HomeMy WebLinkAboutAgreement A-23-192 with CDPH.pdf Agreement No. 23-192
State of California—Health and Human Services Agency
California Department of Public Health ='� • �+
4CDPH 'f
TOMAS J.ARAGON,M.D.,Dr.P.H GAVIN NEWSOM
Director and State Public Health Officer Governor
December 16, 2022
TO: MATERNAL, CHILD AND ADOLESCENT HEALTH (MCAH)
DIRECTORS/ CALIFORNIA HOME VISITING PROGRAM (CHVP)
DIRECTORS, COORDINATORS, OR DESIGNEE
SUBJECT: FISCAL YEAR (FY) 2022-2023: Year 1 CHVP STATE GENERAL FUND
(SGF) AGREEMENT FUNDING APPLICATION (AFA) ANNOUNCEMENT
This letter announces the FY 2022-2023 AFA Process that provides allocation and
contract funding updates for Year 1 of the of California Home Visiting Program State
General Fund Expansion (CHVP SGF EXP).
FY 2022-23 State General Funding is as Follows:
CHVP SGF EXP funding allocations are for State General Funds only and cannot
be combined with other funding including Maternal, Infant, and Early Childhood
Home Visiting (MIECHV) dollars but may be braided. Please reach out to your
Contract Manager (CM) if you have questions. Please note that CHVP
Allocations funded with MIECHV, are implemented through a separate allocation
agreement.
AFA Timeline/ Important Dates:
Friday, December 16th Release of FY 22-23 AFA Notification for Year 1 CHVP SGF EXP.
AFA forms will be sent via email attachment.
NOTE: New LHJs must complete all AFA forms. LHJs that participated
in the previous CHVP 2019 SGF EXP AFA cycle will not need to
complete all AFA forms, and their assigned CM will provide a checklist
of AFA forms that may need to be updated
Friday, December 30th AFA Packages and Updated Forms Due back to MCAH.
If needed, please contact your CM for any extensions.
Monday, January 30tl MCAH CM/ PC AFA Package Review and Approval.
Your CM and Program Consultant (PC) will review your AFA package.
LHJs will be notified if revisions are needed before approval.
`w Ht.i n,ua
CDPH Maternal, Child and Adolescent Health Division/Center for Family Health +`
MS 8305, P.O. Box 997420,Sacramento, CA 95899-7420
S
(916) 650-0300 • (916)650-0305 FAX
6
Internet Address:www.cdph.ca.gov
MCAH Directors, CHVP Project Coordinators, or Designee
December 16, 2022
AFA Submission:
Packages are due via email to MCAHFINACT@cdph.ca.gov by Friday,
December 301h. If you have any questions about the AFA process or require an
extension due to the extenuating circumstances of COVID-19, please contact
your CM as soon as possible.
There may have been changes since the last AFA submission. We recommend
that all LHJs review the Fiscal Administration Policy and Procedure Manual prior
to building and submitting their FY 22-23 AFAs. Please note that CHVP SGF
EXP Year 1 has a unique naming convention (Reference the example under the
Invoice Submission section of this letter, or on the AFA checklist).
LHJs will be notified via email when their AFA package is approved and they and
they are permitted to invoice for services retroactively to July 1, 2022.
Invoice Submission:
As communicated in CDPH/ MCAH alert letter 20160710 on October 7, 2016, all
invoices and supporting documentation must be submitted via email to: the
MCAH invoice box: MCAHlnvoices(c@cdph.ca.gov. To ensure appropriate
processing, please use the following invoice naming convention for the signed
invoice PDF and Excel files as well as the subject line of the email:
Agreement Number (space) LHJ Name (space) Fiscal Year (space) Invoice
Quarter Number
Example: CHVP SGF EXP 22b-01 Alameda FY22-23 Q1
Invoice submission must include:
• Signed cover letter on LHJ letterhead
• Signed invoice (Please note: electronic signatures are accepted)
• Updated invoice information in the approved Excel Budget-Invoice
Template
MCAH Directors, CHVP Project Coordinators, or Designee
December 16, 2022
Invoice Submission Timeline:
Pay Period Duration __ Due Date
Quarter 1 Jul — September November 15th
Quarter 2 October— December February 15th
Quarter 3 January— March May 1511
Quarter 4 Aril — June August 15th
Thank you for your assistance and timely submission of your AFA package. If you have
any questions or concerns, please contact your CM.
Sincerely,
A' �3a
�l
Angelica Jimenez-Bean
Section Chief, Contract Management and Allocations Process
Maternal, Child and Adolescent Health Division
Center for Family Health
California Department of Public Health
CALIFORNIA DEPARTMENT OF PUBLIC HEALTH
MATERNAL, CHILD AND ADOLESCENT HEALTH (MCAH) DIVISION
FUNDING AGREEMENT PERIOD
FY 2022-2023
AGENCY INFORMATION FORM
Agencies are required to submit an electronic and signed copy (original signatures only) of this form along
with their Annual AFA Package.
Agencies are required to submit information when updates occur during the fiscal year. Updated
submissions do not require certification signatures.
__.._ . DENTIFICATIOh .... _........._
Any program related information being sent from the CDPH MCAH Division will be directed to all
Program Directors.
CHVP SGF EXP 22b-10
Update Effective Date: (only required when submitting updates)
Federal Employer ID#:
FI$CAL ID#:
Complete Official Agency Name: County of Fresno
Business Address: 1221 Fulton Street, Fresno, CA 93721
Agency Phone: (559) 600-3330
Agency Fax: (559) 455-4705
Agency Website: www.co.fresno.ca.us
Page 1 of 2
Please enter the agreement or contract number for each of the applicable programs
CHVP SGF EXP 22b-10
Update Effective Date: (only required when submitting updates
The undersigned hereby affirms that the statements contained in the Agreement Funding Application
(AFA)are true and complete to the best of the applicant's knowledge.
I certify that this Maternal, Child and Adolescent Health(MCAH)program will comply with all applicable
provisions of Article 1, Chapter 1, Part 2, Division 106 of the Health and Safety code(commencing with
section 123225), Chapters 7 and 8 of the Welfare and Institutions Code(commencing with Sections
14000 and 142),and any applicable rules or regulations promulgated by CDPH pursuant to this article
and these Chapters. I further certify that all MCAH related programs will comply with the most current
MCAH Policies and Procedures Manual, including but not limited to,Administration. I further agree that
the MCAH related programs may be subject to all sanctions,or other remedies applicable,if the MCAH
related program violates any of the above laws, regulations and policies with which it has certified it will
comply.
Original signature of official authorized to commit the Agency to a CHVP Agreement
ATTEST:
Signature line: BERNICE E.SEIDEL
_ �- �U Clerk of the Board of Supervisors
County of Fresno,State of California
Name(Print)_Sal Quintero
BY Deputy
Title—Chairman of the Board of Supervisors of the County of Fresno_Date AnTril ��
Original Signature of MCAH Director
Signature line:
Name(Print)_Ge Vue
Title MCAH Director Date 31314
Page 2 of 2
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Exhibit K
Attestation of Compliance with the
Sexual Health Education Accountability Act of 2007
Agency Name: County of Fresno
Agreement/Grant Number: CHVP SGF EXP 22b-10
Compliance Attestation for Fiscal Year: 2022-23
The Sexual Health Education Accountability Act of 2007 (Health and Safety Code, Sections
151000 — 151003) requires sexual health education programs (programs) that are funded or
administered, directly or indirectly, by the State, to be comprehensive and not abstinence-
only. Specifically, these statutes require programs to provide information that is medically
accurate, current, and objective, in a manner that is age, culturally, and linguistically
appropriate for targeted audiences. Programs cannot promote or teach religious doctrine, nor
promote or reflect bias (as defined in Section 422.56 of the Penal Code), and may be required
to explain the effectiveness of one or more drugs and/or devices approved by the federal Food
and Drug Administration for preventing pregnancy and sexually transmitted diseases.
Programs directed at minors are additionally required to specify that abstinence is the only
certain way to prevent pregnancy and sexually transmitted diseases.
In order to comply with the mandate of Health & Safety Code, Section 151002 (d), the
California Department of Public Health (CDPH) Maternal, Child and Adolescent Health
(MCAH) Program requires each applicable Agency or Community Based Organization (CBO)
contracting with MCAH to submit a signed attestation as a condition of funding. The
Attestation of Compliance must be submitted to CDPH/MCAH annually as a required
component of the Agreement Funding Application (AFA) Package. By signing this letter, the
MCAH Director or Adolescent Family Life Program (AFLP) Director (CBOs only) is attesting or
"is a witness to the fact that the programs comply with the requirements of the statute". The
signatory is responsible for ensuring compliance with the statute. Please note that based on
program policies that define them, the Sexual Health Education Act inherently applies to the
Black Infant Health Program, AFLP, and the California Home Visiting Program, and may apply
to Local MCAH based on local activities.
The undersigned hereby attests that all local MCAH agencies and AFLP CBOs will comply with
all applicable provisions of Health and Safety Code, Sections 151000 — 151003 (HS 151000-
151003). The undersigned further acknowledges that this Agency is subject to monitoring of
compliance with the provisions of HS 151000-151003 and may be subject to contract
termination or other appropriate action if it violates any condition of funding, including those
enumerated in HS 151000-151003.
Revised 1/11/21 Page 1 of 4
Exhibit K
Attestation of Compliance with the
Sexual Health Education Accountability Act of 2007
Signed
County of Fresno CHVP SGF EXP 22b-10
Agency Name Agreement/Grant Number
/Signature of MCAH Director Date
Signature of AFLP Director(CBOs only)
Ge Vue
Printed Name of MCAH Director
Printed Name of AFLP Director(CEOs
only)
Revised 1/11/21 Page 2 of 4
Exhibit K
Attestation of Compliance with the
Sexual Health Education Accountability Act of 2007
CALIFORNIA CODES
HEALTH AND SAFETY CODE
SECTION 151000-151003
151000.This division shall be known, and may be cited, as the Sexual Health Education
Accountability Act.
151001. For purposes of this division, the following definitions shall apply:
(a) "Age appropriate" means topics, messages, and teaching methods suitable to
particular ages or age groups of children and adolescents, based on developing cognitive,
emotional, and behavioral capacity typical for the age or age group.
(b) A "sexual health education program" means a program that provides instruction or
information to prevent adolescent pregnancy, unintended pregnancy, or sexually transmitted
diseases, including HIV, that is conducted, operated, or administered by any state agency, is
funded directly or indirectly by the state, or receives any financial assistance from state funds
or funds administered by a state agency, but does not include any program offered by a school
district, a county superintendent of schools, or a community college district.
(c) "Medically accurate" means verified or supported by research conducted in compliance
with scientific methods and published in peer review journals, where appropriate, and
recognized as accurate and objective by professional organizations and agencies with
expertise in the relevant field, including, but not limited to, the federal Centers for Disease
Control and Prevention, the American Public Health Association, the Society for Adolescent
Medicine, the American Academy of Pediatrics, and the American College of Obstetricians and
Gynecologists.
151002. (a) Every sexual health education program shall satisfy all of the following
requirements:
(1) All information shall be medically accurate, current, and objective.
(2) Individuals providing instruction or information shall know and use the most current
scientific data on human sexuality, human development, pregnancy, and sexually transmitted
diseases.
(3) The program content shall be age appropriate for its targeted population.
(4) The program shall be culturally and linguistically appropriate for its targeted
populations.
(5) The program shall not teach or promote religious doctrine.
(6) The program shall not reflect or promote bias against any person on the basis of
disability, gender, nationality, race or ethnicity, religion, or sexual orientation, as defined in
Section 422.56 of the Penal Code.
Revised 1/11121 Page 3 of 4
Exhibit K
Attestation of Compliance with the
Sexual Health Education Accountability Act of 2007
(7) The program shall provide information about the effectiveness and safety of at least
one or more drugs and/or devices approved by the federal Food and Drug Administration for
preventing pregnancy and for reducing the risk of contracting sexually transmitted diseases.
(b) A sexual health education program that is directed at minors shall comply with all of the
criteria in subdivision (a) and shall also comply with both the following requirements:
(1) It shall include information that the only certain way to prevent pregnancy is to abstain
from sexual intercourse, and that the only certain way to prevent sexually transmitted diseases
is to abstain from activities that have been proven to transmit sexually transmitted diseases.
(2) If the program is directed toward minors under the age of 12 years, it may, but is not
required to, include information otherwise required pursuant to paragraph (7) of subdivision (a).
(c) A sexual health education program conducted by an outside agency at a publicly funded
school shall comply with the requirements of Section 51934 of the Education Code if the
program addresses HIV/AIDS and shall comply with Section 51933 of the Education Code if
the program addresses pregnancy prevention and sexually transmitted diseases other than
HIV/AIDS.
(d) An applicant for funds to administer a sexual health education program shall attest in
writing that its program complies with all conditions of funding, including those enumerated in
this section. A publicly funded school receiving only general funds to provide comprehensive
sexual health instruction or HIV/AIDS prevention instruction shall not be deemed an applicant
for the purposes of this subdivision.
(e) If the program is conducted by an outside agency at a publicly funded school, the
applicant shall indicate in writing how the program fits in with the school's plan to comply fully
with the requirements of the California Comprehensive Sexual Health and HIV/AIDS
Prevention Education Act, Chapter 5.6 (commencing with Section 51930) of the Education
Code. Notwithstanding Section 47610 of the Education Code, "publicly funded school"
includes a charter school for the purposes of this subdivision.
(f) Monitoring of compliance with this division shall be integrated into the grant monitoring
and compliance procedures. If the agency knows that a grantee is not in compliance with this
section, the agency shall terminate the contract or take other appropriate action.
(g) This section shall not be construed to limit the requirements of the California
Comprehensive Sexual Health and HIV/AIDS Prevention Education Act (Chapter 5.6
(commencing with Section 51930) of Part 28 of the Education Code).
(h) This section shall not apply to one-on-one interactions between a health practitioner and
his or her patient in a clinical setting.
151003. This division shall apply only to grants that are funded pursuant to contracts entered
into or amended on or after January 1, 2008.
Revised 1/11121 Page 4 of 4
OR GINAL BUCGET
PubliclHealth J40i$vn Mdue ,ChWmdAdoL—AH.AhDivi,ien
BUDGET SUMMARY
FISCAL YEAR INVOICE TYPE BUDGET BUDGET STATUS IBALANCE
2022.2023 QUARTERLY ORIGINAL ACTIVE 138,778
Rev.722=
PURPOSE: CHVP SGF Expansion FUNDING SOURCE,MA
CONTRACTOR: Fresno CHVP-SGF,51023
AGREEMENT#; CHVP SGF EXP 22b-10 m m (3)
SUB1C TOTAL FUNDING % S
FUNDING TOTALS1 6e7,613 ee7,613
EXPENSE CATEGORY
PERSONNEL 1165,65E 100.00% 3165,65E
FRINGE BENEFITS 1123719 100,0D% 5123.71E
OPERATING 141000 WOW% S41,00D
EQUIPMENT 3141,000 100.00% $141-000
TRAVEL 113.500 100.00% $13,5110
SUBCONTRACTS 310D.000 10007% S100,000
OTHER COSTS 3109.500 loo00% 5109.500
INDIRECTCOST $54460 10000% S54450
BUDGET TOTALS 574E.S35 --% n4e.635
BALANCES S73B,776
Maximum Amount Payable: $748,835
1 CERTIFY THAT THIS BUDGET HAS BEEN CONSTRUCTED IN COMPLIANCE WITH ALL MCAH ADMINISTRATIVE AND
PROGRAM POLICIES.Signalure over 3131z3
Printed Name Ge Vue DATE
Project Dlreclor
State Use Only FUNDING SOURCE CHVP-SGF
PCACODE E1023
PLRSONNEL 165.65E
FRINGE BENEFITS 123,719
OPERATING 41A00
EQUIPMENT 141.000
TRAVEL 13,500
SUBCONTRACTS 100,000
OTHER COSTS 10S.500
INDIRECT COST 54,450
ToLus for PGA Code, 746,e36 I—
PERSONNEL Remaining Funds
1 % 165656
TOTAL PERSONNEL COSTS 1SSAS6 161,35E
TOTAL WAGES !65.656 165.65E
S
TITLE OR CLASS. FTE% ANNUALSALARY TOTALWAGES
n:
1 VA Senior Stan AnaW 100% 74,851 74AIII 10D00% 74,051
2 VA HeAh EdueaWn Sp—IM 100% 60.7391 50.73E IOD00% 50,73E
3 VA Pmpam Taeh1 100% 40.037 40.037 100,00% 40,037
4
5
6
7
B
9
10
FRINGE BENEFITS ReRnalnmg Fends
t00.OD% 123715
TOTAL FRINGE BENEFITS 123,719 127,71f
CHVP SGF EXP 22b-I0 4 Budget FY22-23.1du 1 or 2 Printed:3/312023 2:47 PM
ORIGINAL BUDGET
Public Health 101 µ anal,Chldand Adolescent Heaah C—on
PURPOSE: CHVP SGF Expansion RINGING SOURCE.PCa
CONTRACTOR: Fresno CHVP-SGF,51023
AGREEMENTS: CHVP SGF EXP 22b-10 RI P)
SUBK: TOTAL FUNOING $
FUNDING TOTALS 887,G13 887,61
EXPENSE CATEGORY
OPERATING Remaining Funds
000
TOTAL OPERATING EXPENSES 41,000 41,000
1 Cammunkaepin 21,000 100,00% 21,O00
2 T—ea 6,500 100 on 6,500
3 OK supple 10,500 1 W 00% 10,500
4 POetaga ,000 10003% 1,O00
5 P:marg 2000 loom 20000
EQUIPMENT Remaining Funds
100 W% 141 000
TOTAL EOUIPMENTEXPENSES 141,000 141,No
1 $"'IT""tev 100.000 tW.00% tW.OW
2 Txh.wgY 41.OW 100.00% 41,W0
3
4
TRAVEL Remaining Funds
1 W 00%1 13 S03
TOTAL TRAVEL EXPENSES 13,W0 1:,Sc9
1 TIanIIgBTf" 13,W0 10000% 13,S1�
2
3
4
5�
SUBCONTRACTS ema ning Funds
1
TOTAL SUBCONTRACT EXPENSES 100,00 100,000
I Media 4 Advanroemenl 100,AW 1 W 00% 100000
2
3
4
OTHER COSTS Remaining Funds
TOTALOTHERCOSTS 109.500 109.500
1 Emugency Suppilea 10o,W0 100.00% 100.000
2 N9Mowu— 4,500 100.00% 4.SW
3 Medrol suppin 5,000 100.00% SOW
4
INDIRECT COST Remaining Funds
f W UO`% 54 450
TOTAL INOIRECTC03T9 54,460 1 WAN
e %of Trial Fereomel and BmNu1 54,460 1 W 00% 54,160
CHVP SGF EXP 22b-10 4 Budget FY22-23A. 2 of 2 P-led:3f32023 2:47 PM
CERTIFICATION OF INDIRECT COST RATE METHODOLOGY
Please list the Indirect Cost Rate (ICR) Percentage and supporting methodology for the
contract or allocation with the California Department of Public Health, Maternal Child and
Adolescent Health Division (CDPH/MCAH Division).
Date:
3/3/2023
Agency Name:
County of Fresno
ContracUAgreement Number:
22b-10
Contract Term/Allocation Fiscal Year: 2022-23
1. NON-PROFIT AGENCIES/ COMMUNITY BASED ORGANIZATIONS (CBO)
Non-profit agencies or CBOs that have an approved ICR from their Federal cognizant
agency are allowed to charge their approved ICR or may elect to charge less than the
agency's approved ICR percentage rate.
Private non-profits local agencies that do not have an approved ICR from their Federal
cognizant agency are allowed a maximum ICR percentage of 15.0 percent of the Total
Personnel Costs.
The ICR percentage rate listed below must match the percentage listed on the
Contract/Allocation Budget
% Fixed Percent of:
❑ Total Personnel Costs
2. LOCAL HEALTH JURISDICTIONS (LHJ)
LHJs are allowed up to the maximum ICR percentage rate that was approved by the
CDPH Financial Management Branch ICR or may elect to charge less than the agency's
approved ICR percentage rate. The ICR rate may not exceed 25.0 percent of Total
Personnel Costs or 15.0 percent of Total Direct Costs. The ICR application (i.e. Total
Personnel Costs or Total Allowable Direct Costs) may not differ from the approved ICR
percentage rate.
The ICR percentage rate listed below must match the percentage listed on the
Allocation/Contracted Budget.
18.81(% Fixed Percent of:
X Total Personnel Costs
❑ Total Allowable Direct Costs
Revised:12/18/20 Page 1 of 3
CERTIFICATION OF INDIRECT COST RATE METHODOLOGY
3. OTHER GOVERNMENTAL AGENCIES AND PUBLIC UNIVERSITIES
University Agencies are allowed up to the maximum ICR percentage approved by the
agency's Federal cognizant agency ICR or may elect to charge less than the agency's
approved ICR percentage rate. Total Personnel Costs or Total Direct Costs cannot
change.
% Fixed Percent of:
❑ Total Personnel Costs (Includes Fringe Benefits)
❑ Total Personnel Costs (Excludes Fringe Benefits)
❑ Total Allowable Direct Costs
Please provide you agency's detailed methodology that includes all indirect costs, fees and
percentages in the box below.
Revised: 12/18/20 Page 2 of 3
CERTIFICATION OF INDIRECT COST RATE METHODOLOGY
County of Fresno, Department of Public Health's Indirect Cost Rate (ICR) of 18.816% was
i calculated by dividing the Total Allowable Indirect Costs by the Total Allowable Direct Costs
for Salaries. The ICR was prepared and calculated using the 2019-20 actual costs and
budget information for the Department of Public Health. The allocation of allowable indirect
costs were accomplished by classifying the total cost, based on actual costs incurred, as
direct or indirect cost, which included salaries, benefits, computer services, audit services,
janitorial services, rental expenses, mileage/travel, office supplies, telephone, liability
insurance, etc. The ICR is based on the most recent audited financial for the County which
received an unqualified clean opinion from the County's independent external auditors.
This rate was reviewed and approved by the County of Fresno, Auditor-Controller/
Treasurer-Tax Collector.
Please submit this form via email to your assigned Contract Manager.
The undersigned certifies that the costs used to calculate the ICR are based on the most
recent, available and independently audited actual financials and are the same costs
approved by the CDPH to determine the Department approved ICR.
Printed First & Last Name: Ge Vue
Title/Position: MCAH Director, Division Manager
Signature: Date: 3I3I23
Revised: 12/18/20 Page 3 of 3
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Agreement Funding Application Between the County of Fresno and the
California Department of Public Health
Agreement Name: CDPH CHVP State General Fund (SGF) - California Home Visiting
Program State General Fund Expansion Agreement/Grant No. CHVP SGF EXP 22b-10,
FY 2022-23
Fund/Subclass: 0001/10000
Organization #: 56201750
Revenue Account #: 3530