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Agenda Item
ASR
Control 25-000716 |
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MEETING
DATE: |
04/14/26 |
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legal entity taking action: |
Board
of Supervisors |
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board of supervisors district(s): |
2,
3, 4, 5 |
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SUBMITTING Agency/Department: |
Health
Care Agency (Approved) |
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Department contact person(s): |
Veronica
Kelley (714) 834-7024 |
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Ian
Kemmer (714) 834-2160 |
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Subject: Renewal Homeless Bridge Housing and
Behavioral Health Bridge Housing Services
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ceo CONCUR |
County Counsel Review |
Clerk of the Board |
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Concur |
Approved
Agreement to Form |
Discussion |
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3
Votes Board Majority |
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Budgeted: Yes |
Current Year
Cost: $228,361 |
Annual Cost: FY 2026-27 $12,654,590 |
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Staffing Impact: |
No |
# of Positions: |
Sole Source: Yes |
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Current Fiscal Year Revenue: N/A
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Prior Board Action: 2/27/2024 #32, 9/26/2023 #40, 5/9/2023
#18 |
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RECOMMENDED
ACTION(S):
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1. |
Approve Amendment No. 4 to renew the
Contract with Grandma’s House of Hope for provision of Homeless Bridge
Housing Services, for an amount not to exceed $3,859,449, for a revised
cumulative contract amount not to exceed $13,858,961, renewable for one
additional one-year term, effective upon Board approval through June 30,
2027. |
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2. |
Approve Amendment No. 2 to renew the
Contract with Friendship Shelter, Inc. for provision of Homeless Bridge Housing
Services, for an amount not to exceed $1,621,993 and to increase the Period
Three amount not to exceed by $110,939, for a revised cumulative contract
amount not to exceed $5,564,535, renewable for one additional one-year term,
effective upon Board approval through June 30, 2027. |
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3. |
Approve Amendment No. 2 to renew the
Contract with Colette’s Children Home, Inc. for provision of Homeless Bridge
Housing Services, for an amount not to exceed $715,007, for a revised
cumulative contract amount not to exceed $2,860,028, renewable for one
additional one-year term, effective upon Board approval through June 30,
2027. |
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4. |
Approve Amendment No. 3 to renew
Memorandum of Understanding with City of Costa Mesa to pass through
Behavioral Health Bridge Housing grant funds for provision of Behavioral
Health Bridge Housing Services, for an amount not to exceed $1,147,021, and
to increase the Period Three amount not to exceed by $117,422 for a revised cumulative contract amount
not to exceed $4,819,571, effective upon Board approval through June 30,
2027. |
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5. |
Approve Amendment No. 1 to renew the
sole source Contract with Kingdom Causes, Inc. dba City Net for provision of
Behavioral Health Bridge Housing Services, for an amount not to exceed
$5,311,120, for a revised cumulative contract amount not to exceed $13,922,103,
effective upon Board approval through June 30, 2027. |
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6. |
Authorize the County Procurement Officer
or Deputized designee to execute the Amendments with Grandma's House of Hope,
Friendship Shelter, Inc., Colette’s Children Home, Inc., and Kingdom Causes,
Inc. dba City Net, as referenced in the Recommended Actions above. |
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7. |
Authorize the Health Care Agency
Director or designee to execute Amendment No. 3 to renew the Memorandum of
Understanding with City of Costa Mesa, as referenced in the Recommended
Action above. |
SUMMARY:
Approval of the Amendments to renew
Homeless Bridge Housing Services and Behavioral Health Bridge Housing Services
Contracts and Amendment to the Memorandum of Understanding will provide
continued access to bridge housing and supportive services to address the
immediate and sustainable housing needs of individuals and families
experiencing homelessness who have serious behavioral health conditions.
BACKGROUND
INFORMATION:
Orange County Health Care Agency
(HCA) has established Homeless Bridge Housing (HBH) and Behavioral Health
Bridge Housing (BHBH) programs to support individuals and families experiencing
homelessness, particularly those living with severe mental health and moderate
to severe substance use disorders.
In 2023, the County of Orange
(County) received $31.6 million through the State’s BHBH grant to expand bridge
housing capacity countywide for individuals with severe mental illness and
moderate to severe substance use disorders while prioritizing individuals
participating in Community Assistance, Recovery and Empowerment (CARE) Act.
To carry out this work, the HCA
partners with community-based providers and local jurisdictions.
The proposed amendments will renew
these agreements, adjust funding allocations, and support continued program
operations within the current state grant funding period, which extends through
June 30, 2027. The contract with Kingdom Causes, Inc., doing business as City
Net, was established as a sole source agreement to meet the Behavioral Health
Bridge Housing (BHBH) grant requirement for rapid implementation of new bridge
housing beds. The State’s timeline required immediate action, and there was not
sufficient time to complete a competitive Request for Proposals (RFP) process.
This amendment allows services to continue through the end of the grant period.
The below table details the actions that
were executed pursuant to appropriate authorities.
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Board
of Supervisors (Board) Date |
Contract/Amendment |
Action |
Amount
Not to Exceed |
Term |
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May 9, 2023 |
HBH Contract |
Board Approved Contracts with: Grandma's House of Hope (GHH) Friendship Shelter Inc. (FSI) Colette's Children Home Inc. (Colette's) |
GHH: $5,410,038 FSI: $1,304,895 Colette's: $2,145,021 |
July 1, 2023-June 30, 2026 |
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September 26, 2023 |
Grant Award eForm for BHBH funding |
Board Approved to Accept Funds |
N/A |
N/A |
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February 27, 2024 |
Amendment No. 1 to HBH Contracts with
GHH and FSI BHBH Memorandum of Understanding (MOU)
with City of Costa Mesa (Costa Mesa) BHBH Contract with Kingdom Causes, Inc.
dba City Net (City Net) |
Board Approved Amendment No. 1 to
increase Amount not to Exceed and add BHBH component Board Approved MOU Board Approved Sole Source Contract |
GHH: $4,551,203 FSI: $2,526,709 Costa Mesa: $3,555,128 City Net: $8,610,984 |
February 27, 2024- June 30, 2026 March 27, 2024 – June 30, 2026 March 27, 2024 – June 30, 2026 |
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N/A |
Amendments No. 2-3 with GHH Amendments No. 1 with Colette's Amendments No. 1-2 with Costa Mesa |
Deputy Purchasing Agent (DPA)
Administrative Authority- administrative revisions GHH: DPA Administrative Authority-
Contingency increase |
GHH: increased by $29,271 |
N/A |
Scope
of Services
The County operates three bridge housing
programs serving distinct but related populations experiencing homelessness:
Homeless Bridge Housing, Re-Entry Bridge Housing and Behavioral Health Bridge
Housing.
The
table below outlines the three Bridge Housing programs, their funding sources,
and target populations:
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Program |
Funding Source |
Target Population |
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Homeless
Bridge Housing |
Mental
Health Services Act (MHSA)/Behavioral Health Services Act (BHSA) |
Homeless
HCA clients with serious mental illness enrolled in actively enrolled
treatment services. |
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Re-entry
Bridge Housing |
Assembly
Bill 109 |
Homeless
HCA clients with serious mental illness participating in re-entry services
following justice system involvement. |
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Behavioral
Heath Bridge Housing |
BHBH
Grant |
Homeless
individuals with serious mental illness and/or substance use disorder,
priority given to CARE Court participants. Treatment participation is
encouraged but not required. |
Across all programs, bridge housing is
intended as short-term stabilization while participants work toward permanent
housing. Programs coordinate with Medi-Cal managed care health plans through
California Advancing and Innovating Medi-Cal (CalAIM) to maximize available
housing-related supports and services. The BHBH program is voluntary and
designed to be low-barrier to ensure access for individuals with significant
behavioral health needs.
The HBH and BHBH programs will operate in
accordance to the County’s Standards of Care for Emergency Shelter Providers
(Standards of Care). The Standards of Care is a comprehensive set of
administrative, operational, and facility-based standards designed to support
the quality and consistency of program operations, evidence-based participant
services, core organizational and administrative functions, and facility design
and operations. Providers also follow
Good Neighbor Policies and work collaboratively with surrounding neighborhoods
to maintain positive community relationships. HCA has not received negative
community feedback and will continue ongoing coordination with providers and
residents.
Program performance is monitored through
housing outcomes, participant stability, and progress toward independent
living, as reflected in the outcome measures included in the following section.
Performance
Outcomes
HBH
Services
|
Vendor |
Total
Individual Served (Unduplicated) |
90% of Participants will have an
individualized Housing and Service Plan within 60 calendar days of program
enrollment |
90% of Participants will be
connected to the CES within 60 calendar days of program enrollment |
50% of Participants will transition
to a permanent housing destination within two years of program
enrollment. |
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Fiscal
Year (FY) 24-25 |
FY 25-26* |
FY
24-25 |
FY
25-26* |
FY
24-25 |
FY
25-26* |
FY
24-25 |
FY
25-26* |
|
GHH |
34 |
46 |
92% |
100% |
92% |
88%** |
76% |
40%*** |
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FSI |
28 |
18 |
100% |
100% |
100% |
100% |
50% |
56% |
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Colette’s |
14 |
12 |
100% |
100% |
78%** |
100% |
20%*** |
25%*** |
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*FY 25-26
measures data through December 2025. **Linkage
to CES outcome because some participants exited the program before they could
be fully assessed and entered into CES. ***Permanent housing outcome not
met due to challenges in placing participants who did not qualify for or have
an identified rental subsidy or permanent housing funding source. |
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Vendor |
90%
of Participants will report increase in life well-being and life satisfaction
within 12 months of program enrollment (measured by the Homeless Management
Information System (HMIS) Status Update/Annual Assessment Form). |
90%
of Participants will increase independent living skills within 12 months of
program enrollment. |
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FY
24-25 |
FY
25-26* |
FY
24-25 |
FY
25-26* |
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GHH |
92% |
93% |
100% |
100% |
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FSI |
100% |
100% |
100% |
100% |
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Colette’s |
100% |
100% |
100% |
100% |
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*FY
2025-26 measures data through December 2025. |
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Both providers have received additional
training and technical assistance to strengthen timely CES enrollment and
improve housing planning strategies, and performance is expected to improve
moving forward.
Homeless
Bridge Re-Entry Outcomes
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Vendor |
Total
Individual Served (Unduplicated) |
90%
of Participants will have an Individualized Housing and Service Plan within
60 calendar days of program enrollment. |
90%
of Participants will be connected to the CES within 60 calendar days of
program enrollment. |
50%
of Participants will transition to a permanent housing destination within two
years of program enrollment. |
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FY
24-25 |
FY
25-26* |
FY
24-25 |
FY
25-26* |
FY
24-25 |
FY
25-26* |
FY
24-25 |
FY
25-26* |
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GHH |
51 |
33 |
96% |
100% |
78%** |
100% |
40%*** |
67% |
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*FY
25-26 measures data through December 2025 **Linkage
to CES outcome because some participants exited the program before they could
be fully assessed and entered into CES. ***Permanent housing outcome not met due
to the challenges of locating affordable housing opportunities as well as
limitations re-entering the workforce due to background. |
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Vendor |
90%
of Participants will report increase in life well-being and life satisfaction
within 12 months of program enrollment (measured by the HMIS Status
Update/Annual Assessment Form). |
90%
of Participants will increase independent living skills within 12 months of
program enrollment. |
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FY
24-25 |
FY
25-26* |
FY
24-25 |
FY
25-26* |
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GHH |
96% |
91% |
100% |
100% |
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*FY
25-26 measures data through December 2025 |
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Behavioral
Health Bridge Housing Services
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Vendor |
Total
Individual Served (Unduplicated) |
90%
of Participants will have an Individualized Housing and Service Plan within
60 calendar days of program enrollment. |
90%
of Participants will be connected to the CES within 60 calendar days of
program enrollment. |
50%
of Participants will transition to a permanent housing destination within two
years of program enrollment. |
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FY
24-25 |
FY 25-26* |
FY
24-25 |
FY
25-26* |
FY
24-25 |
FY
25-26* |
FY
24-25 |
FY
25-26* |
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GHH |
83 |
42 |
90% |
82% |
57%** |
84%** |
21%*** |
67% |
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FSI |
27 |
23 |
96% |
100% |
100% |
100% |
31%*** |
78% |
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Costa
Mesa |
53 |
25 |
100% |
100% |
100% |
100% |
21%*** |
16%*** |
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City
Net |
127 |
178 |
100% |
100% |
100% |
100% |
13%*** |
25%*** |
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*FY 25-26
measures data through December 2025 **Linkage
to CES outcome because some participants exited the program before they could
be fully assessed and entered into CES. ***Permanent housing outcome not
met due to challenges in placing participants who did not qualify for or have
an identified rental subsidy or permanent housing funding source. |
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Vendor |
90%
of Participants will report increase in life well-being and life satisfaction
within 12 months of program enrollment (measured by the HMIS Status
Update/Annual Assessment Form). |
90%
of Participants will increase independent living skills within 12 months of
program enrollment. |
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FY
24-25 |
FY 25-26* |
FY
24-25 |
FY
25-26* |
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GHH |
93% |
95% |
100% |
100% |
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FSI |
100% |
100% |
100% |
100% |
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Costa
Mesa |
100% |
100% |
100% |
100% |
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City
Net |
100% |
100% |
100% |
100% |
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*FY 25-26 measures data through
December 2025. |
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Several of the providers did not meet the
permanent housing outcome for FY 2024-25 due to limited housing opportunities,
lack of homeless chronicity required to be prioritized for the permanent
supportive housing opportunities made available through CES and the severe
behavioral health conditions and symptoms of the individuals served. City Net
and Friendship Shelter provide private settings for individuals who cannot
reside in shared living environments due to their severe behavioral health
conditions. These participants take longer to stabilize in the environment or
may exit the program before being permanently housed.
This outcome will be updated to align with
the end of the BHBH program and the 12-month time limit on interim housing
funded by BHSA Housing Interventions. The proposed outcome is below:
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75 percent of Participants will
transition to a non- time limited permanent housing setting within 12 months
of program enrollment. |
Approval of the Recommended Actions
will continue to support the County's effort to build a responsive System of
Care that meets the needs of individuals experiencing homelessness by providing
access to bridge housing and supportive services that support achieving
permanent housing.
The agreed upon Scope of Work and
Services outlined in the Amendments are in alignment with the Shelter and
Outreach & Supportive Services Pillars' best practices, guiding principles
and commitments as detailed in the Homeless Service System Pillar Report.
The Contractors' performances have
been confirmed as satisfactory with no identified issues. HCA has verified
there are no concerns that must be addressed with respect to Contractors'
ownership/name, litigation status or conflicts with County interests. The
Orange County Preference Policy is not applicable to the Amendments and MOU.
The Contract with GHH and the MOU with the
Costa Mesa include subcontractors. See Attachment F for the Contract Summary
Forms.
HCA requests the Board approve the
Amendments to renew the Contracts with GHH, FSI, Colette’s for Homeless Bridge
Housing, the MOU with Costa Mesa, and the renewal of the Contract with City
Net, as referenced in the Recommended Actions.
FINANCIAL
IMPACT:
Appropriations for these Contracts
are included in Budget Control 042 FY 2025-26 Budget and will be included in
the budgeting process for future years.
The proposed Contract includes provisions
allowing HCA to terminate the Contract, reduce the level of services, and/or
renegotiate the levels of services provided, as necessary. This includes a
notice that allows HCA adequate time to transition or terminate services to
clients, if necessary.
STAFFING
IMPACT:
An analysis was completed to verify
the contract provides County with persons specially trained, experienced,
expert and competent to perform the special services in accordance with the
law.
REVIEWING
AGENCIES:
Office
of Care Coordination
ATTACHMENT(S):
Attachment
A – Amendment No. 4 to MA-042-23011144 for Homeless Bridge Housing Services
with Grandma's House of Hope
Attachment B – Amendment No. 2 to MA-042-23010864 for Homeless Bridge Housing
Services with Friendship Shelter, Inc.
Attachment C – Amendment No. 2 to
MA-042-23011145 for Homeless Bridge Housing Services with Colette's Children
Home, Inc.
Attachment D – Amendment No. 3 to MA-042-24010836 for Behavioral Health Bridge
Housing Services with City of Costa Mesa
Attachment E – Amendment No. 1 to MA-042-24010840 for Behavioral Health Bridge
Housing Services with Kingdom Causes, Inc. dba City Net
Attachment F – Contract Summary Forms