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SAN DIEGO (CNS) - County supervisors voted 4-1 today to have the chief administrative officer direct the Health and Human Services Agency to develop a plan for in-house medical care of jail inmates and possible outsourcing of those duties as well.Sheriff Bill Gore will review the plan, and officials will also put out requests for proposals from private contractors to handle those duties.Supervisor Dianne Jacob made the motion to examine both an in-house model and outsourcing.``I don't think we should go with just one approach,'' Jacob said, adding she is a proponent of outsourcing county services, if it results in good service for less money.Gore has cited his department's million annual health care bill for inmates as a reason to explore cost-saving strategies. He asked supervisors to consider possible vendors for the county's health care needs in its jails and other facilities.Gore told supervisors that his goal was simply to get the best care at the best value, with an aging population of inmates and other serious issues.``I am proud of our response to these challenges, but I'm not one to assume that I have all the answer to these challenges,'' Gore said.Gore also objected to waiting 180 days for a staff appraisal of outsourcing. ``If it's a good idea in sixth months, it's a good idea today,'' he added.He also praised the 300 men and women who provide medical care to inmates as outstanding employees.Supervisor Nathan Fletcher, who is opposed to any privatization of services and proposed having HHSA handle inmate care, cast the lone no vote.Before the board voted, Fletcher said outsourcing to a for-profit entity would not lead to a better outcome.``As a board, we are the ones who are on the hook,'' in terms of lawsuits if an inmate doesn't get the appropriate care, Fletcher said. ``We should have input.''Fletcher asked the board to vote on his proposal to have the HHSA administer medical and behavioral health services in jails, but the motion died for lack of a second.Board Chairman Greg Cox said he was encouraged that HHSA would develop its own proposal.Cox praised both county medical employees and contractors for working in such a demanding field, but said the system right now is too bifurcated, adding that several legal items on Tuesday's closed-session agenda involved inmate care.Supervisors voted after a lengthy public hearing, in which nearly every person who called was opposed to private outsourcing. Health care workers mentioned low morale at some detention facilities, and the risks workers are taking during the COVID-19 pandemic.Most speakers identified themselves as members of Service Employees International Union, Local 221. 2697

SAN DIEGO (CNS) - All administrative offices in San Diego will be closed Thursday for the Thanksgiving Day holiday, while public transportation around the county will largely run on limited Sunday schedules.The City of San Diego's Development Services Department will provide limited services on Friday.Curbside trash, recyclables and yard waste will not be collected Thursday for customers served by the city's Environmental Services Department. Thursday's normally scheduled collection will occur on Friday, and Friday's collection will occur on Saturday. Residents in other cities should check with their waste hauler for holiday service schedules.The Miramar Landfill will be closed Thursday.Torrey Pines, Mission Bay and Balboa Park golf courses will be open until 3 p.m. Holiday rates will apply. All San Diego skate parks will be open.All public buildings in Balboa Park will be closed, including the Balboa Park Activity Center, Botanical Building, Casa del Prado, Municipal Gym and War Memorial Building. Check with other individual museums and attractions for their holiday schedules.All city reservoirs will be closed. Chollas Lake will also be closed.Parking meters, time restrictions for parking on streets and yellow zones within San Diego will not be enforced. Red, white and blue zones are still enforced every day. Parking rules on Port of San Diego property and in different cities may vary, please read posted signage.Also closed Thursday:all libraries and book pickup service;city pools;the city-owned refuse/recyclables container sales office on Miramar Place;Open Space and Maintenance Assessment district offices;the Testing, Employment Information Center and Background/Fingerprinting offices within the Personnel Department; andthe Family Justice Center. Individuals needing help related to domestic violence should call 9-1-1 and/or the Domestic Violence Hotline at 1- 888-385-4657.San Diego Police and San Diego Fire-Rescue emergency crews will not be impacted by holiday closures. City recreation centers are closed due to the COVID-19 public health order.On Thursday, all North County Transit District buses and trains will operate on a Sunday service schedule. Currently, weekend Coaster service is suspended due to COVID-19 service reductions. Therefore, Coaster trains will not run on this holiday.On Friday, all NCTD buses and all trains will operate on a normal weekday service schedule.Amtrak Pacific Surfliner trains will not accept Coaster fare through Monday, November 30. During this time, Coaster passengers that utilize the Rail-2-Rail program will need to have a reservation and purchase Amtrak fare for Amtrak trains.San Diego Metropolitan Transit System bus and trolley services will operate primarily on a Sunday schedule on Thursday, and most service will return to a regular weekday schedule on Friday.On Thursday, no service will be provided on Rapid Express Routes 280 or 290, Rapid routes 204, 237 and Express Routes 50, 60, 110, 150 and most Express bus routes. MTS Access subscriptions are cancelled on Thanksgiving Day and Friday. Subscription passengers who still want service must call ahead of time to arrange their transportation.On Thanksgiving Day, MTS will allow a friend to ride free with a fare-paying customer on all MTS routes. On Saturday and Sunday, MTS allows up to two children -- age 12 and under -- to ride free with a fare-paying adult on all MTS routes.On Friday, all trolley lines and MTS urban and local bus routes will operate normal weekday schedules. Rapid Express Routes 280 and 290 will go back to operating regular service as well. 3619

SAN DIEGO (CNS) - Flames tore through a Mira Mesa home Wednesday afternoon, causing extensive damage, injuring a firefighter and displacing five residents.The blaze erupted for unknown reasons shortly before 2 p.m. in the 10100 block of Embassy Way, just west of Camino Ruiz, the San Diego Fire-Rescue Department reported.All the occupants of the house were able to safely get outside prior to the arrival of emergency crews, according to SDFRD public affairs.Watch firefighters battle the fire below:Firefighters arrived to find the residence engulfed in flames. It took the personnel about 15 minutes to gain control of the blaze.Medics took one of the firefighters to Sharp Memorial Hospital for treatment of heat-related trauma.The American Red Cross was called in to help the displaced residents, all adults, arrange for interim shelter. 850

SAN DIEGO (CNS) - A woman who caught herself on fire in her kitchen and her husband were burned when he rushed in to help his wife inside their home in the Bay Terraces neighborhood Sunday, fire officials said.The stove fire inside a home on the 7500 block of Careybrook Lane ignited about 3 p.m. Sunday, fire officials said.The husband used whatever he could find in order to help his wife, San Diego Fire Department Battalion Chief Brian Raines said."Eventually, there was water used from a bathroom," San Diego police Lt. Mike Ramsay told the station. "But due to whatever was used (by the husband) part of the flash, part of the fire, his clothing caught on fire."The husband and wife were taken to the UCSD hospital burn center. Their current conditions were unknown. 780

SAN DIEGO (CNS) - A woman driving on a suspended license who had more than three times the legal blood-alcohol limit when she crashed her SUV head-on into another vehicle while driving her three young daughters through Rancho Bernardo was sentenced Thursday to 14 years in state prison. Mayra Alejandra Gonzalez, 30, -- on probation for a prior DUI -- had a .29% blood-alcohol content when she drove on the wrong side of Camino del Norte Nov. 12, 2018. Her SUV crashed head-on into an oncoming 2011 Jeep Liberty, causing severe injuries -- including a skull fracture and a brain bleed -- to her 9- month-old daughter, who was riding unrestrained. The defendant's 2-year-old daughter suffered facial injuries and her 8-year-old daughter broke a bone. The 57-year-old driver of the other car suffered broken bones and underwent five surgeries to treat his injuries. RELATED: Mother arrested for wrong-way DUI crash that injured childrenDeputy District Attorney Ramona McCarthy told the court at Thursday's sentencing that Gonzalez was drinking throughout the day on Nov. 12 and driving with her kids in her vehicle on a trip that stretched from North San Diego County to East County and back. She crashed into a signpost and a parked car, and backed into a wall prior to the crash that led to her conviction, the prosecutor said. ``She put alcohol and what she wanted to do above the safety of her children and the safety of the community,'' McCarthy told the court. Considering the condition of her then-9-month-old, who still uses a feeding tube to this day as a result of the crash, McCarthy said ``It's a miracle (Gonzalez) is not here on a murder charge.'' RELATED: Mom pleads guilty to Rancho Bernardo DUI crash that injured her daughtersGonzalez was arrested the day after the collision at Palomar Medical Center. At the time of the crash, she was on probation and driving on a suspended license due to a 2017 North County DUI, in which she crashed while pregnant and with at least one of her children riding in the vehicle. She had .23% blood-alcohol content in that case. Gonzalez, who pleaded guilty in August to felony child abuse and drunk driving charges, addressed the court, asking for leniency and the chance to see her family sooner. ``My children are my world, my reason for living,'' said Gonzalez, adding she was ``very, very remorseful'' for the crash. RELATED: Mother of three going to prison for DUI crashShe said she's since taken numerous classes on parenting and alcohol abuse in an attempt to better herself and would never drink and drive again. San Diego County Superior Court Judge Laura W. Halgren said she believed Gonzalez was remorseful for what happened, but said deterring others from making the same mistakes and taking Gonzalez's history of drinking and driving into account factored into imposing a higher sentence. 2860

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