San Luis Obispo County Grand Jury

2022-2023

8 reports

Findings & Recommendations 7 findings
F1: Due to a lack of written procedures for quality control, errors in printed election materials went undetected and were subsequently distributed to voters.
Related Recommendations (2)
R1: The County Clerk-Recorder’s Office should establish a written procedure for reviewing printed elections materials before distribution to the voting public.
R2: The County Clerk-Recorder’s Office should build additional time into the review process to allow for any errors introduced by the printing contractor during the printing process to ensure they are detected and corrected prior to distribution to the voters.
F2: The County Clerk-Recorder’s Office failed in their responsibility to provide timely and accurate election material to the County’s registered voters in two material matters during the 2022 General Election.
F3: Since the 2022 General Election, the County Clerk-Recorder’s Office has changed the quality control practices for their printed election materials to prevent similar errors.
F4: The lack of written procedures in the County Clerk-Recorder’s Office does not allow for adequate knowledge transfer during leadership changes.
F5: The County Clerk-Recorder’s Office has insufficient staff and is lacking the necessary specialized skills and appropriate job classifications needed to effectively manage all phases of the election process.
Related Recommendations (1)
R4: The County budget should include the necessary funds to cover the costs of staffing, space, and review time, to assure the accuracy and integrity of voting in San Luis Obispo County.
F6: The County Clerk-Recorder’s Office has insufficient office and storage space, especially during the election process when members of the public are present.
Related Recommendations (2)
R3: Adequate space should be provided to the County Clerk-Recorder’s Office for ballot counting, and the Office should be provided sufficient room to store and protect the ballots once counted.
R4: The County budget should include the necessary funds to cover the costs of staffing, space, and review time, to assure the accuracy and integrity of voting in San Luis Obispo County.
F7: The public has increasingly scrutinized the election process, resulting in additional ballot recounts and increased workload for the County Clerk-Recorder’s Office.
Findings & Recommendations 12 findings
F1: The Oklahoma Avenue Parking Village was established by San Luis Obispo County without a clear understanding of the requirements and risks involved and without a plan to operate and maintain the Site.
Related Recommendations (1)
R1: Child Welfare Services shall immediately remove all minor children from the Oklahoma Avenue Parking Village pursuant to Penal Code Section 273 a(a).
F2: The policies and rules agreed to by the program participants, detailed in the safe parking contract that participants are required to sign, are inconsistently enforced or ignored entirely by those responsible for site management.
Related Recommendations (1)
R2: By September 1, 2023, the County Administration shall establish a policy to require a fully executable plan for opening or closing of any future safe parking sites.
F3: The Oklahoma Avenue Parking Village has evolved from a place to park for a short period of time while seeking other housing options into a County-sanctioned homeless encampment.
Related Recommendations (1)
R3: By September 1, 2023, the Homeless Services Division of the Department of Social Services shall update the participant contract for any safe parking sites. The contract must be appropriate, enforceable, and approved by the County Counsel.
F4: Modifications to the operations of the Oklahoma Avenue Parking Village over time have largely been poorly improvised responses to problem situations rather than part of any clear plan.
Related Recommendations (1)
R4: County Administration shall conduct operational reviews at least quarterly to assess the safe parking program needs and determine changes that might be required.
F5: Criminal activity makes the Oklahoma Avenue Parking Village an unsafe place for its occupants. Poor security exposes the residents to drug use, acts of violence, and entry by recently released jail inmates and banned persons.
Related Recommendations (1)
R5: The County shall maintain 24/7 security provided by a licensed security contractor at Oklahoma Avenue Parking Village. HSD shall conduct monthly reviews to assess the adequacy of site security and address any deficiencies. Empower the on-site security to enforce contract rules and policies.
F6: The Oklahoma Avenue Parking Village is in an unsanitary condition and the County has failed to provide the basic utilities necessary for acceptable living conditions.
Related Recommendations (1)
R6: SLO County Public Health Department shall conduct monthly inspections of safe parking sites to identify potential health and safety violations.
F7: Fire safety is a major concern. While Cal Fire has inspected the Site and made
Related Recommendations (1)
R7: Future safe parking sites should be provided with potable water, sewer, electrical, internet access, and proper drainage.
F8: Allowing children to live at the Site in its current state places them in a situation where the children's health and safety are endangered and exposed to high risk individuals in violation of California Penal Code Section 273a(a).
Related Recommendations (1)
R8: By September 1, 2023, the Office of Emergency Services shall develop and implement a fire safety plan and a hazardous material storage plan for safe parking sites.
F9: There has been no alignment within County management on how to run the Site and the Department of Social Services (DSS) has been unable to find an agreeable third party provider to assume complete management of the Site.
Related Recommendations (1)
R9: By September 1, 2023, County Administration shall establish a date to close the Oklahoma Avenue Parking Village.
F10: The County and CAPSLO have not followed all of their contractual obligations. Case management was not established contractually until early 2022. County contract oversight was inadequate to ensure expected outcomes and services continue under an expired contract.
Related Recommendations (1)
R10: To facilitate the closure of the Site, the County HSD shall immediately provide all necessary casework services to assist residents with mental health, substance abuse, housing, employment, benefits eligibility, etc.
F11: The cost, difficulty and challenges of operating the Oklahoma Avenue Parking Village are detracting from the County’s five-year plan for addressing homelessness.
Related Recommendations (1)
R11: To facilitate the closure of the Site, relocate running and registered RVs currently at the Oklahoma Avenue Parking Village to Coastal Dunes RV Park.
F12: Although the County has announced the intention to close the site, it will continue to operate for an uncertain period of time during which the above findings are still valid, exposing the residents of the site to significant risks and the County of San Luis Obispo to potential liabilities.
Findings & Recommendations 12 findings
F1: All high schools investigated by the Grand Jury are aware of and acknowledge mental health concerns and are commended for seeking to address this need.
Related Recommendations (1)
R1: The San Luis County Office of Education (SLOCOE) should develop a plan to assist schools and districts in obtaining grants for funding of Wellness Centers within the 2023- 24 school year.
F2: There is a growing trend in establishing Wellness Centers on campuses. Wellness Centers are seen as a best practice, shifting the tone and culture of the school to a more positive atmosphere in support of mental health.
Related Recommendations (1)
R2: School administrators need to extend the mental health curriculum beyond the Freshman health class within the 2023-24 school year.
F3: Freshman Health Class curriculum has a specific mental health section, whereas additional instruction at higher grade levels is inconsistent among Districts.
Related Recommendations (1)
R3: In keeping with the SLOCOE mission statement, transition from a supportive position to a more proactive leadership role in expansion of best practices for mental health across County campuses is needed.
F4: School Districts have different approaches to address mental health and there is no uniformity.
Related Recommendations (1)
R4: Utilize more externally developed programs to maximize mental health and substance abuse prevention, i.e., FNL, Red Ribbon Week, and Every 15 Minutes.
F5: Significant strides are being made to destigmatize Mental Health among the student population.
Related Recommendations (1)
R5: More campus staff and teachers need to be trained in Youth Mental Health First Aid or an equivalent program within the next school year.
F6: There is a lack of front-line staff training in mental health intervention.
Related Recommendations (1)
R6: Work toward a full time SRO at all high schools.
F7: SRO staffing is inconsistent among the school districts.
Related Recommendations (1)
R7: Where possible, employ full-time permanent mental health staff at every high school.
F8: School districts are having difficulty hiring trained and certified staff for mental health. Contract staff are often used part-time. As a result, access for students can be insufficient and inconsistent.
Related Recommendations (1)
R8: Provide widespread training of campus staff on Narcan use within the 2023-24 school year.
F9: Roles of counselors vary among schools. Not all counselors have defined roles pertaining to mental health.
Related Recommendations (1)
R9: All campuses should make an anonymous bullying reporting program available within the 2023-24 school year.
F10: Insufficient staff have training on how to use Narcan for possible opiate overdoses.
Related Recommendations (1)
R10: Suicide awareness training needs to be conducted annually for teachers, staff and students.
F11: Bullying reporting methods should be more extensive and wide-ranging. Bullying tiplines does not appear to be anonymous at all schools.
F12: Suicide prevention programs need to be more consistent and robust on high school campuses.
Findings & Recommendations 13 findings
F1: In the West Facility, facilities E, F and G are scheduled for closure by November 6, 2023. Facility M, which houses inmates trained to fight wildland fires throughout California will remain open.
Related Recommendations (1)
R1: Improve barriers and security between the Oklahoma Safe Parking Site and the Honor Farm by end of December 2023. SAN LUIS OBISPO COUNTY CORONER’S FACILITY
F2: There are a number of notable, successful programming opportunities that serve inmates by preparing them with life skills to be productive members of our community. SAN LUIS OBISPO COUNTY JAIL
Related Recommendations (1)
R2: Consider increasing the number of Employee Assistance Program (EAP) visits for trauma fatigue and mental health wellness support for staff by end of December 2023.
F3: The location of the Oklahoma Avenue Safe Parking Site next to the Honor Farm creates a safety hazard to inmates and staff. Materials – including illegal substances, drug paraphernalia, and human waste -- have been tossed over the fence from the Safe Parking Site, landing within the confines of the Honor Farm.
Related Recommendations (1)
R3: Hire a full-time Medical Examiner and additional support staff as required to manage ongoing case load by end of March 2024.
F4: Honor Farm programs are operating at minimal levels due to the current low inmate population, and there are no employees available to supplement the staffing due to staffing challenges throughout the county.
Related Recommendations (1)
R4: Increase the number of Narcan units on site and develop an inventory checklist and procedure for monitoring medication expiration dates by October 1, 2023. SAN LUIS OBISPO COUNTY CRIME LAB
F5: Jail management has successfully managed the COVID-19 pandemic through staff and inmate education and vaccination, resulting in an eradication of active cases within the jail. SAN LUIS OBISPO COUNTY JUVENILE HALL
Related Recommendations (1)
R5: Identify area in facility where staff can have break room by end of December 2023. SAN LUIS OBISPO COUNTY PROPERTY ROOM
F6: There is an ongoing staffing challenge due to a 22% reduction in applicants since 2016, exacerbated by the pandemic while occupancy rate of juveniles has remained stable
Related Recommendations (1)
R6: Follow through on property room climate control enhancements.
F7: The labor-intensive programs appear successful in thwarting recidivism among the juvenile residents. CITY POLICE AND COUNTY COURTHOUSE HOLDING CELLS
Related Recommendations (1)
R7: Does this healthcare award include mental health services?
F8: Despite waiting on progress by the State to build a new courthouse, the current holding cells are functioning well and meeting the needs of the inmate population. SAN LUIS OBISPO COUNTY CORONER’S FACILITY
Related Recommendations (1)
R8: What is the percentage of mental health patients coming into the jail? Is this an increase or decrease relative to recent years?
F9: Physical space is limited impacting the overall work atmosphere. Recent improvements to the autopsy suite have made it fully functional.
Related Recommendations (1)
R9: What is the interaction/relationship between the Honor Farm program and the Safe Parking program? Are there any issues?
F10: The limited number of EAP visits for staff is likely not sufficient for supporting deputies with the trauma fatigue associated with their duties.
Related Recommendations (1)
R10: Have there been any fentanyl incidents in the jail?
F11: The facility has a supply of Narcan for use if needed by Coroner staff, but onsite Narcan had an expired date.
Related Recommendations (1)
R11: What is your Narcan protocol and who carries it?
F12: The transition between the former full-time pathologist to the current provider caused some backlog in cases. SAN LUIS OBISPO COUNTY PROPERTY ROOM
Related Recommendations (1)
R12: What is the protocol for inmates who come in on prescription medication(s)?
F14: There remains a need for additional storage space and climate control. COMMENDATION[S] In October 2022, the SLO Jail received accreditation for its health care services from the National Commission on Correctional Healthcare.
Related Recommendations (1)
R14: Who administers these medications? QUESTIONS SUBMITTED TO SLO COUNTY JUVENILE HALL LEADERSHIP IN ADVANCE OF SITE VISIT:
Additional Recommendations 1

Not linked to specific findings.

R13: Do they continue to receive these medications while in jail?
Findings & Recommendations 11 findings
F1: The combination of drought conditions and increased agricultural lands in production has resulted in an unsustainable decline in the Paso Basin.
Related Recommendations (1)
R1: The GSAs need to expedite their plans to expand the monitoring network for use in the 2025 GSP update.
F2: Since 1998 there has been over 700,000 AF reduction of groundwater storage resulting in dry wells for many rural residential properties and jeopardizing long-term agricultural viability.
Related Recommendations (1)
R2: The GSAs need to employ the most accurate satellite data for determining groundwater utilization or adopt regulations which mandate reporting of groundwater extraction for agricultural production wells within the Paso Basin by the 2025 GSP update.
F3: The current number and location of groundwater monitoring well data collected by the PBCC is insufficient for decision making.
Related Recommendations (1)
R3: Implementation of the proposed MILR Program, to establish voluntary land fallowing, needs to be initiated by the 2025 GSP update. If voluntary measures are ineffective, the PBCC will need to implement a mandatory program.
F4: The PBCC currently does not require or have full access to the annual volume of groundwater pumping by all agricultural users to determine the extent of the demand on the basin.
Related Recommendations (1)
R4: The GSAs must establish and implement the necessary governance structure to build public trust and execute procedures up to and including formal regulations to define equitable groundwater extractions and enforcement mechanisms.
F5: The GSP initiatives for feasible supplemental water options and conservation measures are insufficient to balance the basin. Basin recovery depends upon reduction in active agricultural production pumping.
Related Recommendations (1)
R5: GSAs should intensify outreach to solicit public input and educate residents and property owners, particularly those whose wells have run dry. Outreach should include the development of a collective single website for the PBCC.
F6: The failure of the PBCC to apply equitable pumping restrictions has resulted in continued decline of the Paso Basin.
Related Recommendations (1)
R6: In consideration of equitable use of groundwater, the PBCC needs to develop a plan to set aside funds and an administrative mechanism to ensure that rural residential users have access to water.
F7: Public information and outreach on Paso Basin status is inadequate.
Related Recommendations (1)
R7: By Fiscal Year 2024/25, the County GSA should impose user fees to eliminate the need for County General Fund contributions and to implement the necessary programs for basin sustainability.
F8: Fees that would make the GSP self-sustaining are not uniformly applied across the GSAs. Unincorporated areas governed by the County are not collecting fees.
Related Recommendations (1)
R8: Once the GSAs have enacted management measures which ensure the basin is stabilized, the County Board of Supervisors should revise their existing planting ordinance to allow for equitable agricultural use of properties.
F9: Rural residential wells remain at risk. Many rural residential users lack the resources and means to correct the situation.
Related Recommendations (1)
R9: For the 2025 GSP annual update, the Cooperative Committee should update the GSP timeline to show a realistic and deliverable set of management actions.
F10: There remains an inequity between rural properties in using groundwater for agricultural production under the 2013 County Planting Ordinance.
F11: Management efforts have not advanced sufficiently to begin regulation of basin activities.
Findings & Recommendations 20 findings
F1: CMC offers a broad range of educational, vocational, and rehabilitative services for inmates.
F2: Recent significant investments by the State of California in both facilities and in specialized services make it unlikely that CMC will be on the list of California correctional facilities slated for closure in the coming years. SAN LUIS OBISPO COUNTY JAIL
F3: The San Luis Obispo County Sheriff’s Office Main Jail and other detention facilities are staffed by sworn personnel who have self-selected for a career in corrections.
F4: The Main Jail has experienced a 42% increase in the number of inmates categorized as having serious mental health issues (for both 2020 and YTD 2021). The percentage of inmates in the Jail with serious mental health issues has doubled since the onset of the COVID-19 Pandemic.
F5: The Sheriff’s Office conducts regular assessments and reassessments of inmate behavior to ensure that individual inmates are housed appropriately and in the least restrictive environment consistent with their current risk profile.
F6: A discernable dynamic tension exists between staff at the SLO County Main Jail and staff at the SLO County PHF around issues related to PHF staff safety and security when an inmate is transferred from the Main Jail to the PHF.
Related Recommendations (1)
R1: Work collaboratively with the PHF and the County Administrative Officer to ensure staff and patient safety and security when inmates are released into the care of the PHF and explore the possibility of having the Jail designated as a PHF (with appropriate staff) so that inmates with a high potential for violence who are experiencing mental health issues can be treated at the Jail.
F7: The reduction of inmates eligible for assignment to the Honor Farm means fewer inmates are eligible to do more work related to food, laundry, maintenance, and other essential services.
Related Recommendations (1)
R2: Articulate and publish data on what constitutes a reasonable workload for Honor Farm inmates who provide essential services such as food service, laundry service and maintenance, along with a plan to provide supplemental employees when such workloads are exceeded due to lack of eligible inmates.
F8: Proximity of the SLO County Safe Parking Area immediately adjacent to the Honor Farm fence creates safety and security concerns for staff and inmates.
Related Recommendations (1)
R3: Move the SLO County Safe Parking Area to a location that is not near the Honor Farm or other areas where incarcerated persons live and work. SAN LUIS OBISPO COUNTY JUVENILE HALL
F9: Nearly every aspect of Jail operations has been affected and changed in some way due to the many and varied impacts of the COVID-19 Pandemic. JUVENILE HALL
F10: Juvenile Hall is currently operating well below its capacity.
Related Recommendations (1)
R4: Actively promote SLO County Juvenile Hall as a resource for other California Counties on a fee-for-service basis.
F11: There is space available within the Juvenile Hall facility for new rehabilitative programs. HOLDING CELLS
Related Recommendations (1)
R5: Proceed with plans and secure funding to create a welding studio and a teaching kitchen to provide educational and vocational opportunities for incarcerated youth. HOLDING CELLS
F12: As inmate populations continue to grow, additional space will likely be needed at the SLO County Courthouse holding cells. SAN LUIS OBISPO COUNTY CORONER’S FACILITY
Related Recommendations (1)
R6: Explore options for additional or reconfigured space to support the SLO County Courthouse holding cells and related functions. SAN LUIS OBISPO COUNTY CORONER’S FACILITY
F13: The Coroner’s facility appears to be operating at maximum capacity while the caseload appears to be growing year-over-year. Current spaces are likely not sufficient if current trends continue. PSYCHIATRIC HEALTH FACILITY (PHF)
Related Recommendations (1)
R7: Complete the recommendations of the prior Grand Jury related to facilities expansion and add a standby or backup generator to protect the refrigeration system in case of power outage. SAN LUIS OBISPO COUNTY PSYCHIATRIC HEALTH FACILITY (PHF)
F14: SLO County has been unable to meet its commitment to providing around-the-clock security at the PHF.1
Related Recommendations (2)
R8: Require contract security to meet its obligation to provide 24/7 security guard presence, to include during meal breaks.
R10: Develop and implement a plan to relieve PHF staff of the collateral duty to transport patients from area hospitals to the PHF or to out of County locations. SAN LUIS OBISPO COUNTY DISPATCH CENTER
F15: Although well-trained and competent in the discharge of their duties, staff at the PHF do not feel safe and secure in their work environment.
F16: The required co-mingling of jail inmates with non-justice system involved individuals creates safety and security risks for PHF staff and patients. Subsequent to this Finding, SLO County Behavioral Health advised the Grand Jury that a second security company was engaged to fill open shifts and that the County is in the process of changing contractors. SAN LUIS OBISPO COUNTY DISPATCH CENTER
Related Recommendations (1)
R9: Develop and implement a plan to segregate inmates from non-justice system involved persons in the care of the PHF and to provide better security for inmates while at the PHF.
F17: Despite comprising the majority of the workforce, women assigned to the SLO County Dispatch Center are provided with restroom facilities significantly smaller than their male counterparts.
Related Recommendations (1)
R11: Develop a plan to remediate the gender equity issue deriving from the facility retrofit that reduced the size of the women’s restroom facilities.
F18: A lack of available facilities necessitates the parking of a large travel trailer converted into a locker room that occupies needed parking spaces in a lot shared by several departments.
Related Recommendations (1)
R12: Develop a plan to incorporate locker room facilities into the main building occupied by the Dispatch Center so available parking areas are restored and so staff is not exposed to inclement weather between the locker room and the workplace. SAN LUIS OBISPO COUNTY SHERIFF’S OFFICE PROPERTY ROOM
F19: The vast majority of the facility housing the Dispatch Center is occupied by the County Office of Emergency Services, a tenant only in residence during major emergencies. SLO COUNTY SHERIFF’S OFFICE PROPERTY ROOM
F20: The Property Room is at 95% capacity. COMMENDATION The Grand Jury commends the San Luis Obispo County Sheriff’s Office for taking the initiative to create the Behavioral Health Unit within the Main Jail in response to the challenge of providing services for inmates experiencing mental health issues. In particular, we commend the Sheriff for securing more than $290K in private donations which covered the total cost of construction for this very worthwhile project.
Related Recommendations (1)
R13: Develop a plan to expand the capacity of the Property Room, possibly by annexing the contiguous Marine Division spaces.
Findings & Recommendations 5 findings
F1: SLO County has failed to create and maintain a safe, orderly, effective and efficient means for ensuring that persons experiencing mental health issues receive the care they need, when they need it. The average and sometimes extended time periods Held persons spend in local emergency rooms prior to placement in an appropriate treatment facility is unacceptable as demonstrated by records from multiple emergency room encounters.
Related Recommendations (1)
R1: SLO County should commit to creating a single, integrated and unified mental health services center that houses the PHF, the CSU, the MHET, outpatient coordination, juvenile mental health services, and that includes a medical health triage and screening facility where all Held persons, regardless of age, categorization or insurance status, can be medically cleared prior to placement in an appropriate section of the mental health facility.
F2: By relying on the four private hospital emergency rooms as the primary point of intake for persons experiencing mental health issues, SLO County has created a situation in which the quality and capacity of other emergency medical care within our county is at constant risk of degradation due to a variety of factors all relating to the requirement that those hospitals provide psychiatric services as primary care facilities for which they have little or no dedicated expertise or resources.
Related Recommendations (1)
R2: SLO County should relieve the four private hospitals in our County of the responsibility for warehousing Held persons.
F3: SLO County does not provide adequate resources to ensure the safety and security of both County and contractor staff who work in mental health services facilities and hospitals based on documented incidents.
Related Recommendations (1)
R3: SLO County should seek the financial resources needed to hire and retain outpatient mental health services professional staff in sufficient number to allow for reasonable and customary caseload management ratios.
F4: Despite an almost dizzying array of scheduled interagency, inter and intra-departmental meetings, teams, and working groups, SLO County fails to provide the kind of unified, integrated, and “single” voice leadership needed to ensure that espoused policy regarding the delivery of mental health services in a manner that meets the needs of our community while simultaneously respecting and appropriately protecting the professionals who strive to provide such services.
Related Recommendations (1)
R4: SLO County should seek the financial resources needed to hire and retain mental health services professional staff in sufficient number to meet the needs of Held juveniles within our county.
F5: SLO County is entirely dependent on private service providers located outside of our County to provide beds and treatment for all Held juveniles and for those adults who don’t fit the criteria for acceptance at the PHF.
Related Recommendations (1)
R5: The SLO County Sheriff’s Office, SLO County Behavioral Health Services, and the SLO County Board of Supervisors should jointly devise and implement a plan to ensure that properly trained and certified correctional officers are assigned in sufficient number to provide for the safety and security of all staff and Held persons when such persons are in the County’s care and custody no matter which facility is responsible for the patient.
Findings & Recommendations 9 findings
F1: SLO County moved quickly to establish vaccination capacity well in advance of receiving the COVID-19 vaccine. During the first months when the vaccine was available, the County’s per capita vaccination rate was one of the highest among the counties the Grand Jury sampled.
F2: SLO County maintained local COVID-19 vaccination records and reconciled that information with the State’s data in CAIR to keep it accurate and current.
F3: SLO County made dissemination of information to local citizens and to the County’s seven cities and other government agencies a high priority as evidenced by: • developing and maintaining the ReadySLO.org and emergencyslo.org websites • having frequent press briefings • making daily phone calls to leaders throughout the County
F4: SLO County staff was knowledgeable in vaccination response.
F5: Strong County leadership took responsibility for pandemic response.
F6: Periodic emergency response drills conducted before the pandemic were beneficial.
F7: The County effectively mobilized its Medical Reserve Corps.
F8: The County’s pandemic response effort has taken a toll on County staff and mental health professionals.
Related Recommendations (2)
R1: SLO County should conduct lessons-learned evaluations with input solicited from all who participated in its COVID-19 vaccination response. The County should document what went right and what could be improved in its pandemic response with an eye toward continuous improvement and being better prepared for the next major community health threat.
R4: SLO County should proactively provide as-needed Mental Health services to employees who experienced stress as a result of responding to the COVID-19 Pandemic.
F9: The first effort to register eligible residents for vaccinations was overwhelmed by both the sheer number of people and the lack of vaccine from the State of California. The County acted quickly to rectify the situation and implement an effective, efficient system.
Related Recommendations (3)
R1: SLO County should conduct lessons-learned evaluations with input solicited from all who participated in its COVID-19 vaccination response. The County should document what went right and what could be improved in its pandemic response with an eye toward continuous improvement and being better prepared for the next major community health threat.
R2: SLO County should review existing emergency plans for mass vaccination events to ensure that lessons learned from the COVID-19 response are incorporated wherever appropriate.
R3: SLO County should develop a process to periodically educate the public regarding County response to the next public health emergency.