COUNTY OF SAN MATEO

Inter-Departmental Correspondence

Health Department

DATE:

July 18, 2007

BOARD MEETING DATE:

August 7, 2007

SPECIAL NOTICE/HEARING:

None

VOTE REQUIRED:

Majority

TO:

Honorable Board of Supervisors

FROM:

Charlene A. Silva, Director, Health Department
Lisa Mancini, Director, Aging and Adult Services

SUBJECT:

Agreement No. AP-0708-08 with the California Department of Aging for Fiscal Year 2007-08

RECOMMENDATION:

Adopt a Resolution Authorizing:

1.

The President of the Board of Supervisors to execute Agreement No. AP-0708-08 for Title III/VII of the Older Americans Act (OAA) and for the Community-Based Services Program (CBSP) of the Older Californians Act (OCA) with the California Department of Aging (CDA) for the continuation of nutrition, supportive, and employment community-based services for the term of July 1, 2007 through June 30, 2008 in the amount of $3,040,753; and

2.

The Director of Health or the Director's designee to execute contract amendments which modify the County's maximum fiscal obligation by no more than $25,000 (in aggregate) and/or modify the contract term and/or services so long as the modified term or services is/are within the current or revised fiscal provisions.

VISION ALIGNMENT:

Commitment: Ensure basic health and safety for all.

Goal 8: Help vulnerable people—the aged, disabled, mentally ill, at-risk youth and others—achieve a better quality of life.

Aging and Adult Services (AAS) strives to provide services to at-risk individuals in order to help them remain in the most independent setting possible. The provision of these services to this targeted population is a division-wide performance measure. With the assistance of the services provided through Title III/VII and CBSP funding, we have met this measure as a Division.

Performance Measure:

Measure

FY 2006-07
Estimated

FY 2007-08
Projected

Percent of At-Risk Individuals Maintained in a Least Restrictive Setting Through Case Management

93%

95%

BACKGROUND:

Every four years AAS, as the Area Agency on Aging (AAA) of San Mateo County, is required to submit an Area Plan for aging services to CDA. The State also requires that counties submit annual updates identifying revised goals and objectives for the coming fiscal year in order to claim their allotted OAA and CBSP funds, which are determined through a statewide funding formula. The plan provides a profile of the County’s senior population, identifies activities to improve and expand existing services, as well as to develop new programs designed to address current countywide needs, and recommends services to be funded with San Mateo County’s OAA and OCA allocations.

On July 12, 2005, your Board approved the Strategic Plan for Services to Older Persons and Adults with Disabilities for 2005-09. This plan, together with the annual budget, fulfills CDA’s requirements and generates a contract from CDA for funding.

DISCUSSION:

Title III/VII and CBSP funding support a variety of programs including Adult Day Care, Alzheimer’s Program, Brown Bag, Case Management, Congregate Nutrition, Disease Prevention/Health Promotion, Family Caregiver Support, Home-Delivered Meals, Legal Assistance, Ombudsman Program, Transportation, and Unsubsidized Senior Employment services. These nutrition, supportive, and employment services, which serve approximately 10,750 seniors annually, are designed to carry out many of the goals and objectives identified in the Strategic Plan and help at-risk individuals remain in the most independent setting possible.

County Counsel has reviewed and approved the Agreement and Resolution as to form.

FISCAL IMPACT:

The term of this Agreement is July 1, 2007 through June 30, 2008. Execution of this Agreement with CDA allows the County to claim its allocation of OAA and OCA funding for Title III/VII and CBSP for FY 2007-08. The total amount of this Agreement is $3,040,753 comprised of $2,317,145 in Federal funds and $723,608 in State funds. In addition, the service providers participating in this program provide funds, thereby expanding the funding for nutrition, supportive, and employment services available in San Mateo County. Revenues and expenses related to this Agreement are included in the AAS tentatively Adopted FY 2007-08 Budget. There is no Net County Cost.