Title
a. Receive a report on the Behavioral Health Alisal (East Salinas) Integrated Clinic Project; and
b. Support implementation of the project with the Proposed Financing Structure Comprised of Grant and Department Funds, and Funds from the Building Improvement and Replacement Sub-Fund (478-BIR-CAO047-1050).
Report
RECOMMENDATION:
It is recommended that the Budget Committee of the Board of Supervisors:
a. Receive a report on the Behavioral Health Alisal (East Salinas) Integrated Clinic Project; and
b. Support implementation of the project with the Proposed Financing Structure Comprised of Grant and Department Funds, and Funds from the Building Improvement and Replacement Sub-Fund (478-BIR-CAO047-1050).
SUMMARY/DISCUSSION:
The project before you for consideration is for the construction of a new clinic at 331 North Sanborn Road in East Salinas. The Health Department (Department) in its efforts to advance health equity has long sought opportunities to embed amid the communities it aims to serve, and this project provides such an opportunity. The project’s main goal is to address the unmet needs for an integrated behavioral health/primary care clinic for the Alisal community. The clinic’s location will remove or ease transportation as a barrier to services and allow the Department and its bureaus to engage the public, particularly Spanish speaking Latinx residents by meeting them where they are and thereby strengthen its relationship with the community. More importantly, the clinic will allow the Department to deliver much needed comprehensive services that will help improve the health outcomes of this community.
This project has been in development and progressing slowly due to funding constraints since 2016 when the Board of Supervisors approved a property swap with the City of Salinas; the swap exchanged 312 East Alisal Street for 331 North Sanborn Road. The Department worked in conjunction with staff from Public Works, Facilities, and Parks Department (formerly RMA) to complete the design of the new 19,300 square foot two-story clinic. The clinic will provide 42 offices/workstations and seven (7) treatment rooms for use by the Behavioral Health Bureau (BHB), five (5) exam rooms and eight (8) workstations for use by the Clinics Services Bureau (CSB), a joint lobby/waiting area and a multipurpose room with direct access from the outside for use by other community agencies.
The Department has identified a viable financing structure which will allow construction of this project entirely with local funds. The financing structure includes a combination of grant and Department funds, and funds from the Building Improvement and Replacing Sub-fund. The Department respectfully requests your concurrence and support to implement the project with the identified funding structure.
This project received the support of the Capital Improvement Committee on March 8, 2021.
This work supports the Monterey County Health Department 2018-2022 Strategic Plan Initiatives: 1. Empower the community to improve health through programs, policies, and activities; and 3. Ensure access to culturally and linguistically appropriate, customer-friendly, quality health services. It also supports one of the ten essential public health services, specifically: 1. Monitor health status to identify and solve community health problems, 2. Diagnose and investigate health problems and health hazards in the community, 3. Inform, educate, and empower people about health issues.
OTHER AGENCY INVOLVEMENT:
County Counsel has reviewed staff report. The Department has worked with the Public Works, Facilities, and Parks Department in development of project plan and with the County Administrative Office - Budget Office to identify additional local funds for the project.
FINANCING:
The estimated project total is $23.7 million, of which $848,000 has been incurred to-date. The Department has secured $7.45 million for the construction of the new clinic as follows: $2.5 million are capital grant funds awarded by the Central California Alliance for Health (CCAH), $4.5 million of BHB one-time Mental Health Service Act (MHSA) funds reserved for capital needs, $150,000 from a development grant awarded by CCAH, and $300,000 BHB funds. The Department proposes that funds from the Building Improvement and Replacement sub-fund (478-BIR-CAO047-1050) be used to finance the unfunded balance which is estimated at approximately $16.25 million. The advanced funds from the BIR will be repaid through the building depreciation expense allocated to the BHB in the annual cost plan (COWCAP).
BOARD OF SUPERVISORS STRATEGIC INITIATIVES:
Check the related Board of Supervisors Strategic Initiatives:
☐Economic Development:
• Through collaboration, strengthen economic development to ensure a diversified and healthy economy.
☐Administration:
• Promote an organization that practices efficient and effective resource management and is recognized for responsiveness, strong customer orientation, accountability and transparency.
☒Health & Human Services:
• Improve health and quality of life through County supported policies, programs, and services, promoting access to equitable opportunities for healthy choices and healthy environments in collaboration with communities.
☒Infrastructure:
• Plan and develop a sustainable, physical infrastructure that improves the quality of life for County residents and supports economic development results.
☐Public Safety:
• Create a safe environment for people to achieve their potential, leading businesses and communities to thrive and grow by reducing violent crimes as well as crimes in general.
Prepared by: Miriam Y. Mendoza-Hernández, Finance Manager, 755-4622
Approved by:
______________________Date:__________
Elsa Jimenez, Director of Health, 755-4526
Attachment:
Attachment A