HomeMy WebLinkAboutExceptional Parents Unlimited-Community Health Teams_A-22-288 A-20-405.pdf ti COUP County of Fresno Hall of Records,Room 301
2281 Tulare Street
Fresno,California
Board of Supervisors 93721-2198
O� i85 O Telephone:(559)600-3529
FRE`') 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. 71. Public Health File ID: 22-0574
Re: Approve and authorize the Chairman to execute the First Amendment to Agreement with Central
Valley Children's Services Network for the Community Health Teams program extending the term by
two years from July 1,2022 to June 30, 2024 and increasing the maximum compensation by$548,896
to a total of$1,097,792;approve and authorize the Chairman to execute the First Amendment to
Agreement with Centro La Familia Advocacy Services for the Community Health Teams program
extending the term by two years from July 1,2022 to June 30, 2024 and increasing the maximum
compensation by$522,458 to a total of$1,043,510; approve and authorize the Chairman to execute
the First Amendment to Agreement with Exceptional Parents Unlimited for the Community Health
Teams program extending the term by two years from July 1,2022 to June 30, 2024 and increasing
the maximum compensation by$550,000 to a total of$1,100,000; approve and authorize the Chairman
to execute the First Amendment to Agreement with Fresno County Economic Opportunities
Commission for the Community Health Teams program extending the term by two years from July 1,
2022 to June 30, 2024 and increasing the maximum compensation by$550,000 to a total of
$1,100,000
APPROVED AS RECOMMENDED
Ayes: 5- Brandau, Magsig, Mendes, Pacheco, and Quintero
Agreement No.22-286,Agreement No. 22-287,Agreement No.22-288,Agreement No.22-289
County of Fresno Page 74
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10 Board Agenda Item 71
O 1856 O
� FRE`'�
DATE: June 21, 2022
TO: Board of Supervisors
SUBMITTED BY: David Luchini, RN, PHN, Director, Department of Public Health
SUBJECT: Amendment to Agreements for Community Health Teams
RECOMMENDED ACTION(S):
1. Approve and authorize the Chairman to execute the First Amendment to Agreement with
Central Valley Children's Services Network for the Community Health Teams program
extending the term by two years from July 1, 2022 to June 30, 2024 and increasing the
maximum compensation by$548,896 to a total of$1,097,792.
2. Approve and authorize the Chairman to execute the First Amendment to Agreement with
Centro La Familia Advocacy Services for the Community Health Teams program extending
the term by two years from July 1, 2022 to June 30,2024 and increasing the maximum
compensation by$522,458 to a total of$1,043,510.
3. Approve and authorize the Chairman to execute the First Amendment to Agreement with
Exceptional Parents Unlimited for the Community Health Teams program extending the term
by two years from July 1, 2022 to June 30, 2024 and increasing the maximum compensation by
$550,000 to a total of$1,100,000.
4. Approve and authorize the Chairman to execute the First Amendment to Agreement with
Fresno County Economic Opportunities Commission for the Community Health Teams
program extending the term by two years from July 1,2022 to June 30, 2024 and increasing
the maximum compensation by$550,000 to a total of$1,100,000.
There is no additional Net County Cost associated with the recommended actions. Approval of the
recommended actions will allow the Department to extend agreements with Central Valley Children's
Services Network, Centro La Familia Advocacy Services, Exceptional Parents Unlimited, and Fresno County
Economic Opportunities Commission through June 30, 2024. The contracted partners provide
research-based and evidence-informed home visitation services for the Community Health Teams (CHT)
program. The recommended actions will also increase the total maximum compensation of each
agreement and will be offset with grant funds. 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 continue partnerships with the four community-based organizations
(CBOs) providing research-based and evidence-informed home visitation services for the County's CHT
program.
FISCAL IMPACT:
There is no increase in Net County Cost associated with the recommended actions. The annual
compensation for each of the recommended amendments is as follows:
County of Fresno Page 1 File Number:22-0574
File Number:22-0574
Contractor FY 2022-23 FY 2023-24
Central Valley Children's Services Network $274,448 $274,448
Centro La Familia Advocacy Services $261,229 $261,229
Exceptional Parents Unlimited $275,000 $275,000
Fresno County Economic Opportunities Unlimited $275,000 $275,000
Funding is provided by a grant from Children and Families Commission of Fresno County(First 5 Fresno)
and Federal Title XIX through the State Maternal, Child and Adolescent Health program. Sufficient
appropriations and estimated revenues will be included in the Department Org 5620 FY 2022-23
Recommended Budget and future year budget.
DISCUSSION:
On October 6, 2020, the Board approved agreements with Central Valley Children's Services Network,
Centro La Familia Advocacy Services, Exceptional Parents Unlimited, and Fresno County Economic
Opportunities Commission to provide research-based and evidence-informed home visitation services to
underserved families in Fresno County communities. As part of the CHT, a Public Health Nurse (PHN)from
the Department is paired with teams of paraprofessionals from the contracted community-based
organizations (CBOs)to provide a cost-effective approach to home visitation services to families who
otherwise would not qualify for an existing nurse-based home visitation program.
Approval of the recommended actions will allow the Department to continue partnerships with the four
CBOs and efforts to improve home visitation services in Fresno County. The PHN provides guidance and
support on medically challenging cases to the CBO home visitors that provide direct home visitation
services. Depending on the home visitation model used by each CBO, the home visitors provide social
support, health information, referrals to community resources, family planning, and serve as a literacy
teacher and parenting coach. This is a unique home visitation model that provides a team approach to
provide wrap around case management services to families. The CHT meets on a regular basis for
trainings, case consultations, and other program issues.
From July 1, 2021 -April 30, 2022, the CHT provided:
• intensive home visitation services using research-based models and curriculum to 218 families with
children ages 0-5 years old;
• developmental screenings to 196 children ages 0-5 years old; and
• referrals for 210 children and family members for community resources such as mental health,
primary care physicians, health insurance, early intervention and economic assistance.
Approval of the recommended actions will allow the Department to continue using an integrated approach to
enhance CBOs' capacity to provide licensed medical support, strengthening the early childhood system of
care and promoting a "no-wrong-door" approach for families in the community.
REFERENCE MATERIAL:
BAI #42, October 6, 2020
ATTACHMENTS INCLUDED AND/OR ON FILE:
On file with Clerk-Amendment with Central Valley Children's Services Network
On file with Clerk-Amendment with Centro La Familia Advocacy Services
On file with Clerk-Amendment with Exceptional Parents Unlimited
On file with Clerk-Amendment with Fresno County Economic Opportunities Commission
County of Fresno page 2 File Number.22-0574
File Number:22-0574
CAO ANALYST:
Ron Alexander
County of Fresno Page 3 File Number:22-0574
Agreement No. 22-288
1 FIRST AMENDMENT TO AGREEMENT
2 THIS FIRST AMENDMENT TO AGREEMENT (hereinafter"Amendment") is made and entered
3 into this 21 St day of June 2022, by and between COUNTY OF FRESNO, a Political Subdivision of
4 the State of California, Fresno, California (hereinafter"COUNTY'), and Exceptional Parents Unlimited,
5 a California non-profit corporation, whose address is 4440 North Fresno Street, Fresno, CA, 93726,
6 (hereinafter"CONTRACTOR").
7 WITNESSETH:
8 WHEREAS, COUNTY and CONTRACTOR entered into Agreement number A-20-405, dated
9 October 6, 2020 (hereinafter"Agreement"), pursuant to which CONTRACTOR agreed to provide
10 research-based and evidence-informed home visitation services to underserved families with children
11 ages 0-5 to COUNTY; and
12 WHEREAS, COUNTY and CONTRACTOR now desire to amend the Agreement in order to
13 continue services for an extended term.
14 NOW, THEREFORE, for good and valuable consideration, the receipt and adequacy of which
15 is hereby acknowledged, COUNTY and CONTRACTOR agree as follows:
16 1. That all references in the Agreement to "Exhibit A" shall be changed to read "Revised
17 Exhibit A", where appropriate, attached hereto and incorporated herein by reference.
18 2. That all references in the Agreement to "Exhibit B" shall be changed to read "Revised
19 Exhibit B", where appropriate, attached hereto and incorporated herein by reference.
20 3. Section 3 of the Agreement, located on page 2, lines 5 through 10, is deleted in its
21 entirety and replaced with the following:
22 "The initial term of this Agreement shall be for a period of four (4) years, commencing
23 on July 1, 2020 through and including June 30, 2024."
24 4. Section 19 of the Agreement, located on page 17, lines 14 through 16, is deleted in its
25 entirety and replaced with the following:
26 "19. ELECTRONIC SIGNATURE
27 The parties agree that this Agreement may be executed by electronic signature as
28 provided in this section. An "electronic signature" means any symbol or process intended by an
- 1 -
1 individual signing this Agreement to represent their signature, including but not limited to (1) a digital
2 signature; (2) a faxed version of an original handwritten signature; or (3) an electronically scanned and
3 transmitted (for example by PDF document) of a handwritten signature. Each electronic signature
4 affixed or attached to this Agreement (1) is deemed equivalent to a valid original handwritten signature
5 of the person signing this Agreement for all purposes, including but not limited to evidentiary proof in
6 any administrative or judicial proceeding, and (2) has the same force and effect as the valid original
7 handwritten signature of that person. The provisions of this section satisfy the requirements of Civil
8 Code section 1633.5, subdivision (b), in the Uniform Electronic Transaction Act (Civil Code, Division 3,
9 Part 2, Title 2.5, beginning with section 1633.1). Each party using a digital signature represents that it
10 has undertaken and satisfied the requirements of Government Code section 16.5, subdivision (a),
11 paragraphs (1) through (5), and agrees that each other party may rely upon that representation. This
12 Agreement is not conditioned upon the parties conducting the transactions under it by electronic
13 means and either party may sign this Agreement with an original handwritten signature.
14 20. SEVERABILITY
15 - The positions of this Agreement are severable. The invalidity or unenforceability of any
16 one provision in the Agreement shall not affect the other provisions."
17 5. Section 20 of the Agreement, located on page 17, lines 17 through 26, be renamed as
18 Section 21.
19 The Agreement, as hereby amended, is ratified and continued. All provisions, terms,
20 covenants, conditions and promises contained in the Agreement and not amended herein shall remain
21 in full force and effect.
22
23
24 ///
25 ///
26 ///
27 ///
28 ///
- 2 -
I EXECUTED AND EFFECTIVE as of the date first above set forth.
2
3 CONTRA rb� COLff4TJ OFFRESNO
4 -, L ►j ,
5 (Au&i ed Signatu e) Brian Pacheco, Chairman of the Board of
6 CEO(�
Supervisors of the County of Fresno
� 8 .�. �/�S
Print Name&Title A
7 Z(C nvn<. �C.r13 l�Inl�rr, c��
8
9 9-3-72-6
Mailing Address ATTEST:
10 Bernice E. Seidel
Clerk of the Board of Supervisors
11 County of Fresno, State of California
12
13
14
15 By.
� 16 /V (SD1ep
FOR ACCOUNTING USE ONLY:
17
18 Fund: 0001
1 19
Subclass: 10000
I 20
ORG: 56201706
21 Account: 7295
22
23
24
25
26
27
28
j 3-
i
Revised Exhibit A
SCOPE OF WORK
Exceptional Parents Unlimited
DESCRIPTION OF SERVICES
CONTRACTOR'S Community Health Team services must directly serve Fresno County families and
children ages 0-5 who are not being served by other home visitation programs. CONTRACTOR may
obtain client referrals on their own or from COUNTY's Department of Public Health(DPH). All
referrals received will be screened to ensure the client is not being served by other home visitation
programs including DPH.
CONTRACTOR will administer an Edinburgh Postnatal Depression Scale(EPDS) or Patient Health
Questionaire-9 (PHQ-9) as well as a needs assessment for all families served.
Community Health Team home visitation staff will consult with the DPH PHN for guidance and support
on medically challenging cases and complete joint home visits as needed.
CONTRACTOR will adhere to all terms set forth in the First 5 Fresno County Funded Partner
Manual (https://www.first5fresno.org/forms-docso and the California Department of Public
Health(CDPH)-Maternal, Child and Adolescent Health(MCAH)Division's Fiscal Administration
Policy and Procedure Manual
(https://www.cdph.ca.gov/Programs/CFH/DMCAH/Pages/FiscalDocuments.aspx) as it pertains to
subcontractors of funded recipients.
COLLABORATIVE MEETINGS
Approximately two (2)home visitors will meet with the DPH PHN two (2) times per month for case
consultations, trainings and other program issues. Sign in sheets are required for each meeting. Data is
required to be entered in the F5FC database on a quarterly basis.
PARENT PARTNERSHIP HOME VISIT
Home visit services will be focused on the parent,but children ages 0-5 in the home will also receive
services. CONTRACTOR will provide services in accordance with their research-based home visitation
model. Services must be completed in the home or a similar setting. Teleconferencing can be utilized in
lieu of home visitation due to COVID-19 precautions until restrictions are lifted.
• Fifty(50)unduplicated families will receive home visitation services with at least one (1)
parent/caregiver attending each visit.
• Each home visitor will carry a caseload of approximately seventeen(17) clients.
• Home visits will be conducted once per week for at least 9 months. Visits will last
approximately ninety(90)minutes.
Data is required to be entered in the F5FC database on a monthly basis.
Page 1 of 2
Revised Exhibit A
DEVELOPMENTAL SCREENING
Each child client ages 0-5 will receive an ASQ and ASQ:SE developmental screening for a total of forty
(40)ASQ's and forty(40)ASQ:SE's. Data is required to be entered in the F5FC database on a monthly
basis.
DEVELOPMENTAL REFERRALS
Twelve(12)children will receive a developmental referral(e.g.,primary care physician, early
intervention, school district, mental health,medical referrals,Help Me Grow Fresno County, day care, or
preschool). Data is required to be entered in the F5FC database on a monthly basis.
OTHER REFERRALS
Twenty-five (25)parents will receive referrals to community resources(e.g., housing, cash aid, or food
assistance). Data is required to be entered in the F5FC database on a monthly basis
DOCUMENTATION AND DATA COLLECTION
CONTRACTOR will collect and report data on all client services as outlined above including client
eligibility, demographics, screenings and referrals/interventions completed.
CONTRACTOR will submit a brief quarterly narrative addressing target population, intent of service,
short story, challenges and barriers as described in the Quarterly Narrative and Aggregate Reports section
of the F517C Funded Partner Manual to COUNTY by the 5'of the month following the end of each
quarter.
TIME STUDY
All Community Health Team staff will prepare and submit time studies quarterly to COUNTY in order to
receive leveraged federal funding. CDPH MCAH program requires all personnel that are funded by
Federal Title XIX to prepare and submit a time study at least once per quarter.
Page 2 of 2
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