TO: Board of Supervisors
FROM: Jennifer Yasumoto, Health & Human Services Agency
REPORT BY: Gaby Angeles, Staff Services Analyst II
SUBJECT: Amendment No. 2 to Agreement No. 200270B with Davis Guest Home, Inc.
RECOMMENDATION
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Director of Health and Human Services requests approval of and authorization for the Chair to sign Amendment No. 2 to Agreement No. 200270B with Davis Guest Home, Inc. increasing the contract maximum to $2,000,000 for Fiscal Year 2021-2022, and each subsequent automatic renewal, for the delivery of residential mental health client services.
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EXECUTIVE SUMMARY
Approval of this action will increase the contract maximum amount by $200,000 for a new maximum of $2,000,000 commencing in Fiscal Year 2021-2022, and each subsequent automatic renewal. The increase is necessary to accommodate higher than average facility utilization numbers, predominantly due to increased numbers of individuals transitioned out of more costly Institution for Mental Disease settings, who can be placed at this lower level of care. Since the number of clients placed at Davis Guest Home varies from year to year and the demand is unknown in advance, a sufficient contract maximum is necessary in order to provide timely placement of clients in need.
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 & Human Services Mental Health |
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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 Fiscal Year 2021-2022 budget. Future fiscal years will be budgeted accordingly. |
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Consequences if not approved: |
If this item is not approved there will be less capacity to house clients needing this service, subsequently discharging into the community from institutional care where there is less capacity to treat clients at this lower and much less expensive level of care. Results would also mean increased need to house mentally ill adults in locked institutions (at higher cost). A sufficient contract maximum is necessary in order to provide timely placement of clients in need. |
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County Strategic Plan pillar addressed: |
Healthy, Safe, and Welcoming Place to Live, Work, and Visit |
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.
BACKGROUND AND DISCUSSION
Located in Modesto, Davis Guest Home is the only enhanced board and care facility close to Napa County. It has proven successful in providing placement to some clients who would otherwise be institutionalized.
Davis Guest Home is a family-owned and operated residential care facility that provides 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 programs. This program serves as a less costly, community-based alternative to long-term locked settings and is often utilized as a step down for individuals coming out of long-term locked settings in order to better prepare the individual for a successful reentry into the community.
Davis Guest Home, Inc. is not a local provider.