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SECTION 2. Amendment to Title 9. Article IX (Miscellaneous) of Title 9 (Public Peace, Morals and Welfare) of the Blythe Municipal Code is hereby amended to add a new Chapter 9.98 to read as follows:
Chapter 9.98 - SHOPPING CARTS
9.98.010 - Title.
This chapter shall be known as the Shopping Cart Ordinance.
9.98.020 - Purpose and intent.
The purpose of this chapter is to promote the public health, safety, and general welfare of the community by requiring owners to contain shopping carts on their premises and to make it unlawful for a person to remove a shopping cart from a premises.
9.98.030 - Definitions.
The following words, terms and phrases when used in this chapter shall have the meanings ascribed to them in this section, except where the context clearly indicates a different meaning:
A. "Abandoned shopping cart" means any shopping cart that has been removed, without written consent of the owner, from the owner's premises and is left unattended or discarded on either public or private property other than the premises from which the shopping cart was removed.
B. "City" means the City of Blythe.
C. "City manager" means the city manager or designee.
D. "Marked shopping cart" means a shopping cart to which ownership and other required information has been affixed as required by this chapter.
E. "Notification" means and incudes verbal notice given to an owner and/or an owner's retrieval service and/or written notice delivered to the address of an owner or retrieval service.
F. "Owner(s)" means any person, entity, firm, business, corporation, partnership, company, or similar entity who, in connection with the conduct of a business, owns, leases, possesses, uses, or otherwise makes five (5) or more shopping carts available for customer or public use within the boundaries of the business' premises. Owner also includes the owner's onsite or designated agent.
Ordinance No. 931-24
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G. "Person" means any natural person, business, corporation, or event organizer or promoter; public, nonprofit, or private entity, agency, or institution; or partnership, association or other organization or group, however organized.
H. "Premises" means the entire area owned, maintained, used or managed by the owner, including the building, parking lot, walkways, or other property for customer use or parking.
I. "Shopping cart" means a non-motorized basket mounted on wheels or a similar device generally used in a retail establishment by a customer for the purpose of transporting goods of any kind.
9.98.040 - Unauthorized removal prohibited.
It is unlawful for any person, either temporarily or permanently, to remove a marked shopping cart from a premises or be in possession of a marked shopping cart that has been removed from a premises without the written consent of the owner. This section does not apply to shopping carts removed, as authorized by the owner, for purposes of repair, maintenance, or disposal.
9.98.050 - Abandonment prohibited.
It is unlawful and a public nuisance for any shopping cart owner to allow one or more of the owner's shopping carts to be abandoned or remain unattended on any private property (except the premises of the shopping cart owner), or any city street, right-of-way, alley, sidewalk, facility, park, open space or other public property for any period of time, and/or fail to recover, retrieve and/or remove a shopping cart or carts therefrom within two (2) business days following notification by the city manager to the owner and/or their retrieval service of the location of the shopping cart.
9.98.060 - Shopping cart identification required.
A. Each owner must permanently affix to each shopping cart a sign that contains all of the following information:
1. Identity of the owner, or owner's business establishment, or both;
2. The address of the owner of the business establishment for shopping cart return and a phone number at which a person may contact the owner to retrieve the shopping cart; and
3. Notification to the public that the removal of the shopping cart from the premises is a violation of state and local law.
B. Any abandoned shopping cart that does not have the information required by this section may be removed and disposed of by the city in accordance with state law.
Ordinance No. 931-24
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C. No owner shall provide any shopping cart for customer use that does not contain the signage required by this section.
9.98.070 - Premises signage required.
Each owner shall place and maintain signs on the premises, at all customer store entrances and exits and in the parking lot area, warning customers that removal of shopping carts from the premises is prohibited by state and local law. Any and all posting of signs shall comply with the provisions of this code, except that the number and placement of such signs may be in excess of those limits found in Title 17 of this code.
9.98.080 - Required physical shopping cart containment measures or shopping cart retrieval services.
All owners are required to implement physical shopping cart containment measures and/or enter into an agreement with a shopping cart retrieval service consistent with the following provisions.
A. Physical shopping cart containment measures must include at least one (1) of the following:
1. Physical disabling devices on all shopping carts;
2. Deposit requirement for use of shopping carts;
3. Use of a security guard or security service to prevent removal of shopping carts from the premises;
4. Installation of bollards, chains, or other physical barriers to prevent removal of shopping carts from the premises; or
5. Any combination of the above measures as necessary to effectively prevent the removal of shopping carts from the premises.
B. Shopping cart retrieval service agreements must meet the following requirements:
1. Each owner that elects to secure a shopping cart retrieval service agreement must continuously maintain an agreement with a shopping cart retrieval service to search for, locate, and return shopping carts removed from the premises.
Self-service cart retrieval is not an allowable option.
2. Shopping cart retrieval service agreements must require that shopping carts located off premises, regardless of distance, jurisdictional boundary, or reporting party, will be located and returned no later than two (2) business days after the owner or retrieval service has been notified.
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9.98.090 - Shopping cart security after hours.
Any owner must lock or otherwise effectively secure all shopping carts during hours when the business establishment is not open for business.
9.98.100 - Shopping cart containment plan.
A. Each owner shall prepare, submit, and implement a shopping cart containment plan, to the satisfaction of the city manager, in accordance with the timelines set forth in this section. The shopping cart containment plan shall include:
1. Identification of the owner, including the name, address, and phone number of the business establishment and the owner.
2. The total number of shopping carts maintained on the premises.
3. A description of required ownership identification and removal warning signs, including a description of the location of sign placement.
4. A description of the physical cart containment measure(s), consistent with Section 9.98.080 of this chapter, or shopping cart retrieval service agreement information including the name of the service provider and all direct contact information including contact name, address, phone number, and e-mail address. Provided that all required information is included, a copy of the current and fully executed service agreement may be submitted to fulfill this requirement.
5. Verification that shopping carts are locked or otherwise secured during hours when the business establishment is not open for business.
B. Owners shall submit their shopping cart containment plans in accordance with the following timelines:
1. Existing owners shall submit their shopping cart containment plans within sixty (60) days of the effective date of this chapter.
2. If an owner begins conducting business within the city, the owner shall submit their shopping cart containment plan within sixty (60) days of opening their business to the public.
3. If an existing business changes ownership, the new owner shall notify the city manager of such change and submit a shopping cart containment plan within sixty (60) days of such change.
C. The city manager may waive the requirement that an owner submit a shopping cart containment plan if the owner establishes, to the satisfaction of the city Ordinance No. 931-24
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manager, that the owner maintains an effective cart containment system. For purposes of this subsection, "effective cart containment system" means a system that results in no more than five (5) shopping carts being removed without the owner's consent from the premises within any six-month period. There is a rebuttable presumption that a shopping cart found off the premises was removed from the premises without the owner's consent. The city manager may revoke any waiver if the owner fails to maintain an effective cart containment system as described herein. If the city manager revokes a waiver provided pursuant this subsection, the owner shall submit a shopping cart containment plan that meets the requirements of this section within thirty (30) days of such revocation.
D. Each owner that has submitted a shopping cart containment plan as required by this section shall annually certify that all information provided in the shopping cart containment plan is accurate and true. Owners shall provide updated information to the city as needed to ensure their shopping cart containment plans contain accurate and current information.
9.98.110 - City retrieval of abandoned shopping carts.
A. The city may retrieve an abandoned shopping cart from public property, or private property with the consent of the owner thereof, in any of the following circumstances:
1. When a shopping cart is abandoned in a location or in such a manner that may impede the provision of emergency services.
2. When a shopping cart is abandoned in a location or in such a manner that creates a hazard to the public health, safety and/or welfare.
3. When the city has notified the shopping cart owner and/or the owner's retrieval service of an abandoned shopping cart, and the cart has not been retrieved within two (2) business days.
4. When permitted by law.
B. Shopping cart owners shall be responsible for all costs associated with retrieval by the city of an abandoned shopping cart recovered pursuant to the circumstances set forth in subsection A of this section.
C. The city shall comply with all requirements set forth in California Business and Professions Code section 22435.7 relating to storage and disposition of shopping carts when it impounds any shopping cart.
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9.98.120 - Enforcement.
A. Any violation of this chapter is a misdemeanor and may also be enforced by administrative citation pursuant to Chapter 1.26 of this code.
B. Each violation of this chapter shall be considered a separate offense.
C. The remedies and penalties provided in this chapter are cumulative and not exclusive and nothing in shall preclude the city from pursuing any other remedy at law or in equity, including, but not limited to those set forth in Chapter 1.24 of this code and in California Business and Professions Code sections 22435-22435.8.
9.98.130 - No conflict with state or federal law.
Nothing in this chapter is intended or shall be interpreted as conflicting with any federal or state law or regulation.
SECTION 3. Environmental Compliance. The City Council hereby finds that it can be seen with certainty that there is no possibility that the adoption and implementation of this Ordinance will have a significant effect on the environment. The Ordinance is therefore exempt from the environmental review requirements of the California Environmental Quality Act (CEQA) pursuant to Section 15061(b)(3) (Common Sense Exemption) of the CEQA Guidelines.
SECTION 4. Inconsistencies. Any provision of the Blythe Municipal Code or appendices thereto inconsistent with the provisions of this Ordinance, to the extent of such inconsistencies and no further, is hereby repealed or modified to that extent necessary to affect the provisions of this Ordinance.
SECTION 5. Severability. If any section, subsection, sentence, clause, phrase or portion of this Ordinance is for any reason held to be invalid or unconstitutional by the decision of any court of competent jurisdiction, such decision shall not affect the validity of the remaining portions of this Ordinance. The City Council of the City of Blythe hereby declares that it would have adopted this Ordinance and each section, subsection, sentence, clause, phrase, or portion thereof, irrespective of the fact that any one or more sections, subsections, sentences, clauses, phrases or portions be declared invalid or unconstitutional.
SECTION 6. Effective Date. This Ordinance shall take effect thirty (30) days after its final passage.
SECTION 7. Certification. The City Clerk shall certify to the passage and adoption of this Ordinance and shall cause the same to be published or posted in the manner required by law.
Ordinance No. 931-24
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PASSED, APPROVED AND ADOPTED this day of , 2024,
by the following vote:
AYES:
NOES:
ABSENT:
ABSTAIN:
Joseph DeConinck
Mayor
ATTEST:
Mallory Crecelius
City Clerk
APPROVED AS TO FORM:
Brittany E. Roberto
City Attorney
Ordinance No. 931-24
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TORHINE FIRE
CITY OF BLYTHE
Blythe CITY COUNCIL MEETING
STAFF REPORT
MEETING DATE: August 13, 2024
SUBJECT: Response to 2023-2024 Grand Jury Report entitled: "NARCAN SAVING LIVES IN RIVERSIDE COUNTY"
PRESENTED BY: Garth V. Dale, Chief of Police
PREPARED BY: Garth V, Dale, Chief of Police
RECOMMENDATION: It is recommended council approve the response to the 2023-2034 Grand Jury Report entitled: "Narcan saving lives in Riverside County" in substantially the form as attached and in such final form as approved by the Interim City Manager and authorize the Mayor to execute the response, and direct staff to submit the response as required.
FISCAL IMPACT: None.
BACKGROUND: The Riverside County Civil Grand Jury is the self-described "watchdog" for the cities and county government agencies within Riverside County. As such, the Grand Jury is known to prepare reports on various topics. These reports typically include findings and recommendations and the agencies involved are required by statute to respond within ninety (90) days from issuance.
STAFF REPORT: On June 11, 2024, the Riverside County Civil Grand Jury issued a report to the City of Blythe. The report was made public at the close of business on June 14, 2024. The report included three findings and one recommendation regarding creating a comprehensive method to collect pertinent Narcan data on a monthly basis from all emergency responders and/or medical providers. The recommendation suggests data should include the number of outlined by the Civil Grand Jury.
ATTACHMENTS:
1. Draft City Response to the Riverside County Grand Jury
2. 2023-2024 Grand Jury report
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PARES FIRST SUITE CITY OF BLYTHE
Blythe
235 North Broadway • Blythe, California 92225
Phone (760) 922-6161 • Fax (760) 922-4938
August 13, 2024
The Honorable Judith C. Clark, Presiding Judge
Superior Court of California, County of Riverside
4050 Main Street
Riverside, CA 92501
Riverside County Grand Jury
P.O. Box 829
Riverside, CA 92502
Riverside County Clerk-Recorder
2720 Gateway Drive
Riverside, CA 92507
Re: City of Blythe Response to the 2023-2024 Grand Jury Report Entitled: «YOU NARCAN SAVE LIVES: NARCAN SAVING LIVES IN RIVERSIDE COUNTY» Dear Judge Clark:
The City Council of the City of Blythe is in receipt of the 2023-2024 Grand Jury Report entitled "YOU NARCAN SAVE LIVES: NARCAN SAVING LIVES IN RIVERSIDE COUNTY" provided to the City Council on June 11, 2024 and released to the public after the close of business on June 14, 2024.
In accordance with California Penal Code Sections 933 and 933.05, enclosed is the Mayor's and the City Council's response to each of the findings and recommendations included in the Report.
The City Council approved the enclosed response on August 13, 2024.
The City of Blythe appreciates the opportunity to comment on the findings and recommendations of the Grand Jury.
Sincerely,
Joseph Deconinck, Mayor
CC: Johnny Rodriguez, Vice Mayor
Joseph Halby, Council Member
Samuel Burton, Council Member
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City of Blythe's Responses to Riverside County Grand Jury's Findings and Recommendations
Grand Jury Findings:
F1: The statistical data provided by EMS on Narcan usage for 2021, 2022 and 2023 indicates a declining percentage of on-scene fatalities.
City's Response: The City agrees with this finding.
F2: The availability of Narcan has assisted law enforcement and the public to assist suspected opioid overdoses and to have a better chance of survival.
City's Response: The City agrees with this finding.
F3: There is a lack of guidance regarding what data should be tracked by law enforcement and other first responders when administering Narcan.
City's Response: The City agrees with this finding.
Grand Jury Recommendations:
R1: A comprehensive method should be created to collect pertinent Narcan data on a monthly basis from all emergency responders and/or medical providers. This data should include the number of incidents, dosages by incidents, number of lives saved, and number of fatalities.
City's Response: The recommendation has been implemented. In 2021, the City of Blythe Police Department implemented the Records Information Management System (RIMS) for police and fire dispatch. In March 2024, once the Blythe Police Department was made aware of the Grand Jury's concerns about data collection, the Blythe Police Department implemented a policy on Narcan use. The policy requires documentation in RIMS regarding the use of Narcan, the outcome of the call for service and amount of contraband seized. Regarding fatalities, once the Riverside County Coroner's report, which will list the cause of death, is provided to the Blythe Police Department, the information will be added to the RIMS case file. This information can be extracted from RIMS and sent to the County of Riverside digitally. This will allow the County of Riverside to track Narcan usage countywide.
Conclusion
Again, the City of Blythe appreciates the opportunity to submit a response to the Grand Jury Report entitled "Narcan - Saving Lives in Riverside County". Thank you for recognizing how first responders in Riverside County, including the Blythe Police Department, are fighting the opioid epidemic with the use of Narcan. We look forward to working with Riverside County Emergency Medical Services and other law enforcement agencies to track this life saving data countywide. -190-
RIVERSIDE COUNTY
CIVIL GRAND JURY
2023-2024
REPORT
YOU
NARCAN™
I SAVE
IT LIVES
NARCAN
SAVING LIVES IN RIVERSIDE COUNTY
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NARCAN - SAVING LIVES IN RIVERSIDE COUNTY
SUMMARY
This is an informational report on how Riverside County and first responders are fighting the opioid epidemic with the use of Narcan.
Opioid use is a huge public health issue. As a result of the increased availability of Narcan (generic version, naloxone hydrochloride), medical response personnel have been able to reduce the number of fatalities resulting from opioid overdoses.' California's Governor announced that first responders, universities, and other qualifying organizations will be provided Narcan at no cost through CalRx's Naloxone Access Initiative?
Narcan is a safe, effective, and non-addictive antidote that induces a rapid onset of action to counter the effects of an opioid overdose. It can be easily administered by anyone via nasal spray or injection.3
BACKGROUND
Opioids include illegal and legal substances such as heroin, oxycodone, hydrocodone, codeine, morphine, fentanyl, and others. In Riverside County, opioid-related deaths increased 10% for the years 2011-2015. The current data in Table 1, provided by the Riverside County Emergency Medical Services (EMS), identifies the Opioid Overdose Metrics from 2020-2023, by age group, gender, and cities in Riverside County.4
DISCUSSION
All 50 states and the District of Columbia have enacted laws related to the use of Narcan for the treatment of opioid overdoses. Once Narcan has been administered, they are then transported to a medical facility for observation and further treatment (unless the person refuses). Opioid overdose can result in death from cessation of breathing and can be prevented through the administration of Narcan, a quick-acting opioid antagonist.
According to the Federal Drug Administration, the shelf life of Narcan is 3 to 4 years.6 In dealing with an overdose, seconds matter. If administered in a timely manner, Narcan can reverse an overdose by blocking the effects of opioids. It can restore normal breathing in a 2 -192-
person whose breathing has diminished, or even stopped, and can reduce the risk of death.
More than one dose of Narcan may be required when stronger opioids are involved.
The public can administer Narcan before first responders arrive on the scene and potentially save a life. Based on data received from EMS? , a review of cities within Riverside County, indicated that all respective police departments are diligent and proactive in administering Narcan when responding to an opioid overdose (see Table 1). These statistics show the number of positive and negative responses. The collecting and tracking of doses administered is inconsistent.
Riverside County Sheriff's Office (RSO) does not record lives saved or lost and only focuses on the doses administered per incident. RSO appears to be diligent and proactive in administering Narcan.
Some agencies had no data, while others had detailed data. The inconsistencies of how data is collected is caused by two factors: a lack of current mandates required for documentation and a lack of understanding of what information is pertinent to track. (See Table 2)
FINDINGS
F1: The statistical data provided by the EMS on Narcan usage for 2021, 2022, and 2023 indicates a declining percentage of on-scene fatalities.
F2: The availability of Narcan has assisted law enforcement and the public to assist suspected opioid overdoses and to have a better chance of survival.
F3: There is a lack of guidance regarding what data should be tracked by law enforcement and other first responders when administering Narcan.
RECOMMENDATION
R1: A comprehensive method should be created to collect pertinent Narcan data on a monthly basis from all emergency responders and/or medical providers. This data should include the number of incidents, dosages by incidents, number of lives saved, and number of fatalities.
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REQUIRED RESPONSES
Riverside County Board of Supervisors
• Findings: F1, F2, F3
• Recommendation: R1
Riverside County Sheriff's Office
• Findings: F1, F2, F3
• Recommendation: R1
City of Blythe
Findings: F1, F2, F3
Recommendation: R1
City of Indio
• Findings: F1, F2, F3
• Recommendation: R1
City of Palm Springs
• Findings: F1, F2, F3
• Recommendation: R1
City of Banning
• Findings: F1, F2, F3
• Recommendation: R1
City of Beaumont
• Findings: F1, F2, F3
• Recommendation: R1
City of Corona
• Findings: F1, F2, F3
• Recommendation: R1
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City of Murrieta
• Findings: F1, F2, F3
Recommendation: R1
City of Hemet
• Findings: F1, F2, F3
• Recommendation: R1
City of Menifee
• Findings: F1, F2, F3
• Recommendation: R1
City of Riverside
• Findings: F1, F2, F3
• Recommendation: R1
INVITED RESPONSES
Riverside County Emergency Management Office (EMS)
• Findings: F1, F2, F3
• Recommendations: R1
SOURCES/REFERENCES
1. Life-Saving Naloxone from Pharmacies. (2019). Centers for Disease Control and Prevention. https://www.cdc.gov/vitalsigns/naloxone/index.html
2. LA Times Article, Monday 4-29-24 - Staff writer Summer Lin
3. FDA shelf life. www.fda.gov 01-17-24
4. Overdose and Opioid deaths in Riverside County, CA-Riverside University Health System-Public Health http://www.ruhealth.org/sites/default/files/2020-08/opioid2018-ck.pdf
5. Life-Saving Naloxone from Pharmacies. (2019). Centers for Disease Control and Prevention. https://www.cdc.gov/vitalsigns/naloxone/index.html
6. FDA shelf life. www.fda.gov 01-17-24
7. EMS https://www.rivcoems.org
8. Overdose and Opioid deaths in Riverside County, CA-Riverside University Health System-Public Health http://www.ruhealth.org/sites/default/files/2020-08/opioid2018-ck.pdf 5 -195-
TABLE 1 (EMS GRAPHS)
Grand Jury Request for Riverside County EMS Agency Opioid Overdose Metrics 2020-2023 NOTE: Metrics provided for the years available. Some metrics may have only been developed since 2022.
Also note, data is based on documentation only. Most EMS care is thoroughly documented; however, documentation errors/omissions do occur. Therefore, some metrics may reflect documentation errors/omissions and not actual patient care. Finally, fatality and "dead on-scene" refers only to patients pronounced dead in the field by EMS personnel in accordance with Riverside County EMS Policy 4108 (REMSA Policy 4108). This does not account for patients pronounced dead at the hospital or other personnel.
Total EMS Documented Opioid Overdoses & On-Scene
Fatalities by Year
EMS Documented Opioid Overdose
Number of Patients • Dead on Scene
A OCE
3.000
2,000
3426 3130
3013 2955
1,UC0
182 142 151 165
2020 2021 2022 2023
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Fentanyl Use in Suspected Opioid Overdoses (2021 - 2023) % of EMS Suspected Opioid Overdoses with Fentanyl Documented 45% 2021-2023
40% 39% 39%
37% 37%
35%
35% 33% 34%
32% 3293%
30%0% 31% 31%
30% 2830% 29970% 28% 28% 28% 28928% 29% 27038%
249127978%
25% 2392322% 23%
20%
17%96%
15%
12%
10%
5%
0%
Suspected Opioid Overdose by City (2023)
Suspected Opioid Overdose Fatality
600 519
363
400
208
200 136 133 130
103 101 TOU
70 21 22 13 10 - 2 17 5 6 6
2 Riverside Hemet Indio Lake Elsinore partie Carona. Murieta Cathedral City Banning Jurupa Valley Temecula San Jacinto Palm Springs Desert Hot Spri Moreno Valley
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Suspected Opioid Overdose & Fatality by Age Group (2023) Suspected Opioid Overdose & Fatality by Age Group
Sospected Overdose
0-9
10-14
1624
25.44 85
45 64
65-14
750
200 600 800 (1.000: 1,200 1,000 1,600
Suspected Opioid Overdose & Fatality by Gender (2023)
Suspected Opioid Overdose & Fatality by Gender
Suspected Overdose Fatulity:
Male
-107
Female
44 1.SK 2.SK
8 -198-
Incident Patient Disposition in Suspected Opioid OD (2023) Incident Patient Disposition in Suspected Opioid OD
In order to get an in depth look at oploid overdose data, it is importent to understand the • Treated: Transport.. Treates, Released (_ Dead at Scene • Refused Treatment. wilingness of patients thet are seen and treated by EMS providers to comply with provider • Refused Treatment: Transported recommendations. This provides context and highlights potentiel obstacles in overdose treatments. 6.6%
The following data represents patients that go against medical advice (AMA), thereby refuse treatment, or transport to a designated healthcare facility for further treatment. Patients encountered that were determined to be deceased when EMS units arrived are denoted as Dead at Scene.
Treated; Transported Treated; Released (AMA)
2,530 197
Refused Treatment; No Transport Dead at Scene
62 166
834^
Naloxone/Narcan Administration & Efficacy (2023)
Administered by Prior to Arrival
Narcan Administered by EMS
600 2,104
400 452
Narcan Administered Prior to Arrival
53 22
167 15 8 4 3 2 1
109 107 1 i 1,060
Bystander Shalt Family Friend self Other yes
Low EnforcemenT Healthcare Provider Bystander & Law Enforcement Fomily & Law Enforcement Law Enforcement & Staff Friend & Low Enforcement Healthcare Provider & Staff Heollcore Provider & Low En Bystander & Stoff No Narcan Administered
101
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Patient Response to Naloxone/Narcan Administration
(2023)
Patient Response to Narcan Administration
• Improved • Unchanged
Improved Unchanged
100%
26 14 31 32 25 24 29 39 20 25 16
204 157 225 245 255 247 221 237 191 202 164
80% 203
60%
40%
20%
0%
Jan 2023 Feb 2023 Mar 2023 Apr 2023 May 2023 Jun 2023 131,293 13 02 00 20 202 02 Leave Behind Naloxone Program (2023)
Leave Behind Naloxone Program
Several Ambulance/Fire Agencies within
Riverside County provide naloxone kits
to patients/family/at-risk persons
Participating Provider Agencies
AMR
Cathedral City Fire Department
Corona Fire Department
Soboba Fire Department
Total Count Date Range Count
326 149
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REMSA Policy 3309 - Intranasal Naloxone Use by Public Safety Personnel
Intranasal Naloxone
COUNTY OF RIVERSU 3309 Use by Public Safety RIVERSIDE COUNTY EME Personnel EMS
Operational Policy AGENCY
Last Reviewed: October 4; 2022 Last Revised: December 1, 2023
PURPOSE
To establish the processes and procedures to allow for approved public safety personnel (PSP) to provide intranasal naloxone to patients with suspected acute narcotic overdose.
Training Standards
1. Agencies that employ PSPs in Riverside County seeking to utilize naloxone to manage patients with suspected narcotic overdose shall be authorized and approved by REMSA in accordance with state laws, regulations and REMSA policies. Authorized agencies shall administer naloxone in accordance with this policy.
PSPs must be trained to the Public Safety Personnel First Aid and CPR standard as outlined in Title 22, Division 9, Chapter 1.5, Section 100017 (found here:
https://govt.westlaw.com/calregs/Document/|64A10E20B55D11E4BD3CC9706BA5168A?viewType=FullText&origj nationContext=documenttoc&transitionTyoe=CategoryPareltem&contextData=(sc.Default)&bhcp=1) and maintain ongoing competencies and proficiencies as outlined by Section 100022 (found here:
https://govt.westlaw.com/calregs/Document/1654EB340B55D11E4BD3CC9706BA5168A?viewType=FullText&origi nation ontext=documenttoc&transitionType=CateroryPageltem&contextData=|sc.Default).
3. Ongoing competency for the administration of intranasal naloxone must be maintained every two (2) years, training for ongoing competency must be approved by REMSA.
4. Each authorized agency that employs PSPs that is requesting authorization will submit:
a. A formal request for approval of intranasal naloxone use. b. A designated point of contact for the program and provide contact information for the individual in the formal request letter above.
Performance Standards
PSPs working for agencies authorized to administer intranasal naloxone by REMSA may provide 4 mg intranasal naloxone following procedure outlined in this policy and in REMSA approved training.
1. Intranasal Naloxone Administration:
a. Identify the victim of possible narcotic overdose.
b. Ensure paramedic response has been requested.
c. Maintain standard blood and body fluid precautions and use appropriate personal protective equipment. d. Check victim for responsiveness.
e. Ensure an open airway using Basic Life Support Techniques. Perform CPR if patient is in cardiac arrest. f. As clinically indicated, provide rescue breathing using a bag-valve-mask or face shield. g. Administer intranasal naloxone, using procedure from training. i. Repeat dose if respiratory depression persists (breathing < 8 breaths/minute). h. Continue CPR, rescue breathing, or other first aid as clinically indicated. i. Prepare for possible reversal behavior or withdrawal symptoms such as agitation/aggression, combativeness, vomiting, etc.
j. Notify the responding agency's paramedic of the administration of naloxone. k. Replace the used naloxone device with another intranasal naloxone administration device. 11 -201-
2. Responding EMS providers shall document the intranasal naloxone use as "prior to arrival" and assign the administration to the administering public safety agency.
3. Participating public safety agencies will report all cases of naloxone administration to REMSA via the Naloxone use for Public Safety Personnel form, found here: https://forms.office.com/g/CaDY22ycFA I. REMSA Policy 3309 Reporting Form Link
https://forms.office.com/g/CaDY22ycFA
Il. Riverside County Sheriff's Division (RSO) - Naloxone Administration under Policy 3309 (2022 - 2023 only)
2023
Doses Administered Incident Count
538 364
12 -202-
TABLE 2 (CITY POLICE DEPARTMINES NARCAN USAGI
January 1, 2021 thru December 31, 2023
BLYTHE)
Total Total
2021 by 2022 by 2023 Total by
Male Fem Month Male Fem Month Male Fem Month
Jan
February
March
April
May
June
July
August
Sept
Oct
Nov
Dec
TOTAL YEAR 0 0 0 0 0 0 0 0
INDIO (Data is times Narcan was used, not how many dosages) Total Total Total
2021 by 2022 by 2023 by
Male Fem Month Male Fem Month Male Fem Month
Jan 1 3
February 4 2
March 2
April 1 5
May 4 1
June 1
July 7 1
August 2 1
Sept 3 2
13 -203-
Oct 3 1
Nov 3 2
Dec 0 0 0 0
TOTAL YEAR :: 3 0 0 21
0 0
PALM SPRINGS (Data is times Narcan was used, not how many dosages) Total Total Total
2021 by 2022 by 2023 by
Male Fem Month Male Fem Month Male Fem Month
Jan 1 1
February 2 2
March
April 1 1
May
June 1 1
July 2 2
August
Sept
Oct 1 1
Nov 2 2
Dec
TOTAL YEAR 6 6 4 4
BANNING (Data is total of Narcan dosages used per month) Total Total Total
2021 by 2022 by 2023 by
Male Fem Month Male Fem Month Male Fem Month
Jan
February 1
March R
April
May 6
June 2
July 1
August 4
Sept 2
Oct
Nov 1
14 -204-
Dec 4
TOTAL YEAR 0 0 0 0 0 0 21
BEAUMONT (Data is times Narcan was used, not how many dosages) Total Total Total
2021 by 2022 by 2023 by
Male Fem Month Male Fem Month Male Fem Month
Jan
February
March
April
May
June
July
August
Sept
Oct 1 1 2
Nov 1 1
Dec
TOTAL YEAR 1 2 3
CORONA (Data is total of Narcan dosages used per month) Total Total Total
2021 by 2022 by 2023 by
Male Fem Month Male Fem Month Male Fem Month
Jan 1 13 4
February 4 15 4
March 9 8 6
April 9 1
May 5 8
June 10 6
July 6 8 9
August - 9 5 6
Sept 8 8
Oct 3 11
15 -205-
Nov 6 5 9
Dec 7 4 8
TOTAL YEAR 72 101 72
MURRIETTA
Total Total Total
2021 by 2022 by 2023 by
Male Fem Month Male Fem Month Male Fem Month
Jan
February
March
April
May
June
July
August
Sept
Oct
Nov
Dec
TOTAL YEAR
HEMET (Data is total of Narcan dosages used per month)
Total Total Total
2021 by 2022 by 2023 by
Male Fem Month Male Fem Month Male Fem Month
Jan 5
- w
February
March 2
N-
April
May
June
July
August 2 1 3 3
- N
Sept 6 6 3
Oct 1 3 4
Nov 2
16 -206-
Dec 1 1 1 1 3 1
TOTAL YEAR 10 4 14 28 14 48 15 6 31
MENIFEE
Total Total Total
2021 by 2022 by 2023 by
Male Fem Month Male Fem Month Male Fem Month
Jan
February
March
April
May
June
July
August
Sept
Oct
Nov
Dec
TOTAL YEAR 0 0 0 0 0 0 0
RIVERSIDE PD (Data was not collected)
Total Total Total
2021 by 2022 by 2023 by
Male Fem Month Male Fem Month Male Fem Month
Jan
February
March
April
May
June
July
August
Sept
Oct
Nov
17 -207-
Dec
TOTAL YEAR J 0 0 0 0 0 0 0 0 0
TABLE 3- RUNS (per patient and Sherit Detention Centers (per doses) 2021 Total by 2022 Total by 2023 Total by
Male Fem Month Male Fem Month Male Fem Month
JANUARY
RPDC 1 1 2
= N 2 2
CBDC 2
SCF 4 2 3
JBDC 1 1
BLYTHE
SUBTOTAL 8 8 4 3 7
FEBRUARY
RPDC 2 3
CBDC
SCF
JBDC 1
BLYTHE
SUBTOTAL 4 10 4 14
MARCH
RPDC 2
CBDC NN - 2
SCF 1
JBDC
BLYTHE
SUBTOTAL 5 2 7 3 12
APRIL
RPDC 2
CBDC
SCF
JBDC
BLYTHE
SUBTOTAL 2 2 18 3 21
MAY
RPDC
CBDC
SCF -man -N~
JBDC 1
BLYTHE
SUBTOTAL 7 4 11 12 4 16
JUNE
RPDC - • 3
CBDC 5
SCF 6
JBDC
18 -208-
BLYTHE
SUBTOTAL 11 3 14 8 6 14
2021 Total by 2022 Total by 2023 Total by
Male Fem Month Male Fem Month Male Fem Month
JULY
RPDC 1 1
CBDC 2 1 1
10 11 2 1 3
JBDC 1 1
BLYTHE 1 1
SUBTOTAL 3 10 13 6 1 7
AUGUST
RPDC 4 ==
CBDC
SCF
JBDC
BLYTHE
SUBTOTAL 25 14 14
SEPTEMBER
RPDC 1
CBDC en NM N -1
SCF
JBDC
BLYTHE 1
SUBTOTAL 10 1 5 1
OCTOBER
RPDC 1
CBDC
SCF 8
JBDC 1
BLYTHE 1
SUBTOTAL 9 20 6 1 7
NOVEMBER
RPDC
CBDC -—+- ==.-
SCF
JBDC
BLYTHE
SUBTOTAL 4 13 7
DECEMBER
RPDC 1
CBDC
SCF 3
JBDC
BLYTHE 1
19 -209-
SUBTOTAL 7 5 12 15 1 16
YEAR TOTAL 98 42 140 114 27 141
RINCO SHERIFE DETENTION CENTERS
2021 2022 2023
Total # of Total # of Total #of Total # of Total # of Total #of Incidents Doses Incidents Doses Incidents Doses
RPDC 8 22 34 46 34 39
CBDC 5 12 43 61 33 44
SCF 5 18 38 54
JBDC 12 23
Blythe 3 3 2 2
TOTAL
YEAR 18 52 140 186 125 170
RIVGO SHERIFF Deputy's in field
2021 Incidents Doses 2022 Incidents Doses | 2023 Incidents Doses by by by by by by
Male Fem Month Year Male Fem Month Year Mate Fem Month Year Jan 16 28
February 17 15
March 13 17
April 14
May 15 33
June 13 29
July 15 21
August 11 18 29
Sept 11 19 21
Oct 8 19 19
Nov 7 24 19
Dec 5 19 15
TOTAL
YEAR 37 4 42 70 154 48 202 238 202 70 272 418
Report Issued: 6/11/2024
20 Report Public: 6/14/2024
Response Due: 9/14/2024
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FORTANS FIRST SUNRISE
CITY OF BLYTHE
Blythe CITY COUNCIL MEETING
CABLISHED STAFF REPORT
MEETING DATE: August 13, 2024
SUBJECT: Request to Waive Temporary Use Permit Fee for the Chamber of Commerce's Blythe MarketFest
PRESENTED BY: Mallory Crecelius, Interim City Manager
PREPARED BY: Mallory Crecelius, Interim City Manager
RECOMMENDATION: It is recommended Council waive the Temporary Use Permit Fee of $262.00 for the Chamber of Commerce to host MarketFest in the City's Spring Street parking lot for the Fall 2024 and Winter 2025 Sessions.
FISCAL IMPACT: Loss of revenue in the amount of $262.00.
BACKGROUND: Last year the Chamber of Commerce started a weekly MarketFest, outdoor vendor market for the Community. The market was held in the City's Todd Park most Saturday mornings from December 2023 through April 2024. The Chamber of Commerce is gearing up for their next two MarketFest sessions which begin this fall and run through the winter of 2025.
The Chamber wishes to move the location of MarketFest from Todd Park to the City owned parking lot located in the 200 block of W. Hobsonway. They also plan to have both Saturday morning and Thursday evening markets for the fall and winter seasons.
STAFF REPORT: The Chamber of Commerce respectfully requests that the Council waive the Temporary Use Permit fee for MarketFest for the 2024/2025 season. As this is a community- based event that they hope to continue to grow and thrive, staff recommends the Council waive the $262.00 TUP Fee for Blythe MarketFest.
ATTACHMENTS:
MarketFest Information and Planned Schedule for 2024-2025 -211-
Blythe Marketfest is a community event featuring locally owned businesses, funded with a grant by the usda and riverside county and ran by the Blythe Chamber of commerce. It will consist of two mornings and one evening market per month on Saturday's. Please see dates/times below. Vendors will be selling food and other various items. We will have themed events and have local entertainment for the evening market, to make it fun for the whole community. Health permits will be pulled for all food vendors. All vendors will hold business licenses, seller's permits and business insurance. Parking lot located on the 200 block of Spring Street and Hobsonway will be closed off during the hours of operation.
Orientation 8am-12pm
Morning Market's arrival time is 7am. Departure by 3pm.
Evening market's arrival time is 4pm. Departure time 12pm.
September 9/21 9am-11am Vendor Orientation - Vendors Only October 2024
10/5 Morning Market 9am-1pm -
10/12 Evening Market 6pm-10pm
• 10/19 Closed
10/26 Morning Market 9am-1pm
November 2024
• 11/2 Morning Market 9am-1pm
• 11/9 Closed
• 11/16 Evening Market 6pm-10pm
• 11/23 Morning Market 9am-1pm
• 11/30 Closed
December 2024
• 12/7 Closed
12/14 Morning Market 9am-1pm
12/21 Morning Market 9am-1pm
12/28 Closed
• January 2025 Season Two
• 1/4 Morning Market 9am-Ipm
• 1/11 Evening Market 6pm-10pm
-212-
• 1/18 Closed
1/25 Morning Market 9am-1pm
• February 2025
2/1 Evening Market 6pm-10pm
2/8 Morning Market 9am-1pm
2/15 Closed
• 2/22 Morning Market 9am-1pm
March 2025
3/1 Evening Market 6pm-10pm
3/8 Morning Market 9am-1pm
• 3/15 Closed
. 3/22 Morning Market 9am-1pm
• 3/29 Evening Market 6pm-10 pm
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REPORTS
-214-
PUBLIC
COMMENT
-215-
ADJOURN
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