HomeMy WebLinkAboutChildren Families Commission of Fresno County First 5-Glow Group Prenatal Care and Support Project_A-22-159.pdf COU County of Fresno Hall of Records,Room 301
2281 Tulare Street
Fresno,California
e Board of Supervisors 93721-2198
0 1856 0 Telephone:(559)600-3529
Minute Order Toll Free: 1-800-742-1011
www.co.fresno.ca.us
April 19, 2022
Present: 5- Supervisor Steve Brandau, Supervisor Nathan Magsig, Supervisor Buddy Mendes,
Chairman Brian Pacheco,and Vice Chairman Sal Quintero
Agenda No. 41. Public Health File ID:22-0277
Re: Make a finding that it is in the best interest of the County to waive the competitive bidding process
consistent with Administrative Policy No. 34 for unusual or extraordinary circumstances for the
solicitation of services to provide group prenatal care services as part of an integrated prenatal care
system in Fresno County; and approve and authorize the Chairman to execute a sole source
Agreement with Children and Families Commission of Fresno County,for the Glow! Group Prenatal
Care and Support project, effective upon execution, not to exceed three consecutive years,total not to
exceed$468,000
APPROVED AS RECOMMENDED
Ayes: 5- Brandau, Magsig, Mendes, Pacheco, and Quintero
Agreement No.22-159
County of Fresno Page 42
co
`t t' Board Agenda Item 41
O 1856 O
DATE: April 19, 2022
TO: Board of Supervisors
SUBMITTED BY: David Luchini, RN, PHN, Director, Department of Public Health
SUBJECT: Agreement with Children and Families Commission of Fresno County
RECOMMENDED ACTION(S):
1. Make a finding that it is in the best interest of the County to waive the competitive bidding
process consistent with Administrative Policy No. 34 for unusual or extraordinary
circumstances for the solicitation of services to provide group prenatal care services as
part of an integrated prenatal care system in Fresno County; and
2. Approve and authorize the Chairman to execute a sole source Agreement with Children and
Families Commission of Fresno County,for the Glow! Group Prenatal Care and Support
project, effective upon execution through March 31, 2024,total not to exceed $468,000.
There is no additional Net County Cost associated with the recommended actions. Approval of the
recommended actions will allow the Department of Public Health (Department)to partner with Children and
Families Commission of Fresno County(F5FC)to enhance the services provided through the Glow! Group
Prenatal Care and Support(Glow!) project. The project aligns with the goals and activities under the Healthy
Start Initiative grant for which the Department receives funding. Collaboration with the F5FC project will
maximize resources for the benefit of the community. This partnership will provide group prenatal care
services that include curriculum and wrap-around services in partnership with medical provider offices to
enhance support for pregnant women. This item is countywide.
ALTERNATIVE ACTION(S):
There are no viable alternative actions. Should your Board not approve the recommended actions, the
Department would not be able to collaborate with F5FC to provide enhanced group prenatal care services
and would duplicate efforts to set up a similar program with reduced funding under the County's Federal
Healthy Start grant.
SUSPENSION OF COMPETITION/SOLE SOURCE CONTRACT:
The Department requests to waive the competitive bidding process consistent with Administrative Policy No.
34, as in July 2019, F5FC bid out group prenatal care services to include curriculum and wrap-around
services in partnership with medical provider offices. The Department participated in the evaluation team
that selected F5FC's current service providers. F5FC is the only agency that has implemented this prenatal
care service model in the community, and it would be in the County's best interest to provide funding to
F5FC to maximize different funding streams and fulfill the County's required services under the Healthy Start
funding. The Internal Services Department- Purchasing concurs with the Department's request to suspend
the competitive bidding process.
FISCAL IMPACT:
County of Fresno page 1 File Number.22-0277
File Number:22-0277
There is no increase in Net County Cost associated with the recommended actions. The recommended
agreement with FSFC to lead the Glow! project has a consecutive three-year total maximum not to exceed
$468,000 and will be funded with the Federal Healthy Start Initiative grant. Sufficient appropriations and
estimated revenues are included in the Department Org 5620 FY 21-22 Adopted Budget and will be included
in future budget requests for the duration of the contract.
DISCUSSION:
The Department has a current collaborative partnership with FSFC under various programs that aim to
increase positive birth outcomes through education and service linkage. Both the Department and FSFC
receive funding from various sources that concentrate in various service models and some specific
populations who have historically had poor birth outcomes. Most recently in July 2019, FSFC released a
Request for Qualifications (RFQ)to provide group prenatal care services as part of an integrated prenatal
care system. The services and goals are aligned with some of the services and goals under the most
current Federal Healthy Start Initiative grant activities as implementation of Glow! includes curriculum and
wrap-around services, in partnership with medical provider offices, to enhance supports for pregnant
women and to demonstrate the effectiveness of group prenatal care in addressing the social determinants
of health. Each group or cohort is co-facilitated by a Glow! Staff Facilitator and a Medical Provider
Facilitator. The Glow! Staff Facilitator prepares session materials and leads the educational components of
each Glow! session, while the Medical Provider Facilitator is responsible for providing the prenatal medical
care to patients in each session. The County has received Federal Healthy Start funds, in part, to support
the same population group with the same prenatal care services.
As a result of FSFC's successful RFQ process and the Department's participation in the selection of service
contractors to provide the required group prenatal services,the Department has determined it is in the
County's best interest to provide funding to FSFC to fulfill the County's required services. Approval of the
recommended actions will allow FSFC and the County to collaborate in a cohesive community approach in
providing these services,which will most effectively serve Fresno County residents. The additional funding
will enable FSFC to enhance and expand the group prenatal care services being provided by FSFC's existing
service providers, as well as fulfill the County's grant funded requirements for the same services.
ATTACHMENTS INCLUDED AND/OR ON FILE:
On file with Clerk-Agreement with Children and Families Commission of Fresno County
Sole Source Acquisition Request
CAO ANALYST:
Ron Alexander
County of Fresno page 2 File Number:22-0277
Agreement No. 22-159
1 AGREEMENT
2
3 THIS AGREEMENT(the "Agreement') is made and entered into this 19th day of April 2022
4 (the "Effective Date"), by and between the COUNTY OF FRESNO, a Political Subdivision of the State of
5 California, hereinafter referred to as "COUNTY", and Children and Families Commission of Fresno County,
6 a California public organization, whose address is 2405 Tulare Street, Suite 200, Fresno, CA, 93721,
7 hereinafter referred to as "CONTRACTOR".
8 WITNESSETH:
9 WHEREAS, COUNTY, through its Department of Public Health (DPH), wishes to support the
10 provision of non-medical care services, including curriculum and wrap-around services, provided as part of
11 the Glow! Group Prenatal Care and Support Program (Glow!), to qualified participants to enhance supports
12 for pregnant women; and
13 WHEREAS, CONTRACTOR, is the only agency that has implemented this prenatal care service
14 model in the community through implementation of Glow!; and
15 WHEREAS, CONTRACTOR, is qualified and willing to provide such services, pursuant to the terms
16 and conditions of this Agreement.
17 NOW, THEREFORE, in consideration of the mutual covenants, terms and conditions herein
18 contained, the parties hereto agree as follows:
19 1. OBLIGATIONS OF THE CONTRACTOR
20 CONTRACTOR agrees to perform the following services (the "Services"):
21 A. Provide the non-medical care services component of the Glow! Program, to
22 qualified participants as set forth in Exhibit A, which is attached hereto and incorporated herein by this
23 reference. In addition to the staffing set forth in Exhibit B, CONTRACTOR shall use Up to 6 Glow! Staff
24 Facilitators to provide services detailed in Exhibit A. The costs of these Staff Facilitators will not be paid
25 by COUNTY under this Agreement but will be paid through a different funding source available to
26 CONTRACTOR.
27
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1 B. Serve a target number of 200 pregnant women per calendar year (Participants),
2 and subject to Section 13 herein, the target participation percentage of African American women shall
3 be seventy percent (70%). Participants must live in Babies First target area within the City of Fresno.
4 C. Participate in quality improvement (Plan-Do-Study-Act) and evaluation efforts
5 (focus groups, satisfaction surveys, etc.) as needed.
6 D. Participate in monthly calls with COUNTY regarding progress and submit
7 Services update on COUNTY-provided template.
8 E. Participate in quarterly Community Advisory Network (CAN) meetings and provide
9 updates to COUNTY as requested.
10 F. Complete identified trainings and Healthy Start trainings to ensure a quality
11 workforce.
12 G. Glow! Program manager to sign up to receive periodic updates from Healthy
13 Start.
14 H. Collect additional monthly data as mandated by the program funder.
15 I. Complete and update the following Healthy Start required forms: Background
16 Form and Prenatal Form. Forms will be completed at client enrollment and updated after the
17 Participant's child is born.
18 J. Upon Participant's completion of the Glow! Program, CONTRACTOR shall offer
19 eligible Participants Babies First Care Coordination services.
20 K. Submit completed Healthy Start forms to be entered into CAREWare, the
21 database used by Healthy Start grantees within two (2) weeks of enrollment or by the 5th day of each
22 month, whichever is sooner.
23 L. Provide Glow! Program overview to COUNTY, including staffing, role, and
24 position description, and written updates for progress report and annual report, including the Work Plan,
25 attached hereto as Exhibit A.
26 M. Establish a process to identify the father of Participant's child or partners for
27 purposes of connecting such person to the appropriate subcontractor to offer fatherhood services.
28
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1 Share program information, resources and references with all appropriate parties in order to maximize
2 services to eligible women and families.
3 2. TERM
4 The term of this Agreement shall be effective from the Effective Date through and including March
5 31, 2024, unless sooner terminated as provided herein (the "Term").
6 3. TERMINATION
7 A. Non-Allocation of Funds—The terms of this Agreement, and the Services to be
8 provided hereunder, are contingent on the approval of funds by the appropriating government agency.
9 Should sufficient funds not be allocated, the services provided may be modified, or this Agreement
10 terminated, at any time by giving the CONTRACTOR thirty (30) days advance written notice.
11 B. Breach of Contract—Either Party may terminate this Agreement, effective upon
12 written notice to the other Party (the"Defaulting Party"), if the Defaulting Party materially breaches this
13 Agreement, and such breach is incapable of cure, or concerning a breach capable of cure, the Defaulting
14 Party does not cure such breach within thirty (30) days after written notice of such breach. The COUNTY
15 may immediately suspend or terminate this Agreement in whole or in part, where in the determination of the
16 COUNTY there is:
17 1) An illegal or improper use of funds;
18 2) A failure to comply with any term of this Agreement;
19 3) A substantially incorrect or incomplete report submitted to the COUNTY;
20 4) Improperly performed service.
21 In no event shall any payment by the COUNTY constitute a waiver by the COUNTY of any breach
22 of this Agreement or any default which may then exist on the part of the CONTRACTOR. Neither shall
23 such payment impair or prejudice any remedy available to the COUNTY with respect to the breach or
24 default. The COUNTY shall have the right to demand of the CONTRACTOR the repayment to the
25 COUNTY of any funds disbursed to the CONTRACTOR under this Agreement, which in the judgement of
26 the COUNTY were not expended in accordance with the terms of this Agreement. The CONTRACTOR
27 shall promptly refund any such funds upon demand.
28 HI
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1 C. Without Cause—Under circumstances other than those set forth above,this
2 Agreement may be terminated by COUNTY upon the giving of thirty (30) days advance written notice of
3 intention to terminate to CONTRACTOR.
4 4. COMPENSATION/INVOICING
5 COUNTY agrees to pay CONTRACTOR and CONTRACTOR agrees to receive compensation as
6 identified in Exhibit B, attached hereto and incorporated herein by this reference. CONTRACTOR shall
7 submit monthly invoices by the 30th day of each month for the prior month's expenditures to the County of
8 Fresno, Department of Public Health, Public Health Nursing Division, P.O. Box 11867, Fresno, CA 93775,
9 Attention: Division Manager at DPHBOAP@fresnocountyca.gov. Invoices shall detail line items as
10 specified in Exhibit B, including original budget amounts, current month's expenses, year-to-date expenses
11 and budget balances. In addition, invoices shall also include all relevant supporting documentation
12 including but not limited to copies of original statements, general ledgers, program expense receipts, payroll
13 records and mileage claims.
14 In no event shall the total maximum compensation for the full term of the Agreement exceed Four
15 Hundred Sixty-Eight Thousand and No/100 Dollars ($468,000.00). It is understood that all expenses
16 incidental to CONTRACTOR'S performance of services under this Agreement shall be borne by
17 CONTRACTOR.
18 5. FUNDING
19 Funding for these services is supported by the Health Resources and Services Administration
20 (HRSA) of the U.S. Department of Health and Human Services (HHS) as part of an award totaling Nine
21 Hundred Eighty Thousand and No/100 Dollars ($980,000.00)with 0% financed with nongovernmental
22 sources (Catalog of Federal Domestic Assistance Number 93.926). The contents are those of the author(s)
23 and do not necessarily represent the official views of, nor an endorsement, by HRSA, HHS or the Federal
24 government.
25 6. INDEPENDENT CONTRACTOR
26 In performance of the work, duties and obligations assumed by CONTRACTOR under this
27 Agreement, it is mutually understood and agreed that CONTRACTOR, including any and all of the
28 CONTRACTOR'S officers, agents, and employees will at all times be acting and performing as an
29153220/16453.0001 -4-
1 independent contractor, and shall act in an independent capacity and not as an officer, agent, servant,
2 employee,joint venturer, partner, or associate of the COUNTY. Furthermore, COUNTY shall have no right
3 to control or supervise or direct the manner or method by which CONTRACTOR shall perform its work and
4 function. However, COUNTY shall retain the right to administer this Agreement so as to verify that
5 CONTRACTOR is performing its obligations in accordance with the terms and conditions thereof.
6 CONTRACTOR and COUNTY shall comply with all applicable provisions of law and the rules and
7 regulations, if any, of governmental authorities having jurisdiction over matters the subject thereof.
8 Because of its status as an independent contractor, CONTRACTOR shall have absolutely no right
9 to employment rights and benefits available to COUNTY employees. CONTRACTOR shall be solely liable
10 and responsible for providing to, or on behalf of, its employees all legally-required employee benefits. In
11 addition, CONTRACTOR shall be solely responsible and save COUNTY harmless from all matters relating
12 to payment of CONTRACTOR'S employees, including compliance with Social Security withholding and all
13 other regulations governing such matters. It is acknowledged that during the term of this Agreement,
14 CONTRACTOR may be providing services to others unrelated to the COUNTY or to this Agreement.
15 7. MODIFICATION
16 Any matters of this Agreement may be modified from time to time by the written consent of all the
17 parties without, in any way, affecting the remainder.
18 Notwithstanding the above, changes to line items in the budget, attached hereto as Exhibit B, that
19 do not exceed ten percent (10%) of the maximum compensation payable to the CONTRACTOR, may be
20 made with the written approval of COUNTY's DPH Director, or designee. Said budget line item changes
21 shall not result in any change to the maximum compensation amount payable to CONTRACTOR, as stated
22 herein.
23 8. NON-ASSIGNMENT
24 Neither party shall assign, transfer or sub-contract this Agreement nor their rights or duties under
25 this Agreement without the prior written consent of the other party.
26 9. HOLD HARMLESS
27 CONTRACTOR agrees to indemnify, save, hold harmless, and at COUNTY'S request, defend the
28 COUNTY, its officers, agents, and employees from any and all costs and expenses (including attorney's
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1 fees and costs), damages, liabilities, claims, and losses occurring or resulting to COUNTY in connection
2 with the performance, or failure to perform, by CONTRACTOR, its officers, agents, or employees under this
3 Agreement, and from any and all costs and expenses (including attorney's fees and costs), damages,
4 liabilities, claims, and losses occurring or resulting to any person, firm, or corporation who may be injured
5 or damaged by the performance, or failure to perform, of CONTRACTOR, its officers, agents, or
6 employees under this Agreement.
7 The provisions of this Section 9 shall survive termination of this Agreement.
8 10. INSURANCE
9 Without limiting the COUNTY's right to obtain indemnification from CONTRACTOR or any third
10 parties, CONTRACTOR, at its sole expense, shall maintain in full force and effect, the following
11 insurance policies or a program of self-insurance, including but not limited to, an insurance pooling
12 arrangement or Joint Powers Agreement (JPA) throughout the term of this Agreement:
13 A. Commercial General Liability
14 Commercial General Liability Insurance with limits of not less than Two Million Dollars
15 ($2,000,000.00) per occurrence and an annual aggregate of Four Million Dollars ($4,000,000.00). This
16 policy shall be issued on a per occurrence basis. COUNTY may require specific coverages including
17 completed operations, products liability, contractual liability, Explosion-Collapse-Underground, fire legal
18 liability or any other liability insurance deemed necessary because of the nature of this contract.
19 B. Automobile Liability
20 Comprehensive Automobile Liability Insurance with limits of not less than One Million
21 Dollars ($1,000,000.00) per accident for bodily injury and for property damages. Coverage should include
22 any auto used in connection with this Agreement.
23 C. Professional Liability
24 If CONTRACTOR employs licensed professional staff, (e.g., Ph.D., R.N., L.C.S.W.,
25 M.F.C.C.) in providing services, Professional Liability Insurance with limits of not less than One Million
26 Dollars ($1,000,000.00) per occurrence, Three Million Dollars ($3,000,000.00) annual aggregate. If
27 CONTRACTOR employs licensed professional staff, (e.g., Ph.D., R.N., L.C.S.W., M.F.C.C.) in providing
28 services, CONTRACTOR agrees that it shall maintain, at its sole expense, in full force and effect for a
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1 period of three (3) years following the termination of this Agreement, one or more policies of professional
2 liability insurance with limits of coverage as specified herein.
3 D. Worker's Compensation
4 A policy of Worker's Compensation insurance as may be required by the California Labor
5 Code.
6 E. Molestation
7 Sexual abuse/molestation liability insurance with limits of not less than One Million Dollars
8 ($1,000,000.00) per occurrence. Two Million Dollars ($2,000,000.00) annual aggregate. This policy shall
9 be issued on a per occurrence basis.
10 F. Cyber Liability
11 Cyber Liability Insurance, with limits not less than Two Million Dollars ($2,000,000) per
12 occurrence or claim, Two Million Dollars ($2,000,000) annual aggregate. Coverage shall be sufficiently
13 broad to respond to the duties and obligations as is undertaken by the CONTRACTOR in this Agreement
14 and shall include, but not be limited to, claims involving infringement of intellectual property, including but
15 not limited to infringement of copyright, trademark, trade dress, invasion of privacy violations, information
16 theft, damage to or destruction of electronic information, release of private information, alteration of
17 electronic information, extortion and network security. The policy shall provide coverage for breach
18 response costs as well as regulatory fines and penalties as well as credit monitoring expenses with limits
19 sufficient to respond to these obligations.
20 For purposes of the cyber liability insurance required under this Agreement, "cyber risks"
21 include, but are not limited to, (i) security breaches, which include disclosure of, whether intentional or
22 unintentional, information provided by the COUNTY or Confidential Information; (ii) breach of any of the
23 CONTRACTOR's obligations under this Agreement relating to data security, protection, preservation,
24 usage, storage, transmission, and the like; (iii) infringement of intellectual property including, but not limited
25 to, infringement of copyright, trademark, and trade dress; (iv) invasion of privacy, including any release of
26 private information; (v) information theft by any person or entity, whatsoever; (vi) damage to, destruction of,
27 or alteration of electronic information; (vii) extortion related to the CONTRACTOR's obligations under this
28 Agreement regarding electronic information, including information provided by the COUNTY, information
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1 provided by or obtained from any person examined or person questioned, Confidential Information, or
2 personal-identifying information relating to any person; (viii) network security; (ix) data breach response
3 costs, including security breach response costs; (x) regulatory fines and penalties related to the
4 CONTRACTOR's obligations under this Agreement regarding electronic information, including information
5 provided by the COUNTY, information provided by or obtained from an examinee or person questioned, or
6 personal-identifying information relating to any examinee or person questioned; and (xi) credit monitoring
7 expenses.
8 Additional Requirements Relating to Insurance
9 CONTRACTOR shall obtain endorsements to the Commercial General Liability insurance naming
10 the COUNTY, its officers, agents, and employees, individually and collectively, as additional insured, but
11 only insofar as the operations under this Agreement are concerned. Such coverage for additional insured
12 shall apply as primary insurance and any other insurance, or self-insurance, maintained by COUNTY, its
13 officers, agents and employees shall be excess only and not contributing with insurance provided under
14 CONTRACTOR's policies herein. This insurance shall not be cancelled or changed without a minimum of
15 thirty (30) days advance written notice given to COUNTY.
16 Within thirty (30) days from the date CONTRACTOR signs and executes this Agreement,
17 CONTRACTOR shall provide certificates of insurance and endorsement as stated above for all of the
18 foregoing policies, as required herein, to the County of Fresno, Department of Public Health, P.O. Box
19 11867, Fresno, CA 93775, Attention: Contracts Section —6th Floor, stating that such insurance coverage
20 have been obtained and are in full force; that the COUNTY, its officers, agents and employees will not be
21 responsible for any premiums on the policies; that such Commercial General Liability insurance names the
22 COUNTY, its officers, agents and employees, individually and collectively, as additional insured, but only
23 insofar as the operations under this Agreement are concerned; that such coverage for additional insured
24 shall apply as primary insurance and any other insurance, or self-insurance, maintained by COUNTY, its
25 officers, agents and employees, shall be excess only and not contributing with insurance provided under
26 CONTRACTOR's policies herein; and that this insurance shall not be cancelled or changed without a
27 minimum of thirty (30) days advance, written notice given to COUNTY.
28 In the event CONTRACTOR fails to keep in effect at all times insurance coverage as herein
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1 provided, the COUNTY may, in addition to other remedies it may have, suspend or terminate this
2 Agreement upon the occurrence of such event.
3 All policies shall be issued by admitted insurers licensed to do business in the State of California,
4 and such insurance shall be purchased from companies possessing a current A.M. Best, Inc. rating of A
5 FSC VI or better.
6 11. AUDITS AND INSPECTIONS
7 The CONTRACTOR shall at any time during business hours, and as often as the COUNTY may
8 deem necessary, make available to the COUNTY for examination all of its records and data with respect to
9 the matters covered by this Agreement. The CONTRACTOR shall, upon request by the COUNTY, permit
10 the COUNTY to audit and inspect all of such records and data necessary to ensure CONTRACTOR'S
11 compliance with the terms of this Agreement.
12 If this Agreement exceeds Ten Thousand and No/100 Dollars ($10,000.00), CONTRACTOR shall
13 be subject to the examination and audit of the Auditor General for a period of three (3) years after final
14 payment under contract (Government Code Section 8546.7).
15 12. CONFIDENTIALITY
16 All services performed by CONTRACTOR under this Agreement shall be in strict conformance with
17 all applicable Federal, State of California and/or local laws and regulations relating to confidentiality.
18 13. NON-DISCRIMINATION
19 During the performance of this Agreement, CONTRACTOR shall not unlawfully discriminate against
20 any employee or applicant for employment, or recipient of services, because of race, religious creed, color,
21 national origin, ancestry, physical disability, mental disability, medical condition, genetic information, marital
22 status, sex, gender, gender identity, gender expression, age, sexual orientation, military status or veteran
23 status pursuant to all applicable State of California and Federal statutes and regulation.
24 14. COMPLIANCE WITH FEDERAL REQUIREMENTS
25 CONTRACTOR recognizes that COUNTY operates its DPH Babies First program under an
26 agreement with the HRSA, HHS, Maternal and Child Health Bureau, Grant No. H49MC00150, incorporated
27 herein by reference; and that under said agreement the Federal government imposes certain requirements
28 on COUNTY and its subcontractors. Therefore, CONTRACTOR shall adhere to the Federal requirements
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1 identified in said agreement. COUNTY shall make available to CONTRACTOR a copy of said agreement
2 upon request.
3 15. SINGLE AUDIT CLAUSE
4 A. If CONTRACTOR expends Seven Hundred Fifty Thousand and No/100 Dollars
5 ($750,000) or more of Federal and Federal flow-through monies, CONTRACTOR agrees to conduct an
6 annual audit in accordance with the requirements of the Single Audit Standards as set forth in Office of
7 Management and Budget (OMB) Title 2 of the Code of Federal Regulations, Chapter II, Part 200.
8 CONTRACTOR shall submit said audit and management letter to COUNTY. The audit must include a
9 statement of findings or a statement that there were no findings. If there were negative findings,
10 CONTRACTOR must include a corrective action plan signed by an authorized individual. CONTRACTOR
11 agrees to take action to correct any material non-compliance or weakness found as a result of such audit.
12 Such audit shall be delivered to COUNTY'S DPH Administration for review within nine (9) months of the
13 end of any fiscal year in which funds were expended and/or received for the program. Failure to perform
14 the requisite audit functions as required by this Agreement may result in COUNTY performing the
15 necessary audit tasks, or at the COUNTY'S option, contracting with a public accountant to perform said
16 audit, or, may result in the inability of COUNTY to enter into future agreements with CONTRACTOR.
17 B. A single audit report is not applicable if all CONTRACTOR'S Federal contracts do
18 not exceed the Seven Hundred Fifty Thousand and No/100 Dollars ($750,000) requirement or
19 CONTRACTOR'S federal funding is through Drug Medi-Cal.
20 16. NOTICES
21 The persons and their addresses having authority to give and receive notices under this Agreement
22 include the following:
23 COUNTY CONTRACTOR
COUNTY OF FRESNO Children & Families Commission of Fresno
24 Director, Department of Public Health County
PO Box 11867 Executive Director
25 Fresno, CA 93775 2405 Tulare Street, Suite 200
26 Fresno, CA 93721
27 All notices between the COUNTY and CONTRACTOR provided for or permitted under this
28 Agreement must be in writing and delivered either by personal service, by first-class United States mail, by
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1 an overnight commercial courier service, by electronic mail, or by telephonic facsimile transmission. A
2 notice delivered by personal service is effective upon service to the recipient. A notice delivered by first-
3 class United States mail is effective three COUNTY business days after deposit in the United States mail,
4 postage prepaid, addressed to the recipient. A notice delivered by an overnight commercial courier service
5 is effective one COUNTY business day after deposit with the overnight commercial courier service, delivery
6 fees prepaid, with delivery instructions given for next day delivery, addressed to the recipient. A notice
7 delivered by electronic mail or telephonic facsimile is effective when transmission to the recipient is
8 completed (but, if such transmission is completed outside of COUNTY business hours, then such delivery
9 shall be deemed to be effective at the next beginning of a COUNTY business day), provided that the
10 sender maintains an email confirmation of receipt or machine record of the completed transmission. For all
11 claims arising out of or related to this Agreement, nothing in this section establishes, waives, or modifies
12 any claims presentation requirements or procedures provided by law, including but not limited to the
13 Government Claims Act(Division 3.6 of Title 1 of the Government Code, beginning with section 810).
14 17. GOVERNING LAW
15 Venue for any action arising out of or related to this Agreement shall only be in Fresno County,
16 California.
17 The rights and obligations of the parties and all interpretation and performance of this Agreement
18 shall be governed in all respects by the laws of the State of California.
19 18. ELECTRONIC SIGNATURE
20 The parties agree that this Agreement may be executed by electronic signature as provided in this
21 section. An "electronic signature" means any symbol or process intended by an individual signing this
22 Agreement to represent their signature, including but not limited to (1) a digital signature; (2) a faxed
23 version of an original handwritten signature; or(3) an electronically scanned and transmitted (for example
24 by PDF document) of a handwritten signature. Each electronic signature affixed or attached to this
25 Agreement(1) is deemed equivalent to a valid original handwritten signature of the person signing this
26 Agreement for all purposes, including but not limited to evidentiary proof in any administrative or judicial
27 proceeding, and (2) has the same force and effect as the valid original handwritten signature of that person.
28 The provisions of this section satisfy the requirements of Civil Code section 1633.5, subdivision (b), in the
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I Uniform Electronic Transaction Act(Civil Code, Division 3, Part 2, Title 2.5, beginning with section 1633.1).
2 Each party using a digital signature represents that it has undertaken and satisfied the requirements of
3 Government Code section 16.5, subdivision (a), paragraphs (1)through (5), and agrees that each other
4 party may rely upon that representation. This Agreement is not conditioned upon the parties conducting the
5 transactions under it by electronic means and either party may sign this Agreement with an original
6 handwritten signature.
7 19. ENTIRE AGREEMENT
8 This Agreement, including all exhibits, constitutes the entire agreement between the
9 CONTRACTOR and COUNTY with respect to the subject matter hereof and supersedes all previous
10 Agreement negotiations, proposals, commitments, writings, advertisements, publications, and
11 understanding 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.
3 CONTRACTOR: COUNTY OF FRESNO:
Children and Families Commission of Fresno
4 County
5
6
7 ri Gilbe e- Brian Pacheco, Chairman of the Board of
8 Supervisors of the County of Fresno
9
10
11
Fabiola Gon le Exec ive irector ATTEST:
12 Bernice E. Seidel
Clerk of the Board of Supervisors
13 County of Fresno, State of California
14 L!
By: iA
15 Deputy
16
17 KeTleth Price, Le Counsel
18
19
20 2405 Tulare Street, Suite 200, Fresno, CA, 93721
21 Mailing Address
22
23
24
25
26 FOR ACCOUNTING USE ONLY:
Fund/Subclass: 0001/10000
27 ORG No.: 56201748
Account No.: 7295
28
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Exhibit A
6�
Babies First (Healthy Start)
Glow! Work Plan
Overview
First 5 Fresno County provides group prenatal care in partnership with various clinic practices as
part of the EMBRACE Study throughout Fresno County. The Glow! Group Prenatal Care model
includes prenatal medical care, risk assessments, group support and information and resources
related to pregnancy, birth and parenting. Each group or cohort is co-facilitated by a Glow! Staff
Facilitator(First 5 Contractor Network Staff) and a Provider Facilitator(Midwife, Nurse Practitioner,
Physician or Physician's Assistant). The role of the Glow! Staff Facilitator is to prepare session
materials and lead the educational components of each Glow! session. While the Provider
Facilitator is responsible for providing the prenatal medical care to patients in each session.
Introduction
This work plan provides an overview of the Glow! Group Prenatal Care and Support Program
(Glow!) telehealth and in-person models. As COVID-19 transmission rates continue to drop,
Glow! will work on transitioning back to an in-person model. However, we anticipate that the
program will look different based on the needs of each clinic site. For more detailed program
information, please reference the Glow! Program Protocol.
What is Glow!
Glow! is an innovative and comprehensive program that incorporates wrap-around services with
enhanced prenatal care. It allows women to have more time with their medical provider and
encourages them to stay actively engaged in their healthcare. The program is rooted in a deep
sense of community where women can feel supported, learn from one another while learning
from their provider and receive respectful prenatal care in a facilitative manner.
Comprehensive wrap-around services are provided to each participant at each session and are
designed to ease their access to prenatal care and resources without the burden of having to go
to different locations. These services include providing in-home early learning activities for
children ages 0 to 5 while the participant joins the Glow! session (telehealth model), childcare
for children ages 0-5 (in-person model), transportation stipends, take-home food support,
information to community resources through presentations and ongoing assistance with
resources not available through the Glow! Program.
Reporting Comments: Glow!participants receive referrals to community resources as
needed. Wrap around service presentations are scheduled at every session and include
presentations on topics such as WIC, DPH, Breastfeeding/Lactations, EDD, Pediatrics,
1
Exhibit A
Mental Health, Help Me Grow to name few. A transportation stipend inform of a bus
card, uber card or gas card is provided to each participant after attending each session.
Work Plan Measure - By March 31, 2024, increase the proportion of women and child
participants who have a usual source of medical care to 80%. -Link participants to
available resources, as needed. Provide bus tickets and linkage to available
transportation options to reduce participant barriers to access care. Group prenatal care
services incorporates prenatal healthcare with education and peer support. Question on
Background Form Q6 and Q7
2
Exhibit A
In-person Session overview
The in-person session model consists of up to 11 "sessions" or "appointments" with each
"group" or"cohort" consisting of 8-12 women, all due to give birth within a 6-week range.
Sessions are two hours in length and co-facilitated between a Glow! Staff Facilitator and
Provider Facilitator. Sessions with less than eight participants in attendance are reduced to 90
minutes. Sessions 1-4 are one month apart, sessions 5-10 are two weeks apart, and the post-
partum session is one month after session 10. The entire cohort is scheduled prior to
recruitment of participants into the group.
Reporting Comments:All women must be less than 24 weeks gestation when recruited.
Postpartum sessions are important to ensure participants receive this follow-up care which is
often missed as infant appointments are prioritized. It is also important for providers and
health plans to meet HEDIS measures in which women are seen within 21-56 days postpartum.
This is an additional opportunity to provide perinatal wellness referrals and lactation
consultation as well as contraception care/family planning.
Sessions begin and end with clinical care,this involves participants taking many of their own
vital signs and a brief individual physical exam with their provider.This aspect of group prenatal
care differs from individual or traditional prenatal care and participants report feeling
empowered and having a since of ownership over their health through this activity.
After the initial clinical care ends, participants then come together for an opening activity to
remind everyone that they are both welcome and an important part of the Centering
community and brings the group into cohesion before moving into the facilitated group
discussion.The facilitated group session includes a mindfulness exercise, group discussion and
activities and ends with a closing. If a wrap-around community resource presentation is
scheduled,this is included in the group discussion portion of the session.The final time in the
session is the remainder of clinical care for the participants that have not been seen by their
provider.
The Glow! Staff Facilitator is responsible for coordinating all session aspects including leading
the group session, preparing for the session, attending required trainings, working closely with
the healthcare team who is delivering prenatal care, communicate with participants, and
coordinating wrap-around services/community resource presentations. If childcare is offered,
the childcare provider is responsible for ensuring the safety of children during Glow! sessions.
3
Exhibit A
In-person Session Outline
. 0
Description ^o
Clinical Patient check-in 30 minutes 30 minutes
Care Prenatal Care/Vitals
Mental Health Wellness Questionnaire
Opening Activity
Group Opening Mindfulness 5 minutes 5 minutes
Session Group Discussion and Activities
Wrap Around Service— 45 minutes 45 minutes
Community Resource Presentations (On Assigned Dates)
15 minutes will be included in the 45 minutes discussion
Closing Mindfulness 5 minutes 5 minutes
Clinical Prenatal Care 30 minutes 5 minutes
Care Patient check out
Telehealth-Modified Session Overview
As with the original model, the telehealth-modified program is rooted in a deep sense of
community where women can feel supported, learn from one another while learning from their
provider and receive respectful telehealth prenatal care in a facilitative manner. Each "group" or
"cohort" consists of 8-12 women, all due to give birth within a 6-week range, who attend up to
11 telehealth (virtual) "sessions" or "appointments" that last 90-120 minutes each. Participants
will receive individual health assessments in-person or via telehealth (based on the provider's
preference), risk assessments, group support, as well as information and skills related to
pregnancy, birth, and parenting. Telehealth sessions are implemented from week 14 of
pregnancy through one to two months postpartum.
4
PIFIRST5
Exhibit A
Telehealth Session Outline
Sessions
SessionsIn-Person
Telehealth Health,
Description He Assessment
Assessment
Hour • 30 Minutes)
Patient Health Assessment and 1 hour—Via Zoom In-Person, Scheduled on a
Check-In Vitals Breakout Rooms Non-Glow! Session Date
OR Other
Brief Check-in with provider Preferred Platform 30 minutes—via Zoom
(2-3 minutes) Breakout Rooms OR
Other Preferred Platform
Group Opening Activity
Session Opening Mindfulness 15 minutes
P g 15 minutes
COVID-19 Check-in
Group Discussion and
Activities
WrapAround Service- 40 minutes
40 minutes
Resource Presentation (15
minutes)
Mental Health—Wellness
Questionnaire via Zoom 5 minutes 5 minutes
Poll
Closing Mindfulness
Ilileet and Greets
Each Staff Facilitator schedules a meet and greet with appropriate COVID-19 safety measures in
place,with each participant prior to starting sessions. If the participant does not feel comfortable
meeting in person, the meet and greet may take place via Zoom. This meet and greet provides
the Staff Facilitator an opportunity to introduce the program, build rapport, distribute program
materials, incentives, complete program forms and provide a Zoom training. This is also an
opportunity to keep the participant engaged from the time they are recruited to the time they
attend their first session. We encourage Staff Facilitators to be creative, fun and utilize getting-
to-know-you activities. Additionally, Staff Facilitators should offer participants the option to join
the private Glow! Facebook group as a place to receive on-going social support from other Glow!
participants and stay up to date on resources and information shared by Staff Facilitators.
Below is the list of program materials, Glow! incentives and enrollment forms that are provided
and completed at the meet and greet prior to the start of the first session.
5
Exhibit A
Forms Completed Items Discussed Items Distributed
Program Overview
1) What is Glow!
2) Glow! is their prenatal care
(important not to miss)
First 5 Intake Form Reporting Comments: Work Plan Centering Notebook with
Measure- By March 31, 2024, Addendum Inserts
increase the proportion of pregnant
participants who receive prenatal care
in the first trimester to 80%. Question
on prenatal form Q5, Q5a, Q6.
What to Expect
First 5 Evaluation and 1) Sessions follow their prenatal
Data Collection care appointment schedule Headphones/Adapter—
2) Session include a health Telehealth Model
Information Sheet assessment and vitals
3) Session topics overview
Connectivity
1) How to use Zoom on their
device
2) When to expect a Zook link Health Collection Equipment
Glow! Media Release 3) Low-Cost Internet and Device (Blood pressure cuffs, and
Form Information. If applicable, body weight scales if
initiate the loan request needed.)
process to check-out a prepaid
smartphone and activate data
plan card
Glow! Packet Info
Healthy Start 1) Session schedule
Glow! Journal & Pen
Background Form 2) Who to call when
3) Facilitator Contact info
Support
1) Facebook page/private group
for participants
2) Collect Fatherhood/Support
Healthy Start Person Information for outside
Glow! Water Bottle
Prenatal Form
support
Reporting Comments:Staff Facilitators
will collect contact information for the
FOB/Partner at the meet and greet visit
prior to the start of the Glow!cohort.
6
FIRST
Exhibit A
Work Plan Measure-By March 31, 2024,
increase proportion of HS women
participants that demonstrate father
and/or partner involvement(e.g., attend
appointments, classes, etc.)during
pregnancy to 90%. Question on prenatal
form Q10.
Early Learning Childcare
Activities—Telehealth Model
Topics and Addendurns
Glow! Addendum and CenteringPregnancy° Curriculums are used at each session. Staff
Facilitators reference all three sources 1) the CenteringPregnancy° session outlines, 2) Glow!
Addendums Curriculum and 3)CenteringPregnancy° participant notebook when preparing
session agendas.The following list includes session topics that are covered to the extent possible
in each session.
Glow.i Addendum Wrap Around(Suggested) Other/
CenteringPregnancy® Clinical
Curriculum Topics Curriculum Topics Presentation Milestones
Administer a
mental
health
wellness
questionnai
re
WIC- invited to
provide all Reporting
Comments:
participants with Each session
Opening/ Common Discomforts the opportunity to includes the
Closing Mindfulness enroll and utilize administrate
WIC resources if on of a
desired mental
health
wellness
questionnai
re. Glow!
participants
who
complete
7
Exhibit A
the
program
wellness
questionnai
re and score
a 3 or total
score equals
3 are
referred to
the
Perinatal
Wellness
Center.
Scores that
are high are
shared with
the medical
provider to
ensure the
topic is
discussed at
the next
visit. The
program
wellness
questionnai
re is a
hybrid of
the PHQ-9
and the
Edinburgh
Postpartum
Depression
Assessment
—a total of
3 questions.
Work Plan
Measure -
By March
31, 2024,
increase the
proportion
8
ff"FIRST5
Exhibit A
of HS
women
participants
who receive
depression
screening
and referral
to 100%. -
Screen and
document
for
depression
outcome of
Patient
Health
Questionnai
re (PHQ-2)
using HS
Screening
tools and
the PHQ-9
using the
antepartum
postpartum
and well-
woman
assessment
forms.
Question on
background
form Q15,
Q17.
Prenatal Testing
Body Changes in Pregnancy Labs
s /
(Suggested) Other/
Glow! Addendum � Wrap Around
CenteringPregnancy Clinical
Curriculum Topics Presentation
Curriculum Topics Milestones
Dental Health - Administer a
Opening/ Nutrition invited to inform mental
Closing Mindfulness group participants health
9
V'`OIRST 5
Exhibit A
about the wellness
importance of oral questionnaire
health for both
Sleep mommy and baby
(Participant Insert—
Sleep Tips)
Healthy Gums and Teeth
Oral Health (Review Dental Care
addendum curriculum if
presenter is not
present)
Session#3(21-27 weeks)
Glow!Addendum
(Suggested) Wrap Around Other/
CenteringPregnancy® Clinical
Curriculum Topics Curriculum Topics Presentation Milestones
Opening/ Relaxation: Managing Stress Perinatal
Closing Mindfulness Wellness Ctr
(1st Present.) - Administer a
scheduled with mental
the primary focus health
Mental Health During Pregnancy(Guided Breastfeeding My Baby of educating the wellness
Questions) group on mental questionnaire
health during
pregnancy
Glow. Addendum
(Suggested) Wrap Around Other/
CenteringPregnancy® Clinical
Curriculum Topics Curriculum Topics Presentation Milestones
Family Planning and Safe Sex DPH—
Reporting Comments: Family Programs and
Planning is discussed as part Services - Administer a
Opening/ of session #4 and includes an invited to mental health
Closing Mindfulness overview of birth control present on the wellness
methods and is facilitated as different questionnaire
an open discussion without nursing
the development of a programs
reproductive life plan or provided by
Zo
FaFIRST5
Exhibit A
documentation of a chosen the county for
method. pregnant and
postpartum
Work Plan Measure - By women,
March 31, 2024, increase the including
proportion of HS women Babies First,
participants who have a Black Infant
documented reproductive life Health, Nurse
plan to 90%. Question on Family
background form Q21, Q26. Partnership
and Nurse
Liaison home
Domestic Violence and Abuse visitation
programs,
Reporting Questions:Session among others
#4 covers domestic violence
and abuse. If needed
participants are linked or
referred to available
resources. Work Plan
Coping with Worry Measure -By March 31, 2024,
increase proportion of HS
(Participant Insert —Coping with Worries) women participants who T-DAP Vaccine
receive intimate partner
violence (IPV)screening to
100%. -Educate participants
on domestic violence cycle,
signs and symptoms. Link
participants to available
resources, as needed.
Question on background
form Q19, Q20.
Contraception (share
Preterm Labor
website w/participants)
Glow!Addendum (Suggested) Wrap Around Other/
CenteringPregnancy® Clinical
Curriculum Topics Curriculum Topics Presentation Milestones
Breastfeeding/ Administer a
Opening/ Lactation - a mental health
Closing Mindfulness Labor lactation wellness
consultant is questionnaire
11
FIRSTS
Exhibit A
invited to
facilitate a
discussion on
past
experiences,
plans for infant
feeding, and if
applicable,
ordering breast
pumps.
Reporting
Comments:
Parent-child
Form Q25—
completed by
DPH team if
client
transitions to
DPH.
Hospital
Registration —
Breathing Labor and Delivery
Regulations during
COVID-19
Medications for Labor and Hospital Tour, if
Birth permittable
Breast Pump
Order/Registration
Reporting
Comments:
Parent`-child Form
Q8—completed by
DPH team if client
transitions to DPH.
12
Exhibit A
Glow!Addendum
(Suggested) Other/
Wrap Around
CenteringPregnancy® Clinical
Curriculum Topics Presentation
Curriculum Topics Milestones
Labor Decisions Disability&
Paid Family
Leave— EDD -
invited to
inform the
group Administer a
Opening/
participants on mental health
Closing Mindfulness the application wellness
The Birth Experience process and questionnaire
benefits
available for
both Pregnancy
Disability Leave
and Paid Family
Leave
Glow!Addendum7CenteringPregnancy'O
gested) Wrap Around Other/
Clinical
Curriculum Topicslum Topics Presentation Milestones
Pediatrics—
invited to
provide the
opportunity to
choose a
Planning Pediatric Care pediatrician,
learn about Administer a
Reporting Comments: the in-hospital mental health
Parent-child Form Q14, Q14a pediatrician wellness
—completed by DPH team if visit, discuss questionnaire
client transitions to DPH. in-hospital
infant
procedures
(vaccinations,
medications,
circumcision,
etc.), and
13
.;
Exhibit A
address any
concerns
Caring for Your Baby
Reporting Comments:Safe
Opening/ Sleep, Parent-child Form Q19, Belly Bands
Closing Mindfulness Q20o—completed by DPH
team if client transitions to
DPH.
Glow!Addendum
(Suggested) Wrap Around Other/
CenteringPregnancy® Clinical
Curriculum Topics Curriculum Topics Presentation Milestones
Kick Counts Perinatal
Wellness Ctr
Emotional Adjustments (2"d Present.) - Administer a
scheduled to mental health
Opening/ educate the
Closing Mindfulness group on wellness
questionnaire
Baby Blues mental health
postpartum
and available
y-(- resources.
(Suggested) Other/
Glow!Addendum ® Wrap Around
CenteringPregnancy Clinical
Curriculum Topics Curriculum Topics Presentation7 Milestones
Putting it all Together Help Me Grow
Fresno County
- invited to
share with Administer a
Opening/
participants mental health
about their wellness
Closing Mindfulness Infant Massage confidential questionnaire
hotline and
resources for
families with
young children
14
Exhibit A
Session#10 (37-43 weeks)
(Suggested) Other/
Glow!Addendum ® Wrap Around
CenteringPregnancy Clinical
Curriculum Topics Presentation
Curriculum Topics Milestones
Newborn Care Administer a
Opening/
mental health
Closing Mindfulness Newborn—When to Call None wellness
New Mom—When to Call
questionnaire
Postpartum
Glow!
Addendum Other/
Curriculum Other Clinical
Topics Milestones
Opening/
Closing Honoring their birth story!
Mindfulness
Program Evaluation Administer a
Certificate and Glow! Onesie Distribution mental health
Postpartum Visit Reminder wellness
Perinatal Wellness Center Resource Reminder questionnaire
Reporting Comments: Parent-child Form Q23—completed by
DPH team if client transitions to DPH.
SessionTransition . . .
Details TBD
15
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g r, Sole Source Acquisition Request Double click!
Q 1856
.aEg0
1. Fully describe the product(s) and/or service(s) being requested.
In July 2019, First 5 Fresno County released a Request for Qualifications (RFQ) to provide group
prenatal care services for First 5's implementation of an integrated prenatal care system.
Implementation of the Glow! Group Prenatal Care and Support Project (Glow!/GC) includes
curriculum and wrap-around services, in partnership with medical provider offices, to enhance
supports for pregnant women and to demonstrate the effectiveness of group prenatal care in
addressing the social determinants of health. The County of Fresno also requires the same services
to be provided, as a condition of its Federal Healthy Start grant funding. As a result of First 5's
successful RFQ process and selection of service contractors to provide the required group prenatal
services, the Department of Public Health has determined it is in the County's best interest to provide
funding to First 5 Fresno County to fulfill the County's required services. The additional funding will
enable First 5 Fresno County to enhance the group prenatal care services already being provided by
First 5's existing service providers, as well as fulfill the County's grant funded requirements for the
same services.
2. Identify the selected vendor and contact person; include the address, phone number and e-mail address
for each.
Lupita Ramirez, Project Manager
First 5 Fresno County PH: (559) 558-4918
2405 Tulare St., Ste. 200 web address: www.first5fresno.org
Fresno, CA 93721
3. What is the total cost of the acquisition? If an agreement, state the total cost of the initial term and the
amounts for potential renewal terms.
Five (5) year term, $679,000.00 service agreement; effective upon execution: Y1 $55,000 + Y2-Y5
($624,000/$156,000 per year) = $679,000.00. 3+1+1 term, upon satisfactory performance.
4. Identify the unique qualities and/or capabilities of the service(s) and/or product(s) that qualify this as a
sole source acquisition.
In July 2019, First 5 Fresno County bid out group prenatal care services to include curriculum and wrap-
around services, in partnership with medical provider offices. The County of Fresno Department of
Public Health participated in the evaluation team that selected First 5's current service provider. First
5 is the only agency that has implemented this prenatal care service model in the community. Due to
First 5's newly established implementation of this curriculum and service model, and the
Department's participation in the selection of First 5's vendor, the Department has determined it to be
in the community's best interest to provide additional funding to First 5 to enhance existing services
through their current provider. This will allow First 5 and the County to collaborate in a cohesive
community approach in providing these services, which will most effectively serve Fresno County
residents.
5. Explain why the unique qualities and/or capabilities described above are essential to your department.
The County of Fresno Department of Public Health has received Federal Healthy Start funds, in part to
support group prenatal care services targeting low-income and non-white communities to address the
disparity in preterm births and infant mortality. The Department would use these funds to support
and enhance the group prenatal care services already established by First 5 Fresno County.
6. Provide a comprehensive explanation of the research done to verify that there is only a sole vendor that is
capable of providing the required service(s) and/or product(s). Include a list of all other vendors contacted
with regard to providing the requested product(s) and/or service(s) and indicate their response.
E-PD-047 (02-2013)
In July 2019, First 5 Fresno County released a bid for quotation to local agencies to provide enhanced
group prenatal care services, in conjunction with medical services, to low-income and non-white
women. First 5 received three (3) quotations to provide services in the targeted service areas,
specifically in areas servicing African American families. All three agencies were funded at varying
levels. Therefore, rather than issue a new RFP for the same services, the Department has
determined that it would be in the County's best interest to partner with First 5 to provide funding
supporting and enhancing services already contracted for through First 5. Additionally, Fresno
County was originally included in First 5's RFQ vetting and evaluation team to award the services
needed.
rrahn 2/27/2020 4:45:34 PM [a Sign] Double click!
Requested By: Title
I approve this request to sole source for the service(s) and/or product(s) identified herein.
dluchini 3/17/2020 8:11:40 AM [a Sign] Double click!
Department Head Signature
gcornuelle 3/23/20202:54:41 PM [a Sign] Double click!
Purchasing Manager Signature
E-PD-047 (02-2013)