Memorandum
Date: August 5, 2025
To: The Honorable Lake County Board of Supervisors
From: Rachael Dillman Parsons, Social Services Director
Subject: Consideration of Update Regarding Public Guardian Conservatee "BB"
Executive Summary:
On October 17, 2024, your board approved a patch payment for Public Guardian conservatee, "BB", from general funds in the amount of $30,000 to cover six (6) months of placement. Public Guardian receives no State or Federal funding to operate. Although BB had Medi-Cal coverage, the only facility that would accept BB did not accept Medi-Cal. Placement fees were $5,000 per month. On November 1, 2024, BB was placed in care while Public Guardian continued to seek a Medi-Cal covered placement for BB. On April 15, 2025, your board approved an additional $15,000 to cover three (3) additional months of placement, while Public Guardian continued to seek a Medi-Cal covered placement. To date, BB remains in a private-pay facility.
On May 21, 2025, Public Guardian was able to relocate BB to a less expensive private pay facility, with a base rate of $3,600 per month. Once approved, BB's Veteran's and Social Security benefits will be approximately $3,600 per month. On Jun 15, 2025, BB began receiving his $1,784 per month Social Security payments. Most of his back-pay was withheld by Social Security to repay previous Social Security benefit overpayment. The remaining balance of $2,172 was placed in his Public Guardian account to cover his placement. BB's Veteran's benefits are anticipated to start soon.
Public Guardian is not asking your board for additional General Fund to support BB's placement. It is anticipated that BB's remaining account balance will be sufficient to cover his placement until his Veteran's benefits begin.
Public Guardian continues to diligently and repeatedly contact all suitable facilities in the State of California that accept Medi-Cal to secure placement for BB. As previously reported, facilities are ...
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