive Health and Social Services System, clarifies HHSA’s commitment to ensure all programs and service activities are data-informed, outcome- and evidence-based, equitable, sustainable, and culturally responsive to meet the needs and ensure inclusiveness of the residents HHSA serves.
Future Sunset Reviews will continue to utilize an equity lens and a quantitative data-driven approach. Additionally, it is anticipated that these actions will have a positive impact on equity-seeking groups including, Black, Indigenous, people of color, women, people with disabilities, immigrants, youth, and the LGBTQ+ community.
SUSTAINABILITY IMPACT STATEMENT
Today’s actions strive for programs and operations that reflect the County’s values and priorities. By aligning with the County of San Diego’s (County) Sustainability Goals the changes reflect more equitable, sustainable, and impactful practices. Specifically, the retirement of Board Policy A-110, Zero Tolerance of Illegal Drug Activity in Housing aligns with Sustainability Goal #2, providing just and equitable access by focusing on chronically underserved communities, investing in resilience in vulnerable populations, and protecting and expanding the availability and accessibility of affordable housing. In addition, amendments to Board Policy E-010, Comprehensive Health and Social Services System, align with Sustainability Goal #4 protecting the health and wellbeing of residents in San Diego County, by ensuring all programs and service activities are data-informed, outcome- and evidence-based, equitable, sustainable, and culturally responsive to meet the needs and ensure inclusiveness of the residents the County Health and Human Services Agency serves.
FISCAL IMPACT
There is no fiscal impact associated with the recommendations. There will be no change in net general fund costs and no additional staff years.
BUSINESS IMPACT STATEMENT
N/A
Details
ADVISORY BOARD STATEMENT
N/A
BACKGROUND
In accordance with San Diego County Board of Supervisors (Board) Policy A-76, Sunset Review Process, the County of San Diego (County) Health and Human Services Agency (HHSA) periodically reviews Board Policies and the County Administrative Code and Regulatory Code. Revisions to Board Policies and the County Administrative Code are recommended to reflect current Board standards and practices and to reflect any changes in laws, policies and regulations that govern County departmental operations and services.
Recommendation 1
The proposed revisions to Board Policy E-010, Comprehensive Health and Social Services System, include:
• Adding descriptive and clarifying language to reflect the County and HHSA’s new strategic direction and illustrate HHSA’s commitment to overall health, housing, and social services provided to the San Diego County region. This includes noting HHSA’s commitment to ensure all programs and service activities are data-informed, outcome- and evidence-based, equitable, sustainable, and culturally responsive to meet the needs and ensure inclusiveness of the residents HHSA serves.
• Adding enhanced and clarifying language that employees will be "supported" as well as encouraged to reach their full potential to further align with County and HHSA goals for the workforce.
• Updating the Sunset Review date to December 31, 2029.
The proposed changes to this Board Policy are attached as Attachments A and B.
Recommendation 2
No changes are requested to Board Policy E-011, The Role and Function of Edgemoor Distinct Part Skilled Nursing Facility, with the exception of updating the Sunset Review date to December 31, 2029.
A copy of the existing Board Policy is attached as Attachment C.
Recommendation 3
Retirement of Board Policy A-110, Zero Tolerance of Illegal Drug Activity in Housing is being requested upon the sunset date of December 31, 2022. This recommendation is in line with guidance received from the Department of Housing and Urban Development (Public and Indian Housing Notice 2013-15 and Fair Housing and Equal Opportunities Memorandum dated June 10, 2022) and California Code of Regulations §12264 through 12271. Retirement of Board Policy A-110 will help address disparities in housing programs and create more equitable housing opportunities for vulnerable residents in San Diego County. Sunsetting the zero-tolerance policy, along with recent changes the Housing Authority County of San Diego has already implemented surrounding the considerations of circumstances, will ensure the County continues to provide housing opportunities for vulnerable populations while maintaining a suitable screening process for program participation.
LINKAGE TO THE COUNTY OF SAN DIEGO STRATEGIC PLAN
Today’s proposed actions support the County of San Diego’s (County) 2022-2027 Strategic Plan Initiatives of Sustainability (Resiliency), Equity (Health and Housing), Empower (Innovation) and Community (Engagement), and the regional Live Well San Diego vision by ensuring County policies are transparent, efficient, inclusive, data-informed, outcome- and evidence-based, equitable, sustainable, and culturally responsive to support the health and social services provided to the residents of San Diego County.
Respectfully submitted,
HELEN N. ROBBINS-MEYER
Chief Administrative Officer
ATTACHMENT(S)
Attachment A - Board Policy E-010, Comprehensive Health and Social Services System - CLEAN
Attachment B - Board Policy E-010, Comprehensive Health and Social Services System - INFORMATIONAL COPY
Attachment C - Board Policy E-011, The Role and Function of Edgemoor Distinct Skilled Nursing Facility - CLEAN
Attachment D - Board Policy E-011, The Role and Function of Edgemoor Distinct Skilled Nursing Facility - INFORMATIONAL COPY