REPORT/RECOMMENDATION TO THE BOARD OF SUPERVISORS
OF SAN BERNARDINO COUNTY
AND RECORD OF ACTION
December 5, 2023
FROM
LUTHER SNOKE, Chief Executive Officer, County Administrative Office
SUBJECT
Title
Community Care Expansion Preservation Program Contract Templates
End
RECOMMENDATION(S)
Recommendation
1. Approve a standardized Community Care Expansion Preservation Program contract template for San Bernardino County to award Operating Subsidy Payment funding to eligible Adult Residential Facilities, Residential Care Facilities for the Elderly, and Residential Care Facilities for the Chronically Ill.
2. Approve a standardized Community Care Expansion Preservation Program contract template for San Bernardino County to manage Capital Projects for eligible Adult Residential Facilities, Residential Care Facilities for the Elderly, and Residential Care Facilities for the Chronically Ill.
3. Approve a standardized Community Care Expansion Preservation Program contract template for eligible Adult Residential Facilities, Residential Care Facilities for the Elderly, and Residential Care Facilities for the Chronically Ill to manage Capital Projects.
4. Authorize the Chief Executive Officer or County Chief Financial Officer to execute the Community Care Expansion Preservation Program contract templates with subgrantees, contractors, and/or subcontractors in accordance with the Board of Supervisors approved Community Care Expansion Preservation Program Implementation Plan, on behalf of the County, subject to County Counsel review.
(Presenter: Matthew Erickson, County Chief Financial Officer, 387-5423)
Body
COUNTY AND CHIEF EXECUTIVE OFFICER GOALS & OBJECTIVES
Promote the Countywide Vision.
Operate in a Fiscally-Responsible and Business-Like Manner.
Provide for the Safety, Health and Social Service Needs of County Residents.
Pursue County Goals and Objectives by Working with Other Agencies and Stakeholders.
FINANCIAL IMPACT
Approval of this item will not result in the use of Discretionary General Funding (Net County Cost). The total program implementation cost of $14,620,997 will be funded by a Community Care Expansion (CCE) Preservation Program allocation in the amount of $13,833,106 from the California Department of Social Services (CDSS) and $787,891 from the County’s American Rescue Plan Act (ARPA) funding source as part of the CCE matching requirement for its Capital Projects Program. Adequate appropriation and revenue are included in the 2023-24 CCE Preservation Program budget and will be included in future recommended budgets.
BACKGROUND INFORMATION
The CCE Preservation Program is an effort initiated by CDSS, made available through noncompetitive allocations to counties that have opted into the program. The program provides two forms of direct financial assistance to eligible Adult Residential Facilities , Residential Care Facilities for the Elderly , and Residential Care Facilities for the Chronically Ill (collectively “Facilities”):
• Operating Subsidy Payments: Funds may be used to preserve and avoid the closure of local Facilities through operational financial support.
• Capital Projects: Funds may be applied to physical repairs or required upgrades to local Facilities to prevent closure and/or meet licensing requirements.
San Bernardino County (County) recognizes the vital role that the Facilities play in providing care to vulnerable populations within the community. To ensure the ongoing reliability and sustainability of the long-term care continuum, the County agreed to participate in the CCE Preservation Program.
On May 9, 2023 (Item No. 23), the Board of Supervisors (Board) accepted the CCE Preservation Program allocation in the amount of $13,833,106 and approved the Implementation Plan. The funding consists of $5,954,197 in Operating Subsidy Payments, and $7,878,909 in Capital Projects. The County Administrative Office (CAO), is responsible for the administration, dissemination, and monitoring of funds to existing licensed adult and senior care facilities. The CAO is acting in partnership with the Project and Facilities Management Department and Department of Aging and Adult Services-Public Guardian, with input from the Department of Behavioral Health.
This effort will not only support existing Facilities in continuing to provide care, but it will also help alleviate homelessness in the County, as facilities will be able to improve conditions which will allow them to serve individuals at their full capacity. Furthermore, guidelines and program tools have been developed by the CAO for proper planning and management of funds and projects. The County-developed contract templates provide a framework for the projects’ scope of work, eligibility criteria, and funding disbursement. The three recommended templates provide guidelines and enforce program criteria set forth by CDSS, County Policy, and ARPA guidelines, where applicable.
The Operating Subsidy Payment contract template is for all eligible facilities receiving funds for operational expenses. The two Capital Project contract templates are for eligible facilities receiving funding for capital improvements. Recommendation No.2 is for County managed projects, where the eligible facility does not have the capacity and capability to fulfill the project, and Recommendation No. 3 is for facility managed projects, where the facility is capable and has the capacity to fulfill the capital improvement project.
Operating Subsidy Payment funds are available to address a facility’s deficits associated with the day-to-day operations (e.g., staffing, utilities, security, maintenance). The intent of these funds is to preserve and avoid the closure of facilities, as well as to increase the acceptance of new residents, including high-risk. Capital Project funds are available to preserve facilities in need of critical repairs or required upgrades, thereby potentially preventing facility closure. Funds can be applied to physical repairs and upgrades to the property and to ensure facilities are compliant with licensing standards.
Approval of the three contract templates and delegated authority will allow CCE Preservation contracts to be executed by the Chief Executive Officer (CEO) or County Chief Financial Officer (CFO) through an efficient process by eliminating the need to bring individual contracts before the Board for consideration.
PROCUREMENT
Not applicable.
REVIEW BY OTHERS
This item has been reviewed by County Counsel (Kristina Robb, Deputy County Counsel, 387-5455) on November 7, 2023; Purchasing (Ariel Gill, Supervising Buyer, 387-2070) on November 8, 2023; Risk Management (Victor Tordesillas, Director, 386-8623) on November 7, 2023; Finance (Erika Rodarte, Administrative Analyst, 387-4919) on November 15, 2023; and County Finance and Administration (Matthew Erickson, County Chief Financial Officer, 387-5423) on November 15, 2023.