Approve seventh amendment to Agreement No. 22-135 with Willow Glen Care Center to extend the term of the Agreement through June 30, 2026; and add funding in the amount of $1,705,127 by adding $305,127 to 2024-25 and $1,400,000 to 2025-26, for a new contract maximum of $6,199,718.33, for the period of July 1, 2022 through June 30, 2026 for the provision of mental health services, including board and care, psychiatric and mental health rehabilitation center (MHRC) residential facilities. (No general fund impact) (Planell)

Approve seventh amendment to Agreement No. 22-135 with Willow Glen Care Center to extend the term of the Agreement through June 30, 2026; and add funding in the amount of $1,705,127 by adding $305,127 to 2024-25 and $1,400,000 to 2025-26, for a new contract maximum of $6,199,718.33, for the period of July 1, 2022 through June 30, 2026 for the provision of mental health services, including board and care, psychiatric and mental health rehabilitation center (MHRC) residential facilities.

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.

On or about June 28, 2022, the County entered into Agreement No. 22-135 (Agreement) with Willow Glen Care Center with an initial term of July 1, 2022 through June 30, 2025.  On or about July 25, 2023, the Agreement was amended via the first amendment to add funding for 2022-23, updated rates for 2023-24 and updated and clarified language. On or about March 26, 2024, the Agreement was amended via the second amendment to add additional funding for 2023-24 and revised/clarify language as needed. The Agreement was amended several times to add additional funding for 2023-24 to help cover remaining year end invoices, on or about June 4, 2024, via the third amendment; on or about June 26, 2024 via the fourth amendment; and  on or about August 28, 2024, via the fifth amendment. On or about October 22, 2024, the Agreement was amended via the sixth amendment to update the rates for fiscal year 2024-25.

Approval of this seventh amendment will increase funding for 2024-25 to cover projected utilization through the end of this fiscal year, extend services through June 30, 2026, and add funding for 2025-26.

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

On March 23, 2022, the then acting Yolo County Procurement Manager (Procurement Manager) approved a single source procurement for these services. The Procurement Manager reviewed HHSA’s request and determined that it was in the best interest of the County to approve the single source. Without the single source approval for services provided by Willow Glen Care Center , 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’s continued increase in utilization for services that support the stabilization of seriously mentally ill adults; 2) the proximity of Willow Glen Care Center – located in a neighboring county; 3) Willow Glen Care Center’s rates being fair and reasonable as compared to other private companies, and are an augmented Board and Care rate; and 4) without the agreement with Willow Glen Care Center, 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.

Performance Measures
Performance Measures were originally included in this agreement and are not being revised at this time (See Att. B. Performance Measures).

HHSA confirms Willow Glen Care Center is performing satisfactorily under this Agreement. Willow Glen has provided care to the most vulnerable clients and has been instrumental in reaching the goal in establishing successful client/program relationships and impacting the stabilization of seriously mentally ill adults in the County. In fiscal year 2023-24 Willow Glen Care Center served twenty-six (26) of our most vulnerable clients, seventeen (17) of those were new admits in. In fiscal year 2023-24, eighty two percent (82%) of new admits returned to the community within twelve (12) months of facility admission with the average length of stay of 214 days.