Healthcare Trailers

Zoning ordinances specify where activities can take place in certain zones or areas. The County is working to make its Zoning Ordinance more clear and efficient. It is doing so by refining processes and clarifying ambiguities. These efforts currently focus on two key permitting areas:

1. Amplified live music at boutique wineries
2. Maximum permitting time for health care trailers

For details on the amplified live music at boutique wineries, please click here. Read on for details on healthcare trailers.

In the unincorporated areas of the county, a trailer coach or mobile home/manufactured home can be used as a temporary living space for health care purposes. To qualify, it needs to meet certain criteria.

• Exist on properties with an existing, permanent single-family home
• Be used by providers of health care services required by an occupant of the main dwelling, or used by relatives of an occupant of the main dwelling who require health care services.

Residents need permits from the County to put a health care trailer on their property.

The County is exploring the possibility of extending the maximum permit period from one to five years. This will help reduce the administrative burden on persons with long-term health care needs.

Your input is vital to ensuring draft amendments meet the needs of our diverse community. We encourage you to be a part of shaping these important updates.

Board of Supervisors Hearing

On February 11, 2026, the County of San Diego’s Board of Supervisors (Board) will consider proposed amendments to the Zoning Ordinance associated with Boutique Wineries and health care trailers. These updates allow amplified live music at Boutique Wineries subject to limitations, and extend the maximum permitting time for health care trailers. See below for additional details on the Board hearing. The Board is the final decision-making authority for this project.

In response to Board direction, the County has worked with stakeholders and conducted analysis to inform draft updates to the Boutique Winery section of the Zoning Ordinance (Section 6910b) that would allow amplified live music if criteria are met. Analysis and outreach have also informed draft updates to the health care trailers regulations (Section 6118b.3), clarifying wastewater treatment requirements and extending the allowable permit period for health care trailers up to a maximum of 5 years.

Board of Supervisors Hearing Information:

Date: February 11, 2026

Time: 9:00 a.m.

Location: County Administration Center, 1600 Pacific Highway, Room 310, San Diego, California, 92101

Public Participation

Those wishing to participate in the meeting and/or comment should visit the Clerk of the Board website at Board of Supervisors Meeting Agenda. If you have any questions about hearing participation, please contact the Board Operations Unit at (619) 531-5434 or via email to publiccomment@sdcounty.ca.gov.

Assistance for Persons with Disabilities or Requesting Interpretation

Please contact the Clerk of the Board at (619) 531-5434 or via e-mail at PublicComment@sdcounty.ca.gov to request a disability-related accommodation or an interpreter. Individuals requiring sign language interpreters should contact the Countywide ADA Title II Coordinator at (619) 531-4908. Requests for accommodation or assistance should be submitted at least 72 hours in advance of the meeting. Visit the Board website for more information.

Staff Contact

For more information regarding the project, please reach out to the following contact:

• Kevin Johnston
• (858) 505-6677 (Long Range Planning phone line)
• Kevin.Johnston@sdcounty.ca.gov