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 GHC of Lakeside, LLC dba Lakeside Special Care Center for Residential Care Services
RECOMMENDATION:
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Adopt a resolution authorizing an agreement with GHC of Lakeside, LLC dba Lakeside Special Care Center for residential care services, for the term of July 1, 2023, through June 30, 2025, in an amount not to exceed $219,000.
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BACKGROUND:
Behavioral Health and Recovery Services (BHRS) has contracted with GHC of Lakeside, LLC dba Lakeside Special Care Center (Lakeside) since August 27, 2020, for a residential care facility to provide residential care services to mentally-ill adult clients. These services enhance successful community living and avoid a more costly, higher level of care.
Because residential care facility services are limited in San Mateo County, under the B-1 Administrative Memorandum, the selection of providers of residential services for mental health clients is exempt from the Request for Proposals requirement.
DISCUSSION:
Lakeside 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.
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 50% of clients will be discharged to a less restrictive level of care.
PERFORMANCE MEASURE:
Measure |
FY 2022-23 Actual |
FY 2023-24 Estimated |
Percentage of clients discharged to a less restrictive level of care |
50% 1 client |
50% 1 client |
FISCAL IMPACT:
The term of the agreement is July 1, 2023, through June 30, 2025.The amount of the agreement is not to exceed $219,000 for the two-year term. For FY 2023-24 the maximum amount is $109,500 and will be included in the BHRS FY 2023-2024 Recommended Budget. Of that amount, it is anticipated that $98,550 will be funded by sales tax through realignment, and $10,950 will be Net County Cost. Similar arrangements will be made for FY 2024-25.