POST AGENDA ITEM #5A.
DATE: September 12, 2023
TO: Honorable Mayor and City Council
FROM: Police Department
SUBJECT: Blue Memo – Agenda Item # 5A, Urgency Ordinance and Regular Ordinance Prohibiting Syringe Exchange Programs
Background:
In August 2023, the Rocklin Police Department received a notification concerning an application received by the California Department of Public Health, Office of AIDS (CDPH/OA) seeking authorization to establish a Syringe Service Program (SSP) within a proposed service area, which includes the City of Rocklin. The application is included as Attachment 4.
The California Department of Public Health (CDPH) is authorized by California Health and Safety Code section 121349 et seq. to approve syringe exchange programs (SEP s) to provide sterile syringes and collect used syringes for people who inject drugs. An SEP may be authorized to operate by a county, city government, or the CDPH. According to the CDPH, there are more than fifty SEPs operating in California.
Any SEP authorized by CDPH to operate in a city must comply with applicable local ordinances. No provision of the Rocklin Municipal Code specifically addresses SEPs.
Absent sufficient local regulation, a SEP may operate anywhere and have greater negative impacts on the public health, safety, and welfare.
California Government Code section 36937(b) authorizes the City Council to adopt by a four-fifths vote an urgency ordinance for the immediate preservation of the public peace, health, or safety. The City has police power, as granted broadly under Article XI, Section 7 of the California Constitution, to enact and enforce ordinances and regulations for the public peace, health and welfare of the City and its residents.
Upon review of the application and proposal submitted to CDPH/OA by Safer Alternatives though Networking & Education (SANE), there are several concerns with the planned September 11, 2023
operation for the proposed SSP. The proposed SSP would offer home delivery and pickup of needles the same or next business day. The CDPH applicant SANE proposes that it will distribute 200,000 syringes annually to the southwest portion of Placer County between Lincoln and Auburn, including within the cities of Rocklin, Auburn, Lincoln, and Roseville, and the Town of Loomis. The syringes will go to an expected 400 participants, or up to roughly 500 syringes per participant. CDPH determined that SANE’s application met the baseline requirements and circulated the application for public comment. The City of Rocklin submitted a comment letter to CDPH voicing the City’s concerns about the proposed SANE application (Attachment 3).
The public comment period will close on September 21, and CDPH may issue a decision on the application any time after the close of the public comment.
The SANE application could create a situation where needles are not disposed of properly and it is unclear the location and timing of the distribution of the syringes within the City. The applicant proposes providing services without sufficiently demonstrated safety procedures and protocols. City staff is concerned that the proposed program has not been adequately coordinated with other agencies and entities and without sufficient outreach to local neighborhood associations and interest groups within the City of Rocklin.
SANE proposes home delivery and pick-up in the southwest areas of Placer County; no further West than Lincoln, and no further East than Auburn, Tuesday -Saturday from 3:00pm-10:00pm. This being said, the application is primarily focused on addressing the needs of the unhoused within the proposed area of operation. The proposal is unclear on how the applicant will provide “home delivery” or arrange for those who are unhoused.
Many of Placer County’s unhoused residents do not have access to transport ation. Not having transportation to the applicant’s fixed location eliminates the “pick-up” method for majority, if not all, of the County’s unhoused residents. The home delivery, pick -up, and collection points appear to be lacking in a thoughtful approach to addressing the actual concerns of the very at -risk group the applicant indicates they are trying to help. The applicant does not address the concern of deliveries occurring in public spaces, such as parks, areas around schools, and other areas open to the public nor any measures to mitigate these concerns.
The applicant has not done their own due diligence to research the effected entities in which they were proposing to operate. There has been no community outreach on the part of the applicant prior to the proposal, which, more than likely, would have provided the applicant with community feedback and objection. The proposal lacks significant details on such an important and, more than likely, a potentially challenging program within the City of Rocklin.
Although State law requires that used syringes be transported to a collection center in containers and prohibits the loose disposal of home- generated syringe waste in trash or recycling containers, people continue to dispose of contaminated syringes in manners that increases the risk that others will come into contact with them. Syringe and needle waste represents a potential public health hazard for children, adults, and public September 11, 2023
employees through unnecessary exposure and risk of injury due to improper disposal of syringes. Improper disposal of used hypodermic syringes and needles has been documented in parks, roads, sidewalks, trails, and private property in Rocklin.
Since 2015, licensed pharmacies throughout California have been authorized to sell syringes to adults without a prescription with no limits on the number of syringes that may be sold. California law allows adults to purchase and possess an unlimited number of syringes for personal use when acquired from a pharmacy, physician or authorized SEP.
Residents who require syringe exchange services for medical purposes are currently able to acquire these services at pharmacies and hospitals, which provide new syringes and the proper disposal of used syringes. This would not change with the adoption of an ordinance prohibiting SEPs.
In order to address the immediate risk posed by not having a prohibition on such SEPs, the Urgency Ordinance (Attachment 1) is provided to create an immediate prohibition on SEPs. The Urgency Ordinance would be effecti ve immediately upon adoption. A non- urgency version of the Ordinance is also presented (Attachment 2) for introduction, with second reading and adoption required at a future meeting. The non- urgency Ordinance would take effect thirty (30) days after adoption. Approval of the ordinances would result in a complete prohibition in the City of Rocklin. A prohibition would provide additional time to monitor jurisdictions in California that permit and regulate SEPs for regulatory best practices and improvements in business practices by SEP operators with a longer track record.
The proposed ordinance is similar to ordinances prohibiting SEPs which are being considered by the City of Auburn on September 11, 2023, and by the County of Placer on September 12, 2023. T he City of Lincoln will also discuss this matter on September
12. The proposed ordinance includes language stating that the prohibition would not apply if it is determined to be in conflict with any state or federal laws.
Environmental Analysis:
The proposed ordinances are not subject to review under the California Environmental Quality Act (CEQA) pursuant to Sections 15060, subdivision (c)(2) (the activity will not result in a direct or reasonably foreseeable indirect physical change in the environment) and 15061, subdivision (b)(3) (there is no possibility the activity in question may have a significant effect on the environment) of the CEQA Guidelines, California Code of Regulations, Title 14, Division 6, Chapter 3, because it has no potential for resulting in physical change to the environment, directly or indirectly.
Fiscal Impact:
There is no direct fiscal impact to the staff recommendation.
Ord. No.
ORDINANCE NO.
AN URGENCY ORDINANCE OF THE CITY COUNCIL OF THE CITY OF ROCKLIN ADDING CHAPTER
5.46 TO TITLE 5 OF THE ROCKLIN MUNICIPAL CODE PROHIBITING SYRINGE EXCHANGE
PROGRAMS FROM OPERATING IN THE CITY OF ROCKLIN
WHEREAS, according to the California Department of Public Health, there are more than fifty Syringe Exchange Programs defined in California Health and Safety Code Section 121349 et seq. (SEPs), operating in California that provide sterile syringes to, and collect used syringes from, people who inject drugs; and
WHEREAS, California Health and Safety Code Section 121349 et seq. provides that a SEP may be authorized to operate by a county, city government, or the California Department of Public Health (CDPH); and
WHEREAS, since 2015, licensed pharmacies throughout California have been authorized to sell syringes to adults without a prescription with no limits on the number of syringes that may be sold; and
WHEREAS, California law allows adults to purchase and possess an unlimited number of syringes for personal use when acquired from a pharmacy, physician, or authorized SEP; and
WHEREAS, any SEP authorized by CDPH to operate in a city must comply with applicable local ordinances; and
WHEREAS, California law does not explicitly require the City to authorize the establishment and/or operation of SEPs; and
WHEREAS, no provision of the Rocklin Municipal Code specifically addresses SEPs; and
WHEREAS, absent sufficient local regulation, a SEP may operate anywhere and have greater negative impacts on the public health and welfare; and
WHEREAS, although State law require that used syringes be transported to a collection center in containers, and prohibits the loose disposal of syringe waste in trash or recycling containers, people continue to dispose of contaminated syringes improperly which increases the risk that others will come into contact with them; and
WHEREAS, the improper collection and disposal of used hypodermic needles and syringes occurs in parks, roads, sidewalks, trails, and public and private property; and
WHEREAS, syringe and needle waste represent a potential public health hazard for children, adults, and public employees, including staff in the Police, Fire, Code Enforcement, Community Development, Parks and Recreation, and Public Services Departments through
Ord. No.
unnecessary exposure and risk of injury due to improper disposal of syringes, which presents an imminent threat to, the health, property, safety and welfare of the public; and
WHEREAS, pursuant to the City’s police power, as granted by Article XI, Section 7 of the California Constitution, the City Council of the City of Rocklin has the authority to enact and enforce ordinances and regulations for the public peace, health and welfare of the City and its residents; and
WHEREAS, Government Code Section 38771 authorizes a City, through its legislative body, to declare actions and activities that constitute a public nuisance; and
WHEREAS, the City desires to exercise its local power and authority to prohibit SEPs from operating within the City of Rocklin; and
WHEREAS, the California Government Code 36937 (b) permits a local governing body to enact an urgency ordinance that takes effect immediately upon adoption for the immediate preservation of the public peace, health or safety, if passed by a four-fifths vote of the City Council; and
WHEREAS, based on the findings above, the City Council has determined that there exists a threat to public health, safety and welfare if the City does not add Chapter 5.46 to the Rocklin Municipal Code prohibiting SEPs from being established and existing in Rocklin.
NOW, THEREFORE, THE CITY COUNCIL OF THE CITY OF ROCKLIN DOES ORDAIN AS FOLLOWS:
Section 1. Findings. The findings and recitals set forth above are true and correct.
Section 2. Purpose. The purpose of this urgency ordinance is to add Chapter 5.46 to Title 5 Rocklin Municipal Code to prohibit Syringe Exchange Programs in the City of Rocklin.
Section 3. Authority. The City Council enacts this ordinance under the authority granted to cities by Article XI, Section 7 of the California Constitution and Governm ent Code section 37100.
Section 4. Amendment. Chapter 5.46 (Syringe Exchange Programs Prohibited) is hereby added to Title 5 of the Rocklin Municipal Code as follows:
Section 5.46.01 Purpose and Intent
The purpose and intent of this section is to prohi bit Syringe Exchange Programs from operating in the City of Rocklin in order to protect the public from the health and safety risks associated with such programs and with the improper disposal of syringes, needles and related waste. For purposes of this se ction, “Syringe Exchange Program” means a program operating within the jurisdictional boundaries of the City of Rocklin that acts as a point of access to health
Ord. No.
education and care for people who inject drugs, where hypodermic needles and/or syringes are dispensed, or where used syringes are collected pursuant to the authority of Chapter 18 of Part 4 of Division 105 of the California Health and Safety Code, or successor section or chapter thereof, such that persons participating in and/or operating such prog rams are exempt from criminal prosecution for acts related to the possession of needles and/or syringes.
Section 5.46.02 Syringe Exchange Programs Prohibited
It shall be unlawful and a public nuisance for any person to create, establish, operate, conduct, or participate in a syringe exchange program, as defined by Health and Safety Code Section 121349, et seq.
Section 5.46.03 Penalty
Any violation of this section may be enforced by the City, the City’s Police Department or an enforcement officer in accord ance with the procedures set forth under state law or city ordinances, including imposition of administrative citations pursuant to Chapter 1.14 of the Municipal Code.
Section 5.43.04 Conformance to Law
The provisions of this section shall be interpreted in accordance with otherwise applicable state and federal law(s) and will not apply if determined by the City to be in violation of any such law(s).
Section 5. Severability. If any section, sub-section, sentence, clause, phrase or portion of this o rdinance 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 remaini ng portions of this ordinance. The City Council hereby declares that it would have adopted this ordinance and each section, sub-section, sentence, clause, phrase or portion thereof, irrespective of the fact that any one or more sections, sub -sections, sentences, clauses, phrases or portions to be declared invalid or unconstitutional.
Section 6. Environmental Analysis . The City Council hereby finds that this ordinance is not subject to review under the California Environmental Quality Act (CEQA) pursuant to Sections 15060, subdivision (c)(2) (the activity will not result in a direct or reasonably foreseeable indirect physical change in the environment) and 15061, subdivision (b)(3) (there is no possibility the activity in question may have a significant eff ect on the environment) of the CEQA Guidelines, California Code of Regulations, Title 14, Division 6, Chapter 3, because it has no potential for resulting in physical change to the environment, directly or indirectly.
Section 7. Effective Date. This ordinance shall take effect immediately upon its adoption by a four-fifths vote of the City Council.
Section 8. Urgency Findings. The City Council finds the passage of this ordinance as an urgency ordinance is required for the immediate preservation of the public peace, health, and safety. Specifically, the City Council finds each change made under this Urgency Ordinance is necessary to preserve the public peace, health and safety for the reasons including, but not
Ord. No.
limited to, the following: to prevent hyp odermic needle litter, injuries due to exposure to improperly disposed hypodermic needles, provision of drug paraphernalia to minors, and criminal behavior dangerous to the health, safety, and welfare of the City’s residents, business, and employees.
Section 9. Certification. The City Clerk shall certify to the passage and adoption of this Urgency Ordinance and shall give notice of its adoption as required by law.
PASSED AND ADOPTED at a regular meeting of the City Council of the City of Rocklin held on ________________________, 2023, by the following vote:
AYES: Councilmembers:
NOES: Councilmembers:
ABSENT: Councilmembers:
ABSTAIN: Councilmembers:
____________________________________
Ken Broadway, Mayor
ATTEST:
___________________________
Haley Reid, Acting City Clerk
Effective Date:
Ord. No.
ORDINANCE NO.
AN ORDINANCE OF THE CITY COUNCIL OF THE CITY OF ROCKLIN ADDING CHAPTER 5.46 TO TITLE 5 OF THE ROCKLIN MUNICIPAL CODE PROHIBITING SYRINGE EXCHANGE PROGRAMS
FROM OPERATING IN THE CITY OF ROCKLIN
WHEREAS, according to the California Department of Public Health, there are more than fifty Syringe Exchange Programs defined in California Health and Safety Code Section 121349 et seq. (SEPs), operating in California that provide sterile syringes to, and collect used syringes from, people who inject drugs; and
WHEREAS, California Health and Safety Code Section 121349 et seq. provides that a SEP may be authorized to operate by a county, city government, or the California Department of Public Health (CDPH); and
WHEREAS, since 2015, licensed pharmacies throughout California have been authorized to sell syringes to adults without a prescription with no limits on the number of syringes that may be sold; and
WHEREAS, California law allows adults to purchase and possess an unlimited number of syringes for personal use when acquired from a pharmacy, physician, or authorized SEP; and
WHEREAS, any SEP authorized by CDPH to operate in a city must comply with applicable local ordinances; and
WHEREAS, California law does not explicitly require the City to authorize the establishment and/or operation of SEPs; and
WHEREAS, no provision of the Rocklin Municipal Code specifically addresses SEPs; and
WHEREAS, absent sufficient local regulation, a SEP may operate anywhere and have greater negative impacts on the public health and welfare; and
WHEREAS, although State law require that used syringes be transported to a collection center in containers, and prohibits the loose disposal of syringe waste in trash or recycling containers, people continue to dispose of contaminated syringes improperly which increases the risk that others will come into contact with them; and
WHEREAS, the improper collection and disposal of used hypodermic needles and syringes occurs in parks, roads, sidewalks, trails, and public and private property; and
WHEREAS, syringe and needle waste represent a potential public health hazard for children, adults, and public employees, including staff in the Police, Fire, Code Enforcement, Community Development, Parks and Recreation, and Public Services Departments through
Ord. No.
unnecessary exposure and risk of injury due to improper disposal of syringes, which presents an imminent threat to, the health, property, safety and welfare of the public; and
WHEREAS, pursuant to the City’s police power, as granted by Article XI, Section 7 of the California Constitution, the City Council of the City of Rocklin has the authority to enact and enforce ordinances and regulations for the public peace, health and welfare of the City and its residents; and
WHEREAS, Government Code Section 38771 authorizes a City, through its legislative body, to declare actions and activities that constitute a public nuisance; and
WHEREAS, the City desires to exercise its local power and authority to prohibit SEPs from operating within the City of Rocklin; and
WHEREAS, based on the findings above, the City Council has determined that there exists a threat to public health, safety and welfare if the City does not add Chapter 5.46 to the Rocklin Municipal Code prohibiting SEPs from being established and existing in Rocklin.
NOW, THEREFORE, THE CITY COUNCIL OF THE CITY OF ROCKLIN DOES ORDAIN AS FOLLOWS:
Section 1. Findings. The findings and recitals set forth above are true and correct.
Section 2. Purpose. The purpose of this ordinance is to add Chapter 5.46 to Title 5 Rocklin Municipal Code to prohibit Syringe Exchange Programs in the City of Rocklin.
Section 3. Authority. The City Council enacts this ordinance under the authority granted to cities by Article XI, Section 7 of the California Constitution and Governm ent Code section 37100.
Section 4. Amendment. Chapter 5.46 (Syringe Exchange Programs Prohibited) is hereby added to Title 5 of the Rocklin Municipal Code as follows:
Section 5.46.01 Purpose and Intent
The purpose and intent of this section is to prohi bit Syringe Exchange Programs from operating in the City of Rocklin in order to protect the public from the health and safety risks associated with such programs and with the improper disposal of syringes, needles and related waste. For purposes of this se ction, “Syringe Exchange Program” means a program operating within the jurisdictional boundaries of the City of Rocklin that acts as a point of access to health education and care for people who inject drugs, where hypodermic needles and/or syringes are dispensed, or where used syringes are collected pursuant to the authority of Chapter 18 of Part 4 of Division 105 of the California Health and Safety Code, or successor section or chapter thereof,
Ord. No.
such that persons participating in and/or operating such prog rams are exempt from criminal prosecution for acts related to the possession of needles and/or syringes.
Section 5.46.02 Syringe Exchange Programs Prohibited
It shall be unlawful and a public nuisance for any person to create, establish, operate, conduct, or participate in a syringe exchange program, as defined by Health and Safety Code Section 121349, et seq.
Section 5.46.03 Penalty
Any violation of this section may be enforced by the City, the City’s Police Department or an enforcement officer in accord ance with the procedures set forth under state law or city ordinances, including imposition of administrative citations pursuant to Chapter 1.14 of the Municipal Code.
Section 5.43.04 Conformance to Law
The provisions of this section shall be interpreted in accordance with otherwise applicable state and federal law(s) and will not apply if determined by the City to be in violation of any such law(s).
Section 5. Severability. If any section, sub-section, sentence, clause, phrase or portion of this o rdinance 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 remaini ng portions of this ordinance. The City Council hereby declares that it would have adopted this ordinance and each section, sub-section, sentence, clause, phrase or portion thereof, irrespective of the fact that any one or more sections, sub -sections, sentences, clauses, phrases or portions to be declared invalid or unconstitutional.
Section 6. Environmental Analysis . The City Council hereby finds that this ordinance is not subject to review under the California Environmental Quality Act (CEQA) pursuant to Sections 15060, subdivision (c)(2) (the activity will not result in a direct or reasonably foreseeable indirect physical change in the environment) and 15061, subdivision (b)(3) (there is no possibility the activity in question may have a significant eff ect on the environment) of the CEQA Guidelines, California Code of Regulations, Title 14, Division 6, Chapter 3, because it has no potential for resulting in physical change to the environment, directly or indirectly.
Section 7. Effective Date. This ordinance shall take effect thirty (30) days after the day of its adoption.
Section 8. Publication. Within fifteen days of passage of this ordinance, the City Clerk shall cause the full text of the ordinance, with the names of those City Council members voting for and against the ordinance, to be published in the Placer Herald. In lieu of publishing the full text of the ordinance, the City Clerk, if so directed by the City Attorney and within fifteen days, shall cause a summary of the ordinance, prepared by the City Attorney and with the names of the City Council members voting for and against the ordinance, to be published in the Placer Herald, and shall post in the office of the City Clerk a certified copy of the City Council members
Ord. No.
voting for and against the ordinance. The publication of a summary of the ordinance in lieu of the full text of the ordinance is authorized only where the requirements of Government Code section 36933(c)(1) are met.
INTRODUCED at a regular meeting of the City Council of the City of Rocklin held on ______________________, 2023, by the following vote:
AYES: Councilmembers:
NOES: Councilmembers:
ABSENT: Councilmembers:
ABSTAIN: Councilmembers:
PASSED AND ADOPTED at a regular meeting of the City Council of the City of Rocklin held on ________________________, 2023, by the following vote:
AYES: Councilmembers:
NOES: Councilmembers:
ABSENT: Councilmembers:
ABSTAIN: Councilmembers:
____________________________________
Ken Broadway, Mayor
ATTEST:
___________________________
Haley Reid, Acting City Clerk
First Reading:
Second Reading:
Effective Date:
ROCKLIN
CALIFORNIA
operating plan also states the SANE is involved in the local Chamber, but there has been no indication that SANE has made those connections with the community. This failure to conduct outreach in our city is concerning.
• Some of the services that SANE is proposing could greatly benefit Rocklin residents and the unhoused community in Rocklin. However, SANE is applying a blanket approach to a problem that is truly unique in each City. A major point in the application was the 750 unhoused individuals living in Placer County. According to the 2023 Point In Time Count for Placer County, that number dropped to 709 unhoused individuals. Of these 709, 48 total reside in Rocklin. This is less than 7% of the total unhoused population. The information provided in the SANE application provides statistics for substance use disorder among the unhoused, however the statistics provided are for Placer County as a whole and not specifically for the cities this program is targeting.
There is no doubt that SANE is trying to address the problem of HIV transmission in the County, however the solution proposed does not align with the reality in the City of Rocklin. Administering a needle exchange program in the City without consultation or involvement of the Police and Fire departments opens the City and its residents up for long-lasting impacts. The City's primary responsibility is to protect its residents. This program provides solutions to problems that the application has not demonstrated exist in Rocklin. For these reasons, the City of Rocklin opposes the proposed Syringe Service Program as detailed in the SANE application.
Sincerely,
Rustin Banks, Police Chief, City of Rocklin
CITY OF ROCKLIN, 3970 Rocklin Rd. Rocklin, CA 95677
rocklln.ca.us IP. 916.625.5000 IF. 916.625.5095 I TTY. 916.632.4013
SYRINGE SERVICES PROGRAM (SSP)
Application Cover Page
California Department of Public Health - Office of AIDS Applicant Organization Information
Organization Name: Telephone Number:
Proposed SSP Name (if different from organization name above):
Address (Number, Street, Suite #):
City: County: ZIP Code:
Mailing Address if Different From Above (Number, Street, Suite #):
City: County: ZIP Code:
Name of SSP Administrator: Title:
Telephone Number: E-Mail Address:
Applicant Acknowledgement and Attestation
1.) The Applicant attests that upon Certification it will comply with state laws and regulations.
2.) The Applicant also attests that it has the capacity to begin syringe exchange services within ninety (90) days of Certification.
3.) The Applicant further acknowledges and agrees to the involvement of program participant input into program design, implementation, and evaluation. The Applicant understands that submission of an application does not constitute Certification.
Signature: Date (mm/dd/yyyy):
( )
( )
7/31/2023
CDPH/OA - Syringe Services Program Application
Rev 7/2021 Page | 1
Program Information / Statement of Need
INSTRUCTIONS - For all question, put your response where it says ANSWER. Please use blue font
1. Briefly describe your organization’s mission.
Safer Alternatives through Networking & Education (SANE) was established in 1993 to slow the spread of HIV among people who use drugs (PWUD). SANE is an authorized SSP in the County of Sacramento and operates a needs-based Syringe Service Program (SSP) from our office location, by mobile delivery, and through street-based outreach. Over the years, SANE's mission has expanded to encompass working to enhance the overall health and wellness of drug users through the utilization of humane, evidence-based harm reduction approaches to drug use and inherent peer-based structures and processes. SANE’s program is designed to respect, value, and prioritize the involvement of PWUD in all aspects of our work, and to employ the principles of humanism, harm reduction, and respect for human rights and dignity.
2. Provide a description of the core services and any additional services that you will offer.
SANE’s services include syringe and harm reduction supply distribution and disposal, distribution of condoms and safer sex supplies, overdose prevention via naloxone and fentanyl test-strip distribution and education, referrals to our Sacramento office location for HIV and Hepatitis C testing and referral for treatment, and SANE will offer a low-barrier Medicated Assisted Treatment (MAT) program through our physician, available remotely or on-site in Sacramento for rapid induction onto Buprenorphine.
Services will be offered by home/location delivery in Placer County. Participants can request a discreet delivery through our designated phone line and expect a delivery same or next business day.
3. What is the estimated annual number of participants you will serve?
We expect to serve 400 participants annually.
4. What is the estimated annual number of syringes you will provide?
We estimate distributing 200,000 syringes annually.
5. What is the estimated annual number of syringes you will collect?
We estimate collecting 200,000 syringes annually. Community Health Representatives advise participants on accessing Home-Generated Sharps and Pharmaceutical Consolidation Points if they are unable to bring their waste to SANE or schedule a pick-up. Using the list generated by CDPH, SANE has highlighted the Consolidation Points for Place County and posts this information available at distribution.
6. SSP Location(s) – Provide a detailed description of the location(s) where you will offer services. A fixed location is one with a mailing address. A mobile site is an outdoor location.
CDPH/OA - Syringe Services Program Application
Rev 7/2021 Page | 2
Type
(Fixed, Mobile,
Home Delivery/Pick Up
Address or Description Days and Times
Home Delivery /
Pick-up
Delivery of SSP supplies as requested by
participants located in the southwest areas of
Placer County; no further West than Lincoln,
and no further East than Auburn, including the
cites of Lincoln, Auburn, Loomis, Rocklin, and
Roseville.
Tuesday-Saturday
3:00pm-10:00pm
Choose an item.
Choose an item.
Choose an item.
If you do not have enough rows, submit the information requested for the additional locations in an attachment.
7. Provide the contact name, phone number, and email for any neighborhood associations affiliated with the location(s) of your proposed SSP.
Please see Attachment A.
8. Provide a short paragraph describing your SSP that OA will use to post on our website. The name of your organization, a description of your services, the location(s), and hours of operation must be included.
Safer Alternatives thru Networking & Education (SANE) was established in 1993 to slow the spread of HIV among people who use drugs. SANE operates a needs-based Syringe Service Program (SSP) from our office location, by mobile delivery, and through street-based outreach. SANE is currently an authorized SSP serving the County of Sacramento. SANE’s proposed services for Placer County include: syringe distribution and disposal, distribution of condoms and safer sex supplies, HIV and hepatitis C virus (HCV) testing, education and referrals, overdose prevention via naloxone distribution and education, prevention and treatment of skin and soft tissue infections, and basic first aid. SANE also offers a free, low-barrier MAT program through two telehealth physicians on-site in Sacramento.
SANE’s fixed site location at 2211 Del Paso Blvd. in North Sacramento, Tuesday, Wednesday, Thursday, and Saturday from 3:00-6:00 PM. SANE is proposing home delivery and pick-up in the southwest areas of Placer County; no further West than Lincoln, and no further East than Auburn, including the cites of Lincoln, Auburn, Loomis, Rocklin, and Roseville, Tuesday-Saturday from 3:00pm- 10:00pm.
9. Needs Statement – Why does your community need harm reduction services? Please use data to describe the needs in your community that your program will serve.
According to the 2022 bi-annual homeless Point-in-Time Count report, the total number of homeless and precariously sheltered (motel, friends, couch surfing) individuals in Placer County was 750. Of those, 408 were unsheltered (homeless encampments, vehicles, doorways, under bridges, outside.) Thirty-seven percent self-reported substance use disorder as an issue (n=275). According to CDPH/OA 2020 data:
CDPH/OA - Syringe Services Program Application
Rev 7/2021 Page | 3
o Sixteen percent of all those living with HIV in Placer County (n=16) reported injection drug use as the mode of transmission. The state average is 12 percent. o From 2018 through 2020, there were 42 individuals newly diagnosed with HIV in Placer County. Of those, 11 percent (n=5) reported injection drug use as a risk for transmission.
SANE offers delivery of HIV self-tests and will be incentivizing on-site HIV and HCV testing in 2023.
Knowing one’s status is a key tool for reducing disease transmission, and we have seen these testing strategies increase testing among our participants.
According to CDPH’s drug overdose surveillance data:
o The average opioid overdose death rate (10.06/100k) was lower than the state average during 2019-2021 (12.74/100K) but increased 65 percent in that same time period.
o The average Fentanyl-related overdose death rate (6.04/100k) was lower than the state average during 2019-2021 (9.37100K) and increased 400 percent in that same time period.
SANE’s mission is to reduce harms to persons using drugs, including those who are consuming fentanyl. Distribution of fentanyl test strips, and Naloxone with direct training on how to respond to overdose, both services are invaluable in reducing death from overdose.
CDPH/OA - Syringe Services Program Application
Rev 7/2021 Page | 1
Operating Plan
Each applicant must submit an Operating Plan. The Operating Plan must include policies and procedures for each of the following aspects of program operations:
I. Service Delivery
II. Syringe Dispensing
III. Syringe Collection and Disposal
IV. Needlestick Injury Prevention and Response
V. Data Collection and Program Evaluation
VI. Community Relations
Instructions – for the table, click on a box to check or uncheck. For all other question, put your response where it says ANSWER. Please use blue font
I. Service Delivery
a) For each of the services listed in the table below, check off if you will provide the service directly or if you will refer participants to community partners (“via referral”).
Substance use disorder treatment services Directly ☒ Via Referral ☐ HIV or hepatitis screening Directly ☒ Via Referral ☐
Hepatitis A and hepatitis B vaccination Directly ☐ Via Referral ☒ Screening for sexually transmitted infections Directly ☐ Via Referral ☒ Housing services for the homeless, victims of
domestic violence, or other similar housing
services
Directly
☐
Via Referral
☒
Distribution of condoms Directly ☒ Via Referral ☐
Risk reduction education Directly ☒ Via Referral ☐
HIV and viral hepatitis prevention education,
including the provision of supplies for safer sex
practices (must be provided directly)
Directly
☒
b) For each service you marked as provided directly by your agency in the question above, please provide a short description of how you will deliver those direct services.
In addition to our core SSP, SANE offers other direct services and referrals to promote improved health outcomes for participants. SANE’s Medication Assistance Program (MAP) is a free, low barrier Medication Assisted Treatment program for Opiate Use Disorder. Individuals enrolled in this program will be set up with one of our staff physicians for screening and treatment-plan and will continue to see him regularly at our office or through telehealth. SANE’s MAP includes access to a Patient Navigator to help coordinate referrals, ensure procurement of MAT medications, as well as for basic needs and recovery support.
SANE understands the importance of preventative and regular healthcare, especially for PWUD. SANE will provide on-site rapid HIV and HCV screening and counseling under the direction of our staff physician at our Sacramento location. All persons we serve in Placer will be CDPH/OA - Syringe Services Program Application
Rev 7/2021 Page | 2
referred to this location, if it is convenient for them. Referrals for HIV/HCV treatment, as well as for hepatitis A and B vaccines, and STD screening and treatment will be made to community providers in Placer County, and SANE outreach staff will be available to help link participants to the specific care they need, depending on location and insurance coverage. For local healthcare needs, SANE’s Community Health Representatives (CHRs) will connect folks to Western Sierra Medical Clinic.
Safer-sex education and training are offered at each participant encounter. Supplies distributed include internal and external condoms, personal lubrication, and written educational material, which includes info and resources for PreP and routine sexual health. SANE advocates for the health and well-being of people who work in the sex-industry (PWSI) and strives to create a safe-space for people to have access to safer-sex supplies, advocacy, and support.
SANE is committed to serving those experiencing homelessness and we offer designated homeless outreach hours for this population in Sacramento County. When a participant requests housing assistance in Placer County, CHR’s will help persons call Placer County’s Homeless Resource Helpline to identify available assistance. If unhoused individuals need immediate shelter, or if an individual needs shelter or support for a Domestic Violence situation, CHR’s will work with that individual to find an appropriate & available solution. All participants are given SANE’s contact information, including CHR’s designated outreach phone number, for guidance with their immediate needs and concerns.
Providing the community and our participants with risk-reduction education is a vital part of our service organization. We continuously seek out and are involved in research to understand and make accessible methods of using drugs that are shown to reduce harm. We provide training for safe-injection practices, disease-prevention, recognition & response to drug- related overdoses, “never use alone” strategies, safer-smoking as an alternative to injection, and basic first aid for skin and soft tissue infections.
II. Syringe Dispensing
Describe how the program will provide supplies, including syringes, to program participants. Your answer to this question must include the following:
a) A description of how you will dispense supplies. Design your policies and procedures to meet the needs of participants and support the use of a new, sterile syringe for each injection.
Our program is based on need (not “1 for 1”) and provides participants with the essential supplies to help ensure syringes are never reused or shared. Based on the participants' needs, SANE collects used sharps and sharps waste and then distributes boxed sterile syringes that are placed in a large brown paper bag for the privacy of the participant and to maintain a discrete transaction. SANE can offer to each program participant: Naloxone (Narcan) with overdose prevention education, sterile syringes, sterile cookers, cottons, tourniquets, alcohol swabs, sterile water, basic first aid supplies, biohazard containers for sharps waste, and fentanyl test strips.
b) A description of the method you will use for tracking the number of syringes dispensed.
The number of syringes distributed are recorded at each encounter using our paper Data Tracking form, which is part of our anonymous data collection. This occurs before any supplies CDPH/OA - Syringe Services Program Application
Rev 7/2021 Page | 3
are distributed. Data from forms is transferred to digital form for electronic monitoring and evaluation.
III. Syringe Collection and Disposal
Describe how the program will collect sharps waste from program participants and how the program will dispose of sharps and other medical waste. Your answer to this question must include the following:
a) A description of how you will collect sharps waste. Your policies and procedures must be designed to maximize return of used syringes without increasing risk of needlestick injury to staff, volunteers, or program participants.
Sharps waste collection occurs without our staff or volunteers directly handling syringes or other sharps waste. Participants can call SANE to arrange a scheduled pick-up during delivery hours or drop off their sharps waste during office hours. If a participant returns used sharps in a container that is not a biohazard container, the entire container will be placed into an approved biohazard bin. Approved containers are securely closed by participants while a CHR monitors, picked up by gloved CHR and placed in designated space in a vehicle or marked, gated, and locked location at the office site. Containers are not to be overfilled, must always be stored upright, and small containers are put in larger containers that are also biohazard waste- approved. CHRs provide ongoing education to participants on safety protocol, safe-handling, proper storage, and disposal, and new containers are offered at each client encounter. Syringe refuse found on ground or in the community are collected with trash picker-tool, and in all exchanges staff and volunteers wear disposable gloves and appropriate Personal Protective Equipment.
Sharps waste-disposal education is part of the new-hire and volunteer training for SANE.
Experienced staff will provide hands-on, one-on-one training that includes reading the written policy regarding sharps waste disposal and modeling the correct procedure. Program supervisors will consistently evaluate CHRs on their adherence to the procedure, and bi-annual meetings that review the training and State law will be mandatory of all staff and volunteers.
Part of this procedure includes training of Home-Generated Sharps and Pharmaceutical Consolidation Points. CHR’s advise participants on accessing this resource if they are unable to bring their waste to SANE or schedule a pick-up. Using the list generated by CDPH, SANE has highlighted the Consolidation Points for Placer and surrounding counties and posts this information in-office and makes copies available for distribution.
b) A description of the method you will use to track the number of syringes returned. Your policies and procedures must eliminate direct handling of sharps waste and must not interfere with service provision.
As a matter of safety for staff, volunteers, and participants, we do not attempt to count each used syringe returned to the SSP but estimate number input in Data Tracking Form based on the size of the sharps container being returned. We have a contract with Biomedical Waste Disposal to dispose of syringes safely and legally each month, consistent with state law and best practices. Our budget for syringe waste disposal in 2021 was $6,110 and was paid through CDPH and the California Office of AIDS Harm Reduction Clearinghouse.
CDPH/OA - Syringe Services Program Application
Rev 7/2021 Page | 4
c) A description of how staff and volunteers receive sharps waste disposal education.
Programs must ensure that staff, volunteers, and participants are familiar with state law regulating proper disposal of home-generated sharps waste as referenced in Health and Safety Code Section 118286.
Sharps waste disposal education is part of the new-hire and volunteer training for SANE.
Experienced staff will provide hands-on, one-on-one training that includes reading the written policy regarding sharps waste disposal and modeling the correct procedure. Program supervisors will consistently evaluate CHRs on their adherence to the procedure, and bi- annual meetings that review the training and State law will be mandatory for all staff and volunteers. Part of this procedure includes training in Home-Generated Sharps and Pharmaceutical Consolidation Points. CHR’s educate participants on accessing this resource if they are unable to bring their waste to SANE or schedule a pick-up. Using the list generated by CDPH, SANE has highlighted the Consolidation Points for Placer and surrounding counties and posts this information in-office and makes copies available for distribution.
III. Needlestick Injury Protocol
Describe ways you will prevent accidental needlestick injury and what steps you will follow if an accidental needlestick injury occurs. Your answer to this question must include the following:
a) A description of your policies and procedures that eliminate the direct handling of used syringes and sharps waste.
SANE staff are trained in proper handling of sharps waste at their initial hire and as part of our continuing education & training sessions, annual policy reviews. SANE’s policy states that sharps waste and used syringes will only be accepted in proper biohazard containers. If the client does not have one, SANE will provide one and the participant will be instructed on how to safely transfer the syringes to avoid needlestick. Staff will verbally instruct participants to completely close the container lid, container will be set on ground; wearing gloves, staff member will pick up the container and place it in designated storage area. A stray syringe will be picked up with garbage picker only; staff are to never recap a syringe, nor reach into the biohazard bin.
Participants are also advised to never reach into a biohazard bin or directly handle syringes not their own.
b) A description of your methods to document that staff and volunteers receive annual training on all accidental needlestick injury protocols.
The Executive Director will oversee presenting SANE’s Standard Operating Procedure, which includes needlestick injury at each policy review which is required at beginning of employment (or start for new volunteer), and annually thereafter. This review happens one-on- one between director and staff, and the staff / volunteer must formally attest via signed document as to receiving policy training.
CDPH/OA - Syringe Services Program Application
Rev 7/2021 Page | 5
c) A description of your process for ensuring staff and volunteers sign a form acknowledging that they have received needlestick injury protocols training.
Staff and volunteers are required to complete and sign training documents attesting to having received relevant information to their position, including needlestick injury protocol.
SANE uses the form Standard Operating Procedure Prerequisite Training and Signature Form which is kept in employee or volunteers’ file. Form includes date of hire, date of training, date of next annual training, training received, department, position, staff-member responsible, and acknowledgement of having received training and information. Staff unwilling to adhere to training procedures will be terminated.
d) A description of the immediate and subsequent steps staff and/or volunteers will take following an accidental needlestick injury which include the requirements detailed in Cal/OSHA Title 8, Section 5193 Section (f)(3)
regulations.
Our needlestick injury protocol is modeled after the current recommendations of the CDC and includes washing of the wound, seeking immediate medical attention and contacting supervisor for proper documentation. In the event of an accidental needlestick, a supervisor is to be contacted immediately, but there shall be no delay in getting to the emergency room, which is predetermined in collaboration with employee/volunteer at time of needlestick injury training. If it can be done safely, the source of injury (sharp) should be containerized and brought to hospital for sampling. SANE will be responsible for all necessary testing and post-exposure prophylaxis and will also ensure appropriate support and counseling is offered to the exposed individual.
SANE representatives will provide the involved healthcare professionals a copy of Title 8,
Section 5193 Section (f)(3), and the documentation from incidents recorded in Sharps Injury Log. SANE will request a “Healthcare Professional’s Written Opinion” to be provided within 15 days, which includes opinion on exposure incident and follow up treatment plan for employee.
e) A description of the use of a sharps injury log that satisfy the requirements in Cal/OSHA Title
8, Section 5193 Section (c)(2) r egulations.
SANE will keep and maintain a Sharps Injury Log that will include all the requirements in Cal/OSHA Title 8, Section 5193 Section (c)(2) regulations, including: date and time of the exposure incident type and brand of sharp involved in the exposure incident, job position of the exposed employee, department, or work area where the exposure incident occurred, the procedure employee was performing at the time of the incident, how the incident occurred, the body part involved in the exposure incident, and the employee's opinion about whether any engineering, administrative or work practice control could have prevented the injury.
IV. Data Collection and Program Evaluation
Describe how you will collect and report data and evaluate the impact of their efforts. Your answer to this question must include the following:
a) A description of the participant confidentiality protocol which defines how you protect participant confidentiality.
SANE’s participant confidentiality protocols follow the guidelines outlined in the Federal Health Insurance Portability Accountability Act (HIPAA) Privacy Law, the Confidentiality of Medical CDPH/OA - Syringe Services Program Application
Rev 7/2021 Page | 6
Information Act (California Civil Code § 56 et seq.) and the Lanterman-Petris-Short Act (California Welfare & Institutions Code § 5000 et seq.) The State Information Practices Act (California Civil Code sections 1798 et seq.). These laws establish protections to preserve the confidentiality of various medical and personal information and specify that such information may not be disclosed except as authorized by law or the patient or individual. All employees of SANE receive training on HIPPA and must acknowledge and agree to follow these laws upon hiring.
b) A description of how you incorporate evaluation data into program design.
SANE collects evaluation data through regular Point in Time Surveys, Client Satisfaction Forms, supplemental surveys regarding program changes, and through an anonymous suggestions box located in-office. Consistent dialogue between staff and participants, and more formal discussions between participants, organizational leadership, the Board of Directors and staff, are essential to building relationships with participants. We recognize that PWUD are the experts of their lives and can offer invaluable information regarding drug supply and use trends, and public health and policy issues.
SANE will continue to solicit and welcome opinion about the necessity, accessibility, and implementation of services. Our goal is to provide a safe space for participants and staff to gather to share concerns and ideas.
c) A description of how you record, at minimum, the following data elements:
o Total number of persons served
o Total number of syringes and needles dispensed, collected and disposed of; and o Total number and types of referrals made to drug treatment and other services.
SANE collects anonymous demographic information and data regarding services received at each participant encounter. Community Health Representatives record qualitative data as “notes” regarding emerging issues and trends that are obtained during client interactions. Among the measurables that SANE will provide CDPH annually include, but are not limited to:
1. Number of syringes dispensed
2. Pounds of sharps waste collected and safely destroyed
3. Number of persons enrolled in opioid treatment through SANE
4. Number of persons referred to other substance use disorder treatment and other services
5. Number of participants
6. Number of participant encounters
7. Amount (or number) of doses of naloxone distributed (including rate of reported overdose reversals and naloxone refills)
V. Community Relations
Describe how you will conduct community relations. Your answer to this question must include the following:
a) A description of how you will document positive feedback and concerns expressed by program participants, community members, and neighborhood associations.
Our relationship with the community we serve is very strong, and we are proud of the role we have played in protecting the lives, health, and dignity of program participants. Many of the participants have had traumatizing encounters with health professionals, law enforcement, bullies, and predators, and we hope to counter some of these experiences with positive interactions from our staff. Some ways in which SANE records feedback from participants are:
CDPH/OA - Syringe Services Program Application
Rev 7/2021 Page | 7
Client Satisfaction Forms, participant reviews on internet platforms, random “check-ins” between program manager and participants, participant surveys requesting feedback, and through messages received from our website and phone lines. Negative feedback pertaining to a particular staff member will immediately be addressed and documented, and programmatic concerns will be discussed with involved parties and resolved appropriately.
We maintain strong relationships with medical staff at UC Davis Medical Center, and with public health department staff in Sacramento County. We have connected with Placer County Public Health in regard to this application and proposed activities, and feel strongly we can have a positive working relationship. As we do with Sacramento County, we can provide Placer County with data, valuable access to the at-risk community, and reliable services and reporting.
We maintain strong working relationships with the largest AIDS/HIV service organization in Sacramento County, the Sacramento CARES Foundation, as well as various professionals in substance use disorder treatment. We have completed successful public health projects with the CDC, University of Washington, the National Association of County and City Health Officials, the Substance Abuse and Mental Health Services Administration, and the CA Department of Public Health, among others.
We quickly respond to community concerns through our posted phone and email contacts, and meet with concerned neighbors, as needed. SANE leadership regularly attends local Chamber of Commerce meetings and with County Public Health in Sacramento to address community concerns, and to proactively share the benefits and intentions of our organization.
SANE will have the same commitment to Placer County. SANE’s Executive Director and leadership staff understand reasonable concerns and/or questions Placer County residents may have and is readily available to communicate with local leaders and citizens. We hope to work in collaboration to combat the opioid epidemics effects on local communities.
b) A description of how you will record positive interactions and adverse incidents between local law enforcement and SSP staff, volunteers and/or participants.
Staff and participants are made aware of their rights and responsibilities regarding possession of syringes, and positive police interactions are always SANE’s goal. When available, an outreach worker can document police encounters and a debriefing of the encounter will occur between staff/volunteer and Director, or participant and staff member/volunteer, and next steps will be determined. SANE recognizes the role law enforcement plays in working with PWUD and strives to put the health and wellbeing of both SSP participants and the greater community first. Our shared goals to prevent overdose, control syringe litter, and get PWUD connected to services, can provide the opportunity for collaboration.
c) A description of steps the program has taken to address any reasonable concerns.
SANE is proud of its 30 years of service in Sacramento and has made a considerable impact in preventing drug overdose and limiting spread of infectious disease. As we have increased our reach in Sacramento County, we have had an increase in requests for services coming from residents of Placer County. With the notable increase in opioid deaths in Placer County, especially due to Fentanyl poisoning, we understand that an SSP operating within the County can be viewed negatively. This is why SANE intends to limit its operations to delivery only. SANE will also continue to include Naloxone/narcan and fentanyl test strips with every delivery, as well as extend our successful (and free) Medicated Assisted Treatment program to Placer participants who are ready to enter a treatment program. In addition, we will maintain CDPH/OA - Syringe Services Program Application
Rev 7/2021 Page | 8
open and regular communication with Public Health, law enforcement, and other agencies and associations.
Attachment A
City of Roseville Neighborhood Associations*
Neighborhood Website/contact
Maidu https://mna.rcona.com/
Meadow Oaks https://mona.rcona.com/
Folsom Road https://frna.rcona.org/
Woodcreek Oaks https://wona.rcona.org/
Blue Oaks https://bona.rcona.org/
Fiddyment Farm https://www.fiddymentfarm.org/
Cherry Glen https://cgna.rcona.org/
Highland Reserve https://hrna.rcona.org/
South Cirby https://scna.rcona.org/
HIllcrest https://hna.rcona.org/
Sierra Vista https://svna.rcona.com/
Stoneridge https://sna.rcona.org/
Westpark https://wna.rcona.com/
Roseville Heights https://rhna.rcona.org/
Los Cerritos https://lcna.rcona.org/
*No other neighborhood associations for proposed service areas in Placer County were identified.
Name of Program:
Job Title Annual Salary FTE Total Brief Description Source of Funds (In-Kind, Grant, Etc.) Executive Director
$ 75,000.00 1.00 $75,000.00
Responsible for overseeing the administration,
programs and strategic plan of the organization,
fundraising, marketing, and community
outreach. Oversees staff recruitment,
management & training programs. Operates
MAT program. Position reports directly to the
Board of Directors.
Grants/Contracts
Staff Physician/MAT
$ 95,000.00 1.50 $142,500.00
Oversees Medication Assisted Treatment
Program; connects with clients to generate
treatment plan and prescribe appropriate
medications; ensures program efficiency and
HIPPA compliant setting.
Grants
Administrative
$ 41,600.00 2.00 $83,200.00
Assists with managing staff, grant writing &
reporting, keeping records and licenses updated,
and various administrative duties across all
programs. Grants/contracts
Operations Director
$ 41,600.00 1.00 $41,600.00
Responsible for overseeing the administration,
programs and strategic plan of the organization,
fundraising, marketing, and community
outreach. Oversees staff recruitment,
management, and training duties.
Grants
SSP Community Health
Representative (CHR)
$ 40,000.00 12.00 $480,000.00
Operates SEP through office hours and mobile
delivery, distributes Naloxone and offers
community education related to overdose
prevention, safer-sex, and safer drug-
consumption. Makes referrals to MAT program.
Grants/Contracts
Accountant $ 57,200.00 0.10 $5,720.00 Leads A/R, A/P, payroll, and tax activitiesContracts $0.00
$0.00
$0.00
Total Salaries and Wages $828,020.00
19%
Total Fringe 0.5 $160,635.88
Total Personnel $988,655.88
Line Item Amount DescriptionCosts for sharps waste disposal (required) $ 7,000.00 Regular biohazard collection and disposal (Paid for by CDPH/Office of AIDS Clearinghouse)Harm Reduction Supplies 250,000 SSP distribution supplies, including syringes Mileage Reimburesment 8,000 CHR outreach, administrative duties Educational Materials/printing 10,000 phamplets, fliers, intake forms Safety Equipment 3,000 Gloves, PPE, containers
MAP Program 33,000 Costs associated with operating MAP Clinic Vehicle leasing 24,000
Monthly van rental for water delivery to
homeless
Total Operating Expenses $ 335,000.00
Line Item Amount Description
City/State/Banking Fees $ 800.00 Associated with permits and business operations Office Supplies $ 7,000.00 Pens, paper, stapelers, clipboards, folders, filing cabinets, printer inkCommunications $ 9,000.00 Phone/Internet Website $ 1,000.00 Development and mainteneance, online activitiesRent/Occupancy $ 35,000.00 For office location open to oublic Storage rental/office space $ 8,000.00 Storage space and/or admin office rental Technology/Equipment $ 8,000.00 Software, laptops, tablets, hotspots Liability Insurance $ 4,500.00 Required for operations Fundraising/Events $ 3,000.00 Community outreach efforts Travel/Training/Conferences $ 3,000.00 For proffessional development and collaborationsAudit/Financial Review $ 6,000.00 To be completed in 2023 Total Indirect Costs $85,300.00
Safer Alternatives through Networking and Education (SANE) - Placer I. Personnel
Fringe Description
Represents payroll taxes and benefits
II. Operating Expenses
III. Other Cost
TOTAL BUDGET $1,408,955.88
Amount
$ 1,061,289.00 $ 5,000.00 $ 350,000.00 $1,416,289.00
V. Revenue
Grants / Contracts / Donations
Grants/Contracts
TOTAL REVENUE
Community fundraising/Donations
In-Kind - Clearinghouse