To: Board of Supervisors
From: Dr. Grant Colfax, Health Services Director
Report Title: Contract #24-681-20(32) with Frederick Williams (dba Williams Board and Care Home)
☒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 #24-681-20(32) with Frederick Williams (dba Williams Board and Care Home), an individual, in an amount not to exceed $207,303 to provide augmented board and care services for older adults with mental illness for the period from July 1, 2026 through June 30, 2027.
FISCAL IMPACT:
Approval of this Contract will result in contractual service expenditures of up to $207,303 and will be funded by 100% Behavioral Health Service Act (BHSA) funds. Beginning July 1, 2026, the Mental Health Services Act (MHSA) funding fully transitions to the BHSA to reflect full implementation and oversight required under California Proposition 1, approved by voters in March 2024, which modernizes MHSA by renaming it the BHSA and redirecting funding to support building a comprehensive, integrated, and unified behavioral health system statewide.
BACKGROUND:
This Contract meets the social needs of the County's population by augmenting room and board and providing twenty-four-hour emergency residential care and supervision to eligible adults with mental illness, who are discharged from hospitals and mental health rehabilitation centers requiring one on one supervision. This Contractor has been a part of the Behavioral Health Provider Network providing augmented board and care services and fostering a deep understanding of the County’s mission, values, and long-term objectives since July 1, 1998.
The Behavioral Health’s Quality Management, Utilization Management and Contract Monitor staff meet on regular basis to ensure monitoring and performance measures in the Contract are upheld. This Contract was approved by Health Services Personnel to ensure there is no conflict with labor relations. This Contract is entered into under and subject to the following legal authorities: California Government Code §§ 26227; California Code of Regulations, Title 9, Section 523 et seq.; California Welfare and Institutions Code Section 5600 et. Seq (known as The Bronzan-McCorquodale Act). These contracted services were determined to be exempt from Administrative Bulletin 600.3 solicitation requirements by the Public Works Department’s Purchasing Division.
On May 13, 2025, the Board of Supervisors approved Contract 24-681-20(31) with Frederick Williams (dba Williams Board and Care Home) in an amount not to exceed $203,238 to provide augmented board and care services for older adults with mental illness, for the period from July 1, 2025 through June 30, 2026.
Approval of Contract #24-681-20(32) will allow Contractor to continue providing augmented board and care services to older adults with mental illness through June 30, 2027.
CONSEQUENCE OF NEGATIVE ACTION:
If this Contract is not approved, older adults with mental illness needing augmented board and care will not have access to Contractor’s services which could result in higher levels of care.