HomeMy WebLinkAboutFresno County Economic Opportunities Commission-Oral Health School Based Sealant Program_A-22-285 A-20-025 A-21-401.pdf CO,U Y Count of Fresno Hall of Records,Room 301
2281 Tulare Street
Fresno,California
Board of Supervisors 93721-2198
O� 185 0 Telephone:(559)600-3529
FRB`' Minute Order Toll Free: 1-800-742-1011
www.co.fresno.ca.us
June 21, 2022
Present: 5- Supervisor Steve Brandau,Supervisor Nathan Magsig, Supervisor Buddy Mendes,
Chairman Brian Pacheco, and Vice Chairman Sal Quintero
Agenda No. 70. Public Health File ID: 22-0565
Re: Approve and authorize the Chairman to execute Amendment III to Agreement with Fresno County
Economic Opportunities Commission for implementing evidence-based programs that improve the oral
health of school-aged children in grades K-6, extending the term by one year from July 1, 2022 through
June 30,2023 and increasing the maximum by$195,000 to a total of$715,000
APPROVED AS RECOMMENDED
Ayes: 5- Brandau, Magsig, Mendes, Pacheco, and Quintero
Agreement No.22-285
County of Fresno Page 73
co
1 Board Agenda Item 70
l
O 1856 O
FRE`'�
DATE: June 21, 2022
TO: Board of Supervisors
SUBMITTED BY: David Luchini, RN, PHN, Director, Department of Public Health
SUBJECT: Third Amendment to Agreement with Fresno County Economic Opportunities
Commission
RECOMMENDED ACTION(S):
Approve and authorize the Chairman to execute Amendment III to Agreement with Fresno County
Economic Opportunities Commission for implementing evidence-based programs that improve the
oral health of school-aged children in grades K-6, extending the term by one year from July 1,2022
through June 30, 2023 and increasing the maximum by$195,000 to a total of$715,000.
There is no additional Net County Cost associated with the recommended action which will approve a
one-year extension for Fresno County Economic Opportunities Commission (Fresno EOC)to continue
providing services for implementing an evidence-based program to improve the oral health of elementary
school aged children through preventative oral health services with the Local Oral Health Program (LOHP)
funds received from the California Department of Public Health (CDPH). This item is countywide.
ALTERNATIVE ACTION(S):
Should your Board not approve the recommended action, the Fresno EOC agreement will end on June 30,
2022 and the LOHP will look for alternate ways to provide preventative oral health services to school aged
children in grades K-6. This can result in a disruption in services and the fulfillment of grant deliverables.
FISCAL IMPACT:
There is no increase in Net County Cost associated with the recommended action. Funding for the
recommended 12-month extension period beginning July 1, 2022 through June 30, 2023 is $195,000,funded
with CDPH LOHP grant funds. Fresno EOC's budget maximum will increase from $520,000 to$715,000.
Sufficient appropriations and estimated revenues will be included in the Department's Org 5620 FY 2022-23
Recommended Budget.
DISCUSSION:
On January 7, 2020, your Board approved a three-year agreement(No. A-20-025)with Fresno EOC to
implement a school-based sealant program (SBSP)for children in grades K-6 to receive dental sealants
and/or fluoride varnishes. On January 26, 2021, your Board approved a first amendment(No.A-20-025-1)to
revise budget years one and two due to COVID-19 disruptions and school closures. On October 5, 2021,
your Board approved a second amendment(No. A-21-401)to shift unspent funds from year two to year
three's budget and extended the timeline to complete all activities into year three.
Approval of the recommended action will extend the agreement to provide continued preventative oral health
County of Fresno page 1 File Number.22-0565
File Number. 22-0565
services for these children for an additional year. Fresno EOC has been able to complete 405 dental
sealants and/or fluoride varnishes to date and estimates a 25% increase in the total number of treatments
provided during the 12-month extension given the re-opening of schools.
The Department expects to return to your Board next year to provide updates on new oral health
agreements related to the next five-year County LOHP grant that begins July 1, 2022 through June 30, 2027.
REFERENCE MATERIAL:
BAI #33, January 7, 2020
BAI #28, January 26, 2021
BAI #32, October 5, 2021
ATTACHMENTS INCLUDED AND/OR ON FILE:
On file with Clerk-Third Amendment to Agreement No. A-21-401 with Fresno EOC
CAO ANALYST:
Ron Alexander
County of Fresno page 2 File Number:22-0565
Agreement No. 22-285
1 THIRD AMENDMENT TO AGREEMENT
2 THIS THIRD AMENDMENT TO AGREEMENT ("Third Amendment') is made and entered into
3 this 21s'day of June , 2022, by and between the County of Fresno, a Political Subdivision of the
4 State of California, ("COUNTY'), and Fresno County Economic Opportunities Commissions, DBA
5 Fresno EOC, a California non-profit 501 c3 organization, whose address is 1920 Mariposa Street, Suite
6 300, Fresno, California 93721, hereinafter referred to as "CONTRACTOR".
7 WITNESSETH:
8 WHEREAS, COUNTY and CONTRACTOR entered into Agreement No. A-20-025, dated
9 January 7, 2020, First Amendment No. A-20-025-1 dated January 26, 2021, and Second Amendment
10 No. A-21-401 dated October 5, 2021, hereinafter collectively referred to as "Agreement', pursuant to
11 which CONTRACTOR agreed to implement evidence-based programs that improve the oral health of
12 elementary school aged children; and,
13 WHEREAS, COUNTY and CONTRACTOR entered into a First Amendment to Agreement
14 (Agreement No. A-20-025-1), dated January 26, 2021 ("First Amendment'), to modify the budget by
15 shifting unspent funds from year one to year two; and
16 WHEREAS, COUNTY and CONTRACTOR entered into a Second Amendment to Agreement
17 (Agreement No. A-21-401 Superseded A-20-025), dated October 5, 2021 ("Second Amendment'), to
18 revise the budget by shifting unspent funds from year two to year three; and
19 WHEREAS, COUNTY and CONTRACTOR now desire to amend the Agreement to extend the
20 term one-year and increase the maximum.
21 NOW, THEREFORE, for good and valuable consideration, the receipt and adequacy of which
22 is hereby acknowledged, COUNTY and CONTRACTOR agree as follows:
23 1. That all references in existing COUNTY Agreement Nos. A-20-025, A-20-025-1, and A-
24 21-401, to "Exhibit B", "Revised Exhibit B", and "Revised Exhibit B-1", be changed to read "REVISED
25 Exhibit B-3", where appropriate. A copy of Revised Exhibit B-3 is attached hereto and incorporated
26 herein by this reference.
27 2. That Section Four (4) of the Agreement, located on page Three (3), lines Ten (10)
28 through Twenty (20), is deleted in its entirety and replaced with the following:
- 1 -
_I Al 11_ ln
1 114. COMPENSATION/INVOICING: COUNTY agrees to pay CONTRACTOR and
2 CONTRACTOR agrees to receive compensation at the rates as identified in Revised Exhibit B-3,
3 attached hereto and incorporated herein by this reference.
4 For the period January 7, 2020 through June 30, 2020, in no event shall services performed
5 under this Agreement be in excess of Eighty-One Thousand Six Hundred Forty-Three and No/100
6 Dollars ($81,643.00).
7 For the period July 1, 2020 through June 30, 2021, in no event shall services performed under
8 this Agreement be in excess of Two Hundred Nineteen Thousand Seven Hundred Sixty-Five and
9 No/100 Dollars ($219,765.00).
10 For the period July 1, 2021 through June 30, 2022, in no event shall services performed under
11 this Agreement be in excess of Two Hundred Eighteen Thousand Five Hundred Ninety-Three and
12 No/100 Dollars ($218,593.00).
13 For the period July 1, 2022 through June 30, 2023, in no event shall services performed under
14 this Agreement be in excess of One Hundred Ninety-Five Thousand and No/100 Dollars
15 ($195,000.00).
16 In no event shall services performed under this Agreement be in excess of Seven Hundred
17 Fifteen Thousand and No/100 Dollars ($715,000.00). It is understood that all expenses incidental to
18 CONTRACTOR'S performance of services under this Agreement shall be borne by CONTRACTOR "
19 COUNTY and CONTRACTOR agree that this Third Amendment is sufficient to amend the
20 Agreement and, that upon execution of this Third Amendment, the Agreement, First Amendment, the
21 Second Amendment and this Third Amendment together shall be considered "the Agreement".
22 The parties agree that this Third Amendment may be executed by electronic signature as
23 provided in this section. An "electronic signature" means any symbol or process intended by an
24 individual signing this Amendment to represent their signature, including but not limited to (1) a digital
25 signature; (2) a faxed version of an original handwritten signature; or (3) an electronically scanned and
26 transmitted (for example by PDF document) of a handwritten signature. Each electronic signature
27 affixed or attached to this Amendment (1) is deemed equivalent to a valid original handwritten
28 signature of the person signing this Amendment for all purposes, including but not limited to
- 2 -
Ann_A L1ln_--nA 11_1_In_P'AI nn_nI+
1 evidentiary proof in any administrative or judicial proceeding, and (2) has the same force and effect as
2 the valid original handwritten signature of that person. The provisions of this section satisfy the
3 requirements of Civil Code section 1633.5, subdivision (b), in the Uniform Electronic Transaction Act
4 (Civil Code, Division 3, Part 2, Title 2.5, beginning with section 1633.1). Each party using a digital
5 signature represents that it has undertaken and satisfied the requirements of Government Code
6 section 16.5, subdivision (a), paragraphs (1) through (5), and agrees that each other party may rely
7 upon that representation. This Amendment is not conditioned upon the parties conducting the
8 transactions under it by electronic means and either party may sign this Amendment with an original
9 handwritten signature.
10 The Agreement, as hereby amended, is ratified and continued. All provisions, terms,
11 covenants, conditions and promises contained in the Agreement and not amended herein shall remain
12 in full force and effect.
13
14 ///
15
16
17
18
19 ///
20
21
22
23
24
25
26
27
28
- 3 -
1 IN WITNESS WHEREOF, the parties hereto have executed this Third Amendment as of the
2 date first above set forth.
3
4 CONTRACTOR: COUNTY OF FRESNO:
Fresno County Economic Opportunities
5 Commission, DBA, Fresno EOC
6
7 64�� Y:ts L
8 (Authorized Signature) Brian Pacheco, Chairman of the Board of
9 Supervisors of the County of Fresno
10
11
Emilia Reyes, Chief Executive Officer
12 Print Name & Title
ATTEST:
13 Bernice E. Seidel
Clerk of the Board of Supervisors
14 1920 Mariposa Street, Suite 300, County of Fresno, State of California
15 Fresno, California 93721
16 Mailing Address By: mv—vb
17 Qeputy
18
19
20
21
22
23
24 FOR ACCOUNTNG
25 USE ONLY:
ORG No.: 56201553
26 Account No.: 7295
27 Fund/Subclass.: 0001/10000
SMA
28
-4-
Doc ID: 5a4aa9463a4b6f2c7a8335316dc4d9e51 23a36b
REVISED EXHIBIT B3
Page 1 of 8
EOC - SBSP #A-21-401
Supersedes#A-20-025 Year 1
01/07/2020 through 06/30/2020
Personnel
Monthly Requested
Position Title Salary Range Monthly Annual FTE % Months Amount
Project Director $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% Benefits $12,252.19
Total $54,717.66
Operating Expenses
Space/Rent $1,000 8 $5,000.00
Communications $538 8 $869.83
Printing $200 8 $0.00
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 1603.54
Audit 81.44
Total Other Costs $1,684.98
$67,963.37
Indirect Costs (25% of Total Personnel Costs) Total Indirect Costs $13,679.42
TOTAL COSTS $81,643
REVISED EXHIBIT B3
Page 2 of 8
Year II
07/01/2020 through 06/30/2021
Personnel
Monthly Salary Requested
Position Title Range Monthly Annual FTE% Months Amount
Project Director $0
Project Coordinator $5,300-$6,500 $5,459 $65,508 100% 12 $65,508
Dental Assistant $2,800-$3,800 $3,188 $38,251 100% 12 $38,254
Outreach Health Educator $2,800-$3,800 $3,188 $38,259 100% 8 $17,864
Total Personnel
Fringe Benefits @ 29.0% Benefits $33,899
Total $155,526
Operating Expenses
Space/Rent $1,000.00 12 $12,000
Communications $600.00 12 $6,861
Printing $200.00 12 $0
Office Supplies $799.80 12 $6,176
Total Operating Expenses $25,037
Labor
Travel
Mileage $286.50 12 $103
Total Travel $103
Other Costs
Laptops
Audit $217
Total Other Costs $217
Indirect Costs(25%of Total Personnel Costs) Total Indirect Costs $38,882
TOTAL COSTS 219,765
2
REVISED EXHIBIT B-3
Page 3 of 8
Year III
07/01/2021 through 06/30/2022
Personnel
Original New
Monthly Carryforward
Position Title Salary Range Fund Monthly Annual FTE% Months Requested Requested
Amount Amount
Project Director $0 $0
Project Coordinator $5,300-$6,500 $5,624 $67,483 100% 12 $67,488 2,154 69,642
Dental Assistant $2,800-$3,800 $3,051 $36,615 100% 12 $36,612 2,784 39,396
Total Personnel $104,100 4,938 $109,038
Fringe Benefits @ 23.75' 28% Benefits $24,724 5,806 $30,530.64
Total $128,824 $10,744 $139,568.64
Operating Expenses
Space/Rent $1,000.00 12 $12,000 2,400 14,400
Communications $500.00 12 $6,000 2,000 8,000
Printing $100.00 12 $1,200 2,400 3,600
Office/Program Supplies $569.56 12 $6,835 3,337 10,172
Total Operating Expenses $26,035 $10,137 36,172
Labor
Travel
Mileage $645.00 12 $7,740 7,740
Total Travel $7,740 $0 $7,740
Other Costs
Audit $195 25 220
Total Other Costs $195 $25 $220
Indirect Costs(25%of Total Personnel Costs) Total Indirect Costs $32,206 $2,686 $34,892
TOTAL COSTS $195,000 $23,592 $218,592
3
r __ r _
REVISED EXHIBIT B-3
Page 4 of 8
Year IIII
07/01/2022through 06/30/2023
Personnel
Original
Monthly Salary Position Title Range Monthly Annual FTE Months Requested
Amount
Project Director $0 $0
Project Coordinator $5,300-$6,500 $5,740 $68,880 100% 12 $68,880
Dental Assistant $2,800-$3,800 $3,349 $40,188 100% 12 $40,188
Total Personnel $109,068
Fringe Benefits @ 27.67% Total Fringe Benefits $30,179
Total $139,247
Operating Expenses
Space/Rent $1,000.00 12 $12,000
Communications $485.00 12 $5,820
Printing $30.00 12 $360
Office/Program Supplies $75.08 12 $901
Total Operating Expenses $19,081
Labor
Travel
Mileage 0.585 155.00 12 $1,860
Total Travel $1,860
Other Costs
Total Other Costs $0
Indirect Costs(25%of Total Personnel Costs) Total Indirect Costs $34,812
TOTAL COSTS $195,000
4
I'_A__II A I„1_A A--A_In_r A I_n.l_�11
Justification Year I REVISED EXHIBIT B-3
Page 5 of 8
Personnel Justification Year I
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 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
$26,749 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
$15,717 of appointments. 100% of salary based on an 8 month period for
\/.,_.. A
Cost includes FICA, SUI, Workers Compensation, Medical/Health
Fringe Benefits @ 25% $12,252 benefits and retirement benefits.
Operating Expenses
Space/Rent $5,000 Office space for staff implementing SBSP ($1000 X 8 months)
Communications $870 Landline connections, internet and Wifi connections, servers, cell
phones ($538 X 8 months).
Printing $0 Printing of any materials, flyers, forms, copies of documents
needed to implement project ($200 X 8 months).
Office Supplies $5,509 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 $182 Mileage to and from meetings, trainings, project implementation,
and site visits (629.32 X 8 months).
Other Costs
Laptops $1,604 Purchase of 2 laptops for Project Coordinator and Dental Assistant
Agency Audit $81 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 $13,679 To include Indirect costs allocated in accordance with the Indirect
Total Personnel Cost) cost rate approved by U.S. Department of Health & Human
services at 7.5% of total direct costs; as well as other allowable
grant costs such as security services, utilites, water/sewer&
garbage, insurance,janitorial services, repair/maintenance, and
yard maintenance.
$81,643
5
A-A-A LnIn_7_n--Ai+J_A_In_�Ai_nn_nnl
Justification Year II REVISED EXHIBIT B-3
Page 6 of 8
Personnel Justification Year II
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 $38,254 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 on 12 month period for
I n
Outreach Health Educator $17,864 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
Cost includes FICA,SUI,Workers Compensation, Medical/Health
Fringe Benefits @ 29% $33,899 benefits and retirement benefits.
Operating Expenses
Space/Rent $12,000 Office space for staff implementing SBSP($1000 X 12 months)
Communications $6,861 Landline connections, internet and Wifi connections,servers,cell
phones($600 X 12 months).
Printing $0 Printing of any materials,flyers,forms,copies of documents
needed to implement project ($200 X 12 months).
Office Supplies $6,176 Office and consumable supplies such as papers,pens,note pads,
toners,print cartridges,folders,laptop case,planners, binders and
other supplies ($799.80 X 12 months)
Labor
Travel
Mileage $103 Mileage to and from meetings,trainings, project implementation,
and site visits($286.50 X 12 months)
Other Costs
Laptops $0 Purchase of 2 laptops for Project Coordinator and Dental Assistant
Agency Audit $217 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 $38,882 To include Indirect costs allocated in accordance with the.Indirect
Total Personal Cost) cost rate approved by U.S. Department of Health&Human Service
at 7.5%of total direct costs;as well as other allowable grant costs
such as security services, utilities,water/sewer&garbage,
insurance,janitorial services,supplies, repairs/maintenance and
yard maintenance.
$219,765
r,_ ,_
Justification Year III REVISED EXHIBIT B-3
Page 7 of 8
Personnel Justification Year III
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 $69,642 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 $39,396 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 on 12 month period for
_
Cost includes FICA, SUI, Workers Compensation, Medical/Health
Fringe Benefits @ 28% $30,531 benefits and retirement benefits.
Operating Expenses
Space/Rent $14,400 Office space for staff implementing SBSP (200 sq. x$3 per sq.ft x
2 FTE _ $1,200/mo X 12 months)
Communications $8,000 Landline connections, internet and Wifi connections, servers, cell
phones ($666.67/mo X 12 months).
Printing $3,600 Printing of any materials,flyers, forms, copies of documents
needed to implement project ($300/mo X 12 months).
Office/Program Supplies $10,172 Office and Program supplies such as papers, pens, note pads,
toners, print cartridges,folders, laptop case, planners, binders and
other supplies ($847.66/mo 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
Agency Audit $220 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 $34,892 To include Indirect costs allocated in accordance with the Indirect
Total Personal Cost) cost rate approved by U.S. Department of Health & Human
Service at 9.0% of total direct costs; as well as other allowable
grant costs such as security services, utilities, water/sewer&
garbage, insurance,janitorial services, supplies,
repairs/maintenance and yard maintenace.
$218,593
1'1__ 11". r_A__IlAlll-wLlrl_�-/l l'1rlA n J_A_ -IAA I_ 1_ ln
Justification Year IIII REVISED EXHIBIT B-3
Page 8 of 8
Personnel Justification Year IIII
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 $68,880 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 4.
Dental Assistant $40,188 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
Cost includes FICA, SUI, Workers Compensation, Medical/Health
Fringe Benefits @ 27.67% $30,179 benefits and retirement benefits.
Operating Expenses
Space/Rent Office space for staff implementing SBSP (200 sq. x$3 per sq. ft x
$12,000 2 FTE _$1,200/mo X 12 months)
Communications Landline connections, internet and Wifi connections, servers, cell
$5,820 phones ($485/mo X 12 months).
Printing Printing of any materials, flyers,forms, copies of documents
$360 needed to implement project ($30/mo X 12 months).
Office/Program Supplies Office and Program supplies such as papers, pens, note pads,
toners, print cartridges, folders, laptop case, planners, binders and
$901 other supplies ($75.08/mo X 12 months)
Labor
Travel
Mileage Mileage to and from meetings, trainings, project implementation,
$1,860 and site visits ($155 X 12 months)
Other Costs
Indirect Costs (25%of $34,812 To include Indirect costs allocated in accordance with the Indirect
Total Personal Cost) cost rate approved by U.S. Department of Health & Human
Service at 9.0% of total direct costs; as well as other allowable
grant costs such as security services, utilities, water/sewer&
garbage, insurance,janitorial services, supplies,
repairs/maintenance and yard maintenace.
$195,000
r_e__n enn_A I nrn nrn e r I_e_in_I I-II_nr