Special Notice / Hearing: None__
Vote Required: Majority
To: Honorable Board of Supervisors, sitting as the Governing Board of the Area Agency on Aging for the County of San Mateo
From: Colleen Chawla, Chief, San Mateo County Health
Lee Pullen, Director, Aging and Disability Services
Subject: Acceptance of Aging and Disability Resource Connection Funding and Execution of an Amendment to the Provider Agreement
RECOMMENDATION:
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Acting as the Governing Board of the Area Agency on Aging for the County of San Mateo, adopt a resolution:
A) Authorizing the acceptance of Aging and Disability Resource Connection funding from the California Department of Aging in the amount of $318,073; and
B) Execution of an amendment to the provider agreement with Center for Independence of Individuals with Disabilities for the term of October 1, 2022 through June 30, 2026.
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BACKGROUND:
Since 2003, California has opted to use the modified title of Aging and Disability Resource Connection (ADRC) to reflect the principle of No Wrong Door, as opposed to a "single entry point" concept. This means that multiple agencies at the State and local levels coordinate to create a simplified process through which individuals of all ages, abilities, and incomes can obtain unbiased information and one-on-one counseling about the services available in their communities. This allows individuals to make informed decisions about services that best meet their needs, regardless of where they enter the system. Consumers also receive assistance in accessing services, including help with applications for various public and private programs.
In 2019, California Senate Bill 80 established the first State ADRC Infrastructure Grants program. California Department of Aging (CDA) awards grants to qualified Area Agencies on Aging (AAA) and Independent Living Centers (ILC) to complete the planning and application process for designation and approval to operate an ADRC program, as well as to help designated ADRC programs expand and improve services.
County Health's Aging and Disability Services (ADS) is the County's AAA and is responsible for receiving ADRC funds, disbursing them to the Center for Independence of Individuals with Disabilities (CID), and reporting on CID's spending of the ADRC funds. CID is a private, nonprofit corporation located in the City of San Mateo that provides services to more than 2,000 individuals with disabilities every year. CID is one of 29 ILCs in the State of California but is the only ILC in San Mateo County.
This Board approved the acceptance of the first grant from CDA in the amount of $245,448 for services from July 1, 2022, through June 30, 2023, and waived the Request for Proposals process because CID is the sole source for ADRC services and is the only qualifying grant partner in San Mateo County. Between July 2023 and May 2024, CDA provided additional funding totaling $610,111 for the term of July 1, 2022, through June 30, 2025. In April 2025, CDA provided an additional $318,073 for the term of July 1, 2025, through June 30, 2026.
DISCUSSION:
ADS and CID worked together to complete the application for State ADRC designation and received this designation in April 2024. ADS intends to amend its agreement with CID to add the newly available $318,073 from CDA. The funds will be used to hire additional staff at CID to further support the ADRC services outlined. Using existing and new ADRC funding from CDA, CID will continue developing, planning, and networking with various cities, counties, and community-based organizations to help older adults and adults with disabilities find long-term services and supports to remain in their homes and communities. The following services will be provided through this program: enhanced information and referral services, options counseling, short-term service coordination, and transition services.
The County Attorney has reviewed and approved the amendment and resolution as to form.
The resolution contains the County’s standard provisions allowing amendment of the County fiscal obligations by a maximum of $25,000 (in aggregate).
It is anticipated that 525 older adults and adults with disabilities will receive assistance through CID.
PERFORMANCE MEASURE:
|
Measure |
FY 2024-25 Estimated |
FY 2025-26 Projected |
|
Number of older adults/adults with disabilities receiving assistance through CID |
500 older adults/adults with disabilities |
525 older adults/adults with disabilities |
COMMUNITY IMPACT:
The ADRC program will positively impact the lives of older adults and adults with disabilities who have historically faced difficulties in accessing programs and services available in the County. ADRCs focus on providing a “single-entry-point” and one-on-one counseling options. Adults with disabilities make up approximately 10% of the population (or 72,285 people) in San Mateo County, according to 2023 American Community Services (ACS) data. Based on demographics included in Aging and Disability Services’ 2024-2028 Area Plan, older adults make up 18.4% of the County population.
FISCAL IMPACT:
The amended term of the provider agreement is October 1, 2022 through June 30, 2026, and the total amended amount of the agreement is not to exceed $1,000,093 for the four-year term. Funds for these services will be included in the ADS FY 2025-26 Recommended Budget. State funds will cover 100% of the costs. There is no Net County Cost associated with the approval of these agreements.