Approve second amendment to Agreement No. 22-135 with Willow Glen Care Center to add funding in the amount of $166,016 for 2023-24 for a new contract maximum of $4,416,016 for period of July 1, 2022 through June 30, 2025 for the provision of mental health services for clients who are Seriously Mentally Ill (SMI), including board and care, psychiatric and mental health rehabilitation center (MHRC) residential facilities. (No general fund impact) (Sullivan)

Approve second amendment to Agreement No. 22-135 with Willow Glen Care Center to add funding in the amount of $166,016 for 2023-24 for a new contract maximum of $4,416,016 for period of July 1, 2022 through June 30, 2025 for the provision of mental health services for clients who are Seriously Mentally Ill (SMI), including board and care, psychiatric and mental health rehabilitation center (MHRC) residential facilities. 

On or about June 28, 2022, the County entered into an Agreement with Willow Glen Care Center, a nonprofit 501(c)(3) corporation located in Northern California. Willow Glen Care Center is a residential care facility that provides less restrictive placement environments compared to an Institute for Mental Disease for conservatees. Their facilities are licensed by the Community Care Licensing Division of the California Department of Social Services. Willow Glen specializes in serving people with difficult behavioral problems, monitoring psychotropic medications, and providing a safe and supportive environment to help residents achieve their highest level of independent functioning. Willow Glen has provided services to Yolo County Medi-Cal eligible clients aged 18 and above who are diagnosed with a serious mental illness (SMI) and continue to provide 24-hour residential care to adults that do not require placement in more restrictive levels of care.
 
HHSA requests approval of this amendment which will add an additional $166,016 for Fiscal Year 2023-24 and update and clarify language in the Agreement. Approval of this amendment will allow for continued services to this vulnerable client population and will allow HHSA to cover remaining year-end invoices.

Performance Measures included in this Agreement are as follows:
The Performance Measures were included in the underlying Agreement and are not being revised at this time (See Att. B. Performance Measures)

HHSA confirms Willow Glen Care Center has performed satisfactorily under this Agreement. Willow Glen has provided care to the most vulnerable clients and have been instrumental in reaching the goal in establishing successful client/program relationships and impacting the stabilization of seriously mentally ill adults in the County.

County Counsel has approved this amendment as to form.
Department of General Services, Procurement Division

On March 23, 2022, the then acting Yolo County Procurement Manager approved a sole source of procurement for these services.

Procurement reviewed HHSA’s request and determined that it was in the best interest of the County to approve the sole source. Without the sole source approval of the agreement with the vendor, the County would lose the ability to place clients in appropriate levels of care. Factors considered, included but were not limited to:
1) the County continues to experience a steady increase in services needed for the stabilization of seriously mentally ill adults; 2) proximity-vendor is in a neighboring county; 3) rates are fair compared to other private companies and are an augmented Board and Care rate; and 4) the County would lose the ability to place consumers in a nearby facility. The County would be limited in its ability to identify and place consumers quickly into facilities offering an appropriate level of care, and in some cases would be unable to meet federally mandated standards regarding the provision of care for consumers.

No general funds are required by this action. These services will be funded by realignment. The action increases the contract maximum by $166,016 for a total of $4,416,016 for the period of July 1, 2022 through June 30, 2025. The amount of $166,016 is included in the HHSA adopted budget for fiscal year 2023-24. The related funding will be included in the requested budget process for future fiscal years.

The following is the breakdown of funding for this agreement.

The agreement also includes two one-year optional extensions for Fiscal Years 2025-26 and 2026-27 in an amount less than or equal to $1,400,000 per fiscal year.

In no event shall the term of the Agreement extend beyond June 30, 2027, nor shall the total contract maximum exceed the amount of SEVEN MILLION TWO HUNDRED SIXTEEN THOUSAND SIXTEEN DOLLARS ($7,216,016), unless otherwise agreed to in writing by the parties and in conformity with the then-current Yolo County Procurement Policy approved by the Yolo County Board of Supervisors.