Title
HEARING- Health and Human Services Agency recommending the Board adopt and authorize the Chair to sign Resolution 062-2025, replacing and superseding Resolution 148-2016, to adopt Senior Day Care fees effective July 1, 2025.
FUNDING: Fee for Service and County General Fund.
Body
DISCUSSION / BACKGROUND:
The HHSA Community Services Division Senior Day Care program serves older adults who require supervision and care during the day, providing families with peace of mind and the opportunity to take breaks from caregiving or maintain employment. This service significantly enhances the quality of life for both clients and their caregivers. Program participants pay for the costs of the services received, through Board approved fees, including an enrollment application fee, daily rates, late fees, and extended hours fees.
On September 13, 2016, the Board approved the current Senior Day Care and Senior Center Services fee structure through Resolution 148-2016, which have been in effect since October 1, 2016 (Legistar file 16-0805).
In 2024, HHSA Community Services commissioned MGT Consulting (MGT) to conduct a fee study for County Senior Day Care sites. This study was part of a broader review that also included Public Guardian services. The primary objectives of the study were to determine the full cost of providing fee-related services, assess whether fees should be introduced or adjusted, identify opportunities to align fees with the actual cost of services while considering economic and policy factors, and develop revenue projections based on potential fee increases or decreases.
On March 4, 2025, the Board received and filed the fee study report dated June 2024, conducted by MGT, and heard a presentation from HHSA staff outlining proposed fee increases for Senior Day Care services (Legistar file 25-0144). HHSA staff recommendations aim to achieve a 97% cost recovery level over a three-year period, with annual increases scheduled at the beginning of each ...
Click here for full text