Approve first amendment to Agreement No. 25-192 with North Valley Behavioral Health to extend the term of the agreement through June 30, 2028; add funding of $1,193,347 for 2026-27 and $1,193,347 for 2027-28, for a new contract maximum of $3,580,041 for the period of July 1, 2025 through June 30, 2028; and update daily bed rates from $110/bed/day to $115/bed/day for the provision of operations and specialty mental health services at Pine Tree Gardens Board and Care facilities. (No general fund impact) (Morales)

Approve first amendment to Agreement No. 25-192 with North Valley Behavioral Health to extend the term of the agreement through June 30, 2028; add funding of $1,193,347 for 2026-27 and $1,193,347 for 2027-28, for a new contract maximum of $3,580,041 for the period of July 1, 2025 through June 30, 2028; and update daily bed rates from $110/bed/day to $115/bed/day effective July 1, 2026 for the provision of operations and specialty mental health services at Pine Tree Gardens Board and Care facilities.

North Valley Behavioral Health (NVBH) provides 24/7 operations of both Pine Tree Garden homes. Daily services include 24/7 staffing, food preparation, medication administration and support of residents’ activities of daily living (ADLs). In its role as a housing operator, NVBH is also responsible for ensuring both houses are appropriately stocked with food, activity supplies, housekeeping, office supplies, and hygiene supplies. 

Services aim to restore, maintain, or improve personal independence and functioning consistent with requirements for learning and development. Services are patterned upon evidence-based or best practice-based models of treatment incorporating principles of “recovery” from symptoms of mental illness and are provided in a less restrictive environment, allowing consumers to receive appropriate level of services. Contracting with NVBH allows the County to achieve cost savings by reducing placements in other higher level/higher cost placements.

On September 9, 2025, County and NVBH entered into an agreement for these services. Now HHSA staff requests approval of this first amendment to extend the term and add funding for the board and care within NVBH’s East and West adult residential treatment facilities providing outpatient mental health services. These services include the staffing and administration that are necessary for the 24/7 operational support that functioning Board and Care houses require. These services are required to help support  consumers in the least restrictive environment, keep them in their local community, provide opportunities for social growth and development, and build skills and gain increased independence. Without this agreement, consumers and residents who are at risk for psychiatric hospitalizations and/or placements in Institutions for Mental Disease (IMD) would not have access to these services.

On June 30, 2025, the County’s Deputy Director of GSD/Manager of Procurement/County Purchasing Agent (Purchasing Agent) approved a single source procurement for these services. Without sole/single source approval for these services, County would lose the ability to provide specialty mental health services within both houses at Pine Tree Gardens. Factors considered, included but were not limited to: 1) NVBH operates both Board and Care homes 24/7 as well as provide community-based, outpatient specialty mental health services to consumers who have a history of or are at risk for psychiatric hospitalizations and/or placements in Institutions for Mental Disease (IMD); 2) satisfactory performance- NVBH has been a County vendor for over five years providing competitive rates and documented successful performance in Board and Care and outpatient mental health services; 3) competitive pricing/cost savings; and 4) County would lose the ability to place consumers and residents at Pine Tree Gardens which would not have specialty mental health services on-site nor would the homes that have the effective 24/7 operational support that functioning Board and Care houses require.5) the program that NVBH will offer at Pine Tree Gardens is the only one of its kind in Yolo County.

HHSA confirms NVBH is performing satisfactorily under this Agreement. Performance Measures were included in this original Agreement and are not being revised at this time (See Att. B Performance Measures). NVBH Pine Tree Gardens East & West House Adult Residential Facilities provides services to the County’s most vulnerable clients and has been instrumental in establishing successful client–program relationships and supporting the stabilization of seriously mentally ill adults.