We broke ground on our first East County Crisis Stabilization Unit, opened the Ramona Community Resource Center, and created new beds for substance use treatment and recuperative care. 

We adopted a new Climate Action Plan, protected more open space for future generations, and advanced environmental justice. We provided grants to small community nonprofits, added another Live Well on Wheels bus to bring healthcare directly into neighborhoods, and waived fees for Micro Enterprise Home Kitchen Operations. 

We continued to protect the public health and to make our communities healthier and safer by collaborating with Centers for Disease Control and Prevention to conduct health surveys of the people living near the border sewage crisis, opening a new state-of-the-art Public Health Laboratory, and delivering essential services through Medi-Cal, CalWORKs and CalFresh to more than 1 million residents. 

We kept our communities safe by adding fire and paramedic resources in Borrego Springs, supporting people reentering our communities after incarceration, and creating a new training program to help justice-involved youth build pathways to careers in emergency medical services. 

All of this was made possible through your collaboration. By meeting, talking, and working side by side with you. Your partnership is our foundation and is what allows us to keep building a tomorrow where every person in every community can thrive. 

As we look ahead, we will continue to have opportunities to work together toward that future; and to find new ways to track our progress as the County launches a new set of Key Performance Indicators to measure what matters most, increase transparency, and ensure we are always improving together. 

Thank you for your partnership as we build a region that reflects our shared goals and values. I invite you to explore this report and see the tangible ways our collective efforts are making a difference across our region. 

Together, we are creating a just, sustainable, and resilient future for all.