Resolution approving and authorizing the City and County of San Francisco acting through the Sheriff’s Office to enter into a Professional Services Contract with ConnectionsCA, LLC for operating the Rapid Enforcement Support Evaluation and Triage (RESET) Center, a safe alternative to incarceration for individuals brought in by law enforcement for public intoxication or drug use, submitted under Chapter 21B of the Administrative Code as a Core Initiative Contract, for a total not to exceed amount of $14,537,426 with an initial term of two years and two months, commencing on February 1, 2026, through March 31, 2028, with an option to extend for one additional year; authorizing the Sheriff to execute any amendments, make certain modifications and take certain actions that do not materially increase the obligations or liabilities to the City, and are necessary or advisable to effectuate the purposes of the contract; and affirming the Planning Department’s determination under the California Environmental Quality Act.

This resolution approves a $14,537,426 professional services contract with ConnectionsCA, LLC to operate the Rapid Enforcement Support Evaluation and Triage (RESET) Center at 444 6th Street. The center, a core initiative under Administrative Code Chapter 21B, serves as a voluntary alternative to incarceration for individuals (18+) brought in by law enforcement for public intoxication or drug use.

Program Details:

• Purpose: Provides a safe environment for sobering, peer engagement, basic needs, monitoring, stabilization, and connections to treatment and services. It is not a jail or temporary holding facility.
• Exclusions: Individuals with active warrants, aggressive behavior, emergency medical needs, psychiatric holds (5150 W&I), or illegal narcotics/weapons are not admitted.
• Operations: Open 24/7 with capacity for 25 clients, staffed by ConnectionsCA personnel (25.2 FTEs) and supported by two Sheriff's deputies 24/7 for security.
• Partners: San Francisco Sheriff’s Office (SFSO), Department of Public Health (DPH), Police Department, District Attorney’s Office, and Fire Department.

Financial & Timeline:

• Term: Initial term of 2 years and 2 months (February 1, 2026, through March 31, 2028), with an option to extend for one additional year.
• Payment Structure: Includes a ramp-up period (March-September 2026) at 100% of the monthly cost, followed by a 92.5% baseline payment and up to an additional 12.5% incentive based on performance metrics (e.g., officer drop-off times, client retention, service linkages).
• Funding: Initial funding from DPH General Fund. However, $3.4 million for FY26-27 and $5 million for FY27-28 are currently unbudgeted and will be new costs to the General Fund. ConnectionsCA aims to enable Medi-Cal billing within 6-9 months, potentially offsetting City costs by ~$1 million annually.

Procedural: The Civil Service Commission approved a related Personal Services Contract on December 1, 2025. The Board of Supervisors has 45 days to reject this Core Initiative contract, with the period ending on February 25, 2026. The Planning Department’s CEQA determination is affirmed.

This center offers a new approach to public safety by providing an alternative to jail for individuals struggling with public intoxication or drug use, potentially reducing jail populations and connecting residents to vital health services. However, it represents a significant financial commitment, with unbudgeted costs of $8.4 million over the initial term, which could impact future city finances.

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