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HomeMy WebLinkAboutAgreement A-20-303 with DHCS.pdfAgreement No . 20-303 State of California-Health and Human Services Agency Department of Health Care Services Enclosure 1 Projects for Assistance in Transition from Homelessness (PATH) State Fiscal Year (SFY) 2020-21 Funding Allocation Fresno 05/01/2020 County Name Date 080055902 DUNS I Total Allocation 1$317,182 The County requests continuation of the PATH grant. These funds will be expended in accordance with all applicable federal and state requirements , and w ill be used as stated in the enclosed PATH Funding Agreements with Federal Requirements on Use of Allotments, Certification Statements and Compliance Assurances. This esti mate is the proposed total expenditure leve l for State Fiscal Year 2020-21 and is subject to change based on the level of appropriation approved in the State Budget Act of 2020. In addition, this amount is subject to adjustments for a net reimbursable amount to the county . The adjustments include , but are not limited to , Gramm-Rudmann-Hollings (Federal Deficit Reduct ion Act) reductions, prior year audit recoveries, federa l legislative mandates applicable to categorical funding, augmentations, etc . The net amount reimbursable will be reflected in reimbursable payments as the specific dollar amounts of ad j ustments become known for each county . The County will use this funding allocation worksheet to build the County 's SFY 2020-21 budget for the provision of services to reduce or eliminate homelessness for i ndividuals with serious mental illnesses (SMI), co-occurring substance use disorders (COD), and who are experiencing homelessness or are at imminent risk of becoming homeless. 05/01/2020 County Mental' e th Director Signature Date Susan Holt, Deputy Director, signing for Director Utecht Print Name DHCS 1750 (12/19) Certifications 1. Certification Regarding Debarment and Suspension The undersigned (authorized official signing for the applicant organization) certifies to the best of his or her knowledge and belief, that the applicant, defined as the primary participant in accordance with 2 CFR part 180, and its principals: a.Agrees to comply with 2 CFR Part 180, Subpart C by administering each lower tier subaward or contract that exceeds $25,000 as a "covered transaction" and verify each lower tier participant of a "covered transaction" under the award is not presently debarred or otherwise disqualified from participation in this federally assisted project by: a.Checking the Exclusion Extract located on the System for Award Management (SAM) at http://sam.gov b.Collecting a certification statement similar to paragraph (a) c.Inserting a clause or condition in the covered transaction with the lower tier contract 2. Certification Regarding Drug-Free Workplace Requirements The undersigned (authorized official signing for the applicant organization) certifies that the applicant will, or will continue to, provide a drug-free work- place in accordance with 2 CFR Part 182by: a.Publishing a statement notifying employees that the unlawful manufacture, distribution, dispensing, possession or use of a controlled substance is prohibited in the grantee's work-place and specifying the actions that will be taken against employees for violation of such prohibition; b.Establishing an ongoing drug-free awareness program to inform employees about-- 1.The dangers of drug abuse in the workplace; 2.The grantee's policy of maintaining a drug-free workplace; 3.Any available drug counseling, rehabilitation, and employee assistance programs; and 4.The penalties that may be imposed upon employees for drug abuse violations occurring in the workplace; c.Making it a requirement that each employee to be engaged in the performance of the grant be given a copy of the statement required by paragraph (a) above; d.Notifying the employee in the statement required by paragraph (a), above, that, as a condition of employment under the grant, the employee will- - 1.Abide by the terms of the statement; and 2.Notify the employer in writing of his or her conviction for a violation of a criminal drug statute occurring in the workplace no later than five calendar days after such conviction; e.Notifying the agency in writing within ten calendar days after receiving notice under paragraph (d)(2) from an employee or otherwise receiving actual notice of such conviction. Employers of convicted employees must provide notice, including position title, to every grant officer or other designee on whose grant activity the convicted employee was working, unless the Federal agency has designated a central point for the receipt of such notices. Notice shall include the identification number(s) of each affected grant; f.Taking one of the following actions, within 30 calendar days of receiving notice under paragraph (d) (2), with respect to any employee who is so convicted? 1.Taking appropriate personnel action against such an employee, up to and including termination, consistent with the requirements of the Rehabilitation Act of 1973, as amended; or 2.Requiring such employee to participate satisfactorily in a drug abuse assistance or rehabilitation program approved for such purposes by a Federal, State, or local health, law enforcement, or other appropriate agency; g.Making a good faith effort to continue to maintain a drug-free workplace through implementation of paragraphs (a), (b), (c), (d), (e), and (f). 3. Certifications Regarding Lobbying Per 45 CFR ?75.215, Recipients are subject to the restrictions on lobbying as set forth in 45 CFR part 93. Title 31, United States Code, Section 1352, entitled "Limitation on use of appropriated funds to influence certain Federal contracting and financial transactions," generally prohibits recipients of Federal grants and cooperative agreements from using Federal (appropriated) funds for lobbying the Executive or Legislative Branches of the Federal Government in connection with a SPECIFIC grant or cooperative agreement. Section 1352 also requires that each person who requests or receives a Federal grant or cooperative agreement must disclose lobbying undertaken with non-Federal (non- appropriated) funds. These requirements apply to grants and cooperative agreements EXCEEDING $100,000 in total costs. The undersigned (authorized official signing for the applicant organization) certifies, to the best of his or her knowledge and belief, that 1.No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract, the making of any Federal grant, the making of any Federal loan, the entering Page 1 of 2 Enclosure 2 into of any cooperative agreement, and the extension , contin u ation, renewal, amendment, o r modification of any Fede ral contract, grant, loan, or coope rative agreement. 2. If any funds other than Federa lly approp riated funds have been paid or wi ll be paid to any person fo r infl u enci n g or attempting to influe nce an officer or employee of any agency, a Member of Congress , an officer or employee of Congress, or an emp loyee of a Member of Congress in connection with t h is Federal contract, g rant, loan, or cooperative agreement, the undersigned shal l complete and submit Standard Form-LL L, "Disclo sure of Lobbying Activities," in accordance with its instructions. (If needed , Standa rd Form-LLL, "Disclosure of Lobbying Activities," its instructions , and continuation sheet are included at the end of this application form.) 3. The undersigned shall require that the language of this certification be included in the award documents for al l subawards at all tiers (including subcontracts, subgrants, and contracts under grants, loans and cooperative agreements) and that all subrecipients shall certify and disclose acco rdingly. This certification is a material representation of fact upon which reliance was placed when this transaction was made or entere d into. Su bm ission of this certificat io n is a pre requisite for making or entering into t hi s transaction i mposed by Sectio n 1352, U.S. Code. Any p erson w ho fai ls t o f ile th e re quired certification shall be subject to a civil penalty of not less than $10 ,000 and not more than $100,000 for each su ch failure . 4. Ce rtification Regarding Program Fraud Civil Remedies Act (PFCRA) (31 U.S .C ? 3801-3812) The undersigned (authorized official signing for the applicant organization) certifies that the statements he rein are true, complete, and accurate to the best of his or her knowledge, and that he or she is aware that any false , fictitious, or fra udulent statements or c laims may subject him o r her to crimi n al , ci v il , or administrative penalties . The undersigned agrees that the applicant organization will comply with the Public Health Service te rms and conditions of award if a grant is awarded as a result of this ap p lication. 5. Certification Regard ing Environmental Tobacco Smoke Public Law 103 -227 , also kno wn as the Pro-Ch i ldren Act of 1994 (Act ), requires that smoking not be permitted in any portion of any indoor facility owned or leased or contracted for by an entity and used routine ly or regularly for the provision of health, daycare, early childhood development services , education or lib rary services to children under the age of 18, if the se rvices are funded by Federal programs eit her directly or t h rough State or local governments, by Federal grant, contract, loan , or loan guarantee. The law also applies to children's services that are provided in indoor facilities that are const ructed , ope rated, or maintained with such Federal funds. The law does not app ly to children 's services p rovided in private residence, portions of fac i lities used for inpatient drug or alcohol treatment, service provi d ers whose sole source of applicab le Fe d eral f u nds is Medica re or Medicaid, o r facilities where WIC coupons are redeemed . Fa i lure to comply with the prov isions of the law may resu lt in the imposition of a civil monetary penalty of up to $1 ,000 for each vio lation and /or the imposition of an administrati ve compl iance order on the responsible entity. By signing the certification, the undersigned certifies that the applicant organization will comply with the requirements of the Act and will not allow smoking within any portion of any indoor facility used for the provision of services for children as defined by t he Act. The applicant organization agrees that it will require that the language of this certification be included in any subawards which contain provis ions for children 's services and that all subrecipients shall certify accordingly. The Public Health Services strongly encourages al l grant recipients to provide a smoke -free workplace and promote the non -use of tobacco products. This i s consistent with the PHS mission to protect and advance the physical and mental health of the American people . Name Ernest Buddy Mendes Title Chairman o f the Board of Supervisors of the County of Fresno Organization County of Fresno Signature :~~ ~ Foo t notes: / Date: 8/18/20 ATTEST : BERNICE E. SEIDEL Clerk of the Board of Superv isors County of Fresno , State of California By 3i, ~-shc.p De puty Page 2 of 2 Enclosure 3 PATH 2020-21 Request for Application Page 1 of 3 COMPLIANCE ASSURANCES The county, as recipient of grant funds, acknowledges and agrees that the county and its subcontractors shall provide services in accordance with all applicable federal and State statutes and regulations. I hereby certify that the County of Fresno agrees to the following: A.Amounts received under the PATH Formula Grant will be used solely to provide services to persons who have a serious mental illness, or have a co-occurring serious mental illness and substance abuse disorder, and who are homeless or at imminent risk of becoming homeless. B.PATH funds must be used to supplement, not supplant, existing services to individuals who have severe mental illness, or who have co-occurring severe mental illness and substance abuse disorders, and who are homeless or at imminent risk of becoming homeless. C.At a minimum, providers must provide both Outreach and Case Management. Additional grant funds shall be expended only for the following services: 1.Screening and diagnostic treatment services; 2.Habilitation and rehabilitation services (relating to training and education to improve the individual’s functioning in the community); 3.Community mental health services; 4.Alcohol and/or drug treatment services; 5.Staff training (for individuals who work in shelters, mental health clinics, substance abuse programs, and other sites where individuals require homeless services); 6.Supportive and supervisory services in residential settings; 7.Referrals for primary health services, job training, educational services, and relevant housing services; and 8.Housing services including minor renovation, expansion, and repair of housing; planning of housing, technical assistance in applying for housing; improving the coordination of housing services; security deposits; the costs associated with matching eligible homeless individuals with appropriate housing situations; and one-time rental payment to prevent eviction. D.Grants will be made pursuant to Section 522(a) of the Public Health Service Act only to entities that have the capacity to provide, directly or through arrangements, the specified service(s) including coordinating the provision of service(s) in order to meet the needs of eligible homeless individuals who are both mentally ill and suffering from substance abuse. Enclosure 3 PATH 2020-21 Request for Application Page 2 of 3 E. Special consideration will be given to funding entities with a demonstrated effectiveness in serving veterans who are homeless. F.Grant funds will not be given to any entity that has a policy of excluding individuals from mental health services due to the existence or suspicion of substance abuse or which excludes individuals from substance abuse services due to the existence or suspicion of mental illness. G.No more than ten percent of Federal PATH funds received shall be expended for administrative expenses. The ten percent administrative expense cap includes both the county’s and the subcontractor’s administrative costs in aggregate. H.None of the funds in this grant shall be used to pay the salary of an individual through a grant or other extramural mechanism at a rate in excess of Executive Level II of the Federal Executive Pay Scale. Effective January 5, 2020, the amount is $197,300. I.Not more than 20 percent of the payments will be expended for allowable housing services. The payments will not be expended to support emergency shelters or construction of housing facilities for inpatient psychiatric or inpatient substance abuse treatment costs or to make cash payments to intended recipients of mental health or substance abuse services. J.The county will make available, directly or through donations from public or private entities, non-federal contributions toward such costs in an amount that is not less than one dollar ($1) for each three dollars ($3) of federal funds provided in such payments. The amount of the county match is $105,728. K.The description of intended use will be revised throughout the year to reflect substantial changes in the programs and activities funded through the PATH grant. Changes in services will not be provided until the appropriate approval has been received. L.The county agrees to provide all reports required by the State Department of Health Care Services (DHCS). M.The county will comply, as applicable, with the Substance Abuse and Mental Health Services Administration’s (SAMHSA) Charitable Choice statutes codified at sections 581-584 and 1955 of the Public Health Service Act (42 USC 290k, et seq., and 42 USC 300x-65 et seq.) and their governing regulations at 42 C.F.R. part 54 and 54a respectively. Enclosure 3 N. The county has budgeted SFY 2020-2021 non-PATH funds for services to individuals who are homeless and mentally disabled as follows: $ 0 .00 Federal (non-PATH) $ 289,260 Other £__:;f- Chairman of the Ernest Buddy Mendes Print Name ATTEST : BERN ICE E. SEIDEL Cle rk of the Board of Supervisors County of Fresno , State of Californ ia 3y ~$()_,,y\ ~~Of)Deputy PATH 2020-21 Request for Application Page 3 of 3 8/18/20 Date Assurances - Non-Construction Programs Note: Certain assurances may not be applicable to your project or program. If you have questions, please contact the awarding agency. Further, certain Federal awarding agencies may require applicants to certify to additional assurances. If such is the case, you will be notified. As the duly authorized representative of the applicant I certify that the applicant: 1.Has the legal authority to apply for Federal assistance, and the institutional, managerial and financial capability (including funds sufficient to pay the non-Federal share of project costs) to ensure proper planning, management and completion of the project described in this application. 2.Will give the awarding agency, the Comptroller General of the United States, and if appropriate, the State, through any authorized representative, access to and the right to examine all records, books, papers, or documents related to the award; and will establish a proper accounting system in accordance with generally accepted accounting standard or agency directives. 3.Will establish safeguards to prohibit employees from using their positions for a purpose that constitutes or presents the appearance of personal or organizational conflict of interest, or personal gain. 4.Will initiate and complete the work within the applicable time frame after receipt of approval of the awarding agency. 5.Will comply with the Intergovernmental Personnel Act of 1970 (42 U.S.C. §§4728-4763) relating to prescribed standards for merit systems for programs funded under one of the nineteen statutes or regulations specified in Appendix A of OPM's Standard for a Merit System of Personnel Administration (5 C.F.R. 900, Subpart F). 6.Will comply with all Federal statutes relating to nondiscrimination. These include but are not limited to: (a) Title VI of the Civil Rights Act of 1964 (P.L. 88-352) which prohibits discrimination on the basis of race, color or national origin; (b) Title IX of the Education Amendments of 1972, as amended (20 U.S.C. §§1681-1683, and 1685-1686), which prohibits discrimination on the basis of sex; (c) Section 504 of the Rehabilitation Act of 1973, as amended (29 U.S.C. §§794), which prohibits discrimination on the basis of handicaps; (d) the Age Discrimination Act of 1975, as amended (42 U.S.C. §§6101- 6107), which prohibits discrimination on the basis of age; (e) the Drug Abuse Office and Treatment Act of 1972 (P.L. 92-255), as amended, relating to nondiscrimination on the basis of drug abuse; (f) 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; (g) §§523 and 527 of the Public Health Service Act of 1912 (42 U.S.C. §§290 dd-3 and 290 ee-3), as amended, relating to confidentiality of alcohol and drug abuse patient records; (h) Title VIII of the Civil Rights Act of 1968 (42 U.S.C. §§3601 et seq.), as amended, relating to non-discrimination in the sale, rental or financing of housing; (i) any other nondiscrimination provisions in the specific statute(s) under which application for Federal assistance is being made; and (j) the requirements of any other nondiscrimination statute(s) which may apply to the application. 7.Will comply, or has already complied, with the requirements of Title II and III of the Uniform Relocation Assistance and Real Property Acquisition Policies Act of 1970 (P.L. 91-646) which provide for fair and equitable treatment of persons displaced or whose property is acquired as a result of Federal or federally assisted programs. These requirements apply to all interests in real property acquired for project purposes regardless of Federal participation in purchases. 8.Will comply with the provisions of the Hatch Act (5 U.S.C. §§1501-1508 and 7324-7328) which limit the political activities of employees whose principal employment activities are funded in whole or in part with Federal funds. 9.Will comply, as applicable, with the provisions of the Davis-Bacon Act (40 U.S.C. §§276a to 276a-7), the Copeland Act (40 U.S.C. §276c and 18 U.S.C. §874), and the Contract Work Hours and Safety Standards Act (40 U.S.C. §§327-333), regarding labor standards for federally assisted construction sub- agreements. 10.Will comply, if applicable, with flood insurance purchase requirements of Section 102(a) of the Flood Disaster Protection Act of 1973 (P.L. 93-234) which requires recipients in a special flood hazard area to participate in the program and to purchase flood insurance if the total cost of insurable construction and acquisition is $10,000 or more. 11.Will comply with environmental standards which may be prescribed pursuant to the following: (a) institution of environmental quality control measures under the National Environmental Policy Act of 1969 (P.L. 91-190) and Executive Order (EO) 11514; (b) notification of violating facilities pursuant to EO 11738; (c) protection of wetland pursuant to EO 11990; (d) evaluation of flood hazards in floodplains in accordance with EO 11988; (e) assurance of project consistency with the approved State management program developed under the Coastal Zone Management Act of 1972 (16 U.S.C. §§1451 et seq.); (f) conformity of Federal actions to State (Clear Air) Implementation Plans under Section 176(c) of the Clear Air Act of 1955, as amended (42 U.S.C. §§7401 et seq.); (g) protection of underground sources of drinking water under the Safe Drinking Water Act of 1974, as amended, (P.L. 93-523); and (h)protection of endangered species under the Endangered Species Act of 1973, as amended, (P.L. 93-205). 12.Will comply with the Wild and Scenic Rivers Act of 1968 (16 U.S.C. §§1271 et seq.) related to protecting components or potential components of the national wild and scenic rivers system. 13.Will assist the awarding agency in assuring compliance with Section 106 of the National Historic Preservation Act of 1966, as amended (16 U.S.C. §470), EO 11593 (identification and protection of historic properties), and the Archaeological and Historic Preservation Act of 1974 (16 U.S.C. §§469a-1 et seq.). 14.Will comply with P.L. 93-348 regarding the protection of human subjects involved in research, development, and related activities supported by this award of assistance. 15.Will comply with the Laboratory Animal Welfare Act of 1966 (P.L. 89-544, as amended, 7 U.S.C. §§2131 et seq.) pertaining to the care, handling, and treatment of warm blooded animals held for research, teaching, or other activities supported by this award of assistance. 16.Will comply with the Lead-Based Paint Poisoning Prevention Act (42 U.S.C. §§4801 et seq.) which prohibits the use of lead based paint in construction or rehabilitation of residence structures. 17.Will cause to be performed the required financial and compliance audits in accordance with the Single Audit Act of 1984. Page 1 of 2 Enclosure 4 18. Will comply with all applicable requirements of all other Federal laws , executive orders , regulations and policies governing this program . 19. Will comply with the requiremen ts of Section 106(g) of the Traffic king Victims Protection Act (TVPA) of 2000 , as amended (22 U.S.C. 7104) which prohibits grant award rec ipie nts or a sub-recipient from (1) Engaging in severe forms of trafficking i n persons during the period of time that the award is in effect (2) Procuring a commercial sex act during the period of time that the award is in effect or (3) Using forced labor in the performance of the award or subawards under the award . HHS Assuran ces of Compliance (HHS 690) ASSURANCE OF COMPLIANCE WITH TITLE VI OF THE CIVIL RIGHTS ACT OF 1964, SECTION 504 OF THE REHABILITATION ACT OF 1973, TITLE IX OF THE EDUCATION AMENDMENTS OF 1972 , THE AGE DISCRIMINATION ACT OF 1975, AND SECTION 1557 OF THE AFFORDABLE CARE ACT The Applicant provides this assurance in consideration of and for the purpose of obtaining Federal grants, loans, contracts, property, discounts or other Federal financial assistance from the U.S. Department of Health and Human Services. THE APPLICANT HEREBY AGREES THAT IT WILL COMPLY WITH : 1. Title VI of the Civil Rights Act of 1964 (Pub . L. 88-352 ), as amended , and all requirements imposed by or pursuant to the Regulation of the Department of Health and Human Services (45 C.F.R . Part 80 ), to the end that, in accordance with Title VI of that Act and t he Regulation, no person in the United States shall, on the ground of race , color, or national origin , be excluded from participation in , be denied the benefits of, or be otherwise subjected to discrimination under any program or activity for which the Applicant receives Federal financ ia l assistance from the Department. 2. Section 504 of the Rehabilitation Act of 1973 (Pub . L. 93-112), as amended , and all requirements imposed by or pursuant to the Regulation of the Department of Health and Human Services (4 5 C.F .R. Part 84), to the end that, in accordance with Section 504 of that Act and the Regulation, no otherwise qualified individual with a disability in the United States shall, solely by reason of her or his disability, be excluded from participation in, be denied the benefits of, or be subjected to discrimination under any program or act ivity for which the Applicant receives Federal financial assistan ce from the Department. 3. Title IX of the Educat ion Amendments of 1972 (P ub. L. 92-318), as amended, and all requirements imposed by or pursuant to the Regula tion of the Department of Health and Human Services (45 C.F.R. Part 86), to the end that, in accordance with Title IX and the Regulation , no person in the United States shall , on the basis of sex , be excluded from participation in , be denied the benefits of, or be otherwise subjected to discrimination under any education program or activity fo r which the Applicant receives Federal financial assistance from the Department. 4. The Age Discrimination Act of 1975 (Pu b. L. 94-135), as amended, and all requirements imposed by or pursuant to the Regulation of the Department of Health and Human Services (4 5 C.F .R. Part 91), to the end that, in accordance with the Act and the Regulation , no person in the United States shall , on the basis of age , be denied the benefits of, be excluded from participation in , or be subjected to discrimination under any program or activity for which the Applican t receives Federal financial assistance from the Department. 5. Section 1557 of the Affordable Care Act (Pub . L. 111-148), as amended , and all requirements imposed by or pursuant to the Regulation of the Department of Hea lth and Human Services (45 CFR Part 92), to the end that, in accordance with Section 1557 and the Regulation , no person in the United States shall , on the ground of race , color, national origin , sex , age, or disability be excluded from participation in , be denied the benefits of, or be subjected to discrimination under any health program or activity for which the Applicant receives Federal financial assistance from the Department. The Applicant agrees that compliance with this assurance constitutes a condition of continued receipt of Federal financial assistance, and that it is binding upon the Applicant, its successors, transferees and assignees for the period during which such assistance is provided . If any real property or structure thereon is provided or improved with the aid of Federal financial assistance extended to the Applicant by the Department, this assurance shall obligate the App lican t, or in the case of any transfer of such property, any transferee, for the period during which the real property or structure is used for a purpose for which the Federal financial assistance is extended or for another purpose involving the provision of similar services or benefits . If any personal property is so provided, this assurance shall obligate the Applicant for the period during which it retains ownership or possession of the property. The Applicant furt her recognizes and agrees that the United States shall have the right to seek judicial enforcement of this assurance . The grantee , as the awardee organization, is legally and financially responsible for all aspects of this award including funds provided to sub-recipients in accordance with 45 CFR Part 75.351-75.352, Subrecipient monitoring and management. Name Ernest Buddy Mendes Title Chair man of the Board of Su pervisors of the County of Fresno Organization ATT EST : BER NI CE E. SEIDE L Cle rk of the Board of Superv isors Cou nt y of Fre sno , State of Califo rni a County of Fresno By S-tJ. M.,,y\'°B4$h0:f> De puty Signature: £"-_;# ~ Cft----L,._ Date : 8/18/20 Footnotes: Page 2 of 2 State of California – Health and Human Services Agency Department of Health Care Services Enclosure 5 PATH FY 2020-21 COUNTY INTENDED USE PLAN PATH County Intended Use Plan – SFY 2020-21 Page 1 of 5 DHCS 1755 (5/19) County: Fresno Address: 1925 E. Dakota Ave. City, Zip Code: Fresno, 93726 County Program Contact: Gavin Harrison, Staff Analyst Telephone: (559) 600-7664 Fax: Email: gharrison@fresnocountyca.gov County Fiscal Contact: Harlan Theng Telephone: (559) 600-4619 Fax: Email: ltheng@fresnocountyca.gov Indicate which of the following essential services will be provided by this provider with PATH funding: Outreach Case Management Community Mental Health Services Habilitation & Rehabilitation Services (relating to training and education to improve the individual’s functioning in the community) Staff Training Screening and Diagnostic Services Alcohol or Drug Treatment Supportive and Supervisory Services in Residential Settings Referrals for Primary Health Services, Job Training, Education Services and Relevant Housing Services: Minor Renovation, Expansion, and Repair of Housing Planning of Housing Technical Assistance in Applying for Housing Services Improving the Coordination of Housing Services Security Deposits Cost Associated with Matching Eligible Homeless Individuals with Appropriate Housing Situations One-Time Rental Payments to Prevent Eviction Indicate which budget categories are funded with PATH funds: Click on Check Box: Personnel Equipment Travel Consultants Supplies Other Description of the flow of federal PATH funds in California: PATH funding in California is allocated to the counties from the California State Department of Health Care Services. Each county has a Mental Health Program that provides services to the public in California; the PATH funds are distributed at the county level to either county or contracted providers. State of California – Health and Human Services Agency Department of Health Care Services Enclosure 5 PATH FY 2020-21 COUNTY INTENDED USE PLAN PATH County Intended Use Plan – SFY 2020-21 Page 2 of 5 DHCS 1755 (5/19) Directions – County Intended Use Plan – The County Intended Used Plan should provide a summary of information from providers, as well as County specific information, and should be answered at the county level. 1.Total Federal PATH Dollars Allocated from County:$317,182 2.Total Match Dollars in Budget:$105,728 3.Who Provides the Match?Fresno County 4.What funding source is used for Match?Mental Health Services Act (MHSA) 5.Please provide the names of each organization you will contract with in FY 2020-21 to provide PATH eligible services in your county, and the amount of Federal PATH funds they will receive. Please also include the county administration costs as a provider. Expected Contract Amount Providers Name as Listed on the Provider Intended Use Plan $308,000 Kings View Corporation $9,182 County Administration $317,182 Total 6.The purpose of this section is to provide a description of your county plan to provide coordinated and comprehensive services to eligible PATH Clients. Please provide the following information as it relates to activities for FY 2020-21. a.The projected number of adult clients to be contacted county-wide using PATH funds. 350 b.The projected number of adult clients to be enrolled county-wide using PATH funds.200 c.The projected percentage of adult clients county-wide served with PATH funds to be “literally” homeless (i.e., living outdoors or in an emergency shelter rather than at imminent risk of homelessness). 75% State of California – Health and Human Services Agency Department of Health Care Services Enclosure 5 PATH FY 2020-21 COUNTY INTENDED USE PLAN PATH County Intended Use Plan – SFY 2020-21 Page 3 of 5 DHCS 1755 (5/19) d.Identify activities that will occur in the county to maximize the use of PATH funds to serve adults who are literally homeless as a priority population Fresno County Department of Behavioral Health (DBH) oversees the PATH funding and contracts, currently with Kings View Corporation, to provide services that address the needs of adults who are homeless or at risk of becoming homeless and have serious mental illness (SMI) and/or co-occurring disorders. The PATH program is a vital resource to the community in seeking to reduce and end chronic homelessness by acting as a front door for clients into the continuum of care services and mainstream mental health, primary health care, and the substance use disorder services system. In order to assist clients in achieving their personal recovery and wellness goals, the Kings View PATH program commits to "meeting the clients where they are." Services include outreach, engagement, and linkage in addition to case management, mental health treatment, co-occurring disorder counseling, and supportive housing services. Collaboration with other agencies such as Federally Qualified Health Centers (FQHC) and the Public Guardian will ensure provision of non-direct mental health services that are needed to reach homeless adults with co-occurring chronic or medical conditions. Service goals are to help stabilize and transition clients into other County or community mental health programs. e.Identify strategies the county has planned to ensure PATH dollars are funding programs who provide the minimum services of street outreach and case management as priority services. In addition, describe services and community supports to be provided to assure long-term housing for veterans with serious mental illness that are experiencing homelessness. The PATH program has two components: Outreach, Engagement and Linkage (OEL) and Specialty Mental Health Services (SMHS). The PATH-funded OEL component will focus on client outreach and case management services. Through outreach efforts in the streets, shelters, and other non-traditional settings as well as referrals from the County's Adult System of Care, PATH is expected to provide outreach services to a minimum of 350 clients during FY 2020-21 (July 1, 2020 through June 30, 2021), with a minimum of 200 engaaged/enrolled in services, referrals, and linkages. Those engaged/enrolled will receive services including, but not limited to: assessments; case management; mental health and/or co-occurring services; linkage to County programs and other community service providers; ongoing consultation; peer support services; assistance in applying for General Relief and SSI/SSD benefits; transportation; provision of basic necessities of daily life; and supportive interim or bridge housing services. More than 70% of the OEL staff time will be in the field reaching out to homeless SMI adults. Case management services will be provided to all clients through an assigned personal service coordinator within 24 hours of enrollment in the program along with the development of a client-centered Plan of Care to meet the client's needs. Program staff have the flexibility to increase service intensity to a client in response to the client's presented needs. Additionally, staff have the capacity to provide frequent contacts with clients where they live or are most comfortable, in order to assist them in accessing behavioral and physical health care, financial, educational, vocational, rehabilitative, or other needed community services, especially as these services relate to meeting the client's mental health and housing needs. f.Please summarize a list of the evidenced-based practices currently used in the county for the target population. DBH promotes evidence-based practices (EBP) and encourages contracted providers to utilize EBP models in their service delivery. The PATH program is designed to deliver comprehensive services to homeless adults with SMI and/or co-occurring disorders whose needs have not been met through traditional service delivery. Kings View PATH utilizes the Wellness Recovery Action Plan (WRAP) and Cognitive Behavioral and Motivational Enhancement Therapy evidence-based practices. The State of California – Health and Human Services Agency Department of Health Care Services Enclosure 5 PATH FY 2020-21 COUNTY INTENDED USE PLAN PATH County Intended Use Plan – SFY 2020-21 Page 4 of 5 DHCS 1755 (5/19) program model is designed to empower clients, improve quality of life, and allow staff to assist clients in attaining their personal goals. Team members collaborate on assessments, treatment plans, and day-to-day interventions. DBH has also moved forward with incorporating the Recovery 360 model into all County mental health program services, in order to build and measure wellness, recovery, and resiliency supports within a team approach. DBH encourages Kings View PATH team members to participate and receive training on an ongoing basis to ensure clients receive services that support this wellness and recovery model. 7.Describe your organization’s participation in the HUD Continuum of Care (CoC) program and any other local planning, coordinating or assessment activities. If you are not currently working with the CoC, briefly explain the approaches to be taken by your agency to collaborate with the local CoC. The Fresno/Madera Continuum of Care (FMCoC) develops local strategies to build housing and service capacity to end homelessness. DBH and the Fresno County Department of Social Services (DSS) are active participants and voting members of the FMCoC, which is comprised of volunteers from over 21 government agencies, non-profits and individuals dedicated to serve homeless youth, adults, and families in Fresno and Madera Counties. DBH contributes to the community planning by advocating for the homeless mentally ill and encourages all appropriate County contracted providers serving the homeless and at risk of homelessness population who have SMI and/or a co-occurring disorder to also participate and provide feedback. DBH is part of the leadership team along with the FMCoC in the national 25 Cities Initiative to end veteran and chronic homelessness for the Fresno community by identifying, assessing and matching housing for the veterans and the chronically homeless. A weekly meeting is held to clarify key processes and services, determine existing housing capacities, and follow-up with specific and high priority cases if needed. Kings View PATH assists in outreach efforts, service provision and data collection. In addition, DBH actively participates in the CoCs annual Point-In-Time (PIT) Count of homeless in Fresno County. DBH also provides mental health clinicians and community mental health specialists at the Multi- Agency Access Program Point at Poverello House (MAP Point at Pov). MAP is the coordinated service entry effort created by the FMCoC and the Hospital Council's Community Conversations in Mental Health to establish and formalize a collaborative intake process across all service providers for individuals facing housing/homelessness, mental illness, substance use disorder, physical health, social service and/or vocational needs. The intake process consists of a standardized screening for life-domain needs and assessment with the Vulnerability Index Service Prioritization Decision Assistance Tool (VI-SPDAT) to customize service eligibility and access to housing matches. As part of the DBH's work plan for Integrated Behavioral Health Access, operation of additional MAP Points were contracted out in January 2017 to target strategic, geographic locations with underserved and unserved populations. Kings View PATH staff may participate in MAP Point activities to assist in intake and serve as a service provider for the homeless with SMI and/or co-occurring disorder. 8.Describe the county’s participating in the Homeless Management Information System (HMIS) and describe plans for continued training and how the county will support new staff. For any county not fully participating in HMIS, describe plans to complete HMIS implementation. DBH is fully participating in HMIS to ensure accurate data collection, analysis and reporting, and will continue to actively participate as necessary to improve data collection and use. New staff shall be trained in HMIS, as well as refresher training as available/needed for existing staff. 9.Provide a detailed budget narrative that provides specifics and calculations used for PATH Administration funds. The narrative should describe the attached DHCS 1779P – Federal Grant Detailed Program Budget. Enclosure 8A DHCS 1779P - County Budget and Enclosure 8B DHCS 1779P - Provider Budget provides the breakdown of PATH program costs. PATH Allocation ($317,182) and County Match State of California – Health and Human Services Agency Department of Health Care Services Enclosure 5 PATH FY 2020-21 COUNTY INTENDED USE PLAN PATH County Intended Use Plan – SFY 2020-21 Page 5 of 5 DHCS 1755 (5/19) ($105,728) in the amount of $422,910 will be used to fund contracted services and administrative cost for the County and contracted service provider, while providing outreach, case management, housing, mental health and/or co-occurring services and linkage to homeless adults with SMI and/or co-occurring disorder. Staffing costs of $268,641 will fund 4.09 FTE positions comprised of 0.01 FTE Executive Director, 0.07 Regional Director, 0.01 FTE Executive Assistant, , 0.5 FTE Program Manager, 1.2 FTE Case Managers, 2.0 FTE OEL Coordinators (also may meet classifications as personal service coordinators/peer support specialists), 0.04 FTE Program Staff Accountant and 0.26 FTE Administrative Support, inclusive of personnel taxes and benefits. Consultant costs include $41,310 for network and data management information services, translation services, an outreach worker through Poverello House, and the fees for HMIS implementation (training, system licenses and data maintenance). Equipment costs of $4,229 will provide for the lease of a copier, computer equipment, and software expenses. $11,786 will fund supplies for office operations in the course of providing services to clients and program supplies to be used in outreach and therapeutic activities. Funding will also provide for travel cost associated with client services in the amount of $11,596. Other expenses related to the provision of services to clients include program building utilities of $5,025, program building rent and maintenance of $25,440, and professional liability insurance and background checks for staff of $12,825. Direct client support expenses will include $10,197 for basic life necessities (clothing, food and hygiene supplies) as well as assistance in transportation, education, and employment activities. Emergency housing support for clients is budgeted at $7,758. In addition, funding will provide for administrative costs for the County and Kings View as the contracted provider in the amount of $24,103 (no greater than 10% of PATH funding). State of California – Health and Human Services Agency Department of Health Care Services Enclosure 6 PATH FY 2020-21 PROVIDER INTENDED USE PLAN PATH Provider Intended Use Plan – SFY 2020-21 Page 1 of 8 DHCS 1756 (5/19) County: Fresno Legal Name of Business: Kings View Corporation Program Name: PATH Program Address: 4910 E. Ashlan Ave. Ste 118 City, Zip Code: Fresno, 93726 Service Area (City and Zip Codes): Fresno County Metropolitan and Rural Provider Contact: Jennifer Bolen Telephone: (559) 256-4474 ext.4021 Fax: (559) 348-9345 Email: jbolen@kingsview.org Indicate which of the following essential services will be provided by this provider with PATH funding: Outreach Case Management Community Mental Health Services Habilitation & Rehabilitation Services (relating to training and education to improve the individual’s functioning in the community) Staff Training Screening and Diagnostic Services Alcohol or Drug Treatment Supportive and Supervisory Services in Residential Settings Referrals for Primary Health Services, Job Training, Education Services and Relevant Housing Services: Minor Renovation, Expansion, and Repair of Housing Planning of Housing Technical Assistance in Applying for Housing Services Improving the Coordination of Housing Services Security Deposits Cost Associated with Matching Eligible Homeless Individuals with Appropriate Housing Situations One-Time Rental Payments to Prevent Eviction Indicate which budget categories are funded with PATH funds: Click on Check Box: Personnel Equipment Travel Consultants Supplies Other Description of the flow of federal PATH funds in California: PATH funding in California is allocated to the counties from the California State Department of Health Care Services. Each county has a Mental Health Program that provides services to the public in California; the PATH funds are distributed at the county level to either county or contracted providers. State of California – Health and Human Services Agency Department of Health Care Services Enclosure 6 PATH FY 2020-21 PROVIDER INTENDED USE PLAN PATH Provider Intended Use Plan – SFY 2020-21 Page 2 of 8 DHCS 1756 (5/19) Directions – Provider Intended Use Plan – The Provider Intended Use Plan will provide specific information on each organization and program funded with PATH Federal and Match funds, and should be answered at the provider’s level. 1.Provider Name (if different from the Legal Name): 2.Total Federal PATH Dollars Allocated from Counties:$308,000 3.Total Match Dollars in Budget:$102,777 4.Who Provides the Match?Fresno County 5.What funding source is used for Match?Mental Health Services Act 6.Please provide a brief overview of your organization’s history, current existing programs, region served, and services provided. Kings View Corporation, also known as Kings View Behavioral Health Systems, has been providing mental health services in the central and northern California for 68 years. Kings View started with the opening of a mental health hospital in Reedley and then expanded its scope of services for underserved and unserved populations through community programs providing drug and alcohol treatment and telepsychiatry to rural areas. Kings View has been responsive to mental health community service needs by serving the mentally ill homeless population in 14 local and regional California counties. In Fresno County, Kings View is contracted to operate several MHSA programs; one of which is the existing PATH program, providing an array of outreach, case management and treatment services to the homeless with serious mental illness (SMI). Kings View also operates the Blue Sky Wellness Center for mentally ill clients and their families along with Youth Empowerment Centers throughout the rural areas of the County. Kings View operates the Rural Mental Health Triage Program and the Metro Crisis Intervention Team (CIT) Program to provide mental health services by co-locating and co- responding with law enforcement and emergency services personnel (first responders). Kings View also operates the Central Valley Suicide Prevention Hotline which is a 24/7, 365 days per year service for children and adults through the main number of the National Suicide Prevention Hotline. Kings View has a collaborative partnership with two other community agencies to provide nine Multi-Agency Access Program (MAP) Points, where Navigators provide an integrated screening process to link individuals and families facing behavioral, social, housing, employment, health and other related challenges to supportive services. 7.The purpose of this section is to provide a description of your organization’s plan to provide coordinated and comprehensive services to eligible PATH Clients. Please provide the following information as it relates to activities for FY 2020-2021. a.The projected number of adult clients to be contacted using PATH funds.350 b.The projected number of adult clients to be enrolled using PATH funds.200 c.The projected percentage of adult clients contacted using PATH funds to be “literally” homeless (i.e., living outdoors or in an emergency shelter rather than at imminent risk of homelessness.) 75% d.Describe how the services to be provided using PATH funds will align with PATH goals to target outreach and case management as priority services, and maximize serving the most vulnerable adults who are literally and chronically homeless. In addition, describe services and community supports to be provided to assure long-term housing for veterans with serious mental illness that are experiencing homelessness. State of California – Health and Human Services Agency Department of Health Care Services Enclosure 6 PATH FY 2020-21 PROVIDER INTENDED USE PLAN PATH Provider Intended Use Plan – SFY 2020-21 Page 3 of 8 DHCS 1756 (5/19) Kings View's PATH-funded program will prioritize serving adults who are literally homeless or at risk of immediate homelessness by focusing outreach efforts in places not meant for human habitation. Seventy-five percent of clients served are projected to be literally homeless. By having evidence based practice (EBP) trained and recovery experienced staff, clients are more likely to be engaged and reveal PATH eligibility in order to start program services. Services include assistance to accessing housing services, food, clothes, transportation and linkage to other County mental health and social services programs and community-based organizations as needed. Additional services include on-site safety planning, assessments, case management, individual and group support groups, mental health rehabilitation, Telepsychiatry, medication monitoring and supportive and stable housing services. e.List the evidenced-based practices currently used. In outreach and engagement efforts, the Kings View PATH team utilizes the L.E.A.P. method (Listen, Empathize, Accept, and Partner) Outreach staff and Case Managers are trained and aware of trauma informed and gender specific care, and cultural needs of clients. The Kings View Outreach staff and Case Managers utilize the ASIST (Applied Suicide Intervention Skills Training) to help staff learn how to use a suicide intervention model to identify clients with thoughts of suicide, develop a safeplan based upon a review of risk and follow-up when servicing clients. Kings View PATH program utilizes the Wellness Recovery Action Plan (WRAP) model along with Cognitive Behavioral (CBT) and Motivational Interviewing (MI) models designed to engage individuals with serious mental health challenges, whose needs have not been met through the traditional service delivery model. Team members collaborate on assessments, plan of care and day to day interventions in order to better monitor and assist clients to self-sustained recovery. f.Provide a brief description of partnerships and activities with local community organizations that provide key services (e.g. outreach teams, primary health, mental health, substance use disorder, housing, employment) to PATH-eligible clients, and describe the coordination of activities and policies with those organizations. Provide specific information about how coordination with other outreach teams will be achieved. Kings View PATH collaborates with various community organizations to provide key services to homeless adults who are mentally ill. Initial contact and stabilization of PATH grant eligible clients will be done through clinical assessment by a licensed therapist at the PATH program. Homeless mentally ill clients with a substance abuse disorder who receive case management services and require additional support will be referred to the Fresno County Department of Behavioral Health and its other contracted providers specializing in treatment services for co-occurring disorders such as the Comprehensive Addiction Program. For primary health care, linkage will be made to Federally Qualified Health Care clinics, other health care facilities such as the Fresno Community Hospitals, Clinica Sierra Vista and local private doctors. PATH encourages and assists clients to register through the Affordable Health Care Act Programs within California. Social services and employment service linkages will be made to the Fresno County Department of Social Services, Social Securtiy Administration, California DMV, and West Fresno Family Resource Center. Additional organizations that may provide services or resources include Fresno County Superior Court, Poverello House, Fresno Rescue Mission, Centro La Familia, Marjaree Mason Center, Veteran's State of California – Health and Human Services Agency Department of Health Care Services Enclosure 6 PATH FY 2020-21 PROVIDER INTENDED USE PLAN PATH Provider Intended Use Plan – SFY 2020-21 Page 4 of 8 DHCS 1756 (5/19) Administration, Kings View Behavioral Health Services, MAP, West Care, SOS, NAMI, Fresno County Housing Authority, and many faith based organizations. g. Explain the gaps in current service systems that pertain to your PATH client population. Permanent housing is still scarce for the homeless population in Fresno County. Pernanent supportive housing is even more limited and has strict guidelines which homeless individuals with mental illness and or co-occurring disorder do not meet. Kings View PATH works with a large population of client with substance use disorders and the lack of available residential treatment facilities such as room and boards and transition housing. There is a high volume of homeless that live in the rural areas who lack the ability to access basic services for housing and mental health due to transportation barriers. h.Provide a description of the current services available to clients who have both a serious mental illness and substance use disorder. Kings View PATH program provides co-occurring rehabilitation and support services embedded in a variety of behavioral health services including assistance into permanent housing, targeted case management, psychiatric services, referrals into other program services and providing transportation. Groups with rehablitation interventions are provided to support decompensation/relapse, stabilization and maintenance. Co- occurring clients also receive substance use disorder education and counseling. Appropriate referrals are made to substance use disorder treatment providers when a higher level of care is needed and the clients sees a need to get more support. i.Indicate the strategies that will be used for making suitable housing available for PATH clients (e.g. indicate the type of housing provided and the name of the agency). Kings View continuously supports the development of housing works with community organizations such as the Housing Authority and the County by participating in weekly outreach committees. Fresno County provides housing opportunities through the MHSA Housing programs and Housing Authorities. The County currently provides for supported independent living through Trinity Housing project (20 single room occupancy-SRO units), Alta Monte Housing Project consisting of (29 SRO units) and the Santa Clara Project which consists of 69 units (25 units are dedicated to the mentally ill and homeless). These project exist through the Memorandum of Understanding between the County and Housing Authorities. In addition to the various placement facilities available within the County, Kings View PATH program will provide ongoing supported housing services to assist clients to attain and maintain housing. The PATH program will utilize less than 20% of the available PATH program funding to support assisted housing, security deposits, and one-time payments to prevent eviction. PATH staff also work with different room and board providers (Clovis Christian Sober Living, Quality Homes Inc., Circle of Friends, BK House of Hope and Jeremiah's Home) in order to assist clients in getting off the streets as soon as possible while still waiting for permanent housing. PATH provides technical assistance to individuals navigating and advocating for them with program like Shelter Plus Care, STASIS, Fresno County DBH Permanent Supportive Housing, Fresno Housing Authority, low income housing apartments through the county. Additionally, staff are committed to assist and support clients in staying connected to their local natural supports who may also be able to State of California – Health and Human Services Agency Department of Health Care Services Enclosure 6 PATH FY 2020-21 PROVIDER INTENDED USE PLAN PATH Provider Intended Use Plan – SFY 2020-21 Page 5 of 8 DHCS 1756 (5/19) provide them with housing (e.g. family members, friends, church members, churches and other organizations). j.Describe how PATH eligibility is determined, when enrollment occurs, and how eligibility is documented for PATH-enrolled clients. Kings View's PATH-funded program will prioritize serving adults who are literally homeless and chronically mentally ill by focusing outreach efforts in places not meant for human habitation. Seventy-five percent of clients served are projected to be literally homeless. By having evidence-based practice (EBP) trained and recovery experienced staff, clients are more likely to be engaged and reveal PATH-eligiblity in order to start program services. Eligiblity is determined by a standard clinical assessment and meeting minimum HUD homelessness criteria. Enrollment on the same day occurs by entering the client in AVATAR and HMIS. Documentation of same occurs by use of the standarized forms approved previously by the County. 8.Describe your organization’s participation with local HUD Continuum of Care (CoC) recipient(s) and other local planning activities and program coordination initiatives, such as coordinated entry activities. If the organization is not currently working with the Continuum(s) of Care, briefly explain the approaches to be taken by the organization to collaborate with the CoC(s) in the areas where PATH operates. Kings View PATH is an associate member of the FMCoC. The PATH program does not receive any HUD funds and so FMCoC full membership is not required. The County is a voting member. Although not a voting member, Kings View participates in activities to better serve the homeless youth, adults and families in the Fresno area including the Point in Time (PIT) homeless count and outreach efforts in the 25 Cities Initiative. Kings View also attends Coordinated Entry System (CES) Meetings and planning sessions. 9.Describe your Coordinated Entry/Assessment program and roles of key partners. The FMCoc has a Coordinated Entry System, which Kings View PATH has been participating in since the planning stage. The system includes the use of an entry survey and shared database, weekly shifts at MAP, outreach referrals taken regularly for new coordinated entry clients and navigation through housing referral process. Close collaboration is necessary with the MAP Community Coordinator, Clinica Sierra Vista, San Joaquin Veterans, WINGS Advocacy Fresno, Poverello House, DHB, Laura's House and the Department of Social Services, who all participate in the FMCoC and may provide the needed services or resources identified in the entry survey. 10.Describe the organization’s participation in the Homeless Management Information System (HMIS) and describe plans for continued training and how providers will support new staff. For any providers not fully participating in HMIS, please describe plans to complete HMIS implementation. Since FY 2016-2017, Kings View PATH has HMIS fully implemented for PATH services. All program staff (Outreach Workers, Case Managers and Program Manager) have been trained in HMIS data collection and entry. Staff currently input and maintain clients' PATH data elements in HMIS. Kings View has established a relationship with the Fresno Housing Authority, designated by the FMCoC as the HMIS Lead Administrator to resolve data collection and entry issues, specifically the setup of appropriate PATH data element fields and to ensure data quality through the creation of specialized monthly and annual reports. The PATH project set up in HMIS will continue to be an evolving proces to meet PATH Annual Reported guidelines. The methodology forreporting services and referrals in HMIS that only counts one instance for each category does not reflect the true quantity of services and referrals provided. State of California – Health and Human Services Agency Department of Health Care Services Enclosure 6 PATH FY 2020-21 PROVIDER INTENDED USE PLAN PATH Provider Intended Use Plan – SFY 2020-21 Page 6 of 8 DHCS 1756 (5/19) HMIS training and data systems maintenance will be financed through PATH and County MHSA funds. It is currently cost-prohibitive to support HMIS training and system use licenses for staff not directly involved in outreach and case management services. 11.Describe the organization’s plan to ensure that PATH staff have completed the SOAR Online Course and which staff plan to assist consumers with SSI/SSDI applications using the SOAR model and tracking the outcomes of those application in the SOAR Online Application Tracking (OAT) system. If the organization does not use SOAR, describe the system used to improve the accurate and timely completion of mainstream benefit applications (e.g. SSI/SSDI). Describe the efforts used to train staff on this alternative system and what technical assistance or support they receive to ensure quality applications if they do not use the SAMHSA SOAR TA Center. Kings View PATH will assist clients in obtaining any and all benefits by applying for Social Security Income/Social Security Disability Income (SSI/SSDI) and Affordable Health Care Act (ACA). We have two new Case Managers within the PATH Program and one has completed the online SOAR training. The other Case Manager will be certified in SOAR before the end of FY 20-21. The new staff hires within the PATH program are expected to complete the SOAR training and existing staff will participate in any refresher course. PATH staff have assisted clients to obtain proper documentation and support to follow up with their attorney's recommendations on the application process and to ensure their client's make it to their attorney appointments and hearings. 12.Describe how staff providing services to the PATH population will be sensitive to age, gender, disability, LGBT, and racial/ethnic differences of clients. Describe the extent to which staff will receive periodic training in cultural competence and health disparities. Currently, the PATH program have staff with ages range from 25-50 years old, bi-lingual English/Spanish speaking, and among diverse backgrounds and exposures allow staff to identify, understand and respect the variety of cultural, social and religious values of the client population. Services are culturally sensitive to client needs based on age, gender, sexual orientation and ethnicity. The County encourages and mandates all contractors to provide services in a culturally sensitive and competent manner. Kings View staff are able to annually participate in Cultural Competency trainings and workshops provided by the County. 13.Describe the demographics of the client population. 78% White or Caucasian 9% African American 3% American Indian 1% Asian 9% Native Hawaiian or Other Age Group Breakdown: 18-30: 8% 31-50: 54% 51-61: 37% 62 and older: 1% Gender: 58% Males 42% Females 0 Transgender State of California – Health and Human Services Agency Department of Health Care Services Enclosure 6 PATH FY 2020-21 PROVIDER INTENDED USE PLAN PATH Provider Intended Use Plan – SFY 2020-21 Page 7 of 8 DHCS 1756 (5/19) Veteran Status: 0 Veteran 100% Non-Veteran Staff Composition 25% White or Caucasian 75% Hispanic 25% Male 75% Female 14.Describe how individuals who experience homelessness and have serious mental illness, and their family members, will be meaningfully involved at the organization level in the planning, implementation, and evaluation of PATH-funded services. For example, indicate whether individuals who are PATH-eligible are employed as staff or volunteers or serve on governing or formal advisory boards (see Enclosure “Guidelines for Consumer and Family Participation”). Clients and their families are encouraged to participate at the organizational level in the planning, implementation, and evaluation of PATH-funded services through the Fresno County Behavioral Health Board (BHB). The BHB is a public advisory board on adult, children, and justice system mental health and substance use disorder issues. Although at least 50% of the members of the Behavioral Health Board are mental health clients and or family members, none of the PATH-eligible clients have chosen to participate. Additionally, Fresno County DBH conducts a Community Planning Process to collect stakeholder input for the County's MHSA Three-Year Plan and Annual Updates, which report on the status of current and future planned MHSA-funded programs. Kings View PATH encourages clients to attend Behavioral Health Board and Community Planning Process meetings to provide input and feedback. In the past, Kings View has hired homelss, mentally ill clients at various levels of the organization. 15.Describe veteran-specific services your organization will provide. Identify community organizations that provide veteran-specific services with which the PATH program collaborates. Kings View PATH is proactive in encouraging veterans to seek services. Clients who self- identify as a veteran are eligible to all PATH program services in regards to mental health, substance use and housing services. In addition, veterans are referred to program available through the Veterans Administration (VA). Veterans who have been Other than Honorable (OTH) discharged or do not qualify for VA services are linked to other County Programs or community agencies. Kings View has partnered with different agencies to identify and navigate veterans to appropriate services. Specific services also include transportation to veteran's services. The ability to work closely with agencies that work with veterans, i.e contact information of individuals we can call at any time who are willing to assist in the moment, plays a key role in successful referral and linkage. 16.Provide a detailed budget narrative that provides specifics and calculations used for PATH funds. The narrative should describe the attached DHCS 1779P – Federal Grant Detailed Program Budget. Enclosure 8A DHCS 1779P- County Budget and Enclosure 8B DHCS 1779P-Provider Budget provides the breakdown of PATH Program Costs. PATH Allocation ($317,182) and County Match ($105,728) in the amount of $422,910 will be used to fund contracted services and administrative cost for the County and Kings View Corporation, while providing outreach, case management, housing, mental health and or co-occurring services and linkage to homeless adults with SMI and or co-occurring disorder. Staffing costs of $268,641 will fund 4.09 FTE State of California – Health and Human Services Agency Department of Health Care Services Enclosure 6 PATH FY 2020-21 PROVIDER INTENDED USE PLAN PATH Provider Intended Use Plan – SFY 2020-21 Page 8 of 8 DHCS 1756 (5/19) positions comprised of 0.01 FTE Executive Director, 0.07 Regional Director, 0.01 FTE Executive Assistant, 0.5 Program Manager, 1.2 FTE Case Managers, 2.0 FTE OEL Coordinators (also may meet classifications as personal service coordinators/peer support specialists), 0.04 FTE Program Staff Accountant, and 0.26 FTE Administrative Support, inclusive of personnel taxes and benefits. Consultant costs include $41,310 for network and data management information services, translation services, an outreach worker through Poverello House, and the fees for HMIS implementation (training, system licenses and data maintenance). Equipment costs of $4,229 will provide for the lease of a copier, computer equipment, and software expenses. $11,786 will fund supplies for office operations in the course of providing services to clients and program supplies to be used in outreach and therapeutic activities. Travel costs associated with client services will be funded in the amount of $11,596. Funding of $17,955 will also provide for client support expenses including (emergency housing support, clothing, food and hygiene, client transportation, education and employment support). Facility and equipment expenses related to the provision of services to clients include program building utilities of $5,025, program building rent and maintenance of $25,440, and professional and financial services for liability and staff background checks of $12,825. In addition, administrative overhead costs of $24,103 will be expended (an amount not greater than 10% of PATH funding). State of California - Health and Human Services Agency Department of Health Care Services Enclosure 7 FEDERAL BUDGET SUMMARY TYPE OF GRANT: PATH STATE FISCAL YEAR 2020-21 COUNTY: Fresno FISCAL CONTACT: Harlan Theng TELEPHONE NUMBER: 600-4619 E-MAIL ADDRESS: ltheng@fresnocountyca.gov a. Personnel b. Fringe Benefits c. Travel d. Equipment e. Supplies f. Contractual g. Construction h. Other i. Total Direct Charges (sum of a -h) j. Indirect Charges k. TOTALS (sum of i and j) DHCS APPROVAL BY: J Whitcomb TELEPHONE: 9167138751 DATE: 6/9/2020 BUDGET CATEGORIES $212,157 $56,484 $4,316 Object Class Categories GRANT PROGRAM, FUNCTION OR ACTIVITY (1) Federal (2) Non-Federal $2,951 $105,728 $ $23,073 $296,030 $21,152 $317,182 $ $44,431 $102,777 $ $7,280 $4,229 $5,527 $41,310 PATH 2020-21 Request for Application DHCS 1757 (4/13) State of California - Health and Human Services Agency Enclosure 8 FEDERAL GRANT DETAILED PROGRAM BUDGET STATE FISCAL YEAR: 2020-21 TYPE OF GRANT: PATH COUNTY: __________Fresno________ SUBMISSION DATE: ____05/01/2020____________ FISCAL CONTACT: ___Harlan Theng__ PROGRAM CONTACT: ___Gavin Harrison______ TELEPHONE NUMBER: _______(559) 600-4619______ TELEPHONE NUMBER: _____(559) 600-7664________ EMAIL ADDRESS: __ltheng@fresnocountyca.gov______ E-MAIL ADDRESS: ___gharrison@fresnocountyca.gov________ PROGRAM NAME: ____PATH Program_______ STAFFING 1 2 3 ANNUAL GRANT FEDERAL PATH NONFEDERAL MATCH TITLE OF POSITION SALARY FTE AMOUNT AMOUNT TOTAL 1 -$ 2 -$ 3 -$ 4 -$ 5 -$ 6 -$ 7 -$ 8 -$ 9 -$ 10 -$ 11 -$ 12 TOTAL STAFF EXPENSES (sum lines 1 thru 11)-$ 0.00 -$ -$ -$ 13 Consultant Costs (Itemize):-$ 14 -$ 15 -$ 16 -$ 17 Equipment (Where feasible lease or rent) (Itemize):-$ 18 -$ 19 -$ 20 -$ 21 -$ 22 Supplies (Itemize):-$ 23 -$ 24 -$ 25 -$ 26 -$ 27 -$ 28 Travel -Per diem, Mileage, & Vehicle Rental/Lease 29 -$ 30 Other Expenses (Itemize):-$ 31 -$ 32 -$ 33 -$ 34 -$ 35 -$ 36 -$ 37 COUNTY ADMINISTRATIVE COSTS (10% PATH)9,182$ 2,951$ 12,133$ 38 NET PROGRAM EXPENSES (sum lines 12 thru 37)9,182$ 2,951$ 12,133$ 39 OTHER FUNDING SOURCES: Federal Funds 40 Non-Federal Funds 41 TOTAL OTHER FUNDING SOURCES (sum lines 39 & 40)-$ -$ -$ 42 GROSS COST OF PROGRAM (sum lines 38 and 41)9,182$ 2,951$ 12,133$ DHCS APPROVAL BY: J Whitcomb TELEPHONE: 9167138751 DHCS 1779 P (4/13)DATE: 6/9/2020 Department of Health Care Services State of California - Health and Human Services Agency Enclosure 8 FEDERAL GRANT DETAILED PROGRAM BUDGET STATE FISCAL YEAR: 2020-21 TYPE OF GRANT:PATH COUNTY: __Fresno_________ SUBMISSION DATE: ____05/01/2020__________ FISCAL CONTACT: ___Harlan Theng_________ PROGRAM CONTACT: __Gavin Harrison_____________ TELEPHONE NUMBER: __(559) 600-4619__________ TELEPHONE NUMBER: __(559) 600-7664__________ EMAIL ADDRESS: __ltheng@fresnocountyca.gov_________ E-MAIL ADDRESS: __gharrison@fresnocountyca.gov________ PROGRAM NAME: ___PATH Program____________ STAFFING 1 2 3 ANNUAL GRANT FEDERAL PATH NONFEDERAL MATCH TITLE OF POSITION SALARY FTE AMOUNT AMOUNT TOTAL 1 Executive Director 157,959.00$ 0.01 9,527.00$ 9,527.00$ 2 Regional Director 136,107.00$ 0.07 1,580.00$ 1,580.00$ 3 Executive Assistant 50,346.00$ 0.01 503$ 503.00$ 4 Program Manager 105,342.00$ 0.5 52,671$ 52,671.00$ 5 Case Managers 49,154.17$ 1.2 58,985$ 58,985.00$ 6 Outreach Engagement Linkage 37,034.00$ 2 74,068$ 74,068.00$ 7 Program Staff Accountant 54,867.00$ 0.04 2,195$ 2,195.00$ 8 Administrative Support 48,569.23$ 0.26 12,628$ 12,628.00$ 9 Employee Benefits and Taxes 56,484$ 56,484.00$ 10 -$ 11 -$ 12 TOTAL STAFF EXPENSES (sum lines 1 thru 11)639,378$ 4.09 268,641$ -$ 268,641$ 13 Consultant Costs (Itemize):-$ 14 Consultant (Network and Data Management)10,779$ 10,779$ 15 Poverello House and Translation Services 28,986$ 28,986$ 16 HMIS Training, User Insurances, and Maintenance 1,545$ 1,545$ 17 Equipment (Where feasible lease or rent) (Itemize):-$ 18 Computers and Software 1,442$ 1,442$ 19 Rent/Lease Equipment 2,787$ 2,787$ 20 -$ 21 -$ 22 Supplies (Itemize):-$ 23 Office, Household and Program Supplies 3,055$ 3,055$ 24 Telephone 6,156$ 6,156$ 25 Program Supplies - Outreach 2,472$ 2,472$ 26 Printing/Postage 93$ 10$ 103$ 27 -$ 28 Travel -Per diem, Mileage, & Vehicle Rental/Lease 29 Staff Mileage, Vehicle Maintenance, and Vehicle Lease 4,316$ 7,280$ 11,596$ 30 Other Expenses (Itemize):-$ 31 Utilities 5,025$ 5,025$ 32 Client Housing - One Time Emergency Housing 7,758$ 7,758$ 33 Client Clothing, Food, and Hygiene 2,575$ 2,575$ 34 Client Transportation, Education, and Employment 7,622$ 7,622$ 35 Building Rent/Lease and Maintenance 25,440$ 25,440$ 36 Liability/Professional Liability Insurances and Staff Background Checks 12,825$ 12,825$ 37 COUNTY ADMINISTRATIVE COSTS (10% PATH)11,970$ 11,970$ 38 NET PROGRAM EXPENSES (sum lines 12 thru 37)308,000$ 102,777$ 410,777$ 39 OTHER FUNDING SOURCES: Federal Funds 40 Non-Federal Funds 41 TOTAL OTHER FUNDING SOURCES (sum lines 39 & 40)-$ -$ -$ 42 GROSS COST OF PROGRAM (sum lines 38 and 41)308,000$ 102,777$ 410,777$ DHCS APPROVAL BY: J Whitcomb TELEPHONE: 9167138751 DHCS 1779 P (4/13)DATE: 6/9/2020 Department of Health Care Services