To: BOARD OF SUPERVISORS
From: Behavioral Health and Recovery Services
Meeting Date: May 6, 2025
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Department Contact: |
Jenine Miller, Psy.D. |
Phone: |
707-472-2341 |
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Item Type: Consent Agenda |
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Time Allocated for Item: N/A |
Agenda Title:
title
Approval of First Amendment to Agreement No. BOS-24-059 with Davis Guest Home in the Amount of $250,000 for a New Agreement Total of $633,850, to Provide Residential Care to Mendocino County Lanterman-Petris-Short Clients, Effective July 1, 2024, through June 30, 2025
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Recommended Action/Motion:
recommendation
Approve first amendment to Agreement No. BOS-24-059 with Davis Guest Home in the amount of $250,000 for a new Agreement total of $633,850, to provide residential care to Mendocino County Lanterman-Petris-Short clients, effective July 1, 2024, through June 30, 2025; authorize the Health Services Director or designee to sign any future amendments that do not increase the annual maximum amount; and authorize Chair to sign same.
End
Previous Board/Board Committee Actions:
May 7, 2024, Item 3i) Approval of Agreement BOS 24-059.
Summary of Request:
The Lanterman-Petris-Short (LPS) Act is the California law governing the involuntary civil commitment of individuals who, due to mental illness, pose a danger to themselves, a danger to others, or who are gravely disabled and require inpatient psychiatric care. The intent of the LPS Act was to end inappropriate lifetime commitment of people with mental illness and firmly establish their right to due process while significantly reducing state institutional expense.
Pursuant to the requirements of the LPS Act, Mendocino County is responsible for providing residential care services to LPS clients who are court-mandated to receive a specific level of care requiring a structured environment due to mental health challenges. Currently, there are no local facilities in Mendocino County that are able to provide all levels of care as mandated by the courts. In addition, there is a shortage of residential care facilities statewide, which creates competition for these placements. As a result, Behavioral Health and Recovery Services (BHRS) contracts with multiple residential care facilities in order to help manage the shortage, and to maintain current client placements ensuring the most appropriate care within the largest possible placement options.
Davis Guest Home is one of the few residential care facilities able to provide services to Mendocino County LPS clients. Davis Guest Home is a residential care facility in Modesto, CA providing 24-hour residential care in a clean, comfortable, and home-like environment. Contractor provides medication management, educational opportunities, socialization and group interactions, entertainment/recreation, and transportation to the residents with an overall goal for clients to achieve independence with a lower level of care requirement.
An amendment is being requested, as the placement was utilized at a higher rate than was anticipated during this fiscal year. Davis Guest Home has been able to accommodate clients with more complex presentations than some of our other levels of care requiring an increased utilization and increased cost of care for clients of Mendocino County.
Alternative Action/Motion:
Return to staff for alternative handling.
Strategic Plan Priority Designation: A Safe and Healthy County
Supervisorial District: All
Vote Requirement: Majority
Supplemental Information Available Online At: N/A
Fiscal Details:
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source of funding: 4050 |
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current f/y cost: $633,850 |
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budget clarification: Yes |
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annual recurring cost: Varies by utilization. Budgeted at $383,850, increased costs mitigated by reduction in other utilization. |
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budgeted in current f/y (if no, please describe): No |
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revenue agreement: No |
AGREEMENT/RESOLUTION/ORDINANCE APPROVED BY COUNTY COUNSEL: Yes
CEO Liaison: Tony Rakes, Deputy CEO
CEO Review: Yes
CEO Comments:
FOR COB USE ONLY
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Executed By: Atlas Pearson, Senior Deputy Clerk |
Final Status: Approved |
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Date: May 6, 2025 |
Executed Item Type: Agreement |
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Number: 24-059-A1 |
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