Inter-Departmental Correspondence


Health Services Agency



November 18, 2004



December 7, 2004



Honorable Board of Supervisors



Charlene A. Silva, Director of Health Services

Gale Bataille, Director of Mental Health Services



Agreement with Perrine Salariosa dba Portobello Care Home



Adopt a resolution:



Authorizing the President of the Board to execute an Agreement with Perrine Salariosa dba Portobello Care Home and



Authorizing the Director of the Health Services Agency to execute subsequent amendments and minor modifications not to exceed an aggregate of $25,000 and to make minor changes in the type of services and activities provided under the Agreement.



Since December 17, 1985, your Board has approved resolutions authorizing expenditures for residential care facilities serving mentally ill clients.


Consistent with the Mental Health Services Division Plan, contracts are offered to any qualified provider for these residential services. As required in this process, a public notice will be published every year to solicit applications for new providers.



This contractor operates a 16-bed board and care facility for difficult to place clients. This contractor provides two (2) levels of service, the Step Down Service Level and the Augmented Service Level. Clients at the Step Down Service Level are generally more independent and stable, requiring lower levels of supervision and less intensive services. The Augmented Service Level is for seriously mentally ill clients who require a higher level of supervision and services including more intensive mental health services, social skills training and assistance with activities of daily living.


Vision Alignment

This Agreement with Perrine Salariosa dba Portobello Care Home, keeps the commitment to Ensure Basic Health and Safety for All and goal number 8: Help vulnerable people, the aged, disabled, mentally ill, at risk youth, and others - achieve a better quality of life. The Agreement contributes to this commitment and goal by providing residential board and care services for San Mateo County Mental Health clients.


Fiscal Impact

The term of the Agreement is July 1, 2004 through June 30, 2007. The Agreement has been reviewed and approved by County Counsel and Risk Management.


The Agreement maximum is $221,550 for the three-year term. The anticipated Agreement maximum for FY2004-05 is $73,850. Sales tax provided through realignment will cover $65,727 of the cost. The remaining $8,120 is net county cost, as maintenance of effort for realignment. A similar arrangement will be in place for FY 2005-06 and FY 2006-07.