Resolution approving Amendment No. 1 to the agreement between the City and County of San Francisco, acting by and through, the Department of Public Health (DPH), and A&A Health Services, Inc., to provide rehabilitative board and care residential services, to extend the term by three years from June 30, 2026, for a total term of July 1, 2024, through June 30, 2029, and to increase the amount by $22,722,200 for a total not to exceed amount of $32,654,875; and to authorize DPH to enter into amendments or modifications to the agreement that do not materially increase the obligations or liabilities to the City and are necessary to effectuate the purposes of the agreement or this Resolution.

This resolution approves Amendment No. 1 to an agreement between the Department of Public Health (DPH) and A&A Health Services, Inc., significantly expanding rehabilitative board and care residential services. The amendment extends the contract term by three years, from June 30, 2026, to June 30, 2029, and increases the total funding by $22,722,200, bringing the new not-to-exceed amount to $32,654,875.

A&A Health Services provides 24/7 residential care for San Francisco residents aged 18-64 with mental illness or multiple diagnoses, assisting their transition from acute settings to more independent living. Services are delivered at two primary locations: 13956 San Pablo Avenue, San Pablo, CA 94806 (estimated 25 beds at $205/day for FY25-26) and 658-666 Shotwell Street, San Francisco, CA 94110 (Victoria's House, 46 beds at $256/day for FY25-26). The program emphasizes individualized treatment plans, medication management, and support for accessing entitlements and housing resources. The total estimated funding allocation for FY2025-2029 is $29,693,820, with an additional $2,961,055 contingency.

This amendment ensures continued and expanded access to critical rehabilitative residential services for San Francisco residents struggling with mental illness and complex health needs. It provides stable housing and comprehensive support, helping individuals achieve greater independence and reducing reliance on acute care facilities.

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