REPORT/RECOMMENDATION TO THE BOARD OF SUPERVISORS
OF SAN BERNARDINO COUNTY
AND RECORD OF ACTION
February 27, 2024
FROM
LUTHER SNOKE, Chief Executive Officer, County Administrative Office
SHANNON D. DICUS, Sheriff/Coroner/Public Administrator
SUBJECT
Title
Capital Improvement Program Project for the West Valley Detention Center Infirmary Feasibility and Programming Project
End
RECOMMENDATION(S)
Recommendation
1. Approve Capital Improvement Program Project No. 24-131, in the amount of $500,000, for the West Valley Detention Center Infirmary Feasibility and Programming Project located at 9500 Etiwanda Avenue in Rancho Cucamonga.
2. Approve appropriation and revenue adjustments to fund the Capital Improvement Program Project and authorize the Auditor-Controller/Treasurer/Tax Collector to post the necessary budget adjustments, as detailed in the Financial Impact section (Four votes required).
(Presenter: Luther Snoke, Chief Executive Officer, 387-4811)
Body
COUNTY AND CHIEF EXECUTIVE OFFICER GOALS & OBJECTIVES
Improve County Government Operations.
Operate in a Fiscally-Responsible and Business-Like Manner.
Provide for the Safety, Health, and Social Service Needs of County Residents.
FINANCIAL IMPACT
Approval of this item will not result in the use of Discretionary General Funding (Net County Cost). The 2023-24 budget identified a $25,000,000 reserve in Assembly Bill 109 Public Safety Realignment funds (AB 109) for a potential West Valley Detention Center (WVDC) Infirmary. The Sheriff/Coroner/Public Administrator (Sheriff) is requesting $500,000 from the AB 109 reserve to determine the feasibility of this project. The appropriation and revenue adjustments recommended are as follows:
|
Fund Center |
Commitment Item/GL Account |
Description |
Action |
Amount |
WBSE |
|
1169031026 |
40458702 |
Realignment Reserve |
Increase |
$500,000 |
N/A |
|
1169031026 |
40458711 |
Realignment 2011 |
Decrease |
$500,000 |
N/A |
|
4420001000 |
40458711 |
Realignment 2011 |
Increase |
$500,000 |
N/A |
|
4420001000 |
55305030 |
Operating Transfers Out |
Increase |
$500,000 |
N/A |
|
7700003100 |
54304030 |
Structures and Improvements to Structures |
Increase |
$500,000 |
10.10.1585 |
|
7700003100 |
40909975 |
Operating Transfers In |
Increase |
$500,000 |
10.10.1585 |
BACKGROUND INFORMATION
Arrowhead Regional Medical Center (ARMC) has been and continues to operate as the primary acute medical facility for the WVDC, High Desert Detention Center, Glen Helen Rehabilitation Center, and Central Detention Center. Under the current model, all inmates from these facilities that require inpatient and/or outpatient medical care are transported to ARMC for treatment.
For inpatient services, the admission criteria for a general acute care hospital are established by the Centers for Medicare and Medicaid Services and other third-party entities. Once an inmate is treated at ARMC and no longer meets the established criteria for an inpatient admission, inmates should be transported back to the detention centers. However, given the strict requirements at the detention centers and the limited medical capabilities, inmates are kept at ARMC after acute needs have been addressed. This process utilizes acute care beds and staffing to manage non-acute care patients who can be better served at a lower level of care.
For outpatient services, inmates are transported to ARMC on a daily basis to see a physician at one of the ARMC clinics. While ARMC is utilizing telehealth services for some visits, telehealth could be more robust given appropriate technology and equipment at the detention centers.
The current process of transporting inmates places a burden on ARMC by taking bed space that can otherwise be used to serve other members of the community. Additionally, the process also burdens the Sheriff by causing substantial transportation and overtime costs for deputies to escort inmates, that would otherwise not exist if medical care was offered at the WVDC property.
The recommended actions will establish a project and corresponding budget to allow the Project and Facilities Management Department (PFMD) to consult with both departments, ARMC and Sheriff, and determine the feasibility of building an infirmary with associated medical services on the current WVDC site. The feasibility effort will include a programming analysis to determine the specific number of beds needed, current and future, and the extent of services needed to be provided, such as magnetic resonance imaging, electromagnetic radiation, cardiac services, and other related medical resources. Additionally, PFMD will use this project’s budget to seek rough cost estimating for a building of this nature, which will allow for budget planning in the future.
The results of the feasibility and programming analysis will be used to initiate a future design and construction Capital Improvement Program Project, to ensure the constructed facility meets the predetermined needs of both departments.
PROCUREMENT
Not applicable.
REVIEW BY OTHERS
This item has been reviewed by County Counsel (Julie Surber, Principal Assistant County Counsel, and Grace B. Parsons, Deputy County Counsel, 387-5455) on January 5, 2024; Auditor-Controller/Treasurer/Tax Collector (Mima Ugbo, Auditor Controller Manager, 382-3035) on January 26, 2024; Sheriff/Coroner/Public Administrator (Jose Torres, Sheriff’s Administrative Manager, 387-3465) on January 31, 2024; Project and Facilities Management (Don Day, Director, 387-5000) on January 30, 2024; Finance (Erika Rodarte, Administrative Analyst, 387-4919, and Yael Verduzco, Principal Administrative Analyst, 387-5285) on February 9, 2024; and County Finance and Administration (Valerie Clay, Deputy Executive Officer, 387-5423) on February 9, 2024.