HomeMy WebLinkAboutAgreement A-21-270 with Youth Leadership Institute.pdf1
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AGREEMENT
This Agreement is made and entered into this ______ day of ___________ 2021, by and between
the COUNTY OF FRESNO, a Political Subdivision of the State of California, hereinafter referred to as
“COUNTY”, and YOUTH LEADERSHIP INSTITUTE, a California non-profit corporation, whose address is
209 9th Street, Suite 200, San Francisco, CA 94103-6800, hereinafter referred to as “CONTRACTOR”
(collectively the “parties”).
W I T N E S S E T H:
WHEREAS, COUNTY, through its Department of Behavioral Health (DBH), recognizes the need
for Fresno County youth and young adults to receive alcohol and drug abuse prevention services; and
WHEREAS, COUNTY is authorized to contract with privately operated agencies for the provision
of alcohol and drug abuse prevention services; and
WHEREAS, CONTRACTOR has the staff, and is willing and able to provide prevention services
required by the COUNTY, pursuant to the terms and conditions of this Agreement.
NOW, THEREFORE, in consideration of their mutual covenants and conditions, the parties hereto
agree as follows:
1.SERVICES
A.CONTRACTOR shall perform all services and fulfill all responsibilities for the
provision of alcohol, marijuana and prescription drug misuse prevention services for youth and young
adults ages 10-20, and California Friday Night Live and Club Live program administration, as identified in
Exhibits A-1 and A-2, Scope of Work, attached hereto and by this reference incorporated herein,
COUNTY’s Request for Proposal (RFP) # 21-021 dated December 16, 2020, and Addendum I dated
January 12, 2021, hereinafter collectively referred to as COUNTY Revised RFP #21-021, and
CONTRACTOR’s response to said RFP #21-021, dated January 14, 2021, all incorporated herein by
reference and made part of this Agreement.
B.CONTRACTOR shall align evaluations, services, and practices with the vision,
mission, and guiding principles of the DBH, as further described in Exhibit B, "Fresno County Department
of Behavioral Health Guiding Principles of Care Delivery", attached hereto and by this reference
incorporated herein and made part of this Agreement.
13th July
Agreement No. 21-270
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C. CONTRACTOR’s administrative level agency representative, who is duly
authorized to act on behalf of the CONTRACTOR, must attend regularly scheduled monthly Behavioral
Health Board Substance Use Disorder Sub-Committee meetings, CONTRACTOR meetings and quarterly
Prevention Provider meetings, as deemed necessary by DBH Director or her designee.
D. CONTRACTOR shall comply with all contract monitoring and compliance protocols,
procedures, data collection methods, and reporting requirements conducted by the COUNTY.
E. CONTRACTOR shall maintain, at CONTRACTOR’s cost, a computer system
compatible with Primary Prevention Substance Use Disorder Services (PPSDS) for the provision of
submitting information required under the terms and conditions of this Agreement. CONTRACTOR shall
complete required PPSDS data entry for prevention service/activity by date of occurrence on an ongoing
basis through each month.
F. CONTRACTOR’s staff may be required to attend meetings and trainings on an as-
needed basis, which may include but are not limited to prevention and fiscal trainings provided by the
State of California.
G. In the event of any inconsistency among these documents, the inconsistency shall
be resolved by giving precedence in the following order of priority: 1) to this Agreement, including all
Exhibits, 2) to the Revised RFP, and; 3) to the Response to the Revised RFP. A copy of COUNTY’s
Revised RFP # 21-021, and CONTRACTOR’s response shall be retained and made available during the
term of this Agreement by COUNTY’s Purchasing Division.
2. TERM
The Agreement shall become effective upon execution and shall terminate on the 30th of
June, 2024. This Agreement may be extended for two (2) additional consecutive twelve (12) month
period upon written approval of both parties no later than thirty (30) days prior to the first day of the next
twelve (12) month extension period. The DBH Director, or designee, is authorized to execute such written
approval on behalf of COUNTY based on CONTRACTOR’s satisfactory performance.
3. TERMINATION
A. Non Allocation of Funds - The terms of this Agreement, and the services to be
provided thereunder, are contingent on the approval of funds by the appropriating government agency.
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Should sufficient funds not be allocated, the services provided may be modified, or this Agreement
terminated at any time by giving CONTRACTOR thirty (30) days advance written notice.
B. Breach of Contract - COUNTY may immediately suspend or terminate this
Agreement in whole or in part, where in the determination of COUNTY there is:
1) An illegal or improper use of funds;
2) A failure to comply with any term of this Agreement;
3) A substantially incorrect or incomplete report submitted to COUNTY;
4) Improperly performed service.
In no event shall any payment by COUNTY constitute a waiver by COUNTY of any
breach of this Agreement or any default which may then exist on the part of CONTRACTOR. Neither
shall such payment impair or prejudice any remedy available to COUNTY with respect to the breach or
default. COUNTY shall have the right to demand of CONTRACTOR the repayment to COUNTY of any
funds disbursed to CONTRACTOR under this Agreement, which in the judgment of COUNTY were not
expended in accordance with the terms of this Agreement. CONTRACTOR shall promptly refund any
such funds upon demand or, at COUNTY’s option, such repayment shall be deducted from future
payments owing to CONTRACTOR under this Agreement.
C. Without Cause - Under circumstances other than those set forth above, this
Agreement may be terminated by CONTRACTOR or COUNTY upon thirty (30) days advance written
notice of an intention to terminate the Agreement. COUNTY’s DBH Director, or designee, is authorized to
execute such written notice on behalf of COUNTY.
4. COMPENSATION
A. For actual services provided as identified in the terms and conditions of this
Agreement, including Exhibit A-1 and A-2, COUNTY agrees to pay CONTRACTOR and CONTRACTOR
agrees to receive compensation in accordance with Exhibit C-1 and C-2, “Budget Summary,” attached
hereto and by this reference incorporated herein. Payment shall be made upon certification or other proof
satisfactory to COUNTY’s DBH that services have actually been performed by CONTRACTOR as
specified in this Agreement.
For the period effective upon execution through June 30, 2022, in no event shall
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actual services performed be in excess of One Million, Two Hundred Nineteen Thousand, Three Hundred
Fifty-Two and No/100 Dollars ($1,219,352.00).
For the period July 1, 2022 through June 30, 2023, in no event shall actual services
performed be in excess of One Million, Two Hundred Nineteen Thousand, Three Hundred Fifty-Two and
No/100 Dollars ($1,219,352.00).
For the period July 1, 2023 through June 30, 2024, in no event shall actual services
performed be in excess of One Million, Two Hundred Nineteen Thousand, Three Hundred Fifty-Two and
No/100 Dollars ($1,219,352.00).
If this agreement is renewed for an additional one-year period pursuant to Section
2, TERM, for the period July 1, 2024 through June 30, 2025, in no event shall actual services performed
be in excess of One Million, Two Hundred Nineteen Thousand, Three Hundred Fifty-Two and No/100
Dollars ($1,219,352.00).
If this agreement is renewed for an additional one-year period pursuant to Section
2, TERM, for the period July 1, 2025 through June 30, 2026, in no event shall actual services performed
be in excess of One Million, Two Hundred Nineteen Thousand, Three Hundred Fifty-Two and No/100
Dollars ($1,219,352.00).
In no event shall services performed under this Agreement be in excess of Six
Million, Ninety-Six Thousand, Seven Hundred Sixty and No/100 Dollars ($6,096,760.00). It is understood
that all expenses incidental to CONTRACTOR’s performance of services under this Agreement shall be
borne by CONTRACTOR.
B. Except as provided below regarding State payment delays, payments shall be
made by COUNTY to CONTRACTOR in arrears, for services provided during the preceding month, within
forty-five (45) days after the date of receipt, verification, and approval of CONTRACTOR’s monthly
itemized invoices and required reports further described in Section Twenty-Nine (29), REPORTS of this
Agreement, by COUNTY’s DBH.
C. If CONTRACTOR should fail to comply with any provision of this Agreement,
COUNTY shall be relieved of its obligation for further compensation. All final invoices and/or any final
budget modification requests shall be submitted by CONTRACTOR within sixty (60) days following the
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final month of service for which payment is claimed. No action shall be taken by COUNTY on claims
submitted beyond the sixty (60) day closeout period. Any compensation which is not expended by
CONTRACTOR pursuant to the terms and conditions of this Agreement shall automatically revert to
COUNTY.
D. The contract maximum amount as identified in this Agreement and in Exhibits C-1
and C-2 may be reduced based upon State and Federal funding availability. In the event of such action,
the COUNTY’s DBH Director or her designee shall notify the CONTRACTOR in writing of the reduction in
the maximum amount within thirty (30) days of COUNTY’s notification.
In the event that the State of California is unable to meet its financial obligations and
payment to Counties for substance abuse services, COUNTY may delay or defer payment to
CONTRACTOR until such a time as the State budget issues are resolved. The amount of deferred
payment shall not exceed the amount of funding delayed by the State Controller to the COUNTY. The
deferral by COUNTY shall not exceed the period of time the State Controller’s delay of payment plus
forty-five (45) days. In addition, if the State of California does not allocate funding for services described in
the terms and conditions of this Agreement, COUNTY shall not be obligated to reimburse
CONTRACTOR for services performed.
E. Public Information – CONTRACTOR shall disclose its funding source in all public
information, however, this requirement of disclosure of funding source shall not be required in spot radio
or television advertising.
F. Lobbying Activity – CONTRACTOR shall not directly or indirectly use any of the
funds provided under this Agreement for publicity, lobbying, or propaganda purposes designed to support
or defeat legislation pending before the Congress of the United States or the Legislature of the State of
California.
G. Political Activity – CONTRACTOR shall not directly or indirectly use any of the
funds under this Agreement for any political activity or to further the election or defeat of any candidate for
public office.
5. INVOICING
CONTRACTOR shall invoice COUNTY in arrears by the twentieth (20th) day of each month
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for actual expenses incurred and services rendered in the previous month electronically to
dbh-invoices@fresnocountyca.gov, with a carbon copy email to the assigned COUNTY’s DBH Staff
Analyst.
CONTRACTOR shall submit to the COUNTY by the twentieth (20th) of each month a
detailed general ledger (GL), itemizing costs incurred in the previous month. Failure to submit GL reports
and supporting documentation shall be deemed sufficient cause for COUNTY to withhold payments until
there is compliance, as further described in Section Five (5) herein. Supporting documentation shall
include but is not limited to receipts, invoices received, and documented administrative / overhead costs.
No reimbursement for services shall be made until invoices, reports and outcomes are received, reviewed
and approved by COUNTY’s DBH. Support documents will be made available upon request.
At the discretion of COUNTY’s DBH Director or designee, if an invoice is incorrect or is
otherwise not in proper form or substance, COUNTY’s DBH Director or designee shall have the right to
withhold payment as to only that portion of the invoice that is incorrect or improper after five (5) days prior
notice to CONTRACTOR. CONTRACTOR agrees to continue to provide services for a period of ninety
(90) days after notification of an incorrect or improper invoice. If after the ninety (90) day period, the
invoice(s) is still not corrected to COUNTY’s DBH satisfaction, COUNTY’s DBH Director or designee may
elect to terminate this Agreement, pursuant to the termination provisions stated in Paragraph Three (3) of
this Agreement. In addition, for invoices received ninety (90) days after the expiration of each term of this
Agreement or termination of this Agreement, at the discretion of COUNTY’s DBH Director or designee,
COUNTY’s DBH shall have the right to deny payment of any additional invoices received.
CONTRACTOR must maintain such financial records for a period of three (3) years or until
any dispute, audit or inspection is resolved, whichever is later. CONTRACTOR will be responsible for
any disallowances related to inadequate documentation.
6. INDEPENDENT CONTRACTOR
In performance of the work, duties, and obligations assumed by CONTRACTOR under this
Agreement, it is mutually understood and agreed that CONTRACTOR, including any and all of
CONTRACTOR’s officers, agents, and employees will at all times be acting and performing as an
independent contractor, and shall act in an independent capacity and not as an officer, agent, servant,
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employee, joint venturer, partner, or associate of COUNTY. Furthermore, COUNTY shall have no right to
control or supervise or direct the manner or method by which CONTRACTOR shall perform its work and
function. However, COUNTY shall retain the right to administer this Agreement so as to verify that
CONTRACTOR is performing its obligations in accordance with the terms and conditions thereof.
CONTRACTOR and COUNTY shall comply with all applicable provisions of law and the rules and
regulations, if any, of governmental authorities having jurisdiction over matters which are directly or
indirectly the subject of this Agreement.
Because of its status as an independent contractor, CONTRACTOR shall have absolutely
no right to employment rights and benefits available to COUNTY employees. CONTRACTOR shall be
solely liable and responsible for providing to, or on behalf of, its employees all legally required employee
benefits. In addition, CONTRACTOR shall be solely responsible and save COUNTY harmless from all
matters relating to payment of CONTRACTOR's employees, including compliance with Social Security,
withholding, and all other regulations governing such matters. It is acknowledged that during the term of
this Agreement, CONTRACTOR may be providing services to others unrelated to COUNTY or to this
Agreement.
7. SUBCONTRACTS
CONTRACTOR shall be required to assume full responsibility for all services and activities
covered by this Agreement, whether or not CONTRACTOR is providing services directly. Further,
CONTRACTOR shall be the sole point of contact with regard to contractual matters, including payment of
any and all charges resulting from this Agreement.
CONTRACTOR shall obtain written approval from COUNTY’s DBH Director, or designee,
before subcontracting any of the services delivered under this Agreement, unless previously budgeted at
time of award. COUNTY’s DBH Director, or designee, retains the right to approve or reject any request for
subcontracting services. Any transferee, assignee, or subcontractor will be subject to all applicable
provisions of this Agreement, and all applicable State and Federal regulations. CONTRACTOR shall be
held primarily responsible by COUNTY for the performance of any transferee, assignee, or subcontractor
unless otherwise expressly agreed to in writing by COUNTY’s DBH Director, or designee. The use of
subcontractors by CONTRACTOR shall not entitle CONTRACTOR to any additional compensation that is
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provided for under this Agreement.
8. MODIFICATION
Any matters of this Agreement may be modified from time to time by the written consent of
all the parties without, in any way, affecting the remainder.
Changes to expense category (i.e., Salary & Benefits, Client Support, Facilities/Equipment,
Operating Expenses, Administrative Expenses, Special Expenses, Fixed Assets, etc.) subtotals in the
budgets, and changes to the volume of units of services/types of service units to be provided as set forth
in Exhibit C-1 and C-2, that do not exceed 10% of the maximum compensation payable to the
CONTRACTOR may be made with the written approval of COUNTY’s DBH Director, or designee. Said
modifications shall not result in any change to the annual maximum compensation amount payable to
CONTRACTOR, as stated in this Agreement.
CONTRACTOR hereby agrees that changes to the compensation under this Agreement
may be necessitated by a reduction in funding from State and/or Federal sources. The COUNTY’s DBH
Director or her designee may modify the maximum compensation depending on State and Federal
funding availability, as stated in Section Four (4), COMPENSATION in this Agreement. CONTRACTOR
further understands that this Agreement is subject to any restrictions, limitations, or enactments of all
legislative bodies which affect the provisions, term or funding of this Agreement in any manner.
9. NON-ASSIGNMENT
Neither party shall assign, transfer or subcontract this Agreement nor their rights or duties
under this Agreement without the prior written consent of the other party.
10. HOLD HARMLESS
CONTRACTOR agrees to indemnify, save, hold harmless, and at COUNTY’s request,
defend COUNTY, its officers, agents and employees from any and all costs and expenses, including
attorney fees and court costs, damages, liabilities, claims and losses occurring or resulting to COUNTY in
connection with the performance, or failure to perform, by CONTRACTOR, its officers, agents or
employees under this Agreement, and from any and all costs and expenses, including attorney fees and
court costs damages, liabilities, claims and losses occurring or resulting to any person, firm or corporation
who may be injured or damaged by the performance, or failure to perform, of CONTRACTOR, their
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officers, agents or employees of covenants and duties under this Agreement.
CONTRACTOR agrees to indemnify COUNTY for Federal and/or State of California audit
exceptions resulting from noncompliance herein on the part of the CONTRACTOR.
11. INSURANCE
Without limiting COUNTY's right to obtain indemnification from CONTRACTOR or any third
parties, CONTRACTOR, at its sole expense, shall maintain in full force and effect the following insurance
policies or a program of self-insurance, including but not limited to, an insurance pooling arrangement or
Joint Powers Agreement (JPA) throughout the term of this Agreement:
A. Commercial General Liability
Commercial General Liability Insurance with limits of not less than Two Million
Dollars ($2,000,000) per occurrence and an annual aggregate of Four Million
Dollars ($4,000,000). This policy shall be issued on a per occurrence basis.
COUNTY may require specific coverages including completed operations, product
liability, contractual liability, Explosion-Collapse-Underground, fire legal liability or
any other liability insurance deemed necessary because of the nature of this
contract.
B. Automobile Liability
Comprehensive Automobile Liability Insurance with limits no less than One Million
Dollars ($1,000,000) per accident for bodily injury and property damage. Coverage
should include any automobile used in connection with this Agreement.
C. Professional Liability
If CONTRACTOR employs licensed professional staff (e.g. Ph.D., R.N., L.C.S.W.,
L.M.F.T., etc.) in providing services, Professional Liability Insurance with limits of
not less than One Million Dollars ($1,000,000) per occurrence, Three Million Dollars
($3,000,000) annual aggregate. CONTRACTOR agrees that it shall maintain, at its
sole expense, in full force and effect for a period of three (3) years following the
termination of this Agreement, one or more policies of professional liability
insurance with limits of coverage as specified herein.
D. Worker’s Compensation
A policy of Worker's Compensation Insurance as may be required by the California
Labor Code.
E. Molestation
CONTRACTOR shall have either separate policy or an umbrella policy with
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endorsements covering sexual abuse/molestation coverage or have a specific
endorsement on their General Commercial liability policy covering sexual
abuse/molestation. The policy limits for this policy shall be One Million Dollars
($1,000,000) per occurrence with a Two Million Dollars ($2,000,000) annual
aggregate. The policy shall be on a per occurrence basis.
F. Cyber Liability
Cyber Liability Insurance, with limits not less than $2,000,000 per occurrence or
claim, $2,000,000 aggregate. Coverage shall be sufficiently broad to respond to
duties and obligations undertaken by CONTRACTOR(S) in this agreement and
shall include, but not be limited to, claims involving infringement of intellectual
property, including but not limited to infringement of copyright, trademark, trade
dress, invasion of privacy violations, information theft, damage to or destruction of
electronic information, release of private information, alteration of electronic
information, extortion and network security. The policy shall provide coverage for
breach response costs as well as regulatory fines and penalties as well as credit
monitoring expenses with limits sufficient to respond to these obligations.
CONTRACTOR shall obtain endorsements to the Commercial General Liability insurance
naming the County of Fresno, its officers, agents, and employees, individually and collectively, as
additional insured, but only insofar as the operations under this Agreement are concerned. Such
coverage for additional insured shall apply as primary insurance and any other insurance, or self-
insurance, maintained by COUNTY, its officers, agents and employees shall be excess only and not
contributing with insurance provided under CONTRACTOR’s policies herein. This insurance shall not be
cancelled or changed without a minimum of thirty (30) days advance written notice given to COUNTY.
CONTRACTOR hereby waives its right to recover from COUNTY, its officers, agents, and
employees any amounts paid by the policy of worker’s compensation insurance required by this
Agreement. CONTRACTOR is solely responsible to obtain any endorsement to such policy that may be
necessary to accomplish such waiver of subrogation, but CONTRACTOR’s waiver of subrogation under
this paragraph is effective whether or not CONTRACTOR obtains such an endorsement.
Within thirty (30) days from the date each CONTRACTOR signs this Agreement, said
CONTRACTOR shall provide certificates of insurance and endorsements as stated above for all of the
foregoing policies, as required herein, to the County of Fresno, Department of Behavioral Health, 1925 E.
Dakota Ave, Fresno, California, 93726, Attention: Public Behavioral Health Division, stating that such
insurance coverages have been obtained and are in full force; that the County of Fresno, its officers,
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agents and employees will not be responsible for any premiums on the policies; that for such worker’s
compensation insurance the CONTRACTOR has waived its right to recover from the COUNTY, its
officers, agents, and employees any amounts paid under the insurance policy and that waiver does not
invalidate the insurance policy; that such Commercial General Liability insurance names the County of
Fresno, its officers, agents and employees, individually and collectively, as additional insured, but only
insofar as the operations under this Agreement are concerned; that such coverage for additional insured
shall apply as primary insurance and any other insurance, or self-insurance, maintained by COUNTY, its
officers, agents and employees, shall be excess only and not contributing with insurance provided under
CONTRACTOR policies herein; and that this insurance shall not be cancelled or changed without a
minimum of thirty (30) days advance, written notice given to COUNTY.
In the event CONTRACTOR fails to keep in effect at all times insurance coverage as herein
provided, COUNTY may, in addition to other remedies it may have, suspend or terminate this Agreement
upon the occurrence of such event.
All policies shall be with admitted insurers licensed to do business in the State of California.
Insurance purchased shall be from companies possessing a current A.M. Best, Inc. rating of A FSC VII or
better.
12. HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT
COUNTY and CONTRACTOR each consider and represent themselves as covered
entities as defined by the U.S. Health Insurance Portability and Accountability Act of 1996, Public Law
104- 191(HIPAA) and agree to use and disclose protected health information as required by law.
COUNTY and CONTRACTOR acknowledge that the exchange of protected health
information between them is only for treatment, payment, and health care operations.
COUNTY and CONTRACTOR intend to protect the privacy and provide for the security of
Protected Health Information (PHI) pursuant to the Agreement in compliance with HIPAA, the Health
Information Technology for Economic and Clinical Health Act, Public Law 111-005 (HITECH), and
regulations promulgated thereunder by the U.S. Department of Health and Human Services (HIPAA
Regulations) and other applicable laws.
As part of the HIPAA Regulations, the Privacy Rule and the Security Rule require
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CONTRACTOR to enter into a contract containing specific requirements prior to the disclosure of PHI,
as set forth in, but not limited to, Title 45, Sections 164.314(a), 164.502(e) and 164.504(e) of the Code of
Federal Regulations (CFR).
13. DATA SECURITY
For the purpose of preventing the potential loss, misappropriation or inadvertent access,
viewing, use or disclosure of COUNTY data including sensitive or personal client information; abuse of
COUNTY resources; and/or disruption to COUNTY operations, individuals and/or agencies that enter into
a contractual relationship with the COUNTY for the purpose of providing services under this Agreement
must employ adequate data security measures to protect the confidential information provided to
CONTRACTOR by the COUNTY, including but not limited to the following:
A. CONTRACTOR-Owned Mobile, Wireless, or Handheld Devices
CONTRACTOR may not connect to COUNTY networks via personally-owned
mobile, wireless or handheld devices, unless the following conditions are met:
1) CONTRACTOR has received authorization by COUNTY for
telecommuting purposes;
2) Current virus protection software is in place;
3) Mobile device has the remote wipe feature enabled; and
4) A secure connection is used.
B. CONTRACTOR-Owned Computers or Computer Peripherals
CONTRACTOR may not bring CONTRACTOR-owned computers or computer
peripherals into the COUNTY for use without prior authorization from the COUNTY’s Chief Information
Officer, and/or his or her designee(s), including but not limited to mobile storage devices. If data is
approved to be transferred, data must be stored on a secure server approved by the COUNTY and
transferred by means of a Virtual Private Network (VPN) connection, or another type of secure
connection. Said data must be encrypted.
C. COUNTY-Owned Computer Equipment
CONTRACTOR may not use COUNTY computers or computer peripherals on non-
COUNTY premises without prior authorization from the COUNTY’s Chief Information Officer, and/or his or
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her designee(s).
D. CONTRACTOR may not store COUNTY’s private, confidential or sensitive data on
any hard-disk drive, portable storage device, or remote storage installation unless encrypted.
E. CONTRACTOR shall be responsible to employ strict controls to ensure the integrity
and security of COUNTY’s confidential information and to prevent unauthorized access, viewing, use or
disclosure of data maintained in computer files, program documentation, data processing systems, data
files and data processing equipment which stores or processes COUNTY data internally and externally.
F. Confidential client information transmitted to one party by the other by means of
electronic transmissions must be encrypted according to Advanced Encryption Standards (AES) of 128
BIT or higher. Additionally, a password or pass phrase must be utilized.
G. CONTRACTOR is responsible to immediately notify COUNTY of any violations,
breaches or potential breaches of security related to COUNTY’s confidential information, data maintained
in computer files, program documentation, data processing systems, data files and data processing
equipment which stores or processes COUNTY data internally or externally.
H. COUNTY shall provide oversight to CONTRACTOR’s response to all incidents
arising from a possible breach of security related to COUNTY’s confidential client information provided to
CONTRACTOR. CONTRACTOR will be responsible to issue any notification to affected individuals as
required by law or as deemed necessary by COUNTY in its sole discretion. CONTRACTOR will be
responsible for all costs incurred as a result of providing the required notification.
14. NON-DISCRIMINATION
During the performance of this Agreement, CONTRACTOR and its subcontractors shall not
deny the contract’s benefits to any person on the basis of race, religious creed, color, national origin,
ancestry, physical disability, mental disability, medical condition, genetic information, marital status, sex,
gender, gender identity, gender expression, age, sexual orientation, or military and veteran status, nor
shall they discriminate unlawfully against any employee or applicant for employment because of race,
religious creed, color, national origin, ancestry, physical disability, mental disability, medical condition,
genetic information, marital status, sex, gender, gender identity, gender expression, age, sexual
orientation, or military or veteran status. CONTRACTOR shall insure that the evaluation and treatment of
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employees and applicants for employment are free of such discrimination.
CONTRACTOR and subcontractors shall comply with the provisions of the Fair
Employment and Housing Act (Gov. Code §12800 et seq.), the regulations promulgated thereunder (Cal.
Code Regs., tit. 2, §11000 et seq.), the provisions of Article 9.5, Chapter 1, Part 1, Division 3, Title 2 of
the Government Code (Gov. Code §11135-11139.5), and the regulations or standards adopted by the
awarding state agency to implement such article. CONTRACTOR shall permit access by representatives
of the Department of Fair Employment and Housing and the awarding state agency upon reasonable
notice at any time during the normal business hours, but in no case less than twenty-four (24) hours
notice, to such of its books, records, accounts, and all other sources of information and its facilities as
said Department or Agency shall require to ascertain compliance with this clause. CONTRACTOR and
its subcontractors shall give written notice of their obligations under this clause to labor organizations with
which they have a collective bargaining or other agreement. (See Cal. Code Regs., tit. 2, §11105)
CONTRACTOR shall include the Non-Discrimination and compliance provisions of this clause in all
subcontracts to perform work under this Agreement.
15. COMPLAINTS
CONTRACTOR shall log complaints and the disposition of all complaints from a client or
client’s family. CONTRACTOR shall provide a summary of the complaint log entries concerning
COUNTY-sponsored clients to COUNTY at monthly intervals by the fifteenth (15th) day of the following
month, in a format that is mutually agreed upon. CONTRACTOR shall post signs informing consumer of
their right to file a complaint or grievance. CONTRACTOR shall notify COUNTY of all incidents reportable
to state licensing bodies that affect COUNTY consumers within twenty-four (24) hours of receipt of a
complaint.
Within fifteen (15) days after each incident or complaint affecting COUNTY-sponsored
clients, CONTRACTOR shall provide COUNTY with information relevant to the complaint, investigative
details of the complaint, the complaint and CONTRACTOR' disposition of, or corrective action taken to
resolve the complaint.
16. NO THIRD PARTY BENEFICIARIES
It is understood and agreed by and between the parties that the services provided by
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CONTRACTOR for COUNTY herein are solely for the benefit of the COUNTY, and that nothing in this
Agreement is intended to confer on any person other than the parties hereto any right under or by reason
of this Agreement.
17. COMPLIANCE WITH LAWS AND POLICIES
CONTRACTOR shall comply with all applicable laws, ordinances and regulations in the
performance of its obligations under this Agreement and guidelines applicable to CONTRACTORS’
performance under this Agreement or any local ordinances, regulations, or policies applicable. Such
provisions include, but are not restricted to:
A. CONTRACTOR shall submit accurate, complete and timely claims and cost reports,
reporting only allowable costs.
B. CONTRACTOR shall comply with statistical reporting and program evaluation
systems as provided in State of California regulations and in this Agreement.
C. CONTRACTOR shall comply with Substance Abuse Prevention and Treatment
(SAPT) – Prevention Specific Requirements identified on Exhibit D, attached hereto and incorporated
herein by reference.
D. In the event any law, regulation, or policy referred to in this Agreement is amended
during the term thereof, the parties hereto agree to comply with the amended provision as of the effective
date of such amendment. Exhibits will be updated as needed and no formal amendment of this contract is
required for new rules to apply.
18. COMPLIANCE
CONTRACTOR shall comply with all requirements of the “Fresno County Behavioral Health
Compliance Program Contractor Code of Conduct and Ethics” as set forth in Exhibit E. Within thirty (30)
days of entering into this Agreement with the COUNTY, CONTRACTOR shall have all of CONTRACTOR
employees, agents and subcontractors providing services under this Agreement certify in writing, that
they have received, read, understood, and shall abide by the requirements set forth in Exhibit E.
CONTRACTOR shall ensure that within thirty (30) days of hire, all new employees, agents and
subcontractors providing services under this Agreement certify in writing that they have received, read,
understood, and shall abide by the requirements set forth in Exhibit E. CONTRACTOR understands that
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the promotion of and adherence to such requirements is an element in evaluating the performance of
CONTRACTOR and its employees, agents and subcontractors.
Within thirty (30) days of entering into this Agreement, and annually thereafter, all
employees, agents and subcontractors providing services under this Agreement shall complete general
compliance training and appropriate employees, agents and subcontractors shall complete
documentation and billing or billing/reimbursement training. All new employees, agents and
subcontractors shall attend the appropriate training within thirty (30) days of hire. Each individual who is
required to attend training shall certify in writing that he or she has received the required training. The
certification shall specify the type of training received and the date received. The certification shall be
provided to the COUNTY’s Compliance Officer at 1925 E. Dakota Ave., Fresno, California 93726.
CONTRACTOR agrees to reimburse COUNTY for the entire cost of any penalty imposed upon COUNTY
by the Federal Government as a result of CONTRACTOR violation of the terms of this Agreement.
19. CONFLICT OF INTEREST
No officer, agent, or employee of COUNTY who exercises any function or responsibility for
planning and carrying out the services provided under this Agreement shall have any direct or indirect
personal financial interest in this Agreement. In addition, no employee of COUNTY shall be employed by
CONTRACTOR to fulfill any contractual obligations with COUNTY.
CONTRACTOR shall also comply with all Federal, State of California, and local conflict of
interest laws, statutes, and regulations, which shall be applicable to all parties and beneficiaries under this
Agreement and any officer, agent, or employee of COUNTY.
20. DISCLOSURE OF SELF-DEALING TRANSACTIONS
This provision is only applicable if the CONTRACTOR is operating as a corporation (a for-
profit or non-profit corporation) or if during the term of this Agreement, the CONTRACTOR changes its
status to operate as a corporation.
Members of the CONTRACTOR’s Board of Directors shall disclose any self-dealing
transactions that they are a party to while CONTRACTOR is providing goods or performing services
under this Agreement. A self-dealing transaction shall mean a transaction to which the CONTRACTOR is
a party and in which one or more of its directors has a material financial interest. Members of the Board
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of Directors shall disclose any self-dealing transactions that they are a party to by completing and signing
a “Self-Dealing Transaction Disclosure Form”, attached hereto as Exhibit F and incorporated herein by
reference and made part of this Agreement, and submitting it to the COUNTY prior to commencing with
the self-dealing transaction or immediately thereafter.
21. TAX EQUITY AND FISCAL RESPONSIBILITY ACT
To the extent necessary to prevent disallowance of reimbursement under Section 1861(v)
(1) (I) of the Social Security Act, (42 U.S.C. § 1395x, subd. (v)(1)[I]), until the expiration of four (4) years
after the furnishing of services under this Agreement, CONTRACTOR shall make available, upon written
request of the Secretary of the United States Department of Health and Human Services, or upon request
of the Comptroller General of the United States General Accounting Office, or any of their duly authorized
representatives, a copy of this Agreement and such books, documents, and records as are necessary to
certify the nature and extent of the costs of these services provided by CONTRACTOR under this
Agreement. CONTRACTOR further agrees that in the event CONTRACTOR carries out any of its duties
under this Agreement through a subcontract, with a value or cost of Ten Thousand and No/100 Dollars
($10,000.00) or more over a twelve (12) month period, with a related organization, such Agreement shall
contain a clause to the effect that until the expiration of four (4) years after the furnishing of such services
pursuant to such subcontract, the related organizations shall make available, upon written request of the
Secretary of the United States Department of Health and Human Services, or upon request of the
Comptroller General of the United States General Accounting Office, or any of their duly authorized
representatives, a copy of such subcontract and such books, documents, and records of such
organization as are necessary to verify the nature and extent of such costs.
22. SINGLE AUDIT CLAUSE
A. If CONTRACTOR expends Seven Hundred Fifty Thousand Dollars and No/100
Dollars ($750,000.00) or more in Federal and Federal flow-through monies, CONTRACTOR agrees to
conduct an annual audit in accordance with the requirements of the Single Audit Standards as set forth in
Office of Management and Budget (OMB) 2 CFR 200. CONTRACTOR shall submit said audit and
management letter to COUNTY. The audit must include a statement of findings or a statement that there
were no findings. If there were negative findings, CONTRACTOR must include a corrective action plan
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signed by an authorized individual. CONTRACTOR agrees to take action to correct any material non-
compliance or weakness found as a result of such audit. Such audit shall be delivered to COUNTY’s
DBH Business Office for review within nine (9) months of the end of any fiscal year in which funds were
expended and/or received for the program. Failure to perform the requisite audit functions as required by
this Agreement may result in COUNTY performing the necessary audit tasks, or at COUNTY’s option,
contracting with a public accountant to perform said audit, or, may result in the inability of COUNTY to
enter into future agreements with CONTRACTOR. All audit costs related to this Agreement are the sole
responsibility of CONTRACTOR.
B. A single audit report is not applicable if CONTRACTOR’s Federal contracts do not
exceed the Seven Hundred Fifty Thousand and No/100 Dollars ($750,000.00) requirement or
CONTRACTOR’s only funding is through Drug-related Medi-Cal. If a single audit is not applicable, a
program audit must be performed and a program audit report with management letter shall be submitted
by CONTRACTOR to COUNTY as a minimum requirement to attest to CONTRACTOR’s solvency. Said
audit report shall be delivered to COUNTY’s DBH Business Office for review, no later than nine (9)
months after the close of the fiscal year in which the funds supplied through this Agreement are
expended. Failure to comply with this Act may result in COUNTY performing the necessary audit tasks or
contracting with a qualified accountant to perform said audit. All audit costs related to this Agreement are
the sole responsibility of CONTRACTOR who agrees to take corrective action to eliminate any material
noncompliance or weakness found as a result of such audit. Audit work performed by COUNTY under
this Section shall be billed to the CONTRACTOR at COUNTY’s cost, as determined by COUNTY’s
Auditor-Controller/Treasurer-Tax Collector.
C. CONTRACTOR shall make available all records and accounts for inspection by
COUNTY, the State of California, if applicable, the Comptroller General of the United States, the Federal
Grantor Agency, or any of their duly authorized representatives, at all reasonable times for a period of at
least three (3) years following final payment under this Agreement or the closure of all other pending
matters, whichever is later.
23. REFERENCES TO LAWS AND RULES
In the event any law, regulation, or policy referred to in this Agreement is amended during
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the term thereof, the parties hereto agree to comply with the amended provision as of the effective date of
such amendment.
24. CHILD ABUSE REPORTING
CONTRACTOR shall utilize a procedure acceptable to COUNTY to ensure that all of
CONTRACTORS’ employees, volunteers, consultants, subcontractors or agents performing services
under this Agreement shall report all known or suspected child abuse or neglect to one or more of the
agencies set forth in Penal Code Section 11165.9. This procedure shall include having all of
CONTRACTORS’ employees, volunteers, consultants, subcontractors or agents performing services
under this Agreement sign a statement that he or she knows of and will comply with the reporting
requirements set forth in Penal Code Section 11166. The statement to be utilized by CONTRACTOR is
set forth in Exhibit G, attached hereto and by this reference incorporated herein.
25. EVALUATION AND MONITORING
COUNTY’s DBH Director or her designee shall monitor and evaluate the performance of
CONTRACTOR under this Agreement to determine to the best possible degree the success or failure of
the services provided under this Agreement. At the discretion of the COUNTY, a subcontractor may be
obtained by the COUNTY to independently evaluate and monitor the performance of the CONTRACTOR.
CONTRACTOR shall participate in the evaluation of the program for time periods as determined by
COUNTY. CONTRACTOR shall participate in a program review at least yearly, or as needed, at the
discretion of COUNTY. The CONTRACTOR agrees to supply all information requested by the COUNTY,
County-subcontracted evaluator, State and/or Federal agency during program evaluation, monitoring,
and/or review.
COUNTY shall recapture from CONTRACTOR the value of any services or other
expenditures determined to be ineligible based on the COUNTY or State monitoring results. At the
discretion of the COUNTY recoupment can be made through a future invoice reduction or reimbursement
by the CONTRACTOR.
26. CULTURAL COMPETENCY
As related to Cultural and Linguistic Competence, CONTRACTOR shall comply with:
A. Title 6 of the Civil Rights Act of 1964 (42 U.S.C. section 2000d, and 45 C.F.R. Part
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80) and Executive Order 12250 of 1979 which prohibits recipients of federal financial assistance from
discriminating against persons based on race, color, national origin, sex, disability or religion. This is
interpreted to mean that a Limited English Proficient (LEP) individual is entitled to equal access and
participation in federally funded programs through the provision of comprehensive and quality bilingual
services.
B. Policies and procedures for ensuring access and appropriate use of trained
interpreters and material translation services for all LEP consumers, including, but not limited to,
assessing the cultural and linguistic needs of its consumers, training of staff on the policies and
procedures, and monitoring its language assistance program. The CONTRACTOR’s procedures must
include ensuring compliance of any sub-contracted providers with these requirements.
C. CONTRACTOR shall not use minors as interpreters.
D. CONTRACTOR shall provide and pay for interpreting and translation services to
persons participating in CONTRACTOR’s services who have limited or no English language proficiency,
including services to persons who are deaf or blind. Interpreter and translation services shall be provided
as necessary to allow such participants meaningful access to the programs, services and benefits
provided by CONTRACTOR. Interpreter and translation services, including translation of
CONTRACTOR’s “vital documents” (those documents that contain information that is critical for
accessing CONTRACTOR’s services or are required by law) shall be provided to participants at no cost
to the participant. CONTRACTOR shall ensure that any employees, agents, subcontractors, or partners
who interpret or translate for a program participant, or who directly communicate with a program
participant in a language other than English, demonstrate proficiency in the participant's language and
can effectively communicate any specialized terms and concepts peculiar to CONTRACTOR’s services.
E. CONTRACTORS shall submit to COUNTY for approval, within ninety (90) days
from date of contract execution, CONTRACTORS’s plan to address all fifteen (15) National Standards for
Culturally and Linguistically Appropriate Service (CLAS), as published by the Office of Minority Health and
as set forth in Exhibit H, “National Standards on Culturally and Linguistically Appropriate Services”,
attached hereto and incorporated herein by reference and made part of this Agreement. As the CLAS
standards are updated, CONTRACTORS’s plan must be updated accordingly. COUNTY’s annual on-site
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review of CONTRACTOR shall include collection of documentation to ensure all national standards are
implemented. As requested by COUNTY, CONTRACTORS shall be responsible for conducting an
annual CLAS self-assessment and providing the results of the self-assessment to the COUNTY. The
annual CLAS self-assessment instruments shall be reviewed by the COUNTY and revised as necessary
to meet the approval of the COUNTY.
27. RECORDS
A. Record Establishment and Maintenance - CONTRACTOR shall establish and
maintain records in accordance with State and Federal rules and regulations in addition to those
requirements prescribed by COUNTY with respect to all matters covered by this Agreement. Except as
otherwise authorized by COUNTY, CONTRACTOR shall retain all other records for a period of five (5)
years after receiving the final payment under this Agreement or the earlier termination of this Agreement,
or until State and/or Federal audit findings applicable to such services are resolved, whichever is later.
B. Documentation - CONTRACTOR shall maintain adequate records in sufficient detail
to make possible an evaluation of services, and contain all the data necessary in reporting to the State of
California and/or Federal agency. All client records shall be maintained pursuant to applicable State of
California and Federal requirements concerning confidentiality.
C. Reports - CONTRACTOR shall submit to COUNTY monthly fiscal and all program
reports as further described in Section Twenty-Nine (29), REPORTS and as indicated in Exhibit A-1 and
A-2. Following the end of each fiscal year affected by this Agreement, CONTRACTOR shall submit a
complete and accurate year-end cost report. CONTRACTOR shall also furnish to COUNTY such
statements, records, reports, data, and information as COUNTY may request pertaining to matters
covered by this Agreement. All reports submitted by CONTRACTOR to COUNTY must be typewritten.
D. Suspension of Compensation - In the event that CONTRACTOR fails to provide
reports specified in this Agreement, it shall be deemed sufficient cause for COUNTY to withhold
payments until there is compliance.
E. Disallowances – Payments by COUNTY shall be in arrears, for services provided
during the preceding month, within forty-five (45) days after receipt, verification and approval of
CONTRACTORS’ invoices by COUNTY’S DBH-SUD Services. If payment for services is denied or
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disallowed by State; and subsequently resubmitted to COUNTY by CONTRACTOR, the disallowed
portion will be withheld from the next reimbursement to the CONTRACTOR until COUNTY has received
reimbursement from State for said services.
F. Client Confidentiality – CONTRACTOR shall conform to and COUNTY shall monitor
compliance with all State and Federal statutes and regulations regarding confidentiality, including but not
limited to confidentiality of information requirements of 42 Code of Federal Regulations § 2.1 et seq.,
Welfare and Institutions Code §§ 5328, 10850 and 14100.2, Health and Safety Code §§ 11977 and
11812, Civil Code, Division 1, Part 2.6, and 22 California Code of Regulations § 51009.
28. DISCLOSURE OF OWNERSHIP AND/OR CONTROL INTEREST INFORMATION
This provision is only applicable if CONTRACTOR is a disclosing entity, fiscal agent, or
managed care entity as defined in Code of Federal Regulations (C.F.R), Title 42 § 455.101 455.104, and
455.106(a)(1),(2).
In accordance with C.F.R., Title 42 §§ 455.101, 455.104, 455.105 and 455.106(a)(1),(2),
the following information must be disclosed by CONTRACTOR by completing Exhibit I, “Disclosure of
Ownership and Control Interest Statement”, attached hereto and by this reference incorporated herein
and made part of this Agreement. CONTRACTOR shall submit this form to COUNTY’s DBH within thirty
(30) days of the effective date of this Agreement. Additionally, CONTRACTOR shall report any changes
to this information within thirty-five (35) days of occurrence by completing Exhibit I. CONTRACTOR is
required to submit a set of fingerprints for any person with a five (5) percent or greater direct or indirect
ownership interest in CONTRACTOR. COUNTY may terminate this Agreement where any person with a
five (5) percent or greater direct or indirect ownership interest in the CONTRACTOR did not submit timely
and accurate information and cooperate with any screening method required in CFR, Title 42, Section
455.416. Submissions shall be scanned portable document format (pdf) copies and are to be sent via
email to DBHAdministration@fresnocountyca.gov, Attention: Contracts Administration. COUNTY may
deny enrollment or terminate this Agreement where any person with a five (5) percent or greater direct or
indirect ownership interest in CONTRACTOR has been convicted of a criminal offense related to that
person’s involvement with the Medicare, Medicaid, or Title XXI program in the last ten (10) years.
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29. REPORTS
A. PPSDS – CONTRACTOR and/or subcontractors receiving SABG Primary
Prevention Set-Aside funding shall input planning, service/activity and evaluation data into the service.
When submitting data, CONTRACTOR shall comply with the PPSDS Quality Standards.
(https://www.dhcs.ca.gov/provgovpart/Documents/Substance%20Use%20Disorder-
PPFD/PPSDS_Data_Quality_Standards.pdf).
1) CONTRACTOR shall report services/activities by the date of occurrence on
an ongoing basis throughout each month. CONTRACTOR shall submit all data for each month no later
than the 10th day of the following month.
2) In order to ensure that all persons responsible for prevention data entry
have sufficient knowledge of the Prevention Data Quality Standards, all new users of the service, whether
employed by the CONTRACTOR or its subcontractors, shall participate in prevention data collection and
reporting training prior to inputting any data.
3) If CONTRACTOR is unable to submit PPSDS data due to system or service
failure or other extraordinary circumstances of PPSD that affects its ability to submit timely PPSDS data,
CONTRACTOR shall report the problem to the PPSDS Help Desk at (916) 552-8933 or
PrimaryPvSUDData@dhcs.ca.gov and also notify the assigned DBH Staff Analyst via email and to
SAS@fresnocountyca.gov.
4) If CONTRACTOR is unable to submit PPSDS data due to system or service
failure or other extraordinary circumstance, a written notice shall be submitted to the assigned DHCS
Prevention Analyst, the assigned DBH Staff Analyst via email and to SAS@fresnocountyca.gov prior to
the data submission deadline and must identify the proposed new date.
B. Measurement Tools – In addition to other program activities and outcomes
reporting as may be required by this Agreement, CONTRACTOR shall implement program measurement
tools and report program activities and outcomes as directed by the Program Evaluator and/or COUNTY
staff.
C. Cost Reports – On an annual basis for each fiscal year ending June 30th
CONTRACTOR shall submit a complete and accurate detailed cost report(s). Cost reports must be
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submitted to the COUNTY as a hard copy with a signed cover letter and an electronic copy by the due
date. Submittal must also include any requested support documents such as general ledgers. All reports
submitted by CONTRACTOR to COUNTY must be typewritten. COUNTY will issue instructions for
completion and submittal of the annual cost report, including the relevant cost report template(s) and due
dates within forty-five (45) days of each fiscal year end. All cost reports must be prepared in accordance
with Generally Accepted Accounting Principles. Unallowable costs such as lobbying or political donations
must be deducted from the cost report and all invoices. If the CONTRACTOR does not submit the cost
report by the due date, including any extension period granted by the COUNTY, the COUNTY may
withhold payment of pending invoices until the cost report(s) has been submitted and clears COUNTY
desk audit for completeness and accuracy.
During the term of this Agreement and thereafter, COUNTY and CONTRACTOR agrees to
settle dollar amounts disallowed or settled in accordance with DHCS and COUNTY audit settlement
findings related to the DMC and realignment reimbursements. DHCS audit process is approximately
eighteen (18) to thirty-six (36) months following the close of the State fiscal year. COUNTY may choose to
appeal DHCS settlement results and therefore reserves the right to defer payback settlement with
CONTRACTOR until resolution of the appeal.
In the event that CONTRACTOR fails to provide such reports or other information required
hereunder, it shall be deemed sufficient cause for the COUNTY to withhold monthly payments until there
is compliance. In addition, the CONTRACTOR shall provide written notification and explanation to the
COUNTY within fifteen (15) days of any funds received from another source to conduct the same services
covered by this Agreement.
30. PROPERTY OF COUNTY
A. All purchases over Five Thousand and No/100 Dollars ($5,000.00) shall be
identified as fixed assets and shall be maintained in COUNTY’s Asset Management System. Certain
purchases under Five Thousand and No/100 Dollars ($5,000.00) including but not limited to computers,
copiers, televisions, cameras and other sensitive items as determined by COUNTY’s DBH Director or
designee made during the life of this Agreement shall be identified as assets that can be inventoried and
maintained in COUNTY’s DBH Asset Inventory System. These assets shall be retained by COUNTY, as
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COUNTY property, in the event this Agreement is terminated or upon expiration of this Agreement.
CONTRACTOR agrees to participate in an annual inventory of all COUNTY fixed and inventoried assets
and shall by physically present when fixed and inventoried assets are returned to COUNTY possession at
the termination or expiration of this Agreement. CONTRACTOR is responsible for returning to COUNTY
all COUNTY owned fixed and inventoried assets, or the monetary value of said assets if unable to
produce the assets at the expiration or termination of this Agreement.
CONTRACTOR further agrees to the following:
1) To maintain all items of equipment in good working order and
condition, normal wear and tear is expected;
2) To label all items of equipment, to perform periodic inventories as
required by COUNTY and to maintain an inventory list showing where and how the equipment is being
used, in accordance with procedures developed by COUNTY. All such lists shall be submitted to
COUNTY within ten (10) days of any request therefore; and
3) To report in writing to COUNTY immediately after discovery, the lost
or theft of any items of equipment. For stolen items, the local law enforcement agency must be contacted
and a copy of the police report submitted to COUNTY.
B. The purchase of any equipment by CONTRACTOR with funds provided hereunder
shall require the prior written approval of COUNTY’s DBH, shall fulfill the provisions of this Agreement as
appropriate, and must be directly related to CONTRACTOR’s services or activity under the terms of this
Agreement. COUNTY’s DBH may refuse reimbursement for any costs resulting from equipment
purchased, which are incurred by CONTRACTOR, if prior written approval has not been obtained from
COUNTY.
C. The terms and conditions described in this Section are not applicable to the leasing
of vehicles by CONTRACTOR with the funds provided under this Agreement.
31. PUBLIC PROHIBITION
None of the funds, materials, property or services provided directly or indirectly under this
Agreement shall be used for CONTRACTOR’s advertising, fundraising, or publicity (i.e., purchasing of
tickets/tables, silent auction donations, etc.) for the purpose of self-promotion. Notwithstanding the
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above, publicity of the services described in Section One (1) of this Agreement shall be allowed as
necessary to raise public awareness about the availability of such specific services when approved in
advance by COUNTY’s DBH Director, or his or her designee, and at a cost to be provided in Exhibit C for
such items as written/printed materials, the use of media (i.e., radio, television, newspapers) and any
other related expense(s).
32. ASSURANCES
In entering into this Agreement, CONTRACTOR certifies that it is not currently excluded,
suspended, debarred, or otherwise ineligible to participate in the Federal Health Care Programs: that it
has not been convicted of a criminal offense related to the provision of health care items or services; nor
has it been reinstated to participation in the Federal Health Care Programs after a period of exclusion,
suspension, debarment, or ineligibility. If COUNTY learns, subsequent to entering into a contract, that
CONTRACTOR is ineligible on these grounds, COUNTY will remove CONTRACTOR from responsibility
for, or involvement with, COUNTY’s business operations related to the Federal Health Care Programs
and shall remove such CONTRACTOR from any position in which CONTRACTOR’s compensation, or
the items or services rendered, ordered or prescribed by CONTRACTOR may be paid in whole or part,
directly or indirectly, by Federal Health Care Programs or otherwise with Federal Funds at least until such
time as CONTRACTOR is reinstated into participation in the Federal Health Care Programs.
A. If COUNTY has notice that CONTRACTOR has been charged with a criminal
offense related to any Federal Health Care Program, or is proposed for exclusion during the term of any
contract, CONTRACTOR and COUNTY shall take all appropriate actions to ensure the accuracy of any
claims submitted to any Federal Health Care Program. At its discretion given such circumstances,
COUNTY may request that CONTRACTOR cease providing services until resolution of the charges or the
proposed exclusion.
B. CONTRACTOR agrees that all potential new employees of CONTRACTOR or
subcontractors of CONTRACTOR who, in each case, are expected to perform professional services
under this Agreement, will be queried as to whether: (1) they are now or ever have been excluded,
suspended, debarred, or otherwise ineligible to participate in the Federal Health Care Programs; (2) they
have been convicted of a criminal offense related to the provision of health care items or services; and or
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(3) they have been reinstated to participation in the Federal Health Care Programs after a period of
exclusion, suspension, debarment, or ineligibility.
1) In the event the potential employee or subcontractor informs
CONTRACTOR that he or she is excluded, suspended, debarred or otherwise ineligible, or has been
convicted of a criminal offense relating to the provision of health care services, and CONTRACTOR hires
or engages such potential employee or subcontractor, CONTRACTOR will ensure that said employee or
subcontractor does no work, either directly or indirectly relating to services provided to COUNTY.
2) Notwithstanding the above, COUNTY at its discretion may terminate this
Agreement in accordance with Section Two (2) of this Agreement, or require adequate assurance (as
defined by COUNTY) that no excluded, suspended or otherwise ineligible employee or subcontractor of
CONTRACTOR will perform work, either directly or indirectly, relating to services provided to COUNTY.
Such demand for adequate assurance shall be effective upon a timeframe to be determined by COUNTY
to protect the interests of COUNTY consumers.
C. CONTRACTOR shall verify (by asking the applicable employees and
subcontractors) that all current employees and existing subcontractors who, in each case, are expected
to perform professional services under this Agreement (1) are not currently excluded, suspended,
debarred, or otherwise ineligible to participate in the Federal Health Care Programs; (2) have not been
convicted of a criminal offense related to the provision of health care items or services; and (3) have not
been reinstated to participation in the Federal Health Care Program after a period of exclusion,
suspension, debarment, or ineligibility. In the event any existing employee or subcontractor informs
CONTRACTOR that he or she is excluded, suspended, debarred or otherwise ineligible to participate in
the Federal Health Care Programs, or has been convicted of a criminal offense relating to the provision of
health care services, CONTRACTOR will ensure that said employee or subcontractor does no work,
either direct or indirect, relating to services provided to COUNTY.
1) CONTRACTOR agrees to notify COUNTY immediately during the term of
this Agreement whenever CONTRACTOR learns that an employee or subcontractor who, in each case,
is providing professional services under this Agreement is excluded, suspended, debarred or otherwise
ineligible to participate in the Federal Health Care Programs, or is convicted of a criminal offense relating
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to the provision of health care services.
2) Notwithstanding the above, COUNTY at its discretion may terminate this
Agreement in accordance with Section Three (3) of this Agreement, or require adequate assurance (as
defined by COUNTY) that no excluded, suspended or otherwise ineligible employee or subcontractor of
CONTRACTOR will perform work, either directly or indirectly, relating to services provided to COUNTY.
Such demand for adequate assurance shall be effective upon a timeframe to be determined by COUNTY
to protect the interests of COUNTY clients.
D. CONTRACTOR agrees to cooperate fully with any reasonable requests for
information from COUNTY, which may be necessary to complete any internal or external audits relating to
CONTRACTOR’s compliance with the provisions of this Section.
E. CONTRACTOR agrees to reimburse COUNTY for the entire cost of any penalty
imposed upon COUNTY by the Federal Government as a result of CONTRACTOR’s violation of
CONTRACTOR’s obligations as described in this Section.
33. DISCLOSURE – CRIMINAL HISTORY AND CIVIL ACTIONS
CONTRACTOR is required to disclose if any of the following conditions apply to them, their
owners, officers, corporate managers and partners (hereinafter collectively referred to as
“CONTRACTOR”):
A. Within the three (3) year period preceding the Agreement award, they have been
convicted of, or had a civil judgment rendered against them for:
1) Fraud or a criminal offense in connection with obtaining, attempting to
obtain, or performing a public (federal, state, or local) transaction or
contract under a public transaction;
2) Violation of a federal or state antitrust statute;
3) Embezzlement, theft, forgery, bribery, falsification, or destruction of records;
or
4) False statements or receipt of stolen property.
B. Within a three (3) year period preceding their Agreement award, they have had a
public transaction (federal, state, or local) terminated for cause or default.
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Disclosure of the above information will not automatically eliminate CONTRACTOR from
further business consideration. The information will be considered as part of the determination of whether
to continue and/or renew the Agreement and any additional information or explanation that a
CONTRACTOR elects to submit with the disclosed information will be considered. If it is later determined
that the CONTRACTOR failed to disclose required information, any contract awarded to such
CONTRACTOR may be immediately voided and terminated for material failure to comply with the terms
and conditions of the award.
CONTRACTOR must sign a “Certification Regarding Debarment, Suspension, and Other
Responsibility Matters- Primary Covered Transactions” in the form set forth in Exhibit J, attached hereto
and by this reference incorporated herein and made part of this Agreement. Additionally, CONTRACTOR
must immediately advise the COUNTY in writing if, during the term of this Agreement: (1)
CONTRACTOR becomes suspended, debarred, excluded or ineligible for participation in federal or state
funded programs or from receiving Federal funds as listed in the excluded parties’ list system
(http://www.epls.gov); or (2) any of the above listed conditions become applicable to CONTRACTOR.
CONTRACTOR shall indemnify, defend and hold the COUNTY harmless for any loss or damage
resulting from a conviction, debarment, exclusion, ineligibility or other matter listed in the signed
Certification Regarding Debarment, Suspension, and Other Responsibility Matters.
34. AUDITS AND INSPECTIONS
CONTRACTOR shall at any time during business hours, and as often as COUNTY may
deem necessary, make available to COUNTY for examination all of its records and data with respect to
the matters covered by this Agreement. CONTRACTOR shall, upon request by COUNTY, permit
COUNTY to audit and inspect all such records and data necessary to ensure CONTRACTOR's
compliance with the terms of this Agreement.
If this Agreement exceeds Ten Thousand and No/100 Dollars ($10,000.00),
CONTRACTOR shall be subject to the examination and audit of the State of California Auditor General
for a period of three (3) years after final payment under contract (California Government Code section
8546.7).
Notwithstanding the provisions stated in Section Three (3), TERMINATION of this
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Agreement, it is acknowledged by the parties hereto that this Agreement shall continue in full force and
effect until all audit procedures and requirements as stated in this Agreement have been completed to the
review and satisfaction of COUNTY. CONTRACTOR shall bear all costs in connection with or resulting
from any audit and/or inspections including, but not limited to, actual costs incurred and the payment of
any expenditures disallowed by either COUNTY, State, or Federal governmental entities, including any
assessed interest and penalties.
35. NOTICES
The persons having authority to give and receive notices under this Agreement and their
addresses include the following:
COUNTY CONTRACTOR
Director, County of Fresno Chief Executive Officer
Department of Behavioral Health Youth Leadership Institute
1925 E. Dakota Ave 209 9th Street, Suite 200
Fresno, CA 93726 San Francisco, CA 94103
All notices between the COUNTY and CONTRACTOR provided for or permitted under this
Agreement must be in writing and delivered either by personal service, by first-class United States mail,
by an overnight commercial courier service, or by telephonic facsimile transmission. A notice delivered by
personal service is effective upon service to the recipient. A notice delivered by first-class United States
mail is effective three (3) COUNTY business days after deposit in the United States mail, postage
prepaid, addressed to the recipient. A notice delivered by an overnight commercial courier service is
effective one (1) COUNTY business day after deposit with the overnight commercial courier service,
delivery fees prepaid, with delivery instructions given for next day delivery, addressed to the recipient. A
notice delivered by telephonic facsimile is effective when transmission to the recipient is completed (but, if
such transmission is completed outside of COUNTY business hours, then such delivery shall be deemed
to be effective at the next beginning of a COUNTY business day), provided that the sender maintains a
machine record of the completed transmission. For all claims arising out of or related to this Agreement,
nothing in this Section establishes, waives, or modifies any claims presentation requirements or
procedures provided by law, including but not limited to the Government Claims Act (Division 3.6 of Title 1
of the Government Code, beginning with Section 810).
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36. CHANGE OF LEADERSHIP / MANAGEMENT
Any and all notices between COUNTY and CONTRACTOR provided for or permitted under
this Agreement or by law, shall be in writing and shall be deemed duly served when personally delivered
to one of the parties, or in lieu of such personal service, when deposited in the United States Mail,
postage prepaid, addressed to such party.
In the event of any change in the status of CONTRACTORS’ leadership or management,
CONTRACTOR shall provide written notice to COUNTY within thirty (30) days from the date of change.
Such notification shall include any new leader or manager’s name, address and qualifications.
“Leadership or management” shall include any employee, member, or owner of CONTRACTOR who
either a) directs individuals providing services pursuant to this Agreement, b) exercises control over the
manner in which services are provided, or c) has authority over CONTRACTORS’ finances.
37. RESTRICTION ON DISTRIBUTION OF STERILE NEEDLES
CONTRACTOR shall adhere to the requirement that no funds shall be used to carry out
any program of distributing sterile needles or syringes for the hypodermic injection of any illegal drug
unless the DHCS chooses to implement a demonstration syringe services program for intravenous drug
users.
38. CONFIDENTIALITY OATH
CONTRACTOR shall ensure that all of its employees sign a written confidentiality oath,
attached hereto as Exhibit K, before the begin employment with CONTRACTOR and shall renew said
documents annually thereafter. CONTRACTOR shall retain each employee’s written confidentiality oath
for COUNTH and DHCS inspection for a period of six (6) years following the termination of this
agreement.
39. FRIDAY NIGHT LIVE
Contractors and subcontractors receiving SABG Friday Night Live (FNL) funding must:
A. Engage in programming that meets the FNL Youth Development Standards of
Practice, Operating Principles and Core Components outlined at
http://fridaynightlive.org/aboutus/cfnlpoverview/.
B. Use the prevention data collection and reporting service for all FNL reporting
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including profiles and chapter activity.
C. Follow the FNL Data Entry Instructions for the Primary Prevention Substance Use
Disorder Data Service (PPSDS) and reporting service as provided by DHCS.
D. Meet the Member in Good Standing (MIGS) requirements, as determined by DHCS
in conjunction with the California Friday Night Live Collaborative and the California Friday Night Live
Partnership. Contractors that do not meet the MIGS requirements shall obtain technical assistance and
training services from the California Friday Night Live Partnership and develop a technical assistance plan
detailing how the Contractor intends to ensure satisfaction of the MIGS requirements for the next review.
40. GOVERNING LAW
Venue for any action arising out of or related to the Agreement shall only be in Fresno
County, California.
The rights and obligations of the parties and all interpretation and performance of this
Agreement shall be governed in all respects by the laws of the State of California.
41. SEVERABILITY
If any non-material term, provision, covenant, or condition of this Agreement is held by a
court of competent jurisdiction to be invalid, void or unenforceable, the remainder of the provisions shall
remain in full force and effect, and shall in no way be affected, impaired or invalidated.
42. ELECTRONIC SIGNATURE
The parties agree that this Agreement may be executed by electronic signature as provided
in this section. An “electronic signature” means any symbol or process intended by an individual signing
this Agreement to represent their signature, including but not limited to (1) a digital signature; (2) a faxed
version of an original handwritten signature; or (3) an electronically scanned and transmitted (for example
by PDF document) of a handwritten signature. Each electronic signature affixed or attached to this
Agreement (1) is deemed equivalent to a valid original handwritten signature of the person signing this
Agreement for all purposes, including but not limited to evidentiary proof in any administrative or judicial
proceeding, and (2) has the same force and effect as the valid original handwritten signature of that
person. The provisions of this section satisfy the requirements of Civil Code section 1633.5, subdivision
(b), in the Uniform Electronic Transaction Act (Civil Code, Division 3, Part 2, Title 2.5, beginning with
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section 1633.1). Each party using a digital signature represents that it has undertaken and satisfied the
requirements of Government Code section 16.5, subdivision (a), paragraphs (1) through (5), and agrees
that each other party may rely upon that representation. This Agreement is not conditioned upon the
parties conducting the transactions under it by electronic means and either party may sign this Agreement
with an original handwritten signature.
43. ENTIRE AGREEMENT
This Agreement, including all Exhibits, RFP No. 21-021, Addendum I, and
CONTRACTOR’s responses thereto, constitute the entire Agreement between the CONTRACTOR and
COUNTY with respect to the subject matter hereof and supersedes all previous negotiations, proposals,
commitments, writings, advertisements, publications, and understandings of any nature whatsoever
unless expressly included in this Agreement.
///
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1 IN WITNESS WHEREOF , the parties hereto have executed this Agreement as of the day and year
2 first hereinabove written .
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(Authorized Signature)
Patricia Barahona
Print Name & Title
CEO
Youth Leadership Institute
209 9th Street, Suite 200 , SF, CA 94103
Mailing Address
Steve Brandau, Chairman of the Board of
Supervisors of the County of Fresno
ATTEST:
Bernice E. Seidel
Clerk of the Board of Supervisors
County of Fresno, State of California
-~-~-· _S_. _S.___,~.___n,, ___ By: _ __..Cl\~~=--· __,.,"6~=L._(). __ _
<$uthorized Signature) Deputb
Joninna Simpson
Print Name
Chief Financial Officer
Title: Secretary (of Corporation), or
any Assistant Secretary, or
Chief Financial Officer, or
any Assistant Treasurer
FOR ACCOUNTING USE ONLY :
Fund :
Subclass :
ORG :
Account:
0001
10000
56302081
7295/0
34
Exhibit A-1
Page 1 of 62
SUMMARY OF SERVICES
ORGANIZATION: Youth Leadership Institute
AREA OF FOCUS: Alcohol Prevention
PROGRAM NAME: Reducing Alcohol Access to Youth (RAAY)
CONTACT(S): Patricia Barahona, Chief Executive Officer
Cynthia Rocha, Central Valley Director of Programs
A. SUMMARY OF SERVICE
To meet the goal of decreasing youth access to alcohol—ultimately reducing the instance on
underage drinking in Fresno County—Youth Leadership Institute (YLI) will partner with
youth to achieve the following two identified objectives using proven processes:
1) Decrease the percentage of youth who report alcohol is easy to access by 2% and
2) Increase the percentage of youth who disapprove of underage drinking by 3%. Our
intent is to reach both these objectives by 2026, as measured by the Fresno County
Student Insight Survey.
The Reducing Alcohol Access to Youth (RAAY) project will utilize various Center for
Substance Abuse Prevention (CSAP) strategies to decrease underage alcohol access and
increase perceptions of harm and disapproval. The CSAP strategies utilized in the RAAY
Project include:
● Information Dissemination Strategies – Community and School Outreach Events,
Multi-media Development & Dissemination, Printed Material Development &
Dissemination, Social Media Development & Maintenance, and Presentations
● Educational Strategies – Classroom and School Educational Services, Community
Educational Services, and Peer Leader Programs
● Alternative Strategies – Community Service Activities, Social/Recreational Event &
Activities, Youth and Adult Leadership Activities
● Community-Based Processes – Assessing Community Needs, Coalition/Workgroup
Activities, Intra/Inter-Agency Coordination/Collaboration, Training and Technical
assistance, and Evaluation Services.
YLI will be integrating the RAAY Project into the already established Friday Night Live
(FNL), Club Live, and Friday Night Live Kids cohorts (Chapters) across the county, which
includes eight high schools, two middle schools and one elementary school. Utilizing a
youth development framework, YLI will build the leadership capacity and partner with 11
Friday Night Live sites, as well as the FNL countywide youth council known as the Youth
Advocacy Leadership League (YALL), to lead underage drinking prevention
Exhibit A-1
Page 2 of 62
campaigns/initiatives utilizing the CSAP strategies identified above. YLI Staff and youth
together, will coordinate efforts to support the education of peers, parents and caregivers
and identify the specific CSAP strategy or strategies to address alcohol accessibility,
perceptions of harm and disapproval that are relevant to their own schools, neighborhoods
and communities.
To address the issue of adults as social sources of alcohol for youth, YLI staff and youth
will be using the survey findings to develop educational presentations on youth access to
alcohol for parents, caregivers, and community stakeholders. Youth participants will also
develop outreach materials and identify communication channels to conduct additional
parent and caregiver outreach. Youth-Adult Partnership and capacity building training
opportunities will also be offered to parent groups and adult allies who indicate interest in
partnering in the implementation of the RAAY Project.
To monitor impact and refine the project process to reflect lessons learned, an Adult Ally
Advisory Council of project stakeholders, experts, and youth will be established to oversee
and support the implementation of each RAAY Project. Similarly, the Youth Development
Coalition will share youth development best practices on meaningfully engaging youth and
adult allies in the community to support the continual participation and retention of youth
involved in the project over the course of the RAAY project year.
B. TARGET POPULATION
Youth and Young Adults Ages 10 - 20
C. LOCATION OF SERVICES
Alcohol Prevention Services will be delivered in the general community and at various
schools. Locations include but are not limited to:
School/Location City
Edison High School Fresno
Gaston Middle School Fresno
Kerman High School Kerman
Kerman Middle School Kerman
Orange Cove High School Orange Cove
Reedley Middle College High School Reedley
Roosevelt High School Fresno
San Joaquin Elementary (7th-8th grade) San Joaquin
Selma High School Selma
Sunnyside High School Fresno
Tranquility High School Tranquility
Fresno City College Fresno
Fresno State University Fresno
Fresno Pacific University Fresno
Exhibit A-1
Page 3 of 62
D. EVIDENCE BASED TOOLS / LOCAL INNOVATIVE PRACTICE
● SPORT (Alcohol/Drug) Prevention Plus Wellness Program/Curriculum (SPORT PPW)
● InShape (Alcohol/Drug) Prevention Plus Wellness Program/Curriculum (InShape PPW)
● Friday Night Live Curriculum, Roadmap, Tool Kits
● Communities Mobilizing for Change on Alcohol (CMCA)
E. ACTIVITIES GOALS / PERFORMANCE OUTCOME MEASURES / REPORTS
(See Implementation Tables Below)
Exhibit A-1
Page 4 of 62
Coalition/Advisory Council (UNDERAGE DRINKING)
Goal(s): Decrease youth access to alcohol.
Objective(s): By 2026, the percentage of youth who believe alcohol is easy to access will have decreased by 2% as measured by
the Fresno County Student Insight Survey.
Intermediate
Outcome(s):
By 2025, the percentage of youth who believe alcohol is easy to access will decrease by 1% as measured by the
Fresno County Student Insight survey.
IOM Category(ies): Universal Population(s): Youth, Adults, Other Professionals
Major Tasks Primary Activities Timeline Responsible
Party
Strategy Monitoring/ Evaluation
Approach
Form an advisory council to support
the development and implementation
of countywide alcohol prevention
services.
● Invite and recruit via email selected
representatives from Fresno County DPH,
school site administration, alcohol and drug
prevention professionals, community youth
organizations, scholars from local
universities, parents, and youth to serve as
advisory members
● During the first quarterly meeting facilitate
the advisory council’s overview of the
RAAY Project and ensure the group is
aware of goals and outcomes.
● Successfully retain an advisory council of
at least 15 adult stakeholders and partners,
by maintaining email communications and
providing updates on project
implementation through YLI social media
and website
Jul 2021 - June
2022
Jul 2021 - June
2022
Annually
Prevention
Provider
CBP -
Coalition/
Workgroup
Activities
Sign-in Sheets
Agendas/Meeting Notes
PPSDS Reporting
Exhibit A-1
Page 5 of 62
Convene advisory council quarterly to
discuss implementation of prevention
campaigns.
● Calendar Quarterly meetings and send
email reminders and agendas to meetings
in advance to advisory members
● Include implementation progress,
campaign development and challenges as
standing agenda items
Quarterly
Quarterly
Prevention
Provider
CBP -
Coalition/
Workgroup
Activities
Agendas/Meeting Notes
PPSDS Reporting
Provide training to advisory council
members on Youth Adult Partnerships.
● At the second quarter meeting, schedule a
Youth and Adult Partnership Training as
part of Communities Mobilizing for Change
on Alcohol (CMCA), a Substance Abuse
and Mental Health Services Administration
(SAMHSA) designated evidence-based
program model to be facilitated by YLI staff
● YLI staff to conduct the training in Quarter
two or Quarter three
Quarterly
Quarterly
Prevention
Provider
CBP -
Training and
Technical
Assistance
Agendas/Meeting Notes
Training Materials
Agendas/Meeting Notes
PPSDS Reporting
Form a coalition to share youth
development best practices and engage
youth in community, school-based
wellness, and county prevention
efforts.
● Invite and recruit via email selected
representatives from community youth
organizations. The Youth Development
Coalition will be made up of various local
youth-serving organizations; including but
not exclusive to: non-profits, grassroots
organizations, faith-based organizations, and
youth-serving programs
● During the first two quarterly meetings staff
will provide an overview of the Prevention
& Early Intervention work to ensure the
group is aware of goals and outcomes.
● Successfully retain at least 15
representatives of partnering youth
organizations annually. Some potential
partners may include: The kNOw Youth
Media, Fresno City College, California
Jul 2021 - June
2022
Oct 2021 -
June 2022
Annually
Prevention
Provider
CBP -
Coalition/Wo
rkgroup
Activities
Sign-in sheets
Agendas/Meeting Notes
PPSDS Reporting
Exhibit A-1
Page 6 of 62
Youth Connection, The Children’s
Movement, Fresno Boys and Men of Color,
Bitwise Industries, Boys and Girls Club,
Economic Opportunities Commission,
GenUp and City of Fresno Youth
Commission, Mobilizing Youth to Nix
Tobacco, and Barrios Unidos
Convene coalition quarterly to discuss
implementation of prevention
campaigns.
● YLI staff will share prevention campaigns
with the coalition and share ways that the
coalition may support campaign efforts
● Staff will facilitate discussions and
decision making of the coalition’s
purpose/vision and goals
Quarterly
Quarterly
Prevention
Provider
CBP -
Coalition/
Workgroup
Activities
Agendas/Meeting Notes
PPSDS Reporting
Provide training to Youth
Development Coalition members on
Youth Adult Partnerships.
● At the second quarter meeting, schedule a
Youth and Adult Partnership Training as
part of Communities Mobilizing for Change
on Alcohol (CMCA), a Substance Abuse
and Mental Health Services Administration
(SAMHSA) designated evidence-based
program model to be facilitated by YLI staff
● YLI staff to conduct the training in Quarter
three or Quarter four
Quarterly
Quarterly
Prevention
Provider
CBP -
Training and
Technical
Assistance
Training Materials
Agendas/Meeting Notes
PPSDS Reporting
Administer annual Advisory
Council/Coalition Surveys.
● At the fourth quarter meeting administer the
Adult Ally retrospective survey to measure
relationship building, involvement and
knowledge built, Youth and Adult
partnerships, and AOD Environmental
Prevention
Annually
(May/June)
Prevention
Provider,
Evaluator
CBP -
Evaluation
Services &
Outcomes
Adult Ally Retrospective
Survey results
Exhibit A-1
Page 7 of 62
School-Based Youth Education Programs (UNDERAGE DRINKING)
Goal(s): Decrease youth access to alcohol.
Objective(s): By 2026, the percentage of youth who believe alcohol is easy to access will have decreased by 2% as measured by
the Fresno County Student Insight Survey.
Intermediate
Outcome(s):
By 2025, the percentage of youth who believe alcohol is easy to access will decrease by 1% as measured by the
Fresno County Student Insight survey.
IOM Category(ies): Universal Population(s): Youth, Young Adults
Major Tasks Primary Activities Timeline Responsible
Party
Strategy Monitoring/ Evaluation
Approach
Outreach to and establish buy-in
(written MOU) from schools that agree
to host youth leadership and education
programs.
● Develop a Memo of Understanding (MOU)
template that outlines what YLI will
provide, and what each site will provide to
establish the RAAY youth leadership
programs and SPORT Prevention Plus
Wellness education programs
● Formalize a Memo of Understanding
(MOU) with each school site to ensure that
Administrators and Advisors understand
their commitments clearly at the following
sites:
● Edison High School
● Gaston Middle School
● Kerman High School
● Kerman Middle School
● Orange Cove High School
● Reedley Middle College High
School
● Roosevelt High School
● San Joaquin Elementary (K-8)
● Selma High School
● Sunnyside High School
● Tranquility High School
Jul 2021 - June
2022
Jul 2021 - June
2022
Prevention
Provider
CBP -
Intra/Inter-
Agency
Coordination/
Collaboration
Signed written agreement/
Memorandum of
Understandings with schools
Exhibit A-1
Page 8 of 62
Develop marketing materials that
appeal to potential student participants
and distribute throughout Fresno
County schools.
● Develop compelling marketing materials
that appeal to potential student participants
to join the RAAY youth leadership
program
● Develop compelling marketing materials
that appeal to potential student participants
to join the SPORT Prevention Plus
Wellness (SPORT PPW) Education
Program
● Receive feedback from advisory council,
school administration and advisors
● YLI Staff will distribute materials widely
throughout Fresno County in partnership
with the school administration, teachers,
Health Center staff, community-based
organization, and other partnering adult
allies
Jul 2021 - June
2022
Jul 2021 - June
2022
Jul 2021 - June
2022
Ongoing
Prevention
Provider
CBP Intra/inter
Agency
Coordination
and
Collaboration
&
ID - Printed
Materials
PPSDS Reporting
Final Drafts of Marketing
Materials Developed
Partner with local youth organizations
and school staff to identify and recruit
a diverse group of youth participants.
● YLI Staff will reach out to partners and
community event organizers to secure
participation in tabling opportunities such
as school club rush events, health fairs and
community events
Ongoing Prevention
Provider
CBP Intra/inter
Agency
Coordination
and
Collaboration
& ID -
Community/
School
Outreach
Events
PPSDS Reporting
Recruit 300 youth from schools with
high rates of alcohol use to participate
in education programs that include
curriculum about positive coping and
decision-making skills.
● YLI staff will outreach at the following
schools to recruit cohorts of 10-15 youth
(110 youth annually) to participate in the
RAAY youth leadership programs:
● Edison High School
● Gaston Middle School
Annually
Prevention
Provider
CBP Intra/inter
Agency
Coordination
and
Collaboration
Sign-in sheets
PPSDS Reporting
Exhibit A-1
Page 9 of 62
● Kerman High School
● Kerman Middle School
● Orange Cove High School
● Reedley Middle College High School
● Roosevelt High School
● San Joaquin Elementary (K-8)
● Selma High School
● Sunnyside High School
● Tranquility High School
● YLI Staff will outreach at the following
schools to recruit 200 youth to participate in
the evidence-based SPORT Prevention Plus
Wellness (SPORT PPW) Education
Program
● Edison High School
● Gaston Middle School
● Kerman High School
● Kerman Middle School
● Orange Cove High School
● Reedley Middle College High School
● Roosevelt High School
● San Joaquin Elementary (K-8)
● Selma High School
● Sunnyside High School
● Tranquility High School
Annually
Implement training curriculum to
prepare youth for authentic
participation in prevention campaigns.
● YLI Staff will train the RAAY youth
leadership program participants at each site
on the Friday Night Live (FNL) Roadmap
curriculum (the FNL Roadmap is based on
the evidence-based Youth Development
Standards of Practice), the evidence- based
Community Mobilizing for Change on
Alcohol (CMCA), facilitation, public
speaking, and presentation skill
development. Additionally, this cohort will
receive training on the evidence-based
Annually
Prevention
Provider
ED- Classroom
School
Education
Services
Sign-in Sheets
Youth Development Survey
PPSDS reporting
SPORT PPW Program
pretest and post test
Exhibit A-1
Page 10 of 62
SPORT Prevention Plus Wellness (SPORT
PPW) Curriculum and the Youth SPORT
PPW Peer Facilitator Curriculum.
● YLI Staff will train the RAAY youth
leadership program cohorts on additional
skills and tools needed to prepare youth for
authentic participation in this project.
● The youth leadership program cohorts from
each site will facilitate a training for their
peers on the SPORT Prevention Plus
Wellness (SPORT PPW) Curriculum
Annually
Annually
Administer the FCSIS with youth at
target schools (or use CHKS data).
● YLI Staff will connect and receive
approval from school administrators to
conduct the FCSIS at the following sites:
● Edison High School
● Gaston Middle School
● Kerman High School
● Kerman Middle School
● Orange Cove High School
● Reedley Middle College High School
● Roosevelt High School
● San Joaquin Elementary (K-8)
● Selma High School
● Sunnyside High School
● Tranquility High School
Annually Prevention
Provider,
Evaluator
CBP-
Assessing
Community
Needs/Assets
FCSIS Survey Outcomes
Administer Youth Participant Survey. ● YLI Staff will administer and collect the
YD (Youth Development) Survey to
RAAY youth leadership program
participants at the following sites:
● Edison High School
● Gaston Middle School
● Kerman High School
● Kerman Middle School
Annually
Prevention
Provider,
Evaluator
CBP-
Assessing
Community
Needs/Assets
YD Survey Outcomes
SPORT PPW Pre & Post
Test Outcomes
Exhibit A-1
Page 11 of 62
● Orange Cove High School
● Reedley Middle College High School
● Roosevelt High School
● San Joaquin Elementary (K-8)
● Selma High School
● Sunnyside High School
● Tranquility High School
● YLI Staff will administer the SPORT PPW
Pre and Post Test to Program Participants
at the following sites:
● Edison High School
● Gaston Middle School
● Kerman High School
● Kerman Middle School
● Orange Cove High School
● Reedley Middle College High School
● Roosevelt High School
● San Joaquin Elementary (K-8)
● Selma High School
● Sunnyside High School
● Tranquility High school
Annually
Exhibit A-1
Page 12 of 62
Prosocial Youth Activities (UNDERAGE DRINKING)
Goal(s): Decrease youth access to alcohol.
Objective(s): By 2026, the percentage of youth who believe alcohol is easy to access will have decreased by 2% as measured by
the Fresno County Student Insight Survey.
Intermediate
Outcome(s):
By 2025, the percentage of youth who believe alcohol is easy to access will decrease by 1% as measured by the
Fresno County Student Insight survey.
IOM Category(ies): Universal Population(s): Youth, Young Adults
Major Tasks Primary Activities Timeline Responsible
Party
Strategy Monitoring/ Evaluation
Approach
Identify and formalize partnerships to
provide workshops and educational
training at countywide youth events.
● YLI Staff will reach out to partners and
community event organizers to schedule
opportunities to provide workshops and
educational training on partnering with
youth to prevent underage drinking
● YLI Staff will reach out to partners,
community-based organizations, and
experts in their field to provide workshops
and educational trainings at YLI hosted
events like Teen Summit, Fall Fest, Winter
Celebration and Spring Jam
Annually
Annually
Prevention
Provider
CBP -
Intra/Inter-
Agency
Coordination/
Collaboration
Sign-in sheets
PPSDS Reporting
Event Agenda’s
Exhibit A-1
Page 13 of 62
Develop and distribute marketing
materials that appeal to potential
student participants throughout Fresno
County schools.
● Develop compelling marketing materials
and social media messages that appeal to
college-aged youth leaders to join YLI’s
intern program, charged with co-hosting
and facilitating YLI hosted events like
Teen Summit, Fall Fest, Winter
Celebration and Spring Jam
● Staff will develop a Job Description and
Application Process for the internship
● Develop compelling marketing materials
and social media messages that appeal to
potential student/youth to participate in
YLI hosted events like Teen Summit, Fall
Fest, Winter Celebration and Spring Jam
● Receive feedback from advisory council,
school administration and advisors
● YLI Staff will distribute materials widely
throughout Fresno County in partnership
with the school administration, teachers,
Health Center staff, colleges, community-
based organization, and other partnering
adult allies
● YLI Staff will share developed messages
on multiple social media platforms
Annually
Annually
Annually
Annually
Annually
Annually
Prevention
Provider
CBP -
Intra/Inter-
Agency
Coordination/
Collaboration
& ID - Printed
Materials
PPSDS Reporting
Final Drafts of Marketing
Materials Developed
Social Media Post Analytics
Recruit at least 200 youth to
participate in countywide youth events
for leadership, empowerment building,
and prosocial activities.
● YLI Staff will partner with Fresno City
College, Clovis Community College,
Reedley College, West Hills College,
Fresno State, and Fresno Pacific to receive
designation as a qualifying internship
organization
Annually
Prevention
Provider
CBP -
Intra/Inter-
Agency
Coordination/
Collaboration
& ALT - Social
/ Recreational
Events/
Activities
Sign-in sheets
PPSDS Reporting
Event Agenda’s
Exhibit A-1
Page 14 of 62
● YLI Staff will reach out to Fresno City
College, Clovis Community College,
Reedley College, West Hills College,
Fresno State, Fresno Pacific to secure
participation in tabling opportunities at
college events to recruit interns
● YLI Staff will reach out to College
Professors in their networks to secure
opportunities for class recruitment
presentations
● YLI Staff will recruit 12 interns/college-
aged youth leaders ages 18-20 (3-4
annually) to support the planning and
coordination of YLI prosocial youth
leadership empowerment events.
● YLI staff will develop and lead an
internship orientation and onboarding
training for interns to complete on the first
day
● YLI Staff will recruit 16 youth leaders
from the 11 RAAY youth leadership
Program sites and other YLI Programs to
serve on a countywide youth council
known as the Youth Advocacy Leadership
League (YALL) charged with supporting
the planning and coordination of YLI
prosocial youth leadership empowerment
events, co-hosting and facilitating
workshops, and educating their peers about
alcohol prevention
● YLI staff will develop and lead an YALL
orientation and onboarding training for
YALL leaders to complete at the first
meeting
Annually
Annually
Annually
Annually
Annually
Annually
Exhibit A-1
Page 15 of 62
● YALL and interns will plan and coordinate
and implement Prosocial youth leadership
empowerment events like the Teen
Summit, Fall Fest, Winter Celebration and
Spring Jam
● YLI Staff will reach out to partners and
community event organizers to schedule
outreach opportunities for tabling at school
club rush events, health fairs and
community events for the purpose of
recruiting 200 youth to participate at YLI
hosted educational and prosocial leadership
events like Teen Summit, Fall Fest, Winter
Celebration and Spring Jam
● YLI Staff will use Eventbrite platform
and/or Google Forms to track and confirm
registration and attendance at events
Annually
Annually
Annually
(3 per year)
Train youth to co-facilitate educational
workshops at the events.
● During the Summer or Fall, YLI staff will
coordinate a three-day train-the-trainer
retreat/academy to ensure YALL and
interns have a clear understanding of the
FNL Roadmap and are able to facilitate the
trainings and workshops. The trainings
include: youth and adult partnerships,
facilitation, learning about the issue -
alcohol prevention, public speaking, media
literacy and community engagement
● YALL participants will be trained by YLI
staff on the SPORT PPW curriculum
● Interns will be trained on the InShape
Prevention Plus Wellness (InShape PPW)
curriculum
Annually
Annually
Annually
Prevention
Provider
Education -
Community
Education
Services &
ALT - Youth
and Adult
Leadership
Activities
Sign-in sheets
PPSDS Reporting
Event Agenda’s
Training Materials
Exhibit A-1
Page 16 of 62
● Convene twice a month with YLI staff to
plan, coordinate and implement youth
events for leadership, empowerment
building, and prosocial activities
● YALL leader and interns will work with
staff to develop facilitator agendas and
prepare training materials for peer
educational workshops
● YALL and Interns will co-facilitate
workshops with YLI Staff at YLI prosocial
leadership empowerment events like, Fall
Fest, Winter Celebration, Spring Jam, and
the Teen Summit
Twice monthly
Annually
Annually
(3 per year)
Engage youth to produce and
disseminate a product that highlights
storytelling and SUD prevention
through the lens of impacted youth.
● YLI staff will train and build capacity of
YALL participants and Interns on
storytelling and utilizing it for advocacy
● YLI staff, YALL and interns will create
and develop a Youth Fresno County ATOD
Prevention Mini Magazine referred to a
ZINE
● YLII staff will distribute the ZINE at
Schools and Community outreach events
and online as a downloadable PDF
Annually
Annually
(1 per year)
Annually
Prevention
Provider
ID - Printed
Materials
Sign-in sheets
Final Draft of Zine
Administer Youth Participant Survey. ● YLI Staff will administer and collect the
YD (Youth Development) Survey to
YALL participants
● YLI staff will administer the intern exit
survey for college interns
● YLI Staff will administer and collect
Youth Participant Surveys at the
conclusion of every prosocial leadership
empowerment event
Annually
Annually
Annually
Prevention
Provider
CBP -
Evaluation
Services
Event Survey Results
Exhibit A-1
Page 17 of 62
Parent and Community Education (UNDERAGE DRINKING)
Goal(s): Decrease youth access to alcohol.
Objective(s): By 2026, the percentage of youth who believe alcohol is easy to access will have decreased by 2% as measured by the Fresno County Student
Insight Survey.
Intermediate
Outcome(s):
By 2025, the percentage of youth who believe alcohol is easy to access will decrease by 1% as measured by the Fresno County Student Insight
survey.
IOM Category(ies): Universal Population(s): Parents, Other Adults
Major Tasks Primary Activities Timeline Responsible
Party
Strategy Monitoring/
Evaluation Approach
Develop and update educational materials to
inform parents about underage drinking issues
and their responsibility as parents/adults.
● YLI staff will provide a Canva and
data analysis training for RAAY
youth leaders.
● Using the FCSIS data YLI staff and
RAAY youth leaders will develop
educational materials and media to
present to parents, caregivers,
community members, and
stakeholders. The purpose of materials
is to increase awareness and dialogue
regarding underage drinking, youth
access to alcohol, and the risk and
consequences associated with
underage alcohol use.
● Receive feedback from advisory
council and advisors
Annually Prevention
Provider
CBP - Intra/Inter-
Agency
Coordination/
Collaboration &
ID - MultiMedia
Sign-In Sheets
PPSDS Reporting
Identify and attend parent group meetings to
distribute educational materials.
● YLI staff will reach out to community
organizations and/or parent groups to
offer educational presentations to
parents, caregivers and adults as well
as distribute created educational
materials
Ongoing Prevention
Provider
ID -
Presentations &
CBP - Intra/Inter
Agency
Collaboration
PPSDS Reporting
Sign-In Sheets
Exhibit A-1
Page 18 of 62
Implement 48 educational presentations and/or
town halls for parents about positive parental
involvement, the harms/risks of underage
drinking and legal consequences of providing
alcohol to minors.
● YLI Staff, YALL and RAAY youth
leaders will plan and implement
community Town Halls using the
SAMHSA Town Hall toolkit to
inform and educate on the
consequences of providing alcohol to
minors.
● YLI Staff, YALL and RAAY youth
leaders will co-facilitate educational
workshops for parents, caregivers, and
stakeholders on youth access to
alcohol. Parent messages and
marketing materials will be created
and disseminated using at least one
channel of communication. The Not
On My Watch developed by the
Friday Night Live (FNL) Partnership
will be used to engage and reinforce
parental responsibility and control of
youth access to alcohol
Annually
(16 per
year)
Prevention
Provider
ED - Community
Education
Services
PPSDS Reporting
Sign-In Sheets
Presentation Materials
Developed
Exhibit A-1
Page 19 of 62
Countywide Media Campaign (UNDERAGE DRINKING)
Goal(s): Decrease youth access to alcohol.
Objective(s): By 2026, the percentage of youth who believe alcohol is easy to access will have decreased by 2% as measured by
the Fresno County Student Insight Survey.
Intermediate
Outcome(s):
By 2025, the percentage of youth who believe alcohol is easy to access will decrease by 1% as measured by the
Fresno County Student Insight survey.
IOM Category(ies): Universal Population(s): Youth, Young Adults, Parents, Other Adults
Major Tasks Primary Activities Timeline Responsible
Party
Strategy Monitoring/
Evaluation Approach
Develop 4 countywide youth-led media
campaigns to educate youth and adults on
consequences of providing alcohol to youth and
underage drinking.
● YLI staff will provide a Public
Service Announcement (PSA)
development training for YALL
leaders. This will include Radio
PSA, Billboard PSA, and other
media PSA development.
● Using the FCSIS data YALL staff
and YALL will develop a youth-led
media PSA campaign to educate
youth and adults on consequences of
providing alcohol to youth and
underage drinking based on data
generated by the Fresno County
Student Insights Survey.
● Receive feedback from Advisory
Council and Youth Development
Coalition
Annually
(1 per year)
Prevention
Provider
CBP -
Intra/Inter
Agency
Collaboration &
ID -
MultiMedia
PPSDS Reporting
Final Drafts of
Marketing Materials
Developed
Radio and Billboard
PSA Analytics
Exhibit A-1
Page 20 of 62
Implement countywide youth-led media
campaigns that will provide education on
healthy behaviors, positive parental
involvement, and educate decision makers on the
harm/risks of underage drinking.
● YLI staff and YALL will partner
with media groups (iHeart Media,
Pandora, Spotify) to secure radio ad
placement for the Radio PSA’s
developed
● YLI Staff and YALL will partner
with Outfront Media to secure
billboard placement of created PSA
messaging
Annually
(1 per year)
Prevention
Provider
ID -
MultiMedia
PPSDS Reporting
Final Drafts of
Marketing Materials
Developed
Radio and Billboard
PSA Analytics
Develop educational materials and media to
present to parents, community members, and
stakeholders.
● YLI staff will provide a Canva, and
media development training for
YALL leaders.
● Using the FCSIS data YALL staff
and YALL will develop educational
materials, social media messages,
and media to present to parents,
community members, and
stakeholders on the issue of underage
drinking based on data generated by
the Fresno County Student Insights
Survey.
● Receive feedback from Advisory
Council and Youth Development
Coalition
Annually Prevention
Provider
CBP -
Intra/Inter
Agency
Collaboration &
ID -
MultiMedia/
Printed
Materials
PPSDS Reporting
Identify and attend community events and
resources fairs to distribute educational materials
and messages.
● YLI Staff will reach out to partners
and community event organizers to
secure participation in 10 tabling
opportunities such as school events,
resources fairs, health fairs and
community events
● YLI staff will target parents and
caregivers of students who attend
each of the 11 school sites. Up to
40,000 households will be targeted
by the youth-led media campaign.
Annually Prevention
Provider
ID -
Community/Sch
ool Outreach
Events
PPSDS Reporting
Final Drafts of
Marketing Materials
Developed
Exhibit A-1
Page 21 of 62
Youth-Led Social Norms Campaign (UNDERAGE DRINKING)
Goal(s): Decrease youth access to alcohol.
Objective(s): By 2026, the percentage of youth who disapprove of underage drinking will have increased by 3% as measured by the
Fresno County Student Insight Survey.
Intermediate
Outcome(s):
By 2025, the percentage of youth who disapprove of underage drinking will have increased by 2% as measured by the
Fresno County Student Insight Survey.
IOM Category(ies): Universal Population(s): Youth, Young Adults
Major Tasks Primary Activities Timeline Responsible
Party
Strategy Monitoring/
Evaluation
Approach
Develop youth-led social norms campaigns
to educate youth and adults on consequences
of providing alcohol to youth and underage
drinking.
● YLI staff will train RAAY youth
leadership participants on conducting and
analyzing data research through the Youth-
Led Action Research training, and share
results of the FCSIS
● Utilizing data, RAAY youth leadership
participants, in partnership with YLI staff,
will generate positive social norms youth
messages and deliver these messages using
various communication channels
● Receive feedback from advisory council,
school administration, advisors, and youth
Annually
(1 per year)
Prevention
Provider
CBP -
Intra/Inter
Agency
Collaboration
& ID -
MultiMedia/
Printed
Materials
YD Survey
PPSDS
Reporting
Final Drafts of
Marketing
Materials
Developed
Radio and
Billboard PSA
Analytics
Implement youth-led social norms
campaigns to reach peers about the actual vs
perceptions about alcohol use among youth.
● YLI staff and RAAY youth leaders will
generate messages about actual alcohol-
use norms versus perceptions and
disseminated to youth using at least one
communication channel
Annually
(1 per year)
Prevention
Provider
ID - Printed
Materials
YD Survey
PPSDS
Reporting
Final Drafts of
Marketing
Exhibit A-1
Page 22 of 62
● YLI staff will partner with other youth
serving organizations and/or community
youth hubs to secure permission to
distribute printed social norms materials at
their sites of services
● YLI staff will also share social norms
messaging virtually via YLI social media
platforms
Materials
Developed
Radio and
Billboard PSA
Analytics
Train youth on conducting and analyzing
data, as well as toolkits to develop a Positive
Social Norms Campaign.
● YLI staff will train RAAY youth
leadership participants on evidence-based
toolkits from the FNL Roadmap that will
aid youth in building the skills necessary
to develop a Positive Social Norms
Campaigns will focus on increasing the
disapproval of underage drinking among
youth
Annually Prevention
Provider
ED-
Classroom/
School
Education
Services
PPSDS
Reporting
Presentation
Materials
Developed
Sign-In Sheets
Use data to generate youth messaging and
deliver messages using school-based
communication channels.
● YLI staff will partner with school
administration to secure permission to
distribute printed social norms materials at
the 11 school sites
● YLI staff will also request permission from
school administrators to share and tag (#)
social norms messaging on the school
social media pages
Annually Prevention
Provider
CBP -CBP -
Intra/Inter
Agency
Collaboration
& ID - Social
Media
Development
and
Maintenance
PPSDS
Reporting
Final Drafts of
Marketing
Materials
Developed
Exhibit A-1
Page 23 of 62
SCOPE OF WORK
ORGANIZATION: Youth Leadership Institute
AREA OF FOCUS: Marijuana Prevention
PROGRAM NAME: Reducing Marijuana Access to Youth (RMAY)
CONTACT(S): Patricia Barahona, Chief Executive Officer
Cynthia Rocha, Central Valley Director of Programs
A. SUMMARY OF SERVICE
To meet the goal of decreasing youth marijuana use, Youth Leadership Institute (YLI) will
partner with youth to achieve the following five identified objectives using proven processes:
1) Decrease the percentage of youth who report marijuana is easy to access by 2%.
2) Increase the percentage of youth who believe marijuana is harmful by 2%.
3) Increase the percentage of youth who believe people close to them disapprove of
using marijuana by 2%.
4) Increase the percentage of youth who participate in alternative marijuana prevention
activities by 10%.
5) Ensure 80% of youth report that mentoring has helped them feel good about
themselves and has increased their social competence. Our intent is to reach these
objectives by 2026, as measured by the Fresno County Student Insight Survey and the
California Healthy Kids Survey.
The Reducing Marijuana Access to Youth (RMAY) project will utilize various Center for
Substance Abuse Prevention (CSAP) strategies to decrease marijuana access and increase
perceptions of harm and disapproval. The CSAP strategies utilized in the RMAY Project
include:
● Information Dissemination Strategies – Community and School Outreach Events,
Curriculum Development, Multi-media Development & Dissemination, Printed
Material Development & Dissemination, Social Media Development & Maintenance,
and Presentations
● Educational Strategies – Classroom and School Educational Services, Community
Educational Services, and Mentoring
● Alternative Strategies – Community Service Activities, Social/Recreational Event &
Activities, Youth and Adult Leadership Activities
● Community-Based Processes – Assessing Community Needs, Coalition/Workgroup
Activities, Evaluation Services, Training and Technical assistance, Program
Development & Improvement, and Intra/Inter-Agency Coordination/Collaboration.
Exhibit A-1
Page 24 of 62
YLI will be integrating the RMAY Project into the already established and newly established
Friday Night Live (FNL), Club Live, and Friday Night Live Kids cohorts (Chapters) across
the county, which includes seven high schools and four middle schools. Utilizing a youth
development framework, YLI will build the leadership capacity and partner with all eleven
Friday Night Live sites, to lead marijuana prevention campaigns utilizing the CSAP
strategies identified above. YLI Staff and youth together, will coordinate efforts to support
the education of peers, parents and caregivers and identify the specific CSAP strategy or
strategies to address marijuana accessibility, perceptions of harm and disapproval that are
relevant to their own schools, neighborhoods, and communities.
YLI staff and youth will be using the Fresno County Student Insight Survey findings to
develop educational presentations on youth access, knowledge, and beliefs around harm of
marijuana for parents, caregivers, and community stakeholders. Youth participants will also
develop outreach materials and identify communication channels to conduct additional parent
and caregiver outreach. Youth-Adult Partnership and capacity building training opportunities
will also be offered to parent groups and adult allies who indicate interest in partnering in the
implementation of the RMAY Project.
To monitor impact and refine the project process to reflect lessons learned, an Adult Ally
Advisory Council of project stakeholders, experts, and youth will be established to oversee
and support the implementation of each RMAY Campaign. Annually YLI will also invest in
staff development to build capacity on youth development best practices on meaningfully
engaging youth and adult allies in the community to support the continual participation.
B. TARGET POPULATION
Youth and Young Adults Ages 10 - 20
C. LOCATION OF SERVICES
Marijuana Prevention Services will be delivered in the general community and at various
schools. Locations include but are not limited to:
School/Location City
Central East High School Fresno
Central West High School Fresno
McLane High School Fresno
Fresno High School Fresno
Sanger High School Sanger
Washington Academy Middle School Sanger
Mendota High School Mendota
Mendota Junior High School Mendota
Rio Del Rey High School Fresno
San Joaquin Elementary School (4th-6th
grades)
San Joaquin
Exhibit A-1
Page 25 of 62
Fresno City College Fresno
Fresno State University Fresno
Fresno Pacific University Fresno
D. EVIDENCE BASED TOOLS / LOCAL INNOVATIVE PRACTICE
● SPORT (Alcohol/Drug) Prevention Plus Wellness Program/Curriculum (SPORT PPW)
● Marijuana Prevention Plus Wellness Program/Curriculum (Marijuana PPW)
● Friday Night Live Curriculum, Roadmap, Tool Kits
E. ACTIVITIES GOALS / PERFORMANCE OUTCOME MEASURES / REPORTS
(See Implementation Tables Below)
Exhibit A-1
Page 26 of 62
Coalition/Advisory Council (MARIJUANA)
Goal(s): Decrease youth access to marijuana.
Objective(s): By 2026, the percentage of youth who report marijuana is easy to access will decrease by 2% as measured by the Fresno County Student
Insight Survey.
Intermediate
Outcome(s):
By 2025, the percentage of youth who report marijuana is easy to access will have decreased by 1% as measured by the Fresno County
Student Insight Survey.
IOM Category(ies): Universal Population(s): Youth, Adults, Other Professionals
Major Tasks Primary Activities Timeline Responsible
Party
Strategy Monitoring/ Evaluation
Approach
Form an advisory council to
support the development and
implementation of countywide
marijuana prevention services.
● Invite and recruit via email
selected representatives from
Fresno County DPH, school site
administration, marijuana and drug
prevention professionals,
community youth organizations,
scholars from local universities,
parents, and youth to serve as
advisory council members
During the first quarterly meeting
facilitate the advisory council’s
overview of the RMAY Project and
ensure the group is aware of goals
and outcomes. Successfully retain
of an advisory council of at least 15
adult stakeholders and partners, by
maintaining email communications
and providing updates on project
implementation through YLI social
media and website
Jul 2021 -
June 2022
Prevention
Provider
CBP -
Coalitions/
Workgroup
Activities
Sign-in Sheets
Agendas/Meeting Notes
PPSDS Reporting
Convene Advisory Council
quarterly to discuss
implementation of prevention
campaigns.
● Calendar Quarterly meetings and
send email reminders and agendas
to meetings in advance to advisory
members
Quarterly Prevention
Provider
CBP -
Coalitions/
Workgroup
Activities
Agendas/Meeting Notes
PPSDS Reporting
Exhibit A-1
Page 27 of 62
● Include implementation progress,
campaign development and
challenges as standing agenda
items
Provide training to Advisory
Council members on Youth Adult
Partnerships.
● At the second quarter meeting,
schedule a Youth and Adult
Partnership Training as part of
Communities Mobilizing for
Change on Alcohol (CMCA), a
curriculum review of the SPORT
Prevention Plus Wellness evidence-
based program, and the
supplemental Marijuana Prevention
Plus Wellness (Marijuana PPW)
curriculum to be facilitated by YLI
staff
● YLI staff to conduct the training and
curriculum review in Quarter two or
Quarter three
Quarterly Prevention
Provider
CBP -
Training and
Technical
Assistance
Agendas/Meeting Notes
Training Materials
Agendas/Meeting Notes
PPSDS Reporting
Form a coalition to share youth
development best practices and
engage youth in community,
school-based wellness, and county
prevention efforts.
● Invite and recruit via email selected
representatives from community
youth organizations. The Youth
Development Coalition will be made
up of various local youth-serving
organizations; including but not
exclusive to: non-profits, grassroots
organizations, faith-based
organizations, and youth-serving
programs
● During the first two quarterly
meetings staff will provide an
overview of the Prevention & Early
Intervention work to ensure the
group is aware of goals and
outcomes.
Jul 2021 -
June 2022
Jul 2021 -
June 2022
Prevention
Provider
CBP -
Coalition/Wo
rkgroup
Activities
Sign-in sheets
Agendas/Meeting Notes
PPSDS Reporting
Exhibit A-1
Page 28 of 62
● Successfully retain at least 15
representatives of partnering youth
organizations annually. Some
potential partners may include: The
kNOw Youth Media, Fresno City
College, California Youth
Connection, The Children’s
Movement, Fresno Boys and Men of
Color, Bitwise Industries, Boys and
Girls Club, Economic Opportunities
Commission, GenUp and City of
Fresno Youth Commission,
Mobilizing Youth to Nix Tobacco,
and Barrios Unidos
Annually
Convene coalition quarterly to
discuss implementation of
prevention campaigns.
● YLI staff will share prevention
campaigns with the coalition and
share ways that the coalition may
support campaign efforts
● Staff will facilitate discussions and
decision making of the coalition’s
purpose/vision and goals
Quarterly
Quarterly
Prevention
Provider
CBP -
Coalition/Wo
rkgroup
Activities
Agendas/Meeting Notes
PPSDS Reporting
Administer annual Advisory
Council Surveys.
● At the fourth quarter meeting
administer the Adult Ally
retrospective survey to measure
relationship building, Youth and
Adult partnerships opportunities,
and knowledge built on Marijuana
Prevention efforts led by YLI
Annually
(May/June)
Prevention
Provider,
Evaluator
CBP -
Evaluation
Services
Adult Ally Retrospective
Survey results
Exhibit A-1
Page 29 of 62
School-Based Youth Education Programs (MARIJUANA)
Goal(s): Decrease youth access to marijuana.
Objective(s): By 2026, the percentage of youth who report marijuana is easy to access will decrease by 2% as measured by the Fresno County Student
Insight Survey.
By 2026, the percentage of youth who believe marijuana is harmful will increase by 2% as measured by the Fresno County Student Insight
Survey.
Intermediate
Outcome(s):
By 2025, the percentage of youth who report marijuana is easy to access will have decreased by 1% as measured by the Fresno County Student
Insight Survey.
By 2025, the percentage of youth who have knowledge of the health impacts of marijuana use will increase by 2% as measured by the Fresno
County Student Insight Survey
IOM Category(ies): Universal Population(s): Youth, Young Adults
Major Tasks Primary Activities Timeline Responsible
Party
Strategy Monitoring/
Evaluation
Approach
Outreach to and establish buy-in
(written MOU) from schools that
agree to host youth education
programs.
● Develop a Memo of Understanding
(MOU) template that outlines what
YLI will provide, and what each site
will provide to establish the RMAY
youth leadership programs and
SPORT Prevention Plus Wellness
education programs
● Formalize a Memo of Understanding
(MOU) with each school site to
ensure that Administrators and
Advisors understand their
commitments clearly
● McLane High School
● Fresno High School
● Sanger High School
● Mendota High School
● Rio Del Rey High School
● Mendota Jr. High School
● Central Unified School District
High Schools and Middle
Schools
● Washington Academy Middle
School
Jul 2021 -
June 2022
Prevention
Provider
CBP - Intra/Inter
Agency
Coordination/
Collaboration
Signed written
agreement/
Memorandum of
Understandings with
schools
Exhibit A-1
Page 30 of 62
Develop marketing materials that
appeal to potential student
participants and distribute
throughout Fresno County
schools.
● Develop compelling marketing
materials that appeal to potential
student participants to join the
RMAY youth leadership program
● Develop compelling marketing
materials that appeal to potential
student participants to join the
SPORT Prevention Plus Wellness
(SPORT PPW) Education Program
● Receive feedback from advisory
council, school administration, and
advisors
Jul 2021 -
June 2022
Prevention
Provider
CBP - Intra/Inter
Agency
Coordination/
Collaboration & ID
- Printed Materials
PPSDS Reporting
Final Drafts of
Marketing Materials
Developed
Partner with local youth
organizations and school staff to
identify and recruit a diverse
group of youth participants.
● YLI Staff will reach out to partners
and community event organizers to
secure participation in tabling
opportunities such as school club rush
events, health fairs and community
events
Ongoing Prevention
Provider
CBP - Intra/Inter
Agency
Coordination/
Collaboration
PPSDS Reporting
Exhibit A-1
Page 31 of 62
Recruit 600 youth from schools
with high rates of marijuana use to
participate in education programs.
● YLI staff will outreach at the
following schools to recruit cohorts
of 10-15 youth (100 youth annually)
to participate in the RMAY youth
leadership programs:
● McLane High School
● Fresno High School
● Sanger High School
● Mendota High School
● Rio Del Rey High School
● Mendota Jr. High School
● Central Unified School District
High Schools and Middle
Schools
● Washington Academy Middle
School
● YLI Staff will outreach at the
following schools to recruit 500
youth to participate in the evidence-
based SPORT Prevention Plus
Wellness (SPORT PPW) Education
Program
● McLane High School
● Fresno High School
● Sanger High School
● Mendota High School
● Rio Del Rey High School
● Mendota Jr. High School
● Central Unified School District
High Schools and Middle
Schools
● Washington Academy Middle
School
Annually Prevention
Provider
CBP - Intra/Inter
Agency
Coordination/
Collaboration &
ED - Classroom/
School Educational
Services
Sign-In Sheets
Develop and implement
supplemental training curriculum
to prepare youth for authentic
participation in prevention
campaigns.
● YLI Staff will attend Marijuana/
Substance Abuse Prevention
Trainings, Webinars and Conferences
to build capacity in engaging youth in
marijuana prevention efforts
Annually Prevention
Provider
ED -
Classroom/School
Educational
Services
Sign-In Sheets
PPSDS Reporting
Exhibit A-1
Page 32 of 62
● YLI Staff will secure training and
certification to implement the
Marijuana Prevention Plus Wellness
(Marijuana PPW) as an add-on the
evidence-based SPORT PPW and
InShape PPW program curriculums
● Staff will train youth on supplemental
curriculum during scheduled RMAY
youth leadership Program Meetings
that will help them plan and carry out
youth- led prosocial leadership and
empowerment activities
Provide a minimum of 90 one-
time youth developed and led
presentations for youth about legal
consequences of providing
marijuana to minors.
● YLI Staff will train the RMAY youth
leadership program participants at
each site on the Friday Night Live
(FNL) Roadmap curriculum (the FNL
Roadmap is based on the evidence-
based Youth Development Standards
of Practice), facilitation, public
speaking, and presentation
development skill building.
Additionally, each cohort will receive
training on the evidence-based
SPORT PPW Curriculum, Marijuana
PPW and the Youth SPORT PPW
Peer Facilitator Curriculum.
● The RMAY youth leadership
program cohorts from each site will
facilitate a training for their peers on
the Marijuana Prevention Plus
Wellness (Marijuana PPW)
Curriculum
● YLI Staff will partner with the
RMAY Youth Leadership Program
cohorts to develop and deliver 30
Annually
(30 per
year)
Prevention
Provider
ALT -Youth and
Adult Leadership
Activities & ED -
Classroom/School
Education Services
Sign-In Sheets
PPSDS Reporting
Exhibit A-1
Page 33 of 62
educational presentations annually for
youth about the legal consequences
on providing marijuana to minors
● RMAY youth leaders will plan and
carry out prosocial leadership and
empowerment activities at their
school site
Administer the FCSIS with youth
at target schools (or use CHKS
data) to collect evaluation data.
● YLI Staff will connect and receive
approval from school administrators
to conduct the FCSIS at the following
sites:
● McLane High School
● Fresno High School
● Sanger High School
● Mendota High School
● Rio Del Rey High School
● Mendota Jr. High School
● Central Unified School District
High Schools and Middle
Schools
● Washington Academy Middle
School
Annually
(Apr/May
)
Prevention
Provider,
Evaluator
CPB - Assessing
Community Needs
FCSIS Survey Results
Administer Youth Participant
Survey.
● YLI Staff will administer and collect
the YD (Youth Development) Survey
to RMAY youth leadership program
participants at the following sites:
● McLane High School
● Fresno High School
● Sanger High School
● Mendota High School
● Rio Del Rey High School
● Mendota Jr. High School
● Central Unified School District
High Schools and Middle
Schools
● Washington Academy Middle
School
Annually Prevention
Provider,
Evaluator
CBP - Evaluation
services
YD Survey Outcomes
SPORT PPW Pre &
Post Test Outcomes
Pro-social activity
evaluation surveys
Exhibit A-1
Page 34 of 62
● YLI Staff will administer the SPORT
PPW Pre and Post Test to Program
Participants at the following sites:
● McLane High School
● Fresno High School
● Sanger High School
● Mendota High School
● Rio Del Rey High School
● Mendota Jr. High School
● Central Unified School District
High Schools and Middle
Schools
● Washington Academy Middle
School
● RMAY Youth Leaders will
administer the Marijuana PPW Pre
and Post Test to Presentation
Participants and prosocial activity
participation evaluations
Exhibit A-1
Page 35 of 62
Youth Mentoring Program (MARIJUANA)
Goal(s): Decrease youth access to marijuana.
Objective(s): By 2025, 80% of youth will have reported that the mentoring they received helped them to feel good about themselves and increased their
social competence as measured by a mentoring program survey.
By 2026, 10% more youth will have participated in alternative activities as measured by marijuana prevention activity log
Intermediate
Outcome(s):
By 2024, 50% of youth will report an increased negative attitude toward marijuana use as measured by a mentoring program survey.
By 2024, the number of youth who participated in alternative activities will increase by 5% as measured by marijuana prevention activity log.
IOM Category(ies): Selective Population(s): Youth, Young Adults
Major Tasks Primary Activities Timeline Responsible
Party
Strategy Monitoring/ Evaluation
Approach
Develop a mentoring program
framework and curriculum that
outlines goals and intended
outcomes, as well as the
frequency, format, assignment
guidelines for meetings between
mentors and mentees.
● YLI Staff will receive training from
CFNLP on the Friday Night Live
(FNL) Mentoring Model
● YLI Staff will develop a Mentoring
program framework and curriculum
that outlines goals and intended
outcomes, as well as the frequency,
format, assignment guidelines for
meetings between mentors and
mentees utilizing the FNL Mentoring
Model and the SPORT PPW and
Marijuana PPW Curriculum
● YLI Staff will develop compelling
marketing materials and social media
messages that appeal to college-aged
youth leaders to serve as Mentors in
YLI’s Mentorship program
● Staff will develop a Mentor
Description and Application Process
for the Program
Jul 2021 -
June 2022
Prevention
Provider
CBP - Program
Development
and
Improvement
PPSDS Reporting
Finalized Mentoring
Program Framework &
Curriculum
Train mentors and establish a
pilot mentoring program that can
serve at least 8 youth.
● YLI Staff will recruit 8 Mentors ages
18-20 to support the planning,
coordination, and implementation of
YLI Mentoring Program
Jul 2021 -
June 2022
Prevention
Provider
ED -
Mentoring
PPSDS Reporting
Sign-in Sheets
Training agendas
Exhibit A-1
Page 36 of 62
● YLI staff will develop and lead a
Mentor orientation and onboarding
training for Mentors to complete on
the first day
● YLI staff will coordinate a two-day
Mentor retreat/academy to ensure
Mentors have a clear
understanding of the FNL
Mentorship model and have
comfortability in relationship
building and coaching. Training will
also include: youth and adult
partnerships, facilitation, learning
about the issue - marijuana
prevention, public speaking, media
literacy and community engagement
● Staff will additionally train mentors
on Interns will be trained on the
InShape Prevention Plus Wellness
(InShape PPW) curriculum and the
Marijuana PPW Program
Recruit at least 8 youth for the
mentoring program who are
deemed at risk for marijuana use
or showing early phase
marijuana use.
● YLI Staff will develop compelling
marketing materials that appeal to
potential Youth Mentees and distribute
materials widely throughout Fresno
County in partnership with high school
and middle school administration,
teachers, Health Center staff,
community-based organization, and
other partnering adult allies.
● YLI Staff will reach out to school site
counselors and youth serving
organizations to provide referrals and
recommendations on potential youth
mentee participants for the program.
Annually
(Jul 2022
- June
2025)
Prevention
Provider
PIDR - Student
Assistance
programs &
ED -
Mentoring
PPSDS Reporting
Finalized Marketing
Materials developed
Exhibit A-1
Page 37 of 62
Implement the mentoring
program framework.
● YLI Staff will facilitate and implement
the Mentoring program utilizing the
FNL Mentoring Model and the
SPORT PPW and Marijuana PPW
Curriculum with eight mentors and
eight mentees annually
Annually -
Jul 2022 -
June 2025
Prevention
Provider
ED -
Mentoring
PPSDS Reporting
Sign-in Sheets
Meeting Agendas
Administer Mentoring Program
Survey.
● YLI Staff will administer and collect
the YD (Youth Development) FNL
Mentoring Survey to Mentoring
program participants
Annually -
May/June
Prevention
Provider,
Evaluator
CBP -
Evaluation
Services
YD FNL Mentoring
Survey results
Exhibit A-1
Page 38 of 62
Parent and Community Education (MARIJUANA)
Goal(s): Decrease youth access to marijuana.
Objective(s): By 2026, the percentage of youth who report marijuana is easy to access will decrease by 2% as measured by the Fresno County Student
Insight Survey.
By 2026, the percentage of youth who believe people close to them (e.g., friends, parents) disapprove of using marijuana will increase by 2%
as measured by the Fresno County Student Insight Survey.
By 2026, the percentage of youth who believe marijuana is harmful will have increased by 2% as measured by the Fresno County Student
Insight Survey.
Intermediate
Outcome(s):
By 2025, the percentage of youth who report marijuana is easy to access will have decreased by 1% as measured by the Fresno County
Student Insight Survey.
By 2025, 70% parents/guardians will increase their knowledge about providing a positive parental environment and the harmful consequences
of youth marijuana use as measured by a post-program survey.
By 2025, the percentage of youth who have knowledge of the health impacts of marijuana use will increase by 2% as measured by the Fresno
County Student Insight Survey
IOM Category(ies): Universal Population(s): Parents, Other Adults
Major Tasks Primary Activities Timeline Responsible
Party
Strategy Monitoring/
Evaluation Approach
Develop and update educational
materials to inform parents about
marijuana issues and their
responsibility as parents/adults.
● YLI staff will provide a Canva and
data analysis training for RMAY
Youth leaders.
● Using the FCSIS data YLI staff and
RMAY youth leaders will develop
educational materials, power points
and media to present to parents,
caregivers, community members,
and stakeholders. The purpose of
materials is to inform parents about
marijuana issues and their
responsibility as parents/adults.
● Receive feedback from advisory
council and advisors
Annually Prevention
Provider
CBP - Intra/Inter
Agency
Coordination &
ID - MultiMedia
Sign-In Sheets
PPSDS Reporting
Identify and attend parent group
meetings to distribute
educational materials.
● YLI staff will reach out to
community organizations and/or
parent groups to offer educational
presentations to parents, caregivers
and adults as well as distribute
created educational materials
Ongoing Prevention
Provider
ID -
Presentations &
CBP - Intra/Inter
Agency
Coordination/
Collaboration
PPSDS Reporting
Sign-In Sheets
Exhibit A-1
Page 39 of 62
Provide 48 educational
presentations for parents/adults
about the health impacts of
marijuana use and legal
consequences of providing
marijuana to minors.
● YLI Staff, YALL and RMAY youth
leaders will plan and implement
community Town Halls using the
SAMHSA Town Hall toolkit to
inform and educate on the
consequences of providing
marijuana to minors.
● YLI Staff, YALL and RMAY youth
leaders will co-facilitate educational
workshops for parents, caregivers,
and stakeholders about the health
impacts of marijuana use and legal
consequences of providing
marijuana to minors. Parent
messages and marketing materials
will be created and disseminated
using at least one channel of
communication.
16 per year
(Jul 2021 -
June 2024)
Prevention
Provider
ED -
Community
Educational
Services
PPSDS Reporting
Sign-In Sheets
Presentation Materials
Developed
Administer Parent Survey. ● YLI Staff will develop, administer,
and collect a Parent Survey to
Parent/caregiver and other adult
participants
Ongoing
(after each
presentatio
n)
Prevention
Provider,
Evaluator
CBP -
Evaluations
Services
Parent/Caregiver &
Adult Stakeholder
Survey outcomes
Exhibit A-1
Page 40 of 62
Countywide Media Campaign (MARIJUANA)
Goal(s): Decrease youth access to marijuana.
Objective(s): By 2026, the percentage of youth who report marijuana is easy to access will decrease by 2% as measured by the Fresno County Student Insight
Survey.
Intermediate
Outcome(s):
By 2025, the percentage of youth who report marijuana is easy to access will have decreased by 1% as measured by the Fresno County Student
Insight Survey.
IOM Category(ies): Universal Population(s): Youth, Young Adults, Parents, Other Adults
Major Tasks Primary Activities Timeline Responsible
Party
Strategy Monitoring/ Evaluation
Approach
Develop educational materials
and media to present to parents,
community members, and
stakeholders.
● YLI staff will provide a Public
Service Announcement (PSA)
development training for RMAY
youth leaders. This will include
Radio PSA, Billboard PSA, and
other media PSA development.
● Using the FCSIS data YLI staff and
RMAY youth leaders will develop
a youth-led media PSA campaign
to educate youth and adults on the
legal consequences of providing
marijuana to minors and youth
marijuana use rates based on data
generated by the Fresno County
Student Insights Survey.
● Receive feedback from advisory
council
Annually Prevention
Provider
CBP -
Intra/Inter
Agency
Coordination/
Collaboration
& ID -
MultiMedia
PPSDS Reporting
Final Drafts of Marketing
Materials Developed
Radio and Billboard PSA
Analytics
Identify and attend community
events and resources fairs to
distribute educational materials
and messages.
● YLI Staff will reach out to partners
and community event organizers to
secure participation in 10 tabling
opportunities such as school events,
resources fairs, health fairs and
community events
● YLI staff will target youth, parents
and caregivers of students who
attend each of the school sites. Up
to 40,000 households will be
targeted by the youth-led media
campaign.
Annually Prevention
Provider
ID -
Community/
School
Outreach
Events
PPSDS Reporting
Final Drafts of Marketing
Materials Developed
Exhibit A-1
Page 41 of 62
Implement 3 countywide youth-
led media campaigns to educate
youth and adults on
consequences of providing
marijuana to youth and
marijuana use.
● YLI staff will provide a Public
Service Announcement (PSA)
development training for RMAY
youth leaders. This will include
Radio PSA, Billboard PSA, and
other media PSA development.
● YLI staff and YALL will partner
with media groups (iHeart Media,
Pandora, Spotify) to secure radio
ad placement for the Radio PSA’s
developed
● YLI Staff and YALL will partner
with Outfront Media to secure
billboard placement of created PSA
messaging
Annually
(1 per
year)
Prevention
Provider
ID -
MultiMedia
PPSDS Reporting
Final Drafts of Marketing
Materials Developed
Radio and Billboard PSA
Analytics
Produce a youth podcast series
that highlights storytelling
through the lens of youth in
Fresno County.
● YLI staff and YLI
Communications Team will train
and build capacity of YALL and
RMAY youth leadership
participants on storytelling for
advocacy, Multimedia productions,
podcast planning, recording and
implementation
● YLI staff, YALL and RMAY youth
leaders will develop and create
scripts for the Youth Fresno
County ATOD Podcast Series that
focus on youth stories and insight
on substance abuse, and prevention
efforts
● YLI staff, YLI Communications
Team, YALL and RMAY youth
leaders will record, edit, and
finalize Youth Fresno County
ATOD Podcast Series episode for
dissemination
Annually Prevention
Provider
ID -
MultiMedia
PPSDS Reporting
Podcast Analytics
Exhibit A-1
Page 42 of 62
Distribute podcast online via
social media and website.
● YLI staff will distribute the podcast
on social media, the YLI website
and promote it at Schools and
Community outreach events.
● YLI will ask partners and school to
share on their Social Media sites
Annually Prevention
Provider
CBP -
Intra/Inter
Agency
Coordination
& ID -
MultiMedia
PPSDS Reporting
Podcast Analytics
Exhibit A-1
Page 43 of 62
Youth-Led Social Norms Campaign (MARIJUANA)
Goal(s): Decrease youth access to marijuana.
Objective(s): By 2026, the percentage of youth who believe marijuana is harmful will increase by 2% as measured by the Fresno County Student Insight
Survey.
By 2026, the percentage of youth who believe people close to them (e.g., friends, parents) disapprove of using marijuana will increase by 2%
as measured by the Fresno County Student Insight Survey.
By 2026, 10% more youth will have participated in alternative activities as measured by marijuana prevention activity log
Intermediate
Outcome(s):
By 2025, the percentage of youth who have knowledge of the health impacts of marijuana use will increase by 2% as measured by the Fresno
County Student Insight Survey.
By 2024, the number of youth who participated in alternative activities will increase by 5% as measured by marijuana prevention activity log.
IOM Category(ies): Universal Population(s): Youth, Young Adults
Major Tasks Primary Activities Timeline Responsible
Party
Strategy Monitoring/ Evaluation
Approach
Develop youth-led social norms
campaigns to educate youth and
adults on consequences of
providing marijuana to youth and
marijuana.
● YLI staff will train RMAY youth
leadership participants on
conducting and analyzing data
research through the Youth-Led
Action Research training, and
share results of the FCSIS
● Utilizing data, RMAY youth
leadership participants, in
partnership with YLI staff, will
generate positive social norms
youth messages and deliver these
messages using various
communication channels
● Receive feedback from advisory
council, school Administrators,
advisors, and youth
Annually
(1 per
year)
Prevention
Provider
CBP - CBP -
Intra/Inter
Agency
Coordination &
ID - MultiMedia/
Printed Materials
YD Survey
PPSDS Reporting
Final Drafts of Marketing
Materials Developed
Implement youth-led social
norms campaigns to reach peers
about the actual vs perceptions
about marijuana use among
youth.
● YLI staff and RMAY youth
leaders will generate messages
about actual marijuana-use norms
versus perceptions and
disseminated to youth using at
least one communication channel
Annually
(1 per
year)
Prevention
Provider
ID - Printed
Materials
YD Survey
PPSDS Reporting
Final Drafts of Marketing
Materials Developed
Exhibit A-1
Page 44 of 62
● YLI staff will partner with other
youth serving organizations and/or
community youth hubs to secure
permission to distribute printed
social norms materials at their sites
of services
● YLI staff will also share social
norms messaging virtually via YLI
social media platforms
Radio and Billboard PSA
Analytics
Train youth on conducting and
analyzing data, as well as toolkits
to develop a Positive Social
Norms Campaign.
● YLI staff will train RMAY youth
leadership participants on
evidence-based toolkits from the
FNL Roadmap that will aid youth
in building the skills necessary to
develop a Positive Social Norms
Campaigns will focus on
increasing the disapproval of
underage marijuana use among
youth
Annually Prevention
Provider
ED- Classroom/
School
Education
Services
PPSDS Reporting
Presentation Materials
Developed
Sign-In Sheets
Use data to generate youth
messaging and deliver messages
using school-based
communication channels.
● YLI staff will partner with school
administration to secure
permission to distribute printed
social norms materials at the 11
school sites
● YLI staff will also request
permission from school
administrators to share and tag (#)
social norms messaging on the
school social media pages
Annually Prevention
Provider
ID - Social
Media
Development
and Maintenance
PPSDS Reporting
Final Drafts of Marketing
Materials Developed
Exhibit A-1
Page 45 of 62
SUMMARY OF SERVICES
ORGANIZATION: Youth Leadership Institute
AREA OF FOCUS: Prescription Drug Prevention
PROGRAM NAME: Reducing Prescription Drug Access to Youth (RPDAY)
CONTACT(S): Patricia Barahona, Chief Executive Officer
Cynthia Rocha, Central Valley Director of Programs
A. SUMMARY OF SERVICE
To meet the goal of decreasing youth prescription drug misuse, Youth Leadership
Institute (YLI) will partner with the Fresno County Superintendent of Schools (FCSS)
and youth to achieve the following two identified objectives using proven processes:
1) Decrease the percentage of youth who report Prescription drugs are easy to access
by 2%.
2) Decrease the percentage of youth misusing prescription drugs (in the past 30
days) by 2%. Our intent is to reach both these objectives by 2026, as measured by
the Fresno County Student Insight Survey.
The Reducing Prescription Drug Access to Youth (RPDAY) project will utilize various
Center for Substance Abuse Prevention (CSAP) strategies to decrease prescription/over-
the-counter drug access and misuse. The CSAP strategies utilized in the RPDAY Project
include:
● Information Dissemination Strategies – Community and School Outreach Events,
Multi-media Development & Dissemination, Printed Material Development &
Dissemination, Social Media Development & Maintenance, and Presentations
● Educational Strategies – Classroom and School Educational Services, and
Community Educational Services
● Alternative Strategies – Community Service Activities, Social/Recreational Event
& Activities, Youth and Adult Leadership Activities
● Community-Based Processes – Assessing Community Needs,
Coalition/Workgroup Activities, and Intra/Inter-Agency
Coordination/Collaboration, Training and Technical assistance and Evaluation
Services.
● Environmental Strategies – Community and Neighborhood Mobilization
Exhibit A-1
Page 46 of 62
YLI will be integrating the RPDAY Project into the already established after-school
Fresno’s Recreation Enrichment & Scholastic Health (FRESH) Programs, led by the
Fresno County Superintendent of Schools (FCSS) across the county. The program will be
conducted at five middle schools and one elementary school. Utilizing a youth
development framework, YLI will build the capacity of FCSS staff and FRESH Program
staff at John Sutter Middle School in Fowler, Coalinga Middle School, Huron Middle
School, Firebaugh Middle School, Conejo Middle School in Laton, and Riverdale
Elementary School to implement the YLI/Friday Night Live Youth Development model.
FCSS Staff and youth at these sites will utilize skills developed and training provided by
YLI staff to lead prescription drug abuse prevention campaigns utilizing the Information
Dissemination, Education and Alternative CSAP strategies identified above. YLI Staff,
FCSS staff and youth together, will coordinate efforts to support the education of peers,
parents and caregivers and identify the specific projects to address prescription drug
accessibility, perceptions of harm and disapproval that are relevant to their own schools,
neighborhoods and communities.
To address the issue of adults as sources of prescription drugs for youth, YLI staff, FCSS
staff, and youth will be using the survey findings to develop educational presentations on
youth access to prescription drugs for parents, caregivers, and community stakeholders.
Youth participants will also develop outreach materials and identify communication
channels to conduct additional parent and caregiver outreach. Youth-Adult Partnership
and capacity building training opportunities will also be offered to parent groups and
adult allies who indicate interest in partnering in the implementation of the RPDAY
Project.
To monitor impact and refine the project process to reflect lessons learned, an Adult Ally
Advisory Council of project stakeholders, experts, and youth will be established to
oversee and support the implementation of each RPDAY Project. Annually YLI will also
invest in FRESH program staff development, at each identified site, to build capacity on
youth development best practices on meaningfully engaging youth and adult allies in the
community to support the continual participation and retention of youth involved in the
project over the course of the RPDAY project year.
B. TARGET POPULATION
Youth and Young Adults Ages 10 - 20
Exhibit A-1
Page 47 of 62
C. LOCATION OF SERVICES
Prescription Drugs Prevention Services will be delivered in the general community and at
various schools. Locations include but are not limited to:
School/Location City
Conejo Middle School Laton
John Sutter Middle School Fowler
Coalinga Middle School Coalinga
Huron Middle School Huron
Firebaugh Middle School Firebaugh
Riverdale Elementary School Riverdale
D. EVIDENCE BASED TOOLS / LOCAL INNOVATIVE PRACTICE
● SPORT (Alcohol/Drug) Prevention Plus Wellness Program/Curriculum (SPORT PPW)
● Opioid Prevention Plus Wellness/Curriculum (Opioid PPW)
● Friday Night Live Curriculum, Roadmap, Tool Kits
E. ACTIVITIES GOALS / PERFORMANCE OUTCOME MEASURES / REPORTS
(See Implementation Tables Below)
Exhibit A-1
Page 48 of 62
Coalition/Advisory Council (Rx DRUGS)
Goal(s): Decrease youth access to prescription drugs
Objective(s): By 2026, the percentage of youth who believe prescription drugs are easy to access will have decreased by 2% as measured by the Fresno
County Student Insight Survey.
Intermediate
Outcome(s):
By 2025 establish two additional prescription drug drop boxes in Fresno County.
By 2025, the pounds of Rx drugs collected through the drop box program will increase as compared to the baseline pounds of Rx drugs
collected through the drop box program in 2020.
IOM Category(ies): Selective Population(s): Youth, Adults, Other Professionals
Major Tasks Primary Activities Timeline Responsible Party Strategy Monitoring/
Evaluation Approach
Form an advisory council to
support the development and
implementation of countywide
Rx prevention services and
procurement of resources to
support the Rx drop box
program.
● Invite and recruit via email selected
representatives from Fresno County
DPH, school site administration,
alcohol and drug prevention
professionals, community youth
organizations, scholars from local
universities, parents, and youth to
serve as advisory members
● Invite Members from the Fresno
County Opioid Coalition to
participate in the Rx Advisory
Council and designate staff to
represent YLI Rx advisory on the
Opioid Coalition
● During the first quarterly meeting
facilitate the advisory council’s
overview of the RPDAY Project and
ensure the group is aware of goals
and outcomes.
● Successfully retain an Rx advisory
council of at least 15 adult
stakeholders and partners, by
maintaining email communications
and providing updates on project
implementation through YLI social
media and website
Jul 2021 -
June 2022
Jul 2021 -
June 2022
Jul 2021 -
June 2022
Annually
Prevention Provider CBP -
Coalitions/
Workgroup
Activities
Sign-in Sheets
Agendas/Meeting
Notes
PPSDS Reporting
Exhibit A-1
Page 49 of 62
Convene advisory council
quarterly to discuss
implementation of prevention
campaigns.
● Calendar Quarterly meetings and
send email reminders and agendas to
meetings in advance to advisory
council members
● Include implementation progress,
campaign development and
challenges as standing agenda items
Quarterly
Quarterly
Prevention Provider CBP -
Coalitions/
Workgroup
Activities
Agendas/Meeting
Notes
PPSDS Reporting
Provide training to advisory
council members on Youth Adult
Partnerships.
● At the second quarter meeting,
schedule a Youth and Adult
Partnership Training as part of
Communities Mobilizing for Change
on Alcohol (CMCA), a curriculum
review of the SPORT Prevention
Plus Wellness evidence-based
program, and the supplemental
Opioid Prevention Plus Wellness
(Opioid PPW) curriculum to be
facilitated by YLI staff
● YLI staff to conduct the training in
Quarter two or Quarter three
Quarterly
Quarterly
Prevention Provider CBP -
Training
and
Technical
Assistance
Agendas/Meeting
Notes
Training Materials
Agendas/Meeting
Notes
PPSDS Reporting
Administer Advisory Council
Survey
● At the fourth quarter meeting
administer the Adult Ally
retrospective survey to measure
relationship building, involvement
and knowledge built, Youth and
Adult partnerships, and Prescription
Drug Prevention Efforts led by YLI
Annually
(May/June)
Prevention Provider,
Evaluator
CBP -
Evaluation
Services
Adult Ally
Retrospective Survey
results
Exhibit A-1
Page 50 of 62
School-Based Youth Education Programs (Rx DRUGS)
Goal(s): Decrease youth access to prescription drugs
Objective(s): By 2026, the percentage of youth misusing prescription drugs in the past 30 days will have decreased by 2% as measured by the Fresno
County Student Insight Survey.
Intermediate
Outcome(s):
By 2025, the percentage of youth misusing prescription drugs in the past 30 days will have decreased by 1% as measured by the Fresno
County Student Insight Survey.
By 2025, 70% of youth will have increased their knowledge about positive coping and decision-making skills as measured by a post-test with
a retrospective pre-test.
IOM Category(ies): Universal Population(s): Youth, Young Adults
Major Tasks Primary Activities Timeline Responsible
Party
Strategy Monitoring/
Evaluation
Approach
Outreach to and establish buy-in
(written MOU) from schools
that agree to host youth
education programs.
● Develop a Memo of Understanding
(MOU) template that outlines what FCSS
provide, and what each site will provide
to establish the RPDAY youth leadership
programs and SPORT Prevention Plus
Wellness education programs
● Formalize a Memo of Understanding
(MOU) with each school site to ensure
that Administrators and Advisors
understand their commitments clearly at
the following sites:
● Conejo Middle School in Laton
● John Sutter Middle School in
Fowler
● Coalinga Middle School
● Huron Middle School
● Firebaugh Middle School
● Riverdale Elementary School
Jul 2021 -
June
2022
Prevention
provider
subcontractor
- FCSS
CBP - Intra/Inter
Agency
Coordination/
Collaboration
Signed written
agreement/
Memorandum of
Understandings with
schools
Develop marketing materials
that appeal to potential student
participants and distribute
throughout Fresno County
schools.
● Develop compelling marketing materials
that appeal to potential student
participants to join the RPDAY youth
leadership program
Jul 2021 -
June
2022
Prevention
provider
subcontractor
- FCSS
CBP - Intra/Inter
Agency
Coordination/
Collaboration &
ID - Printed
Materials
PPSDS Reporting
Final Drafts of
Marketing Materials
Developed
Exhibit A-1
Page 51 of 62
● FCSS/FRESH staff will distribute
materials widely throughout Fresno
County in partnership with the school
administration, teachers, Health Center
staff, community-based organization, and
other partnering adult allies
● Received feedback from advisory council,
school administrators and advisors
Partner with local youth
organizations and school staff to
identify and recruit a diverse
group of youth participants.
● FCSS/FRESH staff will reach out to
partners and community event organizers
to secure participation in tabling
opportunities such as school club
rush/lunch events, health fairs and
community events
Ongoing Prevention
provider
subcontractor
- FCSS
CBP - Intra/Inter
Agency
Coordination/
Collaboration
PPSDS Reporting
Recruit at least 300 youth to
participate in education
programs that include
curriculum about positive coping
and decision-making skills.
● FCSS/FRESH staff will outreach at the
following schools to recruit cohorts of 10-
15 youth (90 youth annually) to participate
in the RPDAY youth leadership programs:
● Conejo Middle School in Laton
● John Sutter Middle School in Fowler
● Coalinga Middle School
● Huron Middle School
● Firebaugh Middle School
● Riverdale Elementary School
● FCSS/FRESH staff will outreach at the
following schools to recruit 210 youth to
participate in the evidence-based SPORT
Prevention Plus Wellness (SPORT PPW)
Education Program
● Conejo Middle School in Laton
● John Sutter Middle School in Fowler
● Coalinga Middle School
● Huron Middle School
● Firebaugh Middle School
● Riverdale Elementary School
Jul 2021
– June
2024
Prevention
provider
subcontractor
- FCSS
CBP - Intra/Inter
Agency
Coordination/
Collaboration &
ED - Classroom/
School
Educational
Services
Sign-In Sheets
PPSDS Reporting
Exhibit A-1
Page 52 of 62
Implement supplemental
training curriculum to prepare
youth for authentic participation
in prevention campaigns.
● FCSS/FRESH staff and YLI Staff will
attend Opioid/ Substance Abuse
Prevention Trainings, Webinars and
Conferences to build capacity in engaging
youth in Rx prevention efforts
● YLI Staff will secure training and
certification to implement the Opioid
Prevention Plus Wellness (Opioid PPW)
as an add-on the evidence-based SPORT
PPW and InShape PPW program
curriculums
● YLI Staff will train FCSS/FRESH on
supplemental curriculum
● FCSS/FRESH staff and YLI Staff will
train the RPDAY youth leadership
program participants at each site on the
Friday Night Live (FNL) Roadmap
curriculum (the FNL Roadmap is based
on the evidence-based Youth
Development Standards of Practice),
facilitation, public speaking, and
presentation skill development.
Additionally, this cohort will receive
training on the evidence-based SPORT
Prevention Plus Wellness (SPORT PPW)
Curriculum, Opioid Prevention Plus
Wellness (Opioid PPW) and the Youth
SPORT PPW Peer Facilitator Curriculum.
● FCSS/FRESH staff will train the RPDAY
youth leadership program cohorts on
additional skills and tools needed to
prepare youth for authentic participation
in this project.
Annually
Annually
Annually
Annually
Annually
Prevention
provider and
subcontractor
- FCSS
ED -
Classroom/School
Educational
Services
Sign-in Sheets
Youth Development
Survey
PPSDS reporting
SPORT PPW
Program pretest and
post test
Exhibit A-1
Page 53 of 62
Administer the FCSIS with
youth at target schools (or use
CHKS data).
● FCSS/FRESH Staff will connect and
receive approval from school
administrators to conduct the FCSIS at the
following sites:
● Conejo Middle School in Laton
● John Sutter Middle School in Fowler
● Coalinga Middle School
● Huron Middle School
● Firebaugh Middle School
● Riverdale Elementary School
Annually Prevention
provider
subcontractor
- FCSS
CBP - Assessing
Community
Needs
FCSIS Survey
Outcomes
Administer Youth Participant
Survey.
● FCSS/FRESH staff will administer and
collect the YD (Youth Development)
Survey to RPDAY youth leadership
program participants at the following
sites:
● Conejo Middle School in Laton
● John Sutter Middle School in Fowler
● Coalinga Middle School
● Huron Middle School
● Firebaugh Middle School
● Riverdale Elementary School
● FCSS/FRESH staff will administer the
SPORT PPW Pre and Post Test to
Program Participants at the following
sites:
● Conejo Middle School in Laton
● John Sutter Middle School in Fowler
● Coalinga Middle School
● Huron Middle School
● Firebaugh Middle School
● Riverdale Elementary School
Annually Prevention
provider
subcontractor
- FCSS,
Evaluator
CBP - Evaluation
services
YD Survey Outcomes
SPORT PPW Pre &
Post Test Outcomes
Exhibit A-1
Page 54 of 62
Prosocial Activities for Youth (Rx DRUGS)
Goal(s): Decrease youth access to prescription drugs
Objective(s): By 2026, the percentage of youth misusing prescription drugs in the past 30 days will have decreased by 2% as measured by the Fresno
County Student Insight Survey.
Intermediate
Outcome(s):
By 2025, the percentage of youth misusing prescription drugs in the past 30 days will have decreased by 1% as measured by the Fresno
County Student Insight Survey.
By 2025, 70% of youth will have increased their knowledge about positive coping and decision-marking skills as measured by a post-test with
a retrospective pre-test.
IOM Category(ies): Universal Population(s): Youth, Young Adults
Major Tasks Primary Activities Timeline Responsible
Party
Strategy Monitoring/
Evaluation
Approach
Identify and formalize
partnerships to provide
workshops and educational
training at events.
● YLI staff and FCSS/FRESH will reach out
to partners and community event organizers
to schedule opportunities to provide
workshops and educational training on
partnering with youth to address
prescription drug abuse
● FCSS/FRESH will reach out to partners,
community based organizations, and
experts in their field to provide workshops,
educational trainings and participate in at
FCSS/FRESH hosted events like sports and
physical activity field days, walk/jog-a-
thons, and other cultural and wellness
events
Annually Prevention
Provider and
subcontractor
- FCSS
CBP -
Intra/Inter-
Agency
Coordination/
Collaboration
Sign-in sheets
PPSDS Reporting
Event Agenda’s
Develop marketing materials
that appeal to potential student
participants and distribute
throughout Fresno County
schools.
● FCSS/FRESH staff will develop
compelling marketing materials and social
media messages that appeal to potential
student/youth to participate in events like
sports and physical activity field days,
walk/jog-a-thons, and other cultural and
wellness events
Annually Prevention
Provider
subcontractor
- FCSS
CBP -
Intra/Inter
Agency
Coordination/
Collaboration
& ID - Printed
Materials
PPSDS Reporting
Final Drafts of
Marketing Materials
Developed
Social Media Post
Analytics
Exhibit A-1
Page 55 of 62
● FCSS/FRESH staff will distribute materials
widely throughout Fresno County in
partnership with the school administration,
teachers, Health Center staff, colleges,
community-based organization, and other
partnering adult allies
● FCSS/FRESH staff will share developed
messages on multiple social media
platforms
● Receive feedback from YLI Staff, advisory
coalition, school administration and
advisors
Attempt to engage 300 youth to
participate in countywide youth
events for leadership,
empowerment building, and
prosocial activities.
● FCSS/FRESH staff will reach out to
partners and community event organizers to
schedule outreach opportunities for tabling
at school club rush/lunch events, health
fairs and community events for the purpose
of recruiting 300 youth to participate at
YLI hosted educational and prosocial
leadership events like sports and physical
activity field days, walk/jog-a-thons, and
other cultural and wellness events
● FCSS/FRESH will use sign-in sheets to
track and confirm attendance at events
Annually (3
per year)
Prevention
Provider
subcontractor
- FCSS
ALT - Social/
Recreational
Events/
Activities
Sign-in sheets
PPSDS Reporting
Event Agenda’s
Train youth to co-facilitate
educational workshops at the
events.
● During RPDAY cohort meetings
FCSS/FRESH staff will train youth leaders
on youth-led action planning and event
planning and implementation.
● FCSS/FRESH staff and RPDAY youth
leaders will convene planning meetings to
plan, coordinate and implement youth
events for leadership, empowerment
building, and prosocial activities
● RDAY youth leaders will co-facilitate
educational workshops and activities with
FCSS/FRESH Staff at the prosocial
leadership empowerment events they plan
Annually
Ongoing
Ongoing
Prevention
Provider
subcontractor
- FCSS
ED - School
Based
education
Services &
ALT - Youth
and Adult
Leadership
Activities
Sign-in sheets
PPSDS Reporting
Event Agenda’s
Training/Activity
Materials
Exhibit A-1
Page 56 of 62
Administer Youth Participant
Survey.
● YLI Staff will administer and collect Youth
Participant Surveys at the conclusion of
every prosocial leadership empowerment
event
Annually Prevention
Provider,
Evaluator
CBP -
Evaluation
Services
Event Survey Results
Exhibit A-1
Page 57 of 62
Parent and Community Education (Rx DRUGS)
Goal(s): Decrease youth access to prescription drugs
Objective(s): By 2026, the percentage of youth who believe prescription drugs are easy to access will have decreased by 2% as measured by the
Fresno County Student Insight Survey.
Intermediate
Outcome(s):
By 2025, the percentage of youth who report that medications are locked up in their home will increase by 10% as compared to baseline
percentage in 2020 as measured by the Fresno County Student Insight Survey.
IOM Category(ies): Universal Population(s): Parents, Other Adults
Major Tasks Primary Activities Timeline Responsible
Party
Strategy Monitoring/
Evaluation
Approach
Develop and regularly
update educational materials
to inform parents about Rx
issues and their
responsibility as
parents/adults.
● YLI staff and FCSS/FRESH staff will provide
Canva and data analysis training for RPDAY
leaders.
● Using the FCSIS data FCSS/FRESH staff and
RPDAY youth leaders will develop educational
materials and media to present to parents,
caregivers, community members, and stakeholders.
The purpose of materials is to inform parents about
Rx issues and their responsibility as parents/adults.
Annually Prevention
Provider and
subcontractor -
FCSS
CBP -
Intra/Inter
Agency
Coordinatio
n/
Collaboratio
n & ID -
MultiMedia
Sign-In Sheets
PPSDS Reporting
Identify and attend parent
group meetings to distribute
educational materials.
● FCSS/FRESH staff will reach out to community
organizations and/or parent groups to offer
educational presentations to parents, caregivers and
adults as well as distribute created educational
materials
● Receive feedback from YLI Staff, advisory
coalition, school administration and advisors
Ongoing Prevention
Provider
subcontractor -
FCSS
ID -
presentation
s & CBP -
Intra/Inter
Agency
PPSDS Reporting
Sign-In Sheets
Implement 48 educational
presentations and/or town
halls for parents/adults about
youth Rx use issues and the
proper disposal and storage
of Rx drugs.
● FCSS/FRESH staff and RPDAY youth leaders will
plan and implement community Town Halls using
the SAMHSA Town Hall toolkit to inform and
educate parents/adults about youth Rx use issues
and the proper disposal and storage of Rx drugs.
● FCSS/FRESH staff and RPDAY youth leaders will
co-facilitate educational workshops for parents,
caregivers, and stakeholders on youth Rx use issues
and the proper disposal and storage of Rx drugs.
Parent messages and marketing materials will be
created and disseminated using at least one channel
of communication.
Annually
(16 per
year)
Prevention
Provider
subcontractor -
FCSS
ED -
Community
Educational
Services
PPSDS Reporting
Sign-In Sheets
Presentation
Materials Developed
Exhibit A-1
Page 58 of 62
Countywide Education Campaign (Rx Drugs)
Goal(s): Decrease youth access to prescription drugs
Objective(s): By 2026, the percentage of youth who believe prescription drugs are easy to access will have decreased by 2% as measured by the Fresno County
Student Insight Survey.
Intermediate
Outcome(s):
By 2025, the pounds of Rx drugs collected through the drop box program will increase as compared to the baseline pounds of Rx drugs collected
through the drop box program in 2020.
By 2025, the percentage of youth who report that medications are locked up in their home will increase by 10% as compared to baseline
percentage in 2020 as measured by the Fresno County Student Insight Survey.
IOM Category(ies): Universal Population(s): Youth, Young Adults, Parents, Other Adults
Major Tasks Primary Activities Timeline Responsible
Party
Strategy Monitoring/
Evaluation
Approach
Develop educational materials
and media on Rx drop boxes in
Fresno County and the
consequences of Rx drug use
and providing Rx drugs to
others.
● YLI and FCSS/FRESH staff will provide a
Public Service Announcement (PSA)
development training and Canva training for
RPDAY leaders. This will include Radio PSA,
Billboard PSA, and other media PSA
development.
● Using existing information on drop boxes in
Fresno County, FCSS/FRESH staff and RPDAY
youth leaders will develop a youth-led media
PSA campaign on Rx drop boxes in Fresno
County and the consequences of Rx drug use and
providing Rx drugs to others
● FCSS/FRESH staff and RPDAY youth leaders
will develop educational materials, social media
messages, and media to present to parents,
community members, and stakeholders on Rx
drop boxes in Fresno County and the
consequences of Rx drug use and providing Rx
drugs to other
● Receive feedback from YLI Staff and advisory
coalition
Annually
Annually
Annually
Prevention
Provider and
subcontractor -
FCSS
CBP -
Intra/Inter
Agency
Collaboratio
n & ID -
MultiMedia/
Printed
Materials
Sign-in Sheets
Agendas
PPSDS Reporting
Finalized Educational
Materials
Exhibit A-1
Page 59 of 62
Identify and attend community
events and resources fairs to
distribute educational materials
and messages.
● YLI and FCSS/FRESH Staff will reach out to
partners and community event organizers to
secure participation in 10 tabling opportunities
such as school events, resources fairs, health
fairs and community events
● YLI and FCSS/FRESH staff will target parents
and caregivers of students who attend each of the
six school sites. Up to 40,000 households
Annually
Annually
Prevention
Provider and
subcontractor -
FCSS
ID-
Community/
School
Outreach
Events
PPSDS Reporting
Implement youth-led media
campaigns to educate youth and
adults on Rx drug use by youth
and the proper storage and
disposal of Rx.
● YLI and FCSS/FRESH staff will partner with
media groups (iHeart Media, Pandora, Spotify)
to secure radio ad placement for the Radio PSA’s
developed
● YLI and FCSS/FRESH staff will partner with
Outfront Media to secure billboard placement of
created PSA messaging
Annually
(1per year)
Prevention
Provider and
subcontractor -
FCSS
ID -
MultiMedia
PPSDS Reporting
Media Analytics
Exhibit A-1
Page 60 of 62
Youth-Led Social Norms Campaign (Rx Drugs)
Goal(s): Decrease youth access to prescription drugs
Objective(s): By 2026, the percentage of youth misusing prescription drugs in the past 30 days will have decreased by 2% as measured by the Fresno County
Student Insight Survey.
Intermediate
Outcome(s):
By 2025, the percentage of youth misusing prescription drugs in the past 30 days will have decreased by 1% as measured by the Fresno County
Student Insight Survey.
IOM Category(ies): Universal Population(s): Youth, Young Adults
Major Tasks Primary Activities Timeline Responsible
Party
Strategy Monitoring/
Evaluation
Approach
Develop youth-led social norms
campaigns to educate youth and
adults on consequences of
providing Rx to youth and Rx
use.
● FCSS/FRESH staff will train RPDAY youth
leadership participants on conducting and
analyzing data research through the Youth-Led
Action Research training, and share results of
the FCSIS
● Utilizing data, RPDAY youth leadership
participants, in partnership with FCSS/FRESH,
will generate positive social norms youth
messages and deliver these messages using
various communication channels
● Receive feedback from YLI Staff, school
administration, advisor, youth, and advisory
coalition
Annually (1
per year)
Prevention
provider
subcontractor
- FCSS
CBP -
Intra/Inter
Agency
Collaboration &
ID -
MultiMedia/
Printed
Materials
YD Survey
PPSDS Reporting
Final Drafts of
Marketing Materials
Developed
Implement youth-led social
norms campaigns to reach peers
about the actual vs perceptions
about Rx use among youth.
● FCSS/FRESH staff and RPDAY youth leaders
will generate messages about actual vs
perceptions about Rx use among youth and
disseminate to youth using at least one
communication channel
● FCSS/FRESH staff will partner with other
youth serving organizations and/or community
youth hubs to secure permission to distribute
printed social norms materials at their sites of
services
● FCSS/FRESH staff will also share social
norms messaging virtually via social media
platforms
Annually (1
per year)
Prevention
provider
subcontractor
- FCSS
ID - Printed
Materials
YD Survey
PPSDS Reporting
Final Drafts of
Marketing
Materials Developed
Radio and Billboard
PSA Analytics
Exhibit A-1
Page 61 of 62
Train youth on conducting and
analyzing data, as well as
toolkits to develop a Positive
Social Norms Campaign.
● FCSS/FRESH staff will train RPDAY youth
leadership participants on evidence-based
toolkits from the FNL Roadmap that will aid
youth in building the skills necessary to
develop a Positive Social Norms Campaigns
will focus on increasing the disapproval of
underage drinking among youth
Annually Prevention
provider
subcontractor
- FCSS
ED- Classroom/
School
Education
Services
PPSDS Reporting
Presentation
Materials Developed
Sign-In Sheets
Use data to generate youth
messaging and deliver messages
using school-based
communication channels.
● FCSS/FRESH staff will partner with school
administration to secure permission to
distribute printed social norms materials at the
6 school sites
Annually Prevention
provider
subcontractor
- FCSS
ID - Social
Media
Development
and
Maintenance
PPSDS Reporting
Final Drafts of
Marketing Materials
Developed
Exhibit A-1
Page 62 of 62
Rx Drop Box Program (Rx DRUGS)
Goal(s): Decrease youth access to prescription drugs
Objective(s): By 2026, the percentage of youth who believe prescription drugs are easy to access will have decreased by 2% as measured by the Fresno County
Student Insight Survey.
Intermediate
Outcome(s):
By 2025, the pounds of Rx drugs collected through the drop box program will increase as compared to the baseline pounds of Rx drugs collected
through the drop box program in 2020.
IOM Category(ies): Universal Population(s): Youth, Young Adults, Parents, Other Adults
Major Tasks Primary Activities Timeline Responsible
Party
Strategy Monitoring/
Evaluation
Approach
Engage advisory council to
procure resources to support the
Rx drop box program.
● During Quarterly meetings YLI staff will
inform Rx Advisory Council about drop box
program and ask for their support to connect
with local jurisdiction law enforcement about
the establishing a drop box program in their
community
Ongoing Prevention
Provider
CBP - Coalition/
Workgroup
activities
PPSDS Reporting
Agendas
Establish 2 additional
prescription drug drop boxes in
Fresno County.
● YLI staff will outreach to local law
enforcement agencies, pharmacies, and local
decision makers about attending an
informational session on establishing a drop
box program
● YLI staff will connect with those interested
and connect them with resources to obtain the
physical drop box
● YLI staff will provide TA and Technical
assistance to the launch the program
July 2021-
June 2025
Prevention
Provider
ENV -
Community and
Neighborhood
Mobilization
PPSDS Reporting
Agendas
Sign-in sheets
Collect data on pounds of Rx
drugs collected through the drop
box program.
● YLI Staff will collaborate with DEA, law
enforcement agencies, pharmacies, and local
decision makers to promote Take Back Day
● YLI staff will reach out to agencies,
pharmacies, and DEA to collect data of
pounds of Rx drugs collected through the
drop box program
Quarterly Prevention
Provider
ENV -
Community and
Neighborhood
Mobilization &
CBP - Assessing
Community Needs
PPSDS Reporting
Rx Drop Box
collection Data
Exhibit A-2
Page 1 of 10
SCOPE OF WORK
ORGANIZATION: Youth Leadership Institute
AREA OF FOCUS: Friday Night Live/Club Live/Friday Night Live Kids
CONTACT(S): Patricia Barahona, Chief Executive Officer
Cynthia Rocha, Central Valley Director of Programs
A. SUMMARY OF SERVICE
Youth Leadership Institute (YLI) will partner with youth to achieve the following two identified
objectives using proven processes: (1) Sustain and expand partnerships for positive and healthy
youth development that engage high school age youth as active leaders and resources in their
communities and (2) Sustain and expand partnerships for positive and healthy youth
development that engage elementary and middle school-age youth as active leaders and
resources in their communities.
Fresno County Friday Night Live draws on the California Friday Night Partnership theory of
change that states programs and chapters that integrate five youth development standards of
practice (community engagement, leadership and advocacy, relationship building, safety, and
skill development) will create settings rich in youth development support and opportunities. This
theory is supported by a wealth of youth development research going back more than twenty
years. YLI organizes its tools, training, and mini-grants program to support allies and programs
in creating these environments and making these opportunities available. A second and equally
important theory is that environmental strategies are effective in reducing youth exposure, access
to and desire to use alcohol. This strategy is grounded in significant research and supported by at
least three Substance Abuse and Mental Health Services Administration (SAMHSA) model
programs that demonstrate measurable positive change from environmental prevention
approaches. Youth-led interventions that use environmental strategies are more likely to have
longer term and systemic impacts than those youth-led projects that focus on raising awareness
of the harms of using substances (Deborah A. Fisher, Ph.D, Environmental Prevention
Strategies: An Introduction and Overview, 1998).
YLI will use the FNL Roadmap curriculum, which provides facilitators at all levels with a step-
by-step guide that leads them through the entire process of supporting a youth-led prevention
program and campaign. The Roadmap is based on the evidence-based Youth Development
Standards of Practice to help create a standard process across Friday Night Live chapters so that
all programs are able to support the common goal of partnering youth with adults to build
healthier communities.
All FNL chapters will follow a “roadmap” for youth‐led community prevention initiatives that
includes:
Exhibit A-2
Page 2 of 10
• Capacity Building – Recruiting youth, creating a vision, gathering an understanding of
the environment, and learning about youth‐led change, including training for both youth
and the adults working with them.
• Assessment – Building action research skills, conducting research and using data for
action.
• Planning – Using findings from the assessment to choose a solution and make a plan.
• Implementation – Implementing the identified solutions.
• Evaluation and Reflection – Reflecting on process.
Rather than directly supporting young leaders only as a school-site program, YLI will help
maintain and expand a network of chapters composed of youth and adult allies focusing on
prevention and health promotion using environmental prevention approaches. Chapters of high
school or older youth are known as Friday Night Live Chapters. Those of middle school age
youth are known as Club Live Chapters. The FNL Kids program is designed for elementary
school-aged youth in fourth through sixth grade.
YLI’s program design will support and engage young leaders in school settings to undertake
projects that prevent alcohol and other drug use and promote community health. In partnership
with school site administrators, partner community based organizations, and other stakeholders,
YLI staff will build youth knowledge of the issue, and build the capacity of program participants
to collect data about youth access points to alcohol pertaining to underage drinking. Evidence-
based strategies and example model campaigns from the Friday Night Live Roadmap will be
shared with youth to support campaign selection and implementation.
B. TARGET POPULATION
Youth and Young Adults Ages 10 - 18
C. LOCATION OF SERVICES
Alcohol Prevention Services will be delivered in the general community and at various
schools. Locations include but are not limited to:
School/Location City Chapter
Edison High School Fresno FNL
Gaston Middle School Fresno Club Live
Kerman High School Kerman FNL
Kerman Middle School Kerman Club Live
Orange Cove High School Orange Cove FNL
Reedley Middle College
High School
Reedley FNL
Roosevelt High School Fresno FNL
San Joaquin Elementary
(7th-8th grade)
San Joaquin Club Live
Exhibit A-2
Page 3 of 10
Selma High School Selma FNL
Sunnyside High School Fresno FNL
Tranquility High School Tranquility FNL
Central East High School Fresno FNL
Central West High School Fresno FNL
McLane High School Fresno FNL
Fresno High School Fresno FNL
Sanger High School Sanger FNL
Washington Academy
Middle School
Sanger Club Live
Mendota High School Mendota FNL
Mendota Junior High
School
Mendota Club Live
Rio Del Rey High School Fresno FNL
San Joaquin Elementary
School (4th-6th grades)
San Joaquin FNL Kids
Conejo Middle School Laton Club Live
John Sutter Middle School Fowler Club Live
Coalinga Middle School Coalinga Club Live
Huron Middle School Huron Club Live
Firebaugh Middle School Firebaugh Club Live
Riverdale Elementary
School
Riverdale FNL Kids
Fenix Apartments - Lowell Fresno FNL Kids
Hacienda Heights
Apartment
Kerman FNL Kids
D. EVIDENCE BASED TOOLS / INNOVATIVE PRACTICE
Friday Night Live Curriculum, Roadmap, Tool Kits
E. ACTIVITIES GOALS / PERFORMANCE OUTCOME MEASURES / REPORTS
(See Implementation Tables Below)
Exhibit A-2
Page 4 of 10
Friday Night Live (FNL)/Club Live (CL)
Goal(s): Decrease youth access to alcohol, marijuana, and prescription drugs.
Objective(s): 1. Sustain and expand partnerships for positive and healthy youth development that engage high school age youth as active leaders and
resources in their communities.
2. Sustain and expand partnerships for positive and healthy youth development that engage elementary and middle school age youth as
active leaders and resources in their communities.
Intermediate
Outcome(s):
80% of participating youth will report positive changes in leadership skills, confidence in their ability to participate in campaign
development, and understanding of environmental approaches to prevention in the Youth Development Survey.
At least 75% of adult allies who receive training services will report increased skills, knowledge, and confidence in supporting youth
leadership in prevention activities in the Adult Ally Survey.
IOM Category(ies): Universal Population(s): Youth, Young Adults
Major Tasks Primary Activities Timeline Responsible
Party
Strategy Monitoring/
Evaluation
Approach
Outreach to and establish buy-
in (written MOU) from
schools that agree to host
youth education programs.
● Develop a Memo of Understanding (MOU)
template that outlines what YLI will provide, and
what each site will provide to establish the Friday
Night Live (FNL)/ Club Live (CL)/ FNL Kids
programs
● Formalize a Memo of Understanding
(MOU) with each school site to ensure that
Administrators and Advisors understand their
commitments clearly at the following potential FNL
sites:
● Edison High School
● Kerman High School
● Orange Cove High School
● Reedley Middle College High School
● Roosevelt High School
● Selma High School
● Sunnyside High School
● Tranquility High School
● McLane High School
● Mendota High School
● Fresno High School
Jul 2021 -
June 2022
Prevention
Provider
CBP -
Intra/Inter
Agency
Collab. & ALT
- Youth &
Adult
Leadership
Activities
Signed written
agreement/
Memorandum of
Understandings with
schools
Exhibit A-2
Page 5 of 10
● Rio del Rey High School
● Sanger High School
● Central Unified
● Formalize a Memo of Understanding
(MOU) with each school site to ensure that
Administrators and Advisors understand their
commitments clearly at the following potential Club
Live sites:
● Gaston Middle School
● Kerman Middle School
● Gaston Middle School
● Mendota Jr High School
● John Sutter Middle School in Fowler
Coalinga Middle School
● Huron Middle School
● Firebaugh Middle School
● Conejo Middle School in Laton
● San Joaquin Elementary
● Riverdale Elementary
● Formalize a Memo of Understanding
(MOU) with each school site to ensure that
Administrators and Advisors understand their
commitments clearly at the following FNL Kids sites:
● Fenix-Lowell Housing
● Hacienda Heights Housing
Develop marketing materials
that appeal to potential student
participants and distribute
throughout Fresno County
schools.
● Develop compelling marketing materials
that appeal to potential student participants to join the
FNL, CL and FNL Kids programs
● YLI Staff will distribute materials widely
throughout identified Fresno County school sites in
partnership with the school administration, teachers,
Health Center staff, community-based organization,
and other partnering adult allies
● Receive feedback from school
administration and advisors
Jul 2021 -
June 2022
Prevention
Provider
CBP -
Intra/Inter
Agency
Collab. & ALT
- Youth &
Adult
Leadership
Activities
PPSDS Reporting
Final Drafts of
Marketing Materials
Developed
Exhibit A-2
Page 6 of 10
Partner with local youth
organizations and school staff
to identify and recruit a
diverse group of youth
participants.
● YLI Staff will reach out to partners and
community event organizers to secure participation in
tabling opportunities such as school club rush/lunch
events, health fairs and community events
Ongoing Prevention
Provider
CBP -
Intra/Inter
Agency
Collab. & ALT
- Youth &
Adult
Leadership
Activities
PPSDS Reporting
Implement 14 community
based or school based FNL/CL
chapters comprised of at least
15 youth leaders and an adult
ally to take action around
prevention issues.
● YLI staff will outreach at the following
schools to recruit Chapters of 15 youth (210) youth
annually) to participate in the FNL youth leadership
programs:
● Edison High School
● Kerman High School
● Orange Cove High School
● Reedley Middle College High School
● Roosevelt High School
● Selma High School
● Sunnyside High School
● Tranquility High School
● McLane High School
● Mendota High School
● Fresno High School
● Rio del Rey High School
● Sanger High School
● Central Unified
● YLI staff will outreach at the following
schools to recruit Chapters of 15 youth (150) youth
annually) to participate in the Club Live Program
● Gaston Middle School
● Kerman Middle School
● Gaston Middle School
● Mendota Jr High School
● John Sutter Middle School in Fowler
Coalinga Middle School
● Huron Middle School
Annually Prevention
Provider
ED - School-
based Edu. &
ALT - Youth
& Adult
Leadership
Activities
Sign-In Sheets
PPSDS Reporting
Exhibit A-2
Page 7 of 10
● Firebaugh Middle School
● Conejo Middle School in Laton
● San Joaquin Elementary
● Riverdale Elementary
● YLI staff will outreach at the following
schools to recruit Chapters of 15 youth to participate
in the FNL Kids Program
● Fenix-Lowell Housing
● Hacienda Heights Housing
Train youth and adult advisors
utilizing the FNL Roadmap
curriculum.
● YLI staff will train the FNL and CL
Chapters and Advisors at each site on the Friday
Night Live (FNL) Roadmap curriculum (the FNL
Roadmap is based on the evidence-based Youth
Development Standards of Practice).
● YLI staff and Advisors will train FNL Kids
program participants on the FNL Kids curriculum.
Annually Prevention
Provider
ED-
Community
Edu. & ALT -
Youth & Adult
Leadership
Activities
Sign-in Sheets
Youth Development
Survey
PPSDS reporting
Adult Ally
Retrospective
Survey
Implement supplemental
training curriculum to prepare
youth for authentic
participation in prevention
campaigns.
● YLI Staff will train the FNL and CL
Chapters on additional skills and tools needed to
prepare youth for authentic participation in the
program including: True Colors, Public Speaking,
Social Justice 101, and Storytelling for Advocacy
Annually Prevention
Provider
ED- School
Based Edu. &
ALT - Youth
& Adult
Leadership
Activities
Sign-in Sheets
Youth Development
Survey
PPSDS reporting
Provide concrete assistance
and guidance to chapter youth
and their adult allies by
offering a set of tools and
resources for adult allies and
youth.
● YLI Staff will facilitate an advisor training
on Youth and Adult Partnerships and Youth
Advocacy and provided one-on-one support
● YLI staff will organize and offer a
comprehensive set of tools and resources for Chapter
adult allies and youth that cover a broad range of
prevention and civic engagement topics and skill
development areas. These materials will be available
on the Friday Night Live website and accessible to
Fresno FNL chapters. In addition, YLI staff will
periodically distribute relevant tools or resources to
chapter allies through email or a list-serve
Ongoing Prevention
Provider
ED-
Community
Edu. & ALT -
Youth & Adult
Leadership
Activities
Youth Development
Survey
Adult Ally
Retrospective
Survey results
Exhibit A-2
Page 8 of 10
● YLI staff will directly support youth chapter
engagement and successful project implementation.
Chapters will be able to select from a menu of
training that staff will directly provide for them to
implement with their adult ally
Facilitate connections and
relationships between chapter
youth through social media,
social events, and trainings.
● FNL and CL chapters will be extended an
invitation to attend and participate in the hosted
Prosocial youth leadership empowerment events like
the Teen Summit, Fall Fest, Winter Celebration and
Spring Jam
● YLI staff will provide opportunities for FNL
and CL Chapters to host joint chapter meetings and
collaborate on projects and activities.
Ongoing Prevention
Provider
CBP -
Intra/Inter
Agency
Collab. & ALT
- Youth &
Adult
Leadership
Activities
Sign-in sheets
PPSDS Reporting
Agendas
YD Survey
Administer the FCSIS with
youth at target schools (or use
CHKS data).
● YLI Staff will connect and receive approval
from school administrators to conduct the FCSIS at
the following FNL sites:
● Edison High School
● Kerman High School
● Orange Cove High School
● Reedley Middle College High School
● Roosevelt High School
● Selma High School
● Sunnyside High School
● Tranquility High School
● McLane High School
● Mendota High School
● Fresno High School
● Rio del Rey High School
● Sanger High School
● Central Unified
● YLI Staff will connect and receive approval
from school administrators to conduct the FCSIS at
the following Club Live sites:
● Gaston Middle School
● Kerman Middle School
● Gaston Middle School
● Mendota Jr High School
Annually Prevention
Provider,
Evaluator
CBP-
Assessing
Community
Needs/Assets
FCSIS Survey
Outcomes
Exhibit A-2
Page 9 of 10
● John Sutter Middle School in Fowler
Coalinga Middle School
● Huron Middle School
● Firebaugh Middle School
● Conejo Middle School in Laton
● San Joaquin Elementary
● Riverdale Elementary
Administer Youth Participant
Survey.
● YLI Staff will administer and collect the YD
(Youth Development) Survey to youth leadership
program participants at the following FNL sites:
● Edison High School
● Kerman High School
● Orange Cove High School
● Reedley Middle College High School
● Roosevelt High School
● Selma High School
● Sunnyside High School
● Tranquility High School
● McLane High School
● Mendota High School
● Fresno High School
● Rio del Rey High School
● Sanger High School
● Central Unified
● YLI Staff will administer and collect the YD
(Youth Development) Survey to youth leadership
program participants at the following Club Live sites:
● Gaston Middle School
● Kerman Middle School
● Gaston Middle School
● Mendota Jr High School
● John Sutter Middle School in Fowler
Coalinga Middle School
● Huron Middle School
● Firebaugh Middle School
● Conejo Middle School in Laton
● San Joaquin Elementary
● Riverdale Elementary
Annually -
May/June
Prevention
Provider,
Evaluator
CBP-
Evaluation
Services &
ALT - Youth
& Adult
Leadership
Activities
YD Survey
Outcomes
Exhibit A-2
Page 10 of 10
Administer Adult Ally Survey At conclusion of the every fiscal year, YLI staff will
administer the Adult Ally retrospective survey to
measure relationship building, involvement and
knowledge built, Youth and Adult partnerships, and
AOD Environmental Prevention
Annually -
May/June
Prevention
Provider,
Evaluator
CBP -
Evaluation
Services &
Outcomes
Adult Ally
Retrospective
Survey results
Guiding Principles of Care Delivery
1
rev 2017 Dec
DBH VISION:
Health and well-being for our community.
DBH MISSION:
The Department of Behavioral Health is dedicated to supporting the wellness of individuals,
families and communities in Fresno County who are affected by, or are at risk of, mental illness
and/or substance use disorders through cultivation of strengths toward promoting recovery in
the least restrictive environment.
DBH GOALS:
Quadruple Aim
•Deliver quality care
•Maximize resources while focusing on efficiency
•Provide an excellent care experience
•Promote workforce well-being
GUIDING PRINCIPLES OF CARE DELIVERY:
The DBH 11 principles of care delivery define and guide a system that strives for excellence in the
provision of behavioral health services where the values of wellness, resiliency, and recovery are
central to the development of programs, services, and workforce. The principles provide the
clinical framework that influences decision-making on all aspects of care delivery including
program design and implementation, service delivery, training of the workforce, allocation of
resources, and measurement of outcomes.
1.Principle One - Timely Access & Integrated Services
o Individuals and families are connected with services in a manner that is streamlined,
effective, and seamless
o Collaborative care coordination occurs across agencies, plans for care are integrated,
and whole person care considers all life domains such as health, education,
employment, housing, and spirituality
o Barriers to access and treatment are identified and addressed
o Excellent customer service ensures individuals and families are transitioned from one
point of care to another without disruption of care
Exhibit B - Page 1 of 4
Fresno County Department of Behavioral Health
Guiding Principles of Care Delivery
2
rev 2017 Dec
2.Principle Two - Strengths-based
o Positive change occurs within the context of genuine trusting relationships
o Individuals, families, and communities are resourceful and resilient in the way they
solve problems
o Hope and optimism is created through identification of, and focus on, the unique
abilities of individuals and families
3.Principle Three - Person-driven and Family-driven
o Self-determination and self-direction are the foundations for recovery
o Individuals and families optimize their autonomy and independence by leading the
process, including the identification of strengths, needs, and preferences
o Providers contribute clinical expertise, provide options, and support individuals and
families in informed decision making, developing goals and objectives, and identifying
pathways to recovery
o Individuals and families partner with their provider in determining the services and
supports that would be most effective and helpful and they exercise choice in the
services and supports they receive
4.Principle Four - Inclusive of Natural Supports
o The person served identifies and defines family and other natural supports to be
included in care
o Individuals and families speak for themselves
o Natural support systems are vital to successful recovery and the maintaining of
ongoing wellness; these supports include personal associations and relationships
typically developed in the community that enhance a person’s quality of life
o Providers assist individuals and families in developing and utilizing natural supports.
5.Principle Five - Clinical Significance and Evidence Based Practices (EBP)
o Services are effective, resulting in a noticeable change in daily life that is measurable.
o Clinical practice is informed by best available research evidence, best clinical
expertise, and client values and preferences
o Other clinically significant interventions such as innovative, promising, and emerging
practices are embraced
Exhibit B - Page 2 of 4
Fresno County Department of Behavioral Health
Guiding Principles of Care Delivery
3
rev 2017 Dec
6.Principle Six - Culturally Responsive
o Values, traditions, and beliefs specific to an individual’s or family’s culture(s) are
valued and referenced in the path of wellness, resilience, and recovery
o Services are culturally grounded, congruent, and personalized to reflect the unique
cultural experience of each individual and family
o Providers exhibit the highest level of cultural humility and sensitivity to the self-
identified culture(s) of the person or family served in striving to achieve the greatest
competency in care delivery
7.Principle Seven - Trauma-informed and Trauma-responsive
o The widespread impacts of all types of trauma are recognized and the various
potential paths for recovery from trauma are understood
o Signs and symptoms of trauma in individuals, families, staff, and others are recognized
and persons receive trauma-informed responses
o Physical, psychological and emotional safety for individuals, families, and providers is
emphasized
8.Principle Eight - Co-occurring Capable
o Services are reflective of whole-person care; providers understand the influence of
bio-psycho-social factors and the interactions between physical health, mental health,
and substance use disorders
o Treatment of substance use disorders and mental health disorders are integrated; a
provider or team may deliver treatment for mental health and substance use
disorders at the same time
9.Principle Nine - Stages of Change, Motivation, and Harm Reduction
o Interventions are motivation-based and adapted to the client’s stage of change
o Progression though stages of change are supported through positive working
relationships and alliances that are motivating
o Providers support individuals and families to develop strategies aimed at reducing
negative outcomes of substance misuse though a harm reduction approach
o Each individual defines their own recovery and recovers at their own pace when
provided with sufficient time and support
Exhibit B - Page 3 of 4
Fresno County Department of Behavioral Health
Guiding Principles of Care Delivery
4
rev 2017 Dec
10.Principle Ten - Continuous Quality Improvement and Outcomes-Driven
o Individual and program outcomes are collected and evaluated for quality and efficacy
o Strategies are implemented to achieve a system of continuous quality improvement
and improved performance outcomes
o Providers participate in ongoing professional development activities needed for
proficiency in practice and implementation of treatment models
11.Principle Eleven - Health and Wellness Promotion, Illness and Harm Prevention, and Stigma
Reduction
o The rights of all people are respected
o Behavioral health is recognized as integral to individual and community well-being
o Promotion of health and wellness is interwoven throughout all aspects of DBH services
o Specific strategies to prevent illness and harm are implemented at the individual,
family, program, and community levels
o Stigma is actively reduced by promoting awareness, accountability, and positive
change in attitudes, beliefs, practices, and policies within all systems
o The vision of health and well-being for our community is continually addressed
through collaborations between providers, individuals, families, and community
members
Exhibit B - Page 4 of 4
Fresno County Department of Behavioral Health
Exhbit C-1
Page 1 of 30
Employee Salaries
Acct #Position FTE Admin Direct Total
1102 Director of Central Valley Programs 0.30 - $22,950 $22,950
1103 Communications Manager 0.02 - $1,428 $1,428
1104 Trainer 0.05 - $3,120 $3,120
1106 Program Manager 0.70 - $44,848 $44,848
1107 Program Manager 1.00 - $61,605 $61,605
1108 Program Coordinator 1.00 - $44,540 $44,540
1109 Program Coordinator 1.00 - $44,540 $44,540
1110 Program Coordinator 1.00 - $42,827 $42,827
1111 Program Coordinator 1.00 - $42,827 $42,827
1112 Program Coordinator 1.00 - $42,827 $42,827
1113 Program Coordinator 0.50 - $22,270 $22,270
1114 Program Coordinator 0.80 - $34,262 $34,262
1115 Program Coordinator 0.50 - $21,414 $21,414
Personnel Salaries Subtotal 8.87 -$ $429,458 $429,458
Employee Benefits
Acct #Admin Direct Total
1201 -$ $2,200 $2,200
1202 - $1,540 $1,540
1203 - $60,124 $60,124
-$ $63,864 $63,864
Payroll Taxes & Expenses:
Acct #Admin Direct Total
1301 -$ $0 $0
1302 - $32,854 $32,854
1303 - $4,774 $4,774
-$ $37,628 $37,628
-$ $530,950 $530,950
2000: CLIENT SUPPORT
Acct #Amount
2009 $506
2011 $15,000
$15,506DIRECT CLIENT CARE TOTAL
Program Supplies - Medical (First Aid kit for each site of service)
Other (Client Stipends)
Payroll Taxes & Expenses Subtotal:
EMPLOYEE SALARIES & BENEFITS TOTAL:
Line Item Description
Employee Benefits Subtotal:
Description
OASDI
FICA/MEDICARE
SUI
SUD Primary Prevention
Youth Leadership Institute
Fiscal Year (FY 2021-22)
PROGRAM EXPENSES
1000: SALARIES & BENEFITS
Description
Retirement
Worker's Compensation
Health Insurance
Exhbit C-1
Page 2 of 30
3000: OPERATING EXPENSES
Acct #Amount
3001 $10,560
3002 $8,500
3003 $36,020
3004 $4,080
3005 $7,920
3006 $14,784
$81,864
4000: FACILITIES & EQUIPMENT
Acct #Amount
4002 $26,000
4003 $1,000
$27,000
5000: SPECIAL EXPENSES
Acct #Amount
5003 $315,000
5004 $1,000
$316,000
6000: ADMINISTRATIVE EXPENSES
Acct #Amount
6001 $206,311
$206,311
7000: FIXED ASSETS
Acct #Amount
7001 $11,721
$11,721
Acct #Amount
8101 Drug Medi-Cal $0
8102 SABG $1,189,352
$1,189,352
8100 - SUBSTANCE USE DISORDER FUNDS
Line Item Description
ADMINISTRATIVE EXPENSES TOTAL
Line Item Description
FIXED ASSETS EXPENSES TOTAL
TOTAL PROGRAM EXPENSES $1,189,352
PROGRAM FUNDING SOURCES
SPECIAL EXPENSES TOTAL:
Line Item Description
Administrative Overhead
FACILITIES/EQUIPMENT TOTAL:
Line Item Description
Contractual/Consulting Services (Fresno County Superintendent of Schools)
Translation Services
TOTAL PROGRAM FUNDING SOURCES:$1,189,352
NET PROGRAM COST: $0
SUBSTANCE USE DISORDER FUNDS TOTAL
Staff Development & Training
Staff Mileage
Computer Equipment & Software
OPERATING EXPENSES TOTAL:
Line Item Description
Rent/Lease Building
Rent/Lease Equipment
Line Item Description
Telecommunications
Printing/Postage
Office, Household & Program Supplies (program curriculum $20000 + office supplies $252
Advertising
Exhbit C-1
Page 3 of 30
ACCT #LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
1000: SALARIES & BENEFITS 530,950
Employee Salaries 429,458
1102 Director of Central Valley Programs 22,950 Supervision of Managers, direct budget management, direct oversight of
program development, Contract contact, Partnership development lead (FCSS &
School), and direct coalition strategy lead.
FTE (0.30)x ($76,500) = $22,950
1103 Communications Manager 1,428 Direct media support to local campaigns. This included youth media trainings,
social media content development and social media posting.
FTE (0.02 )x ($71,400) = $1,428
1104 Trainer 3,120 Direct training and capacity building support for Communities Mobilizing for
Change on Alcohol (CMCA) evidence based model. YLI is the exclusive SAMHSA
CMCA Trainer, so this trainer is a staff person.
FTE (0.05)x ($62,400) = $3,120
1106 Program Manager 44,848 Supervision of Program Coordinators, liaison to school and community partners,
lead on youth leader programs (YALL & College), and direct lead on the
education curriculum delivery strategy implementation, youth prosocial and
leadership activity development, parent education delivery, community
education/awareness outreach, and social norms campaign development and
implementation at Edison HS and Gaston MS.
FTE (0.70)x ($64,069) = $44,848
1107 Program Manager 61,605 Supervision of Program Coordinators, liaison to school and community
partners, lead on the media strategy implementation, and direct lead on the
education curriculum delivery strategy implementation, youth prosocial and
leadership activity development, parent education delivery, community
education/awareness outreach, and social norms campaign development and
implementation at Fresno HS and McLane.
FTE (1.0) x ($61,605) = $61,605
1108 Program Coordinator 44,540 Direct educational curriculum delivery, youth prosocial and leadership activity
development, parent education delivery, community education/awareness
outreach, and social norms campaign development and implementation at
Kerman HS, KMS, Hosing Sites.
FTE (1.0) x ($44,540) = $44,540
1109 Program Coordinator 44,540 Direct educational curriculum delivery, youth prosocial and leadership activity
development, parent education delivery, community education/awareness
outreach, and social norms campaign development and implementation at
Selma HS, Reedley MCHS, and Orange Cove HS.
FTE (1.0) x ($44,540) = $44,540
1110 Program Coordinator 42,827 Direct educational curriculum delivery, youth prosocial and leadership activity
development, parent education delivery, community education/awareness
outreach, and social norms campaign development and implementation at at
San Joaquin Elem., Tranquility HS, and Rio Del Rey HS.
FTE (1.0) x ($42,827) = $42,827
SUD Primary Prevention
Youth Leadership Institute
Fiscal Year (FY 2021-22) Budget Narrative
Exhbit C-1
Page 4 of 30
1111 Program Coordinator 42,827 Direct educational curriculum delivery, youth prosocial and leadership activity
development, parent education delivery, community education/awareness
outreach, and social norms campaign development and implementation at
Roosevelt HS and Sunnyside HS.
FTE (1.0) x ($42,827) = $42,827
1112 Program Coordinator 42,827 Direct educational curriculum delivery, youth prosocial and leadership activity
development, parent education delivery, community education/awareness
outreach, and social norms campaign development and implementation at
Mendota HS and Mendota JR HS,.
FTE (1.0) x ($42,827) = $42,827
1113 Program Coordinator 22,270 Direct educational curriculum delivery, youth prosocial and leadership activity
development, parent education delivery, community education/awareness
outreach, and social norms campaign development and implementation at
Central Unified High Schools.
FTE (.50) x ($44,540) = $22,270
1114 Program Coordinator 34,262 Direct educational curriculum delivery, youth prosocial and leadership activity
development, parent education delivery, community education/awareness
outreach, and social norms campaign development and implementation at
Central Unified Middle Schools.
FTE (.80) x ($42,827) = $34,262
1115 Program Coordinator 21,414 Direct educational curriculum delivery, youth prosocial and leadership activity
development, parent education delivery, community education/awareness
outreach, and social norms campaign development and implementation at
Sanger and WAMS.
FTE (.50) x ($42,827) = $21,414
Employee Benefits 63,864
1201 Retirement 2,200 403(b) Retirement contribution at 5.5% of salaries based on FY2021 allocations.
1202 Worker's Compensation 1,540 Worker's Compensation contribution at 5.5% of WC expense based on FY2021
allocations
1203 Health Insurance 60,124 Medical, Dental, Vision, Life, Fertility Benefits at 14% of salaries.
14% x $429,458 = $60,124
Payroll Taxes & Expenses:37,628
1301 OASDI -
1302 FICA/MEDICARE 32,854 FICA/Medicare contribution at .0765% of salaries.
.0765 x $429,881 = $32,886
1303 SUI 4,774 SUI is 6.2% x # of staff x $7K.
6.2% x $7,000 x 11 staff = $4774
2000: CLIENT SUPPORT 15,506
2009 Program Supplies - Medical (First Aid kit for
each site of service)
506 1st Aid kit for each of the 31 sites.
Estimate - 31 sites x $16.33/kit = $506
2011 Other (Client Stipends)15,000 Advisor and Youth Stipends for time travel and expenses associated with the
Development of Outreach Materials, Youth Publication (aka Zine) and Podcast.
Estimate - 30 stipends x $500 each = $15000
Exhbit C-1
Page 5 of 30
3000: OPERATING EXPENSES 81,864
3001 Telecommunications 10,560 Telecommunications reimbursement of cell phone and internet. Staff may
include 8 Program Coordinators, 2 Program Managers, and 1 Director of Central
Valley Programs.
$80 per staff x 11 staff x 12 months = $10,560
3002 Printing/Postage 8,500 Educational material printing which may include but are not limited to
informational/educational brochures, flyers, posters, and educational
worksheets.
Estimated at approximately $400 per month x 12 months = $4,800
Estimated cost to printed youth magazine publication (aka Zine) - $3,700
3003 Office, Household & Program Supplies
(program curriculum $20000 + office
supplies $2520 +13500 prosocial events)
36,020 Office, Household, and Program supplies which include but are not limited to
binders, folders, staplers, hole-punchers, paper, pens, hand sanitizer, and
cleaning supplies.
Estimated at $210 per month x 12 months = $2520.
Curriculum and Educational supporting materials cost for SPORT PPW ($5,000),
InShape PPW ($5,000), Marijuana PPW ($5,000), and Opioid PPW ($5,000)
Program materials equals = $20,000.
Materials purchased for prosocial leadership events and activities may include
but are not limited to workshop materials, pens, pencils, workbooks, folders, t-
shirts, listening devices, tablets, cameras, post-its pads, makers, theme decor,
speakers, expert presenters.
Estimated for each event/activity planned by youth = $4500 x 3/yearly =
$13,500
3004 Advertising 4,080 Facebook and Instagram social media post boosts three times a quarter.
Estimated cost = ($150/each boost x12), two AudioGO (or similar provider) PSA
Online Radio Ad purchase ($500/10 day run), and three billboard purchases
(estimated at $350/each ).
3005 Staff Development & Training 7,920 Staff development $720 x 11 staff. Staff include 8 Program Coordinators, 2
Program Managers, and 1 Director of Central Valley Programs.
3006 Staff Mileage 14,784 This is approximately 200 miles per month x 11 staff traveling to/from school
and partner sites x .56 mileage rate. The 11 staff include 8 Program
Coordinators, 2 Program Managers, and 1 Director of Central Valley Programs
200 miles x 11 staff x 12 months x $.56 = $14,784
4000: FACILITIES & EQUIPMENT 27,000
4002 Rent/Lease Building 26,000 Estimated annual rent is $52K. Based on FTE located in Fresno office, 50% of
rent is allocated to this contract.
4003 Rent/Lease Equipment 1,000 Monthly cost of rented and leased equipment (Including printer and storage) =
83.33 per month x 12 months = $1000
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5000: SPECIAL EXPENSES 316,000
5003 Contractual/Consulting Services (Fresno
County Superintendent of Schools)
315,000 Subcontract with Fresno County Superintendent (FCSS) of Schools Safe and
Health Kids Department for the Implementation of Prescription Drug Abuse
Prevention Programs. Programs will integrated into the Fresno’s Recreation,
Enrichment and Scholastic Help (FRESH) after-school programs and will be led
and delivered by FCSS staff with the support of FRESH Program Staff. Cost
associated with the contract include staffing, programs curriculum, supplies and
materials, and well as mileage, staff develop and training.
5004 Translation Services 1,000 Cost of Translations services for Trainings, Outreach Materials, and Zine.
Estimated $1000 annually.
6000: ADMINISTRATIVE EXPENSES 206,311
6001 Administrative Overhead 206,311 Indirect costs are those costs of general management that are agency-wide.
General management costs consist of expenditures for administrative activities
necessary for the general operation of YLI.
($206,311)
7000: FIXED ASSETS 11,721
7001 Computer Equipment & Software 11,721 Estimated cost for MacBook Laptop, software and accessories for 6 new staff
($1,786 x 6 staff = $10,716 ), two projectors (cost per projector $200 x 2 =
$400), two Zoom Professional account (cost per account $200 x 2 = $400), one
Canva subscription ($120/yr), and one Toonly subscription .
TOTAL PROGRAM EXPENSE FROM BUDGET NARRATIVE:1,189,352
TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE:1,189,352
-
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Employee Salaries
Acct #Position FTE Admin Direct Total
1102 Director of Central Valley Programs 0.30 - $23,409 $23,409
1103 Communications Manager 0.02 - $1,457 $1,457
1104 Trainer 0.05 - $3,182 $3,182
1106 Program Manager 0.70 - $45,745 $45,745
1107 Program Manager 1.00 - $62,837 $62,837
1108 Program Coordinator 1.00 - $45,431 $45,431
1109 Program Coordinator 1.00 - $45,431 $45,431
1110 Program Coordinator 1.00 - $43,684 $43,684
1111 Program Coordinator 1.00 - $43,684 $43,684
1112 Program Coordinator 1.00 - $43,684 $43,684
1113 Program Coordinator 0.50 - $22,715 $22,715
1114 Program Coordinator 0.80 - $34,947 $34,947
1115 Program Coordinator 0.50 - $21,842 $21,842
Personnel Salaries Subtotal 8.87 -$ $438,047 $438,047
Employee Benefits
Acct #Admin Direct Total
1201 -$ $2,234 $2,234
1202 - $1,577 $1,577
1203 - $61,327 $61,327
-$ $65,138 $65,138
Payroll Taxes & Expenses:
Acct #Admin Direct Total
1301 -$ $0 $0
1302 - $33,511 $33,511
1303 - $4,774 $4,774
1304 - $0 $0
-$ $38,285 $38,285
-$ $541,470 $541,470
2000: CLIENT SUPPORT
Acct #Amount
2009 $506
2011 $15,000
$15,506DIRECT CLIENT CARE TOTAL
Program Supplies - Medical
Other (Client Stipends)
Payroll Taxes & Expenses Subtotal:
EMPLOYEE SALARIES & BENEFITS TOTAL:
Line Item Description
Employee Benefits Subtotal:
Description
OASDI
FICA/MEDICARE
SUI
Other (Specify)
SUD Primary Prevention
Youth Leadership Institute
Fiscal Year (FY 2022-23)
PROGRAM EXPENSES
1000: SALARIES & BENEFITS
Description
Retirement
Worker's Compensation
Health Insurance
Exhbit C-1
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3000: OPERATING EXPENSES
Acct #Amount
3001 $10,560
3002 $8,500
3003 $16,020
3004 $3,850
3005 $7,920
3006 $14,784
$61,634
4000: FACILITIES & EQUIPMENT
Acct #Amount
4002 $26,780
4003 $1,000
4004 $7,560
$35,340
5000: SPECIAL EXPENSES
Acct #Amount
5003 $315,000
5004 $1,000
5005 $9,920
$325,920
6000: ADMINISTRATIVE EXPENSES
Acct #Amount
6001 $205,993
$205,993
7000: FIXED ASSETS
Acct #Amount
7001 $3,489
$3,489
Acct #Amount
8101 Drug Medi-Cal $0
8102 SABG $1,189,352
$1,189,352
8100 - SUBSTANCE USE DISORDER FUNDS
Line Item Description
ADMINISTRATIVE EXPENSES TOTAL
Line Item Description
FIXED ASSETS EXPENSES TOTAL
TOTAL PROGRAM EXPENSES $1,189,352
PROGRAM FUNDING SOURCES
SPECIAL EXPENSES TOTAL:
Line Item Description
Administrative Overhead
FACILITIES/EQUIPMENT TOTAL:
Line Item Description
Contractual/Consulting Services (Fresno County Superintendent of Schools)
Translation Services
Other (Youth Conference Costs & Travel)
TOTAL PROGRAM FUNDING SOURCES:$1,189,352
NET PROGRAM COST: $0
SUBSTANCE USE DISORDER FUNDS TOTAL
Staff Development & Training
Staff Mileage
Computer Equipment & Software
OPERATING EXPENSES TOTAL:
Line Item Description
Rent/Lease Building
Rent/Lease Equipment
Rent/Lease Vehicles (Van Rentals for 3 prosocial events and One 3-day conference)
Line Item Description
Telecommunications
Printing/Postage
Office, Household & Program Supplies
Advertising
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ACCT #LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
1000: SALARIES & BENEFITS 541,470
Employee Salaries 438,047
1102 Director of Central Valley Programs 23,409 Supervision of Managers, direct budget management, direct oversight of
program development, Contract contact, Partnership development lead (FCSS &
School), and direct coalition strategy lead.
FTE (0.30)x ($78,030) = $23,409
1103 Communications Manager 1,457 Direct media support to local campaigns. This included youth media trainings,
social media content development and social media posting.
FTE (0.02 )x ($72,828) = $1,457
1104 Trainer 3,182 Direct training and capacity building support for Communities Mobilizing for
Change on Alcohol (CMCA) evidence based model. YLI is the exclusive SAMHSA
CMCA Trainer, so this trainer is a staff person.
FTE (0.05)x ($63,648) = $3,182
1106 Program Manager 45,745 Supervision of Program Coordinators, liaison to school and community partners,
lead on youth leader programs (YALL & College), and direct lead on the
education curriculum delivery strategy implementation, youth prosocial and
leadership activity development, parent education delivery, community
education/awareness outreach, and social norms campaign development and
implementation at Edison HS and Gaston MS.
FTE (0.70)x ($65,350) = $45,745
1107 Program Manager 62,837 Supervision of Program Coordinators, liaison to school and community
partners, lead on the media strategy implementation, and direct lead on the
education curriculum delivery strategy implementation, youth prosocial and
leadership activity development, parent education delivery, community
education/awareness outreach, and social norms campaign development and
implementation at Fresno HS and McLane.
FTE (1.0) x ($62,837) = $62,837
1108 Program Coordinator 45,431 Direct educational curriculum delivery, youth prosocial and leadership activity
development, parent education delivery, community education/awareness
outreach, and social norms campaign development and implementation at
Kerman HS, KMS, Hosing Sites.
FTE (1.0) x ($45,431) = $45,431
1109 Program Coordinator 45,431 Direct educational curriculum delivery, youth prosocial and leadership activity
development, parent education delivery, community education/awareness
outreach, and social norms campaign development and implementation at
Selma HS, Reedley MCHS, and Orange Cove HS.
FTE (1.0) x ($45,431) = $45,431
1110 Program Coordinator 43,684 Direct educational curriculum delivery, youth prosocial and leadership activity
development, parent education delivery, community education/awareness
outreach, and social norms campaign development and implementation at at
San Joaquin Elem., Tranquility HS, and Rio Del Rey HS.
FTE (1.0) x ($43,684) = $43,684
SUD Primary Prevention
Youth Leadership Institute
Fiscal Year (FY 2022-23) Budget Narrative
Exhbit C-1
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1111 Program Coordinator 43,684 Direct educational curriculum delivery, youth prosocial and leadership activity
development, parent education delivery, community education/awareness
outreach, and social norms campaign development and implementation at
Roosevelt HS and Sunnyside HS.
FTE (1.0) x ($43,684) = $43,684
1112 Program Coordinator 43,684 Direct educational curriculum delivery, youth prosocial and leadership activity
development, parent education delivery, community education/awareness
outreach, and social norms campaign development and implementation at
Mendota HS and Mendota JR HS,.
FTE (1.0) x ($43,684) = $43,684
1113 Program Coordinator 22,715 Direct educational curriculum delivery, youth prosocial and leadership activity
development, parent education delivery, community education/awareness
outreach, and social norms campaign development and implementation at
Central Unified High Schools.
FTE (.50) x ($45,431) = $22,715
1114 Program Coordinator 34,947 Direct educational curriculum delivery, youth prosocial and leadership activity
development, parent education delivery, community education/awareness
outreach, and social norms campaign development and implementation at
Central Unified Middle Schools.
FTE (.80) x ($43,684) = $34,947
1115 Program Coordinator 21,842 Direct educational curriculum delivery, youth prosocial and leadership activity
development, parent education delivery, community education/awareness
outreach, and social norms campaign development and implementation at
Sanger and WAMS.
FTE (.50) x ($43,684) = $21,842
Employee Benefits 65,138
1201 Retirement 2,234 403(b) Retirement contribution at 5.5% of salaries based on FY2021 allocations.
1202 Worker's Compensation 1,577 Worker's Compensation contribution at 5.5% of WC expense based on FY2021
allocations
1203 Health Insurance 61,327 Medical, Dental, Vision, Life, Fertility Benefits at 14% of salaries.
14% x $438,047 = $61,327
Payroll Taxes & Expenses:38,285
1301 OASDI -
1302 FICA/MEDICARE 33,511 FICA/Medicare contribution at .0765% of salaries.
.0765 x $439,423 = $33,616
1303 SUI 4,774 SUI is 6.2% x # of staff x $7K.
6.2% x $7,000 x 11 staff = $4774
2000: CLIENT SUPPORT 15,506
2009 Program Supplies - Medical 506 1st Aid kit for each of the 31 sites.
Estimate - 31 sites x $16.33/kit = $506
2011 Other (Client Stipends)15,000 Advisor and Youth Stipends for time travel and expenses associated with the
Development of Outreach Materials, Youth Publication (aka Zine) and Podcast.
Estimate - 30 stipends x $500 each = $15000
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3000: OPERATING EXPENSES 61,634
3001 Telecommunications 10,560 Telecommunications reimbursement of cell phone and internet. Staff may
include 8 Program Coordinators, 2 Program Managers, and 1 Director of Central
Valley Programs.
$80 per staff x 11 staff x 12 months = $10,560
3002 Printing/Postage 8,500 Educational material printing which may include but are not limited to
informational/educational brochures, flyers, posters, and educational
worksheets.
Estimated at approximately $400 per month x 12 months = $4,800
Estimated cost to printed youth magazine publication (aka Zine) - $3,700
3003 Office, Household & Program Supplies 16,020 Office, Household, and Program supplies which include but are not limited to
binders, folders, staplers, hole-punchers, paper, pens, hand sanitizer, and
cleaning supplies.
Estimated at $210 per month x 12 months = $2520.
Materials purchased for prosocial leadership events and activities may include
but are not limited to workshop materials, pens, pencils, workbooks, folders, t-
shirts, listening devices, tablets, cameras, post-its pads, makers, theme decor,
speakers, expert presenters.
Estimated for each event/activity planned by youth = $4500 x 3/yearly =
$13,500
3004 Advertising 3,850 Facebook and Instagram social media post boosts three times a quarter.
Estimated cost = ($150/each boost x12), two AudioGO (or similar provider) PSA
Online Radio Ad purchase ($500/10 day run), and three billboard purchases
(estimated at $350/each ).
3005 Staff Development & Training 7,920 Staff development $720 x 11 staff. Staff include 8 Program Coordinators, 2
Program Managers, and 1 Director of Central Valley Programs.
3006 Staff Mileage 14,784 This is approximately 200 miles per month x 11 staff traveling to/from school
and partner sites x .56 mileage rate. The 11 staff include 8 Program
Coordinators, 2 Program Managers, and 1 Director of Central Valley Programs
200 miles x 11 staff x 12 months x $.56 = $14,784
4000: FACILITIES & EQUIPMENT 35,340
4002 Rent/Lease Building 26,780 Estimated annual rent is $53,560 (3% increase for 2 year lease). Based on FTE
located in Fresno office, 50% of rent is allocated to this contract.
4003 Rent/Lease Equipment 1,000 Monthly cost of rented and leased equipment (Including printer and storage) =
83.33 per month x 12 months = $1000
4004 Rent/Lease Vehicles (Van Rentals for 3
prosocial events and One 3-day conference)
7,560 Van Rentals for the three annual prosocial events and One 3-day conference.
(Estimated cost)
1 Day Prosocial Events: Vans cost $420 each x 3 Vans x 3 events = $3780.
3 Day Youth Conference $420(Van) x3 vans x 3 days = $3780.
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5000: SPECIAL EXPENSES 325,920
5003 Contractual/Consulting Services (Fresno
County Superintendent of Schools)
315,000 Subcontract with Fresno County Superintendent (FCSS) of Schools Safe and
Health Kids Department for the Implementation of Prescription Drug Abuse
Prevention Programs. Programs will integrated into the Fresno’s Recreation,
Enrichment and Scholastic Help (FRESH) after-school programs and will be led
and delivered by FCSS staff with the support of FRESH Program Staff. Cost
associated with the contract include staffing, programs curriculum, supplies and
materials, and well as mileage, staff develop and training.
5004 Translation Services 1,000 Cost of Translations services for Trainings, Outreach Materials, and Zine.
Estimated $1000 annually.
5005 Other (Youth Conference Costs & Travel)9,920 16 people = Lodging ca rate $182/night (2 nights) x 8 rooms= $2,912.
Conference costs $240 /per person x 16 people = $3,840 , Meals per diem
$66/day x 3day x16 people = $3,168.
6000: ADMINISTRATIVE EXPENSES 205,993
6001 Administrative Overhead 205,993 Indirect costs are those costs of general management that are agency-wide.
General management costs consist of expenditures for administrative activities
necessary for the general operation of YLI.
($205,993)
7000: FIXED ASSETS 3,489
7001 Computer Equipment & Software 3,489 Estimated cost may be utilized, but is not limited to, potential replacement
Macbook Laptop, software and accessories for one current staff ($1,786), virus
protection and recyclying fee of old laptops ($1183), two professional Zoom
accounts ($200 per account x 2 = $400), and one Canva subscription ($120/yr).
TOTAL PROGRAM EXPENSE FROM BUDGET NARRATIVE:1,189,352
TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE:1,189,352
-
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Employee Salaries
Acct #Position FTE Admin Direct Total
1102 Director of Central Valley Programs 0.30 $23,877 $23,877
1103 Communications Manager 0.02 $1,486 $1,486
1104 Trainer 0.05 $3,246 $3,246
1106 Program Manager 0.70 - $46,660 $46,660
1107 Program Manager 1.00 - $64,094 $64,094
1108 Program Coordinator 1.00 - $46,339 $46,339
1109 Program Coordinator 1.00 - $46,339 $46,339
1110 Program Coordinator 1.00 - $44,557 $44,557
1111 Program Coordinator 1.00 - $44,557 $44,557
1112 Program Coordinator 1.00 - $44,557 $44,557
1113 Program Coordinator 0.50 - $23,170 $23,170
1114 Program Coordinator 0.80 - $35,646 $35,646
1115 Program Coordinator 0.50 - $22,279 $22,279
Personnel Salaries Subtotal 8.87 -$ $446,807 $446,807
Employee Benefits
Acct #Admin Direct Total
1201 -$ $2,279 $2,279
1202 - $1,609 $1,609
1203 - $62,553 $62,553
-$ $66,441 $66,441
Payroll Taxes & Expenses:
Acct #Admin Direct Total
1301 -$ $0 $0
1302 - $34,181 $34,181
1303 - $4,774 $4,774
-$ $38,955 $38,955
-$ $552,203 $552,203
2000: CLIENT SUPPORT
Acct #Amount
2009 $506
2011 $15,000
$15,506DIRECT CLIENT CARE TOTAL
Program Supplies - Medical
Other (Client Stipends)
Payroll Taxes & Expenses Subtotal:
EMPLOYEE SALARIES & BENEFITS TOTAL:
Line Item Description
Employee Benefits Subtotal:
Description
OASDI
FICA/MEDICARE
SUI
SUD Primary Prevention
Youth Leadership Institute
Fiscal Year (FY 2023-24)
PROGRAM EXPENSES
1000: SALARIES & BENEFITS
Description
Retirement
Worker's Compensation
Health Insurance
Exhbit C-1
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3000: OPERATING EXPENSES
Acct #Amount
3001 $10,560
3002 $8,500
3003 $16,020
3004 $3,850
3005 $5,500
3006 $15,048
$59,478
4000: FACILITIES & EQUIPMENT
Acct #Amount
4002 $26,780
4003 $1,000
4004 $5,040
$32,820
5000: SPECIAL EXPENSES
Acct #Amount
5003 $315,000
5004 $1,000
5005 $4,960
$320,960
6000: ADMINISTRATIVE EXPENSES
Acct #Amount
6001 $205,994
$205,994
7000: FIXED ASSETS
Acct #Amount
7001 $2,391
$2,391
Acct #Amount
8101 Drug Medi-Cal $0
8102 SABG $1,189,352
$1,189,352
8100 - SUBSTANCE USE DISORDER FUNDS
Line Item Description
ADMINISTRATIVE EXPENSES TOTAL
Line Item Description
FIXED ASSETS EXPENSES TOTAL
TOTAL PROGRAM EXPENSES $1,189,352
PROGRAM FUNDING SOURCES
SPECIAL EXPENSES TOTAL:
Line Item Description
Administrative Overhead
FACILITIES/EQUIPMENT TOTAL:
Line Item Description
Contractual/Consulting Services (Fresno County Superintendent of Schools)
Translation Services
Other (Youth Leadership Conference Costs & Travel)
TOTAL PROGRAM FUNDING SOURCES:$1,189,352
NET PROGRAM COST: $0
SUBSTANCE USE DISORDER FUNDS TOTAL
Staff Development & Training
Staff Mileage
Computer Equipment & Software
OPERATING EXPENSES TOTAL:
Line Item Description
Rent/Lease Building
Rent/Lease Equipment
Rent/Lease Vehicles
Line Item Description
Telecommunications
Printing/Postage
Office, Household & Program Supplies
Advertising
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ACCT #LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
1000: SALARIES & BENEFITS 552,203
Employee Salaries 446,807
1102 Director of Central Valley Programs 23,877 Supervision of Managers, direct budget management, direct oversight of
program development, Contract contact, Partnership development lead (FCSS &
School), and direct coalition strategy lead.
FTE (0.30)x ($79,590) = $23,887
1103 Communications Manager 1,486 Direct media support to local campaigns. This included youth media trainings,
social media content development and social media posting.
FTE (0.02 )x ($74,284) = $1,486
1104 Trainer 3,246 Direct training and capacity building support for Communities Mobilizing for
Change on Alcohol (CMCA) evidence based model. YLI is the exclusive SAMHSA
CMCA Trainer, so this trainer is a staff person.
FTE (0.05)x ($64,921) = $3,246
1106 Program Manager 46,660 Supervision of Program Coordinators, liaison to school and community partners,
lead on youth leader programs (YALL & College), and direct lead on the
education curriculum delivery strategy implementation, youth prosocial and
leadership activity development, parent education delivery, community
education/awareness outreach, and social norms campaign development and
implementation at Edison HS and Gaston MS.
FTE (0.70)x ($66,657) = $46,660
1107 Program Manager 64,094 Supervision of Program Coordinators, liaison to school and community
partners, lead on the media strategy implementation, and direct lead on the
education curriculum delivery strategy implementation, youth prosocial and
leadership activity development, parent education delivery, community
education/awareness outreach, and social norms campaign development and
implementation at Fresno HS and McLane.
FTE (1.0) x ($64,094) = $64,094
1108 Program Coordinator 46,339 Direct educational curriculum delivery, youth prosocial and leadership activity
development, parent education delivery, community education/awareness
outreach, and social norms campaign development and implementation at
Kerman HS, KMS, Hosing Sites.
FTE (1.0) x ($46,339) = $46,339
1109 Program Coordinator 46,339 Direct educational curriculum delivery, youth prosocial and leadership activity
development, parent education delivery, community education/awareness
outreach, and social norms campaign development and implementation at
Selma HS, Reedley MCHS, and Orange Cove HS.
FTE (1.0) x ($46,339) = $46,339
1110 Program Coordinator 44,557 Direct educational curriculum delivery, youth prosocial and leadership activity
development, parent education delivery, community education/awareness
outreach, and social norms campaign development and implementation at at
San Joaquin Elem., Tranquility HS, and Rio Del Rey HS.
FTE (1.0) x ($44,557) = $44,557
SUD Primary Prevention
Youth Leadership Institute
Fiscal Year (FY 2023-24) Budget Narrative
Exhbit C-1
Page 16 of 30
1111 Program Coordinator 44,557 Direct educational curriculum delivery, youth prosocial and leadership activity
development, parent education delivery, community education/awareness
outreach, and social norms campaign development and implementation at
Roosevelt HS and Sunnyside HS.
FTE (1.0) x ($44,557) = $44,557
1112 Program Coordinator 44,557 Direct educational curriculum delivery, youth prosocial and leadership activity
development, parent education delivery, community education/awareness
outreach, and social norms campaign development and implementation at
Mendota HS and Mendota JR HS,.
FTE (1.0) x ($44,557) = $44,557
1113 Program Coordinator 23,170 Direct educational curriculum delivery, youth prosocial and leadership activity
development, parent education delivery, community education/awareness
outreach, and social norms campaign development and implementation at
Central Unified High Schools.
FTE (.50) x ($46,340) = $23,170
1114 Program Coordinator 35,646 Direct educational curriculum delivery, youth prosocial and leadership activity
development, parent education delivery, community education/awareness
outreach, and social norms campaign development and implementation at
Central Unified Middle Schools.
FTE (.80) x ($44,558) = $34,262
1115 Program Coordinator 22,279 Direct educational curriculum delivery, youth prosocial and leadership activity
development, parent education delivery, community education/awareness
outreach, and social norms campaign development and implementation at
Sanger and WAMS.
FTE (.50) x ($44,558) = $22,279
Employee Benefits 66,441
1201 Retirement 2,279 403(b) Retirement contribution at 5.5% of salaries based on FY2021 allocations.
1202 Worker's Compensation 1,609 Worker's Compensation contribution at 5.5% of WC expense based on FY2021
allocations
1203 Health Insurance 62,553 Medical, Dental, Vision, Life, Fertility Benefits at 14% of salaries.
14% x $446,808 = $62,553
Payroll Taxes & Expenses:38,955
1301 OASDI -
1302 FICA/MEDICARE 34,181 FICA/Medicare contribution at .0765% of salaries.
.0765 x $446,808 = $34,181
1303 SUI 4,774 SUI is 6.2% x # of staff x $7K.
6.2% x $7,000 x 11 staff = $4,774
2000: CLIENT SUPPORT 15,506
2009 Program Supplies - Medical 506 1st Aid kit for each of the 31 sites.
Estimate - 31 sites x $16.33/kit = $506
2011 Other (Client Stipends)15,000 Advisor and Youth Stipends for time travel and expenses associated with the
Development of Outreach Materials, Youth Publication (aka Zine) and Podcast.
Estimate - 30 stipends x $500 each = $15000
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3000: OPERATING EXPENSES 59,478
3001 Telecommunications 10,560 Telecommunications reimbursement of cell phone and internet. Staff may
include 8 Program Coordinators, 2 Program Managers, and 1 Director of Central
Valley Programs.
$80 per staff x 11 staff x 12 months = $10,560
3002 Printing/Postage 8,500 Educational material printing which may include but are not limited to
informational/educational brochures, flyers, posters, and educational
worksheets.
Estimated at approximately $400 per month x 12 months = $4,800
Estimated cost to printed youth magazine publication (aka Zine) - $3,700
3003 Office, Household & Program Supplies 16,020 Office, Household, and Program supplies which include but are not limited to
binders, folders, staplers, hole-punchers, paper, pens, hand sanitizer, and
cleaning supplies.
Estimated at $210 per month x 12 months = $2520.
Materials purchased for prosocial leadership events and activities may include
but are not limited to workshop materials, pens, pencils, workbooks, folders, t-
shirts, listening devices, tablets, cameras, post-its pads, makers, theme decor,
speakers, expert presenters.
Estimated for each event/activity planned by youth = $4500 x 3/yearly =
$13,500
3004 Advertising 3,850 Facebook and Instagram social media post boosts three times a quarter.
Estimated cost = ($150/each boost x12), two AudioGO (or similar provider) PSA
Online Radio Ad purchase ($500/10 day run), and three billboard purchases
(estimated at $350/each ).
3005 Staff Development & Training 5,500 Staff development $500 x 11 staff. (staff include 8 Program Coordinators, 2
Program Managers, and 1 Director of Central Valley Programs).
3006 Staff Mileage 15,048 This is approximately 200 miles per month x 11 staff traveling to/from school
and partner sites x .57 mileage rate. The 11 staff include 8 Program
Coordinators, 2 Program Managers, and 1 Director of Central Valley Programs
200 miles x 11 staff x 12 months x $.57 = $15,048
4000: FACILITIES & EQUIPMENT 32,820
4002 Rent/Lease Building 26,780 Estimated annual rent is $53,560. Based on FTE located in Fresno office, 50% of
rent is allocated to this contract.
4003 Rent/Lease Equipment 1,000 Monthly cost of rented and leased equipment (Including printer and storage) =
83.33 per month x 12 months = $1000
4004 Rent/Lease Vehicles 5,040 Youth transportation to and from the three annual Prosocial Events and One 3-
day youth leadership conference : Vans cost $420 each x 3 Vans x 3 events =
$3780. 3 Day Youth Conference $420(Van) x 3 days = $1260.
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5000: SPECIAL EXPENSES 320,960
5003 Contractual/Consulting Services (Fresno
County Superintendent of Schools)
315,000 Subcontract with Fresno County Superintendent (FCSS) of Schools Safe and
Health Kids Department for the Implementation of Prescription Drug Abuse
Prevention Programs. Programs will integrated into the Fresno’s Recreation,
Enrichment and Scholastic Help (FRESH) after-school programs and will be led
and delivered by FCSS staff with the support of FRESH Program Staff. Cost
associated with the contract include staffing, programs curriculum, supplies and
materials, and well as mileage, staff develop and training.
5004 Translation Services 1,000 Cost of Translations services for Trainings, Outreach Materials, and Zine.
Estimated $1000 annually.
5005 Other (Youth Leadership Conference Costs
& Travel)
4,960 8 people = Lodging ca rate $182/night (2 nights) x 4 rooms= $1456. Conference
costs $240 /per person x 8people = $1920 , Meals per diem $66/day x 3day x
8people = $1584.
6000: ADMINISTRATIVE EXPENSES 205,994
6001 Administrative Overhead 205,994 Indirect costs are those costs of general management that are agency-wide.
General management costs consist of expenditures for administrative activities
necessary for the general operation of YLI.
($205,994)
7000: FIXED ASSETS 2,391
7001 Computer Equipment & Software 2,391 Estimated cost may be utilized, but is not limited to, potential replacement
Macbook Laptop, software and accessories for one current staff ($1,786), two
professional Zoom accounts ($200 per account x 2 = $400), one Canva
subscription ($120/yr), and one Toonly subscription ($85/yr).
TOTAL PROGRAM EXPENSE FROM BUDGET NARRATIVE:1,189,352
TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE:1,189,352
-
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Employee Salaries
Acct #Position FTE Admin Direct Total
1102 Director of Central Valley Programs 0.30 $24,354 $24,354
1103 Communications Manager 0.02 $1,515 $1,515
1106 Program Manager 0.70 - $47,594 $47,594
1107 Program Manager 1.00 - $65,376 $65,376
1108 Program Coordinator 1.00 - $47,266 $47,266
1109 Program Coordinator 1.00 - $47,266 $47,266
1110 Program Coordinator 1.00 - $45,448 $45,448
1111 Program Coordinator 1.00 - $45,448 $45,448
1112 Program Coordinator 1.00 - $45,448 $45,448
1113 Program Coordinator 0.50 - $23,634 $23,634
1114 Program Coordinator 0.80 - $36,359 $36,359
1115 Program Coordinator 0.50 - $22,725 $22,725
Personnel Salaries Subtotal 8.82 -$ $452,433 $452,433
Employee Benefits
Acct #Admin Direct Total
1201 -$ $2,307 $2,307
1202 - $1,629 $1,629
1203 - $63,341 $63,341
-$ $67,277 $67,277
Payroll Taxes & Expenses:
Acct #Admin Direct Total
1301 -$ $0 $0
1302 - $34,611 $34,611
1303 - $4,774 $4,774
-$ $39,385 $39,385
-$ $559,095 $559,095
2000: CLIENT SUPPORT
Acct #Amount
2009 $506
2011 $15,000
$15,506
3000: OPERATING EXPENSES
Acct #Amount
3001 $10,560
3002 $8,500
3003 $24,020
3004 $3,850
3005 $6,345
3006 $15,180
$68,455
Staff Development & Training
Staff Mileage
OPERATING EXPENSES TOTAL:
DIRECT CLIENT CARE TOTAL
Line Item Description
Telecommunications
Printing/Postage
Office, Household & Program Supplies
Advertising
Program Supplies - Medical
Other (Client Stipends)
Payroll Taxes & Expenses Subtotal:
EMPLOYEE SALARIES & BENEFITS TOTAL:
Line Item Description
Employee Benefits Subtotal:
Description
OASDI
FICA/MEDICARE
SUI
SUD Primary Prevention
Youth Leadership Institute
Fiscal Year (FY 2024-25)
PROGRAM EXPENSES
1000: SALARIES & BENEFITS
Description
Retirement
Worker's Compensation
Health Insurance
Exhbit C-1
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4000: FACILITIES & EQUIPMENT
Acct #Amount
4002 $27,583
4003 $1,000
4004 $3,780
$32,363
5000: SPECIAL EXPENSES
Acct #Amount
5003 $300,000
5004 $1,000
5005 $4,522
$305,522
6000: ADMINISTRATIVE EXPENSES
Acct #Amount
6001 $205,994
$205,994
7000: FIXED ASSETS
Acct #Amount
7001 $2,417
$2,417
Acct #Amount
8101 Drug Medi-Cal $0
8102 SABG $1,189,352
$1,189,352
8100 - SUBSTANCE USE DISORDER FUNDS
Line Item Description
ADMINISTRATIVE EXPENSES TOTAL
Line Item Description
FIXED ASSETS EXPENSES TOTAL
TOTAL PROGRAM EXPENSES $1,189,352
PROGRAM FUNDING SOURCES
SPECIAL EXPENSES TOTAL:
Line Item Description
Administrative Overhead
FACILITIES/EQUIPMENT TOTAL:
Line Item Description
Contractual/Consulting Services (Fresno County Superintendanet of Schools)
Translation Services
Other (Youth Leadership Conference Costs & Travel)
TOTAL PROGRAM FUNDING SOURCES:$1,189,352
NET PROGRAM COST: $0
SUBSTANCE USE DISORDER FUNDS TOTAL
Computer Equipment & Software
Line Item Description
Rent/Lease Building
Rent/Lease Equipment
Rent/Lease Vehicles
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ACCT #LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
1000: SALARIES & BENEFITS 559,095
Employee Salaries 452,433
1102 Director of Central Valley Programs 24,354 Supervision of Managers, direct budget management, direct oversight of
program development, Contract contact, Partnership development lead (FCSS &
School), and direct coalition strategy lead.
FTE (0.30)x ($81,181) = $24,354
1103 Communications Manager 1,515 Direct media support to local campaigns. This included youth media trainings,
social media content development and social media posting.
FTE (0.02 )x ($75,769) = $1,428
1106 Program Manager 47,594 Supervision of Program Coordinators, liaison to school and community partners,
lead on youth leader programs (YALL & College), and direct lead on the
education curriculum delivery strategy implementation, youth prosocial and
leadership activity development, parent education delivery, community
education/awareness outreach, and social norms campaign development and
implementation at Edison HS and Gaston MS.
FTE (0.70)x ($67,991) = $47,594
1107 Program Manager 65,376 Supervision of Program Coordinators, liaison to school and community
partners, lead on the media strategy implementation, and direct lead on the
education curriculum delivery strategy implementation, youth prosocial and
leadership activity development, parent education delivery, community
education/awareness outreach, and social norms campaign development and
implementation at Fresno HS and McLane.
FTE (1.0) x ($65,376) = $65,376
1108 Program Coordinator 47,266 Direct educational curriculum delivery, youth prosocial and leadership activity
development, parent education delivery, community education/awareness
outreach, and social norms campaign development and implementation at
Kerman HS, KMS, Hosing Sites.
FTE (1.0) x ($47,266) = $47,266
1109 Program Coordinator 47,266 Direct educational curriculum delivery, youth prosocial and leadership activity
development, parent education delivery, community education/awareness
outreach, and social norms campaign development and implementation at
Selma HS, Reedley MCHS, and Orange Cove HS.
FTE (1.0) x ($47,266) = $47,266
1110 Program Coordinator 45,448 Direct educational curriculum delivery, youth prosocial and leadership activity
development, parent education delivery, community education/awareness
outreach, and social norms campaign development and implementation at at
San Joaquin Elem., Tranquility HS, and Rio Del Rey HS.
FTE (1.0) x ($45,448) = $45,448
1111 Program Coordinator 45,448 Direct educational curriculum delivery, youth prosocial and leadership activity
development, parent education delivery, community education/awareness
outreach, and social norms campaign development and implementation at
Roosevelt HS and Sunnyside HS.
FTE (1.0) x ($45,448) = $45,448
SUD Primary Prevention
Youth Leadership Institute
Fiscal Year (FY 2024-25) Budget Narrative
Exhbit C-1
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1112 Program Coordinator 45,448 Direct educational curriculum delivery, youth prosocial and leadership activity
development, parent education delivery, community education/awareness
outreach, and social norms campaign development and implementation at
Mendota HS and Mendota JR HS,.
FTE (1.0) x ($45,448) = $45,448
1113 Program Coordinator 23,634 Direct educational curriculum delivery, youth prosocial and leadership activity
development, parent education delivery, community education/awareness
outreach, and social norms campaign development and implementation at
Central Unified High Schools.
FTE (.50) x ($47,267) = $23,634
1114 Program Coordinator 36,359 Direct educational curriculum delivery, youth prosocial and leadership activity
development, parent education delivery, community education/awareness
outreach, and social norms campaign development and implementation at
Central Unified Middle Schools.
FTE (.80) x ($45,449) = $36,359
1115 Program Coordinator 22,725 Direct educational curriculum delivery, youth prosocial and leadership activity
development, parent education delivery, community education/awareness
outreach, and social norms campaign development and implementation at
Sanger and WAMS.
FTE (.50) x ($45,449) = $22,725
Employee Benefits 67,277
1201 Retirement 2,307 403(b) Retirement contribution at 5.5% of salaries based on FY2021 allocations.
1202 Worker's Compensation 1,629 Worker's Compensation contribution at 5.5% of WC expense based on FY2021
allocations
1203 Health Insurance 63,341 Medical, Dental, Vision, Life, Fertility Benefits at 14% of salaries.
14% x $452,433 = $63,341
Payroll Taxes & Expenses:39,385
1301 OASDI -
1302 FICA/MEDICARE 34,611 FICA/Medicare contribution at .0765% of salaries.
.0765 x $452,433 = $34,147
1303 SUI 4,774 SUI is 6.2% x # of staff x $7K.
6.2% x $7,000 x 11 staff = $4774
2000: CLIENT SUPPORT 15,506
2009 Program Supplies - Medical 506 1st Aid kit for each of the 31 sites.
Estimate - 31 sites x $16.33/kit = $506
2011 Other (Client Stipends)15,000 Advisor and Youth Stipends for time travel and expenses associated with the
Development of Outreach Materials, Youth Publication (aka Zine) and Podcast.
Estimate - 30 stipends x $500 each = $15000
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3000: OPERATING EXPENSES 68,455
3001 Telecommunications 10,560 Telecommunications reimbursement of cell phone and internet. Staff may
include 8 Program Coordinators, 2 Program Managers, and 1 Director of Central
Valley Programs.
$80 per staff x 11 staff x 12 months = $10,560
3002 Printing/Postage 8,500 Educational material printing which may include but are not limited to
informational/educational brochures, flyers, posters, and educational
worksheets.
Estimated at approximately $400 per month x 12 months = $4,800
Estimated cost to printed youth magazine publication (aka Zine) - $3,700
3003 Office, Household & Program Supplies 24,020 Office, Household, and Program supplies which include but are not limited to
binders, folders, staplers, hole-punchers, paper, pens, hand sanitizer, and
cleaning supplies.
Estimated at $210 per month x 12 months = $2520.
Curriculum and Educational supporting materials cost for SPORT PPW ($5,000),
InShape PPW ($5,000), Marijuana PPW ($5,000), and Opioid PPW ($5,000)
Program materials equals = $20,000.
Materials purchased for prosocial leadership events and activities may include
but are not limited to workshop materials, pens, pencils, workbooks, folders, t-
shirts, listening devices, tablets, cameras, post-its pads, makers, theme decor,
speakers, expert presenters.
Estimated for each event/activity planned by youth = $4500 x 3/yearly =
$13,500
3004 Advertising 3,850 Facebook and Instagram social media post boosts three times a quarter.
Estimated cost = ($150/each boost x12), two AudioGO (or similar provider) PSA
Online Radio Ad purchase ($500/10 day run), and three billboard purchases
(estimated at $350/each ).
3005 Staff Development & Training 6,345 Staff development $500 x 11 staff totalling $5,500. (staff include 8 Program
Coordinators, 2 Program Managers, and 1 Director of Central Valley Programs).
In additional we will hold a capacity-building staff retreat which consists of
facility cost of $220, and a meal budget of $440 (2 meals, Breakfast and Lunch),
and $143 in training curriculum supplies and materials, totalling $803.
3006 Staff Mileage 15,180 This is approximately 200 miles per month x 11 staff traveling to/from school
and partner sites x .575 mileage rate. The 11 staff include 8 Program
Coordinators, 2 Program Managers, and 1 Director of Central Valley Programs
200 miles x 11 staff x 12 months x $.575 = $15,180
4000: FACILITIES & EQUIPMENT 32,363
4002 Rent/Lease Building 27,583 Estimated annual rent is $55,167 (3% increase for 2 year lease). Based on FTE
located in Fresno office, 50% of rent is allocated to this contract.
4003 Rent/Lease Equipment 1,000 Monthly cost of rented and leased equipment (Including printer and storage) =
83.33 per month x 12 months = $1000
4004 Rent/Lease Vehicles 3,780 Youth transportation to and from the three annual Prosocial Events and One 3-
day youth leadership conference : Vans cost $420 each x 3 Vans x 3 events =
$3780.
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5000: SPECIAL EXPENSES 305,522
5003 Contractual/Consulting Services (Fresno
County Superintendanet of Schools)
300,000 Subcontract with Fresno County Superintendent (FCSS) of Schools Safe and
Health Kids Department for the Implementation of Prescription Drug Abuse
Prevention Programs. Programs will integrated into the Fresno’s Recreation,
Enrichment and Scholastic Help (FRESH) after-school programs and will be led
and delivered by FCSS staff with the support of FRESH Program Staff. Cost
associated with the contract include staffing, programs curriculum, supplies and
materials, and well as mileage, staff develop and training.
5004 Translation Services 1,000 Cost of Translations services for Trainings, Outreach Materials, and Zine.
Estimated $1000 annually.
5005 Other (Youth Leadership Conference Costs
& Travel)
4,522 7 people (1 Program Coordinator & 6 youth) = Lodging Ca rate $182/night (2
nights) x 4 rooms= $1456. Conference costs $240 /per person x 7people =
$1,680 , Meals per diem $66/day x 3day x 7people = $1386.
6000: ADMINISTRATIVE EXPENSES 205,994
6001 Administrative Overhead 205,994 Indirect costs are those costs of general management that are agency-wide.
General management costs consist of expenditures for administrative activities
necessary for the general operation of YLI.
($205,994)
7000: FIXED ASSETS 2,417
7001 Computer Equipment & Software 2,417 Estimated cost may be utilized, but is not limited to, potential replacement
Macbook Laptop, software and accessories for one current staff (cost of each
Macbook, software, accessories and recyclying fee eof old laptop equals
$1,803). Two Zoom Professional account ($200/account x 2 = $400), Canva
subscription ($120/ry), and Toonly subscripton ($94).
TOTAL PROGRAM EXPENSE FROM BUDGET NARRATIVE:1,189,352
TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE:1,189,352
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Employee Salaries
Acct #Position FTE Admin Direct Total
1102 Director of Central Valley Programs 0.25 $24,842 $24,842
1103 Communications Manager 0.02 $1,546 $1,546
1106 Program Manager 0.70 - $48,545 $48,545
1107 Program Manager 1.00 - $66,683 $66,683
1108 Program Coordinator 1.00 - $48,212 $48,212
1109 Program Coordinator 1.00 - $48,212 $48,212
1110 Program Coordinator 1.00 - $46,357 $46,357
1111 Program Coordinator 1.00 - $46,357 $46,357
1112 Program Coordinator 1.00 - $46,357 $46,357
1113 Program Coordinator 0.50 - $24,106 $24,106
1114 Program Coordinator 0.80 - $37,086 $37,086
1115 Program Coordinator 0.50 - $23,179 $23,179
Personnel Salaries Subtotal 8.77 -$ $461,482 $461,482
Employee Benefits
Acct #Admin Direct Total
1201 -$ $2,354 $2,354
1202 - $1,661 $1,661
1203 - $64,607 $64,607
-$ $68,622 $68,622
Payroll Taxes & Expenses:
Acct #Admin Direct Total
1301 -$ $0 $0
1302 - $35,303 $35,303
1303 - $4,774 $4,774
-$ $40,077 $40,077
-$ $570,181 $570,181
2000: CLIENT SUPPORT
Acct #Amount
2009 $506
2011 $15,000
$15,506
3000: OPERATING EXPENSES
Acct #Amount
3001 $10,560
3002 $8,500
3003 $16,020
3004 $4,399
3005 $6,391
3006 $15,312
$61,182
Staff Development & Training
Staff Mileage
OPERATING EXPENSES TOTAL:
DIRECT CLIENT CARE TOTAL
Line Item Description
Telecommunications
Printing/Postage
Office, Household & Program Supplies
Advertising
Program Supplies - Medical
Other (Client Stpiends)
Payroll Taxes & Expenses Subtotal:
EMPLOYEE SALARIES & BENEFITS TOTAL:
Line Item Description
Employee Benefits Subtotal:
Description
OASDI
FICA/MEDICARE
SUI
SUD Primary Prevention
Youth Leadership Institute
Fiscal Year (FY 2025-26)
PROGRAM EXPENSES
1000: SALARIES & BENEFITS
Description
Retirement
Worker's Compensation
Health Insurance
Exhbit C-1
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4000: FACILITIES & EQUIPMENT
Acct #Amount
4002 $27,583
4003 $1,000
4004 $6,300
$34,883
5000: SPECIAL EXPENSES
Acct #Amount
5003 $300,000
5004 $1,000
$301,000
6000: ADMINISTRATIVE EXPENSES
Acct #Amount
6001 $205,995
$205,995
7000: FIXED ASSETS
Acct #Amount
7001 $605
$605
Acct #Amount
8101 Drug Medi-Cal $0
8102 SABG $1,189,352
$1,189,352
8100 - SUBSTANCE USE DISORDER FUNDS
Line Item Description
ADMINISTRATIVE EXPENSES TOTAL
Line Item Description
FIXED ASSETS EXPENSES TOTAL
TOTAL PROGRAM EXPENSES $1,189,352
PROGRAM FUNDING SOURCES
SPECIAL EXPENSES TOTAL:
Line Item Description
Administrative Overhead
FACILITIES/EQUIPMENT TOTAL:
Line Item Description
Contractual/Consulting Services (Fresno County Superintendanet of Schools)
Translation Services
TOTAL PROGRAM FUNDING SOURCES:$1,189,352
NET PROGRAM COST: $0
SUBSTANCE USE DISORDER FUNDS TOTAL
Computer Equipment & Software
Line Item Description
Rent/Lease Building
Rent/Lease Equipment
Rent/Lease Vehicles
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ACCT #LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
1000: SALARIES & BENEFITS 570,181
Employee Salaries 461,482
1102 Director of Central Valley Programs 24,842 Supervision of Managers, direct budget management, direct oversight of
program development, Contract contact, Partnership development lead (FCSS &
School), and direct coalition strategy lead.
FTE (0.3)x ($82,805) = $24,842
1103 Communications Manager 1,546 Direct media support to local campaigns. This included youth media trainings,
social media content development and social media posting.
FTE (0.02 )x ($77,284) = $1,545
1106 Program Manager 48,545 Supervision of Program Coordinators, liaison to school and community partners,
lead on youth leader programs (YALL & College), and direct lead on the
education curriculum delivery strategy implementation, youth prosocial and
leadership activity development, parent education delivery, community
education/awareness outreach, and social norms campaign development and
implementation at Edison HS and Gaston MS.
FTE (0.70)x ($69,349) = $48,545
1107 Program Manager 66,683 Supervision of Program Coordinators, liaison to school and community
partners, lead on the media strategy implementation, and direct lead on the
education curriculum delivery strategy implementation, youth prosocial and
leadership activity development, parent education delivery, community
education/awareness outreach, and social norms campaign development and
implementation at Fresno HS and McLane.
FTE (1.0) x ($66,684) = $66,684
1108 Program Coordinator 48,212 Direct educational curriculum delivery, youth prosocial and leadership activity
development, parent education delivery, community education/awareness
outreach, and social norms campaign development and implementation at
Kerman HS, KMS, Hosing Sites.
FTE (1.0) x ($48,212) = $48,212
1109 Program Coordinator 48,212 Direct educational curriculum delivery, youth prosocial and leadership activity
development, parent education delivery, community education/awareness
outreach, and social norms campaign development and implementation at
Selma HS, Reedley MCHS, and Orange Cove HS.
FTE (1.0) x ($48,212) = $48,212
1110 Program Coordinator 46,357 Direct educational curriculum delivery, youth prosocial and leadership activity
development, parent education delivery, community education/awareness
outreach, and social norms campaign development and implementation at at
San Joaquin Elem., Tranquility HS, and Rio Del Rey HS.
FTE (1.0) x ($46,357) = $46,357
1111 Program Coordinator 46,357 Direct educational curriculum delivery, youth prosocial and leadership activity
development, parent education delivery, community education/awareness
outreach, and social norms campaign development and implementation at
Roosevelt HS and Sunnyside HS.
FTE (1.0) x ($46,357) = $46,357
SUD Primary Prevention
Youth Leadership Institute
Fiscal Year (FY 2025-26) Budget Narrative
Exhbit C-1
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1112 Program Coordinator 46,357 Direct educational curriculum delivery, youth prosocial and leadership activity
development, parent education delivery, community education/awareness
outreach, and social norms campaign development and implementation at
Mendota HS and Mendota JR HS,.
FTE (1.0) x ($46,357) = $46,357
1113 Program Coordinator 24,106 Direct educational curriculum delivery, youth prosocial and leadership activity
development, parent education delivery, community education/awareness
outreach, and social norms campaign development and implementation at
Central Unified High Schools.
FTE (.50) x ($48,212) = $24,106
1114 Program Coordinator 37,086 Direct educational curriculum delivery, youth prosocial and leadership activity
development, parent education delivery, community education/awareness
outreach, and social norms campaign development and implementation at
Central Unified Middle Schools.
FTE (.80) x ($46,358) = $34,947
1115 Program Coordinator 23,179 Direct educational curriculum delivery, youth prosocial and leadership activity
development, parent education delivery, community education/awareness
outreach, and social norms campaign development and implementation at
Sanger and WAMS.
FTE (.50) x ($46,358) = $23,179
Employee Benefits 68,622
1201 Retirement 2,354 403(b) Retirement contribution at 5.5% of salaries based on FY2021 allocations.
1202 Worker's Compensation 1,661 Worker's Compensation contribution at 5.5% of WC expense based on FY2021
allocations
1203 Health Insurance 64,607 Medical, Dental, Vision, Life, Fertility Benefits at 14% of salaries.
14% x $461,482 = $64,607
Payroll Taxes & Expenses:40,077
1301 OASDI -
1302 FICA/MEDICARE 35,303 FICA/Medicare contribution at .0765% of salaries.
.0765 x $461,482 = $35,303
1303 SUI 4,774 SUI is 6.2% x # of staff x $7K.
6.2% x $7,000 x 11 staff = $4774
2000: CLIENT SUPPORT 15,506
2009 Program Supplies - Medical 506 1st Aid kit for each of the 31 sites.
Estimate - 31 sites x $16.33/kit = $506
2011 Other (Client Stpiends)15,000 Advisor and Youth Stipends for time travel and expenses associated with the
Development of Outreach Materials, Youth Publication (aka Zine) and Podcast.
Estimate - 30 stipends x $500 each = $15000
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3000: OPERATING EXPENSES 61,182
3001 Telecommunications 10,560 Telecommunications reimbursement of cell phone and internet. Staff may
include 8 Program Coordinators, 2 Program Managers, and 1 Director of Central
Valley Programs.
$80 per staff x 11 staff x 12 months = $10,560
3002 Printing/Postage 8,500 Educational material printing which may include but are not limited to
informational/educational brochures, flyers, posters, and educational
worksheets.
Estimated at approximately $400 per month x 12 months = $4,800
Estimated cost to printed youth magazine publication (aka Zine) - $3,700
3003 Office, Household & Program Supplies 16,020 Office, Household, and Program supplies which include but are not limited to
binders, folders, staplers, hole-punchers, paper, pens, hand sanitizer, and
cleaning supplies.
Estimated at $210 per month x 12 months = $2520.
Materials purchased for prosocial leadership events and activities may include
but are not limited to workshop materials, pens, pencils, workbooks, folders, t-
shirts, listening devices, tablets, cameras, post-its pads, makers, theme decor,
speakers, expert presenters.
Estimated for each event/activity planned by youth = $4500 x 3/yearly =
$13,500
3004 Advertising 4,399 Facebook and Instagram social media post boosts three times a quarter
($150/each boost x12), three AudioGO (or similar provider) PSA Online Radio Ad
purchase ($516.33/11 day run), and three billboard purchases (estimated at
$350/each ).
3005 Staff Development & Training 6,391 Staff development $500 x 11 staff. (staff include 8 Program Coordinators, 2
Program Managers, and 1 Director of Central Valley Programs). Capacity-
building staff retreat which consists of facility cost of $220, and a meal budget
of $440 (2 meals, Breakfast and Lunch), and $143 in training curriculum supplies
and materials, and transportation costs of $88 (parking and mileage) totalling
$891.
3006 Staff Mileage 15,312 This is approximately 200 miles per month x 11 staff traveling to/from school
and partner sites x .58 mileage rate. The 11 staff include 8 Program
Coordinators, 2 Program Managers, and 1 Director of Central Valley Programs
200 miles x 11 staff x 12 months x $.58 = $15,312
4000: FACILITIES & EQUIPMENT 34,883
4001 Building Maintenance -
4002 Rent/Lease Building 27,583 Estimated annual rent is $55,167 (3% increase for 2 year lease). Based on FTE
located in Fresno office, 50% of rent is allocated to this contract.
4003 Rent/Lease Equipment 1,000 Monthly cost of rented and leased equipment (Including printer and storage) =
83.33 per month x 12 months = $1000
4004 Rent/Lease Vehicles 6,300 Youth transportation to and from the three annual Prosocial Events and One 3-
day youth leadership conference. (Estimated Cost)
Vans cost $420 each x 3 Vans x 3 events = $3780.
3 Day Youth Conference $420(Van) x 2vans x 3 days = $2520.
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5000: SPECIAL EXPENSES 301,000
5003 Contractual/Consulting Services (Fresno
County Superintendanet of Schools)
300,000 Subcontract with Fresno County Superintendent (FCSS) of Schools Safe and
Health Kids Department for the Implementation of Prescription Drug Abuse
Prevention Programs. Programs will integrated into the Fresno’s Recreation,
Enrichment and Scholastic Help (FRESH) after-school programs and will be led
and delivered by FCSS staff with the support of FRESH Program Staff. Cost
associated with the contract include staffing, programs curriculum, supplies and
materials, and well as mileage, staff develop and training.
5004 Translation Services 1,000 Cost of Translations services for Trainings, Outreach Materials, and Zine.
Estimated $1000 annually.
6000: ADMINISTRATIVE EXPENSES 205,995
6001 Administrative Overhead 205,995 Indirect costs are those costs of general management that are agency-wide.
General management costs consist of expenditures for administrative activities
necessary for the general operation of YLI.
($205,995)
7000: FIXED ASSETS 605
7001 Computer Equipment & Software 605 Zoom Professional account (professional zoom account), Canva subscription,
and Toonly subscripton
TOTAL PROGRAM EXPENSE FROM BUDGET NARRATIVE:1,189,352
TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE:1,189,352
-
Exhibit C-2
Page 1 of 10
Employee Salaries
Acct #Position FTE Admin Direct Total
1101 Program Manager 0.05 -$ $3,203 $3,203
Personnel Salaries Subtotal 0.05 -$ $3,203 $3,203
Employee Benefits
Acct #Admin Direct Total
1201 -$ $80 $80
1202 - $56 $56
1203 - $448 $448
-$ $584 $584
Payroll Taxes & Expenses:
Acct #Admin Direct Total
1301 -$ $0 $0
1302 - $245 $245
1303 - $199 $199
-$ $444 $444
-$ $4,232 $4,232
2000: CLIENT SUPPORT
Acct #Amount
2004 $6,548
2011 $14,000
$20,548
6000: ADMINISTRATIVE EXPENSES
Acct #Amount
6001 $5,220
$5,220
Acct #Amount
8101 Drug Medi-Cal $0
8102 SABG $30,000
$30,000
8100 - SUBSTANCE USE DISORDER FUNDS
Line Item Description
ADMINISTRATIVE EXPENSES TOTAL
TOTAL PROGRAM EXPENSES $30,000
PROGRAM FUNDING SOURCES
Line Item Description
Administrative Overhead
TOTAL PROGRAM FUNDING SOURCES:$30,000
NET PROGRAM COST: $0
SUBSTANCE USE DISORDER FUNDS TOTAL
DIRECT CLIENT CARE TOTAL
Other (Advisor/Mentor Stipends)
Payroll Taxes & Expenses Subtotal:
EMPLOYEE SALARIES & BENEFITS TOTAL:
Line Item Description
Clothing, Food, & Hygiene
Employee Benefits Subtotal:
Description
OASDI
FICA/MEDICARE
SUI
Friday Night Live
Youth Leadership Institute
Fiscal Year (FY 2021-22)
PROGRAM EXPENSES
1000: SALARIES & BENEFITS
Description
Retirement
Worker's Compensation
Health Insurance
Exhibit C-2
Page 2 of 10
ACCT #LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
1000: SALARIES & BENEFITS 4,232
Employee Salaries 3,203
1101 Program Manager 3,203 Supervision of Program Coordinators, direct implementation of programming at
Edison HS and Gaston MS, liaison to school and community partners.
FTE (0.05) x ($64,069) = $3,203.
Employee Benefits 584
1201 Retirement 80 403(b) Retirement contribution is calculated as a proration compared to other
YLI contracts. For FY2021 our FNL contract has averaged about 0.20% of
retirement cost. Which comes out to 2.5% in relation to the salary.
2.5% x $3,203 = $80
1202 Worker's Compensation 56 Worker's Compensation contribution is calculated as a proration compared to
other YLI contracts. For FY2021 our FNL contract has averaged about 0.20% of
workers compensation cost. Which comes out to 1.75% in relation to the salary.
1.75% x $3,203 = $56
1203 Health Insurance 448 Medical, Dental, Vision, Life, Fertility Benefits at 14% of salaries.
14% x $3,203 = $448
Payroll Taxes & Expenses:444
1301 OASDI -
1302 FICA/MEDICARE 245 FICA/Medicare contribution at .0765 * salaries
.0765% * $3,203 = $245
1303 SUI 199 SUI is 6.2% of salaries
(.062% x $3,203 = $199)
2000: CLIENT SUPPORT 20,548
2004 Clothing, Food, & Hygiene 6,548 Youth Food and Hospitality for 28 Chapters provided during FNL program
Meetings and trainings
$545.66/month x 12months= $6,548
2011 Other (Advisor/Mentor Stipends)14,000 Friday Night Live (FNL) and Club Live (CL) Advisors/Mentors stipend for time
travel and expenses associated with the development and implementaion of
FNL/CL progams
28 Stipends x $500.00 each = $14,000
6000: ADMINISTRATIVE EXPENSES 5,220
6001 Administrative Overhead 5,220 Indirect costs are those costs of general management that are agency-wide.
General management costs consist of expenditures for administrative activities
necessary for the general operation of YLI.
($5,220)
TOTAL PROGRAM EXPENSE FROM BUDGET NARRATIVE:30,000
TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE:30,000
-
Friday Night Live
Youth Leadership Institute
Fiscal Year (FY 2021-22) Budget Narrative
Exhibit C-2
Page 3 of 10
Employee Salaries
Acct #Position FTE Admin Direct Total
1101 Program Manager 0.05 -$ $3,268 $3,268
Personnel Salaries Subtotal 0.05 -$ $3,268 $3,268
Employee Benefits
Acct #Admin Direct Total
1201 -$ $82 $82
1202 - $57 $57
1203 - $457 $457
-$ $596 $596
Payroll Taxes & Expenses:
Acct #Admin Direct Total
1301 -$ $0 $0
1302 - $250 $250
1303 - $203 $203
-$ $453 $453
-$ $4,316 $4,316
2000: CLIENT SUPPORT
Acct #Amount
2004 $6,463
2011 $14,000
$20,463
6000: ADMINISTRATIVE EXPENSES
Acct #Amount
6001 $5,220
$5,220
Acct #Amount
8101 Drug Medi-Cal $0
8102 SABG $30,000
$30,000
8100 - SUBSTANCE USE DISORDER FUNDS
Line Item Description
ADMINISTRATIVE EXPENSES TOTAL
TOTAL PROGRAM EXPENSES $30,000
PROGRAM FUNDING SOURCES
Line Item Description
Administrative Overhead
TOTAL PROGRAM FUNDING SOURCES:$30,000
NET PROGRAM COST: $0
SUBSTANCE USE DISORDER FUNDS TOTAL
DIRECT CLIENT CARE TOTAL
Other (Advisor/Mentor Stipends)
Payroll Taxes & Expenses Subtotal:
EMPLOYEE SALARIES & BENEFITS TOTAL:
Line Item Description
Clothing, Food, & Hygiene
Employee Benefits Subtotal:
Description
OASDI
FICA/MEDICARE
SUI
Friday Night Live
Youth Leadership Institute
Fiscal Year (FY 2022-23)
PROGRAM EXPENSES
1000: SALARIES & BENEFITS
Description
Retirement
Worker's Compensation
Health Insurance
Exhibit C-2
Page 4 of 10
ACCT #LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
1000: SALARIES & BENEFITS 4,316
Employee Salaries 3,268
1101 Program Manager 3,268 Supervision of Program Coordinators, direct implementation of programming at
Edison HS and Gaston MS, liasion to school and community partners.
FTE (0.05)x ($65,350) = $3,268
Employee Benefits 596
1201 Retirement 82 403(b) Retirement contribution is calculated as a proration compared to other
YLI contracts. For FY2021 our FNL contract has averaged about 0.20% of
retirement cost. Which comes out to 2.5% in relation to the salary.
2.5% x $3,268 = $82
1202 Worker's Compensation 57 Worker's Compensation contribution is calculated as a proration compared to
other YLI contracts. For FY2021 our FNL contract has averaged about 0.20% of
workers compensation cost. Which comes out to 1.75% in relation to the salary.
1.75% x $3,268 = $57
1203 Health Insurance 457 Medical, Dental, Vision, Life, Fertility Benefits at 14% of salaries.
.14% x $3,268 = $457
Payroll Taxes & Expenses:453
1301 OASDI -
1302 FICA/MEDICARE 250 FICA/Medicare contribution at .0765 * salaries
.0765% x $3,268 = $250
1303 SUI 203 SUI is 6.2% of salaries
.062% x $3,268 = $203
2000: CLIENT SUPPORT 20,463
2004 Clothing, Food, & Hygiene 6,463 Youth Food and Hospitality for 28 Chapters provided during FNL program
Meetings and trainings
$538.58/monthy x 12months = $6,463
2011 Other (Advisor/Mentor Stipends)14,000 Friday Night Live (FNL) and Club Live (CL) Advisors/Mentors stipend for time
travel and expenses associated with the development and implementaion of
FNL/CL progams
6000: ADMINISTRATIVE EXPENSES 5,220
6001 Administrative Overhead 5,220 Indirect costs are those costs of general management that are agency-wide.
General management costs consist of expenditures for administrative activities
necessary for the general operation of YLI.
($5,220)
TOTAL PROGRAM EXPENSE FROM BUDGET NARRATIVE:30,000
TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE:30,000
-
Friday Night Live
Youth Leadership Institute
Fiscal Year (FY 2022-23) Budget Narrative
Exhibit C-2
Page 5 of 10
Employee Salaries
Acct #Position FTE Admin Direct Total
1101 Program Manager 0.05 -$ $3,333 $3,333
Personnel Salaries Subtotal 0.05 -$ $3,333 $3,333
Employee Benefits
Acct #Admin Direct Total
1201 -$ $83 $83
1202 - $58 $58
1203 - $467 $467
-$ $608 $608
Payroll Taxes & Expenses:
Acct #Admin Direct Total
1301 -$ $0 $0
1302 - $255 $255
1303 - $207 $207
-$ $462 $462
-$ $4,403 $4,403
2000: CLIENT SUPPORT
Acct #Amount
2004 $6,377
2011 $14,000
$20,377
6000: ADMINISTRATIVE EXPENSES
Acct #Amount
6001 $5,220
$5,220
Acct #Amount
8101 Drug Medi-Cal $0
8102 SABG $30,000
$30,000
8100 - SUBSTANCE USE DISORDER FUNDS
Line Item Description
ADMINISTRATIVE EXPENSES TOTAL
TOTAL PROGRAM EXPENSES $30,000
PROGRAM FUNDING SOURCES
Line Item Description
Administrative Overhead
TOTAL PROGRAM FUNDING SOURCES:$30,000
NET PROGRAM COST: $0
SUBSTANCE USE DISORDER FUNDS TOTAL
DIRECT CLIENT CARE TOTAL
Other (Advisor/Mentor Stipends)
Payroll Taxes & Expenses Subtotal:
EMPLOYEE SALARIES & BENEFITS TOTAL:
Line Item Description
Clothing, Food, & Hygiene
Employee Benefits Subtotal:
Description
OASDI
FICA/MEDICARE
SUI
Friday Night Live
Youth Leadership Institute
Fiscal Year (FY 2023-24)
PROGRAM EXPENSES
1000: SALARIES & BENEFITS
Description
Retirement
Worker's Compensation
Health Insurance
Exhibit C-2
Page 6 of 10
ACCT #LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
1000: SALARIES & BENEFITS 4,403
Employee Salaries 3,333
1101 Program Manager 3,333 Supervision of Program Coordinators, direct implementation of programming at
Edison HS and Gaston MS, liasion to school and community partners.
FTE (0.05)x ($66,657) = $3,333
Employee Benefits 608
1201 Retirement 83 403(b) Retirement contribution is calculated as a proration compared to other
YLI contracts. For FY2021 our FNL contract has averaged about 0.20% of
retirement cost. Which comes out to 2.5% in relation to the salary.
2.5% x $3,333 = $83
1202 Worker's Compensation 58 Worker's Compensation contribution is calculated as a proration compared to
other YLI contracts. For FY2021 our FNL contract has averaged about 0.20% of
workers compensation cost. Which comes out to 1.75% in relation to the salary.
1.75% x $3,333 = $58
1203 Health Insurance 467 Medical, Dental, Vision, Life, Fertility Benefits at 14% of salaries.
14% x $3,333 = $467
Payroll Taxes & Expenses:462
1301 OASDI -
1302 FICA/MEDICARE 255 FICA/Medicare contribution at .0765 * salaries
.0765% x $3,333 = $255
1303 SUI 207 SUI is 6.2% of salaries
.062% x $3,333 = $207
2000: CLIENT SUPPORT 20,377
2004 Clothing, Food, & Hygiene 6,377 Youth Food and Hospitality for 28 Chapters provided during FNL program
Meetings and trainings.
$531.42/monthy x 12months = $6,377
2011 Other (Advisor/Mentor Stipends)14,000 Friday Night Live (FNL) and Club Live (CL) Advisors/Mentors stipend for time
travel and expenses associated with the development and implementaion of
FNL/CL progams
28 Stipends x $500.00 each = $14,000
6000: ADMINISTRATIVE EXPENSES 5,220
6001 Administrative Overhead 5,220 Indirect costs are those costs of general management that are agency-wide.
General management costs consist of expenditures for administrative activities
necessary for the general operation of YLI.
($5,220)
TOTAL PROGRAM EXPENSE FROM BUDGET NARRATIVE:30,000
TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE:30,000
-
Friday Night Live
Youth Leadership Institute
Fiscal Year (FY 2023-24) Budget Narrative
Exhibit C-2
Page 7 of 10
Employee Salaries
Acct #Position FTE Admin Direct Total
1101 Program Manager 0.05 -$ $3,400 $3,400
Personnel Salaries Subtotal 0.05 -$ $3,400 $3,400
Employee Benefits
Acct #Admin Direct Total
1201 -$ $85 $85
1202 - $59 $59
1203 - $476 $476
-$ $620 $620
Payroll Taxes & Expenses:
Acct #Admin Direct Total
1301 -$ $0 $0
1302 - $260 $260
1303 - $211 $211
-$ $471 $471
-$ $4,491 $4,491
2000: CLIENT SUPPORT
Acct #Amount
2004 $6,289
2011 $14,000
$20,289
6000: ADMINISTRATIVE EXPENSES
Acct #Amount
6001 $5,220
$5,220
Acct #Amount
8101 Drug Medi-Cal $0
8102 SABG $30,000
$30,000
8100 - SUBSTANCE USE DISORDER FUNDS
Line Item Description
ADMINISTRATIVE EXPENSES TOTAL
TOTAL PROGRAM EXPENSES $30,000
PROGRAM FUNDING SOURCES
Line Item Description
Administrative Overhead
TOTAL PROGRAM FUNDING SOURCES:$30,000
NET PROGRAM COST: $0
SUBSTANCE USE DISORDER FUNDS TOTAL
DIRECT CLIENT CARE TOTAL
Other (Advisor/Mentor Stipends)
Payroll Taxes & Expenses Subtotal:
EMPLOYEE SALARIES & BENEFITS TOTAL:
Line Item Description
Clothing, Food, & Hygiene
Employee Benefits Subtotal:
Description
OASDI
FICA/MEDICARE
SUI
Friday Night Live
Youth Leadership Institute
Fiscal Year (FY 2024-25)
PROGRAM EXPENSES
1000: SALARIES & BENEFITS
Description
Retirement
Worker's Compensation
Health Insurance
Exhibit C-2
Page 8 of 10
ACCT #LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
1000: SALARIES & BENEFITS 4,491
Employee Salaries 3,400
1101 Program Manager 3,400 Supervision of Program Coordinators, direct implementation of programming at
Edison HS and Gaston MS, liasion to school and community partners.
FTE (0.05)x ($67,990) = $3,400
Employee Benefits 620
1201 Retirement 85 403(b) Retirement contribution is calculated as a proration compared to other
YLI contracts. For FY2021 our FNL contract has averaged about 0.20% of
retirement cost. Which comes out to 2.5% in relation to the salary.
2.5% x $3,400 = $85
1202 Worker's Compensation 59 Worker's Compensation contribution is calculated as a proration compared to
other YLI contracts. For FY2021 our FNL contract has averaged about 0.20% of
workers compensation cost. Which comes out to 1.75% in relation to the salary.
1.75% x $3,400 = $59
1203 Health Insurance 476 Medical, Dental, Vision, Life, Fertility Benefits at 14% of salaries.
14% x $3,400 = $476
Payroll Taxes & Expenses:471
1301 OASDI -
1302 FICA/MEDICARE 260 FICA/Medicare contribution at .0765 * salaries
.0765% x $3,400 = $260
1303 SUI 211 SUI is 6.2% of salaries
.062% x $3,400 = $211
2000: CLIENT SUPPORT 20,289
2004 Clothing, Food, & Hygiene 6,289 Youth Food and Hospitality for 28 Chapters provided during FNL program
Meetings and trainings.
$524.08/monthy x 12months = $6,289
2011 Other (Advisor/Mentor Stipends)14,000 Friday Night Live (FNL) and Club Live (CL) Advisors/Mentors stipend for time
travel and expenses associated with the development and implementaion of
FNL/CL progams
28 Stipends x $500.00 each = $14,000
6000: ADMINISTRATIVE EXPENSES 5,220
6001 Administrative Overhead 5,220 Indirect costs are those costs of general management that are agency-wide.
General management costs consist of expenditures for administrative activities
necessary for the general operation of YLI.
($5,220)
TOTAL PROGRAM EXPENSE FROM BUDGET NARRATIVE:30,000
TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE:30,000
-
Friday Night Live
Youth Leadership Institute
Fiscal Year (FY 2024-25) Budget Narrative
Exhibit C-2
Page 9 of 10
Employee Salaries
Acct #Position FTE Admin Direct Total
1101 Program Manager 0.05 -$ $3,467 $3,467
Personnel Salaries Subtotal 0.05 -$ $3,467 $3,467
Employee Benefits
Acct #Admin Direct Total
1201 -$ $87 $87
1202 - $61 $61
1203 - $485 $485
-$ $633 $633
Payroll Taxes & Expenses:
Acct #Admin Direct Total
1301 -$ $0 $0
1302 - $265 $265
1303 - $215 $215
-$ $480 $480
-$ $4,581 $4,581
2000: CLIENT SUPPORT
Acct #Amount
2004 $6,199
2011 $14,000
$20,199
6000: ADMINISTRATIVE EXPENSES
Acct #Amount
6001 $5,220
$5,220
Acct #Amount
8101 Drug Medi-Cal $0
8102 SABG $30,000
$30,000
8100 - SUBSTANCE USE DISORDER FUNDS
Line Item Description
ADMINISTRATIVE EXPENSES TOTAL
TOTAL PROGRAM EXPENSES $30,000
PROGRAM FUNDING SOURCES
Line Item Description
Administrative Overhead
TOTAL PROGRAM FUNDING SOURCES:$30,000
NET PROGRAM COST: $0
SUBSTANCE USE DISORDER FUNDS TOTAL
DIRECT CLIENT CARE TOTAL
Other (Advisor/Mentor Stipends)
Payroll Taxes & Expenses Subtotal:
EMPLOYEE SALARIES & BENEFITS TOTAL:
Line Item Description
Clothing, Food, & Hygiene
Employee Benefits Subtotal:
Description
OASDI
FICA/MEDICARE
SUI
Friday Night Live
Youth Leadership Institute
Fiscal Year (FY 2025-26)
PROGRAM EXPENSES
1000: SALARIES & BENEFITS
Description
Retirement
Worker's Compensation
Health Insurance
Exhibit C-2
Page 10 of 10
ACCT #LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
1000: SALARIES & BENEFITS 4,581
Employee Salaries 3,467
1101 Program Manager 3,467 Supervision of Program Coordinators, direct implementation of programming at
Edison HS and Gaston MS, liasion to school and community partners.
FTE (0.05)x ($69,349) = $3,467
Employee Benefits 633
1201 Retirement 87 403(b) Retirement contribution is calculated as a proration compared to other
YLI contracts. For FY2021 our FNL contract has averaged about 0.20% of
retirement cost. Which comes out to 2.5% in relation to the salary.
2.5% x $3,467 = $87
1202 Worker's Compensation 61 Worker's Compensation contribution is calculated as a proration compared to
other YLI contracts. For FY2021 our FNL contract has averaged about 0.20% of
workers compensation cost. Which comes out to 1.75% in relation to the salary.
1.75% x $3,467 = $61
1203 Health Insurance 485 Medical, Dental, Vision, Life, Fertility Benefits at 14% of salaries.
14% x $3,467 = $485
Payroll Taxes & Expenses:480
1301 OASDI -
1302 FICA/MEDICARE 265 FICA/Medicare contribution at .0765 * salaries
.0765% x $3,467 = $265
1303 SUI 215 SUI is 6.2% of salaries
.062% x $3,467 = $215
2000: CLIENT SUPPORT 20,199
2004 Clothing, Food, & Hygiene 6,199 Youth Food and Hospitality for 28 Chapters provided during FNL program
Meetings and trainings.
$516.58/monthy x 12months = $6,199
2011 Other (Advisor/Mentor Stipends)14,000 Friday Night Live (FNL) and Club Live (CL) Advisors/Mentors stipend for time
travel and expenses associated with the development and implementaion of
FNL/CL progams
28 Stipends x $500.00 each = $14,000
6000: ADMINISTRATIVE EXPENSES 5,220
6001 Administrative Overhead 5,220 Indirect costs are those costs of general management that are agency-wide.
General management costs consist of expenditures for administrative activities
necessary for the general operation of YLI.
($5,220)
TOTAL PROGRAM EXPENSE FROM BUDGET NARRATIVE:30,000
TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE:30,000
-
Friday Night Live
Youth Leadership Institute
Fiscal Year (FY 2025-26) Budget Narrative
SUBSTANCE ABUSE PREVENTION AND TREATMENT (SAPT)
SPECIFIC REQUIREMENTS
Fresno County, through the Department of Behavioral Health, makes substance
use disorder treatment services available throughout the county to Medi-Cal
eligible beneficiaries through funds provided under an Intergovernmental
Agreement with the California Department of Health Care Services. The County,
and all contracted providers, must comply with the terms of the Intergovernmental
Agreement, and any amendments thereto, including but not limited to the
following:
1.RESTRICTIONS ON USE OF SABG FUNDS TO PAY FOR SERVICES
REIMBURSABLE BY MEDI-CAL
CONTRACTOR shall ensure that billing SABG funds only occurs for
services that are not reimbursable by Medi-Cal. If CONTRACTOR utilizes SABG funds to
pay for a service included in the DMC-ODS, CONTRACTOR shall maintain
documentation sufficient to demonstrate that Medi-Cal reimbursement was not available.
This documentation shall be provided to COUNTY at the time of billing and retained in the
beneficiary file for review.
2.STATE ALCOHOL AND DRUG REQUIREMENTS
A.INDEMNIFICATION
The CONTRACTOR agrees to indemnify, defend and save harmless
the State, its officers, agents and employees from any and all claims and losses accruing
or resulting to any and all contractors, subcontractors, materialmen, laborers and any
other person, firm or corporation furnishing or supplying work, services, materials or
supplies in connection with the performance of this Agreement and from any and all
claims and losses accruing or resulting to any person, firm or corporation who may be
injured or damaged by the CONTRACTOR in the performance of this Agreement.
B.INDEPENDENT CONTRACTOR
The CONTRACTOR and the agents and employees of
CONTRACTOR, in the performance of this Agreement, shall act in an independent
capacity and not as officers or employees or agents of State of California.
C.CONTROL REQUIREMENTS
This Agreement is subject to all applicable Federal and State laws,
regulations and standards. CONTRACTOR(S) shall establish written procedures
consistent with State-County Contract requirements. The provisions of this Agreement
are not intended to abrogate any provisions of law or regulation existing or enacted during
the term of this Agreement.
D.CONFIDENTIALITY
Exhibit D - Page 1 of 13
CONTRACTOR shall conform to and COUNTY shall monitor
compliance with all State of California and Federal statutes and regulations regarding
confidentiality, including but not limited to confidentiality of information requirements at
Part 2, Title 42, Code of Federal Regulations; California Welfare and Institutions Code,
sections 14100.2, 11977, 11812, 5328; Division 10.5 and 10.6 of the California Health
and Safety Code; Title 22, California Code of Regulations, section 51009; and Division 1,
Part 2.6, Chapters 1-7 of the California Civil Code.
E.REVENUE COLLECTION POLICY
CONTRACTOR shall conform to all policies and procedures
regarding revenue collection issued by the State under the provisions of the Health and
Safety Code, Division 10.5.
F.EXPENDITURE OF STATE GENERAL AND FEDERAL FUNDS
CONTRACTOR agrees that all funds paid out by the State shall be
used exclusively for providing alcohol and/or drug program services, administrative costs,
and allowable overhead.
G.ACCESS TO SERVICES
CONTRACTOR shall provide accessible and appropriate services in
accordance with Federal and State statutes and regulations to all eligible persons.
H.REPORTS
CONTRACTOR agrees to participate in surveys related to the
performance of this Agreement and expenditure of funds and agrees to provide any such
information in a mutually agreed upon format.
I.AUDITS
All State and Federal funds furnished to the CONTRACTOR(S)
pursuant to this Agreement along with related patient fees, third party payments, or other
related revenues and funds commingled with the foregoing funds are subject to audit by
the State. The State may audit all alcohol and drug program revenue and expenditures
contained in this Agreement for the purpose of establishing the basis for the subsequent
year's negotiation.
J.RECORDS MAINTENANCE
1)CONTRACTOR shall maintain books, records, documents,
and other evidence necessary to monitor and audit this Agreement.
2)CONTRACTOR shall maintain adequate program and fiscal
records relating to individuals served under the terms of this Agreement, as required, to
meet the needs of the State in monitoring quality, quantity, fiscal accountability, and
accessibility of services. Information on each individual shall include, but not be limited
Exhibit D - Page 2 of 13
to, admission records, patient and participant interviews and progress notes, and records
of service provided by various service locations, in sufficient detail to make possible an
evaluation of services provided and compliance with this Agreement.
3.FEDERAL CERTIFICATIONS
CERTIFICATION REGARDING DEBARMENT, SUSPENSION,
INELIGIBILITY AND VOLUNTARY EXCLUSION LOWER TIER COVERED
TRANSACTIONS
A.DBH and CONTRACTOR recognize that Federal assistance funds
will be used under the terms of this Agreement. For purposes of this section, DBH will be
referred to as the "prospective recipient".
B.This certification is required by the regulations implementing
Executive Order 12549, Debarment and Suspension, 29 CFR Part 98, section 98.510,
Participants' responsibilities. The regulations were published as Part VII of the May 26,
1988 Federal Register (pages 19160-19211).
1)The prospective recipient of Federal assistance funds certifies
by entering this Agreement, that neither it nor its principals are presently debarred,
suspended, proposed for debarment, declared ineligible, or voluntarily excluded from
participation in this transaction by any Federal department or agency.
2)The prospective recipient of funds agrees by entering into this
Agreement, that it shall not knowingly enter into any lower tier covered transaction with a
person who is debarred, suspended, declared ineligible, or voluntarily excluded from
participation in this covered transaction, unless authorized by the Federal department or
agency with which this transaction originated.
3)Where the prospective recipient of Federal assistance funds is
unable to certify to any of the statements in this certification, such prospective participant
shall attach an explanation to this Agreement.
4)The CONTRACTOR shall provide immediate written notice to
DBH if at any time CONTRACTOR learns that its certification in this clause of this
Agreement was erroneous when submitted or has become erroneous by reason of
changed circumstances.
5)The prospective recipient further agrees that by entering into
this Agreement, it will include a clause identical to this clause of this Agreement, and titled
"Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion
Lower Tier Covered Transactions", in all lower tier covered transactions and in all
solicitations for lower tier covered transactions.
6)The certification in this clause of this Agreement is a material
representation of fact upon which reliance was placed by COUNTY when this transaction
was entered into.
Exhibit D - Page 3 of 13
C.CONTRACTOR shall not employ or subcontract with any party listed
in the government wide exclusions in the System for Award Management (SAM) in
accordance with the OMB guidelines at 2 CFR 180 that implement Executive Orders
12549 (3 CFR part 1986 Comp. p. 189) and 12689 (3 CFR part 1989., p. 235),
“Debarment and Suspension.” SAM exclusions contain the names of parties debarred,
suspended, or otherwise excluded by agencies, as well as parties declared ineligible
under statutory or regulatory authority other than Executive Order 12549. If
CONTRACTOR employs or subcontracts an excluded party, DHCS has the right to
withhold payments, disallow costs, or issue a CAP, as appropriate, pursuant to HSC
Code 11817.8(h).
4.SMOKING PROHIBITION REQUIREMENTS
CONTRACTOR shall comply with Public Law 103-227, also known as the
Pro-Children Act of 1994 (20 USC Section 6081, et seq.), and with California Labor Code
Section 6404.5, the California Smoke-Free Workplace Law.
5.CONFIDENTIALITY OATH
CONTRACTOR shall ensure that all of its employees sign a written
confidentiality oath, attached hereto as Attachment A, before they begin employment
with CONTRACTOR and shall renew said document annually thereafter.
CONTRACTOR shall retain each employee’s written confidentiality oath for COUNTY
and DHCS inspection for a period of six (6) years following the termination of this
agreement.
6.CULTURALLY COMPETENT SERVICES
CONTRACTOR shall ensure equal access to quality care by diverse
populations by adopting the federal Office of Minority Health Culturally and
Linguistically Appropriate Service (CLAS) national standards and complying with 42
CFR 438.206(c)(2). CONTRACTOR shall promote the delivery of services in a
culturally competent manner to all beneficiaries, including those with limited English
proficiency and diverse cultural and ethnic backgrounds, disabilities, and regardless of
gender, sexual orientation or gender identity.
7.ADA CONSIDERATIONS
CONTRACTOR shall ensure that physical access, reasonable
accommodations, and accessible equipment for Medicaid beneficiaries with physical or
mental disabilities are provided to all beneficiaries.
8.ADDITIONAL CONTRACT RESTRICTIONS
This Contract is subject to any additional restrictions, limitations, or conditions
enacted by the Congress, or any statute enacted by the Congress, as well as federal or
Exhibit D - Page 4 of 13
state governments which may affect the provisions, terms, or funding of this Contract in
any manner.
9.HATCH ACT
CONTRACTOR shall comply with the provisions of the Hatch Act (Title 5
USC, Sections 1501-1508), which limit the political activities of employees whose
principal employment activities are funded in whole or in part with federal funds.
10.UNLAWFUL USE OF DRUGS AND ALCOHOL OR UNLAWFUL USE
MESSAGES
CONTRACTOR shall ensure that information produced with Federal funds
pertaining to drug and alcohol related programs contains a clearly written statement that
there shall be no unlawful use of drugs or alcohol associated with the program.
Additionally, CONTRACTOR shall ensure that no aspect of the program includes any
message in materials, curricula, teachings, or promotion of the responsible use, if the use
is unlawful, of drugs or alcohol pursuant to Health and Safety Code (HSC) 11999-
11999.3.
CONTRACTOR must sign the Unlawful Use of Drugs and Alcohol
Certification, attached hereto as Attachment B, incorporated herein by reference and
made part of this Agreement agreeing to uphold the obligations of HSC 11999 – 11999.3.
This agreement may be unilaterally terminated, without penalty, if CONTRACTOR
or a subcontractor that is a private entity is determined to have violated a prohibition of
the Unlawful Use of Drugs and Alcohol message or has an employee who is determined
by the DBH Director or her designee to have violated a prohibition of the Unlawful Use of
Drugs and Alcohol message.
11.LIMITATION ON USE OF FUNDS FOR PROMOTION OF
LEGALIZATION OF CONTROLLED SUBSTANCES
CONTRACTOR shall ensure that none of the funds made available
through this Agreement with COUNTY may be used for any activity that promotes the
legalization of any drug or other substance included in Schedule I of Section 202 of the
Controlled Substances Act (21 USC 812).
12.NONDISCRIMINATION AND INSTITUTIONAL SAFEGUARDS FOR
RELIGIOUS CONTRACTORS
CONTRACTOR shall establish such processes and procedures as
necessary to comply with the provisions of Title 42, USC, Section 300x-65 and Title 42,
CFR, Part 54 to prohibit discrimination against nongovernmental organizations and
certain individuals on the basis of religion in the distribution of government funds to
provide substance abuse services and to allow the organizations to accept the funds to
provide the services to the individuals without impairing the religious character of the
organizations or the religious freedom of the individuals.
Exhibit D - Page 5 of 13
13.COUNSELOR CERTIFICATION
CONTRACTOR shall ensure that any counselor or registrant providing
intake, assessment of need for services, treatment or recovery planning, individual or
group counseling to participants, patients, or residents in a DHCS licensed or certified
program is required to be certified as defined in Title 9, Division 4, Chapter 8.
14.INTRAVENOUS DRUG USE (IVDU) TREATMENT
CONTRACTOR shall ensure that beneficiaries in need of IVDU treatment
shall be encouraged to undergo AOD treatment adhering to provisions in 42 USC 300x-
23 and 45 CFR 96.126(e). DHCS shall monitor programs for compliance with this
requirement.
15.TUBERCULOSIS TREATMENT
CONTRACTOR shall ensure the following related to Tuberculosis (TB):
A.Routinely make available TB services to each individual receiving
treatment for AOD use and/or abuse.
B.Reduce barriers to patients’ accepting TB treatment.
C.Develop strategies to improve follow-up monitoring, particularly
after patients leave treatment, by disseminating information through
educational bulletins and technical assistance.
16.TRAFFICKING IN PERSONS PROVISIONS – PRIVATE ENTITY
CONTRACTOR shall conform to all Federal statutes and regulations
prohibiting trafficking in persons, as well as trafficking-related activities, including, but
not limited to the trafficking of persons provisions in Section 106(g) of the Trafficking
Victims Protection Act of 2000 (TVPA) as amended by Section 1702.
CONTRACTOR, CONTRACTOR’s employees, subrecipients, and
subrecipients’ employees may not:
A.Engage in severe forms of trafficking in persons during the period
of time that the award is in effect;
B.Procure a commercial sex act during the period of time that the
award is in effect; or
C.Use forced labor in the performance of the award or subawards
under the award.
This agreement may be unilaterally terminated, without penalty, if
CONTRACTOR or a subrecipient that is a private entity is determined to have violated
a prohibition of the TVPA or has an employee who is determined by the DBH Director
or her designee to have violated a prohibition of the TVPA through conduct that is
either associated with performance under the award or imputed to the CONTRACTOR
or their subrecipient using the standards and due process for imputing the conduct of
Exhibit D - Page 6 of 13
an individual to an organization that are provided in 2 C.F.R. Part 180, “OMB
Guidelines to Agencies on Government-wide Debarment and Suspension
(Nonprocurement).
CONTRACTOR must inform the DBH Director or her designee
immediately of any information received from any source alleging a violation of a
prohibition of the TVPA.
CONTRACTOR must sign a certification annually acknowledging the
Trafficking Victims Protection Act of 2000 requirements (TVPA Certification), attached
hereto as Attachment C, incorporated herein by reference and made part of this
Agreement and must require all employees to complete annual TVPA training.
17.BYRD ANTI-LOBBYING AMENDMENT
CONTRACTOR certifies that it will not and has not used Federal
appropriated funds to pay any person or organization for influencing or attempting to
influence an officer or employee of any agency, a member of Congress, officer or
employee of Congress, or an employee of a member of Congress in connection with
obtaining any Federal contract, grant or any other award covered by 31 USC 1352.
CONTRACTOR shall also disclose to DHCS any lobbying with non-Federal funds that
takes place in connection with obtaining any Federal award.
18.NONDISCRIMINATION IN EMPLOYMENT AND SERVICES
CONTRACTOR certifies that under the laws of the United States and the
State of California, incorporated into the State-County Intergovernmental Agreement,
CONTRACTOR shall not unlawfully discriminate against any person.
19.FEDERAL LAW REQUIREMENTS
CONTRACTORS shall comply with the following Federal law
requirements:
A.Title VI of the Civil Rights Act of 1964, Section 2000d, as amended,
prohibiting discrimination based on race, color, or national origin in
federally funded programs.
B.Title VIII of the Civil Rights Act of 1968 (42 USC 3601 et seq.)
prohibiting discrimination on the basis of race, color, religion, sex,
handicap, familial status or national origin in the sale or rental of
housing.
C.Age Discrimination Act of 1975 (45 CFR Part 90), as amended (42
USC Sections 6101 – 6107), which prohibits discrimination on the
basis of age.
D.Age Discrimination in Employment Act (29 CFR Part 1625).
Exhibit D - Page 7 of 13
E.Title I of the Americans with Disabilities Act (29 CFR Part 1630)
prohibiting discrimination against the disabled in employment.
F.Americans with Disabilities Act (28 CFR Part 35) prohibiting
discrimination against the disabled by public entities.
G.Title III of the Americans with Disabilities Act (28 CFR Part 36)
regarding access.
H.Rehabilitation Act of 1973, as amended (29 USC Sectio n 794),
prohibiting discrimination on the basis of individuals with disabilities.
I.Executive Order 11246 (42 USC 2000(e) et seq. and 41 CFR Part
60) regarding nondiscrimination in employment under federal
contracts and construction contracts greater than $10,000 funded
by federal financial assistance.
J.Executive Order 13166 (67 FR 41455) to improve access to federal
services for those with limited English proficiency.
K.The Drug Abuse Office and Treatment Act of 1972, as amended,
relating to nondiscrimination on the basis of drug abuse.
L.The Comprehensive Alcohol Abuse and Alcoholism Prevention,
Treatment and Rehabilitation Act of 1970 (P.L. 91-616), as
amended, relating to nondiscrimination on the basis of alcohol
abuse or alcoholism.
20.STATE LAW REQUIREMENTS
CONTRACTOR shall comply with the following State law requirements:
A.Fair Employment and Housing Act (Government Code Section
12900 et seq.) and the applicable regulations promulgated
thereunder (California Administrative Code, Title 2, Section 7285.0
et seq.).
B.Title 2, Division 3, Article 9.5 of the Government Code,
commencing with Section 11135.
C.Title 9, Division 4, Chapter 8, commencing with Section 10800.
D.No state or Federal funds shall be used by COUNTY, or
CONTRACTOR, for sectarian worship, instruction, and/or
proselytization. No state funds shall be used by CONTRACTOR, or
CONTRACTOR, to provide direct, immediate, or substantial
support to any religious activity.
E.Noncompliance with the requirements of nondiscrimination in
services shall constitute grounds for state to withhold payments
Exhibit D - Page 8 of 13
under this Agreement or terminate all, or any type, of funding
provided hereunder.
21.INFORMATION ACCESS FOR INDIVIDUALS WITH LIMITED ENGLISH
PROFICIENCY
CONTRACTOR shall comply with all applicable provisions of the Dymally-
Alatorre Bilingual Services Act (Government Code sections 7290 -7299.8) regarding
access to materials that explain services available to the public as well as providing
language interpretation services.
CONTRACTOR shall comply with the applicable provisions of Section
1557 of the Affordable Care Act (45 CFR Part 92), including, but not limited to, 45 CFR
92.201, when providing access to:
A.Materials explaining services available to the public,
B.Language assistance,
C.Language interpreter and translation services, and
D.Video remote language interpreting services.
22.INTERIM SERVICES
CONTRACTOR must adhere to the State-County Contract requirement to
provide Interim Services in the event that an individual must wait to be placed in
treatment.
Interim Substance Abuse Services means services that are provided until an
individual is admitted to a substance abuse treatment program. The purposes of the
services are to reduce the adverse health effects of such abuse, promote the health of the
individual, and reduce the risk of transmission of disease. At a minimum, interim services
include counseling and education about HIV and tuberculosis (TB), about the risks of
needle-sharing, the risks of transmission to sexual partners and infants, and about steps
that can be taken to ensure the HIV and TB transmission does not occur, as well as
referral for HIV or TB treatment services if necessary. For pregnant women, interim
services also include counseling on the effects of alcohol and drug use on the fetus, as
well as referral for prenatal care.
Records must indicate evidence that Interim Services have been provided
and documentation will be reviewed for compliance.
23.CHARITABLE CHOICE
CONTRACTOR may not discriminate in its program delivery against a client
or potential client on the basis of religion or religious belief, a refusal to hold a religious
belief, or a refusal to actively participate in a religious practice. Any specifically religious
activity or service made available to individuals by the CONTRACTOR must be voluntary
as well as separate in time and location from County funded activities and services.
CONTRACTOR shall inform County as to whether it is faith-based. If CONTRACTOR
Exhibit D - Page 9 of 13
identifies as faith-based it must submit to DBH Contracts Division - SUD Services a copy
of its policy on referring individuals to alternate treatment CONTRACTOR, and include a
copy of this policy in its client admission forms. The policy must inform individuals that
they may be referred to an alternative provider if they object to the religious nature of the
program, and include a notice to SUD Services. Adherence to this policy will be
monitored during annual site reviews, and a review of client files. If CONTRACTOR
identifies as faith-based, by July 1 of each year CONTRACTOR will be required to report
to SUD Services the number of individuals who requested referrals to alternate providers
based on religious objection. In addition, CONTRACTOR shall comply with the
provisions of Title 42, USC, Section 300x-65 and Title 42, CFR, Part 54.
24.MINIMUM QUALITY DRUG TREATMENT STANDARDS
CONTRACTOR shall comply with the Minimum Quality Drug Treatment
Standards for SABG for all Substance Use Disorder (SUD) treatment programs. The
Minimum Quality Drug Treatment Standards are attached hereto and by this reference
incorporated herein as Attachment D.
25.RISK ASSESSMENT
CONTRACTOR shall comply with the sub-recipient pre-award risk assessment
requirements contained in 2 CFR Part 200 Uniform Administrative Requirements, Cost
Principles and Audit Requirements for Federal Awards. COUNTY, as the SABG first-tier sub-
recipient, shall review the merit and risk associated with all potential grant second-tier sub-
recipients (CONTRACTOR) annually prior to making an award. COUNTY shall perform and
document annual subrecipient pre-award risk assessments for each CONTRACTOR and retain
documentation for audit purposes.
26.CONTROL REQUIREMENTS
Performance under this Agreement is subject to all applicable Federal and
State laws, regulations and standards. In accepting the State drug and alcohol
combined program allocation pursuant to California Health and Safety Code section
11757, CONTRACTOR shall establish written accounting procedures consistent with
applicable Federal and State laws, regulations and standards, and shall be held
accountable for audit exceptions taken by the State or COUNTY for failur e to comply
with these requirements. These requirements include, but may not be limited to, those
set forth in this Agreement, and:
A.HSC, Division 10.5, Part 2 commencing with Section 11760.
B.Title 9, California Code of Regulations (CCR) (herein referred to as
Title 9), Division 4, commencing with Section 9000.
C.Government Code, Title 2, Division 4, Part 2, Chapter 2, Article 1.7.
D.Government Code, Article 7, Federally Mandated Audits of Block
Grant Funds Allocated to Local Agencies, Chapter 1, Part 1, Divisio n 2, Title 5,
commencing at Section 53130.
E.Title 42 United State Code (USC), Sections 300x-21 through 300x-
31, 300x-34, 300x-53, 300x-57, and 330x-64 through 66.
Exhibit D - Page 10 of 13
F.Title 2, CFR 200 -The Uniform Administration Requirements, Cost
Principles and Audit Requirements for Federal Awards.
G.Title 45, Code of Federal Regulations (CFR), Sections 96.30
through 96.33 and Sections 96.120 through 96.137.
H.Title 42, CFR, Sections 8.1 through 8.6.
I.Confidentiality of Alcohol and Drug Abuse Patient Records (42 CFR
Part 2, Subparts A - E).
J.Title 21, CFR, Sections 1301.01 through 1301.93, Department of
Justice, Controlled Substances.
K.State Administrative Manual (SAM), Chapter 7200 (General Outline
of Procedures).
27.DRUG FREE WORKPLACE
CONTRACTOR shall comply with the requirements of the Drug-Free Work
Place Act of 1990 (California Government Code section 8350).
28.YOUTH TREATMENT GUIDELINES
CONTRACTOR shall follow the “Youth Treatment Guidelines,” available at
the DHCS web address at:
http://www.dhcs.ca.gov/individuals/Pages/youthSUDservices.aspx and by this reference
incorporated herein, in developing and implementing youth treatment programs funded
under this Agreement until such time new Youth Treatment Guidelines are established
and adopted. No formal amendment of this contract is required for new guidelines to
apply.
29.HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT
(HIPAA) OF 1996
If any of the work performed under this Agreement is subject to the
HIPAA, CONTRACTOR shall perform the work in compliance with all applicable
provisions of HIPAA. As identified in Exhibit F of the State County Intergovernmental
Agreement, DHCS, COUNTY and CONTRACTOR shall cooperate to assure mutual
agreement as to those transactions between them, to which this Provision applies.
Refer to Exhibit F for additional information.
A.Trading Partner Requirements
1)No Changes: CONTRACTOR hereby agrees that for the
personal health information (PHI), it shall not change any definition, data condition or
use of a data element or segment as proscribed in the federal Health and Human
Services Transaction Standard Regulation [45 CFR Part 162915(a)].
2)No Additions: CONTRACTOR hereby agrees that for PHI, it
shall not add any data elements or segments to the maximum data set as proscribed in
the HHS Transaction Standard Regulation [45CFR Part 162.915 (b)].
Exhibit D - Page 11 of 13
3)No Unauthorized Uses: CONTRACTOR hereby agrees that
for PHI, it shall not use any code or data elements that are marked ‘not used” in the in
the HHS Transactions Implementation specification or are not in the HHS Transaction
Standard’s implementation specification [45CFR Part 162.915 (c)].
4)No Changes to Meaning or Intent: CONTRACTOR hereby
agrees that for PHI, it shall not change the meaning or intent of the HHS Transaction
Standard’s implementation specification [45CFR Part 162.915 (d)].
B.Concurrence for Test Modifications to HHS Transaction Standards
CONTRACTOR agrees and understands that there exists the possibility
that DHCS or others may request an extension from the uses of a standard in the HHS
Transaction Standards. If this occurs, CONTRACTOR agrees that it shall participate in
such test modifications.
C.Adequate Testing
CONTRACTOR is responsible to adequately test all business rules
appropriate to their types and specialties. If the CONTRACTOR is acting as a
clearinghouse for enrolled providers, CONTRACTOR has obligations to adequately test
all business rules appropriate to each and every provider type and specialty for which
they provide clearinghouse services.
D.Deficiencies
The CONTRACTOR agrees to cure transactions errors or deficiencies
identified by DHCS, and transactions errors or deficiencies identified by an enr olled
CONTRACTOR if the COUNTY is acting as a clearinghouse for that CONTRACTOR. If
the CONTRACTOR is a clearinghouse, the CONTRACTOR agrees to properly
communicate deficiencies and other pertinent information regarding electronic
transactions to enrolled CONTRACTORS for which they provide clearinghouse
services.
E.Code Set Retention
Both Parties understand and agree to keep open code sets being
processed or used in this Agreement for a least the current billing period or any appeal
period, whichever is longer.
F.Data Transmission Log
Both Parties shall establish and maintain a Data Transmission Log, which
shall record any and all data transmissions taking place between the Parties during the
term of this Agreement. Each Party shall take necessary and reasonable steps to
ensure that such Data Transmission Logs constitute a current, accurate, complete and
unaltered record of any and all Data Transmissions between the Parties, and shall be
retained by each Party for no less than twenty-four (24) months following the date of
the Data Transmission. The Data Transmission Log may be maintained on computer
Exhibit D - Page 12 of 13
media or other suitable means provided that, if necessary to do so, the information
contained in the Data Transmission Log may be retrieved in a timely manner and
presented in readable form.
Exhibit D - Page 13 of 13
Exhibit E
Page 1 of 3
FRESNO COUNTY MENTAL HEALTH COMPLIANCE PROGRAM
CONTRACTOR CODE OF CONDUCT AND ETHICS
Fresno County is firmly committed to full compliance with all applicable laws, regulations,
rules and guidelines that apply to the provision and payment of mental health services. Mental
health contractors and the manner in which they conduct themselves are a vital part of this
commitment.
Fresno County has established this Contractor Code of Conduct and Ethics with which
contractor and its employees and subcontractors shall comply. CONTRACTOR(S) shall require its
employees and subcontractors to attend a compliance training that will be provided by Fresno
County. After completion of this training, CONTRACTOR(S), CONTRACTOR(S)’ employees and
subcontractors must sign the Contractor Acknowledgment and Agreement form and return this form
to the Compliance Officer or designee.
Contractor and its employees and subcontractor shall:
1.Comply with all applicable laws, regulations, rules or guidelines when providing and
billing for mental health services.
2.Conduct themselves honestly, fairly, courteously and with a high degree of integrity in
their professional dealing related to their contract with the COUNTY and avoid any
conduct that could reasonably be expected to reflect adversely upon the integrity of the
COUNTY.
3.Treat COUNTY employees, consumers, and other mental health contractors fairly and
with respect.
4.NOT engage in any activity in violation of the COUNTY’s Compliance Program, nor
engage in any other conduct which violates any applicable law, regulation, rule or
guideline
5.Take precautions to ensure that claims are prepared and submitted accurately, timely
and are consistent with all applicable laws, regulations, rules or guidelines.
6.Ensure that no false, fraudulent, inaccurate or fictitious claims for payment or
reimbursement of any kind are submitted.
Exhibit E
Page 2 of 3
7.Bill only for eligible services actually rendered and fully documented. Use billing codes
that accurately describe the services provided.
8.Act promptly to investigate and correct problems if errors in claims or billing are
discovered.
9.Promptly report to the Compliance Officer any suspected violation(s) of this Code of
Conduct and Ethics by COUNTY employees or other mental health contractors, or
report any activity that they believe may violate the standards of the Compliance
Program, or any other applicable law, regulation, rule or guideline. Fresno County
prohibits retaliation against any person making a report. Any person engaging in any
form of retaliation will be subject to disciplinary or other appropriate action by the
COUNTY. CONTRACTOR(S) may report anonymously.
10.Consult with the Compliance Officer if you have any questions or are uncertain of any
Compliance Program standard or any other applicable law, regulation, rule or
guideline.
11.Immediately notify the Compliance Officer if they become or may become an Ineligible
person and therefore excluded from participation in the Federal Health Care Programs.
Exhibit E
Page 3 of 3
Fresno County Mental Health Compliance Program
Contractor Acknowledgment and Agreement
I hereby acknowledge that I have received, read and understand the Contractor Code of Conduct and
Ethics. I herby acknowledge that I have received training and information on the Fresno County Mental
Health Compliance Program and understand the contents thereof. I further agree to abide by the
Contractor Code of Conduct and Ethics, and all Compliance Program requirements as they apply to my
responsibilities as a mental health contractor for Fresno County.
I understand and accept my responsibilities under this Agreement. I further understand that any
violation of the Contractor Code of Conduct and Ethics or the Compliance Program is a violation of
County policy and may also be a violation of applicable laws, regulations, rules or guidelines. I further
understand that violation of the Contractor Code of Conduct and Ethics or the Compliance Program
may result in termination of my agreement with Fresno County. I further understand that Fresno
County will report me to the appropriate Federal or State agency.
For Individual Providers
Name (print): _____________________________________
Discipline: Psychiatrist Psychologist LCSW LMFT
Signature: _______________________________ Date: ___/____/___
For Group or Organizational Providers
Group/Org. Name (print): ______________________________________
Employee Name (print): _______________________________________
Discipline: Psychiatrist Psychologist LCSW LMFT
Other:_________________________________________________
Job Title (if different from Discipline): ___________________________
Signature: _______________________________ Date: ___/____/___
Exhibit F - Page 1 of 2
SELF-DE ALING TRANSAC TION DISCLOSURE FORM
In order to conduct business with the County of Fresno (hereinafter referred to as “COUNTY”),
members of a CONTRACTOR(S)’ board of directors (hereinafter referred to as “County
Contractor”), must disclose any self-dealing transactions that they are a party to while
providing goods, performing services, or both for the COUNTY. A self-dealing transaction is
defined below:
“A self-dealing transaction means a transaction to which the corporation is a party and in
which one or more of its directors has a material financial interest”
The definition above will be utilized for purposes of completing this disclosure form.
INSTRUCTIONS
(1)Enter board member’s name, job title (if applicable), and date this disclosure is being
made.
(2)Enter the board member’s company/agency name and address.
(3)Describe in detail the nature of the self-dealing transaction that is being disclosed to
the COUNTY. At a minimum, include a description of the following:
a.The name of the agency/company with which the corporation has the
transaction; and
b.The nature of the material financial interest in the corporation’s transaction that
the board member has.
(4)Describe in detail why the self-dealing transaction is appropriate based on applicable
provisions of the Corporations Code.
(5)Form must be signed by the board member that is involved in the self-dealing
transaction described in Sections (3) and (4).
Exhibit F - Page 2 of 2
(1) Company Board Member Information:
Name: Date:
Job Title:
(2) Company/Agency Name and Address:
(3) Disclosure (Please describe the nature of the self-dealing transaction you are a party to):
(4)Explain why this self-dealing transaction is consistent with the requirements of Corporations Code 5233 (a):
(5) Authorized Signature
Signature: Date:
Exhibit G – Page 1 of 1
NOTICE OF CHILD ABUSE REPORTING LAW
The undersigned hereby acknowledges that Penal Code section 11166 and the
contractual obligations between County of Fresno (COUNTY) and YOUTH
LEADERSHIP INSTITUTE (CONTRACTOR), require that the undersigned report all
known or suspected child abuse or neglect to one or more of the agencies set forth in
Penal Code (P.C.) section (§) 11165.9.
For purposes of the undersigned’s child abuse reporting requirements, “child
abuse or neglect” includes physical injury inflicted by other than accidental means upon a
child by another person, sexual abuse as defined in P.C. §11165.1, neglect as defined in
P.C. §11165.2, willful cruelty or unjustifiable punishment as defined in P.C. §11165.3,
and unlawful corporal punishment or injury as defined in P.C. §11165.4.
A child abuse report shall be made whenever the undersigned, in his or her
professional capacity or within the scope of his or her employment, has knowledge of or
observes a child whom the undersigned knows or reasonably suspects has been the victim
of child abuse or neglect. (P.C §11166.) The child abuse report shall be made to any
police department or sheriff’s department (not including a school district police or
security department), or to any county welfare department, including Fresno County
Department of Children and Family Services’ 24 Hour CARELINE. (See PC §11165.9.)
For purposes of child abuse reporting, a “reasonable suspicion” means that it is
objectively reasonable for a person to entertain a suspicion, based upon facts that could
cause a reasonable person in a like position, drawing, when appropriate, on his or her
training and experience, to suspect child abuse or neglect. The pregnancy of a child does
not, in and of itself, constitute a basis for reasonable suspicion of sexual abuse. (P.C.
§11166(a)(1).)
Substantial penalties may be imposed for failure to comply with these child abuse
reporting requirements.
Further information and a copy of the law may be obtained from the County of
Fresno Department head or designee.
I have read and understand the above statement and agree to comply with the child abuse
reporting requirements.
__________________________________ ________________________
SIGNATURE DATE
National Standards for Culturally and Linguistically
Appropriate Services (CLAS) in Health and Health Care
The National CLAS Standards are intended to advance health equity, improve quality, and help
eliminate health care disparities by establishing a blueprint for health and health care organizations to:
Principal Standard:
1.Provide effective, equitable, understandable, and respectful quality care and services that are responsive to diverse cultural health beliefs and
practices, preferred languages, health literacy, and other communication needs.
Governance, Leadership, and Workforce:
2.Advance and sustain organizational governance and leadership that promotes CLAS and health equity through policy, practices, and
allocated resources.
3.Recruit, promote, and support a culturally and linguistically diverse governance, leadership, and workforce that are responsive to the population in
the service area.
4.Educate and train governance, leadership, and workforce in culturally and linguistically appropriate policies and practices on an ongoing basis.
Communication and Language Assistance:
5.Offer language assistance to individuals who have limited English proficiency and/or other communication needs, at no cost to them, to facilitate
timely access to all health care and services.
6.Inform all individuals of the availability of language assistance services clearly and in their preferred language, verbally and in writing.
7.Ensure the competence of individuals providing language assistance, recognizing that the use of untrained individuals and/or minors as interpreters
should be avoided.
8.Provide easy-to-understand print and multimedia materials and signage in the languages commonly used by the populations in the service area.
Engagement, Continuous Improvement, and Accountability:
9.Establish culturally and linguistically appropriate goals, policies, and management accountability, and infuse them throughout the organization’s
planning and operations.
10.Conduct ongoing assessments of the organization’s CLAS-related activities and integrate CLAS-related measures into measurement and continuous
quality improvement activities.
11.Collect and maintain accurate and reliable demographic data to monitor and evaluate the impact of CLAS on health equity and outcomes and to
inform service delivery.
12.Conduct regular assessments of community health assets and needs and use the results to plan and implement services that respond to the
cultural and linguistic diversity of populations in the service area.
13.Partner with the community to design, implement, and evaluate policies, practices, and services to ensure cultural and linguistic appropriateness.
14.Create conflict and grievance resolution processes that are culturally and linguistically appropriate to identify, prevent, and resolve conflicts
or complaints.
15.Communicate the organization’s progress in implementing and sustaining CLAS to all stakeholders, constituents, and the general public.
Think Cultural Health
https://www.thinkculturalhealth.hhs.gov/
contact@thinkculturalhealth.hhs.gov
Exhibit H - Page 1 of 2
The Case for the National CLAS Standards
Health equity is the attainment of the highest level of health for all people.1 Currently, individuals across the United States from various cultural
backgrounds are unable to attain their highest level of health for several reasons, including the social determinants of health, or those conditions in which
individuals are born, grow, live, work, and age,2 such as socioeconomic status, education level, and the availability of health services.3
Though health inequities are directly related to the existence of historical and current discrimination
and social injustice, one of the most modifiable factors is the lack of culturally and linguistically
appropriate services, broadly defined as care and services that are respectful of and responsive to
the cultural and linguistic needs of all individuals.
Health inequities result in disparities that directly affect the quality of life for all individuals. Health
disparities adversely affect neighborhoods, communities, and the broader society, thus making
the issue not only an individual concern but also a public health concern. In the United States, it
has been estimated that the combined cost of health disparities and subsequent deaths due to
inadequate and/or inequitable care is $1.24 trillion.4
Culturally and linguistically appropriate services are increasingly recognized as effective in improving
the quality of care and services.5,6 By providing a structure to implement culturally and linguistically
appropriate services, the National CLAS Standards will improve an organization’s ability to address
health care disparities.
The National CLAS Standards align with the HHS Action Plan to Reduce Racial and Ethnic Health Disparities7 and the National Stakeholder Strategy for
Achieving Health Equity,8 which aim to promote health equity through providing clear plans and strategies to guide collaborative efforts that address racial
and ethnic health disparities across the country.
Similar to these initiatives, the National CLAS Standards are intended to advance health equity, improve quality, and help eliminate health care disparities
by providing a blueprint for individuals and health and health care organizations to implement culturally and linguistically appropriate services. Adoption of
these Standards will help advance better health and health care in the United States.
Of all the forms of
inequality, injustice in
health care is the most
shocking and inhumane.
— Dr. Martin Luther King, Jr.
Bibliography
1. U.S. Department of Health and Human Services, Office of Minority Health (2011). National Partnership for Action to End Health Disparities. Retrieved from http://minorityhealth.hhs.gov/npa
2. World Health Organization. (2012). Social determinants of health. Retrieved from http://www.who.int/social_determinants/en/
3. U.S. Department of Health and Human Services, Office of Disease Prevention and Health Promotion. (2010). Healthy people 2020: Social determinants of health. Retrieved from http://www.
healthypeople.gov/2020/topicsobjectives2020/overview.aspx?topicid=39
4. LaVeist, T. A., Gaskin, D. J., & Richard, P. (2009). The economic burden of health inequalities in the United States. Retrieved from the Joint Center for Political and Economic Studies website: http://www.
jointcenter.org/sites/default/files/upload/research/files/The%20Economic%2 0Burden%20of%20Health%20Inequalities%20in%20the%20United%20States.pdf
5. Beach, M. C., Cooper, L. A., Robinson, K. A., Price, E. G., Gary, T. L., Jenckes, M. W., Powe, N.R. (2004). Strategies for improving minority healthcare quality. (AHRQ Publication No. 04-E008-02). Retrieved
from the Agency of Healthcare Research and Quality website: http://www.ahrq.gov/downloads/pub/evidence/pdf/minqual/minqual.pdf
6. Goode, T. D., Dunne, M. C., & Bronheim, S. M. (2006). The evidence base for cultural and linguistic competency in health care. (Commonwealth Fund Publication No. 962). Retrieved from The
Commonwealth Fund website: http://www.commonwealthfund.org/usr_doc/Goode_evidencebasecultlinguisticcomp_962.pdf
7. U.S. Department of Health and Human Services. (2011). HHS action plan to reduce racial and ethnic health disparities: A nation free of disparities in health and health care. Retrieved from http://
minorityhealth.hhs.gov/npa/files/Plans/HHS/HHS_Plan_complete.pdf
8. National Partnership for Action to End Health Disparities. (2011). National stakeholder strategy for achieving health equity. Retrieved from U.S. Department of Health and Human Services, Office of
Minority Health website: http://www.minorityhealth.hhs.gov/npa/templates/content.aspx?lvl=1&lvlid=33&ID=286
Think Cultural Health
https://www.thinkculturalhealth.hhs.gov/
contact@thinkculturalhealth.hhs.gov
Exhibit H - Page 2 of 2
Exhibit I – Page 1 of 2
DISCLOSURE OF OWNERSHIP AND CONTROL INTEREST STATEMENT
I.Identifying Information
Name of entity D/B/A
Address (number, street) City State ZIP code
CLIA number Taxpayer ID number (EIN) Telephone number
( )
II.Answer the following questions by checking “Yes” or “No.” If any of the questions are answered “Yes,” list names and
addresses of individuals or corporations under “Remarks” on page 2. Identify each item number to be continued.
A.Are there any individuals or organizations having a direct or indirect ownership or control interest
of five percent or more in the institution, organizations, or agency that have been convicted of a criminal
offense related to the involvement of such persons or organizations in any of the programs established
YES NO
by Titles XVIII, XIX, or XX? ......................................................................................................................... ❒ ❒
B.Are there any directors, officers, agents, or managing employees of the institution, agency, or
organization who have ever been convicted of a criminal offense related to their involvement in such
programs established by Titles XVIII, XIX, or XX? ...................................................................................... ❒ ❒
C.Are there any individuals currently employed by the institution, agency, or organization in a managerial,
accounting, auditing, or similar capacity who were employed by the institution’s, organization’s, or
agency’s fiscal intermediary or carrier within the previous 12 months? (Title XVIII providers only) ........... ❒ ❒
III.A. List names, addresses for individuals, or the EIN for organizations having direct or indirect ownership or a controlling
interest in the entity. (See instructions for definition of ownership and controlling interest.) List any additional names
and addresses under “Remarks” on page 2. If more than one individual is reported and any of these persons are
related to each other, this must be reported under “Remarks.”
NAME ADDRESS EIN
B.Type of entity: ❒ Sole proprietorship ❒Partnership ❒Corporation❒Unincorporated Associations ❒Other (specify)
C.If the disclosing entity is a corporation, list names, addresses of the directors, and EINs for corporations
under “Remarks.”
D.Are any owners of the disclosing entity also owners of other Medicare/Medicaid facilities?
(Example: sole proprietor, partnership, or members of Board of Directors) If yes, list names, addresses
of individuals, and provider numbers. .......................................................................................................... ❒❒
NAME ADDRESS PROVIDER NUMBER
Exhibit I – Page 2 of 2
YES NO
IV. A. Has there been a change in ownership or control within the last year? ....................................................... ❒ ❒
If yes, give date.
B. Do you anticipate any change of ownership or control within the year?....................................................... ❒ ❒
If yes, when?
C. Do you anticipate filing for bankruptcy within the year?................................................................................ ❒ ❒
If yes, when?
V.Is the facility operated by a management company or leased in whole or part by another organization?.......... ❒ ❒
If yes, give date of change in operations.
VI.Has there been a change in Administrator, Director of Nursing, or Medical Director within the last year?......... ❒ ❒
VII. A. Is this facility chain affiliated? ...................................................................................................................... ❒ ❒
(If yes, list name, address of corporation, and EIN.)
Name EIN
Address (number, name) City State ZIP code
B.If the answer to question VII.A. is NO, was the facility ever affiliated with a chain?
(If yes, list name, address of corporation, and EIN.)
Name EIN
Address (number, name) City State ZIP code
Whoever knowingly and willfully makes or causes to be made a false statement or representation of this statement, may be
prosecuted under applicable federal or state laws. In addition, knowingly and willfully failing to fully and accurately disclose the
information requested may result in denial of a request to participate or where the entity already participates, a termination of
its agreement or contract with the agency, as appropriate.
Name of authorized representative (typed) Title
Signature Date
Remarks
Exhibit J - Page 1 of 2
CERTIFICATION REGARDING DEBARMENT, SUSPENSION, AND OTHER
RESPONSIBILITY MATTERS--PRIMARY COVERED TRANSACTIONS
INSTRUCTIONS FOR CERTIFICATION
1.By signing and submitting this proposal, the prospective primary participant is providing
the certification set out below.
2.The inability of a person to provide the certification required below will not necessarily
result in denial of participation in this covered transaction. The prospective participant shall
submit an explanation of why it cannot provide the certification set out below. The
certification or explanation will be considered in connection with the department or
agency's determination whether to enter into this transaction. However, failure of the
prospective primary participant to furnish a certification or an explanation shall disqualify
such person from participation in this transaction.
3.The certification in this clause is a material representation of fact upon which reliance was
placed when the department or agency determined to enter into this transaction. If it is
later determined that the prospective primary participant knowingly rendered an erroneous
certification, in addition to other remedies available to the Federal Government, the
department or agency may terminate this transaction for cause or default.
4.The prospective primary participant shall provide immediate written notice to the
department or agency to which this proposal is submitted if at any time the prospective
primary participant learns that its certification was erroneous when submitted or has
become erroneous by reason of changed circumstances.
5.The terms covered transaction, debarred, suspended, ineligible, participant, person,
primary covered transaction, principal, proposal, and voluntarily excluded, as used in this
clause, have the meanings set out in the Definitions and Coverage sections of the rules
implementing Executive Order 12549. You may contact the department or agency to which
this proposal is being submitted for assistance in obtaining a copy of those regulations.
6. Nothing contained in the foregoing shall be construed to require establishment of a system
of records in order to render in good faith the certification required by this clause. The
knowledge and information of a participant is not required to exceed that which is normally
possessed by a prudent person in the ordinary course of business dealings.
CERTIFICATION
(1)The prospective primary participant certifies to the best of its knowledge and belief, that it,
its owners, officers, corporate managers and partners:
(a)Are not presently debarred, suspended, proposed for debarment, declared ineligible,
or voluntarily excluded by any Federal department or agency;
(b)Have not within a three-year period preceding this proposal been convicted of or had a
civil judgment rendered against them for commission of fraud or a criminal offense in
connection with obtaining, attempting to obtain, or performing a public (Federal, State
or local) transaction or contract under a public transaction; violation of Federal or State
antitrust statutes or commission of embezzlement, theft, forgery, bribery, falsification or
destruction of records, making false statements, or receiving stolen property;
Exhibit J - Page 2 of 2
(c)Have not within a three-year period preceding this application/proposal had one or
more public transactions (Federal, State or local) terminated for cause or default.
(2)Where the prospective primary participant is unable to certify to any of the statements in
this certification, such prospective participant shall attach an explanation to this proposal.
Signature: Date:
(Printed Name & Title) (Name of Agency or Company)
PRIVACY AND SECURITY AGREEMENT REGARDING AUTHORIZED ACCESS TO
CONFIDENTIAL PROTECTED HEALTH INFORMATION FOR FRESNO COUNTY DEPARTMENT
OF BEHAVIORAL HEALTH (DBH) EMPLOYEES AND/OR NON-DBH SUD SERVICES
WORKFORCE MEMBERS
OATH OF CONFIDENTIALITY
As a condition of obtaining access to any Protected Health Information (PHI) that is necessary to carry
out my function with DBH, I ___________________________, agree to not divulge any PHI to
unauthorized persons. Furthermore, I maintain that I will not publish or otherwise make public any
information regarding persons who receive Substance Use Disorder Services such that the persons who
receive or have received such services are identifiable.
Access to such data shall be limited to Fresno County DBH personnel, subcontractors, and
subcontractors’ personnel who require this information in the performance of their duties and have signed
an Oath of Confidentiality with DBH.
By signing this oath, I agree to uphold the security and confidentiality requirements outlined by the Medi-
Cal Privacy and Security Agreement signed by DBH, surveillance and safeguarding announcements
issued by DHCS, and other applicable terms and stipulations provided by the HIPAA doctrine as well as
other relevant state and federal regulations.
I hereby certify my understanding of the need to:
1.Exercise due care to preserve data integrity and confidentiality.
2.Treat passwords and user accounts as confidential information.
3.Take reasonable precautions to ensure the protection of PHI from unauthorized access.
4.Notify DHCS when there is a possible security violation including unauthorized access to PHI by
completing a “Privacy Incident Report” at:
http://www.dhcs.ca.gov/formsandpubs/laws/priv/Pages/DHCSBusinessAssociatesOnly.aspx and
return the completed form to: privacyofficer@dhcs.ca.gov.
I recognize that unauthorized release of confidential information may make me subject to civil and
criminal sanctions pursuant to the provisions of the Welfare and Institutions Code Section 14100.2,
Welfare and Institutions Code Section 5328 et seq. and the Health Insurance Portability and
Accountability Act of 1996 (HIPAA). I further acknowledge that the unauthorized release of confidential
information as described in this document may result in disciplinary action up to and including
termination of any office of employment or contract.
Agency Name:
Signature:
____________________________________
Date:
____________________________________
Exhibit K - Page 1 of 1