REPORT/RECOMMENDATION TO THE BOARD OF SUPERVISORS
OF SAN BERNARDINO COUNTY
AND RECORD OF ACTION
June 27, 2023
FROM
SHARON NEVINS, Director, Department of Aging and Adult Services
SUBJECT
Title
Amendment to Contract with Inland Southern California 211+ for Aging and Disability Resource Connection No Wrong Door Enhanced Information and Referral Services
End
End
RECOMMENDATION(S)
Recommendation
Approve Amendment No. 1 to Contract No. 22-1246 with Inland Southern California 211+ for Aging and Disability Resource Connection No Wrong Door enhanced information and referral services, increasing the contract amount by $169,389, from $169,389, for a total of $338,778, and extending the contract term by one year, for a total contract period of July 1, 2022 through June 30, 2024.
(Presenter: Sharon Nevins, Director, 891-3917)
Body
COUNTY AND CHIEF EXECUTIVE OFFICER GOALS & OBJECTIVES
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
This item does not impact Discretionary General Funding (Net County Cost). The increase of $169,389 is funded by the State Emerging Aging and Disability Resource Connection (ADRC) grant. Adequate appropriation and revenue have been included in the Department of Aging and Adult Services’ (DAAS) 2023-24 Aging budget.
BACKGROUND INFORMATION
The recommended contract amendment with Inland Southern California 211+ (Inland SoCal), the Information and Referral service agency for the County, will continue the provision of enhanced information and referral services to older adults and the partnership and development of the ADRC No Wrong Door network, empowering older adults and persons with disabilities to consider all available options, make informed decisions, access community supports for needed services, and meet their personal goals for independence. Services include, but are not limited to:
• Comprehensive enhanced information and referral services countywide to a minimum of 3,600 older adults and persons with disabilities annually (900 quarterly) through the ADRC hotline and the 24-hour, seven days per week 2-1-1 Call Center.
• Dedicated resource assistance (two 2-1-1 ADRC Community Resource Specialists).
• Data collection and reports in compliance with ADRC State requirements.
Inland SoCal has provided ADRC No Wrong Door enhanced information and referral services since July 1, 2022. Currently, Inland SoCal has reported 4,190 total calls received for enhanced information and referral services for 2022-23, averaging 1,397 quarterly for the first three quarters. The recommended amendment will extend the contract term and increase the contract amount, allowing these services to continue without interruption. The service metrics will be updated in a new amendment, once the final numbers for 2022-23 are received, and brought to the Board of Supervisors (Board) for approval.
An ADRC No Wrong Door network is a system that enables consumers to access long-term services and supports (LTSS) through one agency, organization, coordinated network, or portal, and provides information regarding the availability of LTSS, how to apply for LTSS, referral services for LTSS otherwise available in the community, and either a determination of financial and functional eligibility for LTSS or assistance with assessment processes for financial and functional eligibility. LTSS are used by individuals with functional limitations and chronic illnesses who need assistance to perform routine daily activities. LTSS are provided in institutional settings, such as nursing facilities, as well as in home and community-based settings.
Dialing 2-1-1 is free and confidential with live, bilingual call specialists to assist callers 24 hours a day, 365 days a year. The County 2-1-1 line, operated by Inland SoCal, provides crucial referrals to older adults and persons with disabilities in need of information and referrals to vital health and social services in the local community.
The ADRC of San Bernardino County was initially operated as an Emerging ADRC while developing key partnerships and laying the groundwork to become a Designated ADRC. All counties receive ADRC base funding, with Emerging ADRCs receiving additional funding to the base, and Designated ADRCs receiving the maximum funding. On December 24, 2021, Designated ADRC status was approved by the California Department of Aging (CDA) beginning with the 2022-23 program year, eventually providing Inland SoCal with $169,389 in allocated funding.
Inland SoCal’s performance will continue to be monitored by review of quarterly reports and invoices and an annual monitoring visit to ensure compliance with the administrative, program, and fiscal terms and conditions of the contract, as well as the CDA’s ADRC Designation Criteria. Performance measures include, but are not limited to:
• Providing comprehensive enhanced information and referral services to a minimum of 3,600 older adults and persons with disabilities annually through the toll-free ADRC hotline and 24-hour, seven days per week 2-1-1 Call Center.
• Performing follow-up on 100% of ADRC clients receiving warm transfers, including surveying client satisfaction via call backs in collaboration with ADRC Core Partners.
• Providing ADRC quarterly reports to the ADRC Core Partners (DAAS and Rolling Start, Inc.).
The toll-free ADRC hotline is answered by ADRC Community Specialists during normal business hours. After hours calls are handled by the 2-1-1 Call Center, and follow-up is provided by the ADRC Community Specialists, as needed. Enhanced information and referral services include completing intake assessments, making warm transfers to partners, and assisting ADRC staff with inquiries regarding calls and service data.
The ADRC Core Partners review the quarterly reports for compliance with CDA ADRC requirements on the State form (CDA 7029). The Core Partners will then compile and submit the ADRC’s quarterly reports to the CDA. The ADRC quarterly reports contain demographic information and client counts of the types of ADRC services provided., including calls received, intakes and assessments completed, warm transfers, services offered, and follow-ups made. CDA uses the information to analyze the program’s success, develop performance measures and provide guidance to ADRCs across California.
On December 13, 2022, the Board approved Contract No. 22-1246 with Inland SoCal with a total contract amount of $169,389, for the period of July 1, 2022 through June 30, 2023.
County staff will review monthly invoices to ensure charges are for services provided to eligible beneficiaries under the ADRC program prior to payment. The County reserves the right to request additional program and/or fiscal reports to facilitate this monthly review. The contract may be terminated without cause by the County with 30-days written notice.
PROCUREMENT
The original contract was awarded through a non-competitive procurement. Inland SoCal is known and recognized statewide and is the CDA approved coordinating entity for the ADRC of the County. Inland SoCal is the only information and referral service provider in the County. For these reasons, the Purchasing Department concurred with the non-competitive nature of this contract.
REVIEW BY OTHERS
This item has been reviewed by Human Services Contracts (Patty Steven, Contracts Manager, 388-0241) on May 24, 2023; County Counsel (Jacqueline Carey-Wilson, Deputy County Counsel, 387-5455) on June 8, 2023; Finance (John Hallen, Administrative Analyst, 388-0208) on June 9, 2023; and County Finance and Administration (Cheryl Adams, Deputy Executive Officer, 388-0238) on June 9, 2023.