Inter-Departmental Correspondence

Health System



April 30, 2010


June 8, 2010







Honorable Board of Supervisors


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



Agreement No. AP-1011-08 with the California Department of Aging for Fiscal Year 2010-11



Adopt a Resolution:


Authorizing the President of the Board to execute Agreement No. AP-1011-08 for funding under Titles III and VII of the Older Americans Act with the California Department of Aging for the continuation of nutrition, supportive, and employment community-based services for the term of July 1, 2010 through June 30, 2011, in the amount of $2,753,409; 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.



Every four years your Board, as the Area Agency on Aging (AAA) of San Mateo County, is required to submit an Area Plan for aging services to California Department of Aging (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 Older Americans Act (OAA) and Older Californians Act (OCA) 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 April 28, 2009, your Board approved the AAA 2009 – 2012 Area Plan for Services for Older Adults and Adults with Disabilities (Area Plan). This plan, together with the annual budget, fulfills CDA’s requirements and generates a contract from CDA for funding.



Titles III and VII funding support a variety of programs including Adult Day Care, Alzheimer’s Program, 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 services, which serve approximately 15,000 clients annually, are designed to carry out many of the goals and objectives identified in the Area Plan and help at-risk individuals remain in the most independent setting possible.


Nutrition, supportive, and employment services are part of the group of services funded with the County’s OAA allocation and are provided by community-based agencies. Funds from this Agreement make up a portion of the funds spent in the community for these services. The community-based agencies provide additional funds to enhance services.


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


This Agreement provides OAA funding which contributes to the Shared Vision 2025 outcome of a Healthy Community by allowing Aging and Adult Services (AAS) to provide services to at-risk individuals that help them remain in the most independent setting possible through case management. It is anticipated that 15,000 clients will be served this fiscal year and that 95% of at-risk individuals will be maintained in a least restrictive setting with the assistance of these services.


Performance Measure:


FY 2009-10

FY 2010-11

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





The term of the Agreement is July 1, 2010 through June 30, 2011. The maximum obligation for this Agreement is $2,753,409. These funds have been included in the AAS FY 2010-11 Recommended Budget. There is no Net County Cost associated with the Agreement.