Agenda - IN-HOME SUPPORTIVE SERVICES PUBLIC AUTHORITY

COUNTY OF SAN DIEGO IN-HOME SUPPORTIVE SERVICES PUBLIC AUTHORITY

REGULAR MEETING

MEETING AGENDA

THURSDAY, JUNE 25, 2026, 9:00 AM

COUNTY ADMINISTRATION CENTER

BOARD CHAMBER, ROOM 310

1600 PACIFIC HIGHWAY, SAN DIEGO, CALIFORNIA

Roll Call

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Agenda Items

DISCUSSION ITEM

Agenda #

Subject

ADOPT THE FINAL FISCAL YEAR 2026-27 ADMINISTRATIVE BUDGET FOR

THE IN-HOME SUPPORTIVE SERVICES PUBLIC AUTHORITY

APPROVE ADJUSTMENT OF COMPENSATION FOR THE IN-HOME

SUPPORTIVE SERVICES PUBLIC AUTHORITY EXECUTIVE DIRECTOR AND

A-72 WAIVER

SUBJECT:

ADOPT THE FINAL FISCAL YEAR 2026-27 ADMINISTRATIVE

BUDGET FOR THE IN-HOME SUPPORTIVE SERVICES PUBLIC

AUTHORITY (DISTRICTS: ALL)

OVERVIEW

The County of San Diego (County) In-Home Supportive Services (IHSS) program provides

in-home assistance to approximately 51,000 Medi-Cal eligible low-income, aged, blind, and

disabled adults and children. This program enables them to remain safely in their homes, thereby

reducing the need for more costly placements in nursing homes or other care facilities. In-home

assistance is provided to IHSS recipients by IHSS caregivers, of whom approximately 75% are

relatives. The IHSS Public Authority provides numerous services to over 47,000 IHSS

caregivers, including training, payroll services, funding for benefits, and State-mandated

caregiver enrollment, including criminal background checks. The IHSS Public Authority also

provides registry services to IHSS recipients in need of caregivers.

On June 24, 2025 (IA01), the County IHSS Public Authority Governing Body adopted, by

resolution, the recommended IHSS Public Authority administrative budget of $57,470,255 for

Fiscal Year (FY) 2025-26.

On June 1, 2026 (1), the County IHSS Public Authority Governing Body received the

recommended IHSS Public Authority administrative budget of $66,840,791 for FY 2026-27 and

set June 1, 2026, as the start date of public hearings for the budget. Today’s action requests

adoption of the FY 2026-27 final administrative budget for the IHSS Public Authority by

resolution, which is required by State statute. Adopting the FY 2026-27 administrative budget

will allow the IHSS Public Authority to continue administering vital programs and services to

caregivers and recipients who are part of under-resourced groups by identifying and removing

barriers for engagement and participation.

This item supports the County vision of a just, sustainable, and resilient future for all,

specifically those communities and populations in San Diego County that have been historically

left behind, as well as our ongoing commitment to the regional Live Well San Diego vision of

healthy, safe, and thriving communities.

RECOMMENDATION(S)

EXECUTIVE DIRECTOR

Adopt the Resolution entitled: ADOPT FINAL BUDGET FOR THE COUNTY OF SAN

DIEGO IN-HOME SUPPORTIVE SERVICES PUBLIC AUTHORITY FOR THE FISCAL

YEAR COMMENCING JULY 1, 2026.

EQUITY IMPACT STATEMENT

The In-Home Supportive Services (IHSS) Public Authority is committed to advancing equity,

inclusion, and accessibility of services. IHSS Public Authority empowers and supports

communities that include older adults; people with disabilities; youth; Black, Indigenous, and

people of color; LGBTQIA+ communities; individuals with low incomes; and others who have

historically experienced inequities. This is accomplished through compassionate, innovative, and

timely services. This action aligns with IHSS Public Authority’s core values of quality service,

wellness, respect, and communication, and directly supports the County of San Diego’s strategic

goals to provide excellent, equitable, and accessible service delivery. By prioritizing innovative

and sustainable business practices, IHSS Public Authority aims to reduce barriers to services,

enhance operational efficiency, and ensure that all IHSS caregivers have equitable access to the

resources and information needed.

In Fiscal Year 2025-26 IHSS Public Authority sought community feedback which resulted in the

development of a caregiver wellness program, expansion of mass messaging via text,

participation in career fairs across San Diego County, facilitation of monthly virtual caregiver

support groups, and expansion of partnerships with community organizations. Additionally,

IHSS Public Authority regularly gathers input regarding accessibility, inclusivity, and

improvement of the IHSS program and IHSS Public Authority services from the members of the

IHSS/Public Authority Advisory Committee and meeting attendees. The IHSS/Public Authority

Advisory Committee is comprised of individuals who are current or past users of in-home

caregiver services paid for through public or private funds, or as recipients of IHSS, caregivers,

and community members. Current or past users of in-home caregiver services make up at least

51% of the committee membership, and community members make up the remaining 49%.

SUSTAINABILITY IMPACT STATEMENT

Today’s proposed action supports County of San Diego (County) Sustainability Goal #1 to

engage the community in meaningful ways by increasing outreach efforts throughout San Diego

County, Goal #2 to provide just and equitable access to County resources and services by

expanding service delivery to include virtual platforms, and Goal #4 to protect the health and

well-being of everyone in the region by providing in-home care training modules to In-Home

Supportive Services (IHSS) caregivers. These goals are further supported by requesting and

responding to recommendations and feedback from community stakeholders; expanding training

services, improving the electronic IHSS caregiver enrollment process and increasing IHSS

caregiver recruitment efforts throughout the county; and administering IHSS caregiver support

services that assist IHSS recipients with remaining in their own homes and avoiding

institutionalization.

FISCAL IMPACT

If approved, the recommended action will provide spending authority of $66,840,791 for the

In-Home Supportive Services Public Authority for FY 2026-27. The funding source is federal

and State In-Home Supportive Services revenues from the California Department of Social

Services, Realignment, and General Purpose Revenue. There will be no change in net General

Fund cost and no additional staff years.

BUSINESS IMPACT STATEMENT

N/A

BL IHSSPA

Attachments:

Agenda Information Sheet IHSSPA

Approval Log IHSSPA

Attachment A Resolution

ADDITION TO CONSENT AGENDA

CONSENT AGENDA

All agenda items listed under this section are considered to be routine and will be acted upon with

one motion. There will be no separate discussion of these items unless a member of the Board of

Supervisors or the

Chief Administrative Officer so requests, in which event, the item will be considered separately in

its normal sequence.

SUBJECT:

APPROVE ADJUSTMENT OF COMPENSATION FOR THE IN-HOME

SUPPORTIVE SERVICES PUBLIC AUTHORITY EXECUTIVE

DIRECTOR AND A-72 WAIVER (DISTRICTS: ALL)

OVERVIEW

The Board of Supervisors completed 2026 performance evaluations for the following Board

appointed executives: Chief Administrative Officer (“CAO”), Clerk of the Board, Chief

Probation Officer (“Probation Chief”), and In-Home Supportive Services Executive Director.

Today's action approves a salary increase for the In-Home Supportive Services Public Authority

Executive Director. In accordance with the employment agreement, timely Board action is

needed to implement salary adjustments for the In-Home Supportive Services Public Authority

Executive Director following completion of their 2026 performance evaluation.

RECOMMENDATION(S)

CHAIR TERRA LAWSON-REMER

1. Waive Board Policy A-72 Agenda and Related Process, Section 2.C.2.ii, which

establishes required timelines for review when preparing a Board Letter.

2. Approve adjustments to the pay for the In-Home Supportive Services Public Authority

Executive Director. The compensation for the In-Home Supportive Services Public

Authority Executive Director is set at an hourly rate of $91.13 effective June 26, 2026.

EQUITY IMPACT STATEMENT

The In-Home Supportive Services Public Authority was established by the State mandate to act

as the Employer of Record for In-Home Supportive Services (IHSS) providers and operate a

Registry of Providers. The In-Home Supportive Services Public Authority is a separate legal

entity from the County of San Diego, but works as a partner with the IHSS program, serving

IHSS providers and consumers. The In-Home Supportive Services Public Authority Advisory

Committee (Advisory Committee) advocates for IHSS providers through participation in the

California In-Home Supportive Services Consumer Alliance, as well as by engaging

stakeholders in caregiver discussion groups and joint meetings between IHSS and community

groups. Feedback received in these engagement activities informs program coordination and

advocacy efforts.

SUSTAINABILITY IMPACT STATEMENT

Today’s action aligns with the County of San Diego (County) Sustainability Goal #1 engaging

the community in meaningful ways, Sustainability Goal #2 providing just and equitable access to

County services, and Sustainability Goal #4 protecting the health and well-being of everyone in

the region. The In-Home Supportive Services Public Authority actively engages service

providers and recipients of In-Home Supportive Services (IHSS) through the In-Home

Supportive Services Public Authority Advisory Committee (Advisory Committee). Input

received from this Advisory Committee informs investments focused on chronically underserved

communities that build resilience in vulnerable populations. Moreover, the Advisory Committee

regularly participates in community outreach events to increase awareness of available resources

and community partnerships. The In-Home Supportive Services Public Authority ensures that

vital services are provided to low-income, aged, blind, and disabled individuals that may have

historically been underserved. By administering supports that ultimately enables people to stay in

their own homes, in addition to maintaining a high quality of life, the In-Home Supportive

Services Public Authority reduces the use of resources associated with higher levels of care.

FISCAL IMPACT

Funds associated with this request are included in the Fiscal Year 2026-27 preliminary operating

fund budget for the IHSS Public Authority.

BUSINESS IMPACT STATEMENT

N/A

Board Letter Approve Adjustment of Compensation for IHSS

Attachments:

Signed A72 Form ADJUSTMENT OF COMPENSATION FOR IN

HOME SUPPORTIVE SERVICES