Agenda

Return

C. 54

To:	Board of Supervisors
From:	Anna Roth, Health Services Director
Date:	September 21, 2021

Contra

Costa

County

Subject:

Contract #24-681-82(17) with Modesto Residential Living Center, Inc.

APPROVE	OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR	RECOMMENDATION OF BOARD COMMITTEE

Action of Board On: 09/21/2021

APPROVED AS RECOMMENDED

OTHER

Clerks Notes:

VOTE OF SUPERVISORS

AYE:

John Gioia, District I Supervisor
Candace Andersen, District II Supervisor
Diane Burgis, District III Supervisor
Karen Mitchoff, District IV Supervisor
Federal D. Glover, District V Supervisor

Contact:

Suzanne Tavano, Ph.D., 925-957-5212

I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown.
ATTESTED: September 21, 2021
Monica Nino, County Administrator

BY:	, Deputy

RECOMMENDATION(S):

APPROVE and AUTHORIZE the Health Services Director, or designee, to execute on behalf of the County Contract #24-681-82(17) with Modesto Residential Living Center, Inc., a corporation, in an amount not to exceed $306,567, to provide augmented board and care services for the period from September 1, 2021 through August 31, 2022.

FISCAL IMPACT:

This contract will result in contractual service annual expenditures of up to $306,567 and will be funded as budgeted by the department by 51% Mental Health Realignment and 49% Mental Health Services Act. (No rate increase)

BACKGROUND:

The Behavioral Health Services Department has been contracting with Modesto Residential Living Center, Inc., since September 1, 2007 to provide augmented board and care services for mentally ill adults.

BACKGROUND: (CONT'D)

This contract meets the social needs of the County's population by augmenting room and board and providing twenty-four hour emergency residential care and supervision to eligible mentally disordered clients, who are specifically referred by the Mental Health Program Staff and who are served by County Mental Health Services.

On July 14, 2020, the Board of Supervisors approved Contract #24-681-82(14) with Modesto Residential Living Center, Inc, in an amount not to exceed $231,012, to provide augmented board and care services for mentally ill adults, through August 31, 2021.

On September 8, 2020, the Board of Supervisors approved Contract Amendment Agreement #24-681-82(15) with Modesto Residential Living Center, Inc, to increase the payment limit by $75,555, from $231,012 to a new payment limit of $306,567, with no change in the term of September 1, 2020 through August 31, 2021.

In January 2021, the County Administrator approved and Purchasing Services Manager executed Administrative Amendment Agreement #24-681-82(16) with Modesto Residential Living Center, Inc, to correct the monthly payment limit from $19,251 to the intended $25,668 per month with no change in the contract payment limit of $306,567 or term of September 1, 2020 through August 31, 2021.

On September 7, 2021 the renewal of this contract (Item C.115) was removed from the consent calendar at the request of a community stakeholder due to alleged complaints that had been filed with Community Care Licensing (CCL). Behavioral Health subsequently reviewed CCL complaints of this facility with 100 beds. The Division is aware that complaints do arise from time to time, with facilities serving clients with complex behavioral health needs, that may require attention from the operator. The Division feels the nature of the complaints are consistent with what other programs experience and staff report positive interactions with the provider. Additionally, this facility is one of a limited number that are willing to accept clients with physical co-morbidities and as such fill an important role. In light of this review and the services provided by Modesto Residential Living Center, the Division requests to continue the relationship with this provider and approval of this contract.

Approval of Contract #24-681-82(17) will allow the contractor to continue to provide augmented board and care services through August 31, 2022.

CONSEQUENCE OF NEGATIVE ACTION:

If this contract is not approved, the County will not be able to provide augmented board and care services to mentally ill adults in Contra Costa County through this contractor.