Approve seventh amendment to Agreement No.19-144 with Yolo Community Care Continuum to add funding in the amount of $180,000 for 2022-23 for a new contract maximum of $2,222,691 for the period of July 1, 2019 through June 30, 2023 for the provision of adult residential services. (No general fund impact) (Sullivan)

Yolo County serves Seriously Mentally Ill adults meeting the mental health medical necessity criteria that require the long-term residential treatment services provided by the Yolo Community Care Continuum (YCCC) Farmhouse Program.  This program helps clients, while living onsite, to increase their ability to live independently through skill building, job training and/or other educational programs. This furthers their independence and reduces costs to the County by potentially reducing psychiatric hospital stays, Institute for Mental Disease (IMD) placements, and homelessness.

On or about July 9, 2019, the County entered into an agreement with Yolo Community Care Continuum (YCCC) to provide long-term residential treatment services at Farmhouse.

On or about August 4, 2020, the Parties amended the agreement via the First Amendment to add funding for FY2019-20 and updated and clarified language in the Agreement.

On or about January 12, 2021, the Parties further amended the agreement via the Second Amendment to add funding for FY2019-20 and updated and clarified language in the Agreement.

On or about May 4, 2021, the Parties further amended the agreement via the Third Amendment to add funding for FY2020-21.

On or about May 10, 2022, the Parties further amended the agreement via the Fourth Amendment to extend the term of the Agreement through June 30, 2023; added funding for FY 2021-22 and 2022-23; and updated and clarified language in the Agreement.

On or about May 20, 2022, the Parties further amended the agreement via the Fifth Amendment to add funding for FY 2021-22.

On or about September 13, 2022, the Parties further amended the agreement via the Sixth Amendment to add funding for FY 2021-22.

HHSA requests approval of this Seventh Amendment to add funding in the amount of $180,000 for FY 2022-23 for a new contract maximum of $2,222,691; and update and clarify language in the agreement. The additional funding is to cover remaining costs for client services.

The Performance Measures were included in the underlying Agreement and are not being revised at this time (See Att. B. Performance Measures). HHSA confirms Yolo Community Care Continuum has performed satisfactorily under this Agreement. YCCC has readily accepted HHSA clients and our clients have filled the overwhelming majority of the facility’s 10 beds the entire last year. Clients get good care and support and YCCC staff transport clients readily to HHSA clients for any ongoing services.

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

On January 30, 2019, the Yolo County Procurement Manager or designee approved a sole/single source procurement for these services.

Procurement reviewed HHSA’s request and determined that it was in the best interest of the County to approve the single/sole source, based on satisfactory service/reasonable prices and to avoid the interruption of County business. Without the sole source approval and an agreement with the vendor, the County would not have a local long-term adult residential treatment facility. Factors considered, included but were not limited to:

1) obtaining local long-term residential treatment options for clients that offer both residential program and pre-vocational programs; 2) competitive pricing and long-term cost savings keeping clients out of higher priced facilities like a Psychiatric Health Facility (PHF); and 3) ease of geographical access as this facility is 7 miles northwest of Davis, CA. The primary treatment goal is often to keep clients in residential placements that are close to home, rather than placements in other counties.