COUNTY OF SAN DIEGO - File #: 21-362

Date	Action By	Action	Result	Action Details	Agenda Materials	Video
5/18/2021	BOARD OF SUPERVISORS	adopted	Pass	Action details	Agenda Materials	Video

DATE:

May 18, 2021

05

TO:	Board of Supervisors

SUBJECT

Title

RECEIVE UPDATE ON THE COVID-19 RESPONSE, RATIFY ACTIONS IN RESPONSE TO THE LOCAL HEALTH EMERGENCY AND LOCAL EMERGENCY,

AND AUTHORIZE ANY OTHER ACTION NECESSARY TO ADDRESS THE COVID-19 PANDEMIC (DISTRICTS: ALL)

Body

OVERVIEW

A novel coronavirus (COVID-19) was detected in Wuhan City, Hubei Province in China in December 2019. Since then, the virus has rapidly spread across the globe, resulting in the World Health Organization (WHO) declaring COVID-19 a pandemic on March 11, 2020.

On February 14, 2020, the San Diego County Public Health Officer issued a Declaration of Local Health Emergency, pursuant to California Health and Safety Code Section 101080. Additionally, on that day, pursuant to California Government Code 8630, the Chief Administrative Officer (CAO), serving as the County of San Diego (County) Director of Emergency Services and as the Coordinator of the Unified San Diego County Emergency Services Organization, issued a Proclamation of Local Emergency regarding COVID-19.

The County continues to make significant efforts to slow the spread of COVID-19. Today’s actions request the San Diego County Board of Supervisors (Board) to receive an update on the local COVID-19 response and ratify all actions taken by the CAO, Public Health Officer, Director, Department of Purchasing and Contracting and Director, Department of General Services in response to the local health emergency and local emergency. It is also recommended that the Board take any other action necessary to address the COVID-19 pandemic emergency response.

Today’s proposed actions support the County’s Live Well San Diego vision by protecting the health of residents against the COVID-19 pandemic.

RECOMMENDATION(S)

CHIEF ADMINISTRATIVE OFFICER

1. Receive an update on the COVID-19 response.

2. Ratify all actions taken by the Chief Administrative Officer, Public Health Officer, Director, Department of Purchasing and Contracting, and Director, Department of General Services in response to the local health emergency and local emergency, including ratifying that the Director, Department of Purchasing and Contracting acted within the Director’s authority under San Diego County Administrative Code section 402 when the Director negotiated and upon successful negotiations and determination of a fair and reasonable price made emergency purchases with the entities listed in Attachment A for Community Health Worker Services.

3. Take any other action necessary to address the COVID-19 pandemic emergency response.

FISCAL IMPACT

Prior action by the San Diego County Board of Supervisors (Board) created a framework for the use of over $431 million in CARES Act, Coronavirus Relief Fund (CRF) revenue ($390.7 million), and County of San Diego (County) General Fund Fund Balance ($40.6 million), through December 30, 2020, toward our COVID-19 response efforts and for economic and community investments. The framework included public health and medical services, testing, tracing, treatment, temporary housing assistance, sanitation, food distribution services, allocations to the 17 cities that did not receive direct CARES Act funds, child care vouchers, child care provider grant program, economic stimulus program, child welfare outreach, Behavioral Health telehealth, compliance efforts, rental assistance, remote learning internet access for students, and administrative support. The estimated cost through the end of December 2020 is $440.8 million. The County is currently spending an estimated $11.8 million a week toward County response, Test, Trace, and Treat (T3) efforts, continuation of the Great Plates Delivered program, the COVID Income Stipend Program, and vaccination efforts. The County will rely on available stimulus funding, program revenues, Realignment, and County General Fund Fund Balance to cover costs. The County will continue to pursue other federal and State stimulus revenue and funding sources, including funds through the Federal Emergency Management Agency (FEMA).

Recommendation #2: Ratify Contracts for Community Health Worker Services

Funds for this request are not included in the FY 2020-22 Operational Plan in HHSA. If approved, this request will result in estimated costs and revenues of $1.4 million in FY 2020-21 and estimated costs and revenues of $4.2 million in FY 2021-22. The funding source is anticipated to be Federal and/or State stimulus funds. If needed, additional appropriations will be requested through future Board action. There will be no change in net General Fund costs and no additional staff years.

BUSINESS IMPACT STATEMENT

This action will help support individuals, families and small businesses impacted by COVID-19.

Details

ADVISORY BOARD STATEMENT

N/A

BACKGROUND

A novel coronavirus (COVID-19) was detected in Wuhan City, Hubei Province in China in December 2019. Since then, the World Health Organization (WHO), and the U.S. Department of Health and Human Services (HHS) have declared COVID-19 a public health emergency. On January 30, 2020, the WHO declared the outbreak a “public health emergency of international concern.” On January 31, 2020, HHS Secretary Alex M. Azar II declared a public health emergency for the United States to aid the nation’s healthcare community in responding to COVID-19. Since then, the virus has spread rapidly across the globe, resulting in the WHO declaring COVID-19 a pandemic on March 11, 2020.

On February 14, 2020, the San Diego County Public Health Officer issued a Declaration of Local Health Emergency, pursuant to California Health and Safety Code Section 101080. Additionally, on that day, pursuant to California Government Code 8630, the Chief Administrative Officer (CAO), serving as the County of San Diego’s (County) Director of Emergency Services and as the Coordinator of the Unified San Diego County Emergency Services Organization, issued a Proclamation of Local Emergency regarding COVID-19. The requirements to renew the Declaration of Local Health Emergency and Proclamation of Local Emergency for COVID-19 were waived on March 4, 2020, due to the Proclamation of a State of Emergency for California by Governor Gavin Newsom. On March 19, 2020, the State of California public health officials issued an order for anyone living in the state to stay home, except for those providing essential services.

As with other areas throughout the nation, there is community transmission of COVID-19 in San Diego County. The County has made significant efforts to “flatten the curve,” slowing down the spread of the virus, which in turn helps to avoid an increase in the cases that overwhelm the healthcare system. For this reason, the San Diego County Public Health Officer continues to issue and amend Public Health Orders to enhance efforts to protect the health of the public.

Proposed Actions

Ratify the Community Health Worker Vaccination Assistance, Communication, and Outreach Services Contracts

The County has contracted with the entities listed in Attachment A to provide COVID-19 vaccination assistance, communication, outreach, and resource navigation services to the community in a culturally and linguistically appropriate manner to reach the diverse population of San Diego County and reduce the spread of COVID-19 disease and death. All contractors have expertise in community-based communication and outreach by utilizing the Community Health Worker (CHW) or Promotoras model and have been selected based on their knowledge and expertise in specific regions of San Diego County. Through current related contracts utilizing the CHW model focused on specific priority populations, the County has been able to rapidly disseminate information to historically underserved communities, increase testing and vaccine equity, and provide resources to those who may not otherwise be reached by traditional communication methods. Today’s action requests the Board to ratify the contracts for Community Health Worker services with the entities listed in Attachment A.

Requested Actions Related to the Continuation of the County’s Pandemic Response

Today’s actions request the Board to receive an update on the local COVID-19 response and ratify all actions taken by the CAO, Public Health Officer, Director, Department of Purchasing and Contracting and Director, Department of General Services in response to the local health emergency and local emergency. It is also recommended that the Board take any other action necessary to address the COVID-19 pandemic emergency response.

LINKAGE TO THE COUNTY OF SAN DIEGO STRATEGIC PLAN

Today’s proposed actions support the Building Better Health and Living Safely initiatives in the County of San Diego’s 2021-2026 Strategic Plan, as well as the County of San Diego’s Live Well San Diego vision, by protecting the population from the COVID-19 pandemic.

Respectfully submitted,

HELEN N. ROBBINS-MEYER

Chief Administrative Officer

ATTACHMENT(S)

Attachment A - Community Health Worker Vaccination Assistance, Communication, and Outreach Services Contracts

AGENDA ITEM INFORMATION SHEET

REQUIRES FOUR VOTES: ☐ Yes ☒ No

WRITTEN DISCLOSURE PER COUNTY CHARTER SECTION 1000.1 REQUIRED

☐ Yes ☒ No

PREVIOUS RELEVANT BOARD ACTIONS: May 4, 2021 (10), Receive Update on the COVID-19 Response, Ratify Actions in Response to the Local Health Emergency and Local Emergency, Authorize Amendment to the Contract with RO Health, Authorize Amendment to Community Health Worker Communication and Outreach Services Contracts, Authorize Application for and Acceptance of Funding from the Community Health Workers for COVID Response and Resilient Grant, Authorize Competitive Solicitation for Community Health Workers for COVID Response and Resilience Grant Funds, Authorize Acceptance of Immunization Branch COVID-19 Local Assistance Supplemental Funding, Adopt a Resolution to Waive Permit Fees Incurred by the Events Industry, Authorize an Extension of the Rent Deferral Period for Renters of County Owned Commercial or Residential Property, and Authorize any other Action Necessary to Address the COVID-19 Pandemic; April 6, 2021 (18), Recovering from COVID-19: Fee Waivers for the Events Industry; April 6, 2021 (5), Receive Update on the COVID-19 Response, Ratify Actions in Response to the Local Health Emergency and Local Emergency, Approve the Third Amendment to the Lease Agreement for 4990 Viewridge, Establish Appropriations to Implement the Emergency Rental Assistance Program, Establish Appropriations for the Great Plates Delivered Program, Authorize Acceptance of COVID-19 Epidemiology and Laboratory Capacity Enhancing Detection Expansion Funding, Authorize Competitive Solicitation for COVID-19 Sereoepidemiological Study, Authorize Acceptance of Racial and Ethnic Approaches to Community Health Funding; March 16, 2021 (11), Receive Update on the COVID-19 Response, Ratify Actions in Response to the Local Health Emergency and Local Emergency, Adopt a Resolution to Participate in the State’s Emergency Rental Assistance Program, and Authorize any other Action Necessary to Address the COVID-19 Pandemic; March 2, 2021 (6), Receive Update on the COVID-19 Response, Ratify Actions in Response to the Local Health Emergency and Local Emergency, Direct the Chief Administrative Officer to Return to the Board with a Framework to Use Future Federal and State Stimulus Funds, and Authorize any other Action Necessary to Address the COVID-19 Pandemic; February 9, 2021 (2), Receive Update on the COVID-19 Response, Ratify Actions in Response to the Local Health Emergency and Local Emergency, Authorize the Auditor & Controller to Establish a Trust Fund for the Emergency Rental Assistance Program, and Authorize any other Action Necessary to Address the COVID-19 Pandemic; January 26, 2021 (7) Receive Update on the COVID-19 Response, Ratify Actions in Response to the Local Health Emergency and Local Emergency, and Authorize any other Action Necessary to Address the COVID-19 Pandemic; January 12, 2021 (4), Receive Update on the COVID-19 Response, Ratify Actions in Response to the Local Health Emergency and Local Emergency, Ratify the Community Investment Agreement with Blue Shield of California Promise Health Plan for the San Diego Care Coordination Pilot, and Authorize any other Action Necessary to Address the COVID-19 Pandemic; December 8, 2020 (6), November 17, 2020 (8), Receive Update on the COVID-19 Response, Ratify Actions, and Authorize any other Action Necessary to Address the COVID-19 Pandemic; Receive Update on the COVID-19 Response, Ratify Actions, and Authorize any other Action Necessary to Address the COVID-19 Pandemic; October 27, 2020 (16), Business Stability During the COVID-19 Crisis; October 27, 2020 (3), Receive Update on the COVID-19 Response, Ratify Actions, Adopt a Resolution, Approve Implementation of Fully Funding Capital Projects that were Put on Hold Due to the COVID-19 Pandemic, and Authorize any other Action Necessary to Address the COVID-19 Pandemic; October 13, 2020 (14), Resolution Requesting Local Consultation and the Use of Hospital Capacity Metrics for California’s COVID-19 Health Order; October 13, 2020 (3), Receive Update on the COVID-19 Response, Ratify Actions and Authorize any other Action Necessary to Address the COVID-19 Pandemic; September 29, 2020 (5), Receive Update on the COVID-19 Response, Ratify Actions, and Authorize any other Action Necessary to Address the COVID-19 Pandemic; September 22, 2020 (2), Receive Update on Discussions with the State of California as it Relates to San Diego County’s COVID-19 Metrics; September 15, 2020 (7), Receive Update on the COVID-19 Response, Ratify Actions, Receive Update on Allocation of CARES Act Funds for Testing, Tracing and Treatment, Authorize Acceptance of COVID-19 Epidemiology and Laboratory Capacity Enhancing Detecting Funding, Authorize a Single Source Contract with the University of California, San Diego, and Authorize any Actions Necessary to Address the COVID-19 Pandemic; September 15, 2020 (6), Receive Presentation of the San Diego County Region as it Relates to the Impact of the COVID-19 Pandemic; August 4, 2020 (4), Receive Update on the COVID-19 Response, Ratify Actions, Receive Update on the Costs Associated with Engaging a Third-Party Statistician, and Authorize any other Action Necessary to Address the COVID-19 Pandemic; August 4, 2020 (3), Approve Proposal for the Allocation of $48.8 Million in CARES Act Funding, Establish Appropriations to Support Proposal Allocations, and Receive Update on the Feasibility of Funding for Testing at the United States/Mexico Border; July 7, 2020 (4), Receive Update on the COVID-19 Response, Ratify Actions and Authorize Any Other Action Necessary to Address the COVID-19 Pandemic; June 23, 2020 (4), Receive Update on the COVID-19 Response, Ratify Actions and Authorize Any Other Action Necessary to Address the COVID-19 Pandemic, and Establish Appropriations to Support Proposed Actions; June 2, 2020 (4), Receive Update On The COVID-19 Response, Ratify Actions And Authorize Any Other Action Necessary To Address The COVID-19 Pandemic; May 19, 2020 (5), Receive Update On The COVID-19 Response, Ratify Actions and Adopt a Resolution Waiving Certain Fees, and Authorize Any Other Action Necessary to Address the COVID-19 Pandemic; May 5, 2020 (16), Business Stability During the COVID-19 Crisis; May 5, 2020 (2), Receive Update on the COVID-19 Response, Ratify Actions, and Authorize Any Other Action Necessary to Address the COVID-19 Pandemic, and take the necessary steps to implement options waiving fees in Planning & Development Services and Department of Environmental Health; April 21, 2020 (2), Receive Update on the COVID-19 Response, Ratify Actions, and Authorize Any Other Action Necessary to Address the COVID-19 Pandemic; April 7, 2020 (4), Receive Update on the COVID-19 Response, Ratify Actions, Execute Leases and Licenses of Real Property, Direct Renters to be Entitled to Rent Deferral and a Moratorium on Eviction, and Authorize Any Other Action Necessary to Address the COVID-19 Pandemic; March 24, 2020 (21), Receive Update on the COVID-19 Response, Authorize the CAO to Apply for, Accept, and Execute any Grant, Gift or Revenue Agreement in Response to the COVID-19 Pandemic, and Ratify Actions Taken by the CAO, Public Health Officer, and Director of the Department of Purchasing and Contracting; March 24, 2020 (19), Protecting Tenants, Homeowners, and Small Businesses Affected by the Novel Coronavirus Pandemic in the Unincorporated Area; March 10, 2020 (2), Review and Continue Local Health Emergency and Local Emergency; February 19, 2020 (01), Ratify Proclamation of Local Emergency and Ratify Declaration of Local Health Emergency Regarding COVID-19.

BOARD POLICIES APPLICABLE: N/A

BOARD POLICY STATEMENTS: N/A

MANDATORY COMPLIANCE: N/A

ORACLE AWARD NUMBER(S) AND CONTRACT AND/OR REQUISITION NUMBER(S): 564612, 564614, 564616, 564618, 564621.

ORIGINATING DEPARTMENT: Health and Human Services Agency

OTHER CONCURRENCE(S):

Office of Emergency Services Department of Purchasing and Contracts

CONTACT PERSON(S):

Wilma Wooten, M.D., M.P.H.		Chuck Matthews
Name		Name
(619) 542-4177		(760) 967-4621
Phone		Phone
Wilma.Wooten@sdcounty.ca.gov		Chuck.Matthews@sdcounty.ca.gov
E-mail		E-mail