Board Of Supervisors — Tuesday, October 28, 2025

RECOGNIZING OCTOBER 2025 AS FILIPINO AMERICAN HISTORY MONTH IN LAKE COUNTY WHEREAS, the celebration of Filipino American History Month in October commemorates the first recorded presence of Filipinos in the continental United States, which occurred on October 18, 1587, when "Luzones Indios" came ashore from the Spanish galleon Nuestra Senora de Esperanza and landed at what is now Morro Bay, California; and WHEREAS, in 2009, U.S. Congress recognized October as Filipino American History Month in the United States. Various states, counties, and cities in the U.S. have established proclamations and resolutions declaring observance of Filipino American History Month; and WHEREAS, the late Dr. Fred Cordova, along with his wife, Filipino American National Historical Society (FANHS) Founder Dr. Dorothy Laigo Cordova, first introduced October as Filipino American History Month in 1992 with a resolution from the FANHS National Board of Trustees, marking 2025 as the 33rd anniversary of Filipino American History Month celebration nationally; and WHEREAS, as early as the 1930's, Filipino immigrants significantly contributed to the history Lake County, California, and the United States, most notably as laborers recruited to support the agricultural industry, as medical professionals to deliver healthcare, as servicemen and servicewomen to enlist in the Armed Services, and as pioneers who settled in the United States and Lake County to build communities; and WHEREAS, Filipino Americans have made Lake County their place to live, work and play, continuing to present day and into the future, greatly contributing to the local and broader culture and economy which enriches greater Lake County; and Lake County takes great pride in the diverse workforce, which includes talented Filipino Americans in the local workforce; and WHEREAS, the County of Lake will commemorate Filipino American History Month each October, to honor and share the rich tapestry of Filipino American art, history, culture, and identity. NOW, THEREFORE BE IT PROCLAIMED, that the Lake County Board of Supervisors declares the month of October 2025 as Filipino American History Month in Lake County and encourages the community to engage and celebrate in Filipino American festivities throughout the month. PASSED AND ADOPTED this 28th day of October 2025.

Adopt Proclamation recognizing October 2025 as Filipino American History Month in Lake County

The Lake County Sheriff's Department participates in the Equitable Sharing program with the US Department of Justice. This program monitors federally seized monies, referred to as asset forfeitures. A report of all receipts and expenditures is required to be submitted after the close of the fiscal year. Attached for your Board's approval is the annual submission of the Equitable Sharing Agreement and Certification for the period ending June 30, 2025. Approval of the Equitable Sharing agreement allows Lake County to be eligible for asset forfeiture proceeds. These monies are used primarily for training purposes. No federal asset forfeiture monies were received during the 2024/25 fiscal year

Approve Equitable Sharing Agreement and Certification between the County of Lake Sheriff's Department and the US Department of Justice; and authorize the Sheriff and Chair to sign

Attached for your Board's consideration and approval are two Joint Funding Agreements (JFAs) between the Lake County Watershed Protection District ("District") and the United States Geological Survey ("USGS"). These JFAs provide funding for the operation and maintenance of streamflow gage stations that deliver real-time and historical data essential for flood response, floodplain planning, in-stream flow studies, hydrologic investigations, and monitoring critical flow conditions during the spawning period of the State-listed Clear Lake Hitch. The two joint funding agreements correspond to specific projects at the following locations: 1) The annual maintenance and operation of the Kelsey Creek USGS stream gage for $20,710 with $7,340 contributed by USGS totaling an amount not to exceed $28,050. The Kelsey Creek gage agreement identifies a cost-share between the District and USGS, with District portions supported through internal Budgeted District funds. The District has entered into this cost share agreement with USGS every year. 2) A three year agreement to maintain and calibrate the Clover Creek Bypass Flow gauge station at Elk Mountain Rd in the amount not to exceed $54,780. Funds for this gage are being provided by budgeted District funds for hitch stream flow monitoring. This item is not expected to be controversial and is proposed for consent agenda at the October 28th, 2025, BOS meeting.

(Sitting as the Lake County Watershed Protection District Board of Directors) Approve two Joint Funding Agreements with the U.S. Geological Survey, U.S. Dept. of the Interior (USGS) for stream monitoring in Kelsey, and Clover Creek, for a total amount not to exceed $75,490 and authorize the Water Resources Director to sign.

RECOGNIZING OCTOBER 2025 AS FILIPINO AMERICAN HISTORY MONTH IN LAKE COUNTY WHEREAS, the celebration of Filipino American History Month in October commemorates the first recorded presence of Filipinos in the continental United States, which occurred on October 18, 1587, when "Luzones Indios" came ashore from the Spanish galleon Nuestra Senora de Esperanza and landed at what is now Morro Bay, California; and WHEREAS, in 2009, U.S. Congress recognized October as Filipino American History Month in the United States. Various states, counties, and cities in the U.S. have established proclamations and resolutions declaring observance of Filipino American History Month; and WHEREAS, the late Dr. Fred Cordova, along with his wife, Filipino American National Historical Society (FANHS) Founder Dr. Dorothy Laigo Cordova, first introduced October as Filipino American History Month in 1992 with a resolution from the FANHS National Board of Trustees, marking 2025 as the 33rd anniversary of Filipino American History Month celebration nationally; and WHEREAS, as early as the 1930's, Filipino immigrants significantly contributed to the history Lake County, California, and the United States, most notably as laborers recruited to support the agricultural industry, as medical professionals to deliver healthcare, as servicemen and servicewomen to enlist in the Armed Services, and as pioneers who settled in the United States and Lake County to build communities; and WHEREAS, Filipino Americans have made Lake County their place to live, work and play, continuing to present day and into the future, greatly contributing to the local and broader culture and economy which enriches greater Lake County; and Lake County takes great pride in the diverse workforce, which includes talented Filipino Americans in the local workforce; and WHEREAS, the County of Lake will commemorate Filipino American History Month each October, to honor and share the rich tapestry of Filipino American art, history, culture, and identity. NOW, THEREFORE BE IT PROCLAIMED, that the Lake County Board of Supervisors declares the month of October 2025 as Filipino American History Month in Lake County and encourages the community to engage and celebrate in Filipino American festivities throughout the month. PASSED AND ADOPTED this 28th day of October 2025.

Presentation of Proclamation Recognizing October 2025 as Filipino American History Month in Lake County. Ceremonial item only.

Larry Kahn has appealed the decision made by the Lake County Planning Commission on December 12, 2024, to approve Major Use Permit (UP 23-05) for the AG Forest Wood Processing Bioenergy Project which would allow the development of a wood processing and bioenergy facility, located at 755 E State Highway 20 in Upper Lake (APN 004-010-04) (Exhibit A). This appeal was continued at the June 17, and August 26, 2025, Board meeting to allow for additional time for Staff to confer with state agencies regarding terms of the lease, and to respond to the Appellant's request for public records. Since the last continuance, Staff has made attempts to contact the state. If Staff does not gain clarification from the state by the date of this agenda posting, Staff intends to request an additional continuance.

Scotts Valley Energy Corporation (Applicant) has received grant funding from the U.S. Department of Commerce's Economic Development Administration to develop a facility to process forest wood, removed from local forests to lower wildfire risk, into bioenergy. Biomass material will come from the contractors that are removing biomass such as tree branches from powerline rights-of-way and operations from forest clearing for reduction of fuel resources to help protect communities. The facility will operate as a central forest wood management and processing system for forest thinning biomass collected throughout Lake County. Exhibit B includes the staff report from the Planning Commission meeting. Exhibit C includes the Minutes for the meeting. The project was originally scheduled for consideration by the Planning Commission on October 24, 2024, (Exhibit D), but was continued to December 12, 2024, to give the Community Development Department (CDD) and the Applicant time to address community concerns at a municipal advisory council meeting (Western Regional Town Hall [WRTH]). At the WRTH meeting on November 20, 2024, the Applicant, Community Development Department Director, and Staff addressed several concerns from the October 24, 2024, Planning Commission meeting: project's size and visibility from State Highway 20, air quality, possible removal of debris on the parcel, where the biomass materials come from, waterways on the parcel, flood zone, site plans, truck traffic, nearby neighbors, employees, etc. The Applicant provided a demonstration using polyvinyl chloride (PVC) pipe to illustrate how large the biomass equipment would be with the help of participants from the meeting. Exhibit G includes the presentation that was presented to the WRTH by the Applicant. Following the WRTH meeting, the Planning Commission again considered the Project on December 12, 2024, and approved the major use permit based on the Findings and subject to the Conditions included in the Staff Report, dated December 12, 2024 (Exhibit B). Exhibit J includes a CEQA Handbook for Bioenergy and Wood Products Businesses Outreach. At the request of Staff, this item was continued to a later date at the May 20, June 17, and August 26, 2025 Board of Supervisors meetings. Reason for Appeal Summary Appellant Larry Kahn provided the following reasons for the appeal (Exhibit A): 1. Findings not yet submitted by licensed engineer, and not yet considered by the Planning Commission, for alleged violations of varying codes/laws/regulations. Please see attached for alleged Business and Profession code violations of application as submitted. 2. Findings not yet submitted, and not yet considered by the Planning Commission, on the designation of Highway 20 Scenic Highway that this project allegedly does not comply with. 3. Findings not yet submitted, and not yet considered by the Planning Commission, on gravel placement on Prime Ag Lands and other Prime Ag land protections. 4. Findings not yet submitted on alleged Air Quality Department and Staffing deficits for monitoring this approved project. 5. Findings not yet submitted, and not yet considered, of alleged Air Quality Contaminants from the approved Project. Appeal Discussion An appeal of approval of Major Use Permit (UP 23-05) was filed on December 12, 2024, to the Community Development Department. The Appellant submitted a written statement detailing the above listed reasons for their appeal. According to the Appellant's statements, the reasons for the appeal include the following: 1. Findings not yet submitted by licensed engineer for alleged violations of varying codes/laws/regulations. Response: The appeal states that the project plans violate the following Business and Professions Codes (BPCs) 5536, 5536.1, 5536.2, 6735, 6735.3, 6735.4, 6787, 8726, 8792. A summary of each Code is provided in Exhibit I. While the County is required to comply with all applicable State regulations related to land surveying and engineered plans, as well as the Lake County Code Chapters 5, 30, and 29, neither the final building nor grading plans are required at this stage of the use permit approval. These plans are required for completeness review of all projects, however, after approval of the use permit and prior to grading and building permit issuance. Further, Chapter 30 of the Lake County Code specifies when engineered plans are required, and if engineered plans are required, they must comply with the California Business and Professions Code. If grading plans are found to be out of compliance, pursuant to Lake County Code Article 56, Selection 21-56, subsection 56.7 (b) the grading permit can be appealed to the Board of Supervisors. The 2022 California Building Code, Section 107[A] 107.1 requires that all construction documents shall be prepared by a registered design professional where required by the statutes of the jurisdiction in which the project is to be constructed. Based on the Lake County Code Chapter 5, Article III, Section 5-12, subsection 12.2, if building plans are approved by the Director of the Building and Safety Department but determined to be out of compliance with local and State regulations, "any person has the right to appeal that decision in writing to the Board of Appeal". This appeal mechanism allows individuals to challenge the Director's determination regarding the compliance of building plans with the Lake County Code by submitting a formal written appeal to the designated Board of Appeals. In California, if a county does not have a dedicated Board of Appeals for building code matters, the governing body of the county, as specified in California Health and Safety Code Sections 17920.5 and 17920.6, serves as the local appeals board. Therefore, since the Planning Commission approved the project, it would need to be appealed to the Board of Supervisors. At the time of a permit submittal, the site plans must comply with the Lake County Code Zoning Ordinance Article 55, Section 21-55, subsection 55.2. The plans provided for Use Permit (UP 23-05) under this section for the approval of the applicable use permit do meet the requirements listed in Article 55. 2. Findings not yet submitted on the designation of Highway 20 Scenic Highway that this project allegedly does not comply with. Response: The Scenic Highway Program is found in the California Code, Streets and Highways Code Sections 260 through 263. The State Scenic Highway System includes a list of highways that are either eligible for designation as State scenic highways or have been officially designated. Although Route 29 near Lower Lake/Route 20 East of Clearlake Oaks is eligible for designation, it has not been officially designated a Scenic Highway. Further, this section of highway is not impacted by the project or near the project site. The project site has an overlay zone of "SC" Scenic Combining that is subject to the requirements in the Lake County Code Zoning Ordinance Article 34. This includes meeting the performance standards in Section 21-34.10, subsection 34.11. Screening has been addressed through the use permit with the adoption of the following mitigation measure: AES-1: Prior to construction activities, a landscaping plan shall be submitted to the Community Development Department that includes the appropriate visual screening using drought resistant or indigenous vegetation. Water conservation shall be applied with the use of drip irrigation. On the County's Google Earth shape file, a 500' setback has been identified from State Highway 20. However, the project site is beyond the setback. In addition, with the exception of the water tank foundation, no permanent infrastructure is proposed with the project. The Applicant will be required to return the property to the same conditions existing at the time the lease agreement was entered into. 3. Findings not yet submitted on gravel placement on Prime Ag Lands and other Prime Ag land protections. Response: Pursuant to the California Environmental Quality Act, Division 13, Chapter 2.5, Section 21061.2 in determining whether impacts to agricultural resources are significant environmental effects, lead agencies may refer to the California Agricultural Land Evaluation and Site Assessment (LESA) Model prepared by the California Department of Conservation. Due to the parcel's designated "Prime Farmland" classification by the California Department of Conservation, a LESA assessment was prepared, and the Project which includes the gravel placement was found to have a less than significant impact on the prime farmland (Exhibit H). 4. Findings not yet submitted regarding the alleged Air Quality Department and Staffing deficits for monitoring this approved project. Response: A Request for Review was sent to the Lake County Air Quality Management District (LCAQMD) on September 27, 2023, and comments were received. The comments have been added to the record, and mitigation measures recommended were incorporated into the Project requiring the Applicant to apply for an Authority to Construct permit among other things from the LCAQMD (Exhibit E). Whether the LCAQMD can or will process an Authority to Construct permit when an application is filed in the future is not an element of this use permit analysis. 5. Findings not yet submitted of alleged Air Quality Contaminants from such Project. This includes the air flow/lack of air flow within the community of Upper Lake. Response: Comments and reports containing information and opinions on criteria for air pollutants and greenhouse gas emissions related to the Project were analyzed by staff. Based on this analysis, staff concluded that emissions fell well below the California Air Resources Board's (CARB) thresholds of significance (Exhibit F). Air quality information on the project was provided by the Applicant's representative (Thomas Jordan), and was discussed at the October 24, 2024, and December 12, 2024, Planning Commission meetings, and at the Western Region Town Hall meeting on November 20, 2024 (Exhibit E). Lastly, according to the LCAQMD, Lake County meets all Ambient Air Quality Standards (State and Federal) for clean, healthful air quality. Exceptions to this only occur during major wildfire events. FINDINGS OF APPROVAL On December 12, 2024, the Planning Commission found that, with the mitigation measures proposed in Initial Study, IS 23-10, the project would not have significant impact on the environment and adopted a Mitigated Negative Declaration. Required Findings of Approval can also be found in the Planning Commission Staff Report (Exhibit B). The Planning Commission also made the required "Findings of Approval" for Major Use Permit (UP 23-05). EXHIBITS: Exhibit A:-Appeal Form (PL-25-22; AB 24-06) Exhibit B:-Planning Commission Staff Report (December 12, 2024) Exhibit C:-Planning Commission Meeting Minutes (December 12, 2024) Exhibit D:-Planning Commission Meeting Agenda (October 24, 2024) Exhibit E:-Lake County Air Quality Management District Comments Exhibit F:-CARB Ambient Air Quality Standards and Air Quality Information Exhibit G:-WRTH Site Presentation 11-18-2024 REV3 Exhibit H: -Land Evaluation & Site Assessment (LESA) Exhibit I: -Business and Professions Codes Summary Exhibit J:-CEQA Handbook for Bioenergy and Wood Products Businesses Outreach Exhibit K:-Public Comments

Deny Appeal (PL-25-22; AB 24-06) of Planning Commission's approval of Major Use Permit (UP 23-05), and Initial Study (IS 23-10); for the AG Forest Wood Processing Bioenergy Project; locate at 755 East State Highway 20, Upper Lake (APN 004-010-04), in concept and direct Staff to prepare Findings of Fact.

The Forestry Program for Mendocino, Lake, and Sonoma Counties focuses on helping keep oak woodlands and coastal conifer forests healthy and resilient to disturbance. The program encourages good stewardship by providing information, resources, and technical advice through education and research. Extension efforts in Lake County have focused on helping landowners, managers, and stewards prepare and respond to disturbances (such as wildfire and drought) by providing information on vegetation management, helping the community build capacity to use fire as a stewardship tool, managing biomass and resprouting vegetation after fires, and hosting workshops on forest stewardship. Research projects in Lake County have focused on forest health issues, such as addressing tree mortality following drought, and understanding the ecology, biology, and management of the invasive Mediterranean oak borer. With all these efforts the Forestry Program works and collaborates closely with local partners such as NRCS, RCD, CAL FIRE, CLERC, Lake County Tribes, Lake County Government, Risk Reduction Authority, and many other groups.

Presentation Only.

The Lake County Fish & Wildlife Advisory Committee will present a report to the Board of Supervisors regarding the September, 2025 Fish Die Off that occurred in Clear Lake. The report will include information regarding oxygen levels measured in areas of the lake where deaths occurred.

Presentation only, no action requested.

The Board of Supervisors meeting scheduled for December 2, 2025 will not have full attendance by the Board of Supervisors due to obligations for other boards/organizations that require travel.

Approve update of 2025 Board of Supervisors Meeting Calendar to adjourn the Tuesday, December 2, 2025 meeting due to lack of quorum.

Approval is requested for an agreement between the County of Lake and Sacramento Behavioral Healthcare Hospital, LLC (SBHH) for the provision of acute inpatient psychiatric hospital services and associated professional services from July 1, 2025, through June 30, 2026, in an amount not to exceed $300,000. This agreement ensures the continued availability of 24-hour, licensed inpatient psychiatric care for Lake County residents requiring involuntary or voluntary psychiatric hospitalization under Welfare and Institutions Code (W&I) �� 5150-5152 and related provisions governing acute psychiatric treatment and stabilization. SBHH operates a licensed, Joint Commission-accredited facility in Sacramento County and provides a secure, clinically appropriate environment for individuals meeting criteria for acute inpatient care. The agreement enables Lake County Behavioral Health Services (LCBHS) to access these critical services when local or regional bed capacity is insufficient. Background and Justification Counties are responsible under California Welfare and Institutions Code �� 5600 et seq. and Title 9, California Code of Regulations (CCR), � 1810.345 for ensuring the provision of medically necessary specialty mental health services, including inpatient psychiatric hospitalization for Medi-Cal beneficiaries and uninsured residents. Acute inpatient psychiatric services are required for individuals who present an imminent danger to themselves or others, or who are gravely disabled due to a mental disorder. As a Small County Mental Health Plan, Lake County does not operate its own inpatient psychiatric facility and must therefore maintain contracts with regional hospitals to fulfill these obligations. SBHH is a DHCS-certified and Medi-Cal-approved acute psychiatric hospital that provides: * 24/7 inpatient psychiatric treatment and professional services (psychiatric, nursing, and clinical support); * Compliance with CCR, Title 22, Division 5 (licensure of health facilities) and Title 9, � 1810.435 (provider selection and compliance); * Compliance with HIPAA and 42 CFR Part 2 confidentiality requirements; * Maintenance of patient rights under W&I � 5325 and 42 CFR � 438.100. The agreement further requires adherence to federal and state audit provisions under 42 CFR � 438.230, DHCS Information Notices, and the County's own compliance and cultural competency policies.

* Funding Source: Realignment and Medi-Cal Federal Financial Participation (FFP) * Budgeted: Yes - FY 2025-26 Mental Health Services Budget Reimbursement is based on a per diem rate for eligible services rendered, in accordance with Exhibit B (Fiscal Provisions) of the contract. Payments are made for verified claims submitted through the County's contractor portal following concurrent utilization review and authorization. Regulatory and Compliance Context This agreement supports the County's statutory responsibilities under the Short-Doyle Medi-Cal system and 1915(b) Medicaid Waiver, which govern the delivery and reimbursement of specialty mental health services. SBHH must maintain: * All required licensure and certifications (DHCS, CMS, and The Joint Commission); * Compliance with the Deficit Reduction Act of 2005, the False Claims Act, and HIPAA/HITECH; * Policies for client rights, grievances, and cultural competence consistent with the National CLAS Standards; and * Annual program and fiscal reporting, audit compliance, and data retention for at least ten years. County oversight and monitoring are authorized under W&I � 14712(c)(3) and CCR, Title 9, �� 1810.380-1810.385, which empower the County to audit, evaluate, and impose sanctions for noncompliance. Service Continuity and Public Impact Approval of this contract is essential to maintain uninterrupted access to inpatient psychiatric care for Lake County residents. Without such agreements, individuals in psychiatric crisis may experience extended emergency department boarding or transport delays, compromising clinical outcomes and increasing costs to the County. SBHH remains one of the few regional providers consistently accepting Lake County placements, particularly for clients with high acuity, Medi-Cal eligibility, or limited local stabilization options.

Approve the agreement between the County of Lake and Sacramento Behavioral Healthcare Hospital, LLC for acute inpatient psychiatric hospital and professional services for FY 2025-26, in the amount not to exceed $300,000, and authorize the Chair of the Board to sign.

Lake County Behavioral Health Services requests approval of an agreement with Vista Pacifica Enterprises, Inc. for Fiscal Year 2025-26 in an amount not to exceed $750,000 to provide adult residential support and specialty mental health services at licensed Institutions for Mental Disease (IMDs) and skilled nursing facilities. Under California Welfare and Institutions Code (W&I) �� 5600 et seq. and Title 9 of the California Code of Regulations (CCR), County Mental Health Plans are responsible for ensuring access to medically necessary Specialty Mental Health Services (SMHS) for Medi-Cal beneficiaries and uninsured adults who require sub-acute or long-term psychiatric residential care. Vista Pacifica operates DHCS-certified facilities under Title 22 and Title 9, providing secure 24-hour care, psychiatric nursing, medication management, and rehabilitative programming consistent with state and federal requirements. This contract ensures compliance with all applicable federal and state regulations governing Medi-Cal-funded services, including: * Title 9, CCR �� 1810.380-1810.435 (provider selection, monitoring, and compliance) * 42 CFR � 438.230 (federal subcontractor audit and oversight requirements) * HIPAA (1996), HITECH Act (2009), and the HIPAA Omnibus Final Rule (data security and confidentiality) * W&I � 5325 (patients' rights) and Title 42 CFR � 438.100 (beneficiary rights) * Cultural and Linguistic Competence Standards (CLAS) under DHCS requirements During the prior fiscal year, the County expended $668,010.00, serving five unduplicated Lake County clients with no significant performance or audit issues identified. The proposed contract amount reflects modest rate adjustments aligned with the FY 2025-26 adopted budget and DHCS rate guidance for long-term care (AB 1629 reimbursement methodology). Utilization is projected to remain stable based on client needs and conservatorship placements. Pursuant to Section 2-38 of the County Purchasing Ordinance, competitive bidding does not apply to this agreement due to the specialized and regulated nature of IMD and psychiatric skilled nursing services. Vista Pacifica has completed the required Request for Qualifications (RFQ) and Risk Assessment processes as part of the County's ongoing provider credentialing and compliance oversight. Approval of this agreement ensures access to high-acuity placements for adults requiring 24-hour behavioral health supervision and treatment, supports continuity of care for conserved and high-need individuals, and reduces reliance on state hospital placements by maintaining locally authorized, Medi-Cal-reimbursable treatment options in a secure, licensed environment.

Approve the Agreement Between the County of Lake and Vista Pacifica Enterprises, Inc., for Adult Residential Support Services and Specialty Mental Health Services in the Amount of $750,000 for Fiscal Year 2025-2026 and Authorize the Board Chair to Sign.

Lake County Behavioral Health Services (LCBHS) requests Board approval of a Resolution authorizing the Behavioral Health Director to execute Standard Agreement 24-40117 with the California Department of Health Care Services (DHCS) for Bond Behavioral Health Continuum Infrastructure Program (BHCIP) Round 1: Launch Ready funding. Acceptance of this award will fully resource the revitalization and expansion of LCBHS's South Shore clinic, enabling a significant increase in community-based mental health and substance use disorder (SUD) services for residents of Clearlake and the greater South Shore. This capital project will materially expand access and capacity across core service lines by adding additional exam/consult rooms and group spaces; creating dedicated areas for same-day access and post-crisis follow-up; and outfitting a medication-assisted treatment (MAT) suite (including long-acting injectables) alongside integrated SUD and Specialty Mental Health (SMHS) outpatient care. The redesigned, trauma-informed layout also strengthens youth/family services, telehealth readiness, and care coordination with county and community partners-reducing wait times, improving throughput from Mobile Crisis and hospital discharges, and decreasing avoidable emergency department and justice-system utilization. The project advances County priorities under CalAIM, DMC-ODS, and Behavioral Health Services Act transformation by co-locating interdisciplinary teams, expanding group and peer-led programming, and improving ADA accessibility and client experience. The State award totals $7,728,800 and is matched locally by $644,525 with no impact to the County General Fund. The local match is met primarily through Opioid Settlement Funds cash ($600,000) and eligible documented project costs incurred to date. Approval of this item authorizes execution of the Standard Agreement and routine, non-substantive amendments, allowing LCBHS to move directly into the next phase of design, permitting, and build to deliver expanded services to the community.

Adopt Resolution authorizing the Behavioral Health Director to execute Standard Agreement 24-40117 with the California Department of Health Care Services for the Bond Behavioral Health Continuum Infrastructure Program (BHCIP) Round 1: Launch Ready Program in the amount of $7,728,800, and to take all actions necessary to implement the South Shore Clinic Expansion Project in compliance with program requirements.

Lake County Behavioral Health Services (LCBHS) requests Board approval of an agreement with Manzanita House for the provision of Adult Residential Facility (ARF) services for Fiscal Year 2025-2026, with a maximum contract amount of $300,000. Manzanita House provides 24-hour residential treatment and therapeutic support for adults with serious mental illness, promoting stabilization, recovery, and successful reintegration into the community. During Fiscal Year 2024-2025, LCBHS expended $194,211.14 and served six (6) unduplicated clients. No significant performance or audit issues were identified during the fiscal year. The proposed FY 2025-2026 contract amount of $300,000 reflects projected utilization based on the current client census and anticipated turnover. This funding level is sufficient to maintain capacity for ongoing placements and short-term stabilization stays while aligning with the department's FY 2025-2026 adopted budget and historical spending trends. This agreement ensures continued access to essential residential treatment services for eligible individuals and is fully funded through Medi-Cal and Realignment revenues. The contract complies with Chapter 2, Section 38.2 of the County Purchasing Ordinance, requiring Board approval for contracts exceeding $100,000, and qualifies for a sole-source exemption under Section 38.2(b)(1).

Approve the Agreement between the County of Lake and Manzanita House for Adult Residential Facility Services for FY 2025-2026 in the amount of $300,000 and authorize the Chair to sign.

Approval is requested for a new Agreement with Windsor Care Center of Sacramento, a licensed and Medi-Cal certified Mental Health Rehabilitation Center (MHRC), to provide 24/7 residential treatment and rehabilitative mental health services to Lake County residents requiring a higher level of care. This is a new provider for the County; therefore, no prior utilization or fiscal data are available. The facility will expand access to long-term treatment beds and reduce the need for out-of-county and state hospital placements. The contract amount shall not exceed $500,000 for FY 2025-26. Funding is included in the Behavioral Health budget under Fund 145-4014 and is consistent with current projections for MHRC utilization. Payments will be based on actual bed days authorized and billed. This agreement is exempt from competitive bidding under Section 2-38 of the County Purchasing Ordinance because Windsor Care Center is one of the few DHCS-licensed MHRCs available to serve Lake County residents. Due to the limited statewide bed capacity and regulatory requirements, competitive solicitation is not feasible. This agreement supports Vision 2028 - Well-Being of Residents, by increasing system capacity for high-acuity clients, improving continuity of care, and reducing reliance on more restrictive or costly placements.

Approve the Agreement Between County of Lake and Windsor Care Center of Sacramento MHRC for Adult Residential Support and Specialty Mental Health Services for FY 2025-2026 in an amount not to exceed $500,000, and authorize the Board Chair to sign. .

Lake County Waste Solutions (LCWS) and South Lake Refuse & Recycling (SLRR) are the County's two franchise solid waste and recycling haulers, and are integral to the County's effort to overall waste management as well as achieving State-mandated goals of reducing the amount of waste disposed at landfills. Both franchise agreements allow for rate adjustments to account for pass-through costs resulting from new material processing fees, market changes, or state regulations and mandates. For your Board's consideration are proposed amendments to each agreement to incorporate an organic waste processing pass-through cost. As your Board is aware, Senate Bill 1383, also known as the Short-Lived Climate Pollutant Reduction Law, is intended to reduce the statewide disposal of organic waste in landfills. The regulations adopted under SB 1383 include, among other requirements, local jurisdiction obligations for organic waste recycling (i.e. mandatory organics recycling). In recognition of the substantial challenges faced by rural jurisdictions in implementing organics collection and expanding or even developing recycling infrastructure, the regulations allow counties with populations less than 70,000 to exempt themselves from certain aspects of the law. The entirety of Lake County - both unincorporated and incorporated areas - operates under this rural exemption for organic waste collection services, capacity planning, and the procurement of recovered organic waste products. Although organic waste collection services are not mandatory in Lake County due to this exemption, your Solid Waste Task Force supported evaluating a voluntary change to the franchise hauler's existing green waste programs. The intent was to expand the types of organic material accepted in green waste bins to include food scraps in addition to yard trimmings. This change would help divert organic materials from the Eastlake Landfill, support future compliance should the waiver expire, and promote long-term environmental sustainability. Accordingly, earlier this year both franchise haulers implemented service changes allowing food waste to be placed in the green waste bin along with grass clippings, leaves, and other basic yard debris. Historically green waste was collected and disposed of at no charge. When green waste volumes were minimal, the material was relatively uniform (i.e. limited to basic yard waste), and tipping fees charged by resource recovery facilities for green waste were either non-existent or very low, this no-fee service resulted in only a minimal operational loss for the haulers. Over time, however, both the volume of green waste and the associated tipping fees at local resource recovery facilities have increased substantially. Additionally, with the green waste stream now transitioned from a source-separated yard waste stream to a mixed organics stream containing both yard debris and food waste, the haulers face challenges in providing financially sustainable collection services without a pass-through fee to offset the higher processing and disposal costs.

A) Approve Amendment Three to Agreement between the County of Lake and Lake County Waste Solutions, Inc. for Solid Waste Handling and Recycling Services; and B) Approve Amendment Three to Agreement between the County of Lake and South Lake Refuse Company, LLC for Solid Waste Handling and Recycling Services

North Coast Opportunities, Inc. (NCO), in addition to being the local Resource and Referral (R&R) agency for Lake County, is also the official Alternative Payment Program (APP) provider. As Lake County's APP, NCO manages the vast majority of Child Care programs available to residents, including Stage One. Because NCO is contracted through the California Department of Social Services as the APP, they are a sole source provider for the services covered by this Contract. Under Lake County Ordinance 3137, Section 38.2 (2), Stage One Child Care Services are exempt from the competitive bidding process due to the unique nature of services provided. NCO provides Stage One Child Care services to eligible clients of Social Services and receives a portion of the funding for program operational costs. Stage One begins when a family starts receiving CalWORKs cash aid. CalWORKs clients may be served in Stage One until the county determines that the family situation is stable, or if no funds are available in Stage Two. This program provides low or no cost childcare for eligible CalWORKs participants, alleviating a large burden for many families. Stage One Child Care also provides facility referrals to participants, assisting them in finding quality, available childcare. The funding provided by this Contract covers the administration costs of running the Stage One program, and actual Child Care costs are around $1,050,000 yearly, paid by DSS. This Contract begins on May 1, 2025, as there are outstanding invoices which still need to be paid, and due to an increase in childcare services provided, the previous Contract's compensation was insufficient. Payment to Contractor from May 1, 2025 to June 30, 2025 is two hundred fifty thousand dollars ($250,000.00). The yearly total, from July 1, 2025 to June 30, 2026, is one million five hundred thousand dollars ($1,500,000.00).

a) Waive the Formal Bidding Process Pursuant to County Ordinance 3137 Section 28.2 due to 38.2 (2) Not in the Public Interest; and, b) Approve Contract between County of Lake and North Coast Opportunities, Inc. for Stage One Child Care Services, in the amount of $1,750,000.00 from May 1, 2025 to June 30, 2026, and authorize the Chair to sign.