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Agenda Item
ASR
Control 21-001049 |
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MEETING DATE: |
04/26/22 |
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legal entity taking action: |
Board of Supervisors |
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board of supervisors
district(s): |
1, 2, 4 |
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SUBMITTING
Agency/Department: |
Health Care Agency
(Approved) |
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Department contact
person(s): |
Annette Mugrditchian (714)834-5026 |
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Veronica Kelley (714)834-7024 |
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Subject: Renewal Amendment No. 5 for
Recovery Residence Service
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ceo CONCUR |
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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: N/A |
Current Year Cost:
N/A |
Annual Cost:
FY 2022-23 $1,500,000 |
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Staffing Impact: |
No |
# of Positions:
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Sole Source:
N/A |
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Current Fiscal Year Revenue: N/A
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Prior Board Action: 04/27/2021
#18, 04/14/2020 #10, 05/22/2018 #30 |
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RECOMMENDED ACTION(S):
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1. |
Approve Amendment No. 5 to renew the Master Agreement with various providers for the provision of Recovery Residence Services, for the term of July 1, 2022, through June 30, 2023, for an amount not to exceed $1,500,000, for a revised aggregate total amount not to exceed $6,280,000. |
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2. |
Approve renewal of the individual Contract with Clean Path Recovery, LLC, for the provision of Recovery Residence Services, for the term of July 1, 2022, through June 30, 2023. |
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3. |
Approve renewal of the individual Contract with Grandma's House of Hope, for the provision of Recovery Residence Services, for the term of July 1, 2022, through June 30, 2023. |
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4. |
Approve renewal of the individual Contract with Roque Center, Inc., for the provision of Recovery Residence Services, for the term of July 1, 2022, through June 30, 2023. |
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5. |
Approve renewal of the individual Contract with The Stephouse Recovery, Inc., for the provision of Recovery Residence Services, for the term of July 1, 2022, through June 30, 2023. |
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6. |
Approve renewal of the individual Contract with The Villa Center, Inc., for the provision of Recovery Residence Services, for the term of July 1, 2022, through June 30, 2023. |
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7. |
Authorize the County Procurement Officer or Deputized designee to execute Amendment No. 5 to renew the Master Agreement and execute individual contract renewal Amendments with Clean Path Recovery, LLC, Grandma's House of Hope, Roque Center, Inc., The Stephouse Recovery, Inc., and The Villa Center, Inc. and as referenced in the Recommended Actions above. |
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8. |
Authorize the County Procurement Officer or Deputized designee to execute individual Contracts with various providers as needed throughout the term of the Master Agreement. |
SUMMARY:
Approval of Amendment No. 5 to renew the Master Agreement with various providers for Recovery Residence Services will provide safe and drug-free housing options for individuals 18 years of age and older that have a substance use disorder.
BACKGROUND INFORMATION:
Your Honorable Board of Supervisors (Board) approved the Master Agreement with various providers for provision of Recovery Residence Services and the below additional actions have been executed pursuant to appropriate authorities. Providers under this Master Agreement are paid through fee-for-service contracts and draw down from an aggregate maximum obligation. Prior to contract expiration, the Health Care Agency (HCA) plans to issue a solicitation to continue services.
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Board Date |
Contract/Amendment |
Action |
Term |
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May 22, 2018 |
Contract |
Board Approved Contract |
July 1, 2018 - June 30, 2021 |
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April 14, 2020 |
Amendment No. 1 |
Board Approved Contract Increase |
July 1, 2019 - June 30, 2021 |
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N/A |
Amendment No. 2 |
Deputy Purchasing Agent (DPA) Authority - Contingency Cost Increase |
June 1, 2020 - June 30, 2021 |
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April 27, 2021 |
Amendment No. 3 |
Board Approved Term Renewal |
July 1, 2021 - June 30, 2022 |
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N/A |
Amendment No. 4 |
DPA Authority Administrative Revisions |
November 1, 2021 - June 30, 2022 |
Scope of Service
Participants are referred from County contracted programs that need additional support to maintain their sobriety. A recovery residence provides a supervised transitional housing option in a safe and drug-free environment. All recovery residence participants must be actively engaged in self-help support groups such as 12-step programs. All participants are subjected to random drug tests. As a condition of receiving recovery residence housing, residents are required to participate in outpatient treatment services. This combination provides structure and treatment, which in turn, has a positive impact on recidivism rates. There are a total of 127 beds available for this service. For the last fiscal year of 2020-2021, 412 individuals were served. There are currently 83 individuals receiving this service.
Performance
Outcomes
Recovery residences are designed to help clients achieve sustained sobriety, stable housing and employment. Recovery Residences are asked to capture these goals through the following outcomes:
Table 1. Employment Rate and Housing Linkage Rate for FY 2020-21.
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Program |
Outcomes |
Employment Rate (>80% goal) |
Housing Linkage Rate (>80% goal) |
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Clean Path Recovery, LLC Men (AB109) |
100% |
100% |
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Clean Path Recovery, LLC Men (Non-AB109) |
100% |
93% |
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Clean Path Recovery, LLC Women (Non-AB109) |
100% |
100% |
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Grandma's House of Hope (AB109) |
100% |
75% |
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Grandma's House of Hope (non-AB109) |
80% |
90% |
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Roque Center, Inc. Gage, Miss Doris and Tedmar House (AB109) |
100% |
100% |
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Roque Center, Inc. Gage, Miss Doris and Tedmar House (non-AB109) |
95% |
100% |
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The Stephouse Recovery, Inc. (AB109) |
100% |
100% |
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The Villa Center, Inc. (AB109) |
100% |
100% |
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The Villa Center, Inc. (non-AB109) |
91% |
100% |
Grandma’s House of Hope did not meet the expected outcomes as they faced many of the same complications that the rest of the field did during COVID-19/Public Health Emergency due to workforce and quarantining standards. This resulted in a low census for beds. The Contractors' performance has been confirmed as satisfactory.
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 proposed Master Agreement does not include subcontractors or pass through to other providers. See Attachment G for Contract Summary Forms.
Orange County Preference Policy is not applicable to this contract award.
HCA only contracts for Recovery Residence Services with providers who meet the Orange County Adult Alcohol and Drug Sober Living Facilities Certification Guidelines and have been certified by the Orange County Sheriff’s Department (OCSD).
HCA has developed a Good Neighbor Policy that is included in Residential Program contracts wherein contractor provides services to County residents and the services may have a potential impact on the surrounding neighborhood(s) including but not limited to environment, safety, and congregation. HCA has not received any negative feedback from the community and will continue to work with the contractor(s) and the community to ensure positive community relations.
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Contractor |
Facility
Location |
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Clean Path Recovery, LLC |
Santa Ana |
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Grandma's House of Hope |
Anaheim |
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Roque Center, Inc. |
Anaheim, Fullerton |
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The Stephouse Recovery, Inc. |
Fountain Valley |
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The Villa Center, Inc. |
Santa Ana |
HCA requests the authority to add new providers or locations without returning to the Board for approval as referenced in the Recommended Actions. Returning to the Board for approval of new providers may result in a delay that would compromise critical bed availability. The ability to add new, qualified providers is time sensitive due to the instability and needs of the at-risk population served under the Master Agreement.
HCA requests that the Board approve Amendment No. 5 to the Master Agreement and renewal Amendments with the individual providers for the provision of Recovery Residence Services.
FINANCIAL IMPACT:
Appropriations for this Contract will be included in Budget Control 042 FY 2022-23 Budget.
The proposed Master Agreement includes provisions allowing HCA to terminate the Master Agreement, 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:
N/A
ATTACHMENT(S):
Attachment A - Amendment No. 5 to Master Agreement
MA-042-19010252 for Recovery Residence Services Master Agreement
Attachment B - Amendment No. 8 to Contract MA-042-19010252 for Recovery
Residence Services with Clean Path Recovery, LLC
Attachment C - Amendment No. 9 to Contract MA-042-19010252 for Recovery
Residence Services with Grandma's House of Hope
Attachment D - Amendment No. 7 to Contract MA-042-19010252 for Recovery
Residence Services with Roque Center, Inc.
Attachment E - Amendment No. 6 to Contract MA-042-19010252 for Recovery
Residence Services with The Stephouse Recovery, Inc.
Attachment F - Amendment No. 5 to Contract MA-042-19010252 for Recovery
Residence Services with The Villa Center, Inc.
Attachment G - Contract Summary Forms for Attachment A-F
Attachment H - Redline to Attachment A
Attachment I - Redline to Attachment B
Attachment J - Redline to Attachment C
Attachment K - Redline to Attachment D
Attachment L - Redline to Attachment E
Attachment M - Redline to Attachment F