Item Coversheet

REPORT TO SHASTA COUNTY BOARD OF SUPERVISORS


BOARD MEETING DATE:  December  5, 2017
CATEGORY:  Consent - Health and Human Services-13.

SUBJECT:

Agreement with Gold Home for Residential Care Facility Services

DEPARTMENT: Health and Human Services Agency-Adult Services

Supervisorial District No. :  ALL

DEPARTMENT CONTACT:  Dean True, Branch Director, HHSA Adult Services, (530) 225-5900

STAFF REPORT APPROVED BY:  Dean True, Branch Director, HHSA Adult Services

Vote Required?

Simple Majority Vote
General Fund Impact?

No Additional General Fund Impact 

RECOMMENDATION

Approve and authorize the Chairman to sign an agreement with The Gold Home in an amount not to exceed $870,400 to provide residential care facility services for the period date of signing through June 30, 2020.

SUMMARY

This proposed agreement will allow Gold Home to provide residential care facility services within a board and care setting to support Shasta County individuals with severe and persistent mental illness in the least restrictive environment possible.

DISCUSSION

The Gold Home is an Assisted Living Facility located in Orangevale, CA and is licensed with the State of California Community Care Licensing which can provide 24-hour residential care, as needed, to individuals with both mental illness and co-occurring health/medical conditions.  Assisted Living Facilities can offer mental health clients a less restricted level of housing and care than a locked facility such as an Institution of Mental Disease, state hospital, or acute psychiatric hospital.   Facilities, such as The Gold Home, provide assistance with daily living activities, including monitoring for medication compliance, recreational opportunities, and transportation to medical appointments and/or other activities in the community.  The Gold Home works closely with Shasta County staff to review and monitor the progress of each client toward their treatment goals.  Out of county placements occur only when no other board and care beds are available locally, including those situations when there is a specialty need severely limiting options.   Under the terms of the agreement, Health and Human Services Agency (HHSA) Adult Services staff will provide referral, authorization, and reauthorization for approved clients residing and receiving treatment at Gold Home.  The agreement also allows for minor amendments, including retroactive and prospective rate changes, as long as the intent of the agreement and the maximum compensation are not changed.

ALTERNATIVES

The Board could choose not to approve the agreement or to approve with modified terms.

OTHER AGENCY INVOLVEMENT

County Counsel has approved the agreement as to form.  Risk Management has approved the agreement.  This recommendation has been reviewed by the County Administrative Office.

FINANCING

The maximum amount payable under the proposed agreement is $870,400 for the entire term of the agreement. The department’s Fiscal Year 2017-18 Adopted Budget includes sufficient appropriation authority for the activities described in this agreement.  Costs are on a fee-for-service basis and only incurred when a Shasta County resident is authorized by the County for residential care home services.  There is no additional General Fund impact from the recommended action.

ATTACHMENTS:
DescriptionUpload DateDescription
Agreement11/20/2017Agreement