Memorandum
Date: October 20, 2026
To: The Honorable Lake County Board of Supervisors
From: Elise Jones, Director of Behavioral Health Services
Subject: Consideration of Agreement No. 26.27.25 between the County of Lake and Windsor Care Center of Sacramento MHRC for Mental Health Rehabilitation and Residential Support Services for the period of July 1, 2026, through June 30, 2027, in an amount not to exceed $1,800,000 and authorize the Chair to sign
Executive Summary:
Lake County Behavioral Health Services (LCBHS) requests approval of an agreement with Windsor Care Center of Sacramento MHRC for specialized mental health rehabilitation and residential support services for Lake County clients. The agreement covers Fiscal Year 2026–27, effective July 1, 2026, through June 30, 2027, with maximum compensation of $1,800,000. Approval is requested retroactive to July 1, 2026, for the FY 2026–27 agreement period.
LCBHS arranges placements for clients whose mental health needs require a structured treatment setting and twenty-four-hour supervision. Windsor operates a Mental Health Rehabilitation Center (MHRC) that provides this level of care for individuals who meet medical necessity criteria for intensive psychiatric rehabilitation. Maintaining access to these services allows LCBHS to arrange clinically appropriate placements for clients who require more support and supervision than can be provided through outpatient services or a lower level of residential care.
Under the agreement, Windsor will provide psychiatric oversight, nursing support, medication education and support, crisis intervention, and rehabilitation services focused on symptom management, daily living skills, socialization, and community reintegration. Each client must have an individualized treatment plan identifying rehabilitation goals, services, measurable objectives, and discharge criteria. Windsor is required to develop the plan within fourteen days of admission and review and update it at...
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