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. 2 to Agreement No. 190166B with Ever Well Health Systems, LLC
RECOMMENDATION
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Approve and authorize Amendment No. 2 to Agreement No. 190166B with Ever Well Health Systems, LLC, to increase the contract maximum by $350,000 for a new annual contract maximum of $600,000 for Fiscal Year 2023-2024, and each subsequent renewal, for the provision of adult residential services for various levels of mental health needs. (Fiscal Impact: $600,000 Expense; Health and Human Services Agency Fund, Behavioral Health Division; Budgeted; Mandatory).
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BACKGROUND
Ever Well Health Systems, LLC, operates both Adult Residential Facilities (ARF) and Residential Facilities for the Elderly (RCFE) throughout California. These residential care facilities provide long-term stable housing for individuals who are unable to stay in traditional board and care community placements because their mental health symptoms and/or behaviors prevent them from functioning at the level of independence required in other facilities. These programs serve as a less costly, community-based alternative to long-term locked settings and are often utilized as a next step for individuals coming out of long-term locked settings in order to better prepare them for a successful reentry into the community. Utilizing facilities like this have proven successful in providing placement to clients who would otherwise be institutionalized.
Ever Well facilities are located in Stockton, along the Delta, and into Central California. The increase to the contract maximum in this amendment is necessary due to increased utilization of our older adult population in the multiple facilities operated by Ever Well.
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. While appropriations were not included in the approved Fiscal Year 2023-2024 budget, there is sufficient authority to cover this cost from other facilities that are not being utilized per the projected budget. Future fiscal years will be budgeted accordingly. |
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Consequences if not approved: |
If this amendment is not approved, Napa County could lose the continuity of placement for clients and negatively impact their access to resources needed. |
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.