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. 3 to Agreement No. 200273B with Willow Glen Care Center, Inc.
RECOMMENDATION
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Approve and authorize Amendment No. 3 to Agreement No. 200273B with Willow Glen Care Center, Inc., to increase the contract maximum by $750,000 for a new contract maximum of $1,500,000 for Fiscal Year 2024-2025, and each subsequent renewal, to provide residential mental health services. (Fiscal Impact: $1,500,000 Expense; Health and Human Services Agency Fund; Budgeted; Mandatory)
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BACKGROUND
The County’s Health and Human Services Agency (HHSA) contracts with a variety of facilities to provide rehabilitative care in a secured setting. These facilities provide 24-hour residential care and mental health services with a primary focus on the stabilization and treatment of individuals who are conserved pursuant to Lanterman-Petris-Short (LPS) (W&I Code, Section 5358) due to grave disability caused by mental illness. HHSA is responsible for ensuring that these individuals are placed at an appropriate level of care to address their mental health issues.
Willow Glen Care Center, Inc., located in Yuba City, California, owns and operates the following facilities: Willow Glen Care Center, Rosewood Care Center, Sequoia Psychiatric Treatment Center, and Cedar Grove Mental Health Rehab Center (MHRC). Each facility specializes in providing care for individuals who meet LPS criteria, with a focus on specific populations such as older adults, recently conserved individuals, and those preparing to transition to a lower level of care.
This amendment increases the contract maximum due to a rise in court-mandated LPS-conserved individuals, which necessitates greater utilization of placements at Willow Glen Care Center and its affiliated facilities. In the current year Willow Glen implemented an overall 13% increase to their rates. Another factor contributing to the increase in costs is the growing number of LPS-conserved individuals who lack Social Security income, which typically offsets board and care fees. Furthermore, the individuals being placed have an increased level of acuity, which requires a longer stay.
Willow Glen Care Center, Inc. is not a local vendor but offers closer access than most similar facilities. Its proximity supports family involvement, continuity of care, and smoother transitions to lower levels of care. With limited placement options for individuals with severe mental illness, Willow Glen is one of the few nearby locked facilities with a community-like setting.
Requested Actions:
1. Approve and authorize Amendment No. 3 to Agreement No. 200273B with Willow Glen Care Center, Inc., increasing the contract maximum by $750,000 for a new contract maximum of $1,500,000 for Fiscal Year 2024-2025, and each subsequent renewal, to provide residential mental health services.
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 approved 2024-2025 budget and future fiscal years will be budgeted accordingly. |
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Consequences if not approved: |
If not approved, HHSA would need to place conserved individuals in less clinically effective inpatient settings at a higher cost. |
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.