HomeMy WebLinkAboutCalifornia Health Collaborative-Healthy Retail and Healthcare Strategies_A-22-430 A-19-473.pdf COUP County of Fresno Hall of Records,Room 301
2281 Tulare Street
�c r, Fresno,California
Board of Supervisors 93721-2198
isSG 0 Telephone:(559)600-3529
FRE`'� Minute Order Toll Free: 1-800-742-1011
www.co.fresno.ca.us
September 20, 2022
Present: 5- Supervisor Steve Brandau, Supervisor Nathan Magsig, Supervisor Buddy Mendes,
Chairman Brian Pacheco, and Vice Chairman Sal Quintero
Agenda No. 33. Public Health File ID: 22-0842
Re: Approve and authorize the Chairman to execute Amendment No. 19-10323,A01 with the California
Department of Public Health Nutrition Education and Obesity Prevention Branch Supplemental
Nutrition Assistance Program-Education,for the CalFresh Healthy Living Program, extending the term
by one year from October 1,2022 to September 30, 2023 and increasing the maximum by$1,786,482
to a total of$7,145,928; approve and authorize the Chairman to execute Amendment No. 5 to
Agreement with Fresno County Superintendent of Schools,for nutrition education services related to
the school wellness program activities,extending the term by one year from October 1,2022 to
September 30,2023 and increasing the maximum by$336,500 to a total of$2,229,000; approve and
authorize the Chairman to execute Amendment No. 1 to Agreement with California Health
Collaborative,to extend the term of the existing Agreement for healthy retail and healthcare clinic and
hospital obesity prevention services by one year from October 1,2022 to September 30,2023 with no
change to the compensation maximum of$1,558,015; and, approve and authorize the Chairman to
execute Amendment No. 1 to Agreement with California State University, Fresno Foundation through
its Central Valley Health Policy Institute,to extend the term of the existing Agreement for
comprehensive evaluation services by one year from October 1,2022 to September 30,2023 with no
change to the compensation maximum of$540,000
APPROVED AS RECOMMENDED
Ayes: 5- Brandau, Magsig, Mendes, Pacheco, and Quintero
Agreement No.22-428,Agreement No. 22-429,Agreement No.22-430,Agreement No. 22-431
County of Fresno Page 36
co
Board Agenda Item 33
O 1856 O
� FRESH
DATE: September 20, 2022
TO: Board of Supervisors
SUBMITTED BY: David Luchini, RN, PHN, Director, Department of Public Health
SUBJECT: Amendment to Revenue Agreement with the California Department of Public Health
for the CalFresh Healthy Living program and related Agreements
RECOMMENDED ACTION(S):
1. Approve and authorize the Chairman to execute Amendment No. 19-10323,A01 with the
California Department of Public Health Nutrition Education and Obesity Prevention Branch
Supplemental Nutrition Assistance Program-Education,for the CalFresh Healthy Living
Program, extending the term by one year from October 1,2022 to September 30, 2023 and
increasing the maximum by$1,786,482 to a total of$7,145,928;
2. Approve and authorize the Chairman to execute Amendment No. 5 to Agreement with Fresno
County Superintendent of Schools,for nutrition education services related to the school
wellness program activities, extending the term by one year from October 1,2022 to
September 30, 2023 and increasing the maximum by$336,500 to a total of$2,229,000;
3. Approve and authorize the Chairman to execute Amendment No. 1 to Agreement with
California Health Collaborative,to extend the term of the existing Agreement for healthy
retail and healthcare clinic and hospital obesity prevention services by one year from
October 1, 2022 to September 30,2023 with no change to the compensation maximum of
$1,558,015;
4. Approve and authorize the Chairman to execute Amendment No. 1 to Agreement with
California State University, Fresno Foundation through its Central Valley Health Policy
Institute,to extend the term of the existing Agreement for comprehensive evaluation
services by one year from October 1,2022 to September 30, 2023 with no change to the
compensation maximum of$540,000.
There is no increase in Net County Cost associated with the recommended actions as the costs are fully
funded by the Nutrition Education and Obesity Prevention (NEOP) Branch Supplemental Nutrition
Assistance Program-Education (SNAP-Ed)grant provided by the California Department of Public Health
(CDPH). Approval of the first recommended action will extend the term of the CalFresh Healthy Living
Program (CalFresh) grant by one year with additional funding to allow the CalFresh program to continue
providing nutrition education activities and interventions to low-income County residents.Approval of the
second recommended action will extend the term by one year and increase the maximum to allow Fresno
County Superintendent of Schools (FCSS)to continue providing school wellness activities through FFY
2022-23. Approval of the third recommended action with California Health Collaborative (CHC)will extend
the term by one year and modify the budget to add a new bilingual part-time staff position, with no change to
the maximum compensation. Approval of the last recommended action with California State University
(CSU), Fresno Foundation through its Central Valley Health Policy Institute will extend the term by one year
to allow CSU Fresno Foundation to continue providing comprehensive evaluation education and obesity
prevention services for the NEOP CalFresh Program, with no change to the maximum compensation.This
County of Fresno page I File Number:22-0842
File Number:22-0842
item is countywide.
ALTERNATIVE ACTION(S):
Should your Board not approve the recommended actions, the Department would be unable to fund the
NEOP Program and its related subcontracts for the additional extension year which could impact the
completion of required CalFresh grant activities and put the program at risk for non-compliance with the
CDPH.
FISCAL IMPACT:
There is no increase in Net County Cost associated with the recommended actions. The first recommended
action will increase the NEOP CalFresh grant maximum by$1,786,482 for FFY beginning October 1, 2022
through September 30, 2023; $7,145,928 for the term. This increase will cover contractual costs, staffing,
services, and supplies in support of program activities and interventions. The total cost for the second
recommended action with FCSS is $336,500 for FFY 2022-23; $2,229,000 for the term. The total cost for
the third recommended action with CHC is$311,603 for FFY 2022-23; $1,558,015 for the term. The total
cost for the fourth recommended action with CSU Fresno Foundation is $108,000 for FFY 2022-23;
$540,000 for the term. Sufficient appropriations and estimated revenues are included in the Department's
Org 5620 FY 2022-23 Adopted Budget.
DISCUSSION:
On September 24, 2019, your Board approved the 2019-2022 NEOP SNAP-Ed CalFresh revenue
agreement to allow the Department to support nutrition education and obesity prevention activities and
interventions for low-income County residents.Approval of the first recommended action will extend the term
of the NEOP CalFresh grant agreement one year with additional funding to ensure that by September 30,
2023, Fresno NEOP will have:
• Provided individual direct educational strategies to promote healthy eating, food resource
management, and/or physical activity to 15,246 CalFresh eligible residents in Fresno;
• Work with and/or support 43 partners and 7 coalitions in support of increased healthy eating and
physical activity behavior and access;
• Work in 30 sites to engage the CalFresh community in program planning and implementation, and
15 sites will put sustainability measures in place to ensure changes to support healthy eating and
physical activity are continued.
On December 13, 2016, your Board approved Agreement No. 16-698 with FCSS to provide nutrition
education activities in classrooms and afterschool programs in targeted low-income County communities.
On June 20, 2017, your Board approved First Amendment No. 16-698-1 to increase the maximum to expand
the school wellness services. On May 12, 2020, your Board approved Second Amendment No. 16-698-2 to
revise the scope of work to increase community training events and redistribute budget line items to
correspond with the revised scope of work. On August 10, 2021, your Board approved Third Amendment
No.16-698-3 to extend the term and increase the maximum by$336,500 to continue providing the school
wellness activities during COVID-19 pandemic. On December 14, 2021, your Board approved Forth
Amendment No. A-21-543 to revise the budget to offset FCSS salary increases without increasing the
maximum compensation. Approval of the second recommended action will extend the term by one year and
increase the funding to ensure FCSS will continue to provide and complete the same school wellness
activities that were delayed due to the COVID-19 pandemic closures to public schools that started in March
2020.
On September 24, 2019, your Board approved Agreement No. A-19-473 with CHC for healthy retail, and
healthcare clinic and hospital obesity prevention services. Approval of the third recommended action will
allow CHC to continue to provide the healthy retail activities with local retail vendors and complete the
County of Fresno page 2 File Number.22-0842
File Number:22-0842
obesity prevention activities with local healthcare clinics and hospitals that were delayed due to COVID-19
business closures and the restrictions on how businesses could operate moving forward.
On February 26, 2019, your Board approved Agreement No. A-19-099 with CSU, Fresno Foundation, for
required evaluation education and obesity prevention services for the Department's NEOP CalFresh
program.Approval of the fourth recommended action will ensure CSU, Fresno Foundation can continue to
provide the evaluation activities in the targeted communities in the County that were delayed or restricted
from occurring as a result of the COVID-19 pandemic.
It is the intention of the funder, that this extra year will provide the time needed to complete any activities that
the COVID-19 pandemic may have interrupted and continue providing the same services from the FFY 2023
Integrated Work Plan.
REFERENCE MATERIAL:
BAI #70, December 14, 2021
BAI #41, August 10, 2021
BAI #31, May 12, 2020
BAI #43, September 24, 2019
BAI #49, February 26, 2019
BAI #67, June 20, 2017
BAI #36, December 13, 2016
ATTACHMENTS INCLUDED AND/OR ON FILE:
On file with Clerk-Amendment No. 19-10323, A01 with CDPH
On file with Clerk-Amendment No. 5 with FCSS
On file with Clerk-Amendment No. 1 with CHC
On file with Clerk-Amendment No. 1 with CSU, Fresno Foundation
CAO ANALYST:
Ron Alexander
County of Fresno Page 3 File Number:22-0842
Agreement No. 22-430
1 AMENDMENT I TO AGREEMENT
2 THIS FIRST AMENDMENT TO AGREEMENT (hereinafter "Amendment") is made and
3 entered into this 20th day of September 2022, by and between COUNTY OF FRESNO, a
4 Political Subdivision of the State of California, Fresno, California (hereinafter "COUNTY"), and
5 CALIFORNIA HEALTH COLLABORATIVE, a California Non-Profit 501c3 Organization, whose address
6 is 1680 West Shaw Avenue, Fresno, California, 93711 (hereinafter "CONTRACTOR").
7 WITNESSETH:
8 WHEREAS, COUNTY and CONTRACTOR entered into Agreement number A-19-473,
9 dated the 24' of September 2019 (hereinafter "Agreement"), pursuant to which CONTRACTOR
10 agreed to provide nutrition education services in retail settings and health care settings located in Fresno
11 County; and to implement healthy retail and healthcare clinics and hospital obesity prevention services
12 through policy, system and/or environmental (PSE) change projects increasing access to healthy foods.
13 WHEREAS, COUNTY and CONTRACTOR would like to add a part-time bilingual staff
14 position without exceeding the maximum compensation and extend the term.
15 WHEREAS, COUNTY and CONTRACTOR now desire to amend the Agreement in
16 order approve budget modifications.
17 NOW, THEREFORE, for good and valuable consideration, the receipt and adequacy of
18 which is hereby acknowledged, COUNTY and CONTRACTOR agree as follows:
19 1. That all references in the Agreement to "Exhibit B", shall be changed to read
20 "Revised Exhibit B", where appropriate. A copy of Revised Exhibit B is attached hereto and
21 incorporated herein by reference.
22 2. That Paragraph Two (2)—Term, of the Agreement , on Page One (1), shall be
23 deleted in its entirety and replaced with the following:
24 "2. TERM: The term of this Agreement shall commence on October 1, 2019
25 through and including September 30, 2023. This Agreement may be extended for one (1) additional
26 consecutive twelve (12) month period upon written approval of both parties no later than the last day of
27 the current term. The Director or his or her designee is authorized to execute such written approval on
28 behalf of COUNTY based on CONTRACTOR'S satisfactory performance."
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1 3. That Paragraph Four (4)— Compensation, on Page Three (3), Line Seven (7),
2 beginning with the word "In" and ending on Line ten (10) with the word "CONTRACTOR" shall be
3 deleted and replaced with the following:
4 "For the period beginning October 1, 2022 through September 30, 2023, in no event
5 shall services preformed exceed Three Hundred Eleven Thousand Six Hundred Three Dollars and
6 No/100 ($311,603).
7 For the possible 12-month extension period beginning October 1, 2023 through
8 September 30, 2024, in no event shall services preformed exceed Three Hundred Eleven Thousand
9 Six Hundred Three Dollars and No/100 ($311,603). It is understood that all expenses incidental to
10 CONTRACTORS'S performance of services under this Agreement shall be borne by CONTRACTOR."
11 COUNTY and CONTRACTOR agree that this Amendment is sufficient to amend the
12 Agreement and, that upon execution of this Amendment, the Agreement and this First Amendment
13 together shall be considered the Agreement.
14 The parties agree that this First Amendment may be executed by electronic signature as
15 provided in this section. An "electronic signature" means any symbol or process intended by an
16 individual signing this Amendment to represent their signature, including but not limited to (1) a digital
17 signature; (2) a faxed version of an original handwritten signature; or (3) an electronically scanned and
18 transmitted (for example by PDF document) of a handwritten signature. Each electronic signature
19 affixed or attached to this Amendment (1) is deemed equivalent to a valid original handwritten
20 signature of the person signing this Amendment for all purposes, including but not limited to
21 evidentiary proof in any administrative or judicial proceeding, and (2) has the same force and effect as
22 the valid original handwritten signature of that person. The provisions of this section satisfy the
23 requirements of Civil Code section 1633.5, subdivision (b), in the Uniform Electronic Transaction Act
24 (Civil Code, Division 3, Part 2, Title 2.5, beginning with section 1633.1). Each party using a digital
25 signature represents that it has undertaken and satisfied the requirements of Government Code
26 section 16.5, subdivision (a), paragraphs (1) through (5), and agrees that each other party may rely
27 upon that representation. This Amendment is not conditioned upon the parties conducting the
28 transactions under it by electronic means and either party may sign this Amendment with an original
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1 handwritten signature.
2 The Agreement, as hereby amended, is ratified and continued. All provisions, terms,
3 covenants, conditions, and promises contained in the Agreement and not amended herein shall
4 remain in full force and effect.
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I IN WITNESS WHEREOF, the parties hereto have executed this Amendment I as of the day and
2 year first hereinabove written.
3
4 CONTRACTOR COUNTY OFFRESNO
California Health Collaborative
5
6 OL
7 Steven Ramirez, CEO Brian Pacheco, Chairman of the Board of
8 Supervisors of the County of Fresno
9
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11
12 ATTEST:
1680 W. Shaw Avenue, Fresno, CA 93711 Bernice E. Seidel
13 Mailing Address Clerk of the Board of Supervisors
County of Fresno, State of California
14 Phone#: 559-244-4525
Contact: Stephen Ramirez, CEO
15 Email: sramirez@healthcollaborative.org
16 By:
17 Deputy
FOR ACCOUNTING USE ONLY:
18
Fund/Subclass: 0001/10000
19 Organization: 56201662
Account: 7295
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Revised Exhibit B
Fresno County Department of Public Health
JTresh Attention:OPPC-NEOP Staff Analyst Contractor Name/Address
® 1221 Fulton Mall
Fresno,CA 93721 California Health Collaborative
PO Box 25609
Fresno,CA 93729-5609
Contract Number: Supersedes A-19-473
Contract Term: October 1,2019-September 30,2024
Telephone: 559-244-3614
YEAR 1 YEAR 2 YEAR 3 YEAR 4 YEAR 5
October 1,2019-October 1,2020 October 1, OCTOBER 1, OCTOBER 1,
Se t 30,2020 Se t 30,2021 2021-SEPT 2022-SEPT 30, 2023SEPT 30,
Budget Categories P P 30,2022 2023 2024
1
A. PERSONNEL SALARIES
Project Manager,Brandi Muro 21,218.00 21,854.54 22,510.18 23,185.48 23,185.48
Project Coordinator,Tou Moua 47,740.00 49,740.00 49,172.20 50.647.37 50,647.37
Project Coordinator,Bushra Zamzami 46,350.00
Project Coordinator,Karen Alameddine 45,740.00 45,000.00 46,350.00 46,350.00
Project Coordinator,Julie Ruiz 5,214.56 5,214.56
Program Manager,Gina Falcon 34,067.60 35,089.63 36,142.32 37,226.59 37,226.59
SUBTOTAL 149,375.60 152,424.17 152,824.70 162,624.00 162,624.00
B. BENEFITS
Project Manager,Brandi Muro 6.365.40 4,589.45 4,727.14 4,868.95 4,868.95
Project Coordinator,Tou Moua 14,322.00 14,922.00 14,751.66 15,194.21 15,194.21
Project Coordinator,Bushra Zamzami 13,905.00
Project Coordinator,Karen Alameddine 13,722.00 13,500.00 13.905.00 13.905.00
Project Coordinator,Julie Ruiz 1,565.27 1,565.27
Program Manager,Gina Falcon 10,220.28 10,526.89 10,842.69 11,167.98 11,167.98
SUBTOTAL 44,612.68 $43,760.34 $43,821.49 $46,701.41 $46,701.41
C. NON-CAPITAL EQUIPMENT/SUPPLIES
General office supplies-Pens,pencils,paper products 2,950.00 2,963.28 5,900.00 4,575.00 4,575.00
Printing of materials and copy duplication for program
activities.FTE x$25 x 70=5,162.50 5.900.00 6,121.25 5,900.00 5,337.50 5,337.50
3 Laptops 4,779.00
Projector Screen 535.00
Projector(theft sensitive)- 931.00
Virtual Education Equipment 1,875.00
Office Supplies-Program Storage items 600.00
Poster My Wall subscription. 149.90
SUBTOTAL 13,629.00 12,575.43 12,400.00 9,912.50 9,912.50
D. MATERIALS
Educational curriculum&Materials 3,500.00 7,500.00 12.223.42 7,500.00 7.500.00
Food Prep Materials 5,007.50 4,280.00 4,107.50 4.072.50 4,072.50
Small Kitchen Appliances 3,160.00 3,160.00 3,160.00 2,400.00 2,400.00
Nutrition Education materials 7,500.00
Venue&Event Materials 3,500.00 3,450.00 3,500.00 3,500.00
Health Care&Retail PSE projects 5.300.00 5,250.00 1,700.00 4,450.00 4,450.00
CalFresh Healthy Living Branded Team Ware 1.300.00
Other
SUBTOTAL 25,767.50 23,690.00 24,640.92 21,922.50 21,922.50
E. TRAVEL
Local Mileage 3,926.60 6,440.00 8,775.00 9,376.00 9,376.00
SNAP-Ed Forum 1,468.00 1,723.50 1,723.50
Up to 7(1-day)lrainings 6.496.00 6,419.00 6,510.00 1,820.00 1,820.00
1-day training for health care strategy by TBD Vendor 9,099.00 9,102.00 8,638.50 4.806.01 4,806.01
SUBTOTAL 20,989.60 21,961.00 23,923.50 17,725.51 17,725.51
F. BUILDING/SPACE
Office Space 9,440.12 9,440.12 6,240.08 6,400.08 6,400.08
Storage 1.458.00 1,620.00 1,620.00 - -
SUBTOTAL 10,898.12 11,060.12 7,860.08 6,400.08 6,400.08
G. MAINTENANCE
Office Communications 5,487.00 5.487.00 5,487.00 5,673.00 5,673.00
SUBTOTAL 5,487.00 5,487.00 5,487.00 5,673.00 5,673.00
TOTAL DIRECT COSTS 270,959.50 270,958.06 270,957.69 270,959.00 270,959.00
H. INDIRECT COSTS(15%) 40,643.93 40,643.71 40,643.65 1 40,643.85 1 40,643.85
TOTAL EXPENSES 311,603 311,603 1 311,603 1 311,603 1 311,603