TO: Board of Supervisors
FROM: Jennifer Yasumoto, Director of Health and Human Services Agency
REPORT BY: Summer Isham, Contracts Supervisor
SUBJECT: Amendment No. 7 to Lease Agreement 160001B with Calistoga Rental Homes, LLC, and Lease Agreement No. 260023B with UpValley Family Centers

RECOMMENDATION
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Approve and authorize Amendment No. 7 to Lease Agreement No. 160001B with Calistoga Rental Homes, LLC, for the term January 6, 2016 through December 31, 2027 allowing the removal of office suites pursuant to terms and conditions. Approve and Authorize Lease Agreement No. 260023B with UpValley Family Centers for the term July 1, 2025 through March 31, 2028 for the purpose of supporting a partnership between Health and Human Services Agency and UpValley Family Centers in an embedded model enhancing our ability to provide integrated access to critical services for residents. (Fiscal Impact: $8,400 Expense; Health and Human Services Agency Fund, Budgeted; Discretionary)
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BACKGROUND
HHSA has offered services out of business office suites at 1705 Washington St. in Calistoga where UpValley Family Centers (UVFC) also maintained office space. UVFC recently relocated to the former Vermeil Clinic through a lease with St. Helena Hospital to that very central location at 913 Washington St. Calistoga. The HHSA Director and UVFC Executive Director engaged in discussions several months ago about a partnership and embedded model where our shared clients can benefit from better access, and residents seeking supportive services can be readily engaged by having HHSA services embedded at UVFC’s new location.
A tour of UVFC’s new location revealed that it is a much more suitable and welcoming location for the provision of health and social services, inclusive of a lobby, reception area, office space, and community spaces and rooms. It is also conveniently located next door to Communicare+Ole’s Calistoga office and nearer to the downtown area. Further, other community-based providers will also be utilizing the space thereby maximizing the services delivered at this location and enhancing the volume of clients that can be both directed to and served at this wonderful new location.
Our 2023 Community Health Assessment and the 2022 Napa Older Adults Assessment identified “access to health services” and “transportation” as priority areas for Napa County. One of the goals of HHSA’s 2024-2026 Strategic Plan is to increase accessibility and equitable outcomes by expanding integrated, co-located, and place-based services. Embedding HHSA’s services and staff with UVFC fosters collaboration and partnership, allowing for synergies in service delivery to occur that would be lost if we operated from separate locations. Since UVFC recently moved into this location, this is a rare opportunity to acquire much needed service and treatment space.
HHSA is therefore amending agreement 160001B with Calistoga Rental Properties for the removal of five business offices, as set forth by the negotiated terms of the lease which occur as leases with successor occupants are made. HHSA is also entering into the above-described new agreement with UVFC to sublease two providers suites, with access to a provider room and community room, to provide eligibility services for residents in need of food assistance and medical coverage, access to behavioral health services, benefits for WIC (Women, Infants, and Children), and In Home Supportive Services at a monthly rent of $700, increasing annually through the term of the lease. HHSA anticipates moving into UVFC at the beginning of the fiscal year.
Requested Actions:
1. Approve and authorize Amendment No. 7 to Lease Agreement No. 160001B with Calistoga Rental Homes, LLC, allowing the removal of office suites pursuant to terms and conditions.
2. Approve and Authorize Lease Agreement No. 260023B with UpValley Family Centers for the term July 1, 2025 through March 31, 2028 for the purpose of supporting a partnership between Health and Human Services Agency and UpValley Family Centers in an embedded model enhancing our ability to provide integrated access to critical services for residents.
FISCAL & STRATEGIC PLAN IMPACT
Is there a Fiscal Impact? |
Yes |
Is it currently budgeted? |
Yes |
Where is it budgeted? |
Health and Human Services Agency, Behavioral Health, Public Health, Comprehensive Services for Older Adults and Self Sufficiency Divisions |
Is it Mandatory or Discretionary? |
Discretionary |
Discretionary Justification: |
While embedding services within a family resource center is not mandatory, this service model is optimal and will improve access to up valley residents, clients, and caregivers thereby improving overall health and well-being. |
Is the general fund affected? |
No |
Future fiscal impact: |
Appropriations have been included in the FY 25-26 budget and future fiscal years will be budgeted accordingly. |
Consequences if not approved: |
HHSA will have less accessible services for upvalley residents. |
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.