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Consent-Health & Human Services   # ..
Board of Supervisors
Meeting Date:
12/06/2022
Brief Title
First Amendment to Agreement No. 22-172 with California Forensic Medical Group
From:
Nolan Sullivan, Director, Health and Human Services Agency
Staff Contact:
Brian Vaughn, Community Health Branch Director, Health and Human Services Agency, x8771
Supervisorial District Impact:
Countywide

Subject

Authorize the Yolo County Procurement Manager to execute the first amendment to Agreement No. 22-172 with California Forensic Medical Group to extend the term of the agreement through June 30, 2023, and increase funding in an amount not to exceed $359,118.53, for a new contract maximum of $1,049,702.55, for the period of March 1, 2022, through June 30, 2023, for the provision of Jail Based Competency Treatment. (No general fund impact) (Sullivan)

Recommended Action

  1. Authorize the Yolo County Procurement Manager to execute the first amendment to Agreement No. 22-172 with California Forensic Medical Group to extend the term of the agreement through June 30, 2023, and increase funding in an amount not to exceed $359,118.53, for a new contract maximum of $1,049,702.55, for the period of March 1, 2022, through June 30, 2023, for the provision of Jail Based Competency Treatment; and
     
  2. Authorize the Yolo County Procurement Manager to execute any future amendments, including financial amendments not to exceed an additional $200,000 in total funding, and non-financial amendments, upon approval as to form by County Counsel.

Strategic Plan Goal(s)

Thriving Residents
Safe Communities

Reason for Recommended Action/Background

Over the past several years, there has been a steady increase in the amount of felony incompetent to stand-trial clients being referred to the Department of State Hospital for competency restoration without adequate capacity in the existing State Hospitals.  This has led to a significant backlog of clients throughout the State waiting in jails for months at a time until placement can be made at a State Hospital bed.  As a result, the Department of State Hospitals has been working with the State and various counties to increase statewide capacity for local treatment options.  These options include Jail Based Competency Treatment programs. 

On or about July 12, 2022, the County entered into an agreement with the State of California, Department of State Hospitals (“DSH”), State Agreement Number 19-79013-000 (“Yolo/DSH Agreement”), for administration of a Jail Based Competency Treatment (“JBCT”) program. The purpose of the JBCT program is to restore competency to certain felony patient inmates deemed incompetent to stand trial (“IST”) under Penal Code section 1370. JBCT program services are provided locally at the Monroe Facility rather than in a State Hospital facility.

On or about July 12, 2022, the County entered into an agreement with California Forensic Medical Group (CFMG), the current jail medical service provider for the County. CFMG is a qualified inmate medical services provider who agreed to provide services to assist the County with its JBCT program. CFMG has provided services to seven beds at the Monroe Facility. The services have been provided 24 hours per day, seven days per week, including all state holidays.

The Yolo/DSH Agreement provides funding for a dedicated Sheriff's Deputy assigned to the JBCT program.  This is a critical component to a JBCT program as there are often individuals receiving JBCT services that have different classifications and require supportive oversight, and having a dedicated Deputy that receives specific training as part of the overall JBCT team increases effectiveness of the program.  The Yolo/DSH agreement also provides the Sheriff Department with funding for the overall housing costs associated with these 7 beds.

The first amendment will extend the term of the Agreement through June 30, 2023, and add funding in the amount of $359,118.53 for FY 2022-23. Performance Measures included in this Agreement are as follows: Performance Measures are not associated with this Agreement.

Collaborations (including Board advisory groups and external partner agencies)

County Counsel will approve the resulting amendment as to form
Yolo County Sheriff’s Office
Yolo County Department of General Services-Procurement Division
California Department of State Hospitals (DSH)
California Forensic Medical Group (CFMG)
State Public Works Board (SPWB)
California Department of Corrections and Rehabilitation (CDCR)
Department of Finance (DOF)

Competitive Bid Process/Vendor Performance

Agreement No. 22-172 was procured via a sole source approved by the Procurement Department, on April 12, 2022.

HHSA confirms CFMG has performed satisfactorily on the current agreement.  

Fiscal Impact

Fiscal impact (see budgetary detail below)

Fiscal Impact (Expenditure)

Total cost of recommended action:
$    359,119
Amount budgeted for expenditure:
$    359,119
Additional expenditure authority needed:
$    0
One-time commitment:
Yes

Source of Funds for this Expenditure

JBCT Revenue/Sheriff MOU
$359,119

Further explanation as needed:

These services will be funded by a combination of JBCT funding and contributions from the Yolo County Sheriff. The action increases the contract maximum in an amount not to exceed $359,118.53 for a potential contract maximum of $1,049,702.55 for the period of March 1, 2022 through June 30, 2023. The amount of $359,118.53 is included in the HHSA adopted budget fiscal year 2022-23.

Attachments

No file(s) attached.

Form Review

Inbox Reviewed By Date
Financial Services Tom Haynes 11/22/2022 04:41 PM
County Counsel Hope Welton 11/22/2022 04:49 PM
Form Started By:
Julie Dachtler
Started On:
01/13/2023 05:21 PM
Final Approval Date:
01/13/2023