TO: Board of Supervisors
FROM: Jennifer Yasumoto, Director of Health and Human Services Agency
REPORT BY: Gaby Angeles, Staff Services Analyst II
SUBJECT: Amendment No. 4 to Agreement No. 170263B with SmithWaters Group

RECOMMENDATION
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Approve and authorize Amendment No. 4 to Agreement No. 170263B with SmithWaters Group, to increase the contract maximum by $15,000 for a new annual contract maximum of $135,000 for Fiscal Year 2024-2025, and each subsequent renewal, for the provision of mandated mental health Patients’ Rights advocacy services. (Fiscal Impact: $135,000 Expense; Health and Human Services Agency Fund, Behavioral Health Division; Budgeted; Mandatory).
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BACKGROUND
The State requires each County to assign a Patients' Rights Advocate to handle complaints of mentally disabled patients and residents withholding of rights guaranteed under California Code of Regulations Title 9, Chapter 4, Division 1, Article 6, Section 863.1. The Patients' Rights Advocate is delegated the responsibility under Title 9 and under California Welfare and Institutions Code (WIC) Section 5325 to ensure individuals in facilities specified in Title 9 Section 860 are afforded their statutory and constitutional rights. The SmithWaters Group provides Patients' Rights Advocacy Services during mandated hearings for individuals placed at Napa State Hospital and St. Helena Hospital in Deer Park under involuntary inpatient holds. The increase in this amendment will accommodate more WIC Section 5150 certification trainings for the County’s staff and Crisis Stabilization Unit, as well as visits into other locked facilities, such as the Crestwood facilities in Angwin and Vallejo.
FISCAL & STRATEGIC PLAN 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 Fiscal Year 2024-2025 budget and future fiscal years will be budgeted accordingly. |
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Consequences if not approved: |
If this amendment is not approved, the Patients’ Rights Advocate would not be able to expand mandated services to County staff and mentally disabled patients. |
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