Approve tenth amendment to the agreement with Vista Pacifica Enterprises to add funding in the amount of $646,892, for a new contract maximum of $3,891,892, for the period of July 1, 2020 through June 30, 2025 and to update and clarify language throughout the agreement, for the provision of 24-hour supervised clinical care to adults with severe mental illness. (No general fund impact) (Sullivan)

Approve tenth amendment to the agreement with Vista Pacifica Enterprises to add funding in the amount of $646,892, for a new contract maximum of $3,891,892, for the period of July 1, 2020 through June 30, 2025 and to update and clarify language throughout the agreement, for the provision of 24-hour supervised clinical care to adults with severe mental illness.

As the local Mental Health Plan (MHP) for Specialty Mental Health Services, the County is mandated to provide consistent and quality care in secure residential settings, when deemed necessary, for the safety and stability of individuals with Severe Mental Illness (SMI). Vista Pacifica Center in Riverside operates an Institute for Mental Disease (IMD) program, providing treatment and care to Yolo County SMI beneficiaries since 2016.  The program offers specialized treatment including pharmacological, therapeutic, and rehabilitative interventions in a safe and secure environment. On or about July 1, 2020, the County entered into an agreement with Vista Pacifica to provide 24-hour care, non-state hospital locked setting to referred adults who are conservatees of Yolo County Public Guardian and require treatment in such a secure environment (the Agreement).  Since 2020, the Agreement has been amended several times to meet various business needs, mainly to increase the contract amounts to align with utilization and to revise rates.

HHSA requests approval of this tenth amendment which adds $646,892 for FY 2024-25 for a new contract maximum of $3,891,892. The additional funding is based on current actual expenditures and projections to cover the actual cost of the services through the end of the fiscal year.

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

On June 30, 2020, the then acting County’s Deputy Director of GSD/Manager of Procurement/County Purchasing Agent (Purchasing Agent) approved a sole/single source procurement for these services, based on satisfactory service/reasonable prices and to avoid the interruption of County business. Yolo County Procurement Manager approved a sole source procurement for these services. Without sole source approval, the County would lose the ability to provide mandated long-term inpatient psychiatric and convalescent care for County mental health clients. Factors considered, included but were not limited to: 1) Vista Pacifica provides both secure and residential facilities as well as 24-hour SNF care with a geropsychiatry focus on aging clients. Vendor also accepts some of the hardest to place older SMI consumers; 2) satisfactory performance- Vista Pacifica has been a County vendor for over five years providing competitive rates and documented successful performance in inpatient psychiatric and convalescent care; 3) competitive pricing/cost savings; and 4) County would lose the ability to place consumers in the numerous facilities operated by Vista Pacifica throughout the state. 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 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 Vista Pacifica has performed satisfactorily under this agreement as they are providing services to Yolo County clients during FY 2024-25 with a total of 1289 bed days utilized as of the end of December 2024. One hundred percent (100%) of the County placed clients experience one or fewer acute psychiatric hospitals during the placement at the facility in the last year.