Special Notice / Hearing: None__
Vote Required: Majority
To: Honorable Board of Supervisors
From: Louise F. Rogers, Chief, San Mateo County Health
Lisa Mancini, Interim Director, Behavioral Health and Recovery Services
Subject: Amendment to the Agreement with Davis Guest Home Inc. for Residential and Transitional Care Services
RECOMMENDATION:
title
Adopt a resolution authorizing an amendment to the agreement with Davis Guest Home Inc. for residential and transitional care services, increasing the amount by $235,425 to an amount not to exceed $910,675, with no change to the agreement term.
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BACKGROUND:
On June 8, 2021, this Board approved an agreement with Davis Guest Home Inc. (David Guest Home), for this residential care facility to provide residential care services to mentally-ill adult clients, including bed space, supplemental intensive mental health services, social skills training, and assistance with daily living activities, for the term of July 1, 2021 through June 30, 2023, in an amount not to exceed $675,250
DISCUSSION:
Davis Guest Home shall continue to provide beds for difficult-to-place clients and augmented services for seriously mentally-ill clients who require a higher level of care and supervision. These services include supplemental intensive mental health services, social skills training, and assistance with daily living activities.
It is now necessary to amend this agreement to increase the bed count available to San Mateo County Behavioral Health and Recovery Services (BHRS) and reflect the increased bed rates for FY 2022-23. The total bed count is increasing from 6 beds to 9 beds (50%), and the daily rate on 8 of those beds is increasing from $125 to $140 (12% increase). The remaining bed’s daily rate is increasing from $350 to $450 (27% increase).
The resolution contains the County’s standard provisions allowing amendments of the County’s fiscal obligation by a maximum of $25,000 (in aggregate).
The agreement and resolution have been reviewed and approved by the County Attorney as to form.
It is anticipated that 40% of clients will be discharged to a less restrictive level of care.
PERFORMANCE MEASURE:
|
Measure |
FY 2021-22 Actual |
FY 2022-23 Estimated |
|
Percentage of clients discharged to a less restrictive level of care |
40% 4 clients |
40% 4 clients |
FISCAL IMPACT:
The term of the amended agreement is July 1, 2021 through June 30, 2023.The amount of the amended agreement is not to exceed $910,675 for the two-year term. For FY 2022-23 the maximum amount is $573,050 and will be included in the BHRS FY 2022-2023 Recommended Budget. Of that amount, it is anticipated that $419,750 will be funded by Mental Health Service Act, $137,970 will be funded by sales tax through realignment, and $15,330 will be Net County Cost.