Inter-Departmental Correspondence




October 22, 2009


November 10, 2009







Honorable Board of Supervisors


Jean S. Fraser, Chief, Health System
Lisa Mancini, Director, Aging and Adult Services



Agreements with 25 providers of Aging and Adult Services for FY 2009-10


Adopt a Resolution:


Authorizing the President of the Board of Supervisors to execute the Agreements with Alzheimer’s Association, Northern California & Northern Nevada; Avenidas; Catholic Charities CYO; Center for Independence of the Disabled; City of Belmont; City of Daly City; City of East Palo Alto; City of Menlo Park; City of Pacifica; City of San Bruno; City of San Mateo; City of South San Francisco; Coastside Adult Day Health Center; Edgewood Center for Children and Families; Family Caregiver Alliance; Family Service Agency; Hospital Consortium of San Mateo County; Kimochi, Inc.; Legal Aid Society of San Mateo County; Mills-Peninsula Health Services; Ombudsman Services of San Mateo County, Inc.; Peninsula Volunteers, Inc.; Second Harvest Food Bank; Self Help for the Elderly; and Senior Coastsiders for the provision of supportive, nutrition, and community-based services for the term of July 1, 2009 through June 30, 2010, for the total amount of $3,151,236; and



Authorizing the Chief of the Health System or designee to execute contract amendments which modify the funding amount 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.



Fiscal Year 2009-10 is the first year of a four-year planning cycle for Older Americans Act (OAA), Community-Based Services Program (CBSP), and Health Insurance Counseling and Advocacy Program (HICAP) funding. In September 2008, the Commission on Aging (CoA) approved issuance of a Request for Proposals (RFP) for provision of services to older adults and adults with disabilities. Aging and Adult Services (AAS) issued a competitive RFP in December 2008, for a four-year cycle effective July 1, 2009 through June 30, 2013. AAS has selected to contract with 25 of the 26 providers that submitted proposals for services

through the first year of this RFP. All 25 Agreements are funded with a combination of federal, state, and county dollars, along with contributions from providers, the individuals served, the community, and other grants. Federal and state funding is provided through agreements with the California Department of Aging (CDA) for American Recovery and Reinvestment Act (ARRA), Title III/VII, Title V, CBSP, HICAP, and the Nutrition Services Incentive Program (NSIP).



Services to be provided through these Agreements include Adult Day Care/Adult Day Health Care, Alzheimer’s Program, Brown Bag Program, Case Management, Congregate Nutrition, Caregiver Support, HICAP, Health Promotion/Disease Prevention, Home-Delivered Meals, Legal Assistance, Ombudsman Services, Senior Employment, and Transportation. All service providers were selected through an approved RFP process, which was open to any interested providers and reviewed by an evaluation team approved by the CoA. These nutrition, supportive, and employment services, which serve approximately 15,000 seniors annually, are designed to carry out many of the goals and objectives identified in the New Beginning Coalition Strategic Plan and help at-risk individuals remain in the most independent setting possible.


Risk Management has reviewed and approved these Agreements. County Counsel has reviewed and approved the Resolution and Agreements as to form. The City of San Bruno has requested a change to the County’s standard Non-Discrimination Enforcement Language. A waiver request for this language has been approved by the County Manager. The delay in processing these Agreements is due to the timing of receiving the OAA, CBSP and HICAP FY 2009-10 allocation from CDA. These Agreements are currently on the Continuing Resolution.


OAA, CBSP and HICAP funds contribute to the Shared Vision 2025 outcome of a Healthy Community by allowing AAS to contract with community partners to provide a variety of much needed services to this targeted population. It is anticipated that 95% of at-risk individuals will be maintained in a least restrictive setting through case management.


Performance Measures:


FY 2008-09

FY 2009-10

Number of people served through Area Agency on Aging funds



Percent of at-risk individuals maintained in a least restrictive setting through case management





The term of these Agreements is July 1, 2009 through June 30, 2010. The total combined amount of these Agreements is $3,151,236 (Exhibit A). Of this amount, $2,608,232 is provided through state and federal funding (ARRA, Title III/VII, Title V, CBSP, and NSIP). Funding from the County Meals on Wheels Trust Fund is $44,406. The remaining $498,598 represents the Net County Cost. The federal, state, and county funding is included in the AAS FY 2009-10 Adopted Budget.