Memorandum
Date: November 10, 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 Vista Pacifica Enterprises, Inc. for Adult Residential Support Services and Specialty Mental Health Services for FY2026-2027, in an amount not to exceed $1,000,000.00, and authorize the Chair of the Board of Supervisors to sign.
Executive Summary: Lake County Behavioral Health Services (LCBHS) contracts with Vista Pacifica Enterprises, Inc. to provide specialized adult residential support and specialty mental health services for clients whose clinical and placement needs cannot be appropriately met through standard outpatient services. The Agreement includes facility-based placements and services for clients requiring a higher level of care.
Vista Pacifica provides Institution for Mental Disease (IMD) services through its licensed Skilled Nursing Facility/Special Treatment Program facilities, including psychiatric evaluation, medication management, nursing services, therapeutic programming, and other residential and rehabilitative supports. Services and placements must be authorized by the County based on each client's clinical and placement needs.
Utilization of these services varies based on the number of clients requiring this level of care and the duration and intensity of each placement. In Fiscal Year 2024–25, Vista Pacifica served seven Lake County clients, with total payments of $616,410. In Fiscal Year 2025–26, Vista Pacifica served ten Lake County clients, with total payments of $1,094,730.
The proposed FY 2026–27 Agreement has a maximum compensation of $1,000,000. Payment is based on the applicable facility and service rates established in Exhibit B and actual County-authorized services provided. The contract maximum establishes the expenditure limit but does not guarantee that the full amount will be expended.
Due to the specialized nature of...
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