Special Notice / Hearing: None__
Vote Required: Majority
To: Honorable Board of Supervisors
From: Louise F. Rogers, Chief, San Mateo County Health
Jei Africa, Director, Behavioral Health and Recovery Services
Subject: Agreement with Millbrae Assisted Living Home, LLC for Residential Care Services.
RECOMMENDATION:
title
Adopt a resolution authorizing an agreement with Millbrae Assisted Living Home, LLC for residential care services, for the term of July 1, 2024 through June 30, 2026, in an amount not to exceed $1,990,000.
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BACKGROUND:
Since December 17, 1985, the Board has approved resolutions authorizing expenditures for residential care facilities serving mentally ill clients, to provide residential care services for adults. These services enhance successful community living and avoid a more costly and higher level of care.
DISCUSSION:
Millbrae Assisted Living Home, LLC (MALH) will provide services to clients of Behavioral Health and Recovery Services (BHRS). MALH will provide 32 beds for BHRS clients who are difficult-to-place, and augmented services for seriously mentally ill clients who require a higher level of care and supervision. Examples of these higher-level services include intensive mental health services, social skills training, and assistance with daily living activities.
This contract is exempt from the competitive procurement process due to the particular needs of the clients served by Board and Care (B&C) facilities, the uniqueness of the local B&C market, and the B-1 Administrative Memo exception for Housing Services and Related Supports.
The resolution contains the County’s standard provisions allowing amendment of the County’s fiscal obligations by a maximum of $25,000 (in aggregate).
The agreement and resolution have been reviewed and approved by County Attorney as to form.
It is anticipated that 75% of clients admitted to the facility will not require an acute hospitalization within 14 days of admission.
PERFORMANCE MEASURE:
|
Measure |
FY 2023-24 Estimated |
FY 2024-25 Projected |
|
Percentage of clients admitted to the facility who do not require an acute hospitalization within 14 days of admission |
75% 32 clients |
75% 32 clients |
EQUITY IMPACT:
This contract will positively impact a critically undeserved community of behavioral health clients (25% LatinX, 25% Asian/Pacific Islander, 5% Black, 3% Mixed Race) who have severe mental illness and need a residential placement. Residential providers such as MALH are a vital resource for housing such individuals. This agreement with MALH affords these individuals an ability to step down from higher acute, more costly levels of care to a community placement. This provider is committed to serving this population and supporting them with being successful while living in a community setting.
FISCAL IMPACT:
The term of the agreement is July 1, 2024, through June 30, 2026. The amount of the agreement is not to exceed $1,990,000 for the two-year term. For FY 2024-2025 the maximum amount is $995,000 and will be included in the BHRS FY2024-2025 Recommended Budget. Of that amount, it is anticipated that 100% will be funded by the Mental Health Services Act. Similar arrangements will be made for future years.