Inter-Departmental Correspondence
Health System



May 14, 2010


June 8, 2010







Honorable Board of Supervisors



Jean S. Fraser, Chief, Health System


Louise Rogers, Director, Behavioral Health & Recovery Services



Agreement with Perrine D. Salariosa doing business as Portobello Care Home



Adopt a Resolution:

1) Authorizing the President of the Board to execute an Agreement with Perrine D. Salariosa doing business as Portobello Care Home for the provision of residential board and care services for mentally ill clients for the term July 1, 2010 through June 30, 2013, for a maximum obligation of $250,775; and


2) Authorizing the Chief of the Health System or 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.



Since December 17, 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. Behavioral Health and Recovery Services (BHRS) publishes a public notice every year to solicit applications for new providers. BHRS has contracted with Portobello Care Home for many years.



This contractor operates a sixteen-bed board and care facility for difficult to place clients, and provides two levels of service, the Step Down Service Level and the Augmented Service Level. Clients at the Step Down Service Level are generally more independent and stable, requiring lower levels of supervision and less intensive services. The Augmented Service Level is for seriously mentally ill clients who require a higher level of supervision and services including more intensive mental health services, social skills training, and assistance with activities of daily living. The Agreement with this provider is for a three-year period.


The Agreement has been reviewed and approved by Risk Management, and the Agreement and Resolution have been reviewed and approved by County Counsel. 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.


Subsequent to the final adoption of the State budget it may be necessary to make changes to this contract in order to reflect legislative action. This contract is recommended to your Board at this time in order to provide a continuity of services to the community until final funding levels can be determined. The contract provides that the County may reduce the scope of the contract to reflect any shortfall in funding from State or federal allocations.


The Agreement contributes to the Shared Vision 2025 outcome of a Healthy Community by providing residential board and care services to mentally ill clients. BHRS provides a range of services to promote wellness and recovery and to support consumers remaining in the lowest possible level of care. The provision of residential board and care services is one established level of care. The services provided through this Agreement contribute to this measure. It is anticipated that 91% of clients who receive services through this Agreement shall rate services as good or better.


Performance Measure:


FY 2009-10

    FY 2010-11

Minimum percentage of client survey respondents who shall rate services as good or better.





The term of the Agreement is July 1, 2010 through June 30, 2013, and the maximum obligation is $250,775. For FY 2010-11 the maximum obligation is $81,059. Of that amount, it is anticipated that $72,953 will be funded by sales tax through Realignment, and $8,106 will be Net County Cost. Funds for these services will be included in the BHRS FY 2010-11 Recommended Budget. Similar arrangements will be in place for FY 2011-12 and FY 2012-13.