REPORT/RECOMMENDATION TO THE BOARD OF SUPERVISORS
OF SAN BERNARDINO COUNTY
AND RECORD OF ACTION
March 24, 2026
FROM
JOSHUA DUGAS, Acting Director, Department of Behavioral Health
SUBJECT
Title
Amendment to Contract with Amethyst Behavioral Health, LLC for Adult Residential Facilities with Social Rehabilitation Treatment Service
End
RECOMMENDATION(S)
Recommendation
Approve Amendment No. 1 to Agreement No. 25-509 with Amethyst Behavioral Health, LLC, for the provision of Adult Residential Facilities with Social Rehabilitation Treatment Services, to update a facility address, with no change to the agreement amount of $11,832,480, or the contract period of July 1, 2025 through June 30, 2030.
(Presenter: Joshua Dugas, Acting Director, 252-5142)
Body
COUNTY AND CHIEF EXECUTIVE OFFICER GOALS & OBJECTIVES
Promote and Fulfill the Countywide Vision.
Foster Sustainable Development Through Strategic Partnerships.
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 agreement cost of $11,832,480 for the Adult Residential Facilities (ARF) with Social Rehabilitation Treatment Services (SRTS) remains unchanged and is funded by Mental Health Services Act (Behavioral Health Services Act effective July 1, 2026). Adequate appropriation and revenue have been included in the Department of Behavioral Health’s (DBH) 2025-26 budget and will be included in future recommended budgets.
BACKGROUND INFORMATION
DBH is responsible for providing mental health and substance use disorder (SUD) services to San Bernardino County residents experiencing severe mental illness and/or SUD. ARF with SRTS assists adults living with a behavioral health condition who no longer meet the criteria for services at hospital psychiatric units but require further care, observation, and assistance. Services are provided in an unlocked, home-like setting where clients can achieve and maintain stabilization before being reintegrated into the community.
ARF with SRTS helps reduce the frequency of psychiatric emergency department visits by serving as a step-down level of care from acute psychiatric hospitalization and other locked adult residential facilities. This option provides clients with long-term and transitional residential alternatives that are less restrictive than psychiatric hospitals and locked residential facilities, while still offering an appropriate level of care.
On June 18, 2025 (Item No. 27), the Board of Supervisors approved Agreement No. 25-509 with Amethyst Behavioral Health, LLC, for the provision of ARF with SRTS, in the contract amount of $11,832,480, for the contract period of July 1, 2025 through June 30, 2030.
DBH anticipates the following contract outcomes:
• Access to 18 beds, serving 36 unduplicated clients annually
• Average annual cost of $65,700 per client
On August 21, 2025, DBH was notified that Amethyst Behavioral Health, LLC was relocating one of its service sites from 938 Herald Street in Redlands (Herald St) to 514 Hartzell Ave in Redlands. The relocation was required after the California Department of Social Services determined that the Herald St location did not meet the requirements for licensure as an ARF due to its proximity to existing residential facilities, which may result in overconcentration pursuant to the California Code Health and Safety Code 1520.5.
The recommended amendment updates the facility address to reflect this service site relocation.
PROCUREMENT
Not applicable.
REVIEW BY OTHERS
This item has been reviewed by Behavioral Health (Marianna Martinez, Administrative Supervisor II, 383-3940) on January 27, 2026; County Counsel (Charles Phan, Supervising Deputy County Counsel, 387-5455) on February 26, 2026; and County Finance and Administration (Iliana Rodriguez, Administrative Analyst, 386-8392) on March 4, 2026.