Lake County supervisors approve $1.85 million in behavioral health contracts, authorize BCHIP grant agreement for clinic remodel

The Lake County Board of Supervisors on Oct. 31, 2025, approved a set of behavioral health service agreements for fiscal year 2025–26 that together commit $1,850,000 for inpatient and residential placements and voted to authorize county staff to accept a BHCIP Round 1 award and sign the State standard agreement to support a Clear Lake clinic remodel.

The actions included: approval of a up-to-$300,000 agreement with Sacramento Behavioral Healthcare Hospital LLC for acute inpatient psychiatric services; a $750,000 contract with Vista Pacifica Enterprises Inc. for adult residential support and specialty mental health services; a $300,000 agreement with Manzanita House for adult residential services; and a not‑to‑exceed $500,000 contract with Windsor Care Center of Sacramento (an MHRC) for adult residential support and specialty mental health services. The board also adopted a resolution authorizing the behavioral health director to sign the California Department of Health Care Services standard agreement (20440117) to accept BHCIP Round 1 launch‑ready funding for a South Shore clinic remodel in Clear Lake.

Why this matters: the contracts are intended to create a continuum of care that moves people from short‑term acute psychiatric placements through step‑down residential programs toward community‑based living. Staff said the county used at least one out‑of‑county acute facility last year, noting, "we served 18 unduplicated clients at this facility last…