HomeMy WebLinkAboutFresno County Economic Opportunities Commission-Oral Health School Based Sealant Program_A-20-025-1 (2).pdf COU Y Count of Fresno Hall of Records, Room301
2281 Tulare Street
Fresno,California
Board of Supervisors 93721-2198
O� t83 Telephone:(559)600-3529
FRES Minute Order Toll Free: 1-800-742-1011
www.co.fresno.ca.us
January 26, 2021
Present: 5- Chairman Steve Brandau,Vice Chairman Brian Pacheco, Supervisor Nathan Magsig,
Supervisor Buddy Mendes, and Supervisor Sal Quintero
Agenda No. 28. Public Health File ID:20-1414
Re: Approve and Authorize the Chairman to execute retroactive First Amendment to Agreement No.
20-025 with the Fresno County Economic Opportunities Commission for the implementation of a
school-based sealant program to revise the budget,effective upon execution with no change in the
term of January 7,2020 through June 30,2022, or compensation maximum of$520,000
APPROVED AS RECOMMENDED
Ayes: 5- Brandau, Pacheco, Magsig, Mendes, and Quintero
Agreement No. 20-025-1
County of Fresno Page 32
co
16 Board Agenda Item 28
O t856 O
� FRESH
DATE: January 26, 2021
TO: Board of Supervisors
SUBMITTED BY: David Pomaville, Director, Department of Public Health
SUBJECT: Retroactive First Amendment to Agreement with Fresno County
Economic Opportunities Commission
RECOMMENDED ACTION(S):
Approve and Authorize the Chairman to execute retroactive First Amendment to Agreement No.
20-025 with the Fresno County Economic Opportunities Commission for the implementation of a
school-based sealant program to revise the budget,effective upon execution with no change in
the term of January 7,2020 through June 30,2022, or compensation maximum of$520,000.
There is no additional Net County Cost associated with the recommended action.Approval of the
recommended Amendment will reallocate the first year's cost savings due to COVID-19 disruptions to the
public-school system,to the second-year's budget to add a new position.
ALTERNATIVE ACTION(S):
If your Board does not approve the recommended amendment, Fresno Economic Opportunities
Commission (Fresno EOC)would not be able to fulfill the scope of work outlined in the California
Department of Public Health (CDPH) Local Oral Health Plan (LOHP)grant due to under staffing. The
Department may risk possible denial or reduction in future Prop 56 funding.
RETROACTIVE AGREEMENT:
The recommended Amendment is retroactive to January 7, 2020, in order to adjust year one and year two
budgets.
FISCAL IMPACT:
There is no Net County Cost associated with the recommended action. The recommended Amendment is
fully funded with the CDPH's LOHP grant award for the duration of the term. If approved,the recommended
Amendment will revise year one and year two budgets with no change to the maximum compensation
($520,000)as follows:
Year I (Jan. 7, 2020-June 30, 2020)$81,643 (decreased $48,357)
Year II (July 1, 2020-June 30, 2021)$243,357 (increased $48,357)
Year III (July 1, 2021-June 30, 2022)$195,000 (no changes)
Sufficient appropriations and estimated revenues are included in the Department's Org 5620 FY 2020-21
Adopted Budget and will be included in future budget requests.
County of Fresno page 1 File Number:20-1414
File Number:20-1414
DISCUSSION:
On January 7, 2020 your Board approved a two year six-month agreement with Fresno EOC for services to
implement a school-based sealant program to improve the oral health of elementary school aged children
through preventative oral health services by providing dental sealants and fluoride varnishes to low-income,
elementary school-aged children in grades K-6.
In January 2020, Fresno EOC began working with four different school districts in the County, and by March
2020 had provided fluoride varnishes or dental sealants to students in Fowler Unified, Kings Canyon Unified
and Washington Unified. COVID-19 disruptions in March 2020 led to the closure of all public schools and
disrupted Fresno EOC's ability to connect with students in-person and continue to provide oral health
preventative services. Fresno EOC changed its platform in April 2020 and began delivering oral health
education services through a virtual platform.
Approval of the recommended Amendment will allow Fresno EOC to shift the unspent funds from year one
to fund a new Outreach Health Educator(OHE) position in year two. The position is necessary for the
completion of activities.The OHE will provide support to the current Dental Assistant assigned to this
program by taking over the case management of clients, assisting with the coordination of educational
services such as providing dental presentations to teachers, students, and parents.The OHE will assist
dental hygienists with services such as set-up, clean-up, and documenting all services provided to students,
and entering all data into the dental software program database FUSE. Lastly, the OHE will be responsible
for following up with parents whose youth requires"urgent"dental care to refer them to Free Medi-Cal Dental
Youth Services to link them to a local dental care provider. If additional funding is made available, Fresno
EOC will return to your Board at a future date to request extending the OHE position to years three through
five of the contract.
REFERENCE MATERIAL:
BAI #33, January 7, 2020
ATTACHMENTS INCLUDED AND/OR ON FILE:
On file with Clerk- Retroactive First Amendment to Agreement with Fresno EOC
CAO ANALYST:
Raul Guerra
County or Fresno page 2 File Number.20-1414
Agreement No. 20-025-1
1 AMENDMENT I TO AGREEMENT
2 THIS AMENDMENT I (hereinafter"Amendment"), is made and entered into this 261-h- day of
3 January, 2021, by and between the COUNTY OF FRESNO, a Political Subdivision of the State of
4 California, Fresno, California, hereinafter referred to as "COUNTY", and Fresno County Economic
5 Opportunities Commissions, DBA Fresno EOC, a California non-profit 501 c3 organization, whose
6 address is 1920 Mariposa Street, Suite 300, Fresno, California 93721, hereinafter referred to as
7 "CONTRACTOR".
8 WITNESSETH:
9 WHEREAS, COUNTY and CONTRACTOR entered into Agreement number A-20-025, dated
10 January 7, 2020, hereinafter referred to as "Agreement", pursuant to which CONTRACTOR agreed to
11 implement evidence-based programs that improve the oral health of elementary school aged children;
12 and
13 WHEREAS, COUNTY and CONTRACTOR would like to move the cost savings due to COVID-
14 19 disruptions, from the first year to the second year, in order to add a new position without exceeding
15 the maximum compensation; and
16 WHEREAS, COUNTY and CONTRACTOR now desire to amend the Agreement in order to
17 approve budget modifications to line items exceeding ten percent of the total compensation.
18 NOW, THEREFORE, for good and valuable consideration, the receipt and adequacy of which
19 is hereby acknowledged, COUNTY and CONTRACTOR agree as follows:
20 1. That all references in existing COUNTY Agreement No. A-20-025 to "Exhibit B" be
21 changed to read "Revised Exhibit B", attached hereto and incorporated herein by reference.
22 2. That the existing COUNTY Agreement No. A-20-025, on Page Six (6), beginning on
23 Line Ten (10) with the words "4. COMPENSATION/INVOICING:" and ending on Line Twenty (20)with
24 the word "CONTRACTOR." be deleted and the following inserted in its place:
25 "4. COMPENSATION/INVOICING: COUNTY agrees to pay CONTRACTOR and
26 CONTRACTOR agrees to receive compensation as identified in Revised Exhibit B, attached hereto
27 and incorporated herein by this reference. In no event shall services performed under this Agreement
28 for the period beginning upon execution of this Agreement through and including June 30, 2020 be in
- 1 -
1 excess of Eighty-One Thousand Six Hundred Forty-Three and No/100 Dollars ($81,643). In no event
2 shall services performed under this Agreement for the period beginning July 1, 2020 through and
3 including June 30, 2021 be in excess of Two Hundred Forty-Three Thousand Three Hundred Fifty-
4 Seven and No/100 Dollars ($243,357). In no event shall services performed under this Agreement for
5 the period beginning July 1, 2021 through and including June 30, 2022 be in excess of One Hundred
6 Ninety-Five Thousand and No/100 Dollars ($195,000.00). It is understood that all expenses incidental
7 to CONTRACTOR's performance of services under this Agreement shall be borne by
8 CONTRACTOR."
9 COUNTY and CONTRACTOR agree that this Amendment is sufficient to amend the
10 Agreement and, that upon execution of this Amendment, the Agreement and this Amendment together
11 shall be considered the Agreement.
12 The Agreement, as hereby amended, is ratified and continued. All provisions, terms,
13 covenants, conditions and promises contained in the Agreement and not amended herein shall remain
14 in full force and effect. This Amendment I shall be effective retroactive to January 7, 2020.
15 1H
16
17
18 ///
19 1H
20 ///
21 1H
22 1H
23 HI
24 1H
25
26
27
28
- 2 -
1 IN WITNESS WHEREOF, the parties hereto have executed this Amendment I to Agreement as
2 of the day and year first hereinabove written.
3
4 CONTRACTOR: COUNTY OF FRESNO:
Fresno County Economic Opportunities
5 Commission, DBA, Fresno EOC
6 /
8 (Authorized Sig ature) Steve Brandau, Chairman of the Board of
Supervisors of the County of Fresno
9 Emilia Reyes, CEO
10
11
12
13
14
15
16
17 1920 Mariposa Street, Fresno, California 93721 ATTEST:
Mailing Address Bernice E. Seidel
18 Clerk of the Board of Supervisors
County of r sno, State of California
19 By:
20 Deputy
21
22
23
FOR ACCOUNTNG USE ONLY:
24 Fund/Subclass: 000 1/10000
25 ORG No.: 56201553
Account No.: 7295
26 SMA
27
28
- 3 -
Doc ID:3f6e5cb81a2e662c631fa356ed0bac9904 ic8f7a
REVISED EXHIBIT B
Year I PAGE 1 of 6
01/07/2020-06/30/2020
Personnel
Monthly Requested
Position Title Salary Range Monthly Annual FTE % Months Amount
Project Director $0 $0
Project Coordinator $5,300-$6,500 $5,352 $64,221 100% 8 $26,748.61
Dental Assistant $2,800-$3,800 $2,826 $33,912 100% 8 $15,716.86
Total Personnel $42,465.47
Fringe Benefits @ 25% Total Fringe Benefits $12,252.19
Total $54,717.66
Operating Expenses
Space/Rent $1,000 8 $5,000
Communications $538 8 $869.83
Printing $200 8 $0
Office Supplies $776 8 $5,508.79
Total Operating Expenses $11,378.62
Labor
Total Labor Cost
Travel
Mileage $629.32 8 $182.11
Total Travel $182.11
Other Costs
Laptops $1,603.54
Audit $81.44
Total Other Costs $1,684.98
Indirect Costs (25% of Total Personnel Costs) Total Indirect Costs $13,679.42
TOTAL COSTS $81,643
REVISED EXHIBIT B
Yearll PAGE 2of6
07/01/2020 through 06/30/2021
Personnel
Monthly Salary Budget w/
Position Title Range Monthly Annual FTE% Months rollover
Project Director $0 $0
Project Coordinator $5,300-$6,500 $5,459 $65,508 100% 12 $65,508.00
Dental Assistant $2,800-$3,800 $3,188 $38,256 100% 12 $38,256.00
Outreach Health Educator $2,800-$3,800 $3,188 $38,256 100% 8 $25,504.00
Total Personnel $129,268.00
Fringe Benefits @ 29.0% Total Fringe Benefits $37,488
Total $166,756
Operating Expenses
Space/Rent $1,000.00 12 $12,000.00
Communications $600.00 12 $7,200.00
Printing $200.00 12 $2,400.00
Office Supplies $802.75 12 $9,633.00
Total Operating Expenses $31,233.00
Labor
Travel
Mileage $286.50 12 $3,438.00
Total Travel $3,438.00
Other Costs
Laptops
Audit $241.71
Total Other Costs $241.71
Indirect Costs(25%of Total Personnel Costs) Total Indirect Costs $41,689
TOTAL COSTS $243,357
REVISED EXHIBIT B
Year III PAGE 3 of 6
07/01/2021 through 06/30/2022
Personnel
Monthly Requested
Position Title Salary Range Monthly Annual FTE% Months Amount
Project Director $0 $0
Project Coordinator $5,300-$6,500 $5,624 $67,483 100% 12 $67,488
Dental Assistant $2,800-$3,800 $3,051 $36,615 100% 12 $36,612
Total Personnel $104,100
Fringe Benefits @ 23.75% Benefits $24,724
Total $128,824
Operating Expenses
Space/Rent $1,000.00 12 $12,000
Communications $500.00 12 $6,000
Printing $100.00 12 $1,200
Office Supplies $569.56 12 $6,835
Total Operating Expenses $26,035
Labor
Travel
Mileage $645.00 12 $7,740
Total Travel $7,740
Other Costs
Audit $195
Total Other Costs $195
Indirect Costs (25%of Total Personnel Costs) Total Indirect Costs $32,206
TOTAL COSTS $195,000
Justification Year I REVISED EXHIBIT B
Personnel PAGE 4 OF 6
Position Title REVISED BUDGET REDUCED TO ACTUALS.
Project Director $0 Direct, manage, assess, plan, implement and evaluate progam
activities such as overseeing the completion of Project Coordinator
and Dental Assistant's duties, completion of reports and attendance
to all required meetings. 10%of salary zero cost to SBSP.
Project Coordinator Cost to coordinate all activities and ensures implementation of work
plan activities of SBSP. Oversees day to day activities and provide
assistance in problem solving and goal setting to meet high quality
standards of all deliverables. 100%of salary based on an 8 month
42816 26,748.61 period for Year 1.
Dental Assistant Provides all the coordination, assistance, and setting up of
schedules and activities with schools and the providers, case
management,data collection, processing of forms and scheduling
22699 15,716.86 of appointments. 100%of salary based on an 8 month period for
Cost includes FICA, SUI,Workers Compensation, Medical/Health
Fringe Benefits @ 25% 16356 12,252.19 benefits and retirement benefits.
Operating Expenses
Space/Rent 8000 5,000 Office space for staff implementing SBSP($1000 X 8 months)
Communications 4304 869.83 Landline connections, internet and Wifi connections,servers, cell
phones ($538 X 8 months).
Printing 1600 0 Printing of any materials,flyers,forms, copies of documents
needed to implement project ($200 X 8 months).
Office Supplies 6208 5,508.79 Office and consumable supplies such as papers, pens, note pads,
toners, print cartridges,folders, laptop case, planners, binders and
other supplies ($776 X 8 months).
Labor
Travel
Mileage 5035 182.11 Mileage to and from meetings, trainings, project implementation,
and site visits(629.32 X 8 months).
Other Costs
Laptops 2500 1,603.54 Purchase of 2 laptops for Project Coordinator and Dental Assistant
Agency Audit 4-19 81.44 Allocation of cost for Agency's annual audit completed by
independent CPA firm. Based on Total Direct Expenses X 0.012%.
Indirect Costs (25%of 20445 13,679.42 25%of total personnel costs.
Total Personnel Cost)
$81,643 REVISED BUDGET REDUCED TO ACTUALS.
Justification Year II REVISED EXHIBIT B
Personnel PAGE 5 of 6
Position Title
Project Director $0 activities such as overseeing the completion of Project Coordinator
and Dental Assistant's duties,completion of reports and
attendance to all required meetings.10%of salary zero cost to
SBSP.
Project Coordinator $65,508 Cost to coordinate all activities and ensures implementation of
work plan activities of SBSP. Oversees day to day activities and
provide assistance in problem solving and goal setting to meet
high quality standards of all deliverables.100%of salary based
on12 month period for Year 2.
Dental Assistant $38,256 Provides all the coordination,assistance,and setting up of
schedules and activities with schools and the providers,case
management,data collection,processing of forms and scheduling
of appointments. 100%of salary based on12 month period for
Year 2. $3,188 x 12=$38,256.
Outreach Health Educator $25,504 An SBSP Outreach Health Educator is needed to case manage the
clients and assist with the coordination of educational services
such as providing dental presentations to teachers,students,and
parents.The health educator will also be assisting dental
hygienists with services such as set-up,clean-up,and
documenting all services provided to students.The health educator
will be responsible for entering all data into the FUSE software.
He/she will have to follow up with parents whose youth requires
"urgent"dental care and refer them to Free Medi-Cal Dental Youth
Services to link them to a local dental care provider. 100%of
salary based on 8 months period for Year 2.$3,188 x 8=$25,504.
Cost includes FICA,SUI,Workers Compensation,Medical/Health
Fringe Benefits @ 29% $37,487.72 benefits and retirement benefits.
Operating Expenses
Space/Rent $12,000 Office space for staff implementing SBSP($1000 X 12 months)
Communications $7,200 Landline connections,internet and Wifi connections,servers,cell
phones($600 X 12 months).
Printing $2,400 Printing of any materials,flyers,forms,copies of documents
needed to implement project ($200 X 12 months).
Office Supplies $9,633.00 Office and consumable supplies such as papers,pens,note pads,
toners,print cartridges,folders,laptop case,planners,binders and
other supplies ($802.75 X 12 months)
Labor
Travel
Mileage $3,438 Mileage to and from meetings,trainings,project implementation,
and site visits($286.50 X 12 months)
Other Costs
Laptops
Agency Audit $241.67 Allocation of cost for Agency's annual audit completed by
independent CPA firm.Based on Total Direct Expenses X 0.012%.
Indirect Costs(25%of $41,688.93 25%of total personnel costs.$166,755.72 x
Total Personal Cost) 25%=$41,689
$243,357
Justification Year III REVISED EXHIBIT B
Personnel PAGE 6 of 6
Position Title
Project Director $0 Direct, manage, assess, plan, implement and evaluate progam
activities such as overseeing the completion of Project Coordinator
and Dental Assistant's duties, completion of reports and attendance
to all required meetings. 10%of salary zero cost to SBSP.
Project Coordinator $67,488 Cost to coordinate all activities and ensures implementation of work
plan activities of SBSP. Oversees day to day activities and provide
assistance in problem solving and goal setting to meet high quality
standards of all deliverables. 100%of salary based on 12 month
period for Year 3.
Dental Assistant $36,612 Provides all the coordination, assistance, and setting up of
schedules and activities with schools and the providers, case
management, data collection, processing of forms and scheduling
of appointments. 100%of salary based on12 month period for Year
Cost includes FICA, SUI,Workers Compensation, Medical/Health
Fringe Benefits @ 23.75% $24,724 benefits and retirement benefits.
Operating Expenses
Space/Rent $12,000 Office space for staff implementing SBSP ($1000 X 12 months)
Communications $6,000 Landline connections, internet and Wifi connections,servers, cell
phones($500 X 12 months).
Printing $1,200 Printing of any materials,flyers,forms, copies of documents
needed to implement project ($100 X 12 months).
Office Supplies $6,835 Office and consumable supplies such as papers, pens, note pads,
toners, print cartridges,folders, laptop case, planners, binders and
other supplies ($569.56 X 12 months)
Labor
Travel
Mileage $7,740 Mileage to and from meetings,trainings, project implementation,
and site visits($645 X 12 months)
Other Costs
Laptops $0 Purchase of 2 laptops for Project Coordinator and Dental Assistant
Agency Audit $195 Allocation of cost for Agency's annual audit completed by
independent CPA firm. Based on Total Direct Expenses X 0.012%.
Indirect Costs (25%of $32,206 25%of total personnel costs. $128,824 x 25%=$32,206
Total Personal Cost)
$195,000