TO: Board of Supervisors
FROM: Jennifer Yasumoto, Director of Health and Human Services Agency
REPORT BY: Gaby Angeles, Staff Services Analyst II
SUBJECT: Agreement No. 270175B with Telecare Corporation, Garfield Neurobehavioral Center
RECOMMENDATION
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Approve and authorize Agreement No. 270175B with Telecare Corporation, Garfield Neurobehavioral Center, for a maximum of $440,000 for Fiscal Year 2026-2027, and each subsequent automatic renewal, for the provision of residential skilled nursing, specialty rehabilitative services, and behavioral health services. (Fiscal Impact: $440,000 Expense; Health and Human Services Agency Fund; Budgeted; Mandatory)
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BACKGROUND
Garfield Neurobehavioral Center (GNBC) is a 96-bed skilled nursing facility in Oakland that provides integrated medical, psychiatric, nursing, behavioral, and rehabilitative services to individuals with complex neurobehavioral conditions. GNBC offers a lower-cost alternative to placement in higher-level institutional settings, such as Napa State Hospital. Napa County Health and Human Services Agency (HHSA) requires GNBC for clients who need to be placed into this level of care and specialized support.
Requested Action:
1. Approve and authorize Agreement No. 270175B with Telecare Corporation, Garfield Nuerobehavioral Center, for a maximum of $440,000 for Fiscal Year 2026-2027, and each subsequent automatic renewal, for the provision of residential skilled nursing, specialty rehabilitative services, and behavioral health services.
FISCAL IMPACT
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Is there a Fiscal Impact? |
Yes |
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Is it currently budgeted? |
Yes |
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Where is it budgeted? |
Health and Human Services Agency, Behavioral Health Division |
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Is it Mandatory or Discretionary? |
Mandatory |
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Is the general fund affected? |
No |
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Future fiscal impact: |
This agreement contains a provision for automatic annual renewal. Appropriations have been included in the proposed 2026-2027 budget and future fiscal years will be budgeted accordingly |
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Consequences if not approved: |
If not approved, HHSA clients would have no placement or would need to be placed at a higher cost facility. |
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Additional Information |
Strategic Initiative: Compassion & Access |
ENVIRONMENTAL IMPACT
ENVIRONMENTAL DETERMINATION: The proposed action is not a project as defined by 14 California Code of Regulations 15378 (State CEQA Guidelines) and therefore CEQA is not applicable.