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HomeMy WebLinkAbout2024-04-09; City Council Legislative Subcommittee; ; Windsor Pointe Advocacy Efforts Meeting Date: April 9, 2024 To: Legislative Subcommittee From: Jason Haber, Intergovernmental Affairs Director Staff Contact: Jason Haber, Intergovernmental Affairs Director jason.haber@carlsbadca.gov, 442-339-2958 Subject: Windsor Pointe Advocacy Efforts District: All Recommended Action Consider a referral from the Carlsbad City Council to develop regional, state and federal advocacy strategies to advance city interests concerning the Windsor Pointe affordable housing development, including the use of No Place Like Home operating reserve funds to provide on-site security, funding enhanced clinical and behavioral health referral services for supportive housing projects, developing a mechanism to allow subregional housing placement prioritizations, and ensuring homeless veterans are not ineligible for placement in permanent supportive housing as a result of receiving veteran benefits that exceed maximum income limits. Discussion Windsor Pointe is a 50-unit affordable housing project with half of the units offering a priority for lower-income military veterans and their families, including homeless veterans, and the other half serving people with serious mental illness who are experiencing homelessness. It has been in operation almost two years. Recently, concerns have been raised regarding safety in the neighborhood surrounding Windsor Pointe. To address these concerns, the City Council approved several actions on March 12, 2024. These actions were summarized in a letter dated March 25, 2024, addressed to the County of San Diego Health & Human Services Agency (Exhibit 1). Two County Supervisors, Sup. Lawson-Remer and Sup. Desmond, have each put forward recommendations for consideration at the April 9, 2024, Board of Supervisors meeting to address concerns regarding the Windsor Pointe project. Those agenda reports are included as Exhibits 2 and 3, respectively. Mayor Blackburn signed a letter of support on behalf of the City of Carlsbad for several of the Supervisors’ recommendations as they are consistent with advocacy actions approved by the City Council on March 12, 2024 (Exhibit 4). LEGISLATIVE SUBCOMMITTEE April 9, 2024 Item #3 Page 1 of 18 Actions approved by the City Council directed staff to work with the Legislative Subcommittee to develop strategies to: 1. Advocate for Funding for On-Site Security: The Council directed staff to work on a strategy to advocate for the release of operating subsidy reserve funding by the County of San Diego to cover the costs of additional on-site security at Windsor Pointe. Despite the county’s authorization to use these funds in the short term, the State Department of Housing and Community Development (HCD) has not permitted expenditures to exceed the 5-year limit. Efforts are underway to schedule a meeting with HCD representatives during an upcoming trip to Sacramento (April 17-19) to advocate for such authorization. This effort may be bolstered by similar advocacy efforts, which are being considered for authorization by the San Diego County Board of Supervisors under the agenda items noted above. 2. Advocate for Supportive Housing Funding: Staff has been tasked with developing and implementing a legislative advocacy strategy within 60 days to lobby for full funding of supportive housing at the state and federal levels. Funding dynamics, particularly the depletion of authorized state funds and the current focus on capital investments, highlight the need for ongoing support services funding. Proposed strategies include coalition building at the regional level, submittal of a FY 2025 State Budget letter (timed to release just following the May Budget Revise), and engagement with federal authorities at the U.S. Department of Housing and Urban Development (HUD), the Interagency Council on Homelessness and the U.S. Department of Veterans Affairs during an upcoming trip to Washington, D.C. (May 15-17). The Mayor’s letter to County Supervisors also highlights the city’s support for a proposed pilot program to fund and implement enhanced clinical support services for No Place Like Home projects. 3. Advocate for Policy Changes in Homeless Housing Placement Referral Process: These efforts would be aimed at the Regional Task Force on Homelessness and the region’s Continuum of Care Board of Directors to initiate policy changes allowing for a local, or subregional priority in the Coordinated Entry System referral process. Such changes also require authorization from HCD, which has previously denied similar requests. Staff plans to engage with the Task Force’s Executive Director, and County Supervisor Lawson-Remer, who serves as First Vice Chair of the Continuum of Care Board, to explore viable approaches to pursue both regionally and with the state. Obtaining approval from HCD may require the city to participate in a regional fair housing legal analysis to determine if implementation of a housing placement priority system would be consistent with federal and state fair housing laws, and other applicable laws. 4. Advocate for Allowing Veteran Benefits to Exceed Maximum Income Limits This effort would seek to address barriers to ending veteran homelessness by advocating for veteran benefits to exceed maximum income limits for supportive housing units. The proposed strategy includes seeking statutory changes through a state budget trailer bill to April 9, 2024 Item #3 Page 2 of 18 either waive income limits for veterans or exclude veteran benefits from income calculations for housing placements. On all matters discussed above, staff and the city’s contract lobbyists intend to schedule briefings with the city’s state and federal representatives to inform them of the city’s efforts. The Subcommittee is requested to provide input to help city staff and consultants focus the city’s advocacy efforts to achieve the desired outcomes. Next Steps Staff will incorporate input received from the Legislative Subcommittee into the advocacy strategies to be pursued and reported back to the City Council. Exhibits 1. March 25, 2024, Letter to County of San Diego Health & Human Services Agency 2. April 9, 2024, San Diego County Board of Supervisors Board Letter from Sup. Lawson-Remer 3. April 9, 2024, San Diego County Board of Supervisors Board Letter from Sup. Desmond 4. April 5, 2024, City of Carlsbad Letter of Support for County of San Diego Agenda Items April 9, 2024 Item #3 Page 3 of 18 Exhibit 1 April 9, 2024 Item #3 Page 4 of 18 March 25, 2024 Eric C. McDonald, MD, MPH, FACEP Interim Agency Director County of San Diego Health & Human Services Agency 1600 Pacific Highway, Room 206 San Diego, CA 92101 Dear Dr. McDonald, {city of Carlsbad Thank you for your letter dated March 8, 2024, regarding Windsor Pointe. As you know, on March 12, 2024, the Carlsbad City Council received an update on the Windsor Pointe affordable housing project and directed city staff to pursue a number of actions, both immediate and long-term, to address current concerns with the Windsor Pointe project. I want to bring your attention to one City Council direction action item in particular that addresses behavioral health services provided by the County of San Diego . The Carlsbad City Council voted to formally advocate for an increase in behavioral health services available for Windsor Pointe residents that need and want it. The table below shows all City Council directed action items and current status: Action Status Working with the City Council's Legislative County Housing & Community Subcommittee, develop and implement a strategy to Development staff have confirmed effectively advocate for the County of San Diego to authorization to use operating reserves fo r release operating subsidy reserve funding for this onsite security. There is still a question of project to cover the cost of additional onsite security at the maximum allowed within a five-year both locations. period. The City of Carlsbad will advocate to State HCD that the first five years of permanent supportive housing tend to have higher needs before reaching stabilization and those projects should be allowed to draw a higher percentage of operating reserves. Bring back an amended management plan to the City City staff, Affirmed Housing and ConAm Council on April 9, 2024, that reflects an amended property management are working to guest policy to require visitors to sign in and sign out develop new policies to be included in a and the presence of an onsite security gua rd for each property management plan that will be site when appropriate staff are not available. presented to the City Council on April 9. Collaborate with the Property Manager to strengthen City staff, Affirmed Housing and ConAm are the protocol to divert low-level issues to onsite working on a protocol for onsite personnel personnel. to handle low level non-public safety issues. City Manager's Office 1200 Carlsbad Village Drive I Carlsbad, CA 92008 I 442-339-2820 t April 9, 2024 Item #3 Page 5 of 18 Eric C. McDonald, MD, MPH, FACEP March 25, 2024 Page 2 Develop and implement a plan within 45 days to urge the County of San Diego to allow new Windsor Pointe residents housed under the No Place Like Home funding to start with a higher level of service with the option to move to a lower level if appropriate, rather than starting with minimal services and adding as needed . Working with the city's Director of Intergovernmental Affairs and the city's contracted lobbyists, develop and implement a legislative advocacy strategy within 60 days to effectively lobby for supportive housing to be fully funded at the state and federal levels to provide adequate levels of service. Examine participating in a regional fair housing legal analysis to determine if implementation of a local, or subregional (i.e. North County), priority would be consistent with federal and state fair housing laws and other applicable laws. Working with the city's Director of Intergovernmental Affairs and Legislative Subcommittee, advocate to the Regional Task Force on Homelessness and the region's Continuum of Care Board of Directors to make policy changes that could provide a subregional priority in the Coordinated Entry System referral process in certain situations, such as when cities provide a significant financial investment for a housing development. Working with the city's Director of Intergovernmental Affairs and Legislative Subcommittee, develop and implement a strategy for the state and federal governments to allow veteran benefits to exceed maximum income limits for permanent supportive housing units to remove barriers to ending veteran homelessness. City staff, Affirmed Housing, ConAm and County Behavioral Health staff (BHS) are currently in active conversations to identify ways to deliver additional and higher levels of support to Windsor Pointe residents. BHS staff did recently announce that they have approved a part time behavioral health clinician on site at Windsor Pointe for 20 hours per week. This action will be pursued in conjunction with the city's Director of Intergovernmental Affairs and City Council Legislative Subcommittee. This action will be pursued by the city's Housing & Homeless Services Department. This action will be pursued in conjunction with the city's Director of Intergovernmental Affairs and City Council Legislative Subcommittee. This action will be pursued in conjunction with the city's Director of Intergovernmental Affairs and City Council Legislative Subcommittee. Carlsbad city staff have continued to work with all project partners to address concerns. We are appreciative of the changes already approved by the County of San Diego such as the increase in onsite supportive and behavioral health service hours and the ability to pay for security at both locations out of the Capitalized Operating Subsidy Reserve. These changes will make a difference for project residents as well as community members. City staff will continue to work with your department to ensure appropriate treatment referrals are made based on the acuity levels of Windsor Pointe residents. Thank you for your efforts to support collaborative solutions to ensure the safety, health and welfare of tenants and the surrounding community. If you have any questions regarding this matter, please contact Housing & Homeless Services Director Mandy Mills at (442) 339-2907, or mandy.mills@carlsbadca .gov. April 9, 2024 Item #3 Page 6 of 18 Eric C. McDonald, MD, MPH, FACEP March 25, 2024 Scott Chadwick City Manager cc: Sarah E. Aghassi, County of San Diego Interim Chief Administrative Officer Courtney McDonald, County of San Diego Health & Human Services Agency Chief of Staff Geoff Patnoe, Assistant City Manager Cindie McMahon, City Attorney Mickey Williams, Chief of Police Gary Barberio, Deputy City Manager, Community Services Mandy Mills, Housing & Homeless Services Director TERRA LAWSON-REMER VICE-CHAIR SUPERVISOR, THIRD DISTRICT SAN DIEGO COUNTY BOARD OF SUPERVISORS AGENDA ITEM Legistar v1.0 1 DATE: April 9, 2024 26 TO: Board of Supervisors SUBJECT .Title SUPPORTING SAFETY AND SECURITY AT WINDSOR POINTE & FUTURE PROJECTS SUPPORTED BY NO PLACE LIKE HOME FUNDING (DISTRICTS: ALL) ..Body OVERVIEW As a County of San Diego Supervisor, I want to ensure the County is doing everything in our power to support the safety of all residents living in permanent supportive housing developments especially those that are financially supported with No Place Like Home Funding, or similar funding sources that require the County to provide on-site support services. We also want to make sure these developments provide a healthy and safe place for residents and that they act as good neighbors, by not reduce the quality of life for anyone living on the property, or the surrounding neighborhood. In one of the cities I represent, Carlsbad, is Windsor Pointe, a 50-unit affordable housing apartment development located on two non-contiguous sites, at 965 Oak Avenue, and 3606 Harding Street, in the Barrio neighborhood in the City of Carlsbad. This is a vital affordable housing development for our region providing veterans and formerly homeless individuals with a home. The City of Carlsbad provided the land through a ground lease agreement as well as $8.3 million in City funding, while the County awarded $13 million in No Place Like Home funds to the project and contracts with Alpha Project to provide on-site case management to the 24 No Place Like Home residents. Since opening in the Spring of 2022, community members and residents have consistently raised concerns about the project and its impact on safety and security in the neighborhood. Working with the City of Carlsbad, the affordable housing developer, our County staff and the community, progress toward resolving the concerns of Carlsbad residents is being made. Exhibit 2 April 9, 2024 Item #3 Page 7 of 18 SUBJECT: SUPPORTING SAFETY AND SECURITY AT WINDSOR POINTE & FUTURE PROJECTS SUPPORTED BY NO PLACE LIKE HOME FUNDING (DISTRICTS: ALL) Legistar v1.0 2 We need cities across our region to continue stepping-up to build more affordable housing in their neighborhoods, and we will continue to support their development, but there are valuable lessons to be learned from the Windsor Pointe project. This item requests County staff to take additional actions to support the addition of more security personnel on-site and assess all options for increasing the level of case management and support services at Windsor Pointe and future supportive housing development projects that leverage No Place Like Home Funding, or similar funding sources. This primary emphasis on higher levels of service is especially important in the initial lease-up period when new residents are stabilizing and adjusting to their new environment. Taking this action ensures that residents are provided with an appropriate level of service, and all residents and neighbors are afforded a safe and secure living environment. Taking these actions will further demonstrate the County’s commitment to continuing to work together with our 18 cities along with community members to help maintain safety in and around supportive housing developments. RECOMMENDATION(S) VICE-CHAIR TERRA LAWSON-REMER 1. Direct the Interim Chief Administrative Officer to analyze all options and opportunities to maximize the level of services and hours of on-site case management services and referrals to behavioral health services, for Windsor Pointe, and future permanent supportive housing projects funded by No Place Like Home dollars, especially during the initial lease-up phase, when residents are more likely to need extra help connecting to services and adjusting to a new environment. 2. Direct the Interim Chief Administrative Officer to coordinate with the Windsor Pointe development team to develop a plan for utilizing No Place Like Home operating reserve funds to add supplemental security personnel. Advocate to the California Department of Housing and Community Development, requesting the State to maximize funding flexibility of Capital Operating Reserve funds for the Windsor Pointe project. EQUITY IMPACT STATEMENT Permanent supportive housing is a key resource that addresses homelessness for some of the most vulnerable members of our communities. The No Place Like Home Program leverages state resources to provide permanent supportive housing for individuals with serious mental illness, pairing affordable housing with case management and referrals to additional supportive services. SUSTAINABILITY IMPACT STATEMENT Today’s action supports the County of San Diego’s Sustainability Goal #1 to engage the community, Sustainability Goal #2 to provide just and equitable access, and Sustainability Goal #4 to protect health and well-being. FISCAL IMPACT April 9, 2024 Item #3 Page 8 of 18 SUBJECT: SUPPORTING SAFETY AND SECURITY AT WINDSOR POINTE & FUTURE PROJECTS SUPPORTED BY NO PLACE LIKE HOME FUNDING (DISTRICTS: ALL) Legistar v1.0 3 There is no fiscal impact associated with this recommendation. There will be no change in net General Fund cost and no additional staff years. BUSINESS IMPACT STATEMENT N/A ..Details ADVISORY BOARD STATEMENT N/A BACKGROUND Windsor Pointe is a 50-unit affordable housing apartment development located on two non- contiguous sites, at 965 Oak Avenue, and 3606 Harding Street, in the Barrio neighborhood in the City of Carlsbad. Half the units offer a priority for lower-income military veterans and their families, and the other half serves people with mental illness who are experiencing homelessness. The project has been a partnership between the City of Carlsbad, the County of San Diego, Affirmed Housing, and includes onsite services provided by Alpha Project and Interfaith Community Services. The City of Carlsbad provided the land through a ground lease agreement as well as $8.3 million in City funding, while the County awarded $13 million in No Place Like Home funds to the project and contracts with Alpha Project to provide on-site case management to the 24 No Place Like Home residents. Since opening in the Spring of 2022, community members and residents have consistently raised concerns about the project and its impact on safety and security in the neighborhood. On March 12, 2024, the Carlsbad City Council received an update on Windsor Pointe and adopted several actions to work with partnering entities to address community concerns. Carlsbad Police Chief Mickey Williams testified that while crime data shows a slight decrease in neighborhood crime since the project opened, there has been a high volume of calls for service at Windsor Pointe. A total of 762 calls for service were placed since 2022 with over 44% being mental health related. Seven residents account for over half of the calls (53% or 401 calls), showing that a handful of residents are having a disproportionate impact on local resources. Public safety, especially regarding the well-being of children and vulnerable members of our community is a top concern. The County is also strongly committed to ensuring people experiencing homelessness can find pathways off our streets and get connected to the services and help they need. My team and I have met with concerned residents, the development and property management team, and maintain regular communication with the City of Carlsbad, and the Carlsbad Police Department. In response to community concerns, earlier this year the County increased case management services at Windsor Pointe to five days a week and added a clinician to the support team. County staff have also been highly engaged participating in regular monthly security and April 9, 2024 Item #3 Page 9 of 18 SUBJECT: SUPPORTING SAFETY AND SECURITY AT WINDSOR POINTE & FUTURE PROJECTS SUPPORTED BY NO PLACE LIKE HOME FUNDING (DISTRICTS: ALL) Legistar v1.0 4 service coordination meetings with the property manager, service providers, Carlsbad Police Department, and the security staff. I want to ensure the County is doing everything in our power to respond to local concerns and ensure our efforts are successful. Today’s item calls on the County staff to take additional actions to increase the flexibility of No Place Like Home funds to support the additional of supplemental security personnel and assess all options for increasing the level of case management and support services to ensure residents are provided with an appropriate level of service and all residents are afforded a safe and secure living environment. These actions demonstrate the County’s commitment to continuing to work together with all 18 cities and community members and help maintain safety in and around supportive housing developments. LINKAGE TO THE COUNTY OF SAN DIEGO STRATEGIC PLAN Today’s actions support the County of San Diego’s 2023-2028 Strategic Plan initiatives of Sustainability, Equity, and Community, by supporting the implementation of permanent supportive housing; and by improving the quality of life for individuals experiencing homelessness across San Diego County. Respectfully submitted, TERRA LAWSON-REMER Supervisor, Third District ATTACHMENT(S) N/A April 9, 2024 Item #3 Page 10 of 18 JIM DESMOND SUPERVISOR, FIFTH DISTRICT SAN DIEGO COUNTY BOARD OF SUPERVISORS AGENDA ITEM Legistar v1.0 1 DATE: April 9, 2024 05 TO: Board of Supervisors SUBJECT: IMPLEMENTING A PILOT PROGRAM TO ENHANCE SUPPORT TO PEOPLE WITH SERIOUS MENTAL ILLNESS AT AFFORDABLE HOUSING DEVELOPMENTS (DISTRICTS: ALL) ..Title ..Body OVERVIEW It is estimated that 21% of the homeless population suffers from a Serious Mental Illness (SMI). We have made great strides at the County to move forward on projects to provide housing for this population. As we continue to work to reduce homelessness in our region, we must ensure that we are providing quality services to our most vulnerable populations. SMI is a mental, behavioral, or emotional disorder resulting in serious functional impairment, which substantially interferes with or limits major life activities. Placing individuals with SMI in environments ill-equipped to meet their needs not only undermines their potential for success but also poses risks to both their well-being and the broader community. Individuals with SMI require a high level of care and support and we strive to ensure people receive the support they need. When we make a commitment to stakeholders that we will offer “wrap-around services” we must ensure that they are truly wrap-around- 24 hours a day, 7 days a week. No Place Like Home (NPLH) is a State program that funds the development of permanent supportive housing for persons who are in need of mental health services and are experiencing homelessness, chronic homelessness, or are at risk of chronic homelessness. There are 19 affordable housing developments throughout the County, either currently operating or in development, that include NPLH units. To ensure the success and sustainability of these developments, it is imperative that we institute a policy requiring all affordable housing developments with NPLH units to have personnel on-site, 24/7, who are trained in Mental Health First Aid, and have knowledge and the ability to directly contact the County’s 24/7 behavioral health crisis services. Additionally, we should ensure that new residents moving into affordable housing developments with NPLH units have access to enhanced clinical support at the onset of their residency and on an ongoing basis, as appropriate. Exhibit 3 April 9, 2024 Item #3 Page 11 of 18 SUBJECT: IMPLEMENTING A PILOT PROGRAM TO ENHANCE SUPPORT TO PEOPLE WITH SERIOUS MENTAL ILLNESS AT AFFORDABLE HOUSING DEVELOPMENTS (DISTRICTS: ALL) Legistar v1.0 2 Currently, not all residents with SMI receive clinical support. This action will support connection to services, counseling, crisis intervention, and medication management, which will assist in stabilizing individuals with SMI, working to lessen the severity of their symptoms and enhancing their overall well-being. These adjustments will decrease the likelihood of mental health crises and interactions with law enforcement, thereby promoting public safety and community cohesion. Today’s action would implement a pilot program within four affordable housing developments in North County San Diego that have NPLH units to increase clinical support services for residents with SMI to seven days per week. Today’s action would also require on-site personnel within the four North County affordable housing developments, to be trained in Mental Health First Aid and receive training on how to refer people to 24/7 behavioral health crisis response resources. Today’s action would also initiate a requirement for the four affordable housing developments in North County to develop a plan to support and address the unique needs and challenges of residents with SMI. This plan would include a strategy to ensure that on-site personnel are able to monitor who is entering the building through a check-in and check-out process. RECOMMENDATIONS SUPERVISOR JIM DESMOND 1. Direct the interim Chief Administration Officer to work with County departments, including Behavioral Health Services and Housing and Community Development Services, to implement a pilot program to increase services for residents with serious mental illness living in the four affordable housing developments with No Place Like Home units in North County to include enhanced clinical support seven days per week. 2. Direct the interim Chief Administration Officer to work with Behavioral Health Services and Housing and Community Development Services, to ensure all personnel on-site at the four affordable housing developments in North County receive Mental Health First Aid training and be trained on how to refer people to 24/7 behavioral health crisis response resources. 3. Direct the interim Chief Administrative Officer to work with County departments, including Behavioral Health Services, Housing and Community Development Services, and affordable housing developers and property management companies for the four developments that include NPLH units in North County to develop a plan to support and address the unique needs and challenges of residents with SMI and to support the health and safety of residents and the surrounding community. These plans should include: a. A strategy to ensure that visitors to the property are checked in and out. It is imperative that on-site personnel are aware of who is on the property to support the health and safety of its residents. April 9, 2024 Item #3 Page 12 of 18 SUBJECT: IMPLEMENTING A PILOT PROGRAM TO ENHANCE SUPPORT TO PEOPLE WITH SERIOUS MENTAL ILLNESS AT AFFORDABLE HOUSING DEVELOPMENTS (DISTRICTS: ALL) Legistar v1.0 3 b. An assessment of current staffing needs, and what is needed to ensure there is at least 1 Mental Health First Aid trained staff on-site 24/7, which can include: security guards, property management, and service providers. This assessment should identify any gaps in personnel being on-site, and suggestions for how to fill those gaps. 4. Report back to the Board within 90 days with an update on the plans for the four developments in North County that have NPLH units. 5. Report back to the Board within six months with an update on the progress, outcomes, and a plan to implement these changes countywide. EQUITY IMPACT STATEMENT By enhancing behavioral health services for those with serious mental illness, the County of San Diego would be expanding services to a currently underserved population. The County of San Diego is committed to providing equal access to services and housing to people with SMI who are homeless or at risk of homelessness. There is a severe lack of living opportunities in the County of San Diego. SUSTAINABILITY IMPACT STATEMENT This proposed action contributes to the County of San Diego’s Sustainability Goal of protecting the health and well-being of all San Diegan residents. Enhancing behavioral health services for those with serious mental illness will help facilitate self-sufficiency and rehabilitation of some of the County’s more vulnerable residents. FISCAL IMPACT Recommendation #1: Funds for this request are not included in the Fiscal Year (FY) 2023-24 Operational Plan and FY 2024-26 CAO Recommended Operational Plan for the Health and Human Services Agency. If approved, this request will result in estimated costs and revenues of approximately $200,000 in FY 2023-24 and $600,000 in FY 2024-25. This funding would support implementation of a pilot program to enhance clinical support for residents with serious mental illness living in the four affordable housing developments with No Place Like Home units in North County. The department will need to identify funding prior to proceeding with the recommended action, as none is currently available. Once funding is identified, the department will return to the Board with a mid-year action to adjust the budget if necessary. There will be no change in net General Fund cost and no additional staff years. Recommendation #2: April 9, 2024 Item #3 Page 13 of 18 SUBJECT: IMPLEMENTING A PILOT PROGRAM TO ENHANCE SUPPORT TO PEOPLE WITH SERIOUS MENTAL ILLNESS AT AFFORDABLE HOUSING DEVELOPMENTS (DISTRICTS: ALL) Legistar v1.0 4 Funds for this request are included in the Fiscal Year (FY) 2023-25 Operational Plan for the Health and Human Services Agency. If approved, this request will result in estimated costs and revenues of approximately $35,000 in FY 2023-24 and no costs and revenues in FY 2024-25. The funding source will be Mental Health Services Act Prevention and Early Intervention funds. This would fund training to ensure all personnel on-site at the four affordable housing developments with No Place Like Home units in North County, estimated at approximately 255 individuals, receive Mental Health First Aid training. There will be no change in net General Fund cost and no additional staff years. Recommendations #3-5: There is no fiscal impact for these items. There will be no change in net General Fund cost and no additional staff years. BUSINESS IMPACT STATEMENT N/A ..Details ADVISORY BOARD STATEMENT N/A BACKGROUND It is estimated that 21% of the homeless population suffers from a serious mental illness (SMI). We have made great strides at the County to move forward on projects to provide housing for this population. As we continue to work to reduce homelessness in our region, we must ensure that we are providing quality services to our most vulnerable populations. SMI is a mental, behavioral, or emotional disorder resulting in serious functional impairment, which substantially interferes with or limits major life activities. Placing individuals with SMI in environments ill-equipped to meet their needs not only undermines their potential for success but also poses risks to both their well-being and the broader community. Individuals with SMI of require a high level of care and support and we strive to ensure people receive the support they need. When we make a commitment to stakeholders that we will offer “wrap-around services” we must ensure that they are truly wrap-around- 24 hours a day, 7 days a week. No Place Like Home (NPLH) is a State program that funds the development of permanent supportive housing for persons who are in need of mental health services and are experiencing homelessness, chronic homelessness, or are at risk of chronic homelessness. There are 19 affordable housing developments throughout the County, either operating or in development, that include NPLH units. To ensure the success and sustainability of these developments, it is imperative that we institute a policy requiring all affordable housing developments with NPLH units to have personnel on-site, April 9, 2024 Item #3 Page 14 of 18 SUBJECT: IMPLEMENTING A PILOT PROGRAM TO ENHANCE SUPPORT TO PEOPLE WITH SERIOUS MENTAL ILLNESS AT AFFORDABLE HOUSING DEVELOPMENTS (DISTRICTS: ALL) Legistar v1.0 5 24/7, who are trained in Mental Health First Aid, and have knowledge and the ability to directly contact the County’s 24/7 behavioral health crisis services. Additionally, we should ensure that new residents moving into NPLH units have access to clinical support at the onset of their residency and on an ongoing basis, as appropriate. Currently, not all NPLH clients receive clinical support. This will support connection to services, counseling, crisis intervention, and medication management, which will assist in stabilizing individuals with SMI, working to lessen the severity of their symptoms, and enhancing their overall well-being. These adjustments are anticipated to decrease the likelihood of mental health crises and interactions with law enforcement, thereby promoting public safety and community cohesion. Today’s action would implement a pilot program in North County San Diego, which includes four affordable housing developments NPLH units, to increase clinical support services for residents with SMI to seven days per week, for eight hours per day. The four NPLH developments include:  Windsor Pointe- Carlsbad, District 3  Valley Senior Village- Escondido, District 5  Greenbrier Village- Oceanside, District 5  Santa Fe Senior Village- Vista, District 5 Today’s action would also require on-site personnel within the four North County affordable housing developments, estimated at 255 total individuals, to be trained in Mental Health First Aid and to receive training on how to refer people to 24/7 behavioral health crisis response resources. Today’s action would also initiate a requirement for the four affordable housing developments in North County to develop a plan to support and address the unique needs and challenges of residents with SMI. This plan would include a strategy to ensure that on-site personnel are able to monitor who is entering the building through a check-in and check-out process. LINKAGE TO THE COUNTY OF SAN DIEGO STRATEGIC PLAN Today's proposed action supports the Equity Initiative of the County of San Diego’s 2024-2029 Strategic Plan by making health and housing a focus by reducing disparities and disproportionality and ensuring access for all through a fully optimized health and social service delivery system and upstream strategies while utilizing policies, facilities, infrastructure, and finance to provide housing opportunities that meet the needs of the community. Respectfully submitted, April 9, 2024 Item #3 Page 15 of 18 SUBJECT: IMPLEMENTING A PILOT PROGRAM TO ENHANCE SUPPORT TO PEOPLE WITH SERIOUS MENTAL ILLNESS AT AFFORDABLE HOUSING DEVELOPMENTS (DISTRICTS: ALL) Legistar v1.0 6 JIM DESMOND Supervisor, Fifth District ATTACHMENTS N/A April 9, 2024 Item #3 Page 16 of 18 City of Carlsbad City Council City Hall 1200 Carlsbad Village Drive  Carlsbad, CA 92008  442-339-2820 t April 5, 2024 County of San Diego Board of Supervisors 1600 Pacific Highway, Room 402 San Diego, California 92101 SUBJECT: April 9, 2024 – Board of Supervisors Agenda Items 5 and 26 - Enhancing Support to People with Serious Mental Illness at Affordable Housing Developments and Supporting Safety and Security at Windsor Pointe and Future Projects Supported by No Place Like Home Funding Dear Members of the County Board of Supervisors: I am writing on behalf of the City of Carlsbad to express the city’s strong support for several key elements proposed in the subject agenda items, which are aimed at enhancing services for residents with serious mental illness (SMI) living in affordable housing developments, including the Windsor Pointe affordable housing project in Carlsbad. We commend the county’s efforts to address the unique needs and challenges faced by this vulnerable population, as well as those affecting the broader community, and we are committed to an ongoing collaboration with you to ensure the success of these endeavors. 1.Enhanced Clinical Support and Case Management: We fully endorse and encourage your approval and expedited funding to provide on-site clinical support, case management and behavioral health referral services to Windsor Pointe residents seven days per week. Providing a more comprehensive level of service is needed to address the mental health needs of residents and support their journey towards stability and recovery. 2.Mental Health First Aid Training: We support the proposal to fund and provide Mental Health First Aid training to all on-site personnel. Equipping staff with the necessary skills to identify and respond to behavioral health crises is essential for creating safe and supportive environments for residents. This training will better enable on-site staff to effectively assist residents in accessing mental health resources and support services, furthering our shared commitment to addressing the mental health needs of this vulnerable population. 3.Comprehensive Operational Plans: We support the recommendation to collaboratively develop comprehensive operational plans, including strategies for visitor management and on- site staffing 24/7. These added operational costs must be able to be funded through project funding or operational subsidies identified for the annual operating costs of these projects. The city agrees that these are critical aspects of supporting and addressing the unique needs and challenges of residents and the health and safety of the surrounding community and should be addressed when approving projects. Exhibit 4 April 9, 2024 Item #3 Page 17 of 18 {city of Carlsbad City of Carlsbad City Council City Hall 1200 Carlsbad Village Drive  Carlsbad, CA 92008  442-339-2820 t 4. Advocacy for Funding of Enhanced On-Site Security: The city supports efforts to utilize No Place Like Home operating reserve funds to provide supplemental security personnel at both Windsor Pointe locations. We also support the proposed state advocacy efforts to maximize flexibility concerning the use of Capital Operating Reserve funds for the Windsor Pointe project. The City of Carlsbad is appreciative to Supervisor Lawson-Remer and Supervisor Desmond for advancing proposals to enhance services for residents with SMI in affordable housing developments, and especially for those that address issues concerning the Windsor Pointe development. We are grateful for the opportunity to collaborate with the county on these important efforts and look forward to seeing the positive impact they will have on our community. Sincerely, Keith Blackburn Mayor April 9, 2024 Item #3 Page 18 of 18 Tammy Cloud-McMin n From: Sent: To: Subject: Legislative Subcommittee, Regarding Windsor Pointe (WP): Teri Jacobs <tjacobs86@pacbell.net> Monday, April 8, 2024 12:15 PM City Clerk Legislative Subcommittee; 4/9 Agenda Item 3 All Receive -Age nda Item n3- For the Information of the: . .'i!JY.S:OU NCIL Date'tf11d!i CA _' _cc _ CM _ACM _ DCM (3)_ What exactly is the subsidy reserve fund for? If money is pulled out for security concerns that was meant to offset of subsidize rents how will facility deal with budget shortfalls after the 20 year funding ends? WP is designated to be a NPLH a facility for 55 years; however, funded for 20. Also regarding security ... staff is available 40 hours a week Mon-Fri. The added security doesn't address the weekend days and or gaps in hours from staff to when security guards begin and end their shifts. "Develop advocacy strategy within 60 days to lobby for full funding of supportive housing at the state and federal levels." Why now? Our neighborhoods and families need immediate action. These housing starts should have been fully funded and staffed prior to opening. Where was the vetting to make sure that services would be sufficient? How will Proposition 1 affect any future funding? "Advocate for policy changes in placement referral process." Residents knew this wasn't possible. How did staff and elected officials not know? All of the rhetoric was extremely vague when it came to referrals. If NPLH programs were vetted properly it should have been widely known who would be considered for placements. "Advocate for allowing Veteran's Benefits to exceed Maximum Income Limits." How in the world could this key component been so grossly overlooked! Veterans were used as pawns to garner compassion. Reading through the agenda packet it was very clear that neighbors concerns are not being heard. There are asks for more money, more services for mental/behavioral health. Why isn't crime and drug addiction addressed? Residents at Windsor Pointe have numerous services available to them. They don't have to accept any of them. Permanent Supportive Housing does not require participation in any programs. Why aren't we including a stipulation that requires participation in proposals. What is the incentive to do better when you have been given permanent housing? Finally, it appears that there still isn't a viable visitor's protocol in place. It was made very clear at the 3/12 meeting that it needed to be done. NOW! While I appreciate the work that Jason Haber and Councilmembers Acosta and Burkholder are doing the community is still concerned about the safety of their neighborhoods and families. This facility has been in operation for 2 years. That is more than enough time for issues to have been addressed and rectified. This is the wrong facility in the wrong location. Regards, Teri Jacobs Carlsbad Resident; Dist 1 831 840-4725 1 tjacobs86@pacbell.net Sent from my iPad CAUTION: Do not open attachments or click on links unless you recognize the sender and know the content is safe. 2 ITEM 3 : WINDSOR POINTE RECOMMENDED ACTION Consider referral from City Council to develop regional, state and federal advocacy strategies to advance city interests concerning Windsor Pointe affordable housing development. ITEM 3: WINDSOR POINTE RECOMMENDED ACTION • Use of No Place Like Home operating reserve funds to provide on-site security • Funding enhanced clinical and behavioral health referral services for supportive housing projects • Developing a mechanism to allow local/subregional housing placement prioritization • Ensuring homeless veterans are not ineligible for placement in permanent supportive housing as a result of receiving veteran benefits that exceed maximum income limits ITEM 3: WINDSOR POINTE BACKGROUND • Windsor Pointe: 965 Oak Ave. & 3606 Harding St. • SO-unit affordable housing development -24 units: low-income with veteran/local preference -24 units: homeless with severe mental illness diagnosis -Two manager units • Significant number of Police calls for service • Concerns raised about safety in surrounding area (city of Carlsbad ITEM 3 : WINDSOR POINTE BACKGROUND • March 12: City Council update and actions to address concerns: Onsite security increased Video surveillance increased Onsite supportive services increased Specialized care to residents w/ higher needs Reduced need for 911 response Accountability for lease violations Ongoing collaboration (city of Carlsbad ITEM 3 : WINDSOR POINTE STAFF RECOMMENDATIONS • Further strengthen onsite security • Guest check-in/out procedures • Divert low-level issues to onsite personnel • Ensure adequate client-based services provided • Start residents with higher level of support services • Advocate for full funding of supportive housing • Lobby Regional Task Force & Coe • Pursue veteran and local/subregional priority • Fair Housing Analysis • Advocate to allow VA benefits to exceed maximum income limits (city of Carlsbad ITEM 3 : W I NDSOR PO I NTE CITY COUNCIL DIRECTION 1. Develop an advocacy strategy to fund on-site security 2. Develop an advocacy strategy to fully fund supportive housing at the state and federal levels 3. Advocate for a local or subregional housing priority 4. Advocate for allowing veteran benefits to exceed maximum income limits for supportive housing (city of Carlsbad ITEM 3: WINDSOR PO I NTE FUNDING ON-SITE SECURITY 1. County has authorized use of NPLH operating reserve 2. HCD: Annual and 5-year limits 3. Meet w ith HCD-Sacramento, April 17-19 4. Briefings with city's state and federal representatives ( City of Carlsbad ITEM 3: WINDSOR POINTE FUNDING SUPPORTIVE HOUSING 1. Highlight need for ongoing support services funding 2. Coalition building at the regional level 3. Submittal of a FY 2025 State Budget letter 4. Meet with HUD, lnteragency Council on Homelessness and VA -Washington, D.C., May 15-17 ( City of Carlsbad ITEM 3 : WINDSOR POINTE LOCAL HOUSING PRIORITY 1. Engage Regional Task Force on Homelessness 2. Engage Continuum of Care Board 3. HCD authorization 4. Meet with HCD-Sacramento, April 17-19 5. Fair housing legal analysis ( City of Carlsbad ITEM 3 : WINDSOR PO I NTE VA BENEFITS EXCEED MAXIMUM INCOME 1. Waive income limits for veterans, or 2. Exclude VA benefits from income calculation 3. State No Place Like Home rule change 4. State budget trailer bill -statutory change to allow waiver/exclusion ( City of Carlsbad ITEM 3 : WINDSOR POINTE SD COUNTY ACTIONS 1. 4/9 Board of Supervisors agenda items • Analyze opportunities to maximize level of services and hours of on-site case management services and referrals to behavioral health services • Develop a plan for utilizing No Place Like Home operating reserve funds to add supplemental security personnel • Advocate to HCD, requesting the State to maximize funding flexibility of Capital Operating Reserve funds for the Windsor Pointe project. ITEM 3: WINDSOR POINTE SD COUNTY ACTIONS 1. 4/9 Board of Supervisors agenda items • Implement pilot program to increase services to include enhanced clinical support seven days per week • Ensure all personnel receive Mental Health First Aid training and training to refer people to 24/7 behavioral health crisis response resources. • Strategy to ensure that visitors to the property are checked in and out • Assessment of current staffing needs, and what is needed to ensure there is at least 1 Mental Health First Aid trained staff on-site 24/7 • Report back to the Board within 90 days and 6 months ITEM 3: WINDSOR PO I NTE SUBCOMMITTEE ACTION Provide input to help city staff and consultants focus the city's advocacy efforts to achieve the desired outcomes. (city of Carlsbad