COUNTY OF SAN MATEO Inter-Departmental Correspondence
Health Department
DATE:			November 19, 2008
BOARD MEETING DATE:			December 9, 2008
SPECIAL NOTICE/HEARING:			None
VOTE REQUIRED:			Majority
TO:	Honorable Board of Supervisors
FROM:	Charlene A. Silva, Director, Health Department Nomalee Tilman, Director, Correctional Health Services
SUBJECT:	Agreement with Caturay Dental Practice
RECOMMENDATION:
Adopt a Resolution authorizing the President of the Board to execute an Agreement with Caturay Dental Practice for the provision of dental services for inmates of San Mateo County jail system and for minors in custody of Youth Services Center for the term of January 1, 2009 through December 31, 2011, in an amount not to exceed $243,360.
VISION ALIGNMENT:
Commitment: Ensure basic health and safety for all.
Goal 5: Residents have access to healthcare and preventive care.
The Agreement contributes to this commitment and goal by ensuring that inmates in the San Mateo County jail system and Youth Services Center have access to medically required dental care.
Performance Measure:
Measure		FY 2007-08 Actual		FY 2008-09 Projected
Percent of inmates with dental complaints responded to within one week		90%		90%
BACKGROUND:
California requires the provision of basic dental health services for inmates/minors in custody. The State also mandates that written policies and procedures be in place to assure that emergency and medically-required dental care is provided to each inmate, upon request, under the direction and supervision of a licensed dentist. On January 10, 2006, your Board approved a resolution to provide dental services to the inmates and minors in custody. Only basic, medically-required dental care is provided for adult inmates at the Maguire Correctional Facility and for minors housed at the Youth Services Center. The alternative to in-house treatment is transportation by Sheriff’s deputies to San Mateo Medical Center or to an outside facility, which would be more expensive. Under Administrative Memorandum B-1, agreements with physicians are exempt from the requirement for a Request for Proposals process.
DISCUSSION:
Dr. Caturay has been providing exceptional dental services to inmates in the San Mateo County jail system since January 2000. Prior to Dr. Caturay’s contract, inmates were frequently waiting two to three weeks for services. At present there is a delay of less than one week.
Caturay Dental Practice also owns and operates a dental clinic in San Mateo County and can provide emergency dental services to the inmates of San Mateo County jail system and the minors in custody of Youth Services Center. Caturay Dental Practice can perform simple surgical procedures onsite which reduces the need and cost of providing such services at San Mateo Medical Center or other community facilities. Caturay Dental Practice has agreed to keep the contract at the same amount as the prior contract.
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.
County Counsel and Risk Management have reviewed and approved this Agreement.
FISCAL IMPACT:
The term of the Agreement is January 1, 2009 through December 31, 2011. The total amount of the Agreement is $243,360, of which $81,120 is included in the Correctional Health FY 2008-09 Adopted Budget. Appropriations for FY 2009-10 and FY 2010-11 will be included in future budget requests. The Net County Cost is $243,360.