Special Notice / Hearing: None__
Vote Required: Majority
To: Honorable Board of Supervisors
From: Colleen Chawla, Chief, San Mateo County Health
Jei Africa, Director, Behavioral Health and Recovery Services
Subject: Amendment to the Agreement with Telecare Corporation for Temporary Supervised Living Program Location in Support of the Full-Service Partnership Mental Health Service Programs
RECOMMENDATION:
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Adopt a resolution authorizing an amendment to the agreement with Telecare Corporation for a temporary supervised living program location in support of the Full-Service Partnership Mental Health Service programs, revising the term through December 31, 2025, and increasing the amount by $150,000 to an amount not to exceed $895,763.
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BACKGROUND:
Full-Service Partnership (FSP) programs are designed to enable clients to remain living in the community and decrease their hospitalizations and/or incarcerations by providing case management, medication management, therapy, social activities, and 24/7 response capability to mitigate an evolving situation. For over 20 years, Behavioral Health and Recovery Services (BHRS) has contracted with Telecare Corporation (Telecare) to provide FSP Mental Health Service programs.
In February 2025, a building fire occurred at Telecare’s FSP supervised living program at the Industrial Hotel, located in South San Francisco. In response to this emergency, the Industrial Hotel clients were temporarily relocated to a hotel to continue the FSP supervised living program while the Industrial Hotel underwent construction. Through Telecare’s FSP supervised living program was serving up to 26 County clients.
In June 2025, the Chief of San Mateo County Health approved an agreement with Telecare Corporation in the amount of $200,000, for the term February 1, 2025 through October 31, 2026, to support those County clients displaced by the Industrial Hotel fire.
In August 2025, the Board of Supervisors approved an amendment to the agreement with Telecare Corporation to revise the end of the agreement term to October 31, 2025 (the previous end date of October 31, 2026 was made in error), and increase the amount by $545,763 to a new maximum amount of $745,763 to temporarily support those County clients displaced by the Industrial Hotel fire.
DISCUSSION:
BHRS is requesting to amend the current agreement to account for the additional cost of providing the relocated clients with temporary housing and meals. Due to construction not yet being complete at Industrial Hotel, 21 clients’ temporary housing and meals will continue through November 30, 2025. Additionally, BHRS is requesting to amend the term of the agreement, with a new term of February 1, 2025 through December 31, 2025, to allow for any unexpected construction delays and increase the amount by $150,000, to a new maximum amount of $895,763.
Under the B-1 Memo Administrative Memorandum, the temporary relocation of clients to an alternative supervised living program is considered an emergency because of the fire that occurred at Industrial Hotel. The clients at this location needed to be temporarily relocated to another supervised living program location while the building has been under construction. Upon completion of construction, the contractor will transition clients back to the Industrial Hotel.
The resolution contains the County’s standard provision allowing amendment of the County’s fiscal obligations by a maximum of $25,000 (in aggregate).
The amendment and resolution have been reviewed and approved by the County Attorney as to form.
It is anticipated that 80% of relocated FSP clients will be maintained at a current or lower level of care.
PERFORMANCE MEASURE:
|
Measure |
FY 2024-25 Actual |
FY 2025-26 Estimated |
|
Percentage of relocated FSP clients maintained at a current or lower level of care |
80% 21 clients |
80% 21 clients |
COMMUNITY IMPACT:
This agreement will positively impact a critically underserved community of behavioral health clients who have severe mental illness and who will benefit from higher levels of care/wraparound services to support their stabilization and recovery. FSP services are a vital resource in our community. Having these agreements will help us to keep clients out of high-cost services such as the emergency room, psychiatric emergency services, inpatient psychiatric units, and locked settings such as jail and mental health rehabilitation centers. FSP services are designed to meet the unique needs of underserved populations, using trauma informed, culturally informed, and evidence-based practices to promote long-term well-being.
FISCAL IMPACT:
The term of the amended agreement is February 1, 2025 through December 31, 2025. The amount of the agreement is not to exceed $895,763. This amendment increases the agreement by $150,000. Funds in the amount of $150,000 are included in the BHRS FY 2025-26 Adopted Budget and will be totally funded by Net County Cost.