Approve fifth amendment to Agreement No. 22-135 with Willow Glen Care Center to add funding in the amount of $42,427.97 for 2023-24 for a new contract maximum of $4,494,591.33 for period of July 1, 2022 through June 30, 2025 for the provision of mental health services for clients who are Seriously Mentally Ill (SMI), including board and care, psychiatric and mental health rehabilitation center (MHRC) residential facilities. (No general fund impact) (Sullivan)

Approve fifth amendment to Agreement No. 22-135 with Willow Glen Care Center to add funding in the amount of $42,427.97 for 2023-24 for a new contract maximum of $4,494,591.33 for period of July 1, 2022 through June 30, 2025 for the provision of mental health services for clients who are Seriously Mentally Ill (SMI), including board and care, psychiatric and mental health rehabilitation center (MHRC) residential facilities.

On or about June 28, 2022, the County entered into an Agreement with Willow Glen Care Center, a nonprofit 501(c)(3) corporation located in Northern California. 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. Willow Glen has provided services to Yolo County Medi-Cal eligible clients aged 18 and above who are diagnosed with a serious mental illness (SMI) and continue to provide 24-hour residential care to adults that do not require placement in more restrictive levels of care.
 
On or about July 25, 2023, the Parties amended the agreement via the first amendment which added $50,000 for Fiscal Year (FY) 2022-23; updated rates for FY 2023-24 and updated and clarified language in the Agreement.

On or about March 26, 2024, the Parties further amended the agreement via the second amendment, which added $166,016 for FY 2023-24 and updated and clarified language in the Agreement.

On or about June 4, 2024, the Parties further amended the agreement via the third amendment, which added $27,568 for FY 2023-24 to help cover remaining year-end invoices.

On or about June 26, 2024, the Parties further amended the agreement via the fourth amendment, which added funding for fiscal year 2023-24 to help cover remaining year-end invoices.

Approval of the fifth amendment will enable HHSA to cover additional remaining year-end invoices.

Performance Measures included in this Agreement are as follows:
The Performance Measures were included in the underlying Agreement and are not being revised at this time (See Att. B. Performance Measures)

HHSA confirms Willow Glen Care Center has performed satisfactorily under this Agreement. Willow Glen has provided care to the most vulnerable clients and have 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 FY2324 the contractor served 26 of our most vulnerable clients, 17 were new admits in FY2324. In FY2324 82% of new admits returned to the community within 12 months of facility admission with an average length of stay of 214 days.

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 approved a sole source of procurement for these services.

Procurement reviewed HHSA’s request and determined that it was in the best interest of the County to approve the sole source. Without the sole source approval of the agreement with the vendor, 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 continues to experience a steady increase in services needed for the stabilization of seriously mentally ill adults; 2) proximity-vendor is in a neighboring county; 3) rates are fair compared to other private companies and are an augmented Board and Care rate; and 4) 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.