To: Sonoma County Board of Supervisors
Department or Agency Name(s): Human Services
Staff Name and Phone Number: Paul Dunaway 565-3673, Tracy Repp 565-5982
Vote Requirement: Majority
Supervisorial District(s): Countywide
Title:
Title
Adult and Aging Contract Amendments
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Recommended Action:
Recommended action
Authorize the Director of Human Services to execute amendments increasing FY19/20 funding for contracts with Catholic Charities, Council on Aging and Petaluma People Services Center.
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Executive Summary:
The Human Services Department (HSD), Adult and Aging Division, requests approval to amend existing contracts with Catholic Charities, Council on Aging, and Petaluma Peoples Services Center by allocating federal funding increases received by the California Department of Aging (CDA) in order to provide additional services to older adults in Sonoma County.
Discussion:
The Sonoma County Area Agency on Aging (AAA) is responsible for planning and developing policy and advocating for the needs of older adults, adults with disabilities, and their caregivers throughout Sonoma County. CDA distributes federal funds of the Older Americans Act (OAA) to local AAAs to fund services to assist older adults and people with disabilities to remain safely in their homes and long-term care facilities for as long as possible.
CDA issues Area Plan Standard Agreement Amendments each year to allocate unanticipated federal revenue as One-Time-Only (OTO) funding to be spent within the current fiscal year, as well as allocate increases or decreases to on-going baseline funding that continues into future fiscal years. CDA Area Plan Standard Agreement #2 increased funding by $426,427. Permission for the Human Services Department Director to amend and execute future Standard Agreement amendments to adjust for future revenue levels based on changes to funding was granted by Resolution# 19-0281 Item #15 on 7/9/19.
In addition, HSD determined a need to use realignment funds to provide a one-time increase to the senior nutrition programs offered by Petaluma People Services Center ($53,280) and Coastal Seniors ($1,450).
The AAA contracts funding received from CDA to local service providers were selected through a competitive Request for Proposal (RFP) process.
The Human Services Department is requesting the Board of Supervisors to authorize the Director of Human Services to execute amendments with 3 local service providers referenced in this board item:
1. Catholic Charities for the Alzheimer’s Day program: Increase the current $83,190 contract by $19,468 for a total not to exceed $102,658.
2. Council on Aging for nutrition and adult day programs: Increase the current $1,409,244 contract by $233,969 for a total not to exceed $1,643,213.
3. Petaluma People Services Center for nutrition programs: Increase the current $258,831 contract by $153,517 for a total not to exceed $412,348.
The remaining OTO funding and baseline increases will be allocated to local service providers as well as funding for the Human Services Information & Assistance program whose total amounts do not require Board of Supervisors approval due to the value of the contracts. These contracts are with: Alzheimer’s Association, Coastal Seniors, Redwood Caregiver Resource Center, Senior Advocacy Services, and West County Community Services. Please refer to Attachment#1 for the breakdown of the $426,427 increase per service provider and program.
Alzheimer’s Day and Adult Day programs:
Both Adult Day and Alzheimer’s Day programs provide day care services for adults 60+ who are functionally or cognitively impaired by providing the emotional, mental and social stimulation (arts, crafts, entertainment, light exercise) in a safe and comfortable home-like setting appropriate to varying levels of individualized needs. It also serves as respite for caregivers. Alzheimer’s Day programs are held at licensed locations.
Caregiver Assessment:
Assessments are conducted by trained and experienced individuals and result in a plan that includes assessing the caregivers’ abilities, physical health, psychological health, social supports, training needs, financial resources for caregiving, and overall strengths and weaknesses.
Caregiver Support Groups:
Support groups are provided to caregivers, led by a competent facilitator within a supportive setting. The purpose of the groups is for sharing experiences and ideas to ease the stress of caregiving, and to improve decision-making and problem-solving skills related to caregiving responsibilities.
Case Management program:
The program provides person-centered assistance to adults 60+ who need help managing daily living tasks to maintain an optimum level of functioning in the least restrictive setting possible. The program utilizes a collaborative and holistic approach of assessment, care planning, care coordination, advocacy for options, resources, and services to meet the individual's comprehensive needs.
Elder Abuse Prevention:
Prevention services provide education and training to develop, strengthen, and carry out investigation of and response to elder abuse, neglect and exploitation, including financial exploitation of older adults 60+ years of age.
Information & Assistance:
This is a dedicated phone line (565-INFO) for adults 60+ to talk with social workers who understand aging issues and are knowledgeable about resources. Social workers provide individuals with guidance and information on services available in the community and establish follow-up support by phone.
Nutrition Programs - Home Delivered Meals and Senior Lunches at Congregate Sites:
The home delivered meals program is designed to increase the nutrient intake of homebound or isolated adults 60+ who may have become homebound due to increasing age or short-term/long-term health problems. The program provides nutritional support through the delivery of one meal per day to assist in maintaining health, independence and ability to remain at home.
The senior lunch programs (congregate meals) provides a nutritionally balanced meal and social contact, which provides positive motivation for self-care for adults 60+ who may often eat poorly on their own and may become lonely and depressed in isolation.
Ombudsman Program:
The Ombudsman Program provides services to protect the health, safety, welfare, and rights of individuals who are residents of long-term care facilities (e.g. skilled nursing facilities, residential care facilities for the elderly, and other similar adult care homes). They investigate and resolve complaints made by or on behalf of long-term care facility residents.
Prior Board Actions:
September 17, 2019 - Approved Council on Aging Amendment #1 for FY 2019-20.
June 11, 2019 - Approved Council on Aging and Petaluma People Services Center contracts for FY 2019-20.
July 9, 2019 - Approved the initial California Department of Aging Area Plan Standard Agreement #AP-1920-27 in the amount of $2,350,589.
Fiscal Summary
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Expenditures |
FY 19-20 Adopted |
FY20-21 Projected |
FY 21-22 Projected |
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Budgeted Expenses |
$54,730 |
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Additional Appropriation Requested |
$426,427 |
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Total Expenditures |
$481,157 |
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Funding Sources |
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General Fund/WA GF |
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State/Federal |
$481,157 |
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Fees/Other |
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Use of Fund Balance |
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Contingencies |
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Total Sources |
$481,157 |
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Narrative Explanation of Fiscal Impacts:
There is no General Fund impact. The total additional appropriation in the amount of $426,427 for FY 19-20 is from the California Department of Aging (CDA), and Attachment 1 displays the subtotals dedicated for each contract. The total amount of $54,730 for FY 19-20 is from the 1991 Realignment fund and was already included in the adopted FY 19-20 budget. The expense appropriation will be posted to subsection 24030153 (Area Agency on Aging) and account code 53012 (Support Care of Persons).
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Staffing Impacts: |
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Position Title (Payroll Classification) |
Monthly Salary Range (A-I Step) |
Additions (Number) |
Deletions (Number) |
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Narrative Explanation of Staffing Impacts (If Required):
None
Attachments:
1) Service provider contracted allocations chart
2) Catholic Charities contract amendment #1
3) Council on Aging contract amendment #2
4) Petaluma People Services Center contract amendment #1
Related Items “On File” with the Clerk of the Board:
None