Memorandum
To: The Honorable Lake County Board of Supervisors
From: Rachael Dillman Parsons, Social Services Director and Public Guardian
Subject: Consideration of an Additional $15,000 Transfer in Lump Sum from General Fund to Public Guardian Account for “BB”, to be Used by Public Guardian for Monthly Patch Payments Not To Exceed $5,000 per Month for his Placement at Nazareth Classic Care, a Private-Pay Facility That Does Not Accept Medi-Cal or Medicare
Executive Summary:
On October 17, 2024, we brought to your board a request for patch payment for Public Guardian conservatee, “BB”, from general funds in the amount of $30,000 to cover six (6) months of placement, which your board approved, as there was no alternative funding source. Although BB had Medi-Cal coverage, the only facility that would accept BB, Nazareth Classic Care, did not accept Medi-Cal. Had funding not been secured, BB would have been released to the street. BB is conserved, and unable to live independently given his medical condition, even with IHSS support. BB is a 290 registered sex offender. BB was being held in Lake County Jail, had served his sentence, and was ready for release. The jail could not continue to hold him, he had served his time. Your board requested quarterly updates on our progress to move BB out of private pay into a Medi-Cal covered facility.
On November 1, 2024, BB was placed in Nazareth Classic Care.
On February 11, 2025, we brought your board our 3-month update. We reported BB had been doing well in his current placement at Nazareth Classic Care, and his immediate medical issues had been addressed, both of which we believed would make his placement in a Medi-Cal covered facility easier. We reported that we had identified numerous facilities throughout the state of California, a portion of which were suitable for BB. We were contacting these facilities, repeatedly, to seek placement for BB. One facility had placed BB on their waiting list, and he was number eight (8) at the time.
Unfortunately, no facilities have accepted BB. The facility must be in the State of California as BB is conserved in California. We cannot place him out of state. Nearly all facilities do not have waiting lists and will not notify us when a bed becomes available. We must continuously contact facilities to check on bed availability, and beds fill fast. We contact the list of facilities at least weekly to check on bed availability. BB remains number eight (8) at the facility willing to place him on their waiting list.
We continue to diligently seek a facility that accepts Medi-Cal and is suitable for BB.
We hope to have BB placed within the next three months. We are asking your board for an additional $15,000 to cover BB’s placement at Nazareth Classic Care in the interim. The alternative is releasing BB to the street.
We appreciate your time and consideration in this matter.
If not budgeted, fill in the blanks below only:
Estimated Cost: _$45,000__ Amount Budgeted: _30,000__ Additional Requested: _15,000__ Future Annual Cost: _0__
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Recommended Action: Approve an additional $15,000 transfer in lump sum from general fund to Public Guardian account for “BB”, to be used by Public Guardian for monthly patch payments not to exceed $5,000 per month for his placement at Nazareth Classic Care, a private-pay facility that does not accept Medi-Cal or Medicare.