Board Of Supervisors — Tuesday, October 20, 2026
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To participate in real time, please join the Zoom Meeting, by clicking the link below at 9am: Join from a PC, Mac, iPad, iPhone or Android device: Please click this URL to join. https://lakecounty.zoom.us/j/86533544962?pwd=eFU3SWhhVlR4OGtqK1hPLzI0N2F0dz09 Passcode: 726865 Or One tap mobile: +16694449171,,86533544962#,,,,*726865# US +16699006833,,86533544962#,,,,*726865# US (San Jose) Or join by phone: Dial(for higher quality, dial a number based on your current location): US: +1 669 444 9171 or +1 669 900 6833 or +1 346 248 7799 or +1 719 359 4580 or +1 253 205 0468 or +1 253 215 8782 or +1 360 209 5623 or +1 386 347 5053 or +1 507 473 4847 or +1 564 217 2000 or +1 646 931 3860 or +1 689 278 1000 or +1 929 205 6099 or +1 301 715 8592 or +1 305 224 1968 or +1 309 205 3325 or +1 312 626 6799 Webinar ID: 865 3354 4962 Passcode: 726865 International numbers available: https://lakecounty.zoom.us/u/kcUkQmMtyj PLEASE NOTE: IF ALL BOARD MEMBERS ARE PRESENT IN PERSON, PUBLIC PARTICIPATION BY ZOOM IS FOR CONVENIENCE ONLY AND IS NOT REQUIRED BY LAW. IF THE ZOOM FEED IS LOST FOR ANY REASON, THE MEETING MAY BE PAUSED WHILE A FIX IS ATTEMPTED BUT THE MEETING MAY CONTINUE AT THE DISCRETION OF THE CHAIRPERSON.
To submit a written comment on any agenda item please visit: https://countyoflake.legistar.com/Calendar.aspx and click on the eComment feature linked to the meeting date. If a comment is submitted after the meeting begins, it may not be read during the meeting but will become a part of the record.
Thank you for your interest in this meeting.
1. Call to Order
2. Moment of Silence
3. Pledge of Allegiance
4. Consideration of Extra Items Not Appearing on the Posted Agenda
5. Approval of the Consent Agenda
5.1Adopt Proclamation Designating the Month of October 2026 as Domestic Violence Awareness Month in Lake County
Proclamation
proposed on consent
Staff memo
Executive Summary
DESIGNATING THE MONTH OF OCTOBER 2026 AS
DOMESTIC VIOLENCE AWARENESS MONTH IN LAKE COUNTY
WHEREAS, Domestic Violence impacts, women, children and men of all racial, cultural and economic backgrounds; and
WHEREAS, emotional and physical scars resulting from Domestic Violence are often severe and long lasting; and
WHEREAS, in the past 12 months, Lake County Law Enforcement responded to over 376 incidents of Domestic Violence, including men, women and children, the Victim Witness Division of the District Attorney’s Office has served 290 victims of Domestic Violence, and the District Attorney’s Office has prosecuted 300 felonies and misdemeanor acts of Domestic Violence. Lake Family Resource Center responded to 1,118 crisis line calls, served victims, and sheltered 118 domestic violence victims and their children for a total of 4,342 bed nights; and
WHEREAS, it is crucially important to hold perpetrators responsible for assault and to prevent Domestic Violence at every opportunity; and
WHEREAS, family violence is a community problem, stopping the cycle requires not only the strength and courage of survivors, but also the support and involvement of all members of the community; and
WHEREAS, many organizations such as the District Attorney’s Office, Sheriff’s Office, Lakeport Police Department, Clearlake Police Department, and Lake Family Resource Center are committed to ending Domestic Violence in Lake County and provide essential crisis intervention and prevention services to all members of our community.
NOW, THEREFORE, BE IT PROCLAIMED that the County of Lake Board of Supervisors does hereby designate the month of October 2026 as Domestic Violence Awareness Month in Lake County and our community is urged to support the efforts of the agencies assisting victims of domestic violence and to increase their involvement in efforts to prevent domestic violence, thereby strengthening our community and creating an environment which honors, nurtures, and protects all members of every family.
PASSED AND ADOPTED this 20th day of October 2026.
Not applicable
Recommended Action
Adopt Proclamation Designating the Month of October 2026 as Domestic Violence Awareness Month in Lake County
Original memo text
Memorandum
Date: October 20, 2026
To: The Honorable Lake County Board of Supervisors
From: Clerk of the Board
Subject: Adopt Proclamation Designating the Month of October 2026 as Domestic Violence Awareness Month in Lake County
Executive Summary:
DESIGNATING THE MONTH OF OCTOBER 2026 AS
DOMESTIC VIOLENCE AWARENESS MONTH IN LAKE COUNTY
WHEREAS, Domestic Violence impacts, women, children and men of all racial, cultural and economic backgrounds; and
WHEREAS, emotional and physical scars resulting from Domestic Violence are often severe and long lasting; and
WHEREAS, in the past 12 months, Lake County Law Enforcement responded to over 376 incidents of Domestic Violence, including men, women and children, the Victim Witness Division of the District Attorney’s Office has served 290 victims of Domestic Violence, and the District Attorney’s Office has prosecuted 300 felonies and misdemeanor acts of Domestic Violence. Lake Family Resource Center responded to 1,118 crisis line calls, served victims, and sheltered 118 domestic violence victims and their children for a total of 4,342 bed nights; and
WHEREAS, it is crucially important to hold perpetrators responsible for assault and to prevent Domestic Violence at every opportunity; and
WHEREAS, family violence is a community problem, stopping the cycle requires not only the strength and courage of survivors, but also the support and involvement of all members of the community; and
WHEREAS, many organizations such as the District Attorney’s Office, Sheriff’s Office, Lakeport Police Department, Clearlake Police Department, and Lake Family Resource Center are committed to ending Domestic Violence in Lake County and provide essential crisis intervention and prevention services to all members of our community.
NOW, THEREFORE, BE IT PROCLAIMED that the County of Lake Board of Supervisors does hereby designate the month of October 2026 as Domestic Violence Awareness Month in Lake County and our community is urged to support the efforts of the agencies assisting victims of domestic violence and to increase their involvement in efforts to prevent domestic violence, thereby strengthening our community and creating an environment which honors, nurtures, and protects all members of every family.
PASSED AND ADOPTED this 20th day of October 2026.
If not budgeted, fill in the blanks below only:
Estimated Cost: ________ Amount Budgeted: ________ Additional Requested: ________ Future Annual Cost: ________
Purchasing Considerations (check all that apply): ☐ Not applicable
☐ Fully Article X.- and/or Consultant Selection Policy-Compliant (describe process undertaken in “Executive Summary”)
☐ Section 2-38 Exemption from Competitive Bidding (rationale in “Executive Summary,” attach documentation, as needed)
☐ For Technology Purchases: Vetted and Supported by the Technology Governance Committee (“Yes,” if checked)
☐ Other (Please describe in Executive Summary)
Consistency with Vision 2028 (check all that apply): ☒ Not applicable
☒ Well-being of Residents ☐ Public Safety ☐ Disaster Prevention, Preparedness, Recovery
☐ Economic Development ☐ Infrastructure ☐ County Workforce
☒ Community Collaboration ☐ Business Process Efficiency ☐ Clear Lake
Recommended Action:
Adopt Proclamation Designating the Month of October 2026 as Domestic Violence Awareness Month in Lake County
5.2Adopt Proclamation Declaring October 2026 as Italian Heritage Month in Lake County
Proclamation
proposed on consent
Staff memo
Executive Summary
DECLARING OCTOBER 2026 AS
ITALIAN HERITAGE MONTH IN LAKE COUNTY
WHEREAS, Italian Heritage Month is commemorated every October to honor the Italian American community and the traditions, language, and customs, that inspire and influence the world and Lake County; and
WHEREAS, Italian immigrants and their descendants have shaped American life through innovation, labor, finance, culture, science, religion, and public leadership. Their contributions remain deeply embedded in the nation’s institutions, industries, and cultural identity; and
WHEREAS, these contributions are broad-based and consequential: ground-breaking milestones in modern physics, engineering, and medicine by Enrico Fermi reverberate today; the aircraft worker who inspired the iconic figure Rosie the Riveter was Italian American Rose Bonavita; and Italian American Constantino Brumidi painted major frescoes in the U.S. Capitol, including the Capitol Dome; and
WHEREAS, Italian Americans have a modest but enduring presence in Lake County, dating mainly from the late 19th century, with concentrations in the southern part of the county; and
WHEREAS, distinctive traditions centered around family, food, and friendship were established and carried forward for nearly a century. These include summer getaways to “Little Italy” near Loch Lomond and annual festivities such as Ferragosto (August 15); and
WHEREAS, these events united families and the broader community in celebrating the many contributions Italians Americans have made to Lake County, particularly to local agriculture, and all residents are encouraged to join in acknowledging the rich heritage, pride, and enduring impact of Italian immigrants on our community.
NOW, THEREFORE, BE IT PROCLAIMED that the Board of Supervisors of the County of Lake declares October 2026 as Italian Heritage Month in Lake County.
PASSED AND ADOPTED this 20th day of October 2026.
Not applicable
Recommended Action
Adopt Proclamation Declaring October 2026 as Italian Heritage Month in Lake County
Original memo text
Memorandum
Date: October 20, 2026
To: The Honorable Lake County Board of Supervisors
From: Jessica Pyska, Supervisor, District 5
Subject: Adopt Proclamation Declaring October 2026 as Italian Heritage Month in Lake County
Executive Summary:
DECLARING OCTOBER 2026 AS
ITALIAN HERITAGE MONTH IN LAKE COUNTY
WHEREAS, Italian Heritage Month is commemorated every October to honor the Italian American community and the traditions, language, and customs, that inspire and influence the world and Lake County; and
WHEREAS, Italian immigrants and their descendants have shaped American life through innovation, labor, finance, culture, science, religion, and public leadership. Their contributions remain deeply embedded in the nation’s institutions, industries, and cultural identity; and
WHEREAS, these contributions are broad-based and consequential: ground-breaking milestones in modern physics, engineering, and medicine by Enrico Fermi reverberate today; the aircraft worker who inspired the iconic figure Rosie the Riveter was Italian American Rose Bonavita; and Italian American Constantino Brumidi painted major frescoes in the U.S. Capitol, including the Capitol Dome; and
WHEREAS, Italian Americans have a modest but enduring presence in Lake County, dating mainly from the late 19th century, with concentrations in the southern part of the county; and
WHEREAS, distinctive traditions centered around family, food, and friendship were established and carried forward for nearly a century. These include summer getaways to “Little Italy” near Loch Lomond and annual festivities such as Ferragosto (August 15); and
WHEREAS, these events united families and the broader community in celebrating the many contributions Italians Americans have made to Lake County, particularly to local agriculture, and all residents are encouraged to join in acknowledging the rich heritage, pride, and enduring impact of Italian immigrants on our community.
NOW, THEREFORE, BE IT PROCLAIMED that the Board of Supervisors of the County of Lake declares October 2026 as Italian Heritage Month in Lake County.
PASSED AND ADOPTED this 20th day of October 2026.
If not budgeted, fill in the blanks below only:
Estimated Cost: ________ Amount Budgeted: ________ Additional Requested: ________ Future Annual Cost: ________
Purchasing Considerations (check all that apply): ☐ Not applicable
☐ Fully Article X.- and/or Consultant Selection Policy-Compliant (describe process undertaken in “Executive Summary”)
☐ Section 2-38 Exemption from Competitive Bidding (rationale in “Executive Summary,” attach documentation, as needed)
☐ For Technology Purchases: Vetted and Supported by the Technology Governance Committee (“Yes,” if checked)
☐ Other (Please describe in Executive Summary)
Consistency with Vision 2028 (check all that apply): ☒ Not applicable
☐ Well-being of Residents ☐ Public Safety ☐ Disaster Prevention, Preparedness, Recovery
☐ Economic Development ☐ Infrastructure ☐ County Workforce
☐ Community Collaboration ☐ Business Process Efficiency ☐ Clear Lake
Recommended Action:
Adopt Proclamation Declaring October 2026 as Italian Heritage Month in Lake County
5.3Approve Amendment Two to Engagement Letter for Investigative Services Between the County of Lake and Van Dermyden Makus Law Corporation and authorize the Chair to sign
Agreement
proposed on consent
Staff memo
Executive Summary
On April 24, 2023, your Board approved the Engagement Letter for Investigative Services between the County of Lake and Van Dermyden Makus Law Corporation to perform an impartial personnel investigation with costs not to exceed $25,000. On April 25, 2023, the engagement letter contract amount was increased to $65,000 to cover the costs in excess of the initial $25,000 amount incurred as of that date.
Based on the costs incurred to date, including Van Dermyden Makus Law Corporation attendance in depositions in ongoing litigation related to said personnel investigation, staff anticipates that the total costs of the investigation may reach $102,000, so the amendment proposes to increase the cap of investigation costs not to exceed $102,000.
This engagement letter contract is exempt from competitive bidding procedures pursuant to Lake County Code Section 2-39.2 and Section 1.C.2 of the County’s Consultant Selection Policy.
Other (Please describe in Executive Summary)
Not applicable
Recommended Action
Approve Amendment Two to Engagement Letter for Investigative Services Between the County of Lake and Van Dermyden Makus Law Corporation and authorize the Chair to sign
Original memo text
Memorandum
Date: October 20, 2026
To: The Honorable Lake County Board of Supervisors
From: Susan Parker, County Administrative Officer
Subject: Approve Amendment Two to Engagement Letter for Investigative Services Between the County of Lake and Van Dermyden Makus Law Corporation and authorize the Chair to sign
Executive Summary:
On April 24, 2023, your Board approved the Engagement Letter for Investigative Services between the County of Lake and Van Dermyden Makus Law Corporation to perform an impartial personnel investigation with costs not to exceed $25,000. On April 25, 2023, the engagement letter contract amount was increased to $65,000 to cover the costs in excess of the initial $25,000 amount incurred as of that date.
Based on the costs incurred to date, including Van Dermyden Makus Law Corporation attendance in depositions in ongoing litigation related to said personnel investigation, staff anticipates that the total costs of the investigation may reach $102,000, so the amendment proposes to increase the cap of investigation costs not to exceed $102,000.
This engagement letter contract is exempt from competitive bidding procedures pursuant to Lake County Code Section 2-39.2 and Section 1.C.2 of the County’s Consultant Selection Policy.
If not budgeted, fill in the blanks below only:
Estimated Cost: ________ Amount Budgeted: ________ Additional Requested: ________ Future Annual Cost: ________
Purchasing Considerations (check all that apply): ☐ Not applicable
☐ Fully Article X.- and/or Consultant Selection Policy-Compliant (describe process undertaken in “Executive Summary”)
☐ Section 2-38 Exemption from Competitive Bidding (rationale in “Executive Summary,” attach documentation, as needed)
☐ For Technology Purchases: Vetted and Supported by the Technology Governance Committee (“Yes,” if checked)
☒ Other (Please describe in Executive Summary)
Consistency with Vision 2028 (check all that apply): ☒ Not applicable
☐ Well-being of Residents ☐ Public Safety ☐ Disaster Prevention, Preparedness, Recovery
☐ Economic Development ☐ Infrastructure ☐ County Workforce
☐ Community Collaboration ☐ Business Process Efficiency ☐ Clear Lake
Recommended Action:
Approve Amendment Two to Engagement Letter for Investigative Services Between the County of Lake and Van Dermyden Makus Law Corporation and authorize the Chair to sign
5.4Adopt Resolution Approving Agreement with California Department of Food Agriculture for Certified Farmer’s Market Program Investigation and Enforcement Agreement # 26-0204-000-SA for $944 for the Period of July 1, 2026, through June 30, 2027
Resolution
proposed on consent
Staff memo
Executive Summary
I would like to ask the Board to adopt the attached resolution approving the agreement with the California Department of Food and Agriculture for inspection/ investigation/ enforcement work involving the Certified Farmer’s Market Program. This program allows growers to sell their produce at a Certified Farmer’s Market (CFM). This agreement reimburses the county for follow-up inspections, investigations, and enforcement actions taken. The agreement would reimburse the county up to $944.00 for billable activities listed in the scope of work.
Should the Board adopt this Resolution, please have the chair sign, and return one copy of the Agreement, and one copy of the Board Resolution and return them to the Agricultural Commissioner’s office for processing. A signed completed copy will be returned for your records.
Recommended Action
Adopt Resolution Approving Agreement with California Department of Food Agriculture for Certified Farmer’s Market Program Investigation and Enforcement Agreement # 26-0204-000-SA for $944 for the Period of July 1, 2026, through June 30, 2027
Original memo text
Memorandum
Date: October 20, 2026
To: The Honorable Brad Rasmussen, Chair, Lake County Board of Supervisors
From: Katherine Vanderwall Agricultural Commissioner Sealer of Weights and Measures
Subject: Adopt Resolution Approving Agreement with California Department of Food Agriculture for Certified Farmer’s Market Program Investigation and Enforcement Agreement # 26-0204-000-SA for $944 for the Period of July 1, 2026, through June 30, 2027
Executive Summary:
I would like to ask the Board to adopt the attached resolution approving the agreement with the California Department of Food and Agriculture for inspection/ investigation/ enforcement work involving the Certified Farmer’s Market Program. This program allows growers to sell their produce at a Certified Farmer’s Market (CFM). This agreement reimburses the county for follow-up inspections, investigations, and enforcement actions taken. The agreement would reimburse the county up to $944.00 for billable activities listed in the scope of work.
Should the Board adopt this Resolution, please have the chair sign, and return one copy of the Agreement, and one copy of the Board Resolution and return them to the Agricultural Commissioner’s office for processing. A signed completed copy will be returned for your records.
If not budgeted, fill in the blanks below only:
Estimated Cost: Amount Budgeted: Additional Requested: ________ Future Annual Cost: ________
Consistency with Vision 2028 (check all that apply): ☐ Not applicable
☐ Well-being of Residents ☐ Public Safety ☐ Disaster Preparedness, Prevention, Recovery
☐ Economic Development ☐ Infrastructure ☐ County Workforce
☒ Community Collaboration ☐ Business Process Efficiency ☐ Clear Lake
If request for exemption from competitive bid in accordance with County Code Chapter 2 Sec. 2-38, fill in blanks below:
Which exemption is being requested?
How long has Agreement been in place?
When was purchase last rebid?
Reason for request to waive bid?
Recommended Action: Adopt Resolution Approving Agreement with California Department of Food Agriculture for Certified Farmer’s Market Program Investigation and Enforcement Agreement # 26-0204-000-SA for $944 for the Period of July 1, 2026, through June 30, 2027
5.5Approve Amendment No. 1 to Participation Agreement No. 3910-CMRCM-2023-LC with the California Mental Health Services Authority (CalMHSA) to add Medi-Cal Revenue Cycle Management Billing and Accounts Receivable Services through March 20, 2029, for a total additional cost of $194,870.13, and authorize the Chair to sign
Action Item
proposed on consent
Staff memo
Executive Summary
Lake County Behavioral Health Services (LCBHS) requests approval of Amendment No. 1 to Participation Agreement No. 3910-CMRCM-2023-LC with the California Mental Health Services Authority (CalMHSA) to add Medi-Cal Revenue Cycle Management Billing and Accounts Receivable services through the remainder of the existing agreement term ending March 20, 2029, for a total additional cost not to exceed $194,870.13.
The County entered into the original Participation Agreement with CalMHSA in June 2023. The existing agreement provides State Reporting services on behalf of the County, including the preparation and submission of required California Department of Health Care Services (DHCS) reporting for mental health and substance use disorder programs. The original agreement remains in effect through March 20, 2029.
Amendment No. 1 expands the services provided under the existing Participation Agreement by adding Monthly Revenue Cycle Management – Billing and Accounts Receivable Cycle Support. These services are in addition to the State Reporting services already provided by CalMHSA and do not extend the term of the original agreement.
Under the expanded scope of services, CalMHSA will assist LCBHS with month-end billing and accounts receivable processes required by DHCS. Services include identification of pre-billing errors; coordination with County staff to resolve identified issues; generation of initial and supplemental claims; submission of Medicare and Medi-Cal claims; generation of applicable secondary payer claims; processing of electronic remittance information; denial management; rebilling; and staff training and support.
For Medi-Cal, CalMHSA will generate electronic claims for both mental health and substance use disorder programs and submit those claims directly to DHCS on behalf of the County. For Medicare, CalMHSA will generate and submit claims to the appropriate fiscal intermediary. CalMHSA will also generate claims for applicable secondary payers. Other Health Coverage CMS-1500 files will be prepared by CalMHSA for County staff to print and submit.
CalMHSA will obtain Medicare and Medi-Cal electronic remittance information and post the transactions into the County’s SmartCare Electronic Health Record. CalMHSA will also coordinate with County staff to address denied claims, generate and submit rebilled claims, and assist with managing denials through an appropriate conclusion.
The Amendment does not transfer all billing responsibility to CalMHSA. LCBHS remains responsible for ensuring that information entered by County staff is timely, accurate, and complete so that CalMHSA can successfully submit electronic claims and required files.
CalMHSA will provide training and support, review electronic submissions for HIPAA compliance, assist with denial monitoring, and work with County staff to establish procedures for the creation and posting of billing files.
The addition of Revenue Cycle Management services is intended to strengthen LCBHS billing and accounts receivable processes by providing dedicated support for claim generation, claim submission, remittance posting, denial resolution, and rebilling, while allowing County staff to remain focused on the accuracy and completeness of source documentation and billing data.
The estimated FY 2026-27 salary and benefit cost associated with the vacant 1.0 accountant position previously held by staff that retired earlier this year was approximately $120,366.12. The full annual FY 2026-27 cost of the CalMHSA Revenue Cycle Management services is $68,510.00, which is approximately $51,856.12 less than the estimated annual salary and benefit cost of filling the vacant position. CalMHSA will prorate the FY 2026-27 Revenue Cycle Management fee based on the effective date of the executed Amendment; therefore, the actual FY 2026-27 contract cost will be less than the full $68,510.00 annual amount depending on the date the Amendment becomes effective.
The Revenue Cycle Management services will be funded using available Behavioral Health resources, including salary and benefit savings associated with the vacant position and applicable Medi-Cal administrative reimbursement for eligible administrative activities. LCBHS will claim allowable administrative costs to DHCS in accordance with applicable Medi-Cal claiming requirements. Any portion of the contract cost that is not eligible for Medi-Cal administrative reimbursement will be supported by other available Behavioral Health revenues. There is no impact to the County General Fund associated with this item.
The total additional cost of Amendment No. 1 is not to exceed $194,870.13 for Revenue Cycle Management services provided through the remainder of the existing Participation Agreement term ending March 20, 2029. The Amendment establishes the following maximum costs:
• July 1, 2026 through June 30, 2027: $68,510.00, to be prorated based on the Amendment execution/effective date
• July 1, 2027 through June 30, 2028: $71,935.50
• July 1, 2028 through March 20, 2029: $54,424.63
Total Amendment No. 1 Cost: $194,870.13
The Revenue Cycle Management fee is subject to a five percent annual increase. The rate is also based on the County’s current transaction volume and may be adjusted if there are significant increases or decreases in the number of transactions. County staff support related to Medi-Cal claims and State Reporting, including communications with clinicians, issue resolution, and questions and inquiries, is included at no additional charge.
CalMHSA will invoice the County quarterly for the services provided under the Amendment, and payment is due within thirty days of receipt of each invoice. All other provisions of the existing Participation Agreement that are not modified by Amendment No. 1 remain in full force and effect.
Section 2-38 Exemption from Competitive Bidding (rationale in “Executive Summary,” attach documentation, as needed)
Recommended Action
Approve Amendment No. 1 to Participation Agreement No. 3910-
CMRCM-2023-LC with the California Mental Health Services Authority (CalMHSA) to add
Medi-Cal Revenue Cycle Management Billing and Accounts Receivable Services through
March 20, 2029, for a total additional cost of $194,870.13, and authorize the Chair to sign.
Original memo text
Memorandum
Date: October 20, 2026
To: The Honorable Lake County Board of Supervisors
From: Elise Jones, Director of Behavioral Health Services
Subject: Approve Amendment No. 1 to Participation Agreement No. 3910-CMRCM-
2023-LC with the California Mental Health Services Authority (CalMHSA) to add Medi-Cal
Revenue Cycle Management Billing and Accounts Receivable Services through March 20,
2029, for a total additional cost of $194,870.13, and authorize the Chair to sign
Executive Summary:
Lake County Behavioral Health Services (LCBHS) requests approval of Amendment No. 1 to Participation Agreement No. 3910-CMRCM-2023-LC with the California Mental Health Services Authority (CalMHSA) to add Medi-Cal Revenue Cycle Management Billing and Accounts Receivable services through the remainder of the existing agreement term ending March 20, 2029, for a total additional cost not to exceed $194,870.13.
The County entered into the original Participation Agreement with CalMHSA in June 2023. The existing agreement provides State Reporting services on behalf of the County, including the preparation and submission of required California Department of Health Care Services (DHCS) reporting for mental health and substance use disorder programs. The original agreement remains in effect through March 20, 2029.
Amendment No. 1 expands the services provided under the existing Participation Agreement by adding Monthly Revenue Cycle Management – Billing and Accounts Receivable Cycle Support. These services are in addition to the State Reporting services already provided by CalMHSA and do not extend the term of the original agreement.
Under the expanded scope of services, CalMHSA will assist LCBHS with month-end billing and accounts receivable processes required by DHCS. Services include identification of pre-billing errors; coordination with County staff to resolve identified issues; generation of initial and supplemental claims; submission of Medicare and Medi-Cal claims; generation of applicable secondary payer claims; processing of electronic remittance information; denial management; rebilling; and staff training and support.
For Medi-Cal, CalMHSA will generate electronic claims for both mental health and substance use disorder programs and submit those claims directly to DHCS on behalf of the County. For Medicare, CalMHSA will generate and submit claims to the appropriate fiscal intermediary. CalMHSA will also generate claims for applicable secondary payers. Other Health Coverage CMS-1500 files will be prepared by CalMHSA for County staff to print and submit.
CalMHSA will obtain Medicare and Medi-Cal electronic remittance information and post the transactions into the County’s SmartCare Electronic Health Record. CalMHSA will also coordinate with County staff to address denied claims, generate and submit rebilled claims, and assist with managing denials through an appropriate conclusion.
The Amendment does not transfer all billing responsibility to CalMHSA. LCBHS remains responsible for ensuring that information entered by County staff is timely, accurate, and complete so that CalMHSA can successfully submit electronic claims and required files.
CalMHSA will provide training and support, review electronic submissions for HIPAA compliance, assist with denial monitoring, and work with County staff to establish procedures for the creation and posting of billing files.
The addition of Revenue Cycle Management services is intended to strengthen LCBHS billing and accounts receivable processes by providing dedicated support for claim generation, claim submission, remittance posting, denial resolution, and rebilling, while allowing County staff to remain focused on the accuracy and completeness of source documentation and billing data.
The estimated FY 2026-27 salary and benefit cost associated with the vacant 1.0 accountant position previously held by staff that retired earlier this year was approximately $120,366.12. The full annual FY 2026-27 cost of the CalMHSA Revenue Cycle Management services is $68,510.00, which is approximately $51,856.12 less than the estimated annual salary and benefit cost of filling the vacant position. CalMHSA will prorate the FY 2026-27 Revenue Cycle Management fee based on the effective date of the executed Amendment; therefore, the actual FY 2026-27 contract cost will be less than the full $68,510.00 annual amount depending on the date the Amendment becomes effective.
The Revenue Cycle Management services will be funded using available Behavioral Health resources, including salary and benefit savings associated with the vacant position and applicable Medi-Cal administrative reimbursement for eligible administrative activities. LCBHS will claim allowable administrative costs to DHCS in accordance with applicable Medi-Cal claiming requirements. Any portion of the contract cost that is not eligible for Medi-Cal administrative reimbursement will be supported by other available Behavioral Health revenues. There is no impact to the County General Fund associated with this item.
The total additional cost of Amendment No. 1 is not to exceed $194,870.13 for Revenue Cycle Management services provided through the remainder of the existing Participation Agreement term ending March 20, 2029. The Amendment establishes the following maximum costs:
• July 1, 2026 through June 30, 2027: $68,510.00, to be prorated based on the Amendment execution/effective date
• July 1, 2027 through June 30, 2028: $71,935.50
• July 1, 2028 through March 20, 2029: $54,424.63
Total Amendment No. 1 Cost: $194,870.13
The Revenue Cycle Management fee is subject to a five percent annual increase. The rate is also based on the County’s current transaction volume and may be adjusted if there are significant increases or decreases in the number of transactions. County staff support related to Medi-Cal claims and State Reporting, including communications with clinicians, issue resolution, and questions and inquiries, is included at no additional charge.
CalMHSA will invoice the County quarterly for the services provided under the Amendment, and payment is due within thirty days of receipt of each invoice. All other provisions of the existing Participation Agreement that are not modified by Amendment No. 1 remain in full force and effect.
If not budgeted, fill in the blanks below only:
Estimated Cost: ________ Amount Budgeted: ________ Additional Requested: ________ Future Annual Cost: ________
Purchasing Considerations (check all that apply): ☐ Not applicable
☐ Fully Article X.- and/or Consultant Selection Policy-Compliant (describe process undertaken in “Executive Summary”)
☒ Section 2-38 Exemption from Competitive Bidding (rationale in “Executive Summary,” attach documentation, as needed)
☐ For Technology Purchases: Vetted and Supported by the Technology Governance Committee (“Yes,” if checked)
☐ Other (Please describe in Executive Summary)
Consistency with Vision 2028 (check all that apply): ☐ Not applicable
☒ Well-being of Residents ☐ Public Safety ☐ Disaster Prevention, Preparedness, Recovery
☐ Economic Development ☐ Infrastructure ☐ County Workforce
☐ Community Collaboration ☒ Business Process Efficiency ☐ Clear Lake
Recommended Action: Approve Amendment No. 1 to Participation Agreement No. 3910-
CMRCM-2023-LC with the California Mental Health Services Authority (CalMHSA) to add
Medi-Cal Revenue Cycle Management Billing and Accounts Receivable Services through
March 20, 2029, for a total additional cost of $194,870.13, and authorize the Chair to sign.
5.6Approve Agreement No. 26.27.3 between the County of Lake and SY Psychiatry, LLC for Substance Use Disorder Medical Director and clinical consultation services for the term of July 1, 2026 through June 30, 2027, in an amount not to exceed $425,000, and authorize the Chair of the Board of Supervisors to sign the Agreement.
Action Item
proposed on consent
Staff memo
Executive Summary
Lake County Behavioral Health Services (LCBHS) is responsible for providing or arranging substance use disorder services through the Drug Medi-Cal Organized Delivery System (DMC-ODS). As part of these responsibilities, the County requires qualified physician oversight to support clinical care, utilization management, quality assurance, regulatory compliance, and other medical-director functions.
The proposed Agreement with SY Psychiatry, LLC designates Hardeep Singh, MD as the County’s Substance Use Disorder Medical Director for Fiscal Year 2026-27. Services include physician-level medical oversight, development and implementation of DMC-ODS medical policies and standards, clinical consultation, review of medical necessity and ASAM level-of-care issues, medication and Medications for Addiction Treatment consultation, utilization management and service authorization review, quality assurance and quality improvement activities, credentialing and compliance support, and other authorized physician services.
The Agreement also authorizes Dr. Singh to provide clinical review and consultation for complex substance use disorder cases and County-contracted DMC-ODS providers when specifically authorized by the County. Unless expressly delegated in writing, utilization-management recommendations remain advisory and the County retains final authority for authorization, coverage, and member-notice decisions.
SY Psychiatry, LLC will be compensated at a rate of $200 per hour for authorized services, with total compensation not to exceed $425,000 during the Agreement term. The $200 hourly rate applies to authorized SUD Medical Director and professional services, including clinical consultation, utilization management, service authorization, quality assurance/quality improvement activities, and other services performed pursuant to the Agreement.
When Dr. Singh personally renders a covered DMC-ODS service that is eligible for Medi-Cal claiming, the service is entered into the County’s SmartCare electronic health record and billing system using the applicable CPT or HCPCS code, service duration or unit, diagnosis, rendering provider information, and other required billing information. Payment to the Contractor remains based on the $200 hourly contract rate unless a different rate is specifically established in the Agreement.
Dr. Singh has historically provided Medi-Cal-billable clinical services in addition to his Medical Director responsibilities. During Fiscal Year 2024-25, he provided 234 Medi-Cal billable services, which generated $471,028 in Medi-Cal charges, with $349,621 in Medi-Cal reimbursement received. During Fiscal Year 2025-26, he provided 254 Medi-Cal billable services, which generated $601,848 in Medi-Cal charges, with $495,886 in Medi-Cal reimbursement received. The charge amounts reflect services billed through the County’s Medi-Cal claiming system, while the reimbursement amounts reflect actual Medi-Cal payments received by the County. The Agreement also includes required Medical Director and administrative activities that may not be separately claimable to Medi-Cal, including policy development, clinical consultation, meetings, quality review, chart review, training, and other physician oversight functions. These activities are invoiced based on actual time worked at the same $200 hourly rate.
The Agreement is effective July 1, 2026 through June 30, 2027. Total compensation under the Agreement shall not exceed $425,000.
The Agreement is exempt from the formal competitive procurement process pursuant to applicable County purchasing and consultant-selection requirements because the services require specialized professional medical expertise and continuity of qualified physician oversight for the County’s DMC-ODS program.
Fiscal Impact
Total compensation under the Agreement shall not exceed $425,000 for Fiscal Year 2026-27. The Agreement includes both Medi-Cal-reimbursable clinical services and Medical Director, administrative, quality assurance, utilization review, and related activities that may not be separately reimbursable through Medi-Cal.
Eligible clinical services personally rendered by Dr. Singh are documented in SmartCare and billed through the County’s DMC-ODS Medi-Cal claiming process. Payment to SY Psychiatry LLC remains based on the contracted rate of $200 per hour. Medical Director and other authorized activities that are not separately claimable to Medi-Cal are also compensated at the $200 hourly rate.
Procurement Exemption: This Agreement is exempt from the standard solicitation process pursuant to exemption code 38.2(2) of the County’s Consultant Selection Policy. The services require specialized professional medical expertise and continuity of qualified physician oversight for the County’s DMC-ODS program. SY Psychiatry, LLC, through Hardeep Singh, MD, has provided these specialized Medical Director and clinical consultation services to the County, and continuation of the Agreement supports uninterrupted physician oversight, regulatory compliance, utilization management, quality assurance, and clinical consultation functions.
Section 2-38 Exemption from Competitive Bidding (rationale in “Executive Summary,” attach documentation, as needed)
Recommended Action
Approve Agreement No. 26.27.3 between the County of Lake and SY Psychiatry, LLC for
Substance Use Disorder Medical Director and clinical consultation services for the term of
July 1, 2026 through June 30, 2027, in an amount not to exceed $425,000, and authorize
the Chair of the Board of Supervisors to sign the Agreement.
Original memo text
Memorandum
Date: October 20, 2026
To: The Honorable Lake County Board of Supervisors
From: Elise Jones, Director of Behavioral Health Services
Subject: Approve Agreement No. 26.27.3 between the County of Lake and SY Psychiatry, LLC for Substance Use Disorder Medical Director and clinical consultation services for the term of July 1, 2026 through June 30, 2027, in an amount not to exceed $425,000, and authorize the Chair of the Board of Supervisors to sign the Agreement.
Executive Summary:
Lake County Behavioral Health Services (LCBHS) is responsible for providing or arranging substance use disorder services through the Drug Medi-Cal Organized Delivery System (DMC-ODS). As part of these responsibilities, the County requires qualified physician oversight to support clinical care, utilization management, quality assurance, regulatory compliance, and other medical-director functions.
The proposed Agreement with SY Psychiatry, LLC designates Hardeep Singh, MD as the County’s Substance Use Disorder Medical Director for Fiscal Year 2026-27. Services include physician-level medical oversight, development and implementation of DMC-ODS medical policies and standards, clinical consultation, review of medical necessity and ASAM level-of-care issues, medication and Medications for Addiction Treatment consultation, utilization management and service authorization review, quality assurance and quality improvement activities, credentialing and compliance support, and other authorized physician services.
The Agreement also authorizes Dr. Singh to provide clinical review and consultation for complex substance use disorder cases and County-contracted DMC-ODS providers when specifically authorized by the County. Unless expressly delegated in writing, utilization-management recommendations remain advisory and the County retains final authority for authorization, coverage, and member-notice decisions.
SY Psychiatry, LLC will be compensated at a rate of $200 per hour for authorized services, with total compensation not to exceed $425,000 during the Agreement term. The $200 hourly rate applies to authorized SUD Medical Director and professional services, including clinical consultation, utilization management, service authorization, quality assurance/quality improvement activities, and other services performed pursuant to the Agreement.
When Dr. Singh personally renders a covered DMC-ODS service that is eligible for Medi-Cal claiming, the service is entered into the County’s SmartCare electronic health record and billing system using the applicable CPT or HCPCS code, service duration or unit, diagnosis, rendering provider information, and other required billing information. Payment to the Contractor remains based on the $200 hourly contract rate unless a different rate is specifically established in the Agreement.
Dr. Singh has historically provided Medi-Cal-billable clinical services in addition to his Medical Director responsibilities. During Fiscal Year 2024-25, he provided 234 Medi-Cal billable services, which generated $471,028 in Medi-Cal charges, with $349,621 in Medi-Cal reimbursement received. During Fiscal Year 2025-26, he provided 254 Medi-Cal billable services, which generated $601,848 in Medi-Cal charges, with $495,886 in Medi-Cal reimbursement received. The charge amounts reflect services billed through the County’s Medi-Cal claiming system, while the reimbursement amounts reflect actual Medi-Cal payments received by the County. The Agreement also includes required Medical Director and administrative activities that may not be separately claimable to Medi-Cal, including policy development, clinical consultation, meetings, quality review, chart review, training, and other physician oversight functions. These activities are invoiced based on actual time worked at the same $200 hourly rate.
The Agreement is effective July 1, 2026 through June 30, 2027. Total compensation under the Agreement shall not exceed $425,000.
The Agreement is exempt from the formal competitive procurement process pursuant to applicable County purchasing and consultant-selection requirements because the services require specialized professional medical expertise and continuity of qualified physician oversight for the County’s DMC-ODS program.
Fiscal Impact:
Total compensation under the Agreement shall not exceed $425,000 for Fiscal Year 2026-27. The Agreement includes both Medi-Cal-reimbursable clinical services and Medical Director, administrative, quality assurance, utilization review, and related activities that may not be separately reimbursable through Medi-Cal.
Eligible clinical services personally rendered by Dr. Singh are documented in SmartCare and billed through the County’s DMC-ODS Medi-Cal claiming process. Payment to SY Psychiatry LLC remains based on the contracted rate of $200 per hour. Medical Director and other authorized activities that are not separately claimable to Medi-Cal are also compensated at the $200 hourly rate.
Procurement Exemption: This Agreement is exempt from the standard solicitation process pursuant to exemption code 38.2(2) of the County’s Consultant Selection Policy. The services require specialized professional medical expertise and continuity of qualified physician oversight for the County’s DMC-ODS program. SY Psychiatry, LLC, through Hardeep Singh, MD, has provided these specialized Medical Director and clinical consultation services to the County, and continuation of the Agreement supports uninterrupted physician oversight, regulatory compliance, utilization management, quality assurance, and clinical consultation functions.
If not budgeted, fill in the blanks below only:
Estimated Cost: ________ Amount Budgeted: ________ Additional Requested: ________ Future Annual Cost: ________
Purchasing Considerations (check all that apply): ☐ Not applicable
☐ Fully Article X.- and/or Consultant Selection Policy-Compliant (describe process undertaken in “Executive Summary”)
☒ Section 2-38 Exemption from Competitive Bidding (rationale in “Executive Summary,” attach documentation, as needed)
☐ For Technology Purchases: Vetted and Supported by the Technology Governance Committee (“Yes,” if checked)
☐ Other (Please describe in Executive Summary)
Consistency with Vision 2028 (check all that apply): ☐ Not applicable
☒ Well-being of Residents ☐ Public Safety ☐ Disaster Prevention, Preparedness, Recovery
☐ Economic Development ☐ Infrastructure ☐ County Workforce
☐ Community Collaboration ☐ Business Process Efficiency ☐ Clear Lake
Recommended Action:
Approve Agreement No. 26.27.3 between the County of Lake and SY Psychiatry, LLC for
Substance Use Disorder Medical Director and clinical consultation services for the term of
July 1, 2026 through June 30, 2027, in an amount not to exceed $425,000, and authorize
the Chair of the Board of Supervisors to sign the Agreement.
5.7Approve Agreement between the County of Lake and North Valley Behavioral Health, LLC. for Acute Inpatient Psychiatric Hospital Services and Professional Services Associated with Acute Inpatient Psychiatric Hospitalization for Fiscal Year 2026-27, in an amount not to exceed $550,000, and authorize the Chair to sign.
Action Item
proposed on consent
Staff memo
Executive Summary
Lake County Behavioral Health Services (LCBHS) is requesting approval of an Agreement with North Valley Behavioral Health, LLC. for acute inpatient psychiatric hospital services and professional services associated with acute inpatient psychiatric hospitalization for the period of July 1, 2026 through June 30, 2027, in an amount not to exceed $550,000.
LCBHS, as the Mental Health Plan for Lake County, is responsible for ensuring access to medically necessary acute inpatient psychiatric hospital services for Medi-Cal beneficiaries who meet applicable Specialty Mental Health Services requirements. Lake County does not have an acute psychiatric hospital within the County; therefore, LCBHS must maintain access to qualified out-of-county facilities for individuals requiring a hospital-based level of psychiatric care. North Valley Behavioral Health provides these services at its facilities in Yuba City.
North Valley Behavioral Health is a licensed acute care psychiatric inpatient provider serving adults who require a level of psychiatric care that cannot safely be provided in the home or community setting. Services include multidisciplinary evaluation and treatment, stabilization, medication management, therapy, case management, and coordinated discharge planning.
Utilization of North Valley Behavioral Health has varied based on client placement and acute inpatient needs. In FY 2024-25, LCBHS served 15 clients for a total of 404 bed days, with expenditures totaling $461,687. In FY 2025-26, LCBHS served 6 clients for a total of 232 bed days, with expenditures totaling $270,979. Although utilization decreased in FY 2025-26, the need for acute inpatient psychiatric hospitalization can fluctuate significantly based on individual client needs and cannot be predicted with certainty.
The proposed FY 2026-27 maximum compensation of $550,000 provides sufficient capacity for LCBHS to respond to acute inpatient placement needs throughout the fiscal year while maintaining an established contractual relationship with the provider. The maximum contract amount does not represent a guaranteed expenditure; the County pays only for services actually authorized and provided.
Under the Agreement, North Valley Behavioral Health will provide acute inpatient psychiatric hospital treatment through a multidisciplinary treatment approach that includes psychiatric assessment and treatment, medication evaluation and management, nursing and health monitoring, individual and group therapy, rehabilitation services, social work and case management, and discharge planning. The Contractor is also required to maintain applicable licensing, certification, enrollment and credentialing requirements and comply with federal, State, DHCS, Medi-Cal and County requirements.
LCBHS retains responsibility for authorization and oversight of services. Services and placements must be authorized by the County, and LCBHS retains authority over hospitalization authorization and concurrent review. The Agreement also requires sufficient clinical, billing and utilization documentation for the County to validate services and support applicable claiming and oversight requirements.
The Agreement establishes an all-inclusive rate of $1,250 per authorized client day at the Contractor’s two authorized Yuba City facilities. The per diem includes facility and professional services routinely associated with acute inpatient hospitalization, including room and board, nursing, physician and other professional services, psychiatric treatment, medication management, therapy, rehabilitation, social work and case management, discharge planning, routine supplies, and ordinary laboratory and diagnostic services.
The Agreement is currently funded with Mental Health Realignment. LCBHS is evaluating the use of Behavioral Health Services Act (BHSA) funding for eligible costs associated with these services, including the County's non-federal share of applicable Medi-Cal services, consistent with BHSA requirements and the County's Integrated Plan.
The Agreement is exempt from the formal Request for Proposals process pursuant to Section 2-38.2(2) of the County’s Purchasing Policy/Code due to the specialized nature of acute inpatient psychiatric hospital services, the need for licensed hospital-based psychiatric care, and North Valley Behavioral Health’s qualifications and capacity to provide these services.
Section 2-38 Exemption from Competitive Bidding (rationale in “Executive Summary,” attach documentation, as needed)
Recommended Action
Approve Agreement between the County of Lake and North Valley
Behavioral Health, LLC. for Acute Inpatient Psychiatric Hospital Services and Professional
Services Associated with Acute Inpatient Psychiatric Hospitalization for Fiscal Year 2026-
27, in an amount not to exceed $550,000, and authorize the Chair to sign.
Original memo text
Memorandum
Date: October 20, 2026
To: The Honorable Lake County Board of Supervisors
From: Elise Jones, Director of Behavioral Health Services
Subject: Approve Agreement between the County of Lake and North Valley Behavioral Health, LLC. for Acute Inpatient Psychiatric Hospital Services and Professional Services Associated with Acute Inpatient Psychiatric Hospitalization for Fiscal Year 2026-27, in an amount not to exceed $550,000, and authorize the Chair to sign.
Executive Summary:
Lake County Behavioral Health Services (LCBHS) is requesting approval of an Agreement with North Valley Behavioral Health, LLC. for acute inpatient psychiatric hospital services and professional services associated with acute inpatient psychiatric hospitalization for the period of July 1, 2026 through June 30, 2027, in an amount not to exceed $550,000.
LCBHS, as the Mental Health Plan for Lake County, is responsible for ensuring access to medically necessary acute inpatient psychiatric hospital services for Medi-Cal beneficiaries who meet applicable Specialty Mental Health Services requirements. Lake County does not have an acute psychiatric hospital within the County; therefore, LCBHS must maintain access to qualified out-of-county facilities for individuals requiring a hospital-based level of psychiatric care. North Valley Behavioral Health provides these services at its facilities in Yuba City.
North Valley Behavioral Health is a licensed acute care psychiatric inpatient provider serving adults who require a level of psychiatric care that cannot safely be provided in the home or community setting. Services include multidisciplinary evaluation and treatment, stabilization, medication management, therapy, case management, and coordinated discharge planning.
Utilization of North Valley Behavioral Health has varied based on client placement and acute inpatient needs. In FY 2024-25, LCBHS served 15 clients for a total of 404 bed days, with expenditures totaling $461,687. In FY 2025-26, LCBHS served 6 clients for a total of 232 bed days, with expenditures totaling $270,979. Although utilization decreased in FY 2025-26, the need for acute inpatient psychiatric hospitalization can fluctuate significantly based on individual client needs and cannot be predicted with certainty.
The proposed FY 2026-27 maximum compensation of $550,000 provides sufficient capacity for LCBHS to respond to acute inpatient placement needs throughout the fiscal year while maintaining an established contractual relationship with the provider. The maximum contract amount does not represent a guaranteed expenditure; the County pays only for services actually authorized and provided.
Under the Agreement, North Valley Behavioral Health will provide acute inpatient psychiatric hospital treatment through a multidisciplinary treatment approach that includes psychiatric assessment and treatment, medication evaluation and management, nursing and health monitoring, individual and group therapy, rehabilitation services, social work and case management, and discharge planning. The Contractor is also required to maintain applicable licensing, certification, enrollment and credentialing requirements and comply with federal, State, DHCS, Medi-Cal and County requirements.
LCBHS retains responsibility for authorization and oversight of services. Services and placements must be authorized by the County, and LCBHS retains authority over hospitalization authorization and concurrent review. The Agreement also requires sufficient clinical, billing and utilization documentation for the County to validate services and support applicable claiming and oversight requirements.
The Agreement establishes an all-inclusive rate of $1,250 per authorized client day at the Contractor’s two authorized Yuba City facilities. The per diem includes facility and professional services routinely associated with acute inpatient hospitalization, including room and board, nursing, physician and other professional services, psychiatric treatment, medication management, therapy, rehabilitation, social work and case management, discharge planning, routine supplies, and ordinary laboratory and diagnostic services.
The Agreement is currently funded with Mental Health Realignment. LCBHS is evaluating the use of Behavioral Health Services Act (BHSA) funding for eligible costs associated with these services, including the County's non-federal share of applicable Medi-Cal services, consistent with BHSA requirements and the County's Integrated Plan.
The Agreement is exempt from the formal Request for Proposals process pursuant to Section 2-38.2(2) of the County’s Purchasing Policy/Code due to the specialized nature of acute inpatient psychiatric hospital services, the need for licensed hospital-based psychiatric care, and North Valley Behavioral Health’s qualifications and capacity to provide these services.
If not budgeted, fill in the blanks below only:
Estimated Cost: ________ Amount Budgeted: ________ Additional Requested: ________ Future Annual Cost: ________
Purchasing Considerations (check all that apply): ☐ Not applicable
☐ Fully Article X.- and/or Consultant Selection Policy-Compliant (describe process undertaken in “Executive Summary”)
☒ Section 2-38 Exemption from Competitive Bidding (rationale in “Executive Summary,” attach documentation, as needed)
☐ For Technology Purchases: Vetted and Supported by the Technology Governance Committee (“Yes,” if checked)
☐ Other (Please describe in Executive Summary)
Consistency with Vision 2028 (check all that apply): ☐ Not applicable
☒ Well-being of Residents ☐ Public Safety ☐ Disaster Prevention, Preparedness, Recovery
☐ Economic Development ☐ Infrastructure ☐ County Workforce
☐ Community Collaboration ☐ Business Process Efficiency ☐ Clear Lake
Recommended Action: Approve Agreement between the County of Lake and North Valley
Behavioral Health, LLC. for Acute Inpatient Psychiatric Hospital Services and Professional
Services Associated with Acute Inpatient Psychiatric Hospitalization for Fiscal Year 2026-
27, in an amount not to exceed $550,000, and authorize the Chair to sign.
5.8Approve the Agreement between the County of Lake and God’s Love Outreach Ministries (G.L.O.M.) for Adult Residential Support Services, Crisis Support, and Specialty Mental Health Services for Fiscal Year 2026-27, for the term of July 1, 2026 through June 30, 2027, in an amount not to exceed $575,000.00; and authorize the Chair to sign.
Action Item
proposed on consent
Staff memo
Executive Summary
Lake County Behavioral Health Services (LCBHS) contracts with qualified providers to ensure appropriate residential placement and behavioral health treatment options are available for County clients requiring specialized levels of care.
God’s Love Outreach Ministries (G.L.O.M.) operates behavioral health and residential facilities throughout California. Under this Agreement, G.L.O.M. will provide Adult Residential Facility services, Crisis Services Care Facility services, and associated Specialty Mental Health Services to County-referred clients, as authorized by LCBHS.
This is a new facility contract for LCBHS, and the Department has not previously utilized G.L.O.M. for client placements; therefore, historical utilization data is not available. LCBHS anticipates referring approximately five clients to G.L.O.M. for placement during Fiscal Year 2026-27. Actual referrals, placement duration, and costs will depend on individual client needs, clinical appropriateness, facility availability, and County authorization. The Agreement does not guarantee a minimum number of referrals, placements, occupied beds, or service volume.
Services may include case management, clinical services, medication management, residential services, meals, community reintegration activities, psychiatric services, and nursing services, as applicable to the County-authorized placement and level of care. Continued placement is subject to County review and written authorization, and G.L.O.M. is required to participate in utilization review and discharge planning for County clients.
The Agreement establishes daily rates based on the facility and level of services required. Adult Residential Facility rates range from $289 to $409 per client, per day, and Crisis Services Care Facility rates range from $409 to $689 per client, per day. The specific rate for each placement must be authorized in writing by the County, and G.L.O.M. may not bill above the applicable authorized rate.
The Agreement has a maximum compensation amount of $575,000.00 for Fiscal Year 2026-27. Costs associated with authorized placements and services will be funded through applicable Medi-Cal reimbursement and Realignment. LCBHS is also evaluating eligible placement and service costs for potential Behavioral Health Services Act (BHSA) funding, where allowable under applicable BHSA requirements.
The Agreement also includes requirements related to Medi-Cal and Department of Health Care Services compliance, billing and documentation, utilization reporting, credentialing, quality oversight, audit requirements, and other state and federal requirements applicable to Specialty Mental Health Services.
Due to the specialized nature of the residential, crisis, and behavioral health services provided under this Agreement, staff recommends that the Board find that competitive bidding is not in the public interest pursuant to Lake County Code Chapter 2, Section 2-38. The Agreement includes this finding based on the unique nature of the services and G.L.O.M.’s experience, staffing, qualifications, and facilities.
Section 2-38 Exemption from Competitive Bidding (rationale in “Executive Summary,” attach documentation, as needed)
Recommended Action
Approve the Agreement between the County of Lake and God’s
Love Outreach Ministries (G.L.O.M.) for Adult Residential Support Services, Crisis
Support, and Specialty Mental Health Services for Fiscal Year 2026-27, for the term of July
1, 2026 through June 30, 2027, in an amount not to exceed $575,000.00; and authorize the
Chair to sign.
Original memo text
Memorandum
Date: October 6th, 2026
To: The Honorable Lake County Board of Supervisors
From: Elise Jones, Director of Behavioral Health Services
Subject: Approve the Agreement between the County of Lake and God’s Love Outreach Ministries (G.L.O.M.) for Adult Residential Support Services, Crisis Support, and Specialty Mental Health Services for Fiscal Year 2026-27, for the term of July 1, 2026 through June 30, 2027, in an amount not to exceed $575,000.00; and authorize the Chair to sign.
Executive Summary:
Lake County Behavioral Health Services (LCBHS) contracts with qualified providers to ensure appropriate residential placement and behavioral health treatment options are available for County clients requiring specialized levels of care.
God’s Love Outreach Ministries (G.L.O.M.) operates behavioral health and residential facilities throughout California. Under this Agreement, G.L.O.M. will provide Adult Residential Facility services, Crisis Services Care Facility services, and associated Specialty Mental Health Services to County-referred clients, as authorized by LCBHS.
This is a new facility contract for LCBHS, and the Department has not previously utilized G.L.O.M. for client placements; therefore, historical utilization data is not available. LCBHS anticipates referring approximately five clients to G.L.O.M. for placement during Fiscal Year 2026-27. Actual referrals, placement duration, and costs will depend on individual client needs, clinical appropriateness, facility availability, and County authorization. The Agreement does not guarantee a minimum number of referrals, placements, occupied beds, or service volume.
Services may include case management, clinical services, medication management, residential services, meals, community reintegration activities, psychiatric services, and nursing services, as applicable to the County-authorized placement and level of care. Continued placement is subject to County review and written authorization, and G.L.O.M. is required to participate in utilization review and discharge planning for County clients.
The Agreement establishes daily rates based on the facility and level of services required. Adult Residential Facility rates range from $289 to $409 per client, per day, and Crisis Services Care Facility rates range from $409 to $689 per client, per day. The specific rate for each placement must be authorized in writing by the County, and G.L.O.M. may not bill above the applicable authorized rate.
The Agreement has a maximum compensation amount of $575,000.00 for Fiscal Year 2026-27. Costs associated with authorized placements and services will be funded through applicable Medi-Cal reimbursement and Realignment. LCBHS is also evaluating eligible placement and service costs for potential Behavioral Health Services Act (BHSA) funding, where allowable under applicable BHSA requirements.
The Agreement also includes requirements related to Medi-Cal and Department of Health Care Services compliance, billing and documentation, utilization reporting, credentialing, quality oversight, audit requirements, and other state and federal requirements applicable to Specialty Mental Health Services.
Due to the specialized nature of the residential, crisis, and behavioral health services provided under this Agreement, staff recommends that the Board find that competitive bidding is not in the public interest pursuant to Lake County Code Chapter 2, Section 2-38. The Agreement includes this finding based on the unique nature of the services and G.L.O.M.’s experience, staffing, qualifications, and facilities.
If not budgeted, fill in the blanks below only:
Estimated Cost: ________ Amount Budgeted: ________ Additional Requested: ________ Future Annual Cost: ________
Purchasing Considerations (check all that apply): ☐ Not applicable
☐ Fully Article X.- and/or Consultant Selection Policy-Compliant (describe process undertaken in “Executive Summary”)
☒ Section 2-38 Exemption from Competitive Bidding (rationale in “Executive Summary,” attach documentation, as needed)
☐ For Technology Purchases: Vetted and Supported by the Technology Governance Committee (“Yes,” if checked)
☐ Other (Please describe in Executive Summary)
Consistency with Vision 2028 (check all that apply): ☐ Not applicable
☒ Well-being of Residents ☐ Public Safety ☐ Disaster Prevention, Preparedness, Recovery
☐ Economic Development ☐ Infrastructure ☐ County Workforce
☐ Community Collaboration ☐ Business Process Efficiency ☐ Clear Lake
Recommended Action: Approve the Agreement between the County of Lake and God’s
Love Outreach Ministries (G.L.O.M.) for Adult Residential Support Services, Crisis
Support, and Specialty Mental Health Services for Fiscal Year 2026-27, for the term of July
1, 2026 through June 30, 2027, in an amount not to exceed $575,000.00; and authorize the
Chair to sign.
5.9Approve Board of Supervisors Meeting Minutes September 15, 2026
Minutes
proposed on consent
5.10Approve Resolution Ordering a Special District Election to be Held on March 2, 2027 for the Submission to the Qualified Voters of a Proposed Ordinance Enacting a Special Tax Upon Property Within The District for Fire Protection and Emergency Medical Response Programs and Services; Requesting the Board of Supervisors of Lake County to Render Election Services to The District Relating to the Conduct of the Special District Election; Approving the Form of a Special Tax Measure and Ballot Question; and Directing Related Actions
Action Item
proposed on consent
Staff memo
Executive Summary
The Resolution of the Northshore Fire Protection District is being submitted for your Board’s approval pursuant to Section 10400 et seq. of the Elections Code, State of California. The Fire District requests the Board of Supervisors to permit the Registrar of Voters to render all services necessary to conduct the election and the District agrees to reimburse the County of Lake in full upon presentation of the bill.
Not applicable
Not applicable
Recommended Action
Approve Resolution Ordering a Special District Election to be Held on March 2, 2027 for the Submission to the Qualified Voters of a Proposed Ordinance Enacting a Special Tax Upon Property Within The District for Fire Protection and Emergency Medical Response Programs and Services; Requesting the Board of Supervisors of Lake County to Render Election Services to The District Relating to the Conduct of the Special District Election; Approving the Form of a Special Tax Measure and Ballot Question; and Directing Related Actions
Original memo text
Memorandum
Date: October 20, 2026
To: The Honorable Brad Rasmussen, Chair, Lake County Board of Supervisors
From: Johanna DeLong, Clerk of the Board
Subject: Approve Resolution Ordering a Special District Election to be Held on March 2, 2027 for the Submission to the Qualified Voters of a Proposed Ordinance Enacting a Special Tax Upon Property Within The District for Fire Protection and Emergency Medical Response Programs and Services; Requesting the Board of Supervisors of Lake County to Render Election Services to The District Relating to the Conduct of the Special District Election; Approving the Form of a Special Tax Measure and Ballot Question; and Directing Related Actions
Executive Summary:
The Resolution of the Northshore Fire Protection District is being submitted for your Board’s approval pursuant to Section 10400 et seq. of the Elections Code, State of California. The Fire District requests the Board of Supervisors to permit the Registrar of Voters to render all services necessary to conduct the election and the District agrees to reimburse the County of Lake in full upon presentation of the bill.
If not budgeted, fill in the blanks below only:
Estimated Cost: ________ Amount Budgeted: ________ Additional Requested: ________ Future Annual Cost: ________
Purchasing Considerations (check all that apply): ☒ Not applicable
☐ Fully Article X.- and/or Consultant Selection Policy-Compliant (describe process undertaken in “Executive Summary”)
☐ Section 2-38 Exemption from Competitive Bidding (rationale in “Executive Summary,” attach documentation, as needed)
☐ For Technology Purchases: Vetted and Supported by the Technology Governance Committee (“Yes,” if checked)
☐ Other (Please describe in Executive Summary)
Consistency with Vision 2028 (check all that apply): ☒ Not applicable
☐ Well-being of Residents ☐ Public Safety ☐ Disaster Prevention, Preparedness, Recovery
☐ Economic Development ☐ Infrastructure ☐ County Workforce
☐ Community Collaboration ☐ Business Process Efficiency ☐ Clear Lake
Recommended Action: Approve Resolution Ordering a Special District Election to be Held on March 2, 2027 for the Submission to the Qualified Voters of a Proposed Ordinance Enacting a Special Tax Upon Property Within The District for Fire Protection and Emergency Medical Response Programs and Services; Requesting the Board of Supervisors of Lake County to Render Election Services to The District Relating to the Conduct of the Special District Election; Approving the Form of a Special Tax Measure and Ballot Question; and Directing Related Actions
6. Timed Items
6.19:02 A.M. - Public Input
6.29:03 A.M. - Pet of the Week
Presentation
6.39:05 A.M. - Presentation of Proclamation Designating the Month of October 2026 as Domestic Violence Awareness Month in Lake County
Proclamation
Staff memo
Executive Summary
DESIGNATING THE MONTH OF OCTOBER 2026 AS
DOMESTIC VIOLENCE AWARENESS MONTH IN LAKE COUNTY
WHEREAS, Domestic Violence impacts, women, children and men of all racial, cultural and economic backgrounds; and
WHEREAS, emotional and physical scars resulting from Domestic Violence are often severe and long lasting; and
WHEREAS, in the past 12 months, Lake County Law Enforcement responded to over 376 incidents of Domestic Violence, including men, women and children, the Victim Witness Division of the District Attorney’s Office has served 290 victims of Domestic Violence, and the District Attorney’s Office has prosecuted 300 felonies and misdemeanor acts of Domestic Violence. Lake Family Resource Center responded to 1,118 crisis line calls, served victims, and sheltered 118 domestic violence victims and their children for a total of 4,342 bed nights; and
WHEREAS, it is crucially important to hold perpetrators responsible for assault and to prevent Domestic Violence at every opportunity; and
WHEREAS, family violence is a community problem, stopping the cycle requires not only the strength and courage of survivors, but also the support and involvement of all members of the community; and
WHEREAS, many organizations such as the District Attorney’s Office, Sheriff’s Office, Lakeport Police Department, Clearlake Police Department, and Lake Family Resource Center are committed to ending Domestic Violence in Lake County and provide essential crisis intervention and prevention services to all members of our community.
NOW, THEREFORE, BE IT PROCLAIMED that the County of Lake Board of Supervisors does hereby designate the month of October 2026 as Domestic Violence Awareness Month in Lake County and our community is urged to support the efforts of the agencies assisting victims of domestic violence and to increase their involvement in efforts to prevent domestic violence, thereby strengthening our community and creating an environment which honors, nurtures, and protects all members of every family.
PASSED AND ADOPTED this 20th day of October 2026.
Not applicable
Recommended Action
Presentation of Proclamation Designating the Month of October 2026 as Domestic Violence Awareness Month in Lake County
Original memo text
Memorandum
Date: October 20, 2026
To: The Honorable Lake County Board of Supervisors
From: Board of Supervisors
Subject: Presentation of Proclamation Designating the Month of October 2026 as Domestic Violence Awareness Month in Lake County
Executive Summary:
DESIGNATING THE MONTH OF OCTOBER 2026 AS
DOMESTIC VIOLENCE AWARENESS MONTH IN LAKE COUNTY
WHEREAS, Domestic Violence impacts, women, children and men of all racial, cultural and economic backgrounds; and
WHEREAS, emotional and physical scars resulting from Domestic Violence are often severe and long lasting; and
WHEREAS, in the past 12 months, Lake County Law Enforcement responded to over 376 incidents of Domestic Violence, including men, women and children, the Victim Witness Division of the District Attorney’s Office has served 290 victims of Domestic Violence, and the District Attorney’s Office has prosecuted 300 felonies and misdemeanor acts of Domestic Violence. Lake Family Resource Center responded to 1,118 crisis line calls, served victims, and sheltered 118 domestic violence victims and their children for a total of 4,342 bed nights; and
WHEREAS, it is crucially important to hold perpetrators responsible for assault and to prevent Domestic Violence at every opportunity; and
WHEREAS, family violence is a community problem, stopping the cycle requires not only the strength and courage of survivors, but also the support and involvement of all members of the community; and
WHEREAS, many organizations such as the District Attorney’s Office, Sheriff’s Office, Lakeport Police Department, Clearlake Police Department, and Lake Family Resource Center are committed to ending Domestic Violence in Lake County and provide essential crisis intervention and prevention services to all members of our community.
NOW, THEREFORE, BE IT PROCLAIMED that the County of Lake Board of Supervisors does hereby designate the month of October 2026 as Domestic Violence Awareness Month in Lake County and our community is urged to support the efforts of the agencies assisting victims of domestic violence and to increase their involvement in efforts to prevent domestic violence, thereby strengthening our community and creating an environment which honors, nurtures, and protects all members of every family.
PASSED AND ADOPTED this 20th day of October 2026.
If not budgeted, fill in the blanks below only:
Estimated Cost: ________ Amount Budgeted: ________ Additional Requested: ________ Future Annual Cost: ________
Purchasing Considerations (check all that apply): ☐ Not applicable
☐ Fully Article X.- and/or Consultant Selection Policy-Compliant (describe process undertaken in “Executive Summary”)
☐ Section 2-38 Exemption from Competitive Bidding (rationale in “Executive Summary,” attach documentation, as needed)
☐ For Technology Purchases: Vetted and Supported by the Technology Governance Committee (“Yes,” if checked)
☐ Other (Please describe in Executive Summary)
Consistency with Vision 2028 (check all that apply): ☒ Not applicable
☒ Well-being of Residents ☐ Public Safety ☐ Disaster Prevention, Preparedness, Recovery
☐ Economic Development ☐ Infrastructure ☐ County Workforce
☒ Community Collaboration ☐ Business Process Efficiency ☐ Clear Lake
Recommended Action:
Presentation of Proclamation Designating the Month of October 2026 as Domestic Violence Awareness Month in Lake County
6.49:10 A.M. - Presentation of Proclamation Declaring October 2026 as Italian Heritage Month in Lake County
Proclamation
Staff memo
Executive Summary
DECLARING OCTOBER 2026 AS
ITALIAN HERITAGE MONTH IN LAKE COUNTY
WHEREAS, Italian Heritage Month is commemorated every October to honor the Italian American community and the traditions, language, and customs, that inspire and influence the world and Lake County; and
WHEREAS, Italian immigrants and their descendants have shaped American life through innovation, labor, finance, culture, science, religion, and public leadership. Their contributions remain deeply embedded in the nation’s institutions, industries, and cultural identity; and
WHEREAS, these contributions are broad-based and consequential: ground-breaking milestones in modern physics, engineering, and medicine by Enrico Fermi reverberate today; the aircraft worker who inspired the iconic figure Rosie the Riveter was Italian American Rose Bonavita; and Italian American Constantino Brumidi painted major frescoes in the U.S. Capitol, including the Capitol Dome; and
WHEREAS, Italian Americans have a modest but enduring presence in Lake County, dating mainly from the late 19th century, with concentrations in the southern part of the county; and
WHEREAS, distinctive traditions centered around family, food, and friendship were established and carried forward for nearly a century. These include summer getaways to “Little Italy” near Loch Lomond and annual festivities such as Ferragosto (August 15); and
WHEREAS, these events united families and the broader community in celebrating the many contributions Italians Americans have made to Lake County, particularly to local agriculture, and all residents are encouraged to join in acknowledging the rich heritage, pride, and enduring impact of Italian immigrants on our community.
NOW, THEREFORE, BE IT PROCLAIMED that the Board of Supervisors of the County of Lake declares October 2026 as Italian Heritage Month in Lake County.
PASSED AND ADOPTED this 20th day of October 2026.
Not applicable
Recommended Action
Presentation of Proclamation Declaring October 2026 as Italian Heritage Month in Lake County
Original memo text
Memorandum
Date: October 20, 2026
To: The Honorable Lake County Board of Supervisors
From: Board of Supervisors
Subject: Presentation of Proclamation Declaring October 2026 as Italian Heritage Month in Lake County
Executive Summary:
DECLARING OCTOBER 2026 AS
ITALIAN HERITAGE MONTH IN LAKE COUNTY
WHEREAS, Italian Heritage Month is commemorated every October to honor the Italian American community and the traditions, language, and customs, that inspire and influence the world and Lake County; and
WHEREAS, Italian immigrants and their descendants have shaped American life through innovation, labor, finance, culture, science, religion, and public leadership. Their contributions remain deeply embedded in the nation’s institutions, industries, and cultural identity; and
WHEREAS, these contributions are broad-based and consequential: ground-breaking milestones in modern physics, engineering, and medicine by Enrico Fermi reverberate today; the aircraft worker who inspired the iconic figure Rosie the Riveter was Italian American Rose Bonavita; and Italian American Constantino Brumidi painted major frescoes in the U.S. Capitol, including the Capitol Dome; and
WHEREAS, Italian Americans have a modest but enduring presence in Lake County, dating mainly from the late 19th century, with concentrations in the southern part of the county; and
WHEREAS, distinctive traditions centered around family, food, and friendship were established and carried forward for nearly a century. These include summer getaways to “Little Italy” near Loch Lomond and annual festivities such as Ferragosto (August 15); and
WHEREAS, these events united families and the broader community in celebrating the many contributions Italians Americans have made to Lake County, particularly to local agriculture, and all residents are encouraged to join in acknowledging the rich heritage, pride, and enduring impact of Italian immigrants on our community.
NOW, THEREFORE, BE IT PROCLAIMED that the Board of Supervisors of the County of Lake declares October 2026 as Italian Heritage Month in Lake County.
PASSED AND ADOPTED this 20th day of October 2026.
If not budgeted, fill in the blanks below only:
Estimated Cost: ________ Amount Budgeted: ________ Additional Requested: ________ Future Annual Cost: ________
Purchasing Considerations (check all that apply): ☐ Not applicable
☐ Fully Article X.- and/or Consultant Selection Policy-Compliant (describe process undertaken in “Executive Summary”)
☐ Section 2-38 Exemption from Competitive Bidding (rationale in “Executive Summary,” attach documentation, as needed)
☐ For Technology Purchases: Vetted and Supported by the Technology Governance Committee (“Yes,” if checked)
☐ Other (Please describe in Executive Summary)
Consistency with Vision 2028 (check all that apply): ☒ Not applicable
☐ Well-being of Residents ☐ Public Safety ☐ Disaster Prevention, Preparedness, Recovery
☐ Economic Development ☐ Infrastructure ☐ County Workforce
☐ Community Collaboration ☐ Business Process Efficiency ☐ Clear Lake
Recommended Action:
Presentation of Proclamation Declaring October 2026 as Italian Heritage Month in Lake County
6.59:30 A.M. - Consideration of Presentation by UC Cooperative Extension and Lake County 4-H Youth Members
Report
Staff memo
Executive Summary
Today, 4-H alumnus Phenix Rain will showcase three robots and demonstrate the team’s work in robotics and competition.
The team members—Sawyer Anderson, Mason Frazell, Bryce Bridges, and Phenix Rain—earned an impressive 6th-place finish at the 4-H State Field Day Vex IQ competition at UC Davis.
Sawyer Anderson, Mason Frazell, and Bryce Bridges are unable to attend today due to school commitments. Lake County 4-H is proud of these young people and grateful to Reynolds Systems for helping provide hands-on STEM learning opportunities that build technical skills, creativity, and teamwork among Lake County youth.
Not applicable
Not applicable
Recommended Action
Presentation Only.
Original memo text
Memorandum
Date: October 20, 2026
To: The Honorable Lake County Board of Supervisors
From: Jessica Pyska, District 5 Supervisor
Matthew Barnes, UCCE Area Director
Subject: Consideration of Presentation by UC Cooperative Extension and Lake County 4-H Youth Members
Executive Summary:
Today, 4-H alumnus Phenix Rain will showcase three robots and demonstrate the team’s work in robotics and competition.
The team members—Sawyer Anderson, Mason Frazell, Bryce Bridges, and Phenix Rain—earned an impressive 6th-place finish at the 4-H State Field Day Vex IQ competition at UC Davis.
Sawyer Anderson, Mason Frazell, and Bryce Bridges are unable to attend today due to school commitments. Lake County 4-H is proud of these young people and grateful to Reynolds Systems for helping provide hands-on STEM learning opportunities that build technical skills, creativity, and teamwork among Lake County youth.
If not budgeted, fill in the blanks below only:
Estimated Cost: N/A___ Amount Budgeted: ________ Additional Requested: ________ Future Annual Cost: ________
Purchasing Considerations (check all that apply): ☒ Not applicable
☐ Fully Article X.- and/or Consultant Selection Policy-Compliant (describe process undertaken in “Executive Summary”)
☐ Section 2-38 Exemption from Competitive Bidding (rationale in “Executive Summary,” attach documentation, as needed)
☐ For Technology Purchases: Vetted and Supported by the Technology Governance Committee (“Yes,” if checked)
☐ Other (Please describe in Executive Summary)
Consistency with Vision 2028 (check all that apply): ☒ Not applicable
☐ Well-being of Residents ☐ Public Safety ☐ Disaster Prevention, Preparedness, Recovery
☐ Economic Development ☐ Infrastructure ☐ County Workforce
☐ Community Collaboration ☐ Business Process Efficiency ☐ Clear Lake
Recommended Action: Presentation Only.
6.610:00 A.M. - Consideration of Appeal (PL-26-395) of Planning Commission’s Denial of Major Use Permit (PL-25-155/ UP 20-58) and Mitigated Negative Declaration for Lake Coco Farms. Applicant: Juan Gamino for property located at 3417 and 3547 Hendricks Road, Lakeport (APNs 005-006-07 and 005-013-01)
Action Item
Staff memo
EXECUTIVE SUMMARY
2026 Planning Commission History
The proposed project Major Use Permit (PL-25-155/ UP 20-58) and the associated Mitigated Negative Declaration for commercial cannabis cultivation of no more than 205,800 sf and a Type-13, Distribution self-transport license located at 3417 and 3547 Hendricks Road, Lakeport (APNs 005-006-07 and 005-013-01) was scheduled for three hearings in 2026.
April 23, 2026: The item was first heard, and the Planning Commission request additional information specifically regarding site access and odor mitigation. The project was continued to June 11, 2026.
June 11, 2026: The Commissioners had to depart the meeting early, resulting in lack of quorum. The item continued to June 25, 2026, without being heard.
June 25, 2026: During the June 25, 2026, hearing, three Commissioners were in attendance. Pursuant to the Planning Commission By-Laws (Exhibit C), a unanimous vote of the remaining quorum was required to pass any formal action rather than face another continuance the applicant requested the Commission issue a formal denial to allow an appeal to the Board of Supervisors. In response to the applicant's request, Commissioner Rosenthal made a motion to deny, which was seconded by Commissioner Fields. Commissioner Zoller also voted in favor of the motion. With a unanimous 3-0 vote, the motion to deny passed, formally denying the project. The June 25, 2026, Staff Report and attachments are included as Exhibit A. The Commission did not specify the reason for the denial in their formal motion; however, they noted access as an issue of concern during discussion.
SUMMARY OF PROJECT
The applicant, Lake Coco Farms/ Juan Gamino proposes up to 205,800 square feet of commercial cannabis canopy within two fenced outdoor cultivation areas totaling approximately 12 acres, new construction of appurtenant facilities and infrastructure improvements. The site has historically been used for agriculture.
The California Environmental Quality Act (CEQA) requires agencies to evaluate the environmental impacts of land use actions. A Draft Initial Study and Mitigated Negative Declaration (Exhibit A5) was prepared and circulated for public review from November 04, 2025, to December 09, 2025, pursuant to CEQA Guidelines §15063.The Initial Study found that the Project would result in potentially significant impacts to Aesthetics, Air Quality, Biological Resources, Cultural Resources, Geology & Soils, Hazards and Hazardous Materials, Hydrology/Water Quality, Noise, Tribal Cultural Resources and Wildfire. All impacts would be reduced to a less-than-significant level through incorporation of mitigation measures and compliance with existing regulations.
No significant and unavoidable impacts were identified. Therefore, preparation of an Environmental Impact Report is not required pursuant to CEQA Guidelines §15070.
BASIS FOR THE APPEAL
The appellant stated the basis for the appeal is the project as proposed meets all conditions of the Lake County Zoning Ordinance for Outdoor Cannabis Cultivation, the project is a flat field with a long history of agricultural use, and the project site is located away from a significant number of residences and is outside of a Farmlands Protection Zone.
APPEAL ANALYSIS
The applicant/appellant proposes no more than 205,800 sf of commercial cannabis canopy within two fenced outdoor cultivation areas totaling approximately 12 acres on a combined + 228.77-acres of land zoned “APZ-WW” Agriculture Preserve Zone – Waterway Combining District’. Site infrastructure includes three - 3,000 sf greenhouses for immature plant propagation, two - 120 sf wooden storage sheds, a 9,600-sf metal building, an existing 5,138 sf metal barn, four - 5,000-gallon water storage tanks for cultivation purposes, one-25,000-gallon metal water storage tank dedicated to fire suppression. An imported organic soil mixture in above ground nursery pots will be used in the three proposed immature plant greenhouses. The growing medium of the proposed canopy areas will be native soil at or below grade, amended with compost and/or manure. No tree removal is proposed. The proposed project did have Early Activation in August 2020.
The parcel contains existing residential and agricultural flat fields/ valley floors that has been used for intensive agricultural activities. No vegetation clearing is needed and very minimal site preparation will be needed for the proposed buildings. Additionally, the field in which the proposed canopy areas would be established has been fully fenced, and trenched irrigation lines have been run throughout the field for past agricultural operations. The surrounding area contains rural residential land and open space areas that consist of ranches, grazing land, vineyards, and cannabis cultivation operations.
The portion of Hendricks Road that travels north-south between the Scotts Valley Road connections is County-maintained public right-of-way. However, the portion of Hendricks Road that travels west to the project parcel is a privately maintained easement road and is not part of the County-maintained road system. Because this segment is a private easement, any physical widening or structural improvements beyond the established historical easement boundaries fall outside of County jurisdiction and would require the authorization of the underlying property owner(s). The applicant is, however, required to obtain an encroachment permit from the Department of Public Works for any work connecting to the public right-of-way, and the applicant has committed to an arrangement with the neighbors to pave the first 40-to-60-feet from the County-maintained portion of Hendricks Road. The project as proposed meets all requirements set forth for commercial cannabis cultivation. The dedicated easement from 1908 is Exhibit E to the Staff’s Memorandum.
RECOMMENDATION
Staff recommends that the Board of Supervisors:
Uphold Appeal (PL-26-395), adopt the Initial Study/Mitigated Negative Declaration (PL-25-155/ IS 20-72) findings, and approve Use Permit (PL-25-155 / UP 20-58) for Lake Coco Farms for commercial cannabis cultivation of up to 205,800 square feet of outdoor canopy and appurtenant facilities at 3417 and 3547 Hendricks Road, Lakeport (APNs 005-006-07 and 005-013-01).
Sample Motion:
Uphold Appeal (PL-26-357)
I move that the Board of Supervisors uphold the Appeal PL-26-395, in concept, and direct County Counsel to prepare Draft Findings of Fact.
EXHIBITS
Staff Report from the June 25, 2026, Planning Commission hearing with the following attachments:
Site Plans
Draft Conditions of Approval
Property Management Plan
Draft Initial Study / Mitigated Negative Declaration
Hydrology Report and Drought Management Plan
Biological Assessments
Agency Comments
Public Comments
Public Comments from June 11, 2026, Planning Commission Hearing
Appeal Application (PL-26-359)
Lake County Planning Commission By-Laws
Easement Document
Amended Conditions of Approval
Original memo text
DATE: October 20, 2026
To: The Honorable Lake County Board of Supervisors
FROM: Susan Parker, Community Development Interim Director
Trish Turner, Associate Planner
SUBJECT: 10:00 A.M. - Consideration of Appeal (PL-26-395) of Planning Commission’s Denial of Major Use Permit (PL-25-155/ UP 20-58) and Mitigated Negative Declaration for Lake Coco Farms. Applicant: Juan Gamino for property located at 3417 and 3547 Hendricks Road, Lakeport (APNs 005-006-07 and 005-013-01)
EXECUTIVE SUMMARY
2026 Planning Commission History
The proposed project Major Use Permit (PL-25-155/ UP 20-58) and the associated Mitigated Negative Declaration for commercial cannabis cultivation of no more than 205,800 sf and a Type-13, Distribution self-transport license located at 3417 and 3547 Hendricks Road, Lakeport (APNs 005-006-07 and 005-013-01) was scheduled for three hearings in 2026.
April 23, 2026: The item was first heard, and the Planning Commission request additional information specifically regarding site access and odor mitigation. The project was continued to June 11, 2026.
June 11, 2026: The Commissioners had to depart the meeting early, resulting in lack of quorum. The item continued to June 25, 2026, without being heard.
June 25, 2026: During the June 25, 2026, hearing, three Commissioners were in attendance. Pursuant to the Planning Commission By-Laws (Exhibit C), a unanimous vote of the remaining quorum was required to pass any formal action rather than face another continuance the applicant requested the Commission issue a formal denial to allow an appeal to the Board of Supervisors. In response to the applicant's request, Commissioner Rosenthal made a motion to deny, which was seconded by Commissioner Fields. Commissioner Zoller also voted in favor of the motion. With a unanimous 3-0 vote, the motion to deny passed, formally denying the project. The June 25, 2026, Staff Report and attachments are included as Exhibit A. The Commission did not specify the reason for the denial in their formal motion; however, they noted access as an issue of concern during discussion.
SUMMARY OF PROJECT
The applicant, Lake Coco Farms/ Juan Gamino proposes up to 205,800 square feet of commercial cannabis canopy within two fenced outdoor cultivation areas totaling approximately 12 acres, new construction of appurtenant facilities and infrastructure improvements. The site has historically been used for agriculture.
The California Environmental Quality Act (CEQA) requires agencies to evaluate the environmental impacts of land use actions. A Draft Initial Study and Mitigated Negative Declaration (Exhibit A5) was prepared and circulated for public review from November 04, 2025, to December 09, 2025, pursuant to CEQA Guidelines §15063.The Initial Study found that the Project would result in potentially significant impacts to Aesthetics, Air Quality, Biological Resources, Cultural Resources, Geology & Soils, Hazards and Hazardous Materials, Hydrology/Water Quality, Noise, Tribal Cultural Resources and Wildfire. All impacts would be reduced to a less-than-significant level through incorporation of mitigation measures and compliance with existing regulations.
No significant and unavoidable impacts were identified. Therefore, preparation of an Environmental Impact Report is not required pursuant to CEQA Guidelines §15070.
BASIS FOR THE APPEAL
The appellant stated the basis for the appeal is the project as proposed meets all conditions of the Lake County Zoning Ordinance for Outdoor Cannabis Cultivation, the project is a flat field with a long history of agricultural use, and the project site is located away from a significant number of residences and is outside of a Farmlands Protection Zone.
APPEAL ANALYSIS
The applicant/appellant proposes no more than 205,800 sf of commercial cannabis canopy within two fenced outdoor cultivation areas totaling approximately 12 acres on a combined + 228.77-acres of land zoned “APZ-WW” Agriculture Preserve Zone – Waterway Combining District’. Site infrastructure includes three - 3,000 sf greenhouses for immature plant propagation, two - 120 sf wooden storage sheds, a 9,600-sf metal building, an existing 5,138 sf metal barn, four - 5,000-gallon water storage tanks for cultivation purposes, one-25,000-gallon metal water storage tank dedicated to fire suppression. An imported organic soil mixture in above ground nursery pots will be used in the three proposed immature plant greenhouses. The growing medium of the proposed canopy areas will be native soil at or below grade, amended with compost and/or manure. No tree removal is proposed. The proposed project did have Early Activation in August 2020.
The parcel contains existing residential and agricultural flat fields/ valley floors that has been used for intensive agricultural activities. No vegetation clearing is needed and very minimal site preparation will be needed for the proposed buildings. Additionally, the field in which the proposed canopy areas would be established has been fully fenced, and trenched irrigation lines have been run throughout the field for past agricultural operations. The surrounding area contains rural residential land and open space areas that consist of ranches, grazing land, vineyards, and cannabis cultivation operations.
The portion of Hendricks Road that travels north-south between the Scotts Valley Road connections is County-maintained public right-of-way. However, the portion of Hendricks Road that travels west to the project parcel is a privately maintained easement road and is not part of the County-maintained road system. Because this segment is a private easement, any physical widening or structural improvements beyond the established historical easement boundaries fall outside of County jurisdiction and would require the authorization of the underlying property owner(s). The applicant is, however, required to obtain an encroachment permit from the Department of Public Works for any work connecting to the public right-of-way, and the applicant has committed to an arrangement with the neighbors to pave the first 40-to-60-feet from the County-maintained portion of Hendricks Road. The project as proposed meets all requirements set forth for commercial cannabis cultivation. The dedicated easement from 1908 is Exhibit E to the Staff’s Memorandum.
RECOMMENDATION
Staff recommends that the Board of Supervisors:
Uphold Appeal (PL-26-395), adopt the Initial Study/Mitigated Negative Declaration (PL-25-155/ IS 20-72) findings, and approve Use Permit (PL-25-155 / UP 20-58) for Lake Coco Farms for commercial cannabis cultivation of up to 205,800 square feet of outdoor canopy and appurtenant facilities at 3417 and 3547 Hendricks Road, Lakeport (APNs 005-006-07 and 005-013-01).
Sample Motion:
Uphold Appeal (PL-26-357)
I move that the Board of Supervisors uphold the Appeal PL-26-395, in concept, and direct County Counsel to prepare Draft Findings of Fact.
EXHIBITS
Staff Report from the June 25, 2026, Planning Commission hearing with the following attachments:
Site Plans
Draft Conditions of Approval
Property Management Plan
Draft Initial Study / Mitigated Negative Declaration
Hydrology Report and Drought Management Plan
Biological Assessments
Agency Comments
Public Comments
Public Comments from June 11, 2026, Planning Commission Hearing
Appeal Application (PL-26-359)
Lake County Planning Commission By-Laws
Easement Document
Amended Conditions of Approval
A 1 - Site Plans A 2 - Conditions of Approval A 3 - Property Managment Plan A 4 - Draft Initial Study A 5 - Hydrology Report and Drought Management Plan A 6 - Biological Resource Assessment A 7 - Agency Comments A 8 - Public Comment A 9 - Public Comment from June 11, 2026 Planning Commission Exhibit A - Staff Report Exhibit B - Appeal Application Exhibit C - Planning Commission By Laws Exhibit D - Easement Exhibit E - Amended COA
7. Non-Timed Items
7.1Supervisors’ weekly calendar, travel and reports
7.2(a) Consideration of Composition of an Ad Hoc Committee for WorkDay, the County’s Enterprise Resource Planning (ERP) software; and (b) Consideration of Temporary Paper Payroll Checks in the WorkDay system
Action Item
Staff memo
Executive Summary
a) As you will recall, your Board received updates on the implementation of Workday software in County systems. As a result of coordinated discussions and meetings amongst County staff and officials, it has become apparent that an ad hoc committee should be formed for purposes of facilitating and completing this implementation. This Ad Hoc Committee would also be tasked with providing updates and recommendations for your Board to consider as it relates to the implementation of Workday. Chapter 1, Section 6, Rule 2 of the County’s Policies and Procedures state: “Ad hoc committees made up of a sub-set of the Board of Supervisors may be formed by Chair directive or Board action and shall include prescribed duties of the committee. Staff recommends representatives on this Committee include at least the following:
Two Board Supervisors;
Auditor-Controller (or designee);
County Administrative Officer (or designee);
Treasurer-Tax Collector (or designee);
Assessor-Recorder (or designee)
b) WorkDay, our new Enterprise Resource Planning (ERP) software, deployment is still ongoing as we iron out known issues within the software. It is not uncommon for new ERP software to require post go-live maintenance and tweaks due to issues. One of these known issues is direct deposits for payroll. In order to ensure timely paychecks, it would appear that our best foot forward until further notice is to provide paper paychecks only until we have successful runs of direct deposit paychecks.
Not applicable
Not applicable
Recommended Action
Approve Formation of a Workday Implementation Ad Hoc Committee.
Approve payroll paper paychecks only so that all staff are paid timely and appropriately until WorkDay is ready and tested successfully to do direct deposit paychecks.
Original memo text
Memorandum
Date: October 20, 2026
To: The Honorable Brad Rasmussen, Chair, Lake County Board of Supervisors
From: Susan Parker, County Administrative Officer
Stephen L. Carter, Jr., Assistant County Administrative Officer
Lloyd Guintivano, County Counsel
Bruno Sabatier, District 2 Supervisor
Subject: (a) Consideration of Composition of an Ad Hoc Committee for WorkDay, the County’s Enterprise Resource Planning (ERP) software; and (b) Consideration of Temporary Paper Payroll Checks in the WorkDay system
Executive Summary:
a) As you will recall, your Board received updates on the implementation of Workday software in County systems. As a result of coordinated discussions and meetings amongst County staff and officials, it has become apparent that an ad hoc committee should be formed for purposes of facilitating and completing this implementation. This Ad Hoc Committee would also be tasked with providing updates and recommendations for your Board to consider as it relates to the implementation of Workday. Chapter 1, Section 6, Rule 2 of the County’s Policies and Procedures state: “Ad hoc committees made up of a sub-set of the Board of Supervisors may be formed by Chair directive or Board action and shall include prescribed duties of the committee. Staff recommends representatives on this Committee include at least the following:
Two Board Supervisors;
Auditor-Controller (or designee);
County Administrative Officer (or designee);
Treasurer-Tax Collector (or designee);
Assessor-Recorder (or designee)
b) WorkDay, our new Enterprise Resource Planning (ERP) software, deployment is still ongoing as we iron out known issues within the software. It is not uncommon for new ERP software to require post go-live maintenance and tweaks due to issues. One of these known issues is direct deposits for payroll. In order to ensure timely paychecks, it would appear that our best foot forward until further notice is to provide paper paychecks only until we have successful runs of direct deposit paychecks.
If not budgeted, fill in the blanks below only:
Estimated Cost: ________ Amount Budgeted: ________ Additional Requested: ________ Future Annual Cost: ________
Purchasing Considerations (check all that apply): ☒ Not applicable
☐ Fully Article X.- and/or Consultant Selection Policy-Compliant (describe process undertaken in “Executive Summary”)
☐ Section 2-38 Exemption from Competitive Bidding (rationale in “Executive Summary,” attach documentation, as needed)
☐ For Technology Purchases: Vetted and Supported by the Technology Governance Committee (“Yes,” if checked)
☐ Other (Please describe in Executive Summary)
Consistency with Vision 2028 (check all that apply): ☒ Not applicable
☐ Well-being of Residents ☐ Public Safety ☐ Disaster Prevention, Preparedness, Recovery
☐ Economic Development ☐ Infrastructure ☐ County Workforce
☐ Community Collaboration ☐ Business Process Efficiency ☐ Clear Lake
Recommended Action:
Approve Formation of a Workday Implementation Ad Hoc Committee.
Approve payroll paper paychecks only so that all staff are paid timely and appropriately until WorkDay is ready and tested successfully to do direct deposit paychecks.
7.3Consideration of Resolution Amending Resolution No. 2026-97 Amending Position Allocations for Fiscal Year 2026-2027, Budget Unit No. 1012 Administration
Resolution
Staff memo
Executive Summary
The position allocation resolution will amend position allocations to budget unit 1012 Administration.
Over the past couple of years and following the budget meetings last month, it was apparent there is greater need for financial oversite and internal auditing. Administration has also been short a budget analyst for over a year so the intention of this position is they would share their time between the budget process and auditing departments to ensure compliance with their budget and funding sources.
Funding for this position is proposed to be pulled from General Fund Contingencies through an interfund departmental transfer. Once we have the final fund balance for General Fund, we will replenish the Contingencies budget when funding allows.
Staff recommend approving the amended position allocation resolution to allow the Administration department to recruit for these positions.
Not applicable
Recommended Action
Adopt Resolution Amending Resolution No. 2026-97 Amending Position Allocations for Fiscal Year 2026-2027, Budget Unit No. 1012 Administration.
Original memo text
Memorandum
Date: October 20, 2026
To: The Honorable Brad Rasmussen, Chair, Lake County Board of Supervisors
From: Susan Parker, County Administrative Officer
Stephen Carter, Assistant County Administrative Officer
Pam Samac, Human Resources Director
Subject: Consideration of Resolution Amending Resolution No. 2026-97 Amending Position Allocations for Fiscal Year 2026-2027, Budget Unit No. 1012 Administration
Executive Summary:
The position allocation resolution will amend position allocations to budget unit 1012 Administration.
Over the past couple of years and following the budget meetings last month, it was apparent there is greater need for financial oversite and internal auditing. Administration has also been short a budget analyst for over a year so the intention of this position is they would share their time between the budget process and auditing departments to ensure compliance with their budget and funding sources.
Funding for this position is proposed to be pulled from General Fund Contingencies through an interfund departmental transfer. Once we have the final fund balance for General Fund, we will replenish the Contingencies budget when funding allows.
Staff recommend approving the amended position allocation resolution to allow the Administration department to recruit for these positions.
If not budgeted, fill in the blanks below only:
Estimated Cost: ________ Amount Budgeted: ________ Additional Requested: ________ Future Annual Cost: ________
Purchasing Considerations (check all that apply): ☒ Not applicable
☐ Fully Article X.- and/or Consultant Selection Policy-Compliant (describe process undertaken in “Executive Summary”)
☐ Section 2-38 Exemption from Competitive Bidding (rationale in “Executive Summary,” attach documentation, as needed)
☐ For Technology Purchases: Vetted and Supported by the Technology Governance Committee (“Yes,” if checked)
☐ Other (Please describe in Executive Summary)
Consistency with Vision 2028 (check all that apply): ☐ Not applicable
☐ Well-being of Residents ☐ Public Safety ☐ Disaster Prevention, Preparedness, Recovery
☐ Economic Development ☐ Infrastructure ☒ County Workforce
☐ Community Collaboration ☐ Business Process Efficiency ☐ Clear Lake
Recommended Action: Adopt Resolution Amending Resolution No. 2026-97 Amending Position Allocations for Fiscal Year 2026-2027, Budget Unit No. 1012 Administration.
7.4Consideration of Proposed 2027 Board of Supervisors Regular Meeting Calendar
Action Item
Staff memo
Executive Summary
Attached please find the proposed Board of Supervisors 2027 regular meeting calendar. The Annual Governance Workshop has been scheduled for Tuesday, January 26, 2027.
Meeting dates related to the Annual Budget are as follows:
Mid-Year Budget – Tuesday, February 9, 2027
Budget Hearings – Tuesday, June 15 & Wednesday, June 16, 2027
Final Budget – Tuesday, September 21, 2027
Winter Holiday – In 2027, December 25th falls on a Saturday. According to the MOU for employee salaries and benefits, if December 25th falls on a Saturday or Sunday, the winter holiday will be observed from the 23rd through the 29th of December. If December 25th falls on a weekday, the winter holiday is observed Monday through Friday of that week.
Not applicable
Not applicable
Recommended Action
Approve the proposed 2027 Board of Supervisors Regular Meeting Calendar, as presented.
Original memo text
Memorandum
Date: October 6, 2026
To: The Honorable Brad Rasmussen, Chair, Lake County Board of Supervisors
From: Susan Parker, County Administrative Officer
Subject: Consideration of Proposed 2027 Board of Supervisors Regular Meeting Calendar
Executive Summary:
Attached please find the proposed Board of Supervisors 2027 regular meeting calendar. The Annual Governance Workshop has been scheduled for Tuesday, January 26, 2027.
Meeting dates related to the Annual Budget are as follows:
Mid-Year Budget – Tuesday, February 9, 2027
Budget Hearings – Tuesday, June 15 & Wednesday, June 16, 2027
Final Budget – Tuesday, September 21, 2027
Winter Holiday – In 2027, December 25th falls on a Saturday. According to the MOU for employee salaries and benefits, if December 25th falls on a Saturday or Sunday, the winter holiday will be observed from the 23rd through the 29th of December. If December 25th falls on a weekday, the winter holiday is observed Monday through Friday of that week.
If not budgeted, fill in the blanks below only:
Estimated Cost: __N/A____ Amount Budgeted: ________ Additional Requested: ________ Future Annual Cost: ________
Purchasing Considerations (check all that apply): ☒ Not applicable
☐ Fully Article X.- and/or Consultant Selection Policy-Compliant (describe process undertaken in “Executive Summary”)
☐ Section 2-38 Exemption from Competitive Bidding (rationale in “Executive Summary,” attach documentation, as needed)
☐ For Technology Purchases: Vetted and Supported by the Technology Governance Committee (“Yes,” if checked)
☐ Other (Please describe in Executive Summary)
Consistency with Vision 2028 (check all that apply): ☒ Not applicable
☐ Well-being of Residents ☐ Public Safety ☐ Disaster Prevention, Preparedness, Recovery
☐ Economic Development ☐ Infrastructure ☐ County Workforce
☐ Community Collaboration ☐ Business Process Efficiency ☐ Clear Lake
Recommended Action: Approve the proposed 2027 Board of Supervisors Regular Meeting Calendar, as presented.
7.5Consideration of Agreement No. 26.27.25 between the County of Lake and Windsor Care Center of Sacramento MHRC for Mental Health Rehabilitation and Residential Support Services for the period of July 1, 2026, through June 30, 2027, in an amount not to exceed $1,800,000 and authorize the Chair to sign
Agreement
Staff memo
Executive Summary
Lake County Behavioral Health Services (LCBHS) requests approval of an agreement with Windsor Care Center of Sacramento MHRC for specialized mental health rehabilitation and residential support services for Lake County clients. The agreement covers Fiscal Year 2026–27, effective July 1, 2026, through June 30, 2027, with maximum compensation of $1,800,000. Approval is requested retroactive to July 1, 2026, for the FY 2026–27 agreement period.
LCBHS arranges placements for clients whose mental health needs require a structured treatment setting and twenty-four-hour supervision. Windsor operates a Mental Health Rehabilitation Center (MHRC) that provides this level of care for individuals who meet medical necessity criteria for intensive psychiatric rehabilitation. Maintaining access to these services allows LCBHS to arrange clinically appropriate placements for clients who require more support and supervision than can be provided through outpatient services or a lower level of residential care.
Under the agreement, Windsor will provide psychiatric oversight, nursing support, medication education and support, crisis intervention, and rehabilitation services focused on symptom management, daily living skills, socialization, and community reintegration. Each client must have an individualized treatment plan identifying rehabilitation goals, services, measurable objectives, and discharge criteria. Windsor is required to develop the plan within fourteen days of admission and review and update it at least every thirty days.
During FY 2025–26, Windsor served four Lake County clients. LCBHS currently anticipates approximately twelve client placements during FY 2026–27. The proposed $1,800,000 maximum is intended to accommodate this anticipated increase, with actual expenditures dependent on each client’s authorized level of care, length of stay, and required supervision. The projection represents anticipated placements during the year rather than twelve continuously occupied beds.
The agreement uses a tiered daily rate structure, with rates ranging from $470 to $1,025 based on the authorized level of care. Supplemental charges are subject to additional County approval. These include an $80-per-day non-Medi-Cal placement or facility add-on, when specifically authorized for an allowable cost and funding source, and one-to-one supervision at $27 per hour. Initial authorization for one-to-one supervision may not exceed seventy-two hours; continued supervision requires County review and a new written authorization. Supplemental charges must be supported by documentation and may not duplicate amounts paid by another funding source.
LCBHS retains responsibility for determining whether placement is medically necessary and authorizing the facility, level of care, duration, and applicable rate. Windsor may not independently increase a client’s rate tier or add supplemental services without County approval. The agreement requires monthly utilization review and discharge planning with LCBHS to assess continued placement needs and identify opportunities for transition to a lower level of care. Continued placement beyond an approved authorization period requires further County review and written authorization.
Windsor must maintain the licensure, staffing, clinical documentation, and reporting necessary to provide MHRC services. The agreement also requires timely notification of admissions and discharges, participation in care coordination, and submission of information needed for County utilization review and payment verification. These requirements support ongoing oversight of client care and placement costs.
The agreement will be funded through patient revenue and realignment dollars. No County General Fund contribution is requested. The $1,800,000 maximum establishes the County’s spending limit for the agreement term; actual payments will be based on authorized placement days, services provided, and applicable contract rates. LCBHS will monitor expenditure and utilization throughout the year.
Windsor must submit itemized monthly invoices with documentation identifying the client, service dates, placement days, authorized level of care, and applicable rates. Payment is subject to County review, acceptance of allowable charges, and the availability and receipt of applicable funding. The agreement permits delayed payment when State or federal reimbursement is delayed and provides for recovery of overpayments, duplicate payments, and disallowed costs.
The agreement identifies Section 2-38.2(2) of the County’s Purchasing Policy/Code as the basis for exemption from competitive solicitation due to the specialized professional services being provided. Windsor’s services require an appropriately licensed treatment facility, qualified psychiatric and rehabilitation staff, and the ability to meet clients’ individual clinical and supervision needs.
Section 2-38 Exemption from Competitive Bidding (rationale in “Executive Summary,” attach documentation, as needed)
Recommended Action
Approve Agreement No. 26.27.25 between the County of Lake and
Windsor Care Center of Sacramento MHRC for Mental Health Rehabilitation and
Residential Support Services for the period of July 1, 2026, through June 30, 2027, in an
amount not to exceed $1,800,000 and authorize the Chair to sign.
Original memo text
Memorandum
Date: October 20, 2026
To: The Honorable Lake County Board of Supervisors
From: Elise Jones, Director of Behavioral Health Services
Subject: Consideration of Agreement No. 26.27.25 between the County of Lake and Windsor Care Center of Sacramento MHRC for Mental Health Rehabilitation and Residential Support Services for the period of July 1, 2026, through June 30, 2027, in an amount not to exceed $1,800,000 and authorize the Chair to sign
Executive Summary:
Lake County Behavioral Health Services (LCBHS) requests approval of an agreement with Windsor Care Center of Sacramento MHRC for specialized mental health rehabilitation and residential support services for Lake County clients. The agreement covers Fiscal Year 2026–27, effective July 1, 2026, through June 30, 2027, with maximum compensation of $1,800,000. Approval is requested retroactive to July 1, 2026, for the FY 2026–27 agreement period.
LCBHS arranges placements for clients whose mental health needs require a structured treatment setting and twenty-four-hour supervision. Windsor operates a Mental Health Rehabilitation Center (MHRC) that provides this level of care for individuals who meet medical necessity criteria for intensive psychiatric rehabilitation. Maintaining access to these services allows LCBHS to arrange clinically appropriate placements for clients who require more support and supervision than can be provided through outpatient services or a lower level of residential care.
Under the agreement, Windsor will provide psychiatric oversight, nursing support, medication education and support, crisis intervention, and rehabilitation services focused on symptom management, daily living skills, socialization, and community reintegration. Each client must have an individualized treatment plan identifying rehabilitation goals, services, measurable objectives, and discharge criteria. Windsor is required to develop the plan within fourteen days of admission and review and update it at least every thirty days.
During FY 2025–26, Windsor served four Lake County clients. LCBHS currently anticipates approximately twelve client placements during FY 2026–27. The proposed $1,800,000 maximum is intended to accommodate this anticipated increase, with actual expenditures dependent on each client’s authorized level of care, length of stay, and required supervision. The projection represents anticipated placements during the year rather than twelve continuously occupied beds.
The agreement uses a tiered daily rate structure, with rates ranging from $470 to $1,025 based on the authorized level of care. Supplemental charges are subject to additional County approval. These include an $80-per-day non-Medi-Cal placement or facility add-on, when specifically authorized for an allowable cost and funding source, and one-to-one supervision at $27 per hour. Initial authorization for one-to-one supervision may not exceed seventy-two hours; continued supervision requires County review and a new written authorization. Supplemental charges must be supported by documentation and may not duplicate amounts paid by another funding source.
LCBHS retains responsibility for determining whether placement is medically necessary and authorizing the facility, level of care, duration, and applicable rate. Windsor may not independently increase a client’s rate tier or add supplemental services without County approval. The agreement requires monthly utilization review and discharge planning with LCBHS to assess continued placement needs and identify opportunities for transition to a lower level of care. Continued placement beyond an approved authorization period requires further County review and written authorization.
Windsor must maintain the licensure, staffing, clinical documentation, and reporting necessary to provide MHRC services. The agreement also requires timely notification of admissions and discharges, participation in care coordination, and submission of information needed for County utilization review and payment verification. These requirements support ongoing oversight of client care and placement costs.
The agreement will be funded through patient revenue and realignment dollars. No County General Fund contribution is requested. The $1,800,000 maximum establishes the County’s spending limit for the agreement term; actual payments will be based on authorized placement days, services provided, and applicable contract rates. LCBHS will monitor expenditure and utilization throughout the year.
Windsor must submit itemized monthly invoices with documentation identifying the client, service dates, placement days, authorized level of care, and applicable rates. Payment is subject to County review, acceptance of allowable charges, and the availability and receipt of applicable funding. The agreement permits delayed payment when State or federal reimbursement is delayed and provides for recovery of overpayments, duplicate payments, and disallowed costs.
The agreement identifies Section 2-38.2(2) of the County’s Purchasing Policy/Code as the basis for exemption from competitive solicitation due to the specialized professional services being provided. Windsor’s services require an appropriately licensed treatment facility, qualified psychiatric and rehabilitation staff, and the ability to meet clients’ individual clinical and supervision needs.
If not budgeted, fill in the blanks below only:
Estimated Cost: ________ Amount Budgeted: ________ Additional Requested: ________ Future Annual Cost: ________
Purchasing Considerations (check all that apply): ☐ Not applicable
☐ Fully Article X.- and/or Consultant Selection Policy-Compliant (describe process undertaken in “Executive Summary”)
☒ Section 2-38 Exemption from Competitive Bidding (rationale in “Executive Summary,” attach documentation, as needed)
☐ For Technology Purchases: Vetted and Supported by the Technology Governance Committee (“Yes,” if checked)
☐ Other (Please describe in Executive Summary)
Consistency with Vision 2028 (check all that apply): ☐ Not applicable
☒ Well-being of Residents ☐ Public Safety ☐ Disaster Prevention, Preparedness, Recovery
☐ Economic Development ☐ Infrastructure ☐ County Workforce
☐ Community Collaboration ☐ Business Process Efficiency ☐ Clear Lake
Recommended Action: Approve Agreement No. 26.27.25 between the County of Lake and
Windsor Care Center of Sacramento MHRC for Mental Health Rehabilitation and
Residential Support Services for the period of July 1, 2026, through June 30, 2027, in an
amount not to exceed $1,800,000 and authorize the Chair to sign.
8. Closed Session
8.1Public Employee Appointment Pursuant to Gov. Code Section 54957(b) (1):
Interviews for Public Health Officer
Appointment of Public Health Officer
Closed Session Item
8.2Conference with Legal Counsel: Existing Litigation pursuant to Gov. Code sec. 54956.9 (d)(1) – Wong v. County of Lake
Closed Session Item
8.3Employee Disciplinary Appeal (EDA 26-01) Pursuant to Gov. Code sec. 54957
Closed Session Item
8.4Conference with Legal Counsel pursuant to Gov. Code sec. 54956.9 (d) (2), (e)(3) – Claim of Hernandez
Closed Session Item
8.5Conference with Legal Counsel pursuant to Gov. Code sec. 54956.9 (d) (2), (e)(3) – Claim of Roberts
Closed Session Item