To: Board of Supervisors
From: Dr. Grant Colfax, Health Services Director
Report Title: Contract #74-708-2 with Ujima Family Recovery Services
☒Recommendation of the County Administrator ☐ Recommendation of Board Committee
RECOMMENDATIONS:
APPROVE and AUTHORIZE the Health Services Director, or designee, to execute on behalf of the County Contract #74-708-2 with Ujima Family Recovery Services, a non-profit corporation, in an amount not to exceed $372,816 to provide on-site childcare services for women receiving perinatal substance use disorder (SUD) outpatient services, for the period July 1, 2025 through June 30, 2026.
FISCAL IMPACT:
Approval of this Contract will result in annual budgeted expenditures of up to $372,816 and will be funded 100% by Substance Abuse Prevention and Treatment Block Grant revenues.
BACKGROUND:
The California Department of Health Care Services' (DHCS) Perinatal Practice Guidelines (PPG) state that for women in substance use treatment, lack of access to childcare is a critical factor that may serve as a barrier to a woman’s participation in treatment, and SUD providers are encouraged to provide on-site, licensed childcare in accordance with childcare licensing requirements. Contractor will assist the Alcohol and Other Drugs Services (AODS) division by providing on-site, license-exempt childcare through a cooperative arrangement between parents for the care of their children. Contractor will begin providing services in August 2024.
This Contract is entered into under and subject to the following legal authorities: California Government Code §§ 26227 and 31000. This Contract was approved by Health Services Personnel to ensure there is no conflict with labor relations. The Behavioral Health’s Quality Management, Utilization Management and Contract Monitor Staff meet on a regular basis to ensure monitoring and performance measures in the Contract are upheld. This Contractor was approved by the Public Works Department’s Purchasing Division on June 18, 2025.
On August 31, 2024, the Board of Supervisors approved Contract #74-708-1 with Ujima Family Recovery Services, in an amount no to exceed $343,680, to provide on-site childcare services for women receiving SUD outpatient services, for the period August 1, 2024 through June 30, 2025.
Approval of Contract #74-708-2 will allow the Contractor to continue providing on-site childcare services through June 30, 2026. The delay of this Contract was due to ongoing budget and rate negotiations between the Division and the Contractor.
CONSEQUENCE OF NEGATIVE ACTION:
If this Contract is not approved, women receiving perinatal SUD outpatient services will not have access to Contractor’s on-site childcare services and may serve as a barrier to a woman’s participation in treatment.
CHILDREN’S IMPACT STATEMENT:
This Alcohol and Drug Abuse program supports the Board of Supervisors’ “Families that are Safe, Stable, and Nurturing” community outcome by providing parenting education, stability, and safety for mothers (and their children) and pregnant women who are alcohol and drug dependent, while they are in substance abuse treatment. Expected outcomes include delivery of drug-free babies, decreased use of alcohol, tobacco and other drugs, reduction in the number of relapses, and creation of a sober social network.