HomeMy WebLinkAboutAgreement A-21-136 with UPH Butterfly Gardens LP.pdf Agreement No. 21-136
AGREEMENT FOR THE PROVISION OF SUPPORTIVE SERVICES
BETWEEN
COUNTY OF FRESNO
AND
UPH BUTTERFLY GARDENS, LP
This Agreement (hereinafter the "Agreement") is made and entered into as of the
effective day of April27th 2021. by and between the COUNTY OF FRESNO. a political
subdivision of the State of California (hereafter referred to as the "SERVICE PROVIDER') and
UPH BUTTERFLY GARDENS. LP a California limited partnership (the "PARTNERSHIP').
Pursuant to the terms of the Memorandum of Understanding (MOU #A-19-374) between
the SERVICE PROVIDER and UP Holdings. LLC, unintentionally listed as "Upholdings'
("UPH"), approved by the Fresno County Board of Supervisors on August 6, 2019, the
SERVICE PROVIDER agreed to execute documents necessary to commit to and coordinate
case management of behavioral/mental health supportive services for the certain projects
mutually agreed upon and developed by the Partnership and supported by the SERVICE
PROVIDER.
The PARTNERSHIP is an affiliate of UPH and is developing a permanent supportive
housing project in the County of Fresno known as Butterfly Gardens (hereinafter the
-DEVELOPMENT"). Pursuant to supportive services commitment letters dated January 3. 2020
and June 10, 2020 (hereinafter the 'Commitment Letters"). the SERVICE PROVIDER
committed to make available supportive services to the DEVELOPMENT for a minimum of 20
years. Commitment Letters are attached hereto as Exhibit A. MOU with service provider is
attached hereto as Exhibit B
The SERVICE PROVIDER and the PARTNERSHIP desire to execute this Agreement to
establish the role of the SERVICE PROVIDER as the mental health supportive services
provider, or its own behalf or in supervisions of a third party to perform the services, for the
DEVELOPMENT consistent with MOU and the Commitment Letters Tenant services shall
commence within six (6) months of the DEVELOPMENT'S placed-in-service date and shall
continue on a regular and ongoing basis for a minimum period of twenty (20) years
1 PROGRAMS PROVIDED
(a) All services and programs of the SERVICE PROVIDER will be provided
on site at the DEVELOPMENT Services shall be provided free of charge to the tenants (with
the exception of the day care services, if any) and will be of a regular and ongoing nature
(b) The PARTNERSHIP shall provide the physical space at the
DEVELOPMENT for the provision of supportive services and tenant activities to be provided by
the SERVICE PROVIDER.
(c) The SERVICE PROVIDER shall provide the supportive services further
described in the Commitment Letters, including the Supportive Services Plan for the
DEVELOPMENT (attached hereto as Exhibit C.)
(d) The SERVICE PROVIDER may contract out the Supportive Services to a
third party provided however, such third party must be obligated to provide the supportive
1
50252"5 2
services pursuant to the terms of this Agreement, and any attachments hereto, and a default by
such third party shall be treated as a default by the Service Provider.
2 BUDGET FOR SERVICES
The SERVICE PROVIDER shall provide funding to pay for the supportive services at the
DEVELOPMENT approximately in the amounts shown in the budget attached to the
Commitment Letters (Exhibit A)
3 MISCELLANEOUS
(a) This Agreement shall be subject to and interpreted under the laws of the
State of California
(b) This Agreement is the integrated expression of the parties' intent and has
been negotiated by each side. and jointly drafted
(c) Each party to this Agreement represents to the other party that it has the
legal capacity and authority to sign this Agreement and to perform any and all duties hereunder
(d) Each party to this Agreement shall be responsible for securing all
necessary licenses and permits required for such party's full and faithful performance its
obligations pursuant hereto.
4 NOTICES
Any notice shall be addressed to.
PARTNERSHIP UPH Butterfly Gardens, LP
6083 N. Figarden Drive
#656
Fresno, California 93722
SERVICE PROVIDER The County of Fresno
Department of Behavioral Health
Dawan Utecht — Director
1925 E Dakota Avenue
Fresno CA 93726
5 PARTIES BOUND
The terms and provisions of this Agreement shall be binding upon the parties hereto.
their legal representatives and any successors and assigns (having been approved in
accordance with the terms hereof)
6 DEFAULT
In the event of a default of the terms hereunder the non-defaulting party shall give
notice to the defaulting party of such default. One defaulting party shall have thirty days to cure
such default or if such cure cannot be cured in thirty days, the defaulting party shall initiate cure
within thirty days and diligently prosecute such cure to completion
2
502524452
7 INDEPENDENT CONTRACTORS
The parties to this Agreement are acting, as to each other. as independent contractors
and independent employers Nothing contained in this Agreement shall create or be construed
as creating a partnership. joint venture or agency relationship between the parties. Neither party
to this Agreement shall have the authority to bind the other party in any respect.
(Signatures appear on following page.)
3
502524452
IN WITNESS WHEREOF, the parties hereto have executed this Agreement as of the
day and year first hereinabove written
PARTNERSHIP
UPH BUTTERFLY GARDENS. LP,
a California limited partnership
By: Butterfly Gardens SHE LLC,
a California limited liability company,
Its Managing General Partner
By: Self-Help Enterprises,
a California nonprofit corporation
Its Sole Member/Manager
By:
iomasP o lishaw
President and Chief Executive Officer
By: UPH Butterfly Gardens. LLC.
a California limited liability company,
Its Administrative General Partner
Cullen J. Davis, Manager
SERVICE PROVIDER
COUNTY OF FRESNO
By:
Steve Sra u
Chairman resno County Board of Supervisors
By,
Bernice E. Seidel
Clerk. Fresno County Board of Supervisors
S - 1
50252"5.2
Exhibit A
Commitment Letters
A - I
Exhibit B
Memorandum of Understanding
B- 1
50252445 Z
Exhibit C
Supportive Services Plan
C - 1
502524452
CO U�
County of Fresno
DEPARTMENT OF BEHAVIORAL HEALTH
1856 DAWAN UTECHT
ORES DIRECTOR
January 3, 2020
Jessica Hoff Berzac, President
UPholdings, LLC
900 W. Jackson Blvd.
Suite 2W
Chicago, Illinois 60607
RE: Butte-G[c ns — Supportive Services Commitment
Dear Ms. Berzac:
On behalf of the County of Fresno Department of Behavioral Health (Department), I am
pleased to offer this letter of commitment for Butterfly Gardens in Clovis, Ca. Butterfly
Gardens is a 75-unit 100% Housing First development which will be developed and
owned by UPholdings LLC. All units, with the exception of two manager's units, will
serve high needs individuals who will benefit from the project's on-site wraparound
services. This project addresses an enormous need in Fresno County where the need
for service-enriched housing far outpaces the available units.
The Department commits to providing on-site supportive services for all residents of
Butterfly Gardens. Guided by Housing First principles and best-practices, all residents
will develop a service plan during an intake session at the initiation of their lease. All
individual service plans will be customized to fit their needs and goals. Services will not
be a condition of tenancy but will be highly encouraged. Further details on the
supportive service plan are found within the Butterfly Gardens universal application (Tab
B3).
The Department looks forward to working with UPholdings LLC and other project
stakeholders as they bring critical housing to our community. Please feel free to reach
me at sliolt(@fresiiocountvca.gov fresnocountyca.gov or 559 600 9058 with any questions.
Sincerely,
Z
Susan Holt, Deputy Director
Department of Behavioral Health
County of Fresno
1925 E.Dakota Ave.,Fresno,CA 93726
FAX(559)600-7673 www.co.fresno.cams
The County of Fresno is an Equal Employment Opporhmity Employer
Supportive Services Verification #REF!
If the County is not the Lead Service Provider,the County needs to complete the Project Applicant,Lead Service Provider,Project Name and contact information,Target Population,
and name of Verifying Funding Agency information sections below.Then submit this form along with a copy of the Supportive Housing Project Plan contained in the application to the
appropriate funding agency(public or nonprofit)knowledgeable about the supportive services needs of the targeted population(s).For example,for a Project serving chronically
mentally ill people,the funding entity could be the County Department of Mental Health.
Submission of this form shall constitute certification by the Applicant that a true copy of the Supportive Housing Project Plan submitted in the application has been submitted to the
funding agency named below.The form may be submitted to more than one agency or department if necessary.
Project Applicant: #REF!
Lead Service Provider: #REF!
Project Name: #REF!
Project Address/Site: #REF!
Project City: #REF!
Project County: #REF!
Name of Verifying Funding Agency: Fresno County Department of Behavioral Health
Target Population(s): I Chronically Homeless,At Risk of Chronic Homelessness and Homeless
Public or non-profit funding agency:The project Applicant named above is submitting an application to the State Department of Housing and Community Development(the
Department)requesting funding for the project named above under the No Place Like Home(NPLH)program_The application for NPLH funding is subject to the Department's
determination that the project qualifies as a Supportive Housing Project.The findings of your agency will be considered in arriving at this determination Review the attached copy of
the Supportive Housing Project Plan,note your findings in the chart below,and complete the signature block below the chart.Attach comments for any"No"and as otherwise
necessary.
We,as signed below,have reviewed the Supportive Housing Project Plan submitted for the project named above. Yes
The services proposed in the Supportive Housing Project Plan are appropriate to meet the needs of the Target Population(s)named above. Yes
The project Lead Service Provider is a known provider of support services to the Target Population(s)listed above. Yes
Dated: 10 1- --7
Statement Completed by(please print): Susan Holt
Signature:
V
Title: Deputy Director
Agency or Department Name: Fresno County Department of Behavioral Health
Agency or Department Address: 1925 E.Dakota Avenue,Fresno Ca. 93726
Agency or Department Phone: 1559 600 9058
ti County of Fresno
DEPARTMENT OF BEHAVIORAL HEALTH
Q� j856 DAWAN UTECHT
�11�) DIRECTOR
January 3, 2020
Jessica Hoff Berzac, President
UPholdings, LLC
2670 W Beechwood Ave
Fresno, CA 93711
RE: Butterfly Gardens - Supportive Services Funding Commitment
Dear Mrs. Berzac,
The Fresno County Department of Behavioral Health (Department) is pleased to make available
supportive services to the 73 adult residents that will live in the new construction, Butterfly
Gardens permanent supportive housing project located in Clovis, California. The Department has
a long history of providing behavioral health services to the target population.
The Department is committed to be the supportive services provider at Butterfly Gardens for a
minimum of twenty years, per the terms outlined in the MOU between the Department and
UPholdings, LLC, approved by the Fresno County Board of Supervisors January 29th, 2019
(attached as Exhibit A). The Department ensures commitment of on-site supportive services for
Butterfly Gardens and intends to conduct a procurement process to select a qualified supportive
services provider who will adhere to the Department's Guiding Principles of care delivery and
utilization of the Housing First model.
The Department is a partner in the Butterfly Gardens project througf rovision of extensive
wrap-around supportive services including, but not limited to, case management, counseling,
benefits assistance, and peer support activities. The Department is excited to partner with
UPholdings, LLC for the Butterfly Gardens development project that will bring much needed
housing opportunities to individuals served by the Department. The Department has committed
approximately 11,492 hours of supportive services to the Butterfly Gardens project annually,
valued at $466,379.
Please do not hesitate to reach out to me by email at sholtnfresnocountyca.gov or by phone at
559 600 9058 with any questions
Sincerely,
Susan Holt
Deputy Director
Department of Behavioral Health
County of Fresno
1925 E.Dakota Ave.,Fresno,CA 93726
FAX(559)600-7673 www.co.fresno.cams
The County of Fresno is an Equal Employment Opportunity Employer
=J Project Basics
This budget planning tool is intended to provide organizations with a framework for understanding and planning for service costs in supportive housing.There are 4
drivers that will impact program budget planning.
1.Staffing Patterns
2.Staffing Cost
3.Rate Structure
4.Productivity
Basic Inputs
Are tenants new to supportive housing? Yes
What rate/reimbursement structure will you be using? Per Member Per Month
Show the Following Service Staffing Models in Summary Table?
Assertive Community Treatment No
Critical Time Intervention Yes
Intensive Case Management No
Tenancy Support Service Coordination(SH Case Management) No
Assertive Community Critical Time Intensive Case SH Tenancy Support
Summary Table Based on Inputs(Staffing Model Tabs 3-6) Treatment Intervention Management Services
Number of FTE Employees 6
Annual Program Budget $466,379
Total Number of Tenants 37
Total Units of Service,based on a standard 15 minute unit of service 8,840
Cost Per Unit s52.76
Per Tenant Per Month Cost $1,050.40
Per Tenant Per Year Cost i $12,604.83
See Assumptions tab for further detail
CSH recommends the additional considerations when using this tool:
1.Organizations should be reviewing salary scales every 3-5 years in your local area to ensure budgeted salaries are meeting or exceeding the local labor market standards
2.As organizations explore a varierty of reimbursement strategies,one rate structure alone is unlikely to be sufficient for meeting all program costs due to funding
restrictions and other limitations
3.This tool includes recommended caseload sizes as indicated by evidence based practice. You may add populations or adjust caseload sizes as needed for your
organization's program or specific model.
Critical Time Intervention Stalling&Budget Model*
Butterfly Gardens
1.Please complete the blue boxes below for each target population supported through CTI:
Tirgu Populinon # tn of ren ...r d sne C-1-d Egwvilent #often single me Caseload Eq.v Imt
t Families rs 2sci 0 an 37 12
2 Individuals 0 0 12
3 Tranot on Age Youth 0 0 0 0
Total clients 0 37
2.Please complete the blue boxes below with local HR information.Please note that the case manager number is calculated for you.
FIE Annual Siliry(per FIE)
Program Director 0.5 $68,000
Administrative Ass.stmt 1.0 $31,590
Clinical Supervisor 1.0 $85,332
Case Managers 2.0 $41,730
Peer Support Specialist 1.0 $27,456
UOS Assu.npaimfor CMs,SW,,and Counselors Recommendations-ste'Assuraptions'tab for further information.
FTE Hrs/Week 400 We recommend 37.5 hours/week
UOS/Hour 4.0 Werecommead 4.0 UOS/Hour
Productivity 50% We recommend 75%
Holiday days 15.0 Ws recommend I5.0 holiday days
PTO days 200 We reco.n.nend 20.0 PTO days
Personal days 3.0 Ws recommend 3.0 personal days Thus model is based on an ongoing standardized caseload ran,,aasummg some.mdiv.duals are ent,rmg
Other days off 1.0 Ws recommend 1.0 other days 4ff servt ,otb-s are.exiting.
Calculated UOS per FTE 3,536
Days worked per year 221
3.Please complete the blue boxes in the template budget bel-
CII MULTI-YEAR BUDGET*
CTI ANNUAL BUDGET Total Year 1 Year 2 Year 3
A.PERSONNEL EXPENSES A.PERSONNEL EXPENSES
.................................................................................................................... ........
Wages and Salaries $261,838 Wages and Salaries $785,514 $261,838 $261,838 $261,838
Employee Benefits $73,995 Employee Benefits $221,986 $73,995 $73,995 $73,995
Contract Personnel $0 Contract Personnel $0 $0 $0 $0
Other Personnel Expenses $0 Other Personnel Expenses $0 $0 $0 $0
Staff Develo meet $5,000 Stag'Development $15,000 $5,000 $5,000 $5,000
Sub-total Personnel Expenses $340,833 Sub-total Personnel Expenses $1,022,500 $340,833 $340,833 $340,833
.................................................................................................................... ..................
B OPERATING EXPENSES B.OPERATING EXPENSES
.................................................................................................................... ................
Rent $0 Rent $0 $0 $0 $0
.................................................................................................................... ............
Utilities $0 Utilities $0 $0 $0 $0
.................................................................................................................... ............
Buildin Insurance $0 Building Insurance $0 $0 $0 $0
Housekeeping $0 Housekeeping $0 $0 $0 $0
Communications(Phone,Data) $3,369 Communications(Ph.-,Data) $10,107 $3,369 $3,369 $3,369
.................................................................................................................... ............
Office Supplies $5,000 Office Supphes $15,000 $5,000 $5,000 $5,000
.................................................................................................................... ............
Service Uabdity Insurance $15,710 Profesional Liability Insurance $47,131 $15,710 $15,710 $15,710
Estimated Mileage $4,774 See'Ass Pm ,'mbforfunher,nfo. Estimated Mileage $15,984 15,328 $5,328 $5,328
Mileage Rate $0.54 T&federilriters$054 per mile Mtlea eRate $0.55 $0.54 $0.54 $0.54
.................................................................................................................... ............
Est Miles Per Day Per FIT 20 Est.Miles Per Day Per FEE 20 20 20 20
Est.#FIT Traveling 2 Recom d,d f r.r.,ed sne Est.#FTE Traveing 2 2 2 2
....................................................................................................................
Vehicles $0 cc i o ditmn only. Vehicles $0 $0 $0 $0
.................................................................................................................... .......
Vehicle Insurance $0 Vehicle Insurance $0 $0 $0 $0
.................................................................................................................... ................
Vehicle Expeases(Upkeep) $0 Vehicle Expenses(Upkeep) $0 $0 $0 $0
Client Transportation $4,834 Cheat Tra,sportanon $14,102 $4,834 $4,834 $4,834
....................................................................................................................
Bufldin Renovations $0 Building Renovations $0 $0 $0 $0
....................................................................................................................
Furnishing/Equipment(EHR or Furnishing/Equipment(EHR or HMIS
HMIS licenses,computers,desks, licenses,computers,desks,chairs,filing,
chairs,filing,copier) $20,000 copier) $30,000 $10,000 $10,000 $10,000
....................................................................................................................
Minor Household Equipment $3,000 Minor Household Egwpment $9,000 $3,000 $3,000 $3,000
Furniture/Egwpment Repairs $3,000 Furniture/Equipment Repairs $9,000 $3,000 $3,000 $3,000
Miscellaneous Expenses(Client Miscellaneous Expenses(Client
Emergency Fund,Tenant supplies) $5,000 Emergency Fund,Tenant supplies) $15,000 $5,000 $5,000 $5,000
Security Deposits $0 Seenvty Deposits $0 $0 $0 $0
Sub-total Operating Expenses $64,709 Sub-total Operating Expenses $175,237 $64,709 $55,264 $55,264
C.TOTAL DIRECT $405,543 C.TOTAL DIRECT $1,216,629 $405,543 $405,543 $405,543
D ADMINISTRATION(INDIRECT) $60,836 D.ADMINISTRATION(INDIRECT) $182,499 $60,836 $60,831 $60,831
E.TOTAL PROGRAM COSTS $466,379 E.TOTAL PROGRAM COSTS $1,399,137 $466,379 $466,379 $466,379
F.REVENUE F.REVENUE
_............ _.................
Program Service Fees $0 Program Service Fees $0 $0 $0 $0
Grants Grants $0 $0 $0 $0
Private heuraace $0 Pn,ate insurance $0 $0 $0 $0
Medi-Cal Reimbursement $466,379 Medicaid Reimbmsemeut $1,399,137 $466,379 $466,379 $466,379
Other Revenue Other Revenue $0 $0 $0 $0
Sub-total Revere $466,379 Subtotal Revenue $1,399,137 $466,379 $466,379 $466,379
G.NET $0 IG.NET $0 1 $0 I $0 I $0
*CTI is based on a 9 month,three phase period of engagement. Assumed annual inflation 0.00%
Agreement No, 19-374
1 MEMORANDUM OF UNDERSTANDING
2 Between
3 The County of Fresno
4 And
5 UPholdings
6
7 THIS MEMORANDUM OF UNDERSTANDING hereinafter referred to as "MOU" or
8 "Agreement" is made and entered into this 6"day of August, 2019 by and between the County of
9 Fresno,a political subdivision of the State of California, hereinafter referred to as "COUNTY," and
10 UPholdings (on behalf of its partners, subsidiaries, or assignees), whose address is 900 W. Jackson
11 Blvd., Suite#2W, Chicago, Illinois, hereinafter referred to as"UPholdings."
12 WHEREAS. the State of California, Housing and Community Development (HCD) has made
13 available No Place Like Home (NPLH) Competitive and Noncompetitive funding to California counties.
14 WHEREAS, The County of Fresno will compete with other California counties for up to$93
15 million during four(4)annual HCD NPLH Competitive Allocation funding rounds for the purpose of
16 developing permanent supportive housing for adults, transitional age youth, or children and their families
17 who reside within Fresno County who are Homeless, Chronically Homeless or At-Risk of Chronic
18 Homelessness as a result of their serious mental illness and/or severe emotional disturbance and are in
19 need of mental health services; and
20 WHEREAS, UPholdings,among other things, coordinates financing,develops and manages
21 supportive housing developments in Fresno County, and;
22 WHEREAS, UPholdings represents that it is a qualified developer in Fresno County; and
23 WHEREAS,the parties desire to enter into this MOU, wherein the parties will strive to develop,
24 operate and maintain new permanent supportive housing projects for residents of Fresno County living
25 with severe mental illness and/or serious emotional disturbances and who are Homeless, Chronically
2 6 Homeless, or At-Risk of Chronic Homelessness, all in accordance with the HCD NPLH program
27 Guidelines; Welfare and Institutions Code Sections 5849 and 5890;and other future supportive housing
28 funding sources, as identified.
1' DWI x I)PHOLDINGS MOU-I ICD NPLH
1 NOW, THEREFORE, in consideration of the recitals set forth above, which are incorporated
2 herein by this reference, and the mutual covenants and undertakings contained herein, the receipt and
3 sufficiency of which is hereby acknowledged, the parties agree as follows:
4 1. PURPOSE
5 The COUNTY and UPholdings desire to develop, operate and maintain permanent supportive
6 housing opportunities in accordance with permanent supportive housing funding source program
7 guidelines and regulations. To do so, the COUNTY and UPholdings will research and pursue permanent
8 supportive housing development opportunities.
9 2. RESPONSIBILITIES
10 A. UPholdings shall be responsible to:
11 (1) Under the direction of COUNTY, prepare any future, agreed upon HCD
12 NPLH, or other permanent supportive housing funding sources,permanent supportive housing
13 Application(s). The HCD NPLH permanent supportive housing Application, or any additional permanent
14 supportive housing Applications would include UPholdings as the developer, property manager and
15 owner. However, any role or responsibility of UPholdings in the development of any permanent
16 supportive housing program Application related to this MOU shall be determined by COUNTY.
17 Notwithstanding the aforementioned term,UPholdings shall be permitted to develop other permanent
18 supportive housing projects, without the consent of the COUNTY or in partnership with the COUNTY,
19 when such projects do not require a financing source predicated on the COUNTY being a co-applicant or
20 sponsor of such financing. Any permanent supportive housing Application mutually agreed upon by
21 both DBH and UPholdings, to be completed by UPholdings in the role of development sponsor/co-
2 2 applicant with COUNTY, shall be approved by the COUNTY and such approval shall not be
23 unreasonably withheld. Any prepared Application(s) by UPholdings as COUNTY'S development
24 sponsor/co-applicant shall comply with all state fair housing laws, regulations and directives as required
25 by the identified funding source. As part of any permanent supportive housing program Application,
26 both COUNTY and UPholdings shall research and identify potential development sites to be funded with
27 HCD NPLH or other applicable funding sources or identify other funding sources that can be utilized
28 and/or leveraged to provide for the development of permanent supportive housing units.
-2- DBH&UPHOLDINGS MOU-HCD NPLH
1 (2) Maintain supportive housing resource information for use by individuals
2 housed, family members and/or support systems of individuals and supportive services staff to assist in
3 the identification and utilization of appropriate supportive housing resources in the community.
4 (3) Make reasonable efforts to complete all program-reporting requirements
5 specific to each funding source for any permanent supportive housing developments resulting from this
6 MOU.
7 (4) Provide property management services, either directly or through a
8 subcontract with a qualified organization, for permanent supportive housing projects developed as a
9 result of this MOU. Services may include,but not be limited to rent collection, property maintenance and
10 repairs.
11 B. The COUNTY shall be responsible to:
12 (1) Assign appropriate staff to participate in the planning and permanent
13 supportive housing development process with the UPholdings.
14 (2) Provide timely consideration of all permanent supportive housing
15 Applications presented by the UPholdings.
16 (3) Report required permanent supportive housing program information to the
17 State of California HCD, and any other identified funding sources, as related to any permanent supportive
18 housing developments as a result of this MOU.
19 (4) Upon request from UPholdings,provide all necessary or relevant
20 demographic information regarding the specified target populations to be served by permanent supportive
21 housing developments as a result of this MOU.
22 (5) Ensure an adequate number of eligible, certified tenant referrals made to
23 permanent supportive housing projects developed by the UPholdings under this MOU. Such referrals
24 must meet the tenant eligibility requirements established for any given permanent supportive housing
25 development as mandated by the funding source target population definition and as determined by Fresno
26 County's Behavioral Health Director or designee, or by other funding sources, as applicable.
27 (6) Ensure the commitment and coordination of the appropriate level of case
28 management or other types of supportive services are available on a timely basis to meet the behavioral
-3- DBH&UPHOLDINGS MOU-HCD NPLH
1 health needs for individuals of any permanent supportive housing projects developed under this MOU.
2 These services will be voluntary and flexible and meet the needs as determined by the individuals.
3 C. In collaboration, both COUNTY and UPholdings shall be responsible to:
4 (1) No less than quarterly, representatives from COUNTY, UPholdings and
5 other interested and invited participants will meet to discuss any potential new development projects,
6 review any previous work accomplished and assess the working relationship between all parties. The
7 COUNTY and UPholdings shall mutually agree upon the location of the permanent supportive housing
8 developments proposed for permanent supportive housing program Applications.
9 (2) In the event a permanent supportive housing Application is completed by
10 UPholdings, that it be appropriately submitted to the applicable funding source and meet all legal
11 requirements, including the provisions of Welfare and Institutions Code Sections 5847 and 5848
12 regarding postings and 30-day public comment requirement(W&I Code 5848(b)). Additionally, if a
13 permanent supportive housing Application is completed and submitted to a funding source, ensure all
14 appropriate parties are informed of the submittal, including the Fresno County Behavioral Health Board
15 and Fresno County Board of Supervisors.
16 (3) In the event a permanent supportive housing Application is funded, County
17 and UPholdings shall work collaboratively to ensure all necessary documents, including any other MOUs
18 as required by the funding source, are executed to establish the role of the UPholdings as the qualified
19 developer/borrower/property manager or any combination thereof, and to establish the role of the
20 COUNTY as the mental health supportive service provider, for any funded permanent supportive housing
21 development.
22 3. TERM
23 This MOU shall commence July 1, 2019, and shall terminate on the 30th day of June
24 2022. This MOU may be extended for two(2) additional consecutive twelve (12)month periods; July 1,
25 2022 through June 30, 2023 and July 1, 2023 through June 30, 2024, upon the written approval of both
26 parties no later than sixty(60) days prior to the first day of the next twelve (12) month extension period.
27 The Department of Behavioral Health("DBH") Director or his/her designee is authorized to execute
28 such written approval on behalf of COUNTY based upon UPholdings satisfactory performance.
-4- DBH&UPHOLDINGS MOU-HCD NPLH
1 4. TERMINATION
2 A. Breach of Contract
3 Either party may immediately suspend or terminate this MOU in whole or in
4 part, where in the determination by one of the parties there is:
5 1. An illegal or improper use of funds;
6 2. A failure to comply with any term of this MOU;
7 3. A substantially incorrect or incomplete report submitted to the
8 COUNTY; or
9 4. Improperly performed service.
10 B. Without Cause
11 This MOU may be terminated by either of the parties as to their involvement in
12 this MOU, upon the giving of a thirty(30) day advance written notice of an intention to terminate from
13 one party to the other.
14 5. COMPENSATION
15 The services performed in accordance with the terms and conditions as stated in this
16 MOU shall be performed without any monetary compensation by either party, with exception to any
17 compensation that may be payable to either parry in relation to the development of a specific project, or
18 the proceeds therefrom, whether from such money is payable as a fee, project cash flow, the result of a
19 refinancing, or transaction of a similar nature.
20 6. MODIFICATION
21 Any matters of this MOU may be modified from time to time by the written consent of all
22 the parties without, in any way, affecting the remainder.
23 Notwithstanding the above, minor changes, as determined by COUNTY's Department
24 of Behavioral Health Director or his or her designee may be made with the written approval of
25 COUNTY's Department of Behavioral Health Director or designee and UPholdings. Minor changes
26 may include,but are not limited to, changes that will not significantly alter the responsibilities
27 identified in this MOU, and changes to addresses to which notices are to be sent.
28
-5- DBH&UPHOLDINGS MOU-HCD NPLH
1 7. INDEPENDENT CONTRACTOR
2 In performance of the work, duties, and obligations assumed by UPholdings under this
3 MOU, it is mutually understood and agreed that UPholdings, including any and all of UPholdings
4 officers, agents, and employees will at all times be acting and performing as an independent contractor,
5 and shall act in an independent capacity and not as an officer, agent, servant, employee,joint venturer,
6 partner, or associate of the COUNTY. Furthermore, COUNTY shall have no right to control or supervise
7 or direct the manner or method by which UPholdings shall perform its work and function. However,
8 COUNTY shall retain the right to administer this MOU so as to verify that UPholdings is performing its
9 obligations in accordance with the terms and conditions thereof.
10 UPholdings and COUNTY shall comply with all applicable provisions of law and the
11 rules and regulations, if any, of governmental authorities having jurisdiction over matters which are
12 directly or indirectly the subject of this MOU.
13 Because of its status as an independent contractor, UPholdings shall have absolutely no
14 right to employment rights and benefits available to COUNTY employees. UPholdings shall be solely
15 liable and responsible for providing to, or on behalf of, its employees all legally-required employee
16 benefits. In addition, UPholdings shall be solely responsible and hold COUNTY harmless from all
17 matters relating to payment of UPholdings employees, including compliance with Social Security,
18 withholding, and all other regulations governing such matters. It is acknowledged that during the term of
19 this MOU, UPholdings may be providing services to others unrelated to the COUNTY or to this MOU.
20 8. ASSIGNMENT RIGHTS
21 Neither party shall assign, transfer or subcontract this MOU nor their rights or duties
22 under this MOU without the prior written consent of the other party with the exception of an affiliate or
23 limited partnership within a tax credit transaction. Notwithstanding the aforementioned, UPholdings may
24 assign its rights, obligations, and interest in this MOU to any entity it wholly owns or controls without the
25 consent of the County. Any transferee, assignee, or subcontractor will be subject to all applicable
26 provisions of this Agreement, and all applicable State and Federal regulations. UPholdings will be
27 required to assume full responsibility for all services and activities covered by this Agreement,whether
28 or not UPholdings is providing those services directly. Further, COUNTY will consider UPholdings to
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1 be the sole point of contact with regard to contractual matters, including payment of any and all charges
2 to subcontractor resulting from this Agreement. Any subcontractor utilized by UPholdings to fulfill the
3 Responsibilities of UPholdings shall be subject to the same terms and conditions that UPholdings is
4 subject to under this Agreement.
5 9. NON-DISCRIMINATION
6 During the performance of this MOU UPholdings shall not unlawfully discriminate
7 against any employee or applicant for employment, or recipient of services, because of race, religion,
8 color, national origin, ancestry, physical disability, medical condition, marital status, age or gender,
9 pursuant to all applicable State of California and Federal statutes and regulations.
10 10. DISCLOSURE—CRIMINAL HISTORY AND CIVIL ACTIONS
11 UPholdings is required to disclose if any of the following conditions apply to them, their
12 owners, officers, corporate managers and partners:
13 A. Within the three-year period preceding the MOU award, they have been
14 convicted of, or had a civil judgment rendered against them for:
15 1. Fraud or a criminal offense in connection with obtaining, attempting to
16 obtain, or performing a public transaction or contract under a public transaction;
17 2. Violation of a federal or state antitrust statute;
18 3. Embezzlement, theft, forgery, bribery, falsification, or destruction of
19 records; or
20 4. False statements or receipt of stolen property.
21 B. Within a three-year period preceding this MOU, they have had a public
22 transaction terminated for cause or default.
23 Disclosure of the above information will not automatically eliminate UPholdings from
24 further business consideration. The information will be considered as part of the determination of
25 whether to continue and/or renew the MOU and any additional information or explanation that
26 UPholdings elects to submit with the disclosed information will be considered. If it is later
27 determined the UPholdings failed to disclose required information, any MOU awarded to UPholdings
28
-7- DBH&UPHOLDINGS MOU-HCD NPLH
1 may be immediately voided and terminated for material failure to comply with the terms and
2 conditions of the MOU.
3 11. COMPLAINTS
4 For any complaint from tenants residing in a multifamily project developed in accordance with
5 this MOU, UPholdings shall log such complaints. UPholdings shall make available to COUNTY a copy
6 of the complaint concerning any tenants in a format and timeframe that is mutually agreed upon by both
7 parties. UPholdings shall provide details and attach documentation of each tenant complaint.
8 UPholdings shall post signs at permanent supportive housing developments resulting from this MOU
9 that informs tenants of their right to file a complaint or grievance with the UPholdings which is a
10 component of the tenant's rights grievance procedure associated with each tenant's formal signed lease
11 with the UPholdings.
12 12. NOTICES
13 The persons have authority to give and receive notices under this MOU and their
14 addresses include the following:
15 COUNTY UPHOLDINGS
Director, Fresno County Jessica Berzac
16 Department of Behavioral Health UPholdings
17 4441 E. Kings Canyon 900 W. Jackson Blvd., Suite#2W
Fresno, CA. 93702 Chicago, IL 60607
18
19 Any and all notices between the COUNTY and the UPholdings provided for or permitted under
20 this MOU or by law shall be in writing and shall be deemed duly served when personally delivered to one
21 of the parties, or in lieu of such personal service, when deposited in the United States Mail,postage
22 prepaid, addressed to such party
23 13. SEVERABILITY
24 The provisions of this MOU are severable. The invalidity or unenforceability of any one
25 provision in the MOU shall not affect the other provisions.
26 14. HOLD HARMLESS
27 UPholdings agrees to indemnify, save, hold harmless, and at COUNTY's request,
28 defend the COUNTY, its officers, agents and employees from any and all costs and expenses,
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1 including attorney fees and court costs, damages, liabilities, claims and losses occurring or resulting to
2 COUNTY in connection with the performance, or failure to perform, by UPholdings, its officers,
3 agents or employees under this MOU, and from any and all costs and expenses, including attorney
4 fees and court costs, damages, liabilities, claims and losses occurring or resulting to any person, firm
5 or corporation who may be injured or damaged by the performance, or failure to perform, of
6 UPholdings, its officers, agents or employees under this MOU. In addition, UPholdings agrees to
7 indemnify COUNTY for Federal, State of California and/or local audit exceptions resulting from
8 noncompliance herein on the part of the UPholdings.
9 COUNTY agrees to indemnify, save, hold harmless, and at UPholdings request, defend
10 UPholdings, its officers, agents and employees from any and all costs and expenses, including attorney
11 fees and court costs, damages, liabilities, claims and losses occurring or resulting to UPholdings in
12 connection with the performance, or failure to perform, by COUNTY and/or its officers, agents or
13 employees under this MOU and from any and all costs and expenses, including attorney fees and court
14 costs, damages, liabilities, claims and losses occurring or resulting to any person, firm or corporation who
15 may be injured or damaged by the performance, or failure to perform, of COUNTY and/or its officers,
16 agents or employees under this MOU. In addition, COUNTY agrees to indemnify UPholdings for
17 Federal, State of California and/or local audit exceptions resulting from noncompliance herein on the part
18 of the COUNTY and/or its contracted providers.
19 15. INSURANCE
20 Without limiting the COUNTY's right to obtain indemnification from UPholdings or any third
21 parties, UPholdings, at its sole expense, shall maintain in full force and effect the following insurance
22 policies or a program of self-insurance, including but not limited to, an insurance pooling arrangement
23 or Joint Powers MOU(JPA)throughout the term of this MOU:
24
A. Commercial General Liability
25
26 Commercial General Liability Insurance with limits of not less than One Million Dollars
27 ($1,000,000)per occurrence and an annual aggregate of Two Million Dollars ($2,000,000). This
28 policy shall be issued on a per occurrence basis and can be achieved by an umbrella insurance policy.
-9- DBH&UPHOLDINGS MOU-HCD NPLH
1 COUNTY may require specific coverage including completed operations,product liability, contractual
2 liability, Explosion, Collapse, and Underground (XCU), fire legal liability or any other liability
3 insurance deemed necessary because of the nature of the MOU.
4 B. Automobile Liability
5
Comprehensive Automobile Liability Insurance with limits of not less than One Million Dollars
6
7 ($1,000,000)per accident for bodily injury and for property damage. Coverage should include owned
8 and non-owned vehicles used in connection with this MOU.
9 C. Professional Liability
10
UPholdings does not anticipate to employ any licensed professional staff(e.g. Ph.D., R.N.,
11
12 L.C.S.W., L.M.F.T.) to provide services. But if UPholdings does employ any licensed professional,
13 UPholdings will provide Professional Liability Insurance with limits of not less than One Million
14 Dollars ($1,000,000)per occurrence, Three Million Dollars ($3,000,000) annual aggregate.
15 D. Worker's Compensation
16
A policy of Worker's Compensation Insurance as may be required by the California Labor
17
Code.
18 Additional Requirements Relating to Insurance
19 UPholdings shall obtain endorsements to the Commercial General Liability insurance
20 naming the COUNTY, its officers, agents and employees, individually and collectively, as additional
21 insured, but only insofar as the operations under this MOU are concerned. Such coverage for
22 additional insured shall apply as primary insurance and any other insurance, or self-insurance,
23 maintained by the COUNTY, its officers, agents and employees shall be excess only and not
24 contributing with insurance provided under the UPholdings policies herein. This insurance shall not
25 be cancelled or changed without a minimum of thirty(30) days advance written notice given to
COUNTY.
26
27 UPholdings hereby waives its right to recover from COUNTY, its officers, agents, and
28 employees any amounts paid by the policy of worker's compensation insurance required by this MOU.
-10- DBH&UPHOLDINGS MOU-HCD NPLH
1 UPholdings is solely responsible to obtain any endorsement to such policy that may be necessary to
2 accomplish such waiver of subrogation, but UPholdings waiver of subrogation under this paragraph is
3 effective whether or not UPholdings obtains such an endorsement.
4 Within thirty(30) days from the date UPholdings signs this MOU, UPholdings shall
5 provide certificates of insurance and endorsements as stated above for all of the foregoing policies, as
6 required herein, to the County of Fresno, Department of Behavioral Health, 515 S. Cedar Avenue,
7 Fresno CA. 94702, Attention: Staff Analyst-Housing, stating that such insurance coverages have
8 been obtained and are in full force; that the COUNTY, its officers, agents and employees will not be
9 responsible for any premiums on the policies; that for such worker's compensation insurance
10 UPholdings has waived its right to recover from the COUNTY, its officers, agents, and employees any
11 amounts paid under the insurance policy and that waiver does not invalidate the insurance policy; that
12 such Commercial General Liability insurance names the COUNTY, its officers, agents and employees,
13 individually and collectively, as additional insured, but only insofar as the operations under this MOU
14 are concerned; that such coverage for additional insured shall apply as primary insurance and any
15 other insurance, or self-insurance, maintained by the COUNTY, its officers, agents and employees,
16 shall be excess only and not contributing with insurance provided under UPholdings policies herein;
17 and that this insurance shall not be cancelled or changed without a minimum of thirty(30) days
18 advance, written notice given to COUNTY.
19 In the event UPholdings fails to keep in effect at all times insurance coverage as herein
20 provided, the COUNTY may, in addition to other remedies it may have, suspend or terminate this
21 MOU upon the occurrence of such event.
22 All policies shall be with admitted insurers licensed to do business in the State of
23 California. Insurance purchased shall be from companies possessing a current A.M. Best, Inc. rating of
24 A FSC VIII or better.
25 16. CONFIDENTIALITY
26 Any service performed by UPholdings under this MOU shall be in strict conformance with all
27 applicable Federal, State of California (including the California Public Records Act) and/or local laws
28 and regulations relating to confidentiality.
11- DBH&UPHOLDINGS MOU-HCD NPLH
1 17. HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT
2 A. The parties to this MOU shall be in strict conformance with all applicable
3 Federal and State of California laws and regulations, including but not limited to Sections 5328,
4 10850, and 14100.2 et seq. of the Welfare and Institutions Code, Sections 2.1 and 431.300 et seq. of
5 Title 42, Code of Federal Regulations (CFR), Section 56 et seq. of the California Civil Code, Sections
6 11977 and 11812 of Title 22 of the California Code of Regulations, and the Health Insurance
7 Portability and Accountability Act(HIPAA), including but not limited to Section 1320 D et seq. of
8 Title 42, United States Code (USC) and its implementing regulations, including,but not limited to
9 Title 45, CFR, Sections 142, 160, 162, and 164, and The Health Information Technology for
10 Economic and Clinical Health Act(HITECH) regarding the confidentiality and security of patient
11 information and the Genetic Information Nondiscrimination Act(GINA) of 2008 regarding the
12 confidentiality of genetic information.
13 Except as otherwise provided in this MOU, UPholdings, as Business Associates of
14 COUNTY, may use or disclose Protected Health Information(PHI) to perform functions, activities or
15 services for or on behalf of COUNTY, as specified in this MOU,provided that such use or disclosure
16 shall not violate the HIPAA,USC 1320d et seq. The uses and disclosures of PHI may not be more
17 expansive than those applicable to COUNTY, as the "Covered Entity" under the HIPAA Privacy Rule
18 (45 CFR 164.500 et seq), except as authorized for management, administrative or legal responsibilities
19 of the Business Associate.
20 B. UPholdings, including its subcontractors, agents, and employees, shall protect,
21 from unauthorized access,use, or disclosure of names and other identifying information concerning
22 persons receiving services pursuant to this MOU, except where permitted in order to carry out data
23 aggregation purposes for health care operations [45 CFR Sections 164.504 (e)(2)(i), 164.504
24 (3)(2)(ii)(A), and 164.504 (e)(4)(i)]. This pertains to any and all persons receiving services pursuant to
25 a COUNTY funded program. UPholdings shall not use such identifying information for any purpose
26 other than carrying out UPholdings obligations under this MOU.
27 C. UPholdings, including its subcontractors, agents, and employees, shall not
28 disclose any such identifying information to any person or entity, except as otherwise specifically
-12- DBH&UPHOLDINGS MOU-HCD NPLH
1 permitted by this MOU, authorized by law, or authorized by the client/patient.
2 D. For purposes of the above sections, identifying information shall include, but not
3 be limited to name, identifying number, symbol, or other identifying particular assigned to the
4 individual, such as finger or voice print, or a photograph.
5 E. For purposes of the above sections, genetic information shall include genetic
6 tests of family members of an individual or individual, manifestation of disease or disorder of family
7 members of an individual, or any request for or receipt of, genetic services by individual or family
8 members. Family member means a dependent or any person who is first, second, third, or fourth
9 degree relative. For purposes of the above sections, identifying information shall include,but not be
10 limited to name, identifying number, symbol, or other identifying particular assigned to the individual,
11 such as finger or voice print, or a photograph.
12 F. UPholdings shall provide access, at the request of COUNTY, and in the time and
13 manner designated by COUNTY, to PHI in a designated record set(as defined in 45 CFR Section
14 164.501), to an individual or to COUNTY in order to meet the requirements of 45 CFR
15 Sectionl64.524 regarding access by individuals to their PHI.
16 UPholdings shall make any amendment(s) to PHI in a designated record set at the
17 request of COUNTY, and in the time and manner designated by COUNTY in accordance with 45 CFR
18 Section 164.526.
19 UPholdings shall provide to COUNTY or to an individual, in a time and manner
20 designated by COUNTY, information collected in accordance with 45 CFR Section 164.528, to permit
21 COUNTY to respond to a request by the individual for an accounting of disclosures of PHI in
22 accordance with 45 CFR Section 164.528.
23 G. UPholdings shall report to COUNTY, in writing, any knowledge or reasonable
24 belief that there has been unauthorized access, viewing, use, disclosure, or breach of PHI not permitted
25 by this MOU, and any breach of unsecured PHI of which it becomes aware, immediately and without
26 reasonable delay and in no case later than two(2)business days of discovery. Immediate notification
27 shall be made to COUNTY's Information Security Officer and Privacy Officer and COUNTY's
28 Department of Behavioral Health HIPAA Representative, within two (2)business days of discovery.
-13- DBH&UPHOLDINGS MOU-HCD NPLH
1 The notification shall include, to the extent possible, the identification of each individual whose
2 unsecured PHI has been, or is reasonably believed to have been, accessed, acquired, used, disclosed, or
3 breached. UPholdings shall take prompt corrective action to cure any deficiencies and any action
4 pertaining to such unauthorized disclosure required by applicable Federal and State Laws and
5 regulations. UPholdings shall investigate such breach and is responsible for all notifications required
6 by law and regulation or deemed necessary by COUNTY and shall provide a written report of the
7 investigation and reporting required to COUNTY's Information Security Officer and Privacy Officer
8 and COUNTY's Department of Behavioral Health HIPAA Representative. This written investigation
9 and description of any reporting necessary shall be postmarked within the thirty(30)working days of
10 the discovery of the breach to the addresses below:
11 County of Fresno County of Fresno County of Fresno
12 Dept. of Behavioral Health Dept. of Public Health Information Technology Services
HIPAA Representative Privacy Officer Information Security Officer
13 (559) 600-9180 (559) 600-3200 (559) 600-5800
4441 E. Kings Canyon 1221 Fulton Mall 2048 N. Fine Street
14 Fresno, CA 93702 Fresno, CA 93728 Fresno, CA 93727
15 H. UPholdings shall make its internal practices,books, and records relating to the
16 use and disclosure of PHI received from COUNTY, or created or received by UPholdings on behalf of
17 COUNTY, available to the United States Department of Health and Human Services upon demand.
18 I. Safeauards
19 UPholdings shall implement administrative,physical, and technical safeguards as
20 required by 45 CFR 164.308, 164.310, and 164.312 that reasonably and appropriately protect the
21 confidentiality, integrity, and availability of PHI, including electronic PHI, that it creates, receives,
22 maintains or transmits on behalf of COUNTY; and to prevent access, use or disclosure of PHI other
23 than as provided for by this MOU. UPholdings shall develop and maintain a written information
24 privacy and security program that includes administrative, technical and physical safeguards
25 appropriate to the size and complexity of UPholdings operations and the nature and scope of its
26 activities. Upon COUNTY's request, UPholdings shall provide COUNTY with information
27 concerning such safeguards.
28 UPholdings shall implement strong access controls and other security safeguards
-14- DBH&UPHOLDINGS MOU-HCD NPLH
1 and precautions in order to restrict logical and physical access to confidential, personal(e.g., PHI) or
2 sensitive data to authorized users only. Said safeguards and precautions shall include the following
3 administrative and technical password controls for all systems used to process or store confidential,
4 personal, or sensitive data:
5 1. Passwords must not be:
6 a. Shared or written down where they are accessible or recognizable
7 by anyone else; such as taped to computer screens, stored under keyboards, or visible in a work area;
8 b. A dictionary word; or
9 C. Stored in clear text
10 2. Passwords must be:
11 a. Eight(8) characters or more in length;
12 b. Changed every ninety(90) days;
13 C. Changed immediately if revealed or compromised; and
14 d. Composed of characters from at least three of the following four
15 groups from the standard keyboard:
16 1) Upper case letters (A-Z);
17 2) Lowercase letters (a-z);
18 3) Arabic numerals (0 through 9); and
19 4) Non-alphanumeric characters (punctuation symbols).
20 Moldings shall implement the following security controls on each workstation
21 or portable computing device (e.g., laptop computer) containing confidential,personal, or sensitive
22 data:
23 1. Network-based firewall and/or personal firewall;
24 2. Continuously updated anti-virus software; and
25 3. Patch management process including installation of all operating
26 system/software vendor security patches.
27 Moldings shall utilize a commercial encryption solution that has received FIPS
28 140-2 validation to encrypt all confidential, personal, or sensitive data stored on portable electronic
-15- DBH&UPHOLDINGS MOU-HCD NPLH
1 media(including, but not limited to, compact disks and thumb drives) and on portable computing
2 devices (including, but not limited to, laptop and notebook computers).
3 UPholdings shall not transmit confidential, personal, or sensitive data via e-mail
4 or other internet transport protocol unless the data is encrypted by a solution that has been validated by
5 the National Institute of Standards and Technology(NIST) as conforming to the Advanced Encryption
6 Standard(AES)Algorithm.
7 J. Mitigation of Harmful Effects
8 UPholdings shall mitigate, to the extent practicable,
9 any harmful effect that is known to UPholdings of an unauthorized access, viewing, use, disclosure, or
10 breach of PHI by UPholdings or its subcontractors in violation of the requirements of these provisions.
11 K. UPholdings Subcontractors
12 UPholdings shall ensure that any of its contractors, including subcontractors, if
13 applicable, to whom UPholdings provides PHI received from or created or received by UPholdings on
14 behalf of COUNTY, agree to the same restrictions and conditions that apply to UPholdings with
15 respect to such PHI; and to incorporate, when applicable,the relevant provisions of these provisions
16 into each subcontract or sub-award to such agents or subcontractors.
17 L. Employee Training and Discipline
18 UPholdings shall train and use reasonable measures to ensure compliance with
19 the requirements of these provisions by employees who assist in the performance of functions or
20 activities on behalf of COUNTY under this MOU and use or disclose PHI and discipline such
21 employees who intentionally violate any provisions of these provisions, including termination of
22 employment.
23 M. Termination for Cause
24 Upon the knowledge by any parry of a material breach of these provisions by one
25 of the other parties, the affected party shall either:
26 1. Provide an opportunity for the party that caused the breach to cure the
27 breach or end the violation and terminate this MOU if that party does not cure the breach or end the
28 violation within the time specified by the affected party; or
-16- DBH&UPHOLDINGS MOU-HCD NPLH
1 2. Immediately terminate this MOU if any parry has breached a material
2 term of these provisions and cure is not possible.
3 3. If neither cure nor termination is feasible, the COUNTY Privacy Officer
4 or the UPholdings designee(s) shall report the violation to the Secretary of the U.S. Department of
5 Health and Human Services.
6 N. Judicial or Administrative Proceedings
7 Any party may terminate this MOU in accordance with the terms and conditions
8 of this MOU as written hereinabove, if. (1) Any party is found guilty in a criminal proceeding for a
9 violation of the HIPAA Privacy or Security Laws or the HITECH Act; or(2) a finding or stipulation
10 that COUNTY or UPholdings has violated a privacy or security standard or requirement of the
11 HITECH Act, HIPAA; or other security or privacy laws in an administrative or civil proceeding in
12 which COUNTY and UPholdings is a party.
13 O. Effect of Termination
14 Upon termination or expiration of this MOU for any reason, UPholdings shall
15 return or destroy all PHI received from COUNTY (or created or received by UPholdings on behalf of
16 COUNTY) that UPholdings still maintain in any form, and shall retain no copies of such PHI. If
17 return or destruction of PHI is not feasible, UPholdings shall continue to extend the protections of
18 these provisions to such information, and limit further use of such PHI to those purposes that make the
19 return or destruction of such PHI infeasible. This provision shall apply to PHI that is in the possession
20 of subcontractors or agents, if applicable, of UPholdings. If UPholdings destroy the PHI data, a
21 certification of date and time of destruction shall be provided to the COUNTY by UPholdings.
22 P. Disclaimer
23 COUNTY makes no warranty or representation that compliance by UPholdings
24 with these provisions, the HITECH Act, HIPAA or the HIPAA regulations will be adequate or
25 satisfactory for UPholdings own purposes or that any information in UPholdings possession or control,
26 or transmitted or received by UPholdings, is or will be secure from unauthorized access, viewing,use,
27 disclosure, or breach. UPholdings is solely responsible for all decisions made by UPholdings
28 regarding the safeguarding of PHI.
-1 7- DBH&UPHOLDINGS MOU-HCD NPLH
1 Q. Amendment
2 The parties acknowledge that Federal and State laws relating to electronic data
3 security and privacy are rapidly evolving and that amendment of these provisions may be required to
4 provide for procedures to ensure compliance with such developments. The parties specifically agree
5 to take such action as is necessary to amend this MOU in order to implement the standards and
6 requirements of HIPAA, the HIPAA regulations, the HITECH Act and other applicable laws relating
7 to the security or privacy of PHI. COUNTY may terminate this MOU upon thirty(30) days written
8 notice in the event that UPholdings do not enter into an amendment providing assurances regarding the
9 safeguarding of PHI that COUNTY in its sole discretion deems sufficient to satisfy the standards and
10 requirements of HIPAA, the HIPAA regulations and the HITECH Act.
11 R. No Third-Party Beneficiaries
12 Nothing express or implied in the terms and conditions of these provisions is
13 intended to confer, nor shall anything herein confer, upon any person other than COUNTY or
14 UPholdings and their respective successors or assignees, any rights, remedies, obligations or liabilities
15 whatsoever.
16 S. Interpretation
17 The terms and conditions in these provisions shall be interpreted as broadly as
18 necessary to implement and comply with HIPAA, the HIPAA regulations and applicable State laws.
19 The parties agree that any ambiguity in the terms and conditions of these provisions shall be resolved
20 in favor of a meaning that complies and is consistent with HIPAA and the HIPAA regulations.
21 T. Regulatory References
22 A reference in the terms and conditions of these provisions to a section in the
23 HIPAA regulations means the section as in effect or as amended.
24 U. Survival
25 The respective rights and obligations of UPholdings as stated in this Section shall
26 survive the termination or expiration of this MOU.
27 V. No Waiver of Obli atg ions
28 No change, waiver or discharge of any liability or obligation hereunder on any
-18- DBH&UPHOLDINGS MOU-HCD NPLH
1 one or more occasions shall be deemed a waiver of performance of any continuing or other obligation,
2 or shall prohibit enforcement of any obligation on any other occasion.
3 18. DATA SECURITY
4 For the purpose of preventing the potential loss, misappropriation or inadvertent access,
5 viewing, use or disclosure of COUNTY data including sensitive or personal client information; abuse
6 of COUNTY resources; and/or disruption to COUNTY operations, individuals and/or agencies that
7 enter into a contractual relationship with the COUNTY for the purpose of providing services under
8 this MOU must employ adequate data security measures to protect the confidential information
9 provided to UPholdings by the COUNTY, including but not limited to the following:
10 A. UPholdings -Owned Mobile, Wireless, or Handheld Devices
11 UPholdings may not connect to COUNTY networks via personally-owned
12 mobile, wireless or handheld devices, unless the following conditions are met:
13 1) UPholdings has received authorization by COUNTY for
14 telecommuting purposes;
15 2) Current virus protection software is in place;
16 3) Mobile device has the remote wipe feature enabled; and
17 4) A secure connection is used.
18 B. UPholdings -Owned Computers or Computer Peripherals
19 UPholdings may not bring UPholdings -owned computers or computer
20 peripherals into the COUNTY for use without prior authorization from the COUNTY's Chief
21 Information Officer, and/or designee(s), including but not limited to mobile storage devices. If data is
22 approved to be transferred, data must be stored on a secure server approved by the COUNTY and
23 transferred by means of a Virtual Private Network(VPN) connection, or another type of secure
24 connection. Said data must be encrypted.
25 C. COUNTY-Owned Computer Equipment
26 UPholdings or anyone having an employment relationship with the COUNTY
27 may not use COUNTY computers or computer peripherals on non-COUNTY premises without prior
28 authorization from the COUNTY's Chief Information Officer, and/or designee(s).
-19- DBH&UPHOLDINGS MOU-HCD NPLH
1 D. UPholdings may not store COUNTY's private, confidential or sensitive data on
2 any hard-disk drive, portable storage device, or remote storage installation unless encrypted.
3 E. UPholdings shall be responsible to employ strict controls to ensure the integrity
4 and security of COUNTY's confidential information and to prevent unauthorized access, viewing,use
5 or disclosure of data maintained in computer files,program documentation, data processing systems,
6 data files and data processing equipment which stores or processes COUNTY data internally and
7 externally.
8 F. Confidential client information transmitted to one party by the other by means of
9 electronic transmissions must be encrypted according to Advanced Encryption Standards (AES) of
10 128 BIT or higher. Additionally, a password or pass phrase must be utilized.
11 G. UPholdings is responsible to immediately notify COUNTY of any violations,
12 breaches or potential breaches of security related to COUNTY's confidential information, data
13 maintained in computer files, program documentation, data processing systems, data files and data
14 processing equipment which stores or processes COUNTY data internally or externally.
15 H. COUNTY shall provide oversight to UPholdings response to all incidents arising
16 from a possible breach of security related to COUNTY's confidential client information provided to
17 UPholdings. UPholdings will be responsible to issue any notification to affected individuals as required
18 by law or as deemed necessary by COUNTY in its sole discretion. UPholdings will be responsible for all
19 costs incurred as a result of providing the required notification.
20 19. AUDITS AND INSPECTIONS
21 UPholdings shall at any time during business hours, and as often as the COUNTY may
22 deem necessary, make available to the COUNTY for examination all of its records and data with respect
23 to the matters covered by this MOU. UPholdings shall,upon request by the COUNTY,permit the
24 COUNTY to audit and inspect all such records and data necessary to ensure the UPholdings compliance
25 with the terms of this MOU.
26 The COUNTY shall at any time during business hours, and as often as UPholdings may
27 deem necessary, make available to UPholdings for examination all of its records and data with respect to
28 the matters covered by this MOU. The COUNTY shall,upon request by UPholdings,permit UPholdings
-20- DBH&UPHOLDINGS MOU-HCD NPLH
1 to audit and inspect all such records and data necessary to ensure the COUNTY's compliance with the
2 terms of this MOU.
3 If this MOU exceeds ten thousand dollars ($10,000.00), CONTRACTOR shall be subject
4 to the examination and audit of the Auditor General for a period of three (3) years after final payment
5 under contract(Government Code Section 8546.7).
6 20. DISCLOSURE OF SELF—DEALING TRANSACTIONS
7 Only applicable if UPholdings is operating as a corporation (a for-profit or non-profit
8 corporation) or UPholdings changes its status to operate as a corporation during this MOU.
9 Members of UPholdings shall disclose any self-dealing transactions that they are a party to
10 while UPholdings is providing goods or performing services under this MOU. A self-dealing transaction
11 shall mean a transaction to which UPholdings is a party and in which one or more of its directors has a
12 material financial interest. Members of UPholdings hall disclose any self-dealing transactions that they
13 are a party to by completing and signing a Self-Dealing Transaction Disclosure Form (Exhibit A) and
14 submitting it to the COUNTY prior to commencing with the self-dealing transaction or immediately
15 thereafter.
16 21. NON-EXCLUSIVE MOU
17 No provisions of this MOU shall preclude COUNTY from entering into other MOU's
18 with other parties for supportive housing related programs and services.
19 22. ENTIRE MOU
20 This MOU and all exhibits constitutes the entire understanding between UPholdings and
21 COUNTY with respect to the subject matter hereof and supersedes all previous arrangements,
22 negotiations, proposals, commitments, writings, advertisements,publications, and understandings of
23 any nature whatsoever unless expressly included in this MOU.
24
25
26
27
28
-21- DBH&UPHOLDINGS MOU-HCD NPLH
1 IN WITNESS WHEREOF, the parties hereto have executed this MOU as of the day and
2 year first hereinabove written.
3
4
5 UPHOLDINGS COUNTY OF FRESNO
6 <--
-�;' ___-7)
7 Authorized Signature) Nathan Magsig,
R Chairman of the Board of Supervisors of
the County of Fresno
9
10 Cullen J. Davis,manager
11 Print Name& Title
12
900 W. Jackson Blvd. Suite 2 W
13
14 Chicajgo, IL 60607
15 Mailing Address ATTEST:
Bernice E. Seidel
16 Clerk of the Board of Supervisors
17 County of Fresno, State of California
18
19 By: SLlnnS�'1pp
20 Deputy
21
22
23
24 FOR ACCOUNTING USE ONLY:
25 Fund: 0001/10000
Organization: 56304710
26 Account: 7295
27
28
-22- DBH R UPHOLDINGS MOU-HCD NPLH
Exhibit A
Page 1 of 2
SELF-DEALING TRANSACTION DISCLOSURE FORM
In order to conduct business with the County of Fresno (hereinafter referred to as "County"), members
of a contractor's board of directors (hereinafter referred to as "County Contractor"), must disclose any
self-dealing transactions that they are a party to while providing goods, performing services, or both
for the County. A self-dealing transaction is defined below:
"A self-dealing transaction means a transaction to which the corporation is a party and in which one
or more of its directors has a material financial interest"
The definition above will be utilized for purposes of completing this disclosure form.
INSTRUCTIONS
(1) Enter board member's name,job title (if applicable), and date this disclosure is being made.
(2) Enter the board member's company/agency name and address.
(3) Describe in detail the nature of the self-dealing transaction that is being disclosed to the
County. At a minimum, include a description of the following:
a. The name of the agency/company with which the corporation has the transaction; and
b. The nature of the material financial interest in the Corporation's transaction that the
board member has.
(4) Describe in detail why the self-dealing transaction is appropriate based on applicable
provisions of the Corporations Code.
(S) Form must be signed by the board member that is involved in the self-dealing transaction
described in Sections (3) and (4).
Exhibit A
Page 2 of 2
(1)Company Board Member Information:
Name: Date:
Job Title:
(2)Company/Agency Name and Address:
(3)Disclosure(Please describe the nature of the self-dealing transaction you are a party to)
(4)Explain why this self-dealing transaction is consistent with the requirements of Corporations Code 5233(a)
(5)Authorized Signature
Signature: Date:
Supportive Services Plan(SSP)§203 Rev.9125119
Instructions:All Projects that include Supportive Housing units must complete a Supportive Services Plan for the NPLH units.The checklist below shall serve as a guide to ensure
that the Supportive Services Plan is complete.
Part I. Tenant Selection Narrative
Section 1:Tenant Selection Criteria
Part II. Lead Service Provider(LSP)Detail
Section 1:Lead Service Provider(LSP)
Section 2:Best Practices in Service Delivery
Part III. Supportive Services Detail
Section 1:Supportive Services Chart
Section 2:Supportive Services Coordination
Section 3:Verification from Appropriate Public or Non-Profit Funding Agency
Part IV. Tenant Safety and Engagement
Section 1:Tenant Engagement
Section 2:Safety and Security
Part V. Staffing
Section 1:Staffing Chart
Section 2:Staffing Ratios
Part VI. Supportive Services Budget
Section 1:Supportive Services Budget Table&Cost Per Unit Table
Section 2:Budget Narrative and Funding Commitments
Section 3:Service Funding History Table
Part VII. Collaboration and Reporting
Section 1:Collaboration
Section 2:Reporting Requirements Certification
Part I.Tenant Selection Narrative
This section asks for a detailed description of the tenant selection process.Using the titled sections below,the narrative should be as specific as possible,delineating the roles of
property management and the Lead Service Provider and how these functions will be coordinated.Your description should clearly and conclusively document processes to ensure
NPLH tenant households occupy NPLH Assisted Units following tenant selection and Housing First Practices.
Section 1:Tenant Selection Criteria
1.Target Tenant Population and Eligibility Criteria
a.Do you use Housing First Practices? I Yes
b.Describe the criteria that will be used to ensure that tenants are eligible to occupy the NPLH Assisted Units.
Eligible persons will be matched to NPLH units after completing screening tools(VI-SPDAT,Recovery Needs Level(RNL)and Needs Assessment and safety plan).Completed VI-
SPDAT will be entered into the HMIS and Fresno/Madera Continuum of Care(FMCoC)Coordinated Entry System(CES)to identify a match and rank based on level of need.
Individuals eligible for housing within the No Place Like Home(NPLH)program will be homeless individuals considered to be Chronically Homeless,Virtually Homeless,or At Risk of
becoming Homeless,living with complex and long-term social and mental health conditions.Each person's history of homelessness and lived experience will require an
individualized approach to assessment of strengths,needs and goals.As a long-standing member of the Fresno-Madera Continuum of Care(FMCoC),the Fresno County
Department of Behavioral Health(Department)has gained extensive knowledge and understanding of individuals experiencing various types of homelessness in Fresno County as
well as neighboring Madera County.Many of these individuals live with a severe mental illness or a severe emotional disturbance and/or co-occurring substance use disorder and
are at high risk of severe health complications,including death,if they remain disconnected from housing,health services,and the community.Given the high risk of severe health
complications of the Chronically Homeless,Homeless and the At-Risk of Chronic Homeless,the Department intends to focus upon providing NPLH permanent supportive housing to
these populations.
c.Description of the Target Population to be served,and identification of any additional subpopulation target or occupancy preference for the NPLH Project that the Applicant wishes
to undertake beyond what is permitted under the Target Population requirements.NOTE:Any additional subpopulation targeting or occupying preference for an NPLH
Project must be approved by the Department prior to construction loan closing and must be consistent with federal and state fair housing requirements.
There will be two main target populations at Butterfly Gardens:Adults who meet the definition for Supportive Housing and who meet the definition of Special Needs due to a serious
mental illness. For the former,the project will work with the FMCoC to identify persons served who have matched for permanent supportive housing units by the CES. For the
Special Needs population,the County of Fresno Department of Behavioral Health(DBH)will be the referral source.As a long-standing member of the Fresno-Madera Continuum of
Care(FMCoC),the Fresno County Department of Behavioral Health(Department)has gained extensive knowledge and understanding of individuals experiencing various types of
homelessness in Fresno County as well as neighboring Madera County.Many of these individuals live with a severe mental illness,a severe emotional disturbance and/or co-
occurring substance use disorder and are at high risk of significant health complications if they remain disconnected from housing,health services,and the community.Given the
high risk of severe health complications of the Chronically Homeless,Homeless and the At-Risk of Homelessness,the Department intends to focus upon providing NPLH permanent
supportive housing to these populations.
Also included in the target population of Chronically Homeless,Homeless and At-Risk of Chronic Homelessness are adults who are transitioning from institutions.Such institutions
include places of custody for justice-involved individuals such as jail,prison,and juvenile detention centers. Institutions also include places of institutional behavioral health care
including a state hospital,psychiatric health facility,psychiatric or behavioral health hospital or unit,hospital emergency room,institute for mental disease,mental health rehabilitation
center,skilled nursing facility,developmental center,residential treatment program,residential care facility,community crisis center,board and care facility,or foster care setting.
Individuals targeted for housing within the No Place Like Home(NPLH)program will be individuals considered to be Chronically Homeless,Homeless,or At Risk of becoming
Chronically Homeless,living with complex and long-term social and mental health conditions.Each individual's history of homelessness and lived experience will require an
individualized approach to assessment of strengths,needs and goals.
d.If not stated in question(b)in this section,describe the criteria relating to the applicant's income eligibility,and eligibility as a member of the Target Population as defined under
Section 101 of the NPLH Guidelines.
Target tenants of Butterfly Gardens Permanent Supportive Housing would be individuals experiencing homelessness,virtual homelessness or at risk of homelessness and who
present with serious impairment as a result of a mental illness.Tenants are expected to have extremely limited incomes and,to retain housing,their living arrangements must be
affordable.A goal is that tenants pay no more than 30 percent of their income toward rent and basic utilities(excluding phone,cable,and Internet).Income may be in the form of
SSI,General Relief or other subsidies. Unlike other residential settings where a majority of tenants'income goes directly to the facility to pay for room and board,tenants of Butterfly
Gardens(or a designated payee other than the landlord)have control over their income.
le.Describe any additional eligibility criteria other than those indicated above,i.e.,information needed to determine if Applicant can comply with lease terms.NOTE:Selection
criteria designed to assess anything other than the ability to comply with lease terms generally run afoul of fair housing laws designed to protect equal access to
housing for people with disabilities.See Between the Lines,A Question and Answer Guide on Legal Issues in Supportive Housing Chapter 4.
N/A
f.Identify all disclosures that will be provided to applicants/tenants.Example:Megan's Law disclosures.
This property will comply with all applicable California tenant disclosures.
g.Describe how the local Coordinated Entry System(CES)is selecting tenants?If the local Coordinated Entry System is not yet operational,describe the plan to use it for tenant
selection when it is established.Including the name and contact information for the system.
Fresno-Madera Continuum of Care(FMCoC)operates the local Coordinated Entry System(CES)and will be the referral source for all NPLH units. Individuals experiencing
homelessness are assessed using the Vulnerability Index-Service Prioritization Decision Assistance Tool(VI-SPDAT)by any one of a large network of providers based in rural and
metro areas of Fresno County.The results of the assessment are prioritized in the CES waitlist. Individuals are entered into the Homeless Information Management System(HMIS)
and matched to housing by the CES matchers based on the vulnerability results of the VI-SPDAT.The Department of Behavioral Health is an active member of the FMCoC,
attending monthly member meetings and ensuring member representation on CoC committees including the CES subcommittee.The property management team and or their
designee will be active participants in the FMCoC monthly meetings.
2.Marketing/Outreach
a.Will Applicant commit to use a Coordinated Entry System(CES)to fill all of the NPLH Assisted Units based on use of a standardized assessment tool which prioritizes those with
the highest need for Permanent Supportive Housing and the most barriers to housing retention?(provide description of system below).
Fresno-Madera Continuum of Care(FMCoC)operates the local Coordinated Entry System(CES)and will be the referral source for all NPLH units.Individuals experiencing
homelessness are assessed using the Vulnerability Index-Service Prioritization Decision Assistance Tool(VI-SPDAT)by any one of a large network of providers based in rural and
metro areas of Fresno County.The results of the assessment are prioritized in the CES waitlist. Individuals are entered into the Homeless Information Management System(HMIS)
and matched to housing by the CES matchers based on the vulnerability results of the VI-SPDAT.
b.If a separate alternate system must be used to refer persons At-Risk of Chronic Homelessness,a minimum of 40 percent of the NPLH Assisted Units must be reserved for
persons who qualify as Chronically Homeless and a maximum of 30 percent of the NPLH Assisted Units may be reserved for persons who are At-Risk of Chronic Homelessness.All
referrals must be based on a prioritization of those with the highest need for Permanent Supportive Housing,and the most barriers to housing retention(provide description of
system below).
N/A
3.Housing First Characteristics
a.Please confirm compliance by checking all of the characteristics that apply to the NPLH units in the Project:
Tenants have a lease and all the rights and responsibilities of tenancy,as outlined in California's Civil,Health and Safety,and Government codes Yes
Tenant has his/her own room or apt.and is individually responsible for selecting a roommate in any shared tenancy Yes
Tenant may stay as long as he/she pays his or her share of rent and complies with the terms of his/her lease Yes
Unit is subject to applicable state and federal landlord tenant laws Yes
Participation in services or program compliance is not a condition of permanent housing tenancy Yes
Tenant screening and selection practices that promote accepting applicants regardless of their sobriety or use of substances,completion of treatment,or Yes
participation in services
Applicants are not rejected on the basis of poor credit or financial history,poor or lack of rental history,criminal convictions unrelated to tenancy,or behaviors that
indicate a lack of"housing readiness' Yes
Supportive services that emphasize engagement and problem solving over therapeutic goals and service plans that are highly tenant-driven without Yes
predetermined goals?
The use of alcohol or drugs in and of itself,without other lease violations,is not a reason for eviction? Yes
In communities with coordinated assessment and entry systems,incentives for funding promote tenant selection plans for supportive housing that prioritize
eligible tenants based on criteria other than"first-come-first-serve,"including,but not limited to,the duration or chronicity of homelessness,vulnerability to early Yes
mortality,or high utilization of crisis services.Prioritization may include triage tools,developed through local data,to identify high-cost,high-need homeless
residents
Case managers and service coordinators who are trained in and actively employ evidence-based practices for client engagement,including,but not limited to, Yes
motivational interviewing and client-centered counseling
Services are informed by a harm-reduction philosophy that recognizes drug and alcohol use and addiction as a part of tenants'lives,where tenants are engaged
in nonjudgmental communication regarding drug and alcohol use,and where tenants are offered education regarding how to avoid risky behaviors and engage in Yes
safer practices,as well as connected to evidence-based treatment if the tenant so chooses
The project and specific apartment may include special physical features that accommodate disabilities,reduce harm,and promote health and community and Yes
independence among tenants
Part II.Lead Service Provider(LSP)Detail
Section 1:LSP
The County or other LSP is the entity that has overall responsibility for the provision of supportive services&implementation of the Supportive Services Plan.The County or other
LSP provides comprehensive case management services(individualized services planning&the provision of connections to mental health,substance use,employment,health,
housing retention)and may also coordinate with other agencies that do so.
1.County/LSP Name:County of Fresno Department of Behavioral Health
Relationship to Community Partner through a Letter of Commitment
Applicant:
How long has the County/LSP been providing services to homeless: 1 40 lYears I Months
How many Projects have the Applicant and LSP completed together? Provide list of completed Projects when submitting) 3
2.List any additional agencies that will be providing comprehensive case management services to residents.Describe population(s)they will serve and how their services will be
coordinated by the LSP.
Agency Name Populations the Agency will serve How Services will be Coordinated
Turning Point provides contracted mental health services at outpatient and FSP
Adults with serious presentation of mental illness and level for Fresno County,including services provided in rural and metro areas.
Turning Point of Central California Turning Point services may be provided,if indicated,as part of an
those with co-occuring substance use disorders interdisciplinary supportive services plan incorporating onsite and offsite
services
Kings View currently operates the County Crisis Intervention Team with local
Kings View Behavioral Health Systems Adults with serious presentation of mental illness and Law Enforcement.Services are provided in both rural and metro areas of
substance use disorders Fresno Co and include Crisis Services followed by post crisis engagement
services and linkage
Section 2:Service Delivery
1.Fully describe in the yellow cells below for each question how the best practices may be utilized in the service delivery model.Include a description of policies and periodic training
plans.For the clinical interventions in this section,include a description of how the intervention is used and describe training.NOTE:Do not include definitions of these practices.
Benefits counseling and advocacy,including assistance in accessing SSI/SSP,enrolling in Medi-Cal,outreach,access,and recovery:Staff trained prior to lease Yes
UP?
Fresno County DBH will issue an RFP for a Supportive Services Provider resulting in engagement of a contracted,qualified service provider that will be trained prior to lease up.
Fresno County DBH will assign a designated team of analysts,utilization review specialist(URS)and a division manager to monitor and assess awardee's adherence to best
practices set forth in the contract,ensuring alignment with the Departments Mission,Vision and Values.As documented in the contract between the Service Provider and Fresno
County DBH,the awarded Service Provider will ensure quality standards and train/evaluate employees to meet the need of identified tenants.Service Provider will provide
counseling,advocacy,utilize the SSI/SSDI outreach,access and recovery services(SOAR)process prior to lease up and throughout the term of their contract with Fresno County
DBH.California uses the SOAR Online Course(https://soarworks.prainc.com/course/ssissdi-outreach-access-and-recovery-soar-online-training)to train case managers in the
SOAR process.The service provider may choose to follow up using online courses with an in-person review available free of charge.
Critical Time Intervention:Staff trained prior to lease up? Yes
Fresno County DBH will issue an RFP for a Supportive Services Provider resulting in engagement of a contracted,qualified service provider that will be trained prior to lease up.
Fresno County DBH will assign a designated team of analysts,utilization review specialist(URS)and a division manager to monitor and assess awardee's adherence to best
practices set forth in the contract,ensuring alignment with the Departments Mission,Vision and Values.
Establishing a trusting relationship prior to embarking on any change model is crucial to longitudinal success for individuals with vulnerabilities.Critical Time Intervention is
considered a core competency for supportive services.While the Department has not operationalized as of yet any formalized CTI training,the expectation is that the chosen
Service Provider will ensure all staff are trained and assessed for competency in this model and will be a condition of the contract.CTI training is available both in-person and as a
web-based course through the Center or Advancement of CTI https://www.criticaltime.org/training-consultation/. During the ramp up phase of the supportive services contract,the
service provider will be expected to arrange for staff to receive initial training and ongoing refresher training in the Critical Time Intervention model and the Service Provider will
implement a plan for ongoing training as additional staff are added to the program over time.
Trauma-Informed Care:Staff trained prior to lease up? Yes
Fresno County DBH will issue an RFP for a Supportive Services Provider resulting in engagement of a contracted,qualified service provider that will be trained prior to lease up.
Fresno County DBH will assign a designated team of analysts,utilization review specialist(URS)and a division manager to monitor and assess awardee's adherence to best
practices set forth in the contract,ensuring alignment with the Departments Mission,Vision and Values.
The Department recognizes the impact of trauma on all aspects of an individual's life,including the ability to access and maintain housing.The Department has also designed,
adopted and implemented a system of"Guiding Principles of Care Delivery"that provides the framework for the Department's decision-making on all aspects of care delivery
including program design and implementation,service delivery,training of the workforce,allocation of resources,and measurement of outcomes.Guiding Principle Seven,Trauma-
informed and Trauma-responsive,states:"The widespread impacts of all types of trauma are recognized and the various potential paths for recovery from trauma are understood.
Signs and symptoms of trauma in individuals,families,staff,and others are recognized and persons receive trauma-informed responses.Physical,psychological and emotional
safety for individuals,families,and providers is emphasized."
In support of and response to our guiding principles the Department has committed significant resources into the training of clinical staff in the recognition and treatment of trauma.
Many of our clinicians have trained certification in Eye Movement Desensitization and Reprocessing(EMDR).The Department supports key clinician attendance at the annual EMDR
International Association conference(EMDRIA)and has ensured continued competence by supporting clinical staff who express interest in becoming trainers for community wide
clinical partners.It is the intention of the department to continue this commitment to training staff(including staff of the selected Service Provider)in new permanent supportive
housing programs as they are developed.
Prior to lease up the contract awardee will ensure the permanent supportive housing plan includes either training their staff in EMDR or developing linkages to individual,county or
group providers certified in EMDR for the treatment of trauma.
Motivational Interviewing:Staff trained prior to lease up? Yes
Fresno County DBH will issue an RFP for a Supportive Services Provider resulting in engagement of a contracted,qualified service provider that will be trained prior to lease up.
Fresno County DBH will assign a designated team of analysts,utilization review specialist(URS)and a division manager to monitor and assess awardee's adherence to best
practices set forth in the contract,ensuring alignment with the Departments Mission,Vision and Values Principle Nine of the Department's Guiding Principles of Care Delivery is
titled,"Stages of Change,Motivation,and Harm Reduction."
The Department believes that the most effective interventions are motivation-based and adapted to the individual's current stage of change.Progression though stages of change
are supported through positive working relationships and alliances that are supportive and motivating. Providers support individuals and families to develop strategies aimed at
reducing negative outcomes through a harm reduction approach.Each individual defines their own recovery and recovers at their own pace when provided with sufficient time and
support.This principle provides the foundation for training of staff in harm reduction and in the development of skills to support tenants.
In keeping with this guiding principle,Butterfly Gardens will adopt a low barrier Housing First,Harm reduction model to include the principles of Motivational Interviewing(MI).Current
Department staff are offered refresher instruction on MI annually.New hires to the Department undergo MI training within the first year of employment.Contracted Service Provider
staff are included in all trainings so the Department can be certain that all individuals seeking services are met with the same level of competency in MI. The awardee will ensure
supportive services plans are individualized to a tenant's needs and preferences.Staff will be trained in MI,an evidence-based,directive,and person-centered approaches to helping
individuals explore and resolve ambivalence and consider change.
Voluntary Moving-on strategies:Staff trained prior to lease up? Yes
Fresno County DBH will issue an RFP for a Supportive Services Provider resulting in engagement of a contracted,qualified service provider that will be trained prior to lease up.
Fresno County DBH will assign a designated team of analysts,utilization review specialist(URS)and a division manager to monitor and assess awardee's adherence to best
practices set forth in the contract,ensuring alignment with the Departments Mission,Vision and Values.
With housing resources in high demand,it is essential to support individuals in their progress towards independence and self-determination.If an individual,who no longer requires
on site services or supports,expresses motivation to voluntarily move on to a private residence with rental support and aftercare,as documented in the contract between the Service
Provider and Fresno County DBH,the awarded Service Provider must be ready to engage and assist that individual to succeed.The Moving on Initiative requires supportive
services teams to be skilled in navigating rental supports,appropriate linkages to community services,and have access to case management training on assessment and transition.
The specific moving on conversations,services,and supports are tailored to the individual tenant's needs,desires,and preferences for current and future housing and are voluntary.
The service provider will be expected to arrange for all supportive services staff to receive the associated training.
The Department has entered into an agreement with the Corporation for Supportive Housing(CSH)to,in collaboration with the Department,develop a Fresno County Supportive
Housing Institute.An essential function of the Housing Institute will be to provide both Department and Community providers training in essential aspects of housing supportive
services.Training in moving-on strategies will be part of the SHI curriculum and made available to the awardee as part of their contract.In addition CSH provides a toolkit for those
agencies wishing to develop their own moving on strategies while adhering to proven practices.
Safety and security of staff and residents:Staff trained prior to lease up? Yes
Site-specific standardized safety and security policies and procedures will be developed and all staff trained in them prior to lease up.In addition,all DBH staff and,as documented
in the contract between the Service Provider and Fresno County DBH,the awarded Service Provider will be required to receive training in non-violent crisis intervention which
emphasizes the importance of person-centered de-escalation techniques,situational awareness,and crisis intervention strategies.
Peer Support include length of time Peer Support program used,if applicable):Staff trained prior to lease up? Yes
PFresno County DBH will issue an RFP for a Supportive Services Provider resulting in engagement of a contracted,qualified service provider that will be trained prior to lease up.
Fresno County DBH will assign a designated team of analysts,utilization review specialist(URS)and a division manager to monitor and assess awardee's adherence to best
practices set forth in the contract,ensuring alignment with the Departments Mission,Vision and Values.
Peer support is an important component of the Service Plan.As documented in the contract between the Service Provider and Fresno County DBH,the awarded Service Provider
will be required to have paid peer professionals included in the program's multi-disciplinary services team.Current nonintrusive engagement strategies in the Department's existing
permanent supportive housing programs include a variety of peer-facilitated activities that allow tenants the freedom and flexibility to engage in conversations with supportive
services staff as well as other tenants.
In 2019 the Department engaged the services of Resilience Inc.,a professional peer development and training organization.With their assistance the Department was able to
develop a comprehensive peer training curriculum.The department's contracted providers and community partner agencies were invited to send their peer support specialists to a
Department sponsored 80 hour training opportunity.In addition,supervisory staff were invited to a leveling training in which they were instructed in leadership strategies and given
tools to work with peer professionals. This training will be established as an expectation for all DBH peer personnel(county and contractors).The service provider's leadership will
be expected to demonstrate training in meaningful peer inclusion at program implementation.
Case conferencing:Staff trained prior to lease up? Yes
Fresno County DBH will issue an RFP for a Supportive Services Provider resulting in engagement of a contracted,qualified service provider that will be trained prior to lease up.
Fresno County DBH will assign a designated team of analysts,utilization review specialist(URS)and a division manager to monitor and assess awardee's adherence to best
practices set forth in the contract,ensuring alignment with the Departments Mission,Vision and Values.
As documented in the contract between the Service Provider and Fresno County DBH,the awarded Service Provider will be required to be actively engaged with the property
manager,treatment providers,and other social service providers and routinely engaged in case conferencing to ensure that individuals have the most integrated and effective
wraparound services.All such consultations and case conferencing will be tenant-driven,tenant included,and voluntary with appropriately executed authorizations to release
information in place.As new tenants are welcomed into their new home,the service provider will explain the benefits or coordinated services and case conferencings as part of the
tenant engagement process.
Communicating the Applicant's and LSP's program philosophy,values,and principles:Staff trained prior to lease up? Yes
Fresno County DBH will issue an RFP for a Supportive Services Provider resulting in engagement of a contracted,qualified service provider that will be trained prior to lease up.
Fresno County DBH will assign a designated team of analysts,utilization review specialist(URS)and a division manager to monitor and assess awardee's adherence to best
practices set forth in the contract,ensuring alignment with the Departments Mission,Vision and Values.
As documented in the contract between the Service Provider and Fresno County DBH,the awarded Service Provider and Property Management staff will trained and oriented on the
DBH Guiding Principles of Care Delivery which outlines the philosophy and principles driving the care,services,and support delivered by DBH.
Rent by residents during periods of hospitalization:Staff trained prior to lease up? Yes
Fresno County DBH will issue an RFP for a Supportive Services Provider resulting in engagement of a contracted,qualified service provider that will be trained prior to lease up.
Fresno County DBH will assign a designated team of analysts,utilization review specialist(URS)and a division manager to monitor and assess awardee's adherence to best
practices set forth in the contract,ensuring alignment with the Departments Mission,Vision and Values.
DBH understands that individuals housed in this project have a variety of health and behavioral health needs which could require intermittent periods of hospitalization or brief out of
home treatment services.To ensure the stability of housing for the individual,policies and procedures will be developed and,as documented in the contract between the Service
Provider and Fresno County DBH,the awarded Service Provider and Property Management staff will be trained in them to ensure that hospitalizations do not result in a disruption in
the tenant's ability to maintain their lease.Such policies and procedures will include provisions for the payment of rent during hospital stays and brief out of home treatment episodes.
Resident Privacy and Confidentiality:Staff trained prior to lease up? Yes
Fresno County DBH will issue an RFP for a Supportive Services Provider resulting in engagement of a contracted,qualified service provider that will be trained prior to lease up.
Fresno County DBH will assign a designated team of analysts,utilization review specialist(URS)and a division manager to monitor and assess awardee's adherence to best
practices set forth in the contract,ensuring alignment with the Departments Mission,Vision and Values.
Resident privacy and confidentiality is a foundational element of all service delivery. As documented in the contract between the Service Provider and Fresno County DBH,the
awarded Service Provider and Property Management staff will be trained and monitored on maintaining strict confidentiality,with notable legal exceptions related to the long-term
wellbeing of a tenant and mandated reporting requirements. All DBH service providers(county employed and contracted)have an annual requirement to participate in privacy
training.In addition,staff will ensure that tenants are educated on the risks and the benefits of information being shared amongst treating and partnering agencies,tenants
understand their rights associated with protected health information,and when information is lawfully shared,the tenants are meaningfully included in the sharing of information
regarding their care and tenancy.
How the supportive services staff and property management staff will work together to prevent evictions,to adopt and ensure compliance with harm reduction
principles,and to facilitate the implementation of reasonable accommodation policies from rent-up to ongoing operations of the Project:Staff trained prior to lease Yes
up?
Fresno County DBH will issue an RFP for a Supportive Services Provider resulting in engagement of a contracted,qualified service provider that will be trained prior to lease up.
Fresno County DBH will assign a designated team of analysts,utilization review specialist(URS)and a division manager to monitor and assess awardee's adherence to best
practices set forth in the contract,ensuring alignment with the Departments Mission,Vision and Values.
A collaborative relationship between service providers and property management is essential to ensuring individuals are able to maintain housing.A mutual understanding of Housing
First,Harm Reduction and Wellness and Recovery principles ensures service providers and management are providing consistent support and messaging to the individual tenant
households on topics such as reasonable accommodations at move-in and beyond.As documented in the contract between the Service Provider and Fresno County DBH,the
awarded Service Provider and Property Management staff will be trained and meet weekly to discuss tenant issues to work collaboratively to prevent unnecessary interruptions in
housing.All interactions between service and management staff will follow confidentiality and consumer rights in regards to release of information.
General service provider and property manager communication protocols:Staff trained prior to lease up? Yes
Fresno County DBH will issue an RFP for a Supportive Services Provider resulting in engagement of a contracted,qualified service provider that will be trained prior to lease up.
Fresno County DBH will assign a designated team of analysts,utilization review specialist(URS)and a division manager to monitor and assess awardee's adherence to best
practices set forth in the contract,ensuring alignment with the Departments Mission,Vision and Values.
As documented in the contract between the Service Provider and Fresno County DBH,the awarded Service Provider and Property Management staff will utilize a Blended
Management philosophy whereby property management and service staff will meet weekly to address all tenant issues in a timely manner. These meetings will ensure consistent
and appropriate communication between all project staff.To address any urgent tenant issues at the PSH Development,staff will connect either in person or by phone to discuss the
issue and,if needed,create a new or modified individualized supportive services plan with a tenant.Property management staff and supportive services staff will work as a unified
team and will meet weekly to support PSH tenants to reach their goals.When behaviors or other challenges place a tenant at risk for eviction,property management staff will
immediately communicate with the supportive services staff.Both property management and supportive services staff will jointly develop policies,procedures,and protocols for the
PSH development.This documentation will be mutually agreed upon and revised as needed.Further,communication and understanding roles of property management and
supportive services will be improved through cross-training of property management staff and supportive services staff.With a clear understanding of roles and responsibilities
between supportive services and property management,the end goal of such communication will be to support and ensure PSH tenants remain housed.
Making Applicants aware of the reasonable accommodations procedure:Staff trained prior to lease up? Yes
Fresno County DBH will issue an RFP for a Supportive Services Provider resulting in engagement of a contracted,qualified service provider that will be trained prior to lease up.
Fresno County DBH will assign a designated team of analysts,utilization review specialist(URS)and a division manager to monitor and assess awardee's adherence to best
practices set forth in the contract,ensuring alignment with the Departments Mission,Vision and Values.
Another measure of the efforts of property management staff and supportive services staff is to assist qualified individuals in securing and maintaining PSH housing is the
recognition and acknowledgment that individual tenants living a severe mental illness may have other conditions. For such reason,the PSH applicants must be provided with
reasonable accommodation in rules,policies,practices and services to ensure equal opportunity to use an enjoyment of the property,supportive services,and other associated
activities.As documented in the contract between the Service Provider and Fresno County DBH,the awarded Service Provider and Property Management staff will be trained and
to ensure the PSH development offers the most opportunities to house eligible applicants,a new,site-specific Memorandum of Understanding(MOU)will be formally executed
between the property manager and DBH. The MOU will include language which requires the unique circumstances and conditions of each PSH tenant to be considered and that
reasonable accommodations be made. Such reasonable accommodation ensures PSH applicants are provided with every opportunity to succeed in securing housing and retaining
tenancy.
Receiving and resolving tenantgrievances:Staff trained prior to lease up? Yes
Fresno County DBH will issue an RFP for a Supportive Services Provider resulting in engagement of a contracted,qualified service provider that will be trained prior to lease up.
Fresno County DBH will assign a designated team of analysts,utilization review specialist(URS)and a division manager to monitor and assess awardee's adherence to best
practices set forth in the contract,ensuring alignment with the Departments Mission,Vision and Values.
Service providers follow a standardized procedure for addressing general service-related grievances.All grievances are taken seriously and staff are trained to address them.Due
to the blended nature of supportive services and property management services provided on-site within the housing project,as documented in the contract between the Service
Provider and Fresno County DBH,the awarded Service Provider and Property Management staff will be trained to ensure site-specific policies are developed with both the property
manager and service provider to ensure that all grievances are addressed in a respectful and timely manner,irrespective of whether the grievance is related to the property,the
supportive services,or both.
Appropriate responses to tenant crisis:Staff trained prior to lease up? Yes
Fresno County DBH will issue an RFP for a Supportive Services Provider resulting in engagement of a contracted,qualified service provider that will be trained prior to lease up.
Fresno County DBH will assign a designated team of analysts,utilization review specialist(URS)and a division manager to monitor and assess awardee's adherence to best
practices set forth in the contract,ensuring alignment with the Departments Mission,Vision and Values.
Awarded supportive services staff will be trained to address tenant crises in a respectful and timely manner. All Service Provider and Property Management staff will be trained in
non-violent crisis intervention which emphasizes person-centered de-escalation techniques,situational awareness,and crisis intervention strategies.Site-specific policies and
procedures will be developed to address the response to tenant crisis in the least restrictive manner possible.Responses will afford tenant's with appropriate choices and options
during the crisis while ensuring attention to immediate safety.
In the event a situation requires justice involvement,DBH has developed a robust partnership with local law enforcement agencies.The Department has supported local law
enforcement agencies to receive crisis intervention training.In both the metropolitan and rural areas of the county,the Department has partnered mental health clinicians with law
enforcement agencies for a co-response to behavioral health related calls.In current DBH permanent supportive housing projects,this partnership has proven effective in ensuring
any crisis that escalates to involve law enforcement is supported with the deployment of a trained crisis clinician accompanying the officer.The goal is to provide support and
intervention in the most proactive way possible to avoid crises,mitigate risks of additional crisis escalation when a crisis does emerge,and to support staff to ensure that the right
level of care and intervention is provided based on evaluation of the tenant's needs and situation.
Retention of tenants regardless of use of substances:Staff trained prior to lease up? Yes
Fresno County DBH will issue an RFP for a Supportive Services Provider resulting in engagement of a contracted,qualified service provider that will be trained prior to lease up.
Fresno County DBH will assign a designated team of analysts,utilization review specialist(URS)and a division manager to monitor and assess awardee's adherence to best
practices set forth in the contract,ensuring alignment with the Departments Mission,Vision and Values.
Any measure of success of a supportive housing program is directly related to a tenant's housing stability and retention. One measure of effectiveness and success is indicated and
demonstrated in the length of time tenants remain housed.The outcome of a tenant's long term housing stability is positively influenced by an effective and healthy relationship
between the property manager and the supportive service provider in jointly creating a living space and service model that tenants experience as safe,engaging and meaningful.
Principle Nine of the Department's Guiding Principles of Care Delivery is titled,"Stages of Change,Motivation,and Harm Reduction". Providers support individuals and families to
develop strategies aimed at reducing negative outcomes through a harm reduction approach.Each individual defines their own recovery and recovers at their own pace when
provided with sufficient time and support.This principle provides the foundation for training of staff in harm reduction and in the development of skills to support tenants.
In keeping with this guiding principle,the NPLH developments will adopt a low barrier Housing First,Harm reduction model to include the principles of MI and Harm Reduction. As
documented in the contract between the Service Provider and Fresno County DBH,the awarded Service Provider and Property Management staff are included in all trainings so the
Department can be certain that all individuals seeking services are met with the same level of competency.These same trainings will be available to Property staff at the NPLH PSH
properties.
In 2011,the Department and the MHP development sponsor for Fresno County(Fresno Housing Authority)entered into a relationship as supportive services provider and property
manager for three permanent supportive housing developments in Fresno County. Through various experiences at those housing sites,the relationship has grown and matured over
time and several key takeaways have been identified.Understanding and learning from this collaborative experience has readied the Department and Fresno Housing Authority to
create new developments,using a range of funding sources,to provide permanent supportive housing environments in which the tenants are respected,treated fairly,supported and
encouraged. Some of our key takeaways and commitments to our ongoing partnership include:
0 Communication(both written and verbal)between property management and supportive services must remain open,frequent and constant.
0 Property management and supportive services must meet weekly,at minimum,to share information,successes,concerns,and challenges.Routine meetings help to ensure
that a tenant at risk of eviction has a comprehensive plan for support and that both the property manager and supportive services team are working with the tenant to ensure lease
compliance.
0 Ensure clarity of roles and responsibilities of property manager and supportive services,ensuring expectations are known to all staff.
0 Recognize challenges and healthy tensions exist between property management and supportive services as overlap of roles can occur.Due to these dynamins,it is important
to work to collaborate in order to address and work through challenges together.
Cultural and linguistical competency for persons of different races,ethnicities,sexual orientations,gender identities,and gender expressions:Staff trained prior to Yes
lease up?
Fresno County DBH will issue an RFP for a Supportive Services Provider resulting in engagement of a contracted,qualified service provider that will be trained prior to lease up.
Fresno County DBH will assign a designated team of analysts,utilization review specialist(URS)and a division manager to monitor and assess awardee's adherence to best
practices set forth in the contract,ensuring alignment with the Departments Mission,Vision and Values.
DBH recently published the document titled,"Fresno County Department of Behavioral Health Culturally Responsive Plan with Humility."This document meets the requirements to
fulfill the Department's mandate to have a Cultural Competency Plan,but above that,and more importantly,this plan provides a framework and strategy to ensure that all services
are delivered in a culturally and linguistically appropriate manner for persons of all races,ethnicities,sexual orientations,gender identifies and gender expressions.One of the
cornerstones of the plan requires all staff and providers be afforded with professional development opportunities which enhance their cultural humility and effectiveness in working
with our diverse community. For example,all staff attend annual multi-cultural competency training.As documented in the contract between the Service Provider and Fresno County
DBH,the awarded Service Provider will be expected to adhere to the Cultural Competency Plan and training opportunities. The Department also recognizes the importance of
ensuring that services are provided in the preferred language of the person receiving services;this includes our supportive services in permanent supportive housing. The
Department's hiring practices reflect Fresno County's diverse population.In addition,written materials are available in the three threshold languages in Fresno County(Spanish,
Hmong,and English)and made available as needed in other languages.Supportive services staff will utilize certified interpreters for tenants who do not speak English or who prefer
services in another language to ensure that all tenants have equal access to services.
Part III.Supportive Services Detail
Section 1:Supportive Services Chart
Required Services:List and describe all services under Section 203(c)of the NPLH Guidelines required to be offered to tenants of the NPLH Assisted Units.The chart
must include each of the services listed.Attach the agreement for each of the services listed.
Resident Service Service Description Service Provider(s) Relationship to Agreement Off-site Service
Applicant Location
If service is on-site,
If service will be leave blank.Enter
Applicant, provided by a non distance,in miles,to
separate division Applicant entity, off-site service and list
List each service Describe service,including the frequency and degree to resident commuting
separately which services are provided. Provider's Name of Applicant's indicate type of options.Reasonable
organization,or a agreement under access is access that
Project Partner which service will does not require
be provided. walking more that one-
half mile.
Dedicated case management staff will be assigned to work Fresno County DBH Contracted Project Partner Contract
full time at the site.These case managers will support Provider will be determined
tenants with all aspects of individual service planning, following procurement process
linkages to resources,and implementation of co-authored
service plans.Case managers will be available on-site 40
hours per week.Tenants seeking support may access case
management services based on individual need with the
expectation that service delivery will vary as individuals learn
to navigate independence and build competence in
maintaining housing. In addition, for any tenants who
choose to participate in behavioral health treatment services,
Case management and who choose to integrate those services,the supportive
with individual service services case manager will act as a bridge between the
plans treatment services and the supportive housing services to
create an integrated recovery plan and support team.
Individuals with co-occurring substance use and/or physical
health issues will have case management staff available to
develop integrated service plans with physical health and
SUD providers. Tenants may enter into permanent
supportive housing already linked to community based
services.Tenants may have established treatment
relationships with Depatment clinical staff,with Full Service
Partnership teams,community based care providers and/or
Substance Use treatment providers
The Supportive services staff will include professional peer Fresno County DBH Contracted Project Partner Contract
support staff employed on a full time basis. These provider will be determined
individuals will have life experiences similar to life following procurement process
experiences of the tenants(Substance Use,mental illness,
homelessness,physical health challenges).Peer support
staff will provide tenants with assistance and support in
navigating housing skills,gaining experience in self advocacy
Peer support activities and in instilling hope.Peer support staff will provide tenancy
supports,living skills,tenant orientation,support groups,
recreational and socialization skills and transportation.
Service delivery is dependent on tenant need and service
plan,is individualized and adaptable based on the needs of
the person served.
The supportive services staff will include Case management Fresno County DBH Contracted Project Partner Contract
and peer support professionals on a full time basis.Onsite Provider will be determined
staff will be trained in Motivitational interviewing,trauma following procurement process
informed care,critical time intervention,de-escalation,
housing first and harm reduction principles,preson first
language and principles,cultural humility and diversity
principles and in accessing services not readily available at
the property.For supports not available on site,staff will
ensure all tenants have access to and are supported in
utilzing the Department's robust array of integrated services
provided by both contracted and county employed
professionals. Participation in mental health services is
Mental health care voluntary and not a requirment for tenancy.Supportive
services staff will educate tenants about all treatment option
appropriate to their level of need including full service
partnerships,culture-based services,and crisis services.
Supportive services staff will support tenants with linkages to
mental health services where indicated and,when consent of
the tenant is present,will participate as an extension of the
treatment team to provided an integrated care experience.
All treatment programs have the ability to deliver services in
the home or in other locations as preferred by the person
served.
All tenants will have access to and be supported in utilzing Fresno County DBH Contracted Project Partner Contract SLID Access line
the Department's newly expanded Organized Delivery Provider will be determined services 800-654-
System(ODS)for Substance Use Disorder(SUD)services. following procurement process 3937............Pathways
The Department is currently contracted with oveer 30 to Recovery 515 S
community based organizations providing SLID services Cedar Ave Fresno Ca.
throughout the county.The Department also offers a county (5.4 miles away from
operated co-occurring mental health and SLID integrated site).Transportation
program(Pathways to Recovery).Supportive Service Staff services to and from
are available 40 hours per week for onsite supportive physical health care
services.A new benefit with the ODS is that SLID services supports(PCP,
can occur in the home or in other locations as preferred by Hospital,
the person served.Participation in SLID services is voluntary medical/dental/vision
and not a requirment for tenancy.Supportive services staff appointments,
will provide education about all treatment options and will pharmacy visits etc)
Substance use provide onsite services or support tenants with linkages to may be provided by
services SLID services.When consent of the tenant is present, case management
supportive services staff will participate as an extension of staff or through an
the treatment team to provided an integrated care agreement with
experience. Supportive service staff will be trained in ASAM Logisticare.
screening and linkage to appropriate level of care.Substance Logisticare is a
Abuse Specialists employed by the Department and MediCal member
contracted agencies are available via phone for consultation. benefit that provides
As part of the Departments universal Access to services,we transportation services
have engaged in an MOU with BEACON.Individuals seeking tailored to a members
information on SLID services for themselves or for a third needs.Individuals with
party call the 24/7 access line where they will be connected physical disabilities
with a ASAM certified professional.This professional will may request
engage the individual in a telephonic evaluation and accomodated
screening to determine eligibility for services.Once the transport,individuals
All tenants will be supported in accessing physical health Fresno County DBH Contracted Project Partner Contract Clinica Sierra Vista-6
care through linkages offered by supportive services staff. Provider locations in Fresno,
The Department has MOU's in place with both Managed closest is 2.8 miles
Medi-Cal Health Plans in Fresno County(Anthem Blue Cross away from site-
and CalViva HealthNet). These MOUs outline care transportation may be
coordination and serve as a platform to ensure that the provided by
physical health needs of individuals in behavioral health Logisticare
programs are met.The department and the MHP's have
developed a shared bidriectional referral form and intesive
case management request form to assist staff in linking
individuals to physical health care and resources. In addition,
the Department has a contract with a Federally Qualified
Health Center,Clinica Sierra Vista,to deliver integrated
primary care and behavioral health services in one clinic
Support in Linking to setting. Supportive services staff will support tenants in
Physical Health Care accessing physical health care, including providing
transportation, advocacy, linkages,and social-emotional
support. Transportation services to and from physical health
care supports(PCP,Hospital,medical/dental/vision
appointments,pharmacy visits etc)may be provided by case
management staff or through an agreement with Logisticare.
Logisticare is a MediCal member benefit that provides
transportation services tailored to a members needs.
Individuals with physical disabilities may request
accomodated transport,individuals with children may request
family transportation,persons without physical disabilities
may request standard transport.The Department,in
collaboration with the MHP have provided extensive and
ongoing training to service providers to ensure access to all
Case management staff working in the permanent supportive Fresno County DBH Contracted Project Partner Contract NAMI 559-224-2469
housing program will be trained in how to support tenants in Provider 7545 N Del Mar Ave
accessing/securing any eligible benefits including Medi-Cal Ste 105,Fresno(7.8
enrollment and Social Security benefits and will be SOAR miles away from site),
trained.Individuals seeking additional supports may access Central CA Legal
services through the Social Security Adminstration, Services 800-675-
Department of Social Services,National Alliance for Mental 8001 2115 Kern St.
Illness,patients rights advocacy,Central California Legal Fresno(7.8 miles
Services away from site).
Social Security
Administration 866-
366-4918 5140 East
Olive Ave,Fresno(3.9
Benefits counseling miles away from site).
and advocacy Department of Social
Services 559-600-
1377 3151 N
Millbrook,Fresno(3.1
miles away from site).
Transportation
services to and from
physical health care
supports(PCP,
Hospital,
medical/dental/vision
appointments,
pharmacy visits etc)
may be provided by
case management
Case management staff working in the permanent supportive Fresno county DBH Contracted Project Partner Contract
housing program will work with tenants to determine their Provider
level of understanding in regards to skills required to maintain
housing.If needs are identified,the case manager will
develop a plan with the tenant to assist in building skills.
Basic housing Skills delivered may include life skills/daily life skills
retention skills education,harm reduction services,recreation and
socialization,legal assistance,tenant rights education,
transportation navigation,new tenant orientation,move in
assistance and moving on interventions,
Encouraged Services:List and describe all services under Section 203(d)of the NPLH Guidelines encouraged to be offered to tenants of the NPLH Assisted Units.If
multiple services will be provided in the service categories provided below,attach any additional description.Empty spaces are available at the bottom of the table for
the applicant to describe services not listed.
Resident Service Service Description Service Provider(s) Relationship to Agreement Off-site Service
Applicant Location
If service is on-site,
leave blank.Enter
If service will be
Applicant, provided by a non distance,in miles, i
separate division Applicant entity, off-site service and list
,
List each service Describe service,including the frequency and degree to resident commuting
separately which services are provided. Provider's Name of Applicant's indicate type of options.Reasonable
organization,or a agreement under
Project Partner which service will access is access that
be provided. does not require
walking more that one-
half mile.
Services for persons Pathways to Recovery Fresno Co-Occurring mental health County of Fresno DBH Applicant Transportation
with co-occurring and substance use disorders services to and from
mental and physical physical health care
disabilities or co- supports(PCP,
occurring mental and Hospital,
substance use medical/dental/vision
disorders not listed in appointments,
the above table pharmacy visits etc)
may be provided by
case management
staff or through an
agreement with
Logisticare.
Logisticare is a
Medical member
benefit that provides
transportation services
tailored to a members
needs.Individuals with
physical disabilities
may request
accomodated
transport,individuals
with children may
request family
transportation,
persons without
physical disabilities
may request standard
Recreational and Blue Skies Wellness Center Holistic Kings View Behavioral Health Project Partner Blue Skies Wellness
social activities Cultural and Education Wellness Center Systems Center 1617 E.
The Fresno Center Saginaw Way,Suite
108(4.2 miles away
from site).Fresno
Holistic Center 4867
East Kings Canyon
Fresno CA(6.3 miles
away from site).
Transportation
services to and from
physical health care
supports(PCP,
Hospital,
medical/dental/vision
appointments,
pharmacy visits etc)
may be provided by
case management
staff or through an
agreement with
Logisticare.
Logisticare is a
MediCal member
benefit that provides
transportation services
tailored to a members
needs.Individuals with
physical disabilities
Educational services Fresno County currently operates a Supportive Employment Fresno County DBH Contracted Project Partner SEES 4447 E.Kings
and Education Services(SEES)program in partnership with Provier Canyon Road Mod E
the State Department of Rehabilitation(DOR)that will lead Fresno(5.2 miles
the vocational and employment supportive service away from site).
component to be made available to MHP tenants. This Transportation
program also provides assistance to individuals with respect services to and from
to their individual educational goals,including,but not limited physical health care
to completion of high school or GED,college,or education in supports(PCP,
trades.The Department is currently in contract negotiations Hospital,
with a community-based agency to vastly expand the scope medical/dental/vision
of services for supported employment and supported appointments,
education.The supportive services staff will support tenants pharmacy visits etc)
in accessing the current SEES program as well as the future may be provided by
expanded program and will serve as an extension of the case management
tenant's educational support team, in partnership with the staff or through an
SEES staff and staff of the future expanded program. agreement with
Supportive services staff activites will include supporting Logisticare.
tenants in setting goals,scheduling and attending classes, Logisticare is a
accessing tutoring or other supportive resources,and MediCal member
accessing services for studetns with disabillities at local benefit that provides
education institutions. transportation services
tailored to a members
needs.Individuals with
physical disabilities
may request
accomodated
transport,individuals
with children may
request family
Employment services Fresno County also currently operates a Supportive Fresno County DBH Contracted Project Partner SEES 4447 E Kings
Employment and Education Services(SEES)program in Provider Canyon Rd Mod E.
partnership with the State Department of Rehabilitation Fresno CA(5.2 miles
(DOR)that will lead the vocational and employment away from site).
supportive service component to be made available to MHP
tenants. The Department is currently in contract negotiations
with a community-based agency to vastly expand the scope
of services for supported employment and supported
education. The new enhanced program will implement the
evidence-based Individual Placement and Support(IPS)
model.The supportive services staff will support tenants in
accessing the current SEES program as well as the future
expanded program and will serve as an extension of the
tenant's vocational support team, in partnership with the
SEES staff and staff of the future expanded program.
Obtaining access to Multi Agency Access Point County of Fresno Department of Fresno County DBH Contracted Project Partner MAP at the Pov.412 F
other needed services Behavioral Health Multi-Agency Access Program(MAP): Provider St.Fresno,CA 93706
Operated by several contracted community-based (8.2 miles away from
organizations and located in both urban and rural areas of site). MAP at
Fresno County,the MAP is a one-stop location where Community Regional
File Name: LSP Agreement Lead Service Provider Contract,Agreement,or Letter of Intent Hard Copy and on USB?
Section 2:Supportive Services Coordination
1.Describe the accessibility of community services to which you propose linkages,whether they are on-site or in close proximity to the Project,including the hours they are available,
and the frequency,travel time and cost to the tenant for transportation required to access the services to include both public transportation and private transportation services(e.g.
van owned by the provider).Additionally,describe how the supportive services will be provided in a manner that is culturally and linguistically competent for persons of different
races,ethnicities,sexual orientations,gender identities,and gender expressions.This includes explaining how services will be provided to NPLH tenants who do not speak English,
or have other communication barriers,including sensory disabilities,and how communication among the services providers,the property manager and these tenants will be
facilitated.Additionally,describe how services will accommodate trauma-based,barriers to services.Provide documentation,in the form of Memorandum of Understanding,
Memorandum of Agreement,letters of support or contracts demonstrating who will be responsible for ensuring access to services and how accessibility will be accomplished if not
already included in agreement provided for service provision.
Case management and supportive services will be available on site.For off-site supportive services not provide at Butterfly Gardens,the Department will support tenants by making
transportation available to treatment appointments,recovery supports including the Wellness Center,the Holistic Center and other self-directed recovery focused services.
Supportive services staff will provide transportation for tenants directly.Department funded vehicles will be accessible to staff at the site.Where appropriate and in keeping with a
tenant chosen treatment strategy,the Department may fund access to public bus transportation.For tenants who choose to use public transportation,but require support to do so,
the supportive services staff will accompany the tenant for support and/or coaching until such time as that support is no longer needed or desired.For tenants able to navigate
appointment independently but who do not choose to use public transportation,access to transportation benefits provided as a service of the MediCal health plans(CalViva and
Anthem)may make arrangement for LogistiCare services to transport to and from service related appointments.
DBH recently published the document titled,"Fresno County Department of Behavioral Health Culturally Responsive Plan with Humility."This document meets the requirements to
fulfill the Department's mandate to have a Cultural Competency Plan,but above that and more importantly,this plan provides a framework and strategy to ensure that all services
are delivered in a culturally and linguistically appropriate manner for persons of all races,ethnicities,sexual orientations,gender identifies and gender expressions.One of the
cornerstones of the plan requires all staff and providers be afforded with professional development opportunities which enhance their cultural humility and effectiveness in working
with our diverse community. For example,all staff attend annual multi-cultural competency training.The Department also recognizes the importance of ensuring that services are
provided in the preferred language of the person receiving services;this includes our supportive services in permanent supportive housing. The Department's hiring practices reflect
Fresno County's diverse population.In addition,written materials are available in the three threshold languages for Fresno County(Spanish,Hmong,and English)and made
available as needed in other languages.Supportive services staff will utilize certified interpreters for tenants who do not speak English or who prefer services in another language to
ensure that all tenants have equal access to services.
2.Describe which community/county/state funded programs will be utilized to meet the needs of the residents,particularly if those residents are dependents of tenants.
Tenants will have access to the full array of DBH services for Mental Health and Substance Use Disorder services.These various programs are funded by MediCal,Mental Health
Services Act,and Realignment funds.
3.Is the Applicant currently working with the with the CoC in the area? Yes
If No,please explain:
Section 3:Verification from Appropriate Public or Non-profit Funding Agency
All applications where the County is not the LSP shall include a verification from an appropriate funding entity(either public or non-profit)knowledgeable about the supportive service
needs of the Target Population,indicating that the proposed services are appropriate to meet the needs of the Target Population.The verification shall endorse the primary service
provider as a known provider of support services to the Target Population.The Development Sponsor and/or Service Provider are not eligible to provide the Funding Agency
Verification.
Please use the attached Supportive Service Verification form from the appropriate public or non-profit agency.Please submit one verification if serving different subpopulations of
NPLH tenants who qualify as Chronically Homeless,Homeless,or At-Risk of Chronic Homelessness.If appropriate,a single funder may provide a verification for multiple
populations(i.e.a County Department of Health Services could provide a verification for a Project serving individuals who are Chronically Homeless,Homeless,or At-Risk of
Chronic Homelessness).Please be sure to indicate on the verification form the subpopulations to which each verification applies.
Part IV.Tenant Safety And Engagement
Section 1:Tenant Engagement
Applicant should describe strategies to engage residents in services,services planning/operations,and in building community and facility operations.NOTE:The tenant
engagement plan is distinct from the marketing and outreach efforts for attracting applicants to the Project.
1.Will the services engagement outreach strategy include:
Outreach to applicants and residents? Yes Door-knocking? Yes Leafleting? Yes
Assessment prior to leasing? Yes Peer contacts? Yes Outreach to organizations that work directly with target Yes
population?
Other strategies?Please describe:
Site-based activities intended to provide opportunities for tenants to become involved(tenant council,themed events,yoga,meditation,art enrichment,cooking class and supports,
monthly celebrations,etc)
2.Describe the strategies to engage residents in social interaction,building operations,and community involvement within the Project.
All service plans are developed based on direct input from residents based on their goals and needs. Consistent and non-intrusive presence of supportive services staff allows for
ample opportunities for supportive services staff to support and assist tenants in their transition from homelessness to housing stability.Recognizing the challenges of this transition,
the types and frequency of engagement strategies shall be determined based upon the individual tenant's strengths and needs with respect to their own recovery.Consistent,
frequent,and non-threatening contacts with tenants will be made to establish a supportive and trusting relationship with all tenants of the PSH Development,including tenants in pre-
contemplative stages of change.On Site Supportive services staff will be trained in Motivational Interviewing,Trauma Informed Care,Recovery principles,Reaching Recovery and
Hope.
Property management and social service staff will schedule monthly all-tenant meetings to keep residents informed of on-site opportunities and get resident feedback. Meeting
attendance is not required,but highly encouraged.The property management staff will also employ two Community Builders,which are live-in staff persons available to tenants
otuside of regular office hours. The Community Builders will help develop and foster a sense of community among residents through ongoing social and educational activities.
Community Buildiers will also work with residents to facilitate their own programming,such as movie nights,book clubs,or community service opportunities. Community Builders will
help residents access resources for these events,as appropriate.
3.Describe the strategies to engage residents in planning and delivery of resident's services.
DBH recently published the document titled,"Fresno County Department of Behavioral Health Culturally Responsive Plan With Humility."This document meets the requirements to
fulfill the Department's mandate to have a Cultural Competency Plan,but above that and more importantly,this plan provides a framework and strategy to ensure that all services
are delivered in a culturally and linguistically appropriate manner for persons of all races,ethnicities,sexual orientations,gender identifies and gender expressions.One of the
cornerstones of the plan requires all staff and providers be afforded with professional development opportunities which enhance their cultural humility and effectiveness in working
with our diverse community. For example,all staff attend annual multi-cultural competency training.The Department also recognizes the importance of ensuring that services are
provided in the preferred language of the person receiving services;this includes our supportive services in permanent supportive housing. The Department's hiring practices reflect
Fresno County's diverse population.In addition,written materials are standarly available in the three threshold languages in Fresno County(Spanish,Hmong,and English)and made
availalbe as needed in other languages.Supportive services staff will utilize certified interpreters for tenants who do not speak English or who prefer services in another language to
ensure that all tenants have equal access to services.
4.Describe how the physical building space supports social interaction and the provision of services.
The physical design of the PSH development recognizes individuals living with a severe mental illness that are Chronically Homeless,Homeless or At-Risk of becoming Chronically
Homeless may have experienced trauma.The physical design of the PSH development responds to this by creating an environment intended to foster community growth and
welcoming engagement through trauma-informed design that allows for more comfortable space,interaction,communication and support amongst tenants and service providers.
Trauma-informed designed living spaces promote physical,mental and social health.This approach realizes how the physical environment effects individuals,recognizing that it can
have physiological and emotional impact upon persons served.The site design includes expanded,open community space for tenant interaction,services and overall community
involvement within the living space. The focus of the design is on the center of the living space,where there is naturally lighted open space and community meeting space. Space
will also be available for supportive services having a comfortable roomy feel rather than formal office design.Calming and soothing colors reminiscent of nature are incorporated
into the physical design and used throughout the living space,helping tenants remain connected to their natural environment.Evidence demonstrates soothing colors help to calm
individuals. Where possible,curvilinear rather than hard,sharp lines and edges will be used,including furniture and hallways.Universal designed user-friendly,durable fixtures,
equipment and furnishings will also be utilized in the project's physical design. To emphasize the feel of a living space and minimize an apartment feel,maintenance and storage
space will be re-located away from the living space. With a client-centered approach to wellness that focuses on a calming open space with much natural light,the design will foster
a comfortable,welcoming community space that enhances interaction of PSH tenants and service providers.A dog park and acceptance of pets will also be an integral aspect of
integrating trauma informed accommodations into the project design.
5.If planning on conducting tenant satisfaction surveys,describe types of questions asked,how they are reviewed,outcomes measured,and how often survey will be conducted.
Tenants will be surveyed at least annually with a satisfaction survey,based on a likert scale,to determine levels of satisfaction with the supportive services,property maintenance
and management,and other related topics.Additionally,through routine tenant council meetings and other forums,tenants will have ongoing opportunities to provide input into the
services and supports available to them.Results of tenant input,including surveys,drive decision-making on program design.
6.Describe the strategies to engage residents in services,services planning/operations,and in building community and facility operations.
The Department is committed to providing all supportive services staff with training related to evidence based practices proven to result in improved housing stability and tenant
retention.The Department's commitment to evidence based practices includes all supportive services staff being trained in the Housing First model,in which tenant engagement in
services is voluntary and not tied to tenancy. All supportive service staff have been trained in the assertive engagement strategy of Motivational Interviewing,designed to engage
those tenants who may initially decline supportive services.Training in the Harm Reduction model,Cognitive Behavioral Therapy(CBT)and Trauma Informed Care have been
implemented by the Department for supportive services staff in an effort to increase housing stability for tenants and improved health outcomes for individuals living in Fresno
County's permanent supportive housing.It is the Department's intention to continue its commitment to training staff in new permanent supportive housing programs as they are
developed.
The Department has also designed,adopted and implemented a system of"Guiding Principles of Care Delivery"(attached)that dedicate the Department to supporting the wellness
of individuals,families and communities in Fresno County who are affected by mental illness and/or substance use disorders.The Guiding Principles provide the framework that
influences the Department's decision-making on all aspects of care delivery including program design and implementation,service delivery,training of the workforce,allocation of
resources,and measurement of outcomes.Principle Three states self-determination and self-direction are the foundations for recovery;that individuals must lead the process of
identifying their own strengths,needs and preferences;that the service provider assists the individual in identifying pathways to recovery,and that the individual,with the assistance
of the service provider,determines the services and supports they receive. As supportive service staff endeavor to ensure services are available to tenants within a framework of a
voluntary service model,the Guiding Principles will provide the foundational culture of service-delivery to help supportive service staff assist tenants in maintaining their housing
tenancy.
Section 2:Safety and Security
1.Summarize the written policies and procedures on privacy and confidentiality of residents.
Resident privacy and confidentiality is a foundational element of all service delivery. All supportive services staff and property management staff are highly committed to ensuring
the protection of tenant confidentiality to the greatest extent possible,making exceptions only for the tenant's long-term wellbeing in extreme situations.
2.Summarize the written policies and procedures on sign in/out procedures,fire/safety drills,and posted local contacts in case of emergency.
As a Housing First development,tenants are not required to sign in/out. All tenants are given a safety overview during their leasing process,which includes emergency responses.
On-site property management staff further assist with addressing emergencies in the moment.
3.Describe the building design safety features for ensuring resident and staff safety(include lighting,entrance/exits,locked doors,common area locations).
The building has been designed with tenant safety as paramount. Sufficient lighting will be provided in all corridors,parking areas,and common spaces. Doors will have individual
key access and common spaces will require key access.Cameras will be installed in all common areas,and connected to monitors in the property management office.Two full-time
property manager and maintenance personnel will be on-site during normal business hours.Staffing presence will be maintained outside of business hours by the two live-in
Community Builders,who will act as first responders in case of any emergencies and facilitate communications between property management and residents.A Fire Safety plan will
be implemented and reviewed with all residents on a regular basis.
4.Summarize the written policies and procedures on ensuring staff safety.
OSHA rules will be posted in staff areas. Staff are also trained on how to work with high-needs tenants on an ongoing basis.All County employed and Contract employed staff are
required to take non-violent intervention training prior to engaging in client activities.
5.Summarize the written policies for addressing violations of resident/staff safety by residents or staff.
For both staff and residents,first violations are addressed by an in-person meeting. Further violations are addressed based on the employee handbook/lease,as appropriate.
Tenant council will be convened to develop a community understanding of saftey principles.Expectations impacting individual and community safety will be reviewed with tenant
during new tenant orientation and periodically in tenant council.Any changes to policies impacting tenants will be posted in a common area,accessible to all and in threshold
languages.
6.The service plan and property management plan submitted with the application must impose no restrictions on guests that are not otherwise required by other project funding
sources or would not be common in other unsubsidized rental housing in the community.Describe the guest/visitor policy for residents.
Daytime guests are always allowed. Tenants will be educated as to the lease requirements for overnight guests who will stay multiple nights.Any deviation from lease requirements
require property manager approval.
7.Summarize the written policies for coordination with property management for resolution of tenant issues and implementation of policies and practices to prevent evictions and to
facilitate the implementation of reasonable accommodation policies.
Property management and service staff will work together within the Blended Management model and Housing First philosophy to provide wraparound support for tenants. Regular
Blended Management meetings will be held to address all tenant issues in a timely manner.
8.Summarize the written policies for coordination with property management for integration of the Target Population with the general public.
The Property Management company and the two Community Builders are responsible for programming of social activities,enrichment opportunities and other services that are
project-wide and open to all residents of the Project.These activities are created partly to promote the integration of the PSH tenants with the other residents of the Project,and to
foster a sense of community at the Project.Property Management and the Community Builders will further work with the service team to support PSH tenants as they engage their
community at large(i.e.the neighborhood,Clovis residents and entities,etc.).This work will take place primarily through the Blended Management meetings mentioned above,
where Property Management and the service team can jointly address any challenges PSH tenants may be facing with regards to their integration within the broader community.
Part V.Staffing
Section 1:Staffing Chart
List all staff positions that will provide services to the tenants of the NPLH Assisted Units.Include County,other LSP,or Development Sponsor staff positions,and any staff positions
of partnering organizations who have committed time to the Project.Include the services coordination staff.For each position,list the position title,minimum requirements,the full-
time equivalent(FTE),the organization under which the position resides,and the location of the position(on-site or off-site).Do not include staff which serve non-NPLH Units.If a
staff position serves both tenants in NPLH and non-NPLH units,include only that portion(i.e.,%FTE)of the staff position dedicated to NPLH Assisted Units.Attach a copy of each
positions duty statement,if these documents are available.
NOTE:All staff positions listed here must be reflected in the Supportive Services Budget Table.Be sure to indicate which staff position will be responsible for
Homeless Management Information System data entry.If the cost of supportive service position is included as part of the Project's operating budget and the position
will serve NPLH units,that position must be included in this chart.
Title Minimum requirements Total 5 Employing Organization Location
FTE:
Indicate FTE staff This could be the County, Select"On-
List each staff List min.required staff preparation include(education&experience)NOTE:Doesn't take place of positions for another LSP,Sponsor or a Site"or"Off-
position the job description or duty statement. NPLH units(half- Project Partner Site"
time is 0.5 FTE)
Education:Possession of a bachelor's degree that is acceptable within the United States'
accredited college or university system.
Experience:Three(3)years of full-time,paid professional work experience developing staff
development and training programs in a health setting.
OR
Program Director Three(3)years of full-time,paid professional supervisory or managerial work experience in a 0.5 Project Partner On-Site
behavioral health setting.
Substitution:Possession of a master's degree that is acceptable within the United States'
accredited college or university system may substitute for one(1)year of the required experience.
License:Possession of a valid Class"C"driver's license,or equivalent.
Education:Possession of a bachelor's degree in biology,nursing,public health,social work,or a
closely related field that is acceptable within the United States'accredited college or university
system.
Experience:Three(3)years of full-time,paid professional mental health or substance use disorder
work in a clinical setting;two(2)of those years must be post-licensure.
Clinical License:Valid State of California license as a Clinical Psychologist,Clinical Social Worker, 0.5 Project Partner On-Site
Supervisor Marriage and Family Therapist,Professional Clinical Counselor,or Registered Nurse.
Possession of a valid Class"C"driver's license,or equivalent,may be required.
Note:Recruitment and/or certification may be limited to candidates with education,experience,
license,and/or certificate background related to the specific position vacancy as authorized by the
Director of Human Resources.
Education:Current and active registration as an Associate Clinical Social Worker or Marriage and
Family Therapist Intern with the State of California,Department of Consumer Affairs,Board of
Behavioral Sciences.
Experience/Knowledge of:Principles,theories,techniques and practices used in clinical social work
and/or marriage and family therapy including techniques used for diagnosis and behavioral health
services for chronically mentally ill and emotionally disturbed clients in a wellness and recovery
Case Manager evidence-based practices framework;Principles and practices of behavioral health education, 3 Project Partner On-Site
community organizations and allied behavioral health services and resources;Laws,regulations
and ethical standards governing behavioral health treatment and medical records;Behavioral health
interviewing techniques and treatment methods;Intensive and long term case management
services in a wellness and recovery evidence-based framework;Cultural competency theory,
practice and its application in behavioral health settings with diverse consumers,their families and
communities.
Education:Possession of a bachelor's degree that is acceptable within the United States'
accredited college or university system.
License:Possession of a valid Class"C"driver's license,or equivalent,may be required.
Note:Recruitment and/or certification may be limited to candidates possessing a specific education
background related to Peer Support Specialist I applicants must qualify under one(1)of the options
listed below:
Experience:One(1)year of experience providing peer support to behavioral health clients in a
Administrative public or private agency.
1 Project Partner On-Site
Support
License:A valid Class"C"driver's license,or equivalent,may be required.
Or
Certificate:Completion of a Peer Support Specialist,Parent Partner training program or a
Consumer Volunteer Advocacy training program prior to February 2007.skills and Abilities Provides
peer support and self-help services to behavioral health clients and their family
members/caregivers in individual or group settings on site in county programs as well as in the
community.
File Name: Duty Stmtl,Duty Stmt2,Duty Staff Duty Statements(all providers,if available) Hard Copy and on USB? Yes
Stmt3,Duty Stmt4
Section 2:Staffing Ratios
1.Indicate the overall services staffing level for the Project by completing the calculation below.
a. Total NPLH Assisted Units 36
b. Total FTE Service Staff from the Staffing Chart for the NPLH Assisted Units 4
c. lNumber of NPLH units per FTE Staff Person(a+b) 9
2.Complete case manager staffing ratio chart.Include all case mgmt.staff in staffing&budget forms,requires FTE case mgr.to resident ratios be appropriate to specific NPLH
populations,as determined by the County or other LSP.
Population Type Chronic Homeless Homeless At-Risk of Chronic Homeless
Case Mgr.Ratio 1:12 1:12 1:12
Part VI.Supportive Services Budget
Section 1:Supportive Services Budget Table.
NOTE:If the cost of supportive services is included as part of the Project's Operating Budget(as documented in the UA)and the funds will serve NPLH units,this
position/expense item and the dollars associated with it(or that portion connected to the NPLH units)must be included in this Supportive Services Budget Table.
Income Source/Program Name Amount Type Status %of Total
Budget
MHSA/Staffing and Project Operations $538,568.00 In-kind Committed 100.00%
0.00
0.00
0.00
Total Revenue: $538,568.00 100.00%
Expense Item Amount Type Status %of Total
Staff Salaries:List by title of position.(This list must match the Staffing Chart above.)
Program Director FTE 0.5 $34,000.00 In-kind Committed 7.29%
Clinical Supervisor FTE 0.5 $42,666.00 In-kind Committed 9.15%
Case Managers FTE 3 $125,190.00 In-kind Committed 26.84%
Administrative Support FTE 1 $29,523.00 In-kind Committed 6.33%
Fringe Benefits $85,788.00 In-kind Committed 18.39%
Total Staff Expenses $317,167.00 68.01%
Tenant Transportation $5,000.00 In-kind Committed 1.07%
Equipment $20,000.00 In-kind Committed 4.29%
Supplies $5,000.00 In-kind Committed 1.07%
Travel $5,127.00 In-kind Committed 1.10%
Office Rent/Occupancy Costs(don't include rent/leasing costs for SH units) $10,623.00 In-kind Committed 2.28%
Training 0.00
Minor Household Equipment/Repairs $5,000.00 In-kind Committed 1.07%
Staff Development $5,000.00 In-kind Committed 1.07%
Other Expenses(Client Emergency Fund) $5,000.00 In-kind Committed 1.07%
Other Expenses(Liability Insurance) $18,214.00 In-kind Committed 3.91%
Administrative indirect $70,248.00 In-kind Committed 15.06
Total Expenses $466,379.00 100.00%
Supportive Services Cost Per Unit:Permanent supportive housing best practice suggests a range between$5,000-$10,000 annually in services per household,
depending upon the intensity of the needs of the target population.Complete the following calculation about supportive services cost per unit for the Project.If the
supportive services cost per unit,as calculated below,differ from industry practice,provide a narrative explanation.The Project must meet/address the industry
standard.
Supportive Services Expense Per Unit Calculation Table
a. JTotal NPLH Assisted Units 36
b. JTotal Supportive Services Expenses $466,379.00
c. JTotal Supportive Services Expenses per Unit:(b_a) 12954.9722
Section 2:Budget Narrative and Funding Commitments
1.Describe how budgeted amounts are adequate to provide services described in Supportive Services Plan and in Services Staffing Table:
Based on historical data from providing supportive services at other PSH projects,the budget here represents our expected costs for this project
2.Document committed funds with letter from committing agency that includes the items below.Documented services/funding must appear in Supportive Services Budget Table.
a)Project name;b)Description of services to be funded or provided;c)Dollar value of funds or in-kind services.If cash is provided,state funding source;d)Funding term or service
provision;e)A description and history of agency/organization providing funding or services.
SS Fund Ltrt,SS Fund Ltr2, Attach Ietter(s).Include:Project name;description of services;dollar value of funds or in-kind
File Name: SS Fund Ltr3,etc... services;if cash is provided,state funding source;funding term;description&history of Attached and on USB?
agency/org.providing funding or services.
3.For funding that is not yet committed,specifically describe the experience filling major services funding gaps in similar housing.
N/A
4.Describe in specific terms the plan to fill any service gaps that occur during Project life due to expiration of grants,partner withdrawals,cancellation of a commitment or any other
reason.Describe experience filling service gaps caused by loss of major funding sources.
DBH will work among its various funding sources to ensure adequate funding for robust on-stie services.
Section 3:Service Funding History Table:The purpose of this section is to document the funding history of the LSP.The LSP shall document a history of securing supportive
service funding sufficient for the Department to make a determination that the provider will be able to access funds from the programs that fund the services identified in the
Supportive Services Chart.List only funding obtained in the last five years.Complete the table containing the information required below:
Funding History for: County of Fresno Department of Behavioral Health
(LSP)
Source of Funds/Funding Program Purpose of Award(Use of Funds) Amount Award Date& Population(s)Served
Funding Term
MHSA Renaissance Alta Monte Chronically Homeless
MHSA Renaissance Santa Clara At risk of Homelessness
MHSA Renaissance Trinity Chronically Homeless
Part VII.Collaboration and Reporting
Section 1:Collaboration
Industry practice indicates that services are often best delivered by entities with specialized expertise.Consequently,effective projects are based on collaboration among
organizations with different types of service expertise,or by specialized divisions within an organization.Counties should document collaboration between two or more service
providers.Applications will be deemed to meet the collaboration criteria if the application documents a commitment from a service organization other than the Applicants or affiliates
of the Applicants to provide a portion of the services to project residents.Cooperation among specialized intra-organizational service programs,groups,or departments may also
qualify as collaboration.
Based on the contracts attached between the Applicant and non-affiliated service providers,explain the collaboration between the Applicant and the service providers.Include a
short narrative describing the collaborative relationship with the outside service provider or an intra-organizational service program,group,or department that is listed in the
Supportive Service Chart.Describe the specific services with which the collaborative entity will be involved.
Fresno County Department of Behavioral Health,a division of the County of Fresno(the Applicant):Fresno DBH will be the Lead Service Provider.Prior to lease-up,the County will
issue a Request for Proposals through the identified procurement process in order to identify and engage one or more qualified Supportive Services Providers.Fresno DBH will
continuously monitor and assess contractors'adherence to best practices set forth in the contract.Service Provider(s)will ensure quality standards and train/evaluate employees to
meet the need of identified tenants.A resident property manager will also work and live on-site.Fresno DBH and its contracted Service Provider(s)will offer all required and
encouraged services beginning prior to lease up and throughout the term of the project.Fresno DBH will assume final responsibility for the provision of all services provided to
tenants of the NPLH units.
Section 2:Reporting Requirements Certification
Applicant certifies that not later than 90 days after the end of each Project's fiscal year,the Applicant shall submit an independent audit for the Project prepared
by a certified public accountant and in accordance with the requirements noted in the Project's regulatory agreement and the Department's current audit
requirements,which are posted to the Department's website and which may be amended from time to time.§214(c)On an annual basis,the County shall submit
the data listed in§214(e)for each of its NPLH Assisted Units.The County shall work with each Project's property manager and Lead Service Provider to gather Yes
the data.The data may be,but is not required to be,gathered from the local Homeless Management Information System(HMIS).§214(d)The data shall be
submitted in electronic format on a form provided by the Department.The County,the property manager and the Lead Service Provider shall work together to
resolve any data quality concerns to the best of their ability prior to submission of the data to the Department.
Dated: 1/3/2020
Statement Completed by(please print): Susan Holt
Signature:
Title: Deputy Director
Agency or Department: Fresno County Department of Behavioral Health
Agency or Department Address: 1925 E.Dakota Ave,Fresno,CA 93726
Agency or Department Phone: (559)600-6899