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Consent-Health & Human Services   # 35.
Board of Supervisors
Meeting Date:
07/25/2023
Brief Title
Fifth Amendment to Agreement 22-110 with UC Davis CAARE Center
From:
Nolan Sullivan, Director, Health and Human Services Agency
Staff Contact:
Tony Kildare, Child, Youth & Family Branch Director, Health and Human Services Agency, x2929
Supervisorial District Impact:
Countywide

Subject

Approve fifth amendment to Agreement No. 22-110 with UC Davis CAARE Center to increase funding in the amount of $25,000 for 2023-24 for a new contract maximum of $60,000 for the period of January 1, 2022 through June 30, 2024; and increase option year funding for 2024-25 and 2025-26 for the provision of bonding and risk assessment and psychological evaluation services. (No general fund impact) (Sullivan)

Recommended Action

  1. Approve fifth amendment to Agreement No. 22-110 with UC Davis CAARE Center to increase funding in the amount of $25,000 for 2023-24 for a new contract maximum of $60,000 for the period of January 1, 2022 through June 30, 2024; and increase option year funding for 2024-25 and 2025-26 for the provision of bonding and risk assessment and psychological evaluation services; and
     
  2. Re-Delegate authority to the Director of the Yolo County Health and Human Services Agency or her/his designee to: 1) exercise optional year extensions up to $40,000 per fiscal year, for 2024-25 and 2025-26 and 2) issue related option year notices. Please see Section 5B. of Att. A. Fifth Amendment.

Strategic Plan Goal(s)

Thriving Residents
Safe Communities

Reason for Recommended Action/Background

On or about May 24, 2022 Health and Human Services Agency (HHSA) entered into an Agreement with UC Davis CAARE Center to provide Bonding Assessment services. Bonding Assessments assess the nature and quality of children’s attachment relationships to his or her birth parents, siblings, or caregiver, including identification of who is the primary attachment figure for a child, and the quality of that relationship.  Bonding Assessments explore the children’s capacity for a secure attachment, and if a designated parent or caregiver can meet the child’s need regarding nurture, structure, engagement, and opposition. Bonding Assessments will also explore who is central in children’s emotional life and determine the quality of that relationship. Bonding Assessments can identify if the primary attachment can be transferred to a new caregiver and/or emotional and psychological risks or benefits to the children if the relationship with a caregiver or parent is severed.  Bonding Assessments identify any secondary attachment figures, and the quality of the relationships with secondary attachment figures. Lastly, a bonding assessment may provide mental health treatment recommendations.

On or about September 27, 2022, HHSA and UC Davis CAARE Center amended the agreement to include Risk Assessment Services. Risk Assessments assess the nature and quality of the child’s relationships to his or her birth parents and assess the risk and effect on the child should the parent(s) have contact or visitation with the child. A risk assessment explores the child’s capacity for visitation with their birth parent(s) and whether it is in the child’s best interest. Risk assessments also assess emotional and psychological risks or benefits to the contact or visitation between the child and parent. On October 25, 2022 the Board approved an amendment to add funding to cover the costs of the newly added Risk Assessment services.

On or about November 2, 2022, HHSA and UC Davis CAARE Center amended the agreement to include Psychological Evaluation Services. Psychological Evaluations services allows for assessments and/or evaluations to assess the cognitive, psychological, and behavioral functioning of referred clients and their ability to benefit from services and/or parent their child in terms of protective capacities, parenting abilities, and overall ability to perform as a parent.

On or about November 22, 2022 the agreement was amended to increase funding to cover the costs of the newly added psychological Evaluation Services.

HHSA requests the approval of this Fifth Amendment which adds additional funding to provide court ordered services for CWS parents, children, and families.

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

Competitive Bid Process/Vendor Performance

On May 26,2022, the then acting Yolo County Procurement Manager or designee approved a sole source procurement for these services. A sole source was deemed appropriate for these services because the provider has the expertise to provide the mandated services under the agreement to Child Welfare Services (CWS) referred children. The Center specializes in serving traumatized youth and has the expertise to assess a child and parent relationship, these services were ordered by the Yolo County Juvenile Court. Health and Human Services Agency (HHSA) has experienced difficulties in the past in locating child psychologists that accept Medi-Cal and this is not an issue with UC Davis.

The Department confirms UCD CAARE Center has performed satisfactorily on the current agreement.

Fiscal Impact

Fiscal impact (see budgetary detail below)

Fiscal Impact (Expenditure)

Total cost of recommended action:
$    25,000
Amount budgeted for expenditure:
$    25,000
Additional expenditure authority needed:
$   
On-going commitment (annual cost):
$    40,000

Source of Funds for this Expenditure

CWS Realignment
$25,000

Further explanation as needed:

No general funds are required by this action. These services will be funded by CWS Realignment. The action increases the contract maximum by $25,000 for a total of $60,000 for the period of the January 1, 2022 through June 30, 2024. The amount of $25,000 will be included in the HHSA proposed budget for fiscal year 2023-24. The related funding will be included in the requested budget process for future fiscal years.

The following is the breakdown of funding for this agreement.
CFDA Fiscal Year 2021-22
January 1, 2022
through
June 30, 2022
Fiscal Year 2022-23
July 1, 2022
through
June 30, 2023
Fiscal Year 2023-24
July 1, 2023
through
June 30, 2024
Total
#93.558 $5,000 $15,000 $40,000 $60,000

The agreement also includes three (2) one-year extension options for, 2024-25 and 2025-26 in an amount less than or equal to $40,000 per fiscal year.
Option Year/
Fiscal Year
(OY/FY)
Revised Agreement Expiration Date
Per OY/FY
Maximum Increased
Funding Amount
Per OY/FY
Revised Agreement
Lifetime Maximum
Per OY/FY
OY/FY 2024-25 On or before
June 30, 2025
Less than or equal to $40,000 Less than or equal to
$100,000
OY/FY 2025-26 On or before
June 30, 2026
Less than or equal to $40,000 Less than or equal to
$140,000
In no event shall the term of the Agreement extend beyond June 30, 2026 nor shall the total contract maximum exceed the amount of ONE HUNDRED FORTY THOUSAND DOLLARS ($140,000), unless otherwise agreed to in writing by the Parties and in conformity with the then-current Yolo County Procurement Policy approved by the Yolo County Board of Supervisors. County shall have the right to withdraw its option letter should the rate adjustments set by Contractor exceed the funds available for this Agreement, provided that County provides written notice to Contractor

Attachments

Form Review

Inbox Reviewed By Date
Tony Kildare Tony Kildare 07/06/2023 02:22 PM
Financial Services mrobertson 07/06/2023 03:22 PM
County Counsel Hope Welton 07/06/2023 03:24 PM
Form Started By:
Kimberly Mayfield
Started On:
05/24/2023 11:24 AM
Final Approval Date:
07/06/2023