COUNTY OF SAN MATEO

Inter-Departmental Correspondence

Health Department

 

DATE:

 

BOARD MEETING DATE:

December 16, 2008

SPECIAL NOTICE/HEARING:

None

VOTE REQUIRED:

Majority

 

TO:

Honorable Board of Supervisors

   

FROM:

Charlene A. Silva, Director of Health

 

Louise Rogers, Director, Behavioral Health and Recovery Services

   

SUBJECT:

Amendment to the Agreement with Pleasant Care Corporation dba Emmanuel Residential of Millbrae

 

RECOMMENDATION:

Adopt a Resolution authorizing the President of the Board to execute an Amendment to the Agreement with Pleasant Care Corporation of Millbrae dba Emmanuel Residential of Millbrae for the provision of residential board and care services, extending the term of the Agreement from June 30, 2008 through June 30, 2009, and increasing the maximum obligation by $132,970 to a new maximum of $232,970.

 

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.

 

The amended Agreement contributes to this commitment and goal by providing residential board and care services to mentally ill clients.

 

Behavioral Health and Recovery Services (BHRS) provides a range of services in order to promote wellness and recovery and to support consumers at the lowest possible level of care. The provision of residential board and care services to mentally ill clients is one established level of care. The services provided through this Agreement contribute to this measure.

 

Performance Measure:

Measure

FY 2007-08 Actual

FY 2008-09 Projected

Percentage of client survey respondents who rate services as good or better.

88%

90%

 

BACKGROUND:

Since 1985 your Board has approved resolutions authorizing expenditures for residential care facilities serving mentally ill clients. 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. BHRS has contracted with Pleasant Care Corporation of Millbrae dba Emmanuel Residential of Millbrae (Emmanuel) since 1998 for the provision of specialized residential care for dually-diagnosed adult clients.

 

On August 8, 2007, this facility was sold to A & C Health Care Services, Inc., dba Millbrae Manor. Emmanuel is subcontracting with Millbrae Manor for the provision of services included in this Agreement. Services are being provided under the license of Emmanuel until Millbrae Manor receives its license from the State of California, Department of Social Services, to operate an adult residential facility.

 

On February 12, 2008, the County Manager approved Agreement 61000-08-C203 with Emmanuel for the term July 1, 2007 through June 30, 2008, for a maximum obligation of $100,000. Under this Agreement, Emmanuel provides residential care services for up to twenty beds to mentally ill clients.

 

DISCUSSION:

The need for services by this provider has increased. This Agreement is being amended to increase the maximum number of client beds from twenty to twenty-five and to extend the term of the Agreement through June 30, 2009. Once Millbrae Manor has its State license in place, a contract will be initiated with them directly for these services. Once that agreement is in place, this Agreement will be terminated.

 

The Amendment to 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. This was initially delayed in anticipation of Millbrae Manor receiving their State license. It has been further delayed due to Contractor’s late submission of insurance certificates.

 

FISCAL IMPACT:

The term of the amended Agreement is July 1, 2007 through June 30, 2009. The Agreement maximum is being increased by $132,970 from $100,000 to $232,970 for the two-year term. The budgeted maximum for FY 2007-08 is increased by $6,315 to a new maximum of $106,315 which was included in the BHRS FY 2007-08 Adopted Budget. Of the increase for FY 2007-08, realignment will cover $5,621, and the Net County Cost is $694. The budgeted maximum for FY 2008-09 is $126,655, which is included in the BHRS FY 2008-09 Adopted Budget. Realignment will cover $112,723 of the cost. The remaining $13,932 represents Net County Cost.