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 October 31, 2025, and increasing the amount by $545,763 to an amount not to exceed $745,763.
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BACKGROUND:
Full-Service Partnership (FSP) programs are designed to enable consumers 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, which included lodging and meals, at the Industrial Hotel, located in South San Francisco. In response to this emergency, the clients at this location were temporarily relocated to another FSP supervised living program, Spring Hill Suites, located in Belmont, while Industrial Hotel undergoes construction. Through Telecare’s FSP supervised living program, Spring Hill Suites was, at the time, serving up to 26 County clients.
In June 2025, the Chief of San Mateo County Health approved an agreement with Telecare in the amount of $200,000, for the term February 1, 2025 through October 31, 2026, to support those County clients displaced by the fire at the Industrial Hotel.
DISCUSSION:
BHRS is requesting to amend the current agreement to account for the additional cost of providing the relocated clients temporary housing and support at Spring Hill Suites. Spring Hill Suites absorbed an additional 26 clients. This support includes daily lodging and meals for each of the enrolled clients. Additionally, BHRS is requesting to amend the term of the agreement, with a new term of February 1, 2025 through October 31, 2025, to correct a clerical error in the original agreement.
Under the B-1 Memo Administrative Memorandum, the temporary relocation of clients to an alternative supervised living program is considered an emergency as a result of the fire that occurred at Industrial Hotel. The clients at this location need to be temporarily relocated to another supervised living program location while the building is under construction. Upon completion of construction, the contractor will transition clients from Spring Hill Suites 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 out of 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 agreement is February 1, 2025 through October 31, 2025. The amount of the agreement is not to exceed $745,763 for the term. The 1991 Realignment will fund 50%, or $372,881, and Net County Cost will fund $372,882. For FY 2024-25, the maximum amount is $405,059. For FY 2025-26, the maximum amount of $340,704 is included in the BHRS FY 2025-26 Recommended Budget.