Loading...
HomeMy WebLinkAboutChildren Families Commission First 5-Nurse Liason Program_A-22-376 A-16-684.pdf COU Y Count of Fresno Hall of Records,Room301 2281 Tulare Street Fresno,California (60 Board of Supervisors 93721-2198 O� 1s55G�0 Telephone:(559)600-3529 FRE`' Minute Order Toll Free: 1-800-742-1011 www.co.fresno.ca.us August 23, 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:22-0739 Re: Approve and authorize the Vice Chairman to execute retroactive Amendment V to Agreement with Children and Families Commission of Fresno County,for the Nurse-Family Partnership program extending the term by two years from July 1,2022 to June 30, 2024 and increasing the maximum by $420,498 to a total of$1,667,933;approve and authorize the Vice Chairman to execute retroactive Amendment V to Agreement with Children and Families Commission of Fresno County,for the Nurse Liaison program extending the term by two years from July 1,2022 to June 30,2024 and increasing the maximum by$788,722 to a total of$2,966,374; and, approve and authorize the Vice Chairman to execute retroactive Second Amendment to Agreement with Children and Families Commission of Fresno County,for the Community Health Teams program extending the term by two years from July 1,2022 to June 30, 2024 and increasing the maximum by$1,790,780 to a total of$3,581,376 APPROVED AS RECOMMENDED Ayes: 5- Brandau, Magsig, Mendes, Pacheco, and Quintero Agreement No.22-375,Agreement No.22-376,Agreement No. 22-377 County of Fresno Page 33 coU,�� r> Board Agenda Item 33 0 1896 0 FRV, DATE: August 23, 2022 TO: Board of Supervisors SUBMITTED BY: David Luchini, RN, PHN, Director, Department of Public Health SUBJECT: Retroactive Amendments to Agreements with Children and Families Commission of Fresno County RECOMMENDED ACTION(S): 1. Approve and authorize the Vice Chairman to execute retroactive Amendment V to Agreement with Children and Families Commission of Fresno County,for the Nurse-Family Partnership program extending the term by two years from July 1, 2022 to June 30, 2024 and increasing the maximum by$420,498 to a total of$1,667,933. 2. Approve and authorize the Vice Chairman to execute retroactive Amendment V to Agreement with Children and Families Commission of Fresno County,for the Nurse Liaison program extending the term by two years from July 1, 2022 to June 30, 2024 and increasing the maximum by$788,722 to a total of$2,966,374. 3. Approve and authorize the Vice Chairman to execute retroactive Second Amendment to Agreement with Children and Families Commission of Fresno County, for the Community Health Teams program extending the term by two years from July 1, 2022 to June 30, 2024 and increasing the maximum by$1,790,780 to a total of$3,581,376. There is no additional Net County Cost associated with the recommended actions. Approval of the first and second recommended actions will provide the Department of Public Health (Department)with two additional years, for a total term of eight years of funding from Children and Families Commission of Fresno County (First 5)to support the existing Nurse-Family Partnership (NFP)and Nurse Liaison programs. Approval of the third recommended action will provide the Department with two additional years, for a total term of four years of funding from First 5 to support the Community Health Teams (CHT) program. The recommended amendments will allow the County to use the funds as the local match to draw down Federal Financial Participation (FPP)at around approximately fifty percent. The First 5 funding will continue to support salary and benefits for Public Health Nurses (PHN) and four subcontracts with local community-based organizations (CBOs)to provide direct home visitation services. This item is countywide. ALTERNATIVE ACTION(S): There are no viable alternative actions. Should your Board not approve the recommended actions, the Department would not be able to accept First 5 funds or draw down FFP funding,which supports salary and benefits, as well as operational and indirect costs for all three programs. Non-approval would also lead to a reduction in the Department's NFP, Nurse Liaison, and CHT staff and services that currently provide much needed assistance to children ages 0 to 5 and their families in Fresno County. RETROACTIVE AGREEMENT: The recommended actions are retroactive to July 1, 2022 as all amendments were received from First 5 in County of Fresno Page I File Number:22-0739 File Number:22-0739 May 2022. The time required to prepare and review the recommended actions did not allow presentation to your Board at an earlier date. FISCAL IMPACT: There is no increase in Net County Cost associated with the recommended actions. The first and second recommended actions provide additional funding and extend the agreements for an additional two years, for a total term of eight years. The third recommended action provides additional funding and extends the agreement for an additional two years, for a total term of four years. The NFP amendment will provide an additional $420,498. The Nurse Liaison amendment will provide an additional $788,722. The CHT amendment will provide an additional $1,790,780. The First 5 funds will support salary and benefits for PHNs and four subcontracts with local CBOs to provide direct home visitation services. In addition, the recommended amendments will allow the County to use the funds as the local match to draw down approximately$2.1 million of Federal dollars under Title XIX as FPP for eligible services. All three agreements allow for recovery of indirect cost at a maximum of 15%,the Departments current indirect rate for FY 2022-23 is 18.816%, the difference will be offset with Health Realignment funds. Sufficient appropriations and estimated revenues are included in the Department Org 5620 FY 2022-23 Recommended Budget and will be included in FY 2023-24 Recommended Budget. DISCUSSION: On December 6, 2016, the Board approved agreements with First 5 to receive funding supporting the NFP and Nurse Liaison programs for two years. PHNs in the NFP program provide evidence-based nurse home visitation services to low-income, pregnant, or parenting first-time mothers in the County. PHNs in the Nurse Liaison program work with Valley Children's Hospital and Community Regional Medical Center as well as the medical community outside these facilities to ensure that referred high-risk infants and children under six years of age living in the County receive medical care, resources, and support as needed. On August 7, 2018, September 10, 2019, September 1, 2020, and September 7, 2021, the Board approved first, second, third, and fourth amendments to extend the agreements with First 5 for an additional year with each amendment and receive additional funding supporting the NFP and Nurse Liaison programs. In FY 2021-22, the NFP program: NFP PHNs served 149 pregnant and parenting women; • Completed 1,011 visits with clients, 642 in-person home visits and 369 telehealth; • 93% of women served initiated breastfeeding after birth of infants; • 92% of infants served were current on immunizations at 6-months; . 308 referrals completed for needed services including: mental health, dental services, Medi-Cal assistance, Women Infant and Children Nutritional Program, medical referrals, and referrals for developmental delays in children; • First 5 funded PHN position that had been vacated since December 2021 and was filled in April 2022. In FY 2021-22, the Nurse Liaison program: • Provided case management services to 182 children; • Administered developmental screening for 94 children; • Provided 220 referrals to children and families including mental health, dental, primary care, domestic violence assistance, early intervention and immunizations. • The rehospitalization rate for children in the Nurse Liaison Program was less than two (2) percent. On October 6, 2020, the Board approved the agreement with First 5 to receive funding supporting creation of CHT, which pairs a Department PHN with teams of paraprofessionals from local CBOs to provide research-based and evidence-informed home visitation services to underserved families in Fresno County County of Fresno page 2 File Number:22-0739 File Number:22-0739 communities. On October 19, 2021, the Board approved the first amendment to extend the agreement with First 5 for an additional year and receive additional funding supporting the CHT program.These teams provide much needed assistance to children ages 0 to 5 and their families who otherwise would not qualify for existing nurse-based home visitation programs. In FY 2021-22, the CHT provided: • Case management services to 240 families; • Developmental screening to 223 children; • Referrals for 227 children and family members for job assistance, Medi-Cal, primary care, mental health, diapers, food, housing, special education services and early intervention. Approval of the first and second recommended actions will accept two additional years of funding from First 5, providing the local match to leverage federal funding,further supporting the programs and allowing the NFP and Nurse Liaison programs to continue improving pregnancy outcomes, child health and development, and linkage to resources as needed. Approval of the third recommended action will accept two additional years of funding from First 5, providing a local match to leverage federal funding supporting the CHT and allowing the Department to continue using an integrated approach to enhance CBOs' capacity to provide licensed medical support, strengthening the early childhood system of care and promoting a "no-wrong-door" approach for families in the community. Prior to the Agreements expiring, the Department and First 5 agreed that the Agreements was to continue for an additional 2-years. The Chairman currently sits as the Commission Chair for First 5. Due to this reason, it is appropriate for the Vice Chairman to approve and execute the amendments. REFERENCE MATERIAL: BAI#50, September 7, 2021 BAI#30, October 19, 2021 BAI #33, September 1, 2020 BAI #46, September 10, 2019 BAI #47, August 7, 2018 BAI #35, December 6, 2016 ATTACHMENTS INCLUDED AND/OR ON FILE: On file with Clerk-Amendment V to Agreement No. 16-683 with First 5 for NFP On file with Clerk-Amendment V to Agreement No. 16-684 with First 5 for Nurse Liaison On file with Clerk-Second Amendment to Agreement No. 21-427 with First 5 for CHT CAO ANALYST: Ron Alexander County of Fresno Page 3 File Number.22-0739 Agreement No. 22-376 County of Fresno,Department of Public Health Contract#201617-0950 Nurse Liaison Page 1 Amendment V to Services Agreement Fiscal Years 2022-2024 Parties Commission: Children and Families Commission of Fresno County, California Contractor: County of Fresno,Department of Public Health Administrative Contract Number: 201617-0950 Recitals A. Commission and Contractor are parties to that certain Services Agreement (the"Agreement"),dated December 23,2016,the Term of which is from July 1,2016 to June 30,2018 (the"Original Term"). Commission and Contractor are also parties to Amendment I,dated August 28, 2018,Amendment II to the Agreement,dated October 23,2019,Amendment III to the Agreement dated October 14,2020,and Amendment IV to the Agreement dated October 25,2021 extending the Term of the Agreement to June 30,2022. B. The Parties now desire to amend the Agreement to provide for an extension of the Term and to modify the Services and Project Budget all as defined in the Agreement. C. All capitalized terms used in this Amendment V to Services Agreement(this "Amendment W)shall have the meanings provided for in the Agreement unless otherwise specified in this Amendment V. Therefore,in consideration of the above recitals,which are incorporated into this Amendment I by reference,the Parties agree as follows: 1. Term. This Amendment V is made effective as of July 1, 2022 (the"Effective Date"). The Term of the Agreement is extended until June 30,2024,unless terminated earlier under the Agreement(the"Term") or as specified in this Amendment V to the contrary. 2. Amendment to Section 2.1. Effective as of July 1, 2022,Exhibit A will be replaced with the Exhibit A,"Scope of Work(2022-2024 Fiscal Years)"attached to this Amendment V and incorporated herein by this reference. As of July 1, 2022, except as needed to interpret and enforce Contractor's responsibilities and obligations under the original Term of the Agreement,the original and prior Exhibit A attached to the Agreement and prior Amendment will have no further force and effect. Ro522(1&2) County of Fresno,Department of Public Health Contract#201617-0950 Nurse Liaison Page 2 3. Amendment to Section 4.1. Section 4.1 of the Agreement is deleted in its entirety and replaced with the following: 4.1 Project Budget. Compensation for the Services is based on actual costs as described in Exhibit B. Compensation for the Services will in no event exceed the total aggregate amount of$2.966,g74(the"Contract Amount"). The Contract Amount includes compensation for Services remaining under the original term of the Agreement,as well as the Services to be performed under the Term,as defined in this Amendment V. Compensation for Services provided prior to July 1,2022 shall be in accordance with the original Agreement,Amendment I,Amendment II,Amendment III,and Amendment IV. 4. Amendment to Section 4.2. The first sentence in Section 4.2 of the Agreement is deleted in its entirely and replaced with the following(the remainder of Section 4.2 is unaffected): Commission will reimburse Contractor for all necessary,reasonable, and justifiable expenses,as determined by Commission,incurred in accordance with the Project Budget for providing the Services on behalf of Commission in an aggregate amount not to exceed the Contract Amount. S. Controlling Document:No Other Amendment. In the event of any conflict between the terms of this Amendment V and the Agreement,the terms of this Amendment V shall control. Except as amended by this Amendment V,all terms of the Agreement shall remain in full force and effect,including,without limitation,all monitoring,evaluation,data collection,contract review,auditing,inspection,and record retention obligations set forth in the Agreement. 6. Binding Effect. The Agreement,as amended by this Amendment V,is binding upon,and inures to the benefit of,the respective heirs,executors, administrators,successors,and assigns of the Parties. 7. Headings and Construction. The subject headings of the sections and paragraphs of this Amendment V are included for purposes of convenience only and do not affect the construction or interpretation of any of its provisions. All words used in this Amendment V include the plural as well as the singular number,and vice versa;words used in this Amendment V in the present tense include the future as well as the present;and words used in this Amendment V in the masculine gender include the feminine and neuter genders,whenever the context so requires. No provision of this Amendment V will be interpreted for or against a Party because that Party or its legal representative drafted the provision,and this Amendment V will be construed as if jointly prepared by the Parties. 8. Counterparts. This Amendment V may be signed by the Parties in different counterparts and the signature pages combined to create one document binding on all Parties. Ro522(1&2) County of Fresno,Department of Public Health Contract#201617-0950 Nurse Liaison Page 3 g. Sicrnature AuthoritX. Each Party represents that it has capacity,full power, and authority to enter into this Amendment V and perform under modified terms of the Agreement,and the person signing this Agreement on behalf of each Party has been properly authorized and empowered to enter into this Amendment V. Contractor must sign the signatory authorization,attached as Exhibit C and incorporated into this Amendment V. Contractor must complete and forward to Commission a new signatory authorization each time any name,title,or other information in the existing authorization is no longer current. 10. Electronic Signatures. Each Party acknowledges and agrees that this Amendment V may also be executed by electronic signature,which shall be considered as an original signature for all purposes and shall have the same force and effect as an original signature.Without limitation,"electronic signature"shall include faxed versions of an original signature,electronically scanned and transmitted versions of an original signature,or an"e-signed"document(e.g. DocuSign). HI Signatures COMMISSION CONTRACTOR CHILDREN AND FAMILIES COMMISSION COUNTY OF FRESNO,DEPARTMENT OF OF FRESNO COUNTY PUBLIC HEALTH REVIEWED AND RECOMMENDED FOR AP VA By: uth ri ed presentative By: Fab n- nat zal ,Ex cu ive irector Date of Signature:rVI Date ofre: Name: Sal Quintero Vice Chairman of the Board of Supervisors of Title: the County of Fresno APPROVED AS TO LEGAL.FORM Federal Tax ID Number: By: �r 'Lt'`___ ATTEST: Kenneth Price, egal Counsel BERNICE E.SEIDEL Clerk of the Board of Supervisors Date of Signature: J �� County of Fresno,State of California )J, By Deputy By:, Brian Pacheco,Commission Chair Date of Signature: -` Ro5zz(1&z) County of Fresno, Department of Public Health Contract#201617-0950 Nurse Liaison Page 4 EXHIBIT A Scope of Work(2022-2024 Fiscal Years) A-1 PIFIRST5 Direct Services Face Sheet & Scope of Work This document will be completed with First s Fresno County(FSFC)staff and Service Provider during a development meeting. A.Face Sheet Agency Name: County of Fresno,Department of Contract Number: 201617-0950 Public Health Project ID Number:0950-17 Project Name: Nurse Liaison GL: 10-8518-00 100 % Start date/End date: 07/01/2016-06/30/2024 FY 16-17.$312,617 FY 17-18:$323,762 Agency Address: 1221 Fulton Street,Fresno,CA FY 18-19:$368,412 Contract amount: FY 19-20:$384,139 93721 $2,966,374 FY 20-21:$345,183 FY 21-22:$443,539 FY 22-23:$394,361 FY 23-24:$394,361 Other Project Funding:$3,727,662 BOS District:3 Agency phone#:559-600-3330 Website:www.fcdph.org Project Description: Briefly address what F5FC is funding and why. If applicable,describe the goals/outcomes. This may be placed on the F5FC Website. The primary goal of the Nurse Liaison program is to prevent child maltreatment by improving health outcomes and decreasing potential re-hospitalization rates for at-risk infants and children. The Nurse Liaison program provides public health nurse liaison services to Community Regional Medical Center and Valley Children's Hospital to support infants from the Neonatal Intensive Care Unit and their families through the transition to community care,as well as high risk infants and children under six years of age living in Fresno County who because of organic or environmental factors may be at risk for growth and developmental delays and who may face serious health problems. In addition,the program serves children with developmental,or behavior challenges identified through their child care provider and pregnant or parenting teens referred from the CalLearn program. Nurse Liaisons provide assessment,consultation,technical assistance,referral and linkage to a variety of community programs via a home visitation model. F5FC Contract Manager: Liliana Salcedo Program Contact Person who runs day to day program o erations su ervisor coordinator mana er Name: Megan Gunn Title: Supervising Public Health Nurse E-mail: mgunn@fresnocountyca.gov Phone#:559-600-3330 Finance Contact Person responsible for submitting bud ets,financial reports and/or invoices Name: Michael Chu Title: Senior Accountant E-mail:mchu@fresnocountyca.gov Phone#:559-600-6426 Notice Contact Person who has legal authority to sign contract Name: David Luchini Title: Director of Public Health E-mail: dluchini@fresnocountyca.gov Phone#:559-600-3200 FIRST5 Direct Services Face Sheet & Scope of Work Public Contact Person responsible for general public calls re uestinq program info,how to access services,media,etc. Name:Megan Gunn Title: Supervising Public Health Nurse E-mail: mgunn@fresnocountyca.gov Phone#:559-600-3330 Program Contact (Person responsible for entering data) Name: Megan Gunn Title: Supervising Public Health Nurse E-mail: mgunn@fresnocountyca.gov Phone#:559-600-3330 Program Contact (Person responsible for entering data) Name: Christina Wyrick Title: Program Technician E-mail: cwyrick@fresnocountyca.gov Phone#:559-600-6347 Program Contact Person responsible for approving submission of data Name: Megan Gunn Title: Supervising Public Health Nurse E-mail: mgunn@fresnocountyca.gov Phone#: 559-600-3330 Finance Contact (Person responsible for entering financial information) Name: Michael Chu Title: Senior Accountant E-mail: mchu@fresnocountyca.gov Phone#:559-600-6426 Finance Contact (Person responsible for approving financial information) Name: Megan Gunn Title: Supervising Public Health Nurse E-mail: mgunn@fresnocountyca.gov Phone#:559-600-3330 Finance Contact (Person responsible for approving financial information) Name: Aphivanh(Aphi) Xayavath Title: Staff Analyst E-mail: axayavath@fresnocountyca.gov Phone#: 559-600-3330 County of Fresno Department of Public Health,Nurse Liaison,#2016i7-og5o R0522(1&2) Page 2 of 9 FIRST5Direct Services Face Sheet & Scope of Work Agency Service Locations: Location(s) District(s) Location 1: 1221 Fulton Street,Fresno. CA 93721 District 3 First 5 Fresno County Strategic Plan and First 5 CA Result and Service Area Alignment: Investment Area of F5FC Strategic Plan Percent of Funding Families 100% Strategy per F5FC Strategic Plan Percent of Funding Skill Building 100% State Result Area Outcome State Service Area Percent of Percent of Clients Funding 3.Improved Child Health Early Intervention 100 % 100% Is this an evidence based or research-based program? (Please check one) ❑ Evidence Based ® Research Based ❑ N/A B.Demographic and Geographic Client Served Details Types of Clients Served and Projected Numbers: Please note that these fields reflect the client type options in the contract management database and not family relationships. Include all client level and aggregate clients included in sections C and D. Type of Client Total#of Clients FY2223 Total#of Clients FY2324 Child 0<3 105 105 Child 3-5 25 25 Parent 45 45 Prenatal 0 0 Other(please specify): 0 0 TOTAL: 175 175 Provider Category Total#of Clients FY2223 Total#of Clients FY2324 Internal Program Staff 5 5 TOTAL: 5 5 County of Fresno Department of Public Health,Nurse Liaison,#201617-0950 R0522(1&2) Page 3 of 9 ©FIRSTS Direct Services Face Sheet & Scope of Work rRESNO COUNTY Projected Numbers Served in Each Geographic Region: Use the countywide box for programs providing services throughout the county. Total#of Clients Geographical Location of Clients to be Served FY2223 FY2324 County Wide 175 175 Total: 175 175 Geographical Total#of Clients Percent Urban(%) Percent Rural(%) Location of Clients to be Served FY2223 FY2324 FY2223 FY2324 FY2223 FY2324 Countywide 175 175 go% g0% 10% 10% County of Fresno Department of Public Health,Nurse Liaison,#201617-0950 R0522(1&2) Page 4 Of 9 Q) 'z� QQ) rz ,o v b U y � � w -C U 1� L ° "C U Q � � U) � a, o a a d o 0 z z ° �, Inz LO o W � ¢ ¢ v � a qj � v v ,� 'v -Q " Q) a O ^O r ai ?1 O C G G C C a T3 w v v o v [ m ro o y� 4; U o m � � .— Cl) ^ M M 4 4 d 4 O U U K N F+ O C N o -C v v # t �i U U v U m U a y N [vf 4I p V p. a C3 O F K C u" t N N d N CO]M M m N N M n DD �iOD N N m N N LO f1 ff U U Ct7 �itl .. N M �{'N '• N M V i .• N M i0 N •. N M 4 « .. N M 4 ^`N, .• NM 4 Cd Q, � v FaaaaFaaaaEaaaaFaaaaFaaaaFaaaaFaaaa cn rn � 0 C coco Ln 0)U Q) 4:, v y c � o NC U U .� O 4_ W it M 1.0 s_ O F o a, N .� N U 1+d y N O 4, -Q- v ° a ro c' >N ro � # .� Q, o� > W n nS.-a `' U aJ N .Ni ti N M M M .MI .�i N NLO M l�00 .teaI�i to N N N N O N Cl) N M '?« • N M �'0 - N M 4 N N M I ME N M 4� N M 4 U U W oaaaa oa'aaa o0'aaa oaaaa oaaaa oaaaa oaaaa �+ •� I—I 'Zj v U�' F F Qj G �' C N Ll U U w 'd o)— z `' F v v v co Ql ,.0 +� p N N cU �., O+ U +-� p U v w m U U a'' ^c7 •O v v v '> N N O � a V U V V V a p p 0 U U cj Q) in co v, COcc q a F cn u () + o 04 v v u o v 75 CC, Q, u o 0 0 q w N /q w w y O 4�S L + u Lo y' ° ° � � v t r H H _ v O m o N U 04 li.= v v a d v © ) v 0 � % E k / � \ { ¥ q § O \ / ƒ @ ° 2 0 � § � = t ) , _ Q E o S � & a 5 Q � o / § \ m E » ° § w $ � ƒ j co L \ ƒ _ C CD \ * � ^ � / ( '� \ 2 � Q ƒ § \ j E � / § \ { ® \ 4 § ƒ § { § ® o § ° / 7 \ � 2 ° � § ) % e \� cn Q \ \ 77 O U. E2 _' FIRST5 Direct Services Face Sheet & Scope of Work FRESNO COUNT! Service Provider Staff Confidentiality Agreement&Request for Reporting Database System User Logon All staff members of F5FC funded programs and projects(Service Providers)who are responsible for gathering or maintaining confidential information and records must adhere to this agreement. Responsibilities During the performance of Service Provider assigned duties related to the F5FC project,Service Provider might have access to confidential client information and records required for effective coordination and delivery of services to children and their families.All confidential discussions,deliberations,records,and information generated or maintained in connection with these activities shall be disclosed only to persons who have the need to know and authority to access confidential consumer information or records.This includes information obtained and conveyed through all media including the reporting database system.Service Provider must not disclose any confidential client information to any third party without the written authorization from the client or legally authorized representative. Leqal Liabilities Service Provider must adhere to the following: • Notice:All applicable employees,agents,and subcontractors shall be notified of state requirements for confidentiality and also notified that any person knowingly or intentionally violating the provisions of the state law is guilty of a misdemeanor. • Records pertaining to any individual recipient of F5FC will be confidential and will not be open to examination for any purpose not directly connected with the administration of local evaluation. • No person will publish,disclose,use,orpermit the use of,or cause to be published,disclosed or used,any confidential information pertaining to any individual recipient of F5FC services. Prohibition of Re-Disclosing Confidential Client Information Employment Confidentiality Agreement This notice accompanies a disclosure of confidential information concerning a consumer of services funded by the F5FC. The above referenced agency is prohibited from making any further disclosure of this confidential information unless further disclosure is expressly permitted by the written authorization to release the information of the person to whom it pertains or as otherwise permitted by these regulations.A general authorization for the release of confidential information is NOT sufficient for this purpose. Acknowledgement of Confidentiality and Prohibition of Re-Disclosing Confidential Client Information Employment Confidentiality Agreement The Agency acknowledges responsibility not to divulge any confidential information or records concerning clients of F5FC funded services without proper written authorization. By signing the Direct Services Agreement,the Agency accepts confidentiality and prohibition of re-disclosing confidential funding requirements. County of Fresno Department of Public Health,Nurse Liaison,#2o1617-0950 Ro522(1&2) Page 7 of g PIFIRST5Direct Services Face Sheet & Scope of Work Type of Agreement:Amendment-Direct Service Type of Procurement: ❑ Informal ❑ Formal ® Sole Source Annual Contract Review: ® Formal ❑ Informal BFF Policy Agreement Form Completed: ®Yes ❑ No (attach form to contract) ❑ N/A EFT Form Completed: ® Yes ❑ No (attach form to contract) W-g Completed: ® Yes ❑ No Database Reporting System Set-Up: (check all that apply) ❑ No data-only basic info for state reporting ❑Aggregate data ® Financial module ® Client level data reporting ❑Monthly reporting ® Narrative ®Quarterly reporting ®Performance module ❑One time payment ❑Financial module ® State upload Type of Agency:(choose only one) ❑ City Government ❑ Private and/or for Profit Organization ❑ Community Benefit Organization(501(c)3 ❑ School District ® County Government ❑ State Government ❑ Faith Based Organization(attach policy) ❑ Other (please specify): ❑ Federal Government Agency ❑ Higher Education F.5FC Office Use Only Commission Approved Date: o6/01/2016 F5FC Staff Review and Approval FY 22-23 Contract Manager Approved 4/22/2022 Reviewed&Approved by Director 4/26/2022 Agency name: County of Fresno Department of Public Contract number: 2o1617-0950 Health Program name: Nurse Liaison Contract amount: $2,966,374 R0522(1&2) Page 8 of g FIFIRST5 Direct Services Face Sheet & Scope of Work FRESNO COUNTY See Description of Services(end notes) • 'Case management session-Parenting Teen:Case Management sessions include PHN visits at the client's home or field visits as an alternative to the home(examples:school,restaurant,park,etc.). Case management will be provided primarily to pregnant and/or parenting teens but may include case management services to infants and children referred from the community. Referrals come from the CalLearn program or other infant or children referrals. Case management sessions may also include a telephone call,text,email or telehealth visit no less than 5-10 minutes in length for services such as follow-up with the referral source,consultation with medical providers, child care providers,social workers,parents,and representatives of agencies involved with the client's follow- up services. These case management sessions will be recorded in the nursing documentation notes. z Case management session(Parenting Teen) Frequency:It is expected that there will be an average of three service contacts per client,however it may range from one to as many as needed for case management services based on each client's needs and availability. 3 Case management session-Child:Case Management sessions include PHN visits at the client's home,field or site visits.Field visits are defined as visits with the PHN at alternative sites such as a public park,library or a restaurant.Site visits are defined as visits with the PHN at child care homes or centers. Case management sessions may also include a telephone call,text, email or telehealth visit no less than 5-10 minutes in length for services such as follow-up with the referral source,consultation with medical providers, child care providers,social workers,parents, and representatives of agencies involved with the client's follow- up services. These case management sessions will be recorded in the nursing documentation notes. Primary referral sources are Valley Children's Hospital and Community Regional Medical Center with additional referrals being received from CPS,medical clinics,private doctors,community members,etc. Referral sources also include child care centers,child care homes,preschools,CSN,etc. 4 Case management(Child)frequency:It is expected there will be an average of three service contacts per client,however it may range from one to as many as needed for case management services based on each client's needs and availability. 5 Other Referral(Child):Nurse Liaison will attach other referrals to the child or the parent/caregiver depending on the specificity of the referral.These other referrals are to improve the environment and decrease stressors on the child. 6 Reflective Practice- Frequency: Staff will participate in a group Reflective Practice (RP) and one-on-one sessions with the SPHN. The average RP service per staff member is once a month. The focus of these meetings will be to provide an opportunity to explore experiences, feelings and challenges encountered with clients or with the challenges of the role of home visiting itself. County of Fresno Department of Public Health,Nurse Liaison,#201617-0950 Ros22(1&2) Page 9 of 9 County of Fresno, Department of Public Health Contract#201617-0950 Nurse Liaison Page 5 EXHIBIT B Project Budget (2022-2024 Fiscal Years) B-1 (-- N M m m m m N m m O O m V N O O N E O o v r- o m m m m m N m IT t, m m (p (f) N (c (() O (O m M v V (D m c7 M m m o r m M m (� m o7 (o (o r� r O 7 O N m M M M m V V N (D O c N ti m c7 o a` E � cv nj 7a ? (l) M AQ oLL o co f- m (D o M V m m O O N cD N O o N c) m r� 1-- m N� m (D o f- (D N 04 0 0 c m f� m v O (o M V m r (o m (D co (D r r co ao m M V M m V a 01 !0 M (o o n m (o m m O O (o m m co r m M r- m m o to w r o r O m O c7 N M c7 C/ m M O O o r vi cni Di o 0 0 of w v a _ m cm `r a) r v a . rn m v `m v Y m m (D (o N co m (D (a M M O O N p) N O O N m O M N m N m O O O O (o m M N N m m m (D 1� M M If) (o m m Yi (V N c _ M m m (o — V V m m m cq N N (D 'p m m N Cl) (D (o (o U O O O M o O O O M O (o O N m N m c7 Ih m co Ln Lo N (D O V 1� M M "+ (o Na) V LO to N M M (o O L Car Mn7 (0 7 m 7 Z d ` 'a O�♦ 3 m N N m N (o M m m O O LO m V Cl C.V m N ITm M m M h r- N N O O C, N N n m M c c'7 m (n n m m O V 0 _ r m (ri v c m (a v m m Z c�i v y _ m co ao m (n ` m co M V � V v fn ' m w ca w } Q } Q LL U) � v L -ItO r- m C) V m C) O m O r- N -It O O <t (.- m N O m (D V O O m )o N N N m 't M O 1IL Lq O O to N LL _ M � cq M 'T M N O 'IT C V (O aD O O M N �^- �-- M M M V! (o to (p m m 7 4 {p 7 U T) U Q Q Y co m m fl. m : o 1, M M O C) (o N o Cl O cD m (o O M N o M m m CD (D m m co (D m o (O m to N (D m m O U7 rl O O N (o m O N 'ItN m N N (O M (n 2 _ ` m 'ITm N 1- t- U N N N M N , m _ m 7 m 7 m 7 IL o _ a) 0 c d E r m _ N o o (o a N m m m N O m m O O o r N Na) m m 'd' 1, m co m m m O c W t0 O m c} a0 m O O O N N V M N O N N 1- c) N v Ln N M H Cl) M m � m LL O mLo m 7 m 7 p (o'p O Q _ a) Q o C u! O m 7 U Z O N � N N co c c N N N O 7 Nx u) LL W m d 0 a E C L E a C 7 2 . p ur O m 0) (D 2 o c C U m u m d O a) v a 'v F a a) o m O aa)) N Y a7 : y c °) d E E a) a) w = E c o w � F° c o ° o c m U (i E E d @ c x m 'm H o - U H 7 m y Z Z ~ Z C (n 0] H C m O H ry y T U U O is a) 7 d N J (A O U U A Q 07 U N Q CD U O Q O L N ^C C W a) a LL a` C O Q m U an` 0-S: ci a � - ? > > > N M t (D w I ;: N M V (D a2 I� m m O N M V V7 m I- m m O N mm V V7 m •- - � � N N N N N N N N N N M M M M (7 M M M1'- m m Mm 1 jAgency Name: lCounty of Fresno, Department of Public Health 2 1 Project Name: INurse Liaison 3 4 First 5 Amounts 5 6 07/01/23-6/30/24 7 I. Personnel Title FTE Am 8 Supervising Public Health Nurse 0.33 9 Public Health Nurse II 0.41 10 The "Amount" should be: Annual Public Health Nurse II 0.40 Salary X the FTE whenever possible. 11 Public Health Nurse 1 0.45 12 1 FTE = 40 hours /week Public Health Nurse 1 0.50 13 14 15 A. Total Salaries & FTE 2.09 1 f 16 B. Benefits 64.709% 1' 17 C. Taxes 7.65% 18 Personnel Subtotal 3' Justification of Benefits and Taxes: Estimated benefits rates reflect Unemployment Insurance 19 ($9605-$12476 per FTE per year) and Benefits Administra 20 II. Operating Expenses 21 A. Facilities Costs 22 Narrative/Justification — Explain these costs and how they apply to the program, then sta Fresno County Department of Public Health, 1221 Fulton St, 4th floor, Fresno, CA 93721. Telel ($5,600), utilities ($4,000), and security/alarm ($1,600). These are all Internal Service Funds ch General Services Administration provides base amount for the department. Nurse Liaison staff 23 24 B. Operational/Supplies 25 Narrative/Justification — Explain these costs and how they apply to the program, then sta General office supplies such as paper, pencils, envelopes and filing supplies ($1000), printing (9 home visits ($1000). 26 27 C. Training/Travel 1 Agency Name: I County of Fresno, Department of Public Health 2 jProject Name: INurse Liaison 3 4 First 5 Amounts 5 6 07/01/22-6/30/23 7 I. Personnel Title FTE Am 8 Supervising Public Health Nurse 0.33 9 Public Health Nurse II 0.41 10 The "Amount" should be: Annual Public Health Nurse II 0.40 Salary X the FTE whenever possible. 11 Public Health Nurse 1 0.45 12 1 FTE = 40 hours /week Public Health Nurse 1 0.50 13 14 15 A. Total Salaries & FTE 2.09 1E 16 B. Benefits 64.983% 1' 17 C. Taxes 7.65% 1 18 Personnel Subtotal 3' Justification of Benefits and Taxes: Estimated benefits rates reflect Unemployment Insurance 19 ($9605-$12476 per FTE per year) and Benefits Administra 20 II. Operating Expenses 21 A. Facilities Costs 22 Narrative/Justification — Explain these costs and how they apply to the program, then sta Fresno County Department of Public Health, 1221 Fulton St, 4th floor, Fresno, CA 93721. Telel ($5,600), utilities ($4,000), and security/alarm ($1,600). These are all Internal Service Funds ch General Services Administration provides base amount for the department. Nurse Liaison staff 23 24 B. Operational/Supplies 25 Narrative/Justification — Explain these costs and how they apply to the program, then sta General office supplies such as paper, pencils, envelopes and filing supplies ($1800), printing home visits ($2000). 26 27 C. Training/Travel /ln LL___ ___L_ _--I L____LL_._ - County of Fresno,Department of Public Health Contract#2o1617-0950 Nurse Liaison Page 5 EXHIBIT C Signature Authorization I CERTIFY THE AGENCY OFFICIAL LISTED BELOW IS AUTHORIZED AND EMPOWERED TO SIGN AND ENTER INTO THIS AGREEMENT ON BEHALF OF THE AGENCY (CONTRACTOR) AND BY VIRTUE OF THAT PERSON'S SIGNATURE, BIND THE AGENCY. ORGANIZATION/AGENCY County of Fresno NAME (CONTRACTOR): SIGNATURE OF GOVERNING BODY OFFICIAL: DATE SIGNED: PRINTED NAME: Sal Quintero TITLE: Vice Chairman of the Board of Supervisors of the County of Fresno SIGNATURE OF AUTHORIZED AGENCY OFFICIAL: N� DATE SIGNED: 9-�3 2- TYPED NAME: Sal Quintero TITLE: Vice Chairman of the Board of Supervisors of the County of Fresno NOTE: SHOULD CIRCUMSTANCES REQUIRE A CHANGE IN THE ABOVE, A NEW SIGNATORY AUTHORIZATION MUST BE COMPLETED AND FORWARDED TO THE COMMISSION. ATTEST: BERNICE E.SEIDEL Clerk of the Board of Supervisors County of Fresno,State of California By Deputy B-1