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SAN DIEGO (CNS) - According to state data released Tuesday, San Diego County will remain in the second, or red, tier of the state's four-tier COVID- 19 reopening plan for at least another week.The county's state-calculated, adjusted case rate is 6.5 new daily infections per 100,000 people, down from last week's 6.7. The unadjusted case rate is down to 7 from last week's 7.2. Because San Diego County testing levels were above the state median testing volume, the county's adjustment level was decreased.On the last two Tuesdays, the county narrowly avoided being pushed back into purple tier, the most strict in the state's reopening plan. The state- set threshold of case rate to avoid the purple tier is below 7 per 100,000.To move into the less-restrictive orange tier, a county must have a rate below 3.9 per 100,000 people.County public health officials reported 161 new COVID-19 infections and three deaths on Tuesday, raising the region's totals to 48,821 cases and 806 deaths.Two men and one woman died between Oct. 2 and Oct. 4, and their ages ranged from mid-50s to early 80s. All had underlying medical conditions.Of the 8,788 tests reported Tuesday, 2% returned positive, bringing the 14-day rolling average percentage of positive cases to 2.9%. The seven-day daily average of tests was 9,277.Of the total number of cases in the county, 3,602 -- or 7.4% -- have required hospitalization and 833 -- or 1.7% of all cases -- had to be admitted to an intensive care unit.None of the 224 cases reported Monday were connected to San Diego State University, but two previously reported confirmed cases are now associated with the school outbreak, bringing the total number of SDSU cases to 1,136, according to public health officials.Those two cases were previously reported to the San Diego County Health and Human Services Agency, but only recently identified -- through continued cross-referencing between SDSU and the HHSA -- as having an SDSU affiliation.A total of 407 on-campus students, 707 off-campus students, 9 faculty or staff and 13 visitors have either confirmed or probable positive COVID-19 diagnoses. Officials said 53 of the total are considered "probable."SDSU announced last Wednesday that it was extending a pause on in-person courses through Oct. 12. Effective that day, a limited number of courses will resume in person. Most of those courses are upper-division or graduate level, and have been "determined by faculty and academic leaders to be essential to student degree completion, licensure, and career preparation," university officials said in a statement.About 2,100 students will be enrolled in an in-person course. Prior to the in-person pause, 6,200 students were enrolled in an in-person course.In the seven-day period from Sept. 28 through Sunday, 20 community outbreaks were confirmed, well above the trigger of seven or more in seven days. A community setting outbreak is defined as three or more COVID-19 cases in a setting and in people of different households over the past 14 days.A COVID-19 testing site opened this week in Chula Vista, offering 200 daily tests, five days per week.The drive-up site will provide free, no-appointment diagnostic tests from 12:30 p.m. to 8 p.m. Sunday through Thursday at the South Chula Vista Library, located at 389 Orange Avenue. The COVID-19 tests take about 5-10 minutes and the results come back in about three days.The county has expanded its total testing sites to 41 locations, and school staff, including teachers, cafeteria workers, janitors and bus drivers, can be tested for free at any one of those sites. A rotating testing program with the California Department of Forestry and Fire Protection was in the works for schools in the county's rural areas.There are no state testing requirements for children, but all school staff who interact with children must be tested every two months. If schools were to open before San Diego County headed to a more restrictive tier in the state's monitoring system, they would not be affected. However, if a move to a different tier happened before schools opened for in-person learning, it would change the game plan, county Supervisor Nathan Fletcher said.If parents want to test their children for the illness, they have options, including Rady Children's Hospital, through Kaiser Permanente or through the 41 sites the county manages. Children as young as 6 months can be tested at the county-run sites. 4449

SAN DIEGO (CNS) - Ernest and Evelyn Rady Thursday announced a 0 million gift to Rady Children's Hospital to redevelop and expand its existing facilities. Hospital officials and board members began formulating a master campus and system plan last year and created the Rady Reimagine Fund to help support the hospital's expansion efforts. Hospital officials said the matching fund could surpass a total of 0 million. The Children's Hospital of San Diego was renamed in Ernest and Evelyn Rady's honor in 2006 following their first gift of million to support the construction of the hospital's Acute Care Pavilion. In 2014, the Radys gave 0 million to support the establishment of Rady Children's Hospital's Institute for Genomic Medicine. RELATED: San Diego Padres sign Rady Children's cancer patients for spring training``Evelyn and I have gotten a great deal of pride and satisfaction from the wonderful care that the people at Rady Children's Hospital have provided to the children of our community,'' Ernest Rady said. ``We are fortunate in San Diego to have easy access to the best doctors, nurses, scientists, technicians and care providers for children in the world.'' The billionaire made his fortune in the insurance, investing and real estate industries. He founded American Assets Inc., now American Assets Trust, in 1967 and Insurance Company of the West in 1971. Wachovia purchased the latter in 2006. The Radys has given millions of dollars to causes around San Diego, including UC San Diego, the San Diego Zoo, Jewish Family Services of San Diego and the Salvation Army of San Diego. RELATED: San Diego's smallest patients getting help from 3D technology at Rady Children's HospitalPlanning for the re-imagined campus is scheduled to conclude by June 2021, after which construction will begin, according to Rady Children's officials. Rady Children's president and CEO, Dr. Patrick Frias, called the gift ``a landmark day for pediatric health care.'' ``This is a top-to-bottom transformation," Frias said. "Our focus is on building a healthier future to serve the needs of current and future generations. ... This investment will allow us to do exactly that.'' 2192

SAN DIEGO (CNS) - After hours of public input and deliberation, the San Diego County Board of Supervisors today unanimously approved a .5 billion operating budget for the 2020-21 fiscal year.Previously .4 billion, the revised budget reflects an additional .2 million in recent funding requests, including million for rental assistance, millions of dollars in road projects and an office dedicated to racial equality.Tuesday's vote, held via teleconference, follows two public hearings earlier in August, when board members heard funding requests from residents.Normally held in late June, the budget approval process was delayed due to the COVID-19 pandemic.Supervisors thanked Chief Administrative Officer Helen-Robbins Meyer and her staff for crafting a budget during an especially challenging time.``Putting together a budget is a big job,'' said board Chairman Greg Cox.According to a summary provided by Robbins-Meyer's office, the county is spending .5 billion on health & human services, billion for public safety, 6 million on finance and general government, 2 million on land use and environment, 9 million on various items and 5 million on capital improvements.``I think we can be proud that we have a good, solid and well-balanced budget,'' Supervisor Dianne Jacob said.Supervisor Jim Desmond credited staff members for ``for fighting to do the right thing. This is not easy.''Supervisor Kristin Gaspar said while the coronavirus pandemic has caused great economic hardship, using the general fund to pay for every request could result in a major shortfall for county finances.Gaspar said she supported using funds from the federal coronavirus relief bill to pay for rental assistance.``I know that people are struggling,'' Gaspar said, adding that her constituents have called her office and shared their anguish.During the public hearing, dozens of callers made a final pitch for more county funding.Some demanded the county defund law enforcement and provide even more money for behavioral health services.Others criticized supervisors' funding requests, including million for three traffic roundabouts in Desmond's district, and million for an equestrian park in Jacobs' district.Jacob countered that the park, to be built in Lakeside, has been in the works since 2012. She added that center will bring needed jobs, and ``become an economic engine for that community and this region.'' Desmond said that years ago, the county approved the roundabouts in Rancho Santa Fe.The roundabouts are needed to deal with major traffic, Desmond said. ``If we don't build this now, we'll pay more later,'' Desmond said. During a news conference earlier Tuesday, Supervisor Nathan Fletcher proposed almost million in additional social services.However, that number was reduced to million during the board meeting based on suggestions from his fellow board members. Fletcher's requests included:-.4 million for the county to provide mental health, substance misuse and care coordination services at permanent supportive housing locations;-.5 million for staff to develop a plan to provide translation services in multiple languages;- million to provide low-income families with access to the Internet for distancing learning during the school year;- million for income replacement stipend for workers who get COVID-19 and aren't eligible for sick pay or other benefits if they stay home; and- million for the Legal Aid Society of San Diego to provide landlord/tenant counseling to help prevent evictions.The board also approved Fletcher's request for nearly million in environmental-related projects, including water-quality monitoring.``We made this budget better by working with the community to drive significant changes reflecting our values and their needs to ensure more equity, opportunity and fairness, particularly for those impacted by COVID-19,'' Fletcher said. 3941

SAN DIEGO (CNS) - A teenage boy who shot his father five times in the master bedroom of the family's Scripps Ranch condominium last year, then fired another shot through the door of another bedroom, where his mother and half- brother had barricaded themselves, will be remanded to a juvenile detention facility for as much as nine years, a judge ruled Friday.The 16-year-old defendant was tried as a juvenile and found guilty last month for the April 29, 2018, killing of 46-year-old Thanh "Sonny" Pham, as well as the attempted murder of his mother.According to prosecutors, juvenile court sentencing guidelines dictate that the boy can be held in custody until he is 25, though he could be paroled earlier than that.Superior Court Judge Louis R. Hanoian said the sentence for the convicted counts would have the boy facing a 67-year-to-life prison sentence had he been of age.RELATED: Man dead after shooting in Scripps Ranch; 15-year-old son arrestedDuring the boy's bench trial, Deputy District Attorney Mary Loeb said the teen ambushed his father, using Pham's own Glock pistol, then came "storming out of the bedroom with the gun" and began scoping the unit for his mother and half-brother, who had taken refuge inside his sibling's bedroom. Loeb said the gun was empty after the youth fired on his father, and he had to return to the bedroom to reload so he could "continue on this rampage."Defense attorney Mary Ellen Attridge argued that the killing was committed in self-defense, following years of routine physical abuse at Pham's hands. The juvenile testified that Pham often struck him as a form of discipline, including once just minutes before the shooting, knocking him briefly unconscious. He also said that Pham once shoved his mother out of a moving vehicle and his family members also testified that Pham was abusive with them and the boy.Following the shooting, the boy, then 15, fled from the condo on foot before police arrived, but was arrested about 1 a.m. the following day, roughly two miles from his home, after someone spotted him on Scripps Poway Parkway near Interstate 15. He had the handgun in his waistband and dozens of rounds of ammunition in his backpack when taken into custody, according to police.RELATED: Teen denies killing father in Scripps Ranch homeHanoian ruled that there were true findings -- the equivalent of guilty verdicts -- for murder and attempted murder, as he felt the evidence did not support claims that Pham was "a violent ogre" and "a sadistic abuser" as he felt Pham had been portrayed by the defense.During Friday's dispositional hearing -- the juvenile court equivalent of a sentencing hearing -- attorneys argued over what type of custody was more appropriate to provide the boy with proper treatment and rehabilitation.Loeb argued to have the boy placed in one of two state youth correctional facilities -- either in Stockton or Camarillo -- while Attridge sought to have the boy placed in a less-restrictive youth program in Otay Mesa, where his family could more easily visit him for the purposes of facilitating family therapy. Attridge also said she will file a notice of appeal on the boy's behalf.Hanoian ruled that the Department of Juvenile Justice's facilities provided a more thorough program to assist the boy in terms of his mental health, educational opportunities -- including college courses and career technical education -- , and rehabilitation."We need to get (the boy) up and running. We need to have him become a productive member of society and we need to give him the training, the education, and the skills and the therapy that's necessary," Hanoian said.The judge said that he did consider concerns over a lack of face-to- face family therapy with the boy housed outside of San Diego County, but said that technological means like video conferencing would allow him to undergo that therapy with family members.The boy did not make a statement during the hearing, but Attridge said he "is very remorseful about what happened here. It has changed his family's entire life and it has changed his life and he regrets having done anything to end his father's life."She also said that upon his release, she believed "he will be somebody who will never recidivate" and will leave custody "a better person, a more mature person and a nonviolent person."Pham's younger sister, Catherine Wright, said her brother was "confident, charming, funny, athletic and intelligent," a good brother to her, a good uncle to her daughter, and their parents' pride and joy.Wright said the depictions of her brother as an abuser pained her greatly and the fact that he'd been killed by his own son made it "easier to tell people that he died of a heart attack."Just as Pham had meant everything to their dad, Wright said the defendant meant everything to her brother."I cannot imagine a more horrible death for Sonny to suffer. I'm haunted by thoughts of Sonny laying on the floor in pain, gutted not just by his physical wounds, but in the realization that his firstborn son, his only son, turned on him and shot him," Wright said.She said she was not yet able to forgive the boy, but that her brother would have wanted to have his son "to have the opportunity to heal what is broken inside of him. He would want his family to be safe and loved." 5320

SAN DIEGO (CNS) - A parolee accused of sexually assaulting an 88-year- old woman at a Hillcrest nursing home just days after being released from jail for an unrelated drug offense was charged Wednesday with rape, elder abuse and other felonies.Lusean Arline, 48, was arrested Monday in connection with the alleged Oct. 27 sex assault at the Balboa Nursing & Rehab Center. Deputy District Attorney Scott Pirrello alleged that Arline entered the nursing home around 3 a.m. and was found completely nude on top of the victim in her bed. How Arline allegedly entered the facility remains under investigation, but Pirrello said it's believed he got in through an unlocked door.RELATED: 88-year-old woman sexually assaulted at Hillcrest nursing homeStaff heard the victim and her roommates screaming and entered the room, prompting Arline to flee the scene, the prosecutor said. The victim, who suffers from memory decline, sustained a fractured arm in the attack, according to Pirrello.Arline was identified as the alleged perpetrator through ``evidence left at the scene'' that was submitted to the FBI Combined DNA Index System, he said. Police then tracked down Arline with help from the state Department of Corrections and Rehabilitation, SDPD Lt. Carole Beason said.Pirrello said Arline has a prior conviction from 2017 for following two elderly women home to their apartment and exposing himself to the victims.RELATED: Halfway house resident charged with chilling City Heights rapeFollowing his release from prison on Oct. 10, Arline was arrested in Chula Vista for a misdemeanor drug offense and jailed until Oct. 24, the prosecutor said. The defendant allegedly committed the sexual assault three days later.He faces life imprisonment if convicted of the latest charges.Arline, who's being held in lieu of million bail, is due back in court Nov. 18 for a readiness conference.RELATED: Police find duffel bag with assault rifle after man reportedly shoots at Hillcrest businesses 1997