To: Board of Supervisors
From: Dr. Grant Colfax, Health Services Director
Report Title: Contract #74-622-12 with Paradise Adolescent Homes, Inc.
☒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 #74-622-12 with Paradise Adolescent Homes, Inc., a non-profit corporation, in an amount not to exceed $2,112,801, to provide Medi-Cal Specialty Mental Health Services (SMHS) for Seriously Emotionally Disturbed (SED) youth in Contra Costa County, for the period July 1, 2026 through June 30, 2029.
FISCAL IMPACT:
Approval of this Contract will result in contractual service expenditures of up to $2,112,801 and will be funded by 50% Federal Medi-Cal and 50% Mental Health Realignment funds.
BACKGROUND:
This Contract meets the social needs of County’s population by providing community-based Medi-Cal SMHS to youth with emotional and behavioral problems to improve school performance, reduce unsafe behavioral practices, and reduce the need for out-of-home placements. This Contractor has been providing these services to the County since January 2021.
This Contract is entered into under and subject to the following legal authorities: Welfare and Institution Code, §5600 et seq. (The Bronzan McCorquodale Act); California Code of Regulations (“CCR”), Title 9, § 523 et seq. (Community Mental Health Services) and California Government Code §§ 26227 and 31000. Health Services Personnel approved this Contract to ensure no conflicts with labor relations. Contractor currently cooperates and participates in BHSD’s Quality Management Program which consists of quality improvement activities to improve the quality of care, services and member experience. Cooperation includes collection and evaluation of performance measurement data and participation in the organization’s clinical and service measure Quality Improvement Programs. Per Administrative Bulletin 600.3, the Department has posted a continuous Request for Qualifications and maintains a current qualified list of vendors at all times.
On July 22, 2025, the Board of Supervisors approved Contract #74-622-9 with Paradise Adolescent Homes, Inc., in an amount not to exceed $455,906, for the provision of Medi-Cal SMHS for SED youth for the period from July 1, 2025 through June 30, 2026.
On March 31, 2026, the Board of Supervisors approved Contract Amendment #74-622-11 with Paradise Adolescent Homes, Inc., effective February 28, 2026, to increase the payment limit by $201,211 to a new payment limit not to exceed $657,117, to provide additional Medi-Cal SMHS with no change in the term.
Approval of Contract #74-622-12 will allow the Contractor to continue providing Medi-Cal SMHS through June 30, 2029.
CONSEQUENCE OF NEGATIVE ACTION:
If this Contract is not approved, there will be fewer Medi-Cal SMHS available for SED children in Contra Costa County as the County solicits and engages an alternative Contractor.
CHILDREN’S IMPACT STATEMENT:
The recommendation supports the following children's outcome(s):” and then include whichever of the following apply (1) Children Ready for and Succeeding in School; (2) Children and Youth Healthy and Preparing for Productive Adulthood; (3) Families that are Safe, Stable and Nurturing; and (4) Communities that are Safe and Provide a High Quality of Life for Children and Families.