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: Authorization of County Funding and Agreements for Horizon Services, Inc.'s 69-Bed Recovery Center at 826 Mahler Road, Burlingame under BHCIP Round 2: Unmet Needs
RECOMMENDATION:
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Adopt a resolution:
A) Confirming and approving the County's previously committed 10% local match from San Mateo County Opioid Settlement Funds, which amount now totals $2,500,000, as the County's local match and contribution to Horizon Services, Inc.'s 69-bed Palm Recovery Center project under the California Department of Health Care Services (DHCS) Behavioral Health Continuum Infrastructure Program (BHCIP) Round 2: Unmet Needs, for development at 826 Mahler Road, Burlingame, subject to DHCS approval of the site relocation and the conditions in the County funding agreement; and
B) Authorizing the Chief of San Mateo County Health, or designee(s), in consultation with the County Attorney and County Executive, to negotiate and execute a funding agreement, operating agreement, award or commitment letters, certifications, amendments, and other non-real-property agreements and documents necessary and appropriate to provide the County funds and implement the project at the Burlingame site.
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BACKGROUND:
On May 21, 2025, San Mateo County Behavioral Health and Recovery Services (BHRS) experienced the permanent closure of its 14-bed Sobering Center, leaving a critical gap in the local substance use continuum of care. The closure affected law enforcement, emergency departments, and community members seeking safe, short-term sobering and stabilization services. The County and Horizon Services, Inc. (Horizon) also identified a need for an integrated facility that can sustain withdrawal management and residential treatment while restoring sobering se...
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