REPORT TO SHASTA COUNTY BOARD OF SUPERVISORS

BOARD MEETING DATE:  February  6, 2018
CATEGORY:  Consent - Health and Human Services-6.

SUBJECT:

First Amendment to Agreement with Cascades Management Inc., dba Ridgeview Residential Care Home.

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

RECOMMENDATION

Approve and authorize the Chairman to sign a retroactive amendment, effective July 1, 2017, to the agreement with Cascades Management, Inc., d.b.a. Ridgeview Residential Care Home to provide adult residential care home services increasing the daily bed rate from $105 per day to $115 per day, retaining the maximum compensation not to exceed $1,839,600 during the entire term of the agreement, and the term of August 1, 2015 through June 30, 2018.

SUMMARY

N/A

DISCUSSION

Cascades Management, Inc., dba Ridgeview Residential Care Home (“Ridgeview”) is a licensed 16 bed Adult Residential Facility (also referred to as a “board and care”) utilizing the Social Rehabilitation model, but is unique in that it offers several different levels of care. The services provided include support in the form of living skills designed to assist individuals in moving to more independent housing. These include both money management, shopping skills, socialization skills, etc., as well as knowledge and abilities to manage their mental health.  In addition, and at no cost to County, Ridgeview offers efficiency apartments that can house up to 12 individuals with a serious mental illness who are able to live more independently and one two-bedroom apartment that can serve up to four individuals. This model increases the number of housing and treatment options available in Shasta County.

The proposed amendment increases daily bed rates from $105 per day to $115 per day for fiscal year 2017-18 but shall not increase the total compensation payable under this agreement.  This represents a 9.5% increase in the daily bed rate, and covers all facility costs.  This is the first increase since the contract was initiated more than two years ago, and represents both program improvements and increased business costs.

The proposed agreement is retroactive due to a restructuring of contracts within HHSA.  

ALTERNATIVES

The Board could choose not to approve the amendment or direct the department to renegotiate the rates.

OTHER AGENCY INVOLVEMENT

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

FINANCING

This amendment is funded with Mental Health Services Act (MHSA) Community Services and Supports funding and a combination of 1991 and 2011 realignment. Sufficient appropriation authority for the amendment is included in the fiscal year 17-18 MHSA (BU 404) and Mental Health (BU 410) Adopted Budgets.  Costs are on a fee-for-service basis and only incurred when a Shasta County resident is authorized by the County for services at Ridgeview.  There is no additional General Fund impact from the recommended action.