Consider recommendations regarding the Services Agreements with Davis Guest Home, Inc. (Davis) for Intensive Residential Program Services for Fiscal Years (FYs) 2026-2028; Sylmar Health and Rehabilitation Center, Inc. (Sylmar) and Vista Pacifica Enterprises, Inc. (VPE) for Skilled Nursing Facility Services for FYs 2026-2029, as follows: a) Approve and authorize the Chair to execute an Agreement for Services of Independent Contractor with Davis (not a local vendor), an adult residential facility and residential care facility for the elderly, for the provision of intensive residential program services for a total maximum contract amount not to exceed $1,170,000.00, inclusive of $585,000.00 per FY, for the period of July 1, 2026, through June 30, 2028; b) Approve and authorize the Chair to execute an Agreement for Services of Independent Contractor with Sylmar (not a local vendor), an institution for mental disease, for the provision of skilled nursing facility services for a total maximum contract amount not to exceed $2,325,000.00, inclusive of $775,000.00 per FY, for the period of July 1, 2026, through June 30, 2029; c) Approve and authorize the Chair to execute an Agreement for Services of Independent Contractor with VPE (not a local vendor), an institution for mental disease, for the provision of skilled nursing facility services for a total maximum contract amount not to exceed $6,300,000.00, inclusive of $2,100,000.00 per FY, for the period of July 1, 2026, through June 30, 2029; d) Delegate to the Director of the Department of Behavioral Wellness or designee the authority to (i) make immaterial changes to all three Agreements as provided in Section 25 of the Agreement’s Standard Terms and Conditions; (ii) approve reimbursement of services to contractor other than the base rate per Section 6 of Exhibit A-5 of the Agreement for Davis; (iii) amend the program goals, outcomes, and measures per Section 15 of Exhibit A-5 of the Agreement for Davis and Exhibit A-7 of the Agreements for Sylmar and VPE and per subsection 5.B.4. of Section III of Exhibit AA Alcohol Drug Program/Mental Health Services (ADP/MHS) of all three Agreements; (iv) suspend, delay, or interrupt the services under the Agreement for convenience per subsection 1.F. of Section I of Exhibit AA ADP/MHS of all three Agreements; (v) reallocate funds between funding sources per subsection D.1. of Section 1 of Exhibit B ADP/MHS of all three Agreements; (vi) approve other rates for special circumstances, besides those listed in Exhibit B-1 MHS per subsection D.1. of Section 3 of Exhibit B ADP/MHS of the Agreements for Sylmar and VPE; (vii) approve funding that cannot be moved between programs by Contractor and reserve the right to reallocate between programs in the year-end settlement per Section 6.A. of Exhibit B ADP/MHS of the Agreements for Sylmar and VPE; (viii) withhold payment for non-submission of service data and other information per subsection D.1. of Section 7 of Exhibit B ADP/MHS of the Agreements for Sylmar and VPE; (ix) deny or withhold payment for unsatisfactory clinical documentation per subsection E.1. of Section 7 of Exhibit B ADP/MHS of the Agreements for Sylmar and VPE; (x) may increase the rates up to 3.5% in FY 2027-2028 as provided in Exhibit B-1 MHS of the Agreement for Davis; (xi) may increase the maximum daily rate by up to 3.5% per year in FY 2027-2028 and FY 2028-2029 as provided in Exhibit B-1 MHS of the Agreements for Sylmar and VPE; and (xii) adjust the daily rate to accommodate members with acute needs as provided in Exhibit B-1 of all three Agreements; all without altering the maximum contract amount and without requiring the Board of Supervisors’ approval of an amendment of the Agreement, subject to the Board of Supervisors’ ability to rescind this delegated authority at any time; and e) Determine that the above-recommended actions are not a project that is subject to environmental review under the California Environmental Quality Act (CEQA), pursuant to CEQA Guidelines section 15378(b)(4), finding that the actions are governmental funding mechanisms and/or fiscal activities that will not result in direct or indirect physical changes in the environment.

Administrative Item Agenda Ready Introduced May 29, 2026

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