Inter-Departmental Correspondence

Health System



March 4, 2011


April 12, 2011







Honorable Board of Supervisors


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



Second Amendment to the Agreements with three providers for Adult Day Care Services



Adopt a Resolution authorizing the President of the Board to execute the Second Amendment to each of the Agreements with Catholic Charities CYO; City of South San Francisco; and Peninsula Volunteers, Inc., increasing the collective amount by $141,600 for FY 2011-12 for a total of $424,800 with no change to the term of July 1, 2009 through June 30, 2013.



Aging and Adult Services (AAS) receives funding from the California Department of Aging (CDA) for the Multipurpose Senior Services Program (MSSP). MSSP provides a variety of services such as adult day care, transportation, attendant care, and family caregiver support through agreements with community-based organizations. These Agreements provide adult day care services which provide a structured and therapeutic program of supervised social, recreational, and nutritional services, and link participants to needed supportive services. The goal of adult day care is to maintain or improve the well-being of seniors and adults with disabilities.


On June 9, 2009, your Board adopted Resolution 70153 approving Agreements with Catholic Charities CYO; City of South San Francisco; and Peninsula Volunteers, Inc., in the collective amount of $141,600 for the term of July 1, 2009 through June 30, 2013 for the provision of adult day care services. This Resolution also authorized 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.


On May 11, 2010, your Board adopted Resolution 70754 approving Amendment One to these Agreements. Amendment One increased funding in the amount of $141,600 for FY 2010-11 for a collective total amount of $283,200 for the full term of the Agreements with no other changes.



The adult day care service providers were selected through a Request for Proposals process conducted in 2009 by AAS for a contract term of July 1, 2009 through June 30, 2013. This Second Amendment to the Agreements increases the funding based on annual CDA funding for the continuation of these services for FY 2011-12. Exhibits A and B have been modified to clarify Contractor’s requirements.


This Amendment contributes to the Shared Vision 2025 outcome of a Healthy Community by allowing AAS to provide services to at-risk individuals that help them remain in the most independent setting possible. It is anticipated that 95% of at-risk individuals will be maintained in a least restrictive setting through case management.


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


Performance Measure:


FY 2009-10

FY 2010-11

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



*Contractors exceeded this expectation in FY 2009-10.



The term of the Agreements remains the same, July 1, 2009 through June 30, 2013. The maximum the County shall be obligated to pay collectively for these amended Agreements for FY 2011-12 under a single resolution is $141,600. The new collective amount of the Agreements is $424,800 for the full contract term. These Agreements are a combination of State and federal funds, and will be included in the AAS FY 2011-12 Recommended Budget. There is no Net County Cost associated with this action.