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COUNTY OF SAN MATEO
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Inter-Departmental Correspondence
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Health Department
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DATE:
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June 6, 2008
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BOARD MEETING DATE:
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June 17, 2008
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SPECIAL NOTICE/HEARING:
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None
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VOTE REQUIRED:
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Majority
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TO:
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Honorable Board of Supervisors
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FROM:
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Charlene A. Silva, Director of Health
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Louise Rogers, Director, Behavioral Health & Recovery Services
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SUBJECT:
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Agreement with Lonny Davis dba Davis Guest Home
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RECOMMENDATION:
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Adopt a Resolution:
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1) Authorizing the President of the Board to execute an Agreement with Lonny Davis dba Davis Guest Home for the provision of residential and transitional care services for difficult to place clients for the term July 1, 2008 through June 30, 2011, for a maximum obligation of $270,000; and
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2) Authorizing 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.
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VISION ALIGNMENT:
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Commitment: Ensure basic health and safety for all.
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Goal 8: Help vulnerable people–the aged, disabled, mentally ill, at-risk youth and others–achieve a better quality of life.
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This Agreement contributes to this commitment and goal by providing residential and transitional care services for difficult to place clients of San Mateo County Behavioral Health and Recovery Services (BHRS).
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BHRS strives to provide services to consumers of mental health services in order for them to remain in the lowest possible level of care. The provision of residential and transitional care services is one established level of care. The services provided through this Agreement contribute to this measure.
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Performance Measure:
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Measure
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FY 2007-08
Estimate
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FY 2008-09
Target
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Percentage of clients maintained at current or lower level of care
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71%
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71%
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BACKGROUND:
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Since December 17, 1985, your Board has approved resolutions authorizing expenditures for residential care facilities serving mentally ill clients. BHRS has contracted with this provider since 1999 for the provision of hard to place mental health clients who require a high degree of supervision. This contractor accepts some of the most difficult clients in our system of care who might otherwise be in a higher and more costly level of care. 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. BHRS publishes a public notice every year to solicit applications for new providers.
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DISCUSSION:
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Services provided by the contractor include room and board; 24-hour, 7-days-a-week supervision; assistance with medication; and support and assistance with daily living skills. This contractor will provide a total of five beds for San Mateo County clients. The facility has been assessed and approved by BHRS to provide enhanced residential services.
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The Agreement has been reviewed and approved by County Counsel and Risk Management. The contractor has assured compliance with the County’s Contractor Employee Jury Service Ordinance, as well as all other contract provisions that are required by County ordinance and administrative memoranda, including but not limited to insurance, hold harmless, non-discrimination and equal benefits.
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FISCAL IMPACT:
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The term of the Agreement is July 1, 2008 through June 30, 2011. The Agreement maximum is $270,000 for the three-year term. For FY 2008-09 the budgeted maximum is $83,585, which is included in the BHRS FY 2008-09 Recommended Budget. Of that amount, Realignment will fund $74,391, and $9,194 is Net County Cost. Similar funding arrangements will be in place for FY 2009-10 and
FY 2010-11.
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