REPORT/RECOMMENDATION TO THE BOARD OF SUPERVISORS
OF SAN BERNARDINO COUNTY
AND RECORD OF ACTION
October 21, 2025
FROM
GEORGINA YOSHIOKA, Director, Department of Behavioral Health
SUBJECT
Title
Grant Application for the Bond Behavioral Health Continuum Infrastructure Program Round 2
End
RECOMMENDATION(S)
Recommendation
1. Approve and authorize the submission of the grant application to the California Department of Health Care Services, in the amount of $58,506,665, for the Bond Behavioral Health Continuum Infrastructure Program Round 2: Unmet Needs grant.
2. Adopt Resolution approving an application for funding, for the Bond Behavioral Health Continuum Infrastructure Program Round 2: Unmet Needs grant.
3. Authorize the Chair of the Board of Supervisors, Chief Executive Officer, Assistant Executive Officer of Department Operations, Deputy Executive Officer, or Director of the Department of Behavioral Health, to execute and submit ancillary documents and any subsequent non-substantive amendments for the Bond Behavioral Health Continuum Infrastructure Round 2: Unmet Needs grant, on behalf of the County, subject to review by County Counsel.
4. Direct the Director of the Department of Behavioral Health to transmit any subsequent non-substantive amendments, in relation to the Bond Behavioral Health Continuum Infrastructure Round 2: Unmet Needs, to the Clerk of the Board of Supervisors within 30 days of execution.
(Presenter: Georgina Yoshioka, Director, 252-4152)
Body
COUNTY AND CHIEF EXECUTIVE OFFICER GOALS & OBJECTIVES
Ensure Development of a Well-Planned, Balanced, and Sustainable County.
Provide for the Safety, Health and Social Service Needs of County Residents.
FINANCIAL IMPACT
This item does not impact Discretionary General Funding (Net County Cost). The Bond Behavioral Health Continuum Infrastructure Program (BHCIP) Round 2: Unmet Needs grant application in the amount of $58,506,665 is funded by the California Department of Health Care Services (DHCS). This grant requires a 10% ($5,850,667) match, which will be satisfied by 1991 Realignment and 2011 Realignment funds. The Department of Behavioral Health (DBH) will return to the Board of Supervisors (Board) at a later date, if necessary, to request adjustments to the 2025-26 budget.
BACKGROUND INFORMATION
DBH is responsible for providing mental health and substance use disorder (SUD) services to San Bernardino County (County) residents experiencing severe mental illnesses and/or SUD. The High Desert region, where the Comprehensive Treatment Campus (Campus) is located, is home to approximately 430,000 residents. The Campus currently includes a 66-bed adult residential SUD treatment facility. With BHCIP Round 5 grant funding, DBH is expanding the Campus with an 18-bed adult withdrawal management facility, a 14-bed adolescent psychiatric residential treatment facility, a 16-bed adolescent residential SUD treatment facility, and a 36-bed adult residential SUD treatment center. Together, these facilities will add 84 new beds, a community wellness center, and an outpatient clinic for adults and youth. Separately, through the Community of Care Expansion - Capital Expansion (CCE) grant funding, DBH is constructing a 52-bed adult recovery residential facility at the Campus.
The High Desert region lacks access to geographically reasonable locked or inpatient levels of behavioral health care, placing significant strain on emergency responders and mobile crisis teams transporting individuals on psychiatric holds, while limiting access for residents voluntarily seeking this level of care. Its size and geography create persistent inequities in access to critical behavioral health services for many residents.
To address these gaps in the County’s continuum of care, DBH is seeking Bond BHCIP Round 2 funding through DHCS for the construction of four new facilities: a 16-bed Psychiatric Health Facility, a 16-bed Social Rehabilitation Facility, a 20-slot Sobering Center (SC), and a 20-slot Crisis Stabilization Unit. The SC, the first of its kind in the county, will provide safe, short-term recovery for non-violent individuals experiencing acute intoxication, easing the burden on local emergency departments. The proposed SC in this application will help satisfy unmet needs both locally and statewide. Co-locating these four proposed facilities, alongside existing and upcoming services at the Campus, will maximize service integration, reduce costs through shared infrastructure and staffing, and create a sustainable, recovery-oriented model of care should the county be awarded Bond BHCIP Round 2 funding.
On May 21, 2024 (Item No. 22), the Board approved the Program Funding Agreement (PFA) with Advocates for Human Potential, Inc., and granted acceptance for BHCIP Round 5 funding, in the amount of $51,410,844, to expand and modernize portions of the property on which the Campus is located.
On September 9, 2025 (Item No. 26), the Board approved the PFA with Horne LLP, on behalf of the California Department of Social Services, and granted acceptance for the CCE funding, in the amount of $10,515,038, which would be used to construct additional facilities on the Campus.
DHCS has issued a Request for Application (RFA) for county behavioral health (BH) agencies to apply for funding to initiate and support BH infrastructure efforts in their communities. As part of the RFA, DHCS requires adoption of a Resolution approving the application for funding and execution of the grant agreement. In addition, ancillary documents are imperative for this grant application as they provide supporting evidence that validates and strengthens the project’s feasibility, credibility, and alignment with state requirements. These documents include, but are limited to, letters of support, cost estimates, any preliminary site plans (schematics), copy of all contracts for hire, organizational chart, preliminary report title, certified appraisal and bank loan document (if identifying a real property contribution for match), and resumes of the development team.
If awarded, DBH will request approval from the Board for acceptance of the grant. The funding is intended to expand community capacity, with a commitment to serve the most vulnerable individuals, including those who are veterans and those who are experiencing homelessness within the BH population, and a commitment to serve Medi-Cal beneficiaries, through capital expansion projects.
PROCUREMENT
N/A
REVIEW BY OTHERS
This item has been reviewed by Behavioral Health (Diana Barajas, Acting Contracts Supervisor, 388-0869) on September 18, 2025; County Counsel (Dawn Martin, Deputy County Counsel, 387-5455) on October 2, 2025; Project and Facilities Management (Donald Day, Director, 387-5000) on October 3, 2025; and County Finance and Administration (Paul Garcia, Administrative Analyst, 386-8392) on October 9, 2025.