Active SLED Opportunity · CALIFORNIA · COUNTY OF SAN MATEO

    Sobering Center Services

    Issued by County of San Mateo
    countyRFPCounty of San MateoSol. 281416
    Open · 2d remaining
    DAYS TO CLOSE
    2
    due Aug 7, 2026
    PUBLISHED
    Jul 13, 2026
    Posting date
    JURISDICTION
    County of
    county
    NAICS CODE
    624190
    AI-classified industry

    AI Summary

    San Mateo County BHRS requests proposals for Sobering Center Services to provide a 14-bed, 24/7 trauma-informed facility for adults with acute intoxication. The program includes medical and behavioral health screening, harm reduction, case management, and linkage to treatment and support services. Proposers must meet qualifications, submit detailed technical and budget proposals, and comply with evaluation criteria.

    Opportunity details

    Solicitation No.
    281416
    Type / RFx
    RFP
    Status
    open
    Level
    county
    Published Date
    July 13, 2026
    Due Date
    August 7, 2026
    NAICS Code
    624190AI guide
    Agency
    County of San Mateo

    Description

    San Mateo County Health, Behavioral Health and Recovery Services (BHRS) is seeking proposals from qualified firms (hereinafter referred to as “Proposers”) to provide Sobering Center Services. Proposers must meet the minimum qualifications and requirements as set forth within this Request for Proposal (RFP) and be capable of providing the services identified in the Scope of Work herein. SMC/BHRS expects the successful Proposer(s) to provide the services in accordance with the terms and conditions set forth in the Sample Contract.

    Background

    BHRS provides a continuum of services for children, youth, families, adults and older adults for the prevention, early intervention and treatment of serious mental illness and/or substance use conditions. We are committed to supporting treatment of the whole person to achieve wellness and recovery, and promoting the physical and behavioral health of individuals, families, and communities we serve.

    San Mateo County launched its Sobering Center Services in 1992 with StarVista through StarVista’s First Chance Sobering Station program. The 24/7 program provided sobering center services as an alternative to jail or emergency services for individuals transferring from the emergency department, voluntary admissions, and those arrested for driving under the influence (DUI), public intoxication, or drug-related intoxication and offered - substance use assessment, - case management services. StarVista’s Sobering Station also offered linkage to appropriate support and ancillary services including housing shelter services, Alcohol Anonymous (AA), Narcotics Anonymous (NA), Alanon, family counseling, residential and outpatient treatment and mental health counseling.

    Since the unexpected closure of StarVista on May 21, 2025, San Mateo County’s sobering center program has been shut down. Because of this, San Mateo County needs to provide a sober center  program that is designed and staffed to provide a safe, voluntary, low-barrier, trauma-informed, harm-reduction-oriented, less-than-24-hour setting where adults experiencing acute alcohol and/or drug intoxication can recover safely, be monitored for emergent medical or behavioral health needs, and be connected to substance use, mental health, medical, housing, and other stabilizing services.

    Project Details

    • Reference ID: BHRS RFP No. 2027-001
    • Department: Health - BHRS
    • Department Head: Jei Africa (Director of Behavioral Health)

    Important Dates

    • Questions Due: 2026-07-20T23:00:00.000Z
    • Answers Posted By: 2026-07-24T23:00:00.000Z

    Evaluation Criteria

    • Firm Experience & Qualifications (30 pts)
    • Staffing (25 pts)
    • Approach to Services (20 pts)
    • Fee/Budget Proprosal (15 pts)
    • Interviews, if conducted (10 pts)

      If the Evaluation Panel conducts interviews, then the selected highest-ranked Proposer(s) will be invited to participate in the interview process. Proposer will provide an interview/presentation on their proposal. Proposers must be prepared to discuss all aspects of their proposal in detail, including answering technical questions. Proposer is not allowed to alter or amend their proposal during the interview/presentation process. Proposer agrees that the submission of a proposal is permission by Proposer for County to verify all information contained therein. If County believes it necessary, additional information may be requested from Proposer. Failure to comply with any such request may disqualify a Proposer from further consideration.

      If interviews are conducted, the Evaluation Panel will score interviews based on the evaluation criteria No. 5 to finalize the scores. However, County reserves the right to waive the interview process and evaluate the Proposals based on the evaluation criteria No. 1 through No. 4.

    • Preferential Points (10 pts)

      Where price is not the sole evaluation factor for a solicitation (e.g., in the case of a "best-value" solicitation), five percent (5%) of the total evaluation points otherwise awardable will be added to the proposal score for each Local Business or Local Non-Profit score for evaluation purposes. In the event of a tie between a Local Business or Local Non-Profit and another bidder, the Local Business or Non-Profit shall be awarded the Contract, assuming agreement on other contract terms.

      An additional three percent (3%) preference shall be given to a Local Business or Local Non-profit (for a total of eight percent (8%) of total points otherwise awardable) if the proposer is a Small Business or Small Non-Profit, or an additional 5 percent preference (for a total of ten percent (10%) of total points otherwise awardable) if the proposer is a Micro Business or Micro Non-Profit.

    Submission Requirements

    • Minimum Qualifications
    • Has Proposer been providing similar services for a minimum of three (3) years within the last five (5) years? (required)
    • Can Proposer meet the staffing requirements stated in RFP Section 2.8? (required)
    • Please confirm your firm is NOT listed on the exclusion list for current Cumulative Sanction List of the Office of the Inspector General (U.S. Department of Health and Human Services) or the General Services Administration’s list of parties excluded from federal programs, or the California Medi-Cal Suspended and Ineligible Provider List* https://exclusions.oig.hhs.gov/
    • Proposer shall certify its ability to provide the required insurance coverage and certificates as set forth in the Sample Agreement.*
    • Please confirm your firm is registered with System for Award Management (SAM) (required)

      SAM.gov

    • What is the registered Business Name and Unique Entity ID (UEI) No.? (required)
      • UEI number can be obtained by registering your business through SAM.GOV
      • Should you be in the process of obtaining your UEI number, please enter the digits ‘123’ temporarily for your response below in order to proceed with proposal. This temporary number should be replaced with the correct registration number for submission of the proposal.
    • Procurement Preference for Local Businesses and Local Non-Profits
    • Is the Proposer a "Local Business"?

      As Defined by Chapter 2.89.020 of the San Mateo County Ordinance Code, a “Local Business” means any for-profit business which has its principal place of business, or is headquartered, in San Mateo County. If this designation applies to the proposer, a self-attestation form must be completed and provided with this response. 

      Please download the below documents, complete, and upload. If this designation is not applicable, please leave blank. 

    • Is the Proposer a Non-Profit? (required)

      A Non-Profit is defined as a tax-exempt public charity organization (within the meaning of section 501(c)(3) of the Internal Revenue Code) that is formed for purposes other than making a profit, is exempt from paying federal income taxes on the income generated for their exempt purposes. 

    • Is the Proposer a "Local Non-Profit"

      As Defined by Chapter 2.89.020 of the San Mateo County Ordinance Code, a “Local Non-Profit" means a tax-exempt public charity organization (within the meaning of section 501(c)(3) of the Internal Revenue Code) that is formed for purposes other than making a profit, is exempt from paying federal income taxes on the income generated for their exempt purposes, and has its principal place of business, or is headquartered, in San Mateo County. If this designation applies to the proposer, a self-attestation form must be completed and provided with this response. 

      Please download the below documents, complete, and upload. If this designation is not applicable, please leave blank.

    • Is the Proposer a Local "Small" or "Micro" Business?

      As Defined by Chapter 2.89.020 of the San Mateo County Ordinance Code:

      “Small Business” means any business which holds a Small Business Certification awarded by the California Office of Small Business and Disabled Veteran Business Enterprise Services (OSDS).

      “Micro Business” means any Small Business certified by the OSDS which is automatically designated by the OSDS as a Micro Business due to gross annual receipts falling below the OSDS-designated dollar amount.

      If the above designations apply, please provide the OSDS provided Certification ID. 

      If this designation is not applicable, please leave blank. 

    • Is the Proposer a Local "Small" or "Micro" Non-Profit?

      As Defined by Chapter 2.89.020 of the San Mateo County Ordinance Code:

      “Small Non-Profit" means a Local Non-Profit with an annual revenue of $1,000,000 to $2,500,000 according to its most recently filed IRS Form 990.

      “Micro Non-Profit" means a Local Non-Profit with an annual revenue of less than $1,000,000, according to its most recently filed IRS Form 990.

      If the above designations apply, please provide your latest filed IRS form 990. A filing from the last two calendar years is acceptable. 

      If this designation is not applicable, please leave blank. 

    • Technical Proposal
    • Introduction and Executive Summary (required)

      Submit a letter of introduction and executive summary of the proposal.  The letter must contain:

      • Table of Contents: Provide a table of contents on the first page of the proposal and itemize the Proposer’s submission. 
      • Cover Letter: Provide a cover letter, with the name, title, contact information, and signature of person authorized to obligate firm to perform the commitment contained in the proposal.
      • Include the name, title and contact information (email, phone, and address) for representative of  proposer that is responsible for communication related to this RFP.
      • Executive Summary: Provide a summary of the proposed approach to the Scope of Work, the strengths of the proposed project team, and why your firm should be selected.  

      Submission of the letter will constitute a representation by proposer that it is willing and able to perform the commitments contained in the proposal and has not violated the terms of this RFP.

    • Company Background Information (required)

      Include the following:

      • Name, title and contact information (email, phone, and address) for representative of proposer that is responsible for communication related to this RFP.
      • Name, title, contact information, and signature of person authorized to obligate firm to perform the commitment contained in the proposal.
      • Date Business established.
      • Is firm incorporated? If yes, state the State of Incorporation.
      • Is firm a sole proprietorship doing business under a different name? If yes, state the business name.
    • Statement of Minimum Qualifications (required)

      Describe how the proposer meets the minimum qualifications as set forth in Minimum Qualifications of this RFP.

      Submission of the Minimum Qualifications checklist is not a substitute for providing a detailed written response.

    • Firm’s Qualifications and Experience (required)

      Provide an overview of the firm and a brief description of the firm's history, including the following:

      • Descriptions of experience providing services related to this RFP for at least three (3) entities, preferably public sector, within the last five (5) years. Include the following:
        • Program name, date, location, and budget;
        • Client name and description of the scope of work;
        • Describe any obstacles encountered and the outcomes;
        • Describe, including experience with successfully coordinating and maintaining program budgets within contract maximums. 
      • If applicable, provide list of certifications and/or affiliations that may be relevant to this RFP;
      • If applicable, list any previous or current contracts with the County of San Mateo/BHRS within the last five (5) years. Include the following:
        • County of San Mateo Agency/Department name, address and contact person;
        • Contract Number;
        • Contract Start and End Dates;
        • Contract Amount; and
        • Brief Contract Description.
    • Reference Letters (required)

      Proposer must demonstrate successful prior performance of comparable services stated in this RFP, preferably public sector, and provide a minimum three (3) references for which these types of services have been performed within the past five (5) years. 

      Proposer to provide reference letters with the following information for reference:

      • Company/Cities/Counties Name

      • Company/Cities/Counties/Area Where Services are Provided

      • Contact Name, Email, Telephone number

      • Contract Start and End Date

      • Contract Amount

      • Brief Description of Services 

    • Policies and Procedures Table of Contents (required)

      Table of contents from the organization’s policies and procedures manual covering daily operations and emergency procedures (medical, fire, etc.) listed below. If a policies and procedures manual does not exist, provide a plan and time frame for development.

      • Program philosophy, low-barrier access, voluntary services, and client rights
      • Eligibility, exclusion, and transfer criteria
      • Referral acceptance and drop-off protocols by source
      • Intake, consent, belongings, contraband, and weapons policies
      • Medical screening, vital signs, observation intervals, and documentation
      • Overdose response, naloxone, CPR/AED, and 911 activation
      • Withdrawal risk screening and transfer to withdrawal management/ED
      • Behavioral health crisis, suicide risk, violence risk, de-escalation, and law enforcement involvement
      • ED transfer and emergency transport protocols
      • Discharge planning, warm handoffs, and transportation
      • MAT, SUD treatment, mental health, housing, benefits, and primary care referral pathways
      • Confidentiality, HIPAA, 42 CFR Part 2 as applicable, and data sharing
      • Grievances, complaints, client satisfaction, and reasonable accommodations
      • Language access and CLAS/cultural responsiveness
      • Critical incident and sentinel event reporting
      • Staff training, supervision, competency, and performance management
      • Infection control, cleaning, food safety, laundry, sharps/biohazard, and universal precautions
      • Emergency preparedness, fire/life safety, continuity of operations, and disaster response
      • Medication handling boundaries and client self-administration, if applicable
      • Security, visitor, media, community relations, and neighborhood concerns
      • Billing, encounter documentation, funding source tracking, and no-duplicate-billing controls
      • Quality assurance, CQI, data validation, and performance reporting
    • Financial Statement (required)

      Recent financial statement prepared by an independent Certified Public Accounting (CPA) firm.

    • Audit/Reviews/Inspection Reports (required)

      If available, any audits, reviews, or inspection reports completed by a CPA firm, regulatory agency (e.g., Occupational Safety and Health Administration), or other government agency within the last 12 months.

    • Staffing (required)

      Provide a detailed response regarding the proposed staffing pattern, including any potential challenges and how those challenges will be addressed, for the following:

      • Provide an organization chart identifying the number and type of staff (program and administrative) that will be allocated to this program. Propose staffing patterns that best meet the goals of the program and population served.

       

      • Provide concise job descriptions for each position that will be allocated to this program, and include minimum qualifications, education and/or experience requirements, multicultural/ multilingual capabilities, duties, and responsibilities.
      • Describe how your organization will recruit, hire, and train staff to provide the services described in this RFP.

       

      • Describe how your organization will address potential adverse impact related to staffing issues, such as vacancies, unexpected leaves, low morale, and recruitment/hiring challenges.

       

      • Provide a sample schedule for the Program with on-site coverage 24 hours per day, 7 days a week

       

      • Describe any services/staff that will be subcontracted. Subcontracts must be approved in advance by County and must meet the requirements of this RFP.
    • Key Personnel/Staffing Plan (required)

      Provide a detailed response regarding the staffing plan by using the template below. Upload the proposed staffing plan.

      Position

      Credential/license

      FTE

      Shift coverage

      Launch phase

      Full implementation

      Primary functions

      Program Director

       

       

       

       

       

       

      Medical Director/Clinical Consultant

       

       

       

       

       

       

      Registered Nurse

       

       

       

       

       

       

      EMT/Health Technician/MA

       

       

       

       

       

       

      Peer/Recovery Specialist

       

       

       

       

       

       

      SUD Counselor/Case Manager

       

       

       

       

       

       

      Safety/De-escalation Staff

       

       

       

       

       

       

      Administrative/Data Staff

       

       

       

       

       

       

      [List additional positions, as needed]

       

       

       

       

       

       

    • Approach to Services (required)

      Provide a detailed response regarding your approach to performing the services detailed in the scope of services and the following questions below, including any potential challenges and how those challenges will be addressed.

      1. Experience and Launch Readiness

        Describe your organization’s experience operating sobering, crisis, behavioral health, substance use, ED diversion, law enforcement diversion, or other low-barrier services for adults with acute intoxication and complex needs. Include your proposed timeline and implementation plan for opening and operating a 14-bed, 24/7 Sobering Center.
      2. Admission, Exclusion, and Safety Screening

        Describe how your organization will determine whether an individual can be safely served at the Sobering Center. Include proposed admission and exclusion criteria, medical and behavioral health screening procedures, observation protocols, and actions your organization will take if a person cannot be safely served or requires ED, EMS, psychiatric crisis, withdrawal management, or another higher level of care.
      3. Sobering Services During the Stay

        Describe the services your organization will provide during a typical sobering episode, anticipated to last approximately 6–8 hours and no more than 24 hours. Include intake, monitoring, hydration, food/light snacks, showers, laundry, clean clothing, belongings storage, harm reduction, motivational engagement, de-escalation, client rights, and discharge preparation.
      4. Staffing, Training, and Supervision

        Describe your proposed staffing model, including staff classifications, credentials, minimum qualifications, staffing ratios, 24/7 coverage plan, supervision structure, backup coverage, and approach to vacancies or call-outs. Describe how staff will be trained in acute intoxication risks, overdose response, naloxone, de-escalation, trauma-informed care, harm reduction, motivational interviewing, cultural responsiveness, documentation, and incident reporting.
      5. Licensing, Accreditation, and EMS/MCP Readiness

        Describe how your organization will operate the program as a sobering center, not as residential treatment or withdrawal management, unless separately licensed or certified. Describe your plan to align with National Sobering Collaborative/CARF standards, CalAIM Community Supports requirements, Managed Care Plan contracting and billing, and, if applicable, readiness for future EMS alternate-destination approval.
      6. Partnerships, Referral Pathways, and Funding Agreements

        Describe how your organization will establish and manage referral pathways with law enforcement, ED’s, EMS, outreach teams, shelters, County BHRS, hospitals, community providers, and Medi-Cal Managed Care Plan(s). Include your plan to independently pursue and maintain funding or service agreements with local law enforcement jurisdictions and Managed Care Plan(s).
      7. Discharge Planning and Warm Handoffs

        Describe your proposed discharge protocol, including how clients will be connected to substance use treatment, withdrawal management, residential treatment, outpatient/IOP, MAT/NTP services, mental health care, primary care, shelter/housing, benefits, harm reduction, transportation, and other stabilizing supports. Include how your organization will document referrals, warm handoffs, and follow-up contacts.
      8. Culturally Responsive and Low-Barrier Service Model

        Describe how your organization will ensure services are voluntary, welcoming, trauma-informed, harm-reduction-oriented, culturally responsive, and accessible to San Mateo County’s diverse communities. Include language capacity, interpretation, ADA/accessibility, services for people experiencing homelessness, and strategies to reduce barriers to admission and engagement.
      9. Data, Performance Measures, and Quality Improvement

        Describe how your organization will collect, track, and report utilization, referral source, acceptance/turn away reasons, length of stay, safe discharge, ED transfers, law enforcement diversions, ED diversions, critical incidents, grievances, client demographics, equity measures, warm handoffs, follow-up outcomes, MCP billing, and funding source data. Describe how your organization will use this data for continuous quality improvement.
    • Performance Objectives and Measures (required)

      Provide a detailed response regarding your approach to meeting the performance objectives and performance measures stated in the RFP, including strategies and activities, and include any potential challenges and how those challenges will be addressed in order to achieve the required objectives and measures.

    • Fee/Budget Proposal (required)

      A. Fee/Budget Proposal - General Overview

      The Fee/Budget Proposal should be submitted as a separate MS Excel file from the Technical Proposals detailed in Required Documents.

      The County reserves the right to accept other than the lowest priced offer and to reject any proposals that are not responsive to this request.

      Proposers must complete the Budget Forms and provide narratives that fully explain and justify all budget items being proposed. The budget is to be completed for a 3-year period and shall be subject to negotiation prior to finalization of a contract.

      County anticipates reimbursing the selected Proposer monthly for actual costs of providing the services Fee for Service (FFS), unless otherwise stated, up to the contract not to exceed amount, provided that the costs are allowable in accordance with county, state, and federal regulations.

      Applicants may propose one or more payment options, including cost reimbursement, fixed monthly operating payments, start-up payments tied to milestones, per diem/per bed-day, per encounter, performance-based components, or blended arrangements. Any payment structure must include safeguards against duplicate billing and must identify how third-party revenue will offset or complement County payments.

      Proposers must submit a detailed funding overview.  The County anticipates that the Sobering Center will require braided funding. County BHRS funding may support a portion of start-up and operations. The Contractor shall be responsible for independently pursuing additional funds, including direct contracts or agreements with local law enforcement jurisdictions and MCP(s), and may pursue grants, hospital/community benefit support, philanthropy, opioid settlement-related funds where approved, or other allowable sources.

      However, the County reserves the right to negotiate the final payment structure. Any payment structure must include safeguards against duplicate billing and must identify how third-party revenue will offset or complement County payments.

      B. Fee/Budget Proposal

      Proposers must submit a complete budget and budget narrative using the attached template, Budget Worksheet (Refer to Exhibit & Attachments). Proposer must upload a spreadsheet version with the minimum categories in the attached budget worksheet (template) and the minimum categories listed below. Budgets must include start-up costs, annual operating costs, revenue assumptions, unit costs, and per-bed-day costs for the full 14-bed facility. Applicants must distinguish costs requested from the County from costs expected to be covered by third-party contracts or other revenues.

      1. Start-up budget: facility readiness, equipment, furniture, technology, supplies, policy development, training, recruitment, licensing/accreditation preparation, security/access control, signage, and launch costs.
      2. Annual operating budget: personnel, benefits, relief coverage, medical/clinical consultation, supplies, food, laundry, janitorial, insurance, technology, transportation, interpretation, utilities/occupancy where applicable, maintenance, data/reporting, accreditation, training, administration, and indirect costs.
      3. Per-bed-day cost: annual operating cost divided by 5,110 annual bed-day capacity (14 beds x 365 days), and adjusted per occupied bed day using projected utilization assumptions.
      4. Per-encounter or per-visit cost: total annual operating cost divided by projected annual admissions/visits.
      5. Revenue plan: County BHRS funding, law enforcement funding, MCP Community Supports revenue, hospital/ED diversion funding, grants, philanthropy, or other sources.
      6. Contingency plan: plan if law enforcement or MCP revenue is delayed, reduced, or not obtained.
      7. Budget Template must include the minimum requirements:

       

      Budget category

      Start-up cost

      Annual operating cost

      Requested County funds

      Other revenue/funding source

      Notes/assumptions

      Personnel and benefits

      $

      $

      $

      $

       

      Relief/overtime/temporary staffing

      $

      $

      $

      $

       

      Medical director/clinical consultation

      $

      $

      $

      $

       

      Training and workforce development

      $

      $

      $

      $

       

      Facility improvements/readiness

      $

      $

      $

      $

       

      Furniture, fixtures, and equipment

      $

      $

      $

      $

       

      Technology, phones, EHR/data systems

      $

      $

      $

      $

       

      Food, hydration, hygiene, clothing, linens

      $

      $

      $

      $

       

      Laundry, janitorial, maintenance, pest control

      $

      $

      $

      $

       

      Insurance, licenses, accreditation, permits

      $

      $

      $

      $

       

      Transportation/client supports

      $

      $

      $

      $

       

      Security/safety systems

      $

      $

      $

      $

       

      Administrative/indirect

      $

      $

      $

      $

       

      Total

      $

      $

      $

      $

       

       

       

    • Agreement term (years) (required)

      Update below if needed.

    • Is there an extension to this agreement? (required)

      Is there an extension to this agreement?

    • Extension (required)

      Modify the extension information below, if needed

    • Will there be a Pre-Proposal Meeting and/or a Site Visit? (required)
    • Include the information that will be covered in the site visit. (required)
    • Require vendors to provide References? (required)
    • References (required)

      How many references are required by the vendor? (Number)

    • Use Electronic Line Item Pricing? (required)
    • Allow vendors to submit Confidential Information? (required)

      In rare circumstances where there is an expectation that proposers will need to submit trade secrets or other confidential information in order to respond to an RFP. 

    • Sample Agreement (required)

    Key dates

    1. July 13, 2026Published
    2. August 7, 2026Responses Due

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