Special Notice / Hearing: None__
Vote Required: Majority
To: Honorable Board of Supervisors
From: Louise F. Rogers, Chief, San Mateo County Health
Lisa Mancini, Director, Aging and Adult Services
Subject: Executing Residential Care Facility Agreements for Aging & Adult Services
RECOMMENDATION:
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Adopt a resolution authorizing:
A) A waiver of the Request for Proposal process; and
B) The Chief of San Mateo County Health or her designee to enter into agreements with Residential Care Facilities for Aging & Adult Services clients and conservatees.
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BACKGROUND:
Aging & Adult Services (AAS) Public Guardian conservatees and Adult Protective Services clients utilize Residential Care Facilities (RCFs). RCFs are licensed by the California Department of Social Services, Community Care Licensing Division. Currently, there are 72 licensed facilities in San Mateo County and 7,372 throughout the entire State. Having RCF access allows AAS to assist Public Guardian conservatees, as well as clients living in the community or transitioning to a lower level of care, with the goal of maintaining placement at the lowest appropriate level of care and preserving the highest and the best quality of life possible.
AAS contracts with RCFs in San Mateo County as well as outside of the County, depending on clients' needs, available resources, and other factors. In FY 2017-18, AAS spent approximately $1.5 million on RCF placement for approximately 75 clients. Spending for each client and the variation in costs depends on the: duration and length of stay, cost of the RCF, whether the County supplements the cost for the client, level of care the RCF provides, location, services offered, and RCF occupancy type. Appropriations for RCFs are budgeted as part of the AAS services and supplies budget. Historically, most AAS RCF contracts were departmental contracts of $100,000 or less, with a few exceptions that were greater than $100,000, which the Board had appr...
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