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Regular-Health & Human Services # 34.
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| Board of Supervisors |
Adult & Aging |
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| Subject |
| Receive presentation on proposed facility maintenance support at the Pine Tree Gardens Board & Care homes (PTG B&Cs) operated by Turning Point Community Programs; and authorize the Manager of Procurement to enter into an agreement with Turning Point for facility maintenance at PTG B&Cs in a not-to-exceed amount of $450,000 ($150,000 each for fiscal years 2018-19, 2019-20, and 2020-21). (No general fund impact) (Larsen) |
| Recommended Action |
- Receive presentation on proposed facility maintenance support at the Pine Tree Garden Board & Care homes (PTG B&Cs) operated by Turning Point Community Programs; and
- Authorize the Manager of Procurement to enter into an agreement with Turning Point for facility maintenance at PTG B&Cs in a not-to-exceed amount of $450,000 ($150,000 each for fiscal years 2018-19, 2019-20, and 2020-21).
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| Strategic Plan Goal(s) |
Operational Excellence
Thriving Residents
Safe Communities |
| Reason for Recommended Action/Background |
Turning Point Community Programs (TPCP) is in a collaborative LLC relationship with two separate entities who serve as the Administrators for two Davis Board & Care (B&C) Homes, called Pine Tree Gardens Board & Care homes (PTG B&Cs), which are owned by TPCP. Over the past several years there has been an increasing need for specific repairs to the two homes. While the Administrators are paid by the clients for staffing and 24/7 care of the clients, neither Administrator has paid rent to TPCP, so the repairs have continued to be absorbed as losses by TPCP, which is not a sustainable situation. There are statewide advocacy efforts to raise rates to improve the situation for Administrators, but homes are closing across the State due to this issue, leading to a severe shortage of this level of care for consumers. Currently, the two homes in Davis are at risk of closure due to the current losses incurred by TPCP in maintaining the facilities without revenue from the Administrators.
The Yolo County Health and Human Services Agency (HHSA) has been working with TPCP, the Local Mental Health Board, the County Supervisor for the District where the two homes are located, and a collaborative local group called “Save Pine Tree Gardens” to develop a sustainability plan for the two homes. (Please see a snapshot of the Sustainability Plan, attached hereto as Attachment A.) The Sustainability Plan indicates historical data as well as a path forward toward sustainability. Sustainability efforts are multi-pronged and include private funds, HHSA funds, future client composition discussions, and .legislative efforts.
As there is a statewide shortage of these homes and this level of care, HHSA is requesting approval of this portion of the ongoing efforts to assure the PTC B&C’s remain available in the necessary continuum of care for individuals with complex and enduring mental health support needs. Currently, the County has 27 consumers placed in the PTG B&Cs. In the event that these B&Cs are no longer a viable option for our consumers, these clients risk decompensating and potential homelessness or hospitalization. In this event the County would incur a considerable increase in expenses for their ongoing care, as they would require higher level/higher cost placement in facilities throughout the State.
Using available Mental Health Services Act (MHSA) Fund Balance, HHSA proposes to allocate $150,000 for each of 3 fiscal years, 2018-19, 2019-20 and 2020-21, to address the current repair needs at these facilities. Concurrently, the collaborative group is targeting specific plans for assuring the homes are able to continue beyond the 3 years, and continue to serve individuals with serious mental health conditions in our community. |
| Collaborations (including Board advisory groups and external partner agencies) |
Save Pine Tree Gardens
Turning Point Community Programs
Yolo County Health and Human Services Agency
Yolo County Local Mental Health Board |
| Competitive Bid Process |
| A sole source letter for this project is in the approval process with the Department of Financial Services' Procurement Division. |
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| Fiscal Impact |
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| Source of Funds for this Expenditure |
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Explanation (Expenditure and/or Revenue) |
| Further explanation as needed: |
No general fund is required by this action. This contract will be funded by Mental Health Services Act funding. The amount of $150,000 is included in the HHSA approved budget for FY 2018-19, and the funding for future years will be included during the budget development process.
HHSA and DFS staff are working together to document 1) the project's financial sustainability, 2) the source of funds' authorizing language for this type of expense, and 3) how the estimated project cost was determined.
The following is the breakdown of funding for this agreement.
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Fiscal Year 2018-19
July 1, 2018
through
June 30, 2019 |
Fiscal Year 2019-20
July 1, 2019
through
June 30, 2020 |
Fiscal Year 2020-21
July 1, 2020
through
June 30, 2021 |
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| Facility Maintenance |
$150,000 |
$150,000 |
$150,000 |
$450,000 |
| Total Contract Maximum |
$450,000 |
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