HomeMy WebLinkAboutAgreement A-23-334 CHVP ARP Round 2 Agreement with CDPH.pdf Agreement No. 23-334
State of California—Health and Human Services Agency
_ California Department of Public Health
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TOMAs J.APAGON,MD,DrPH GAVIN NEWSOM
Director and State Public Health Officer Govemor
August 17, 2022
Subject: Notice of Intent to Award for Maternal, Infant, and Early Childhood Home Visiting
(MIECHV), Round 2 American Rescue Plan Act (ARP) Funding.
The California Department of Public Health (CDPH), Maternal, Child and Adolescent
Health (MCAH) Division intends to award your existing California Home Visiting Program
(CHVP) MIECHV-funded program with a second round of ARP funds received from the
Health Resources and Services Administration (HRSA). This funding is to be used solely
for the purpose of supporting CHVP MIECHV-funded home visiting programs, including
staff supported by CHVP MIECHV funds and participants enrolled in CHVP MIECHV-
funded Nurse Family Partnership (NFP) or Healthy Families America (HFA) home visiting
models.
The ARP funds are available between the date of agreement execution through
September 30, 2024. Reimbursement of invoices are subject to compliance with all state
and Federal requirements pertaining to the CDPH/MCAH related programs and adherence
to all applicable regulations, policies, and procedures.
The allocations available to the following CHVP MIECHV-funded counties/programs are:
County/Program Funding Amount
Alameda County $229,153.00
Butte County $148,289.00
Contra Costa County $239,205.00
Fresno County $170,718.00
Humboldt County $223,223.00
Kern County $180,844.00
Los Angeles County Children's Bureau $151,339.00
Los Angeles Count — LAUSD $238,135.00
Madera Count $144,546.00
Merced County $86,434.00
Nevada County $202,531.00
Riverside County $197,736.00
Sacramento County $205,161.00
San Diego County $214,240.00
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CDPH Maternal, Child and Adolescent Health Division/Center for Family Health ----
MS 8300 • P.O. Box 997420 • Sacramento, CA 95899-7420 - 's
(916)650-0300 • (916)650-0305 FAX !=i 1/,Id
Internet Address:www.cdph.ca.gov r'
Notice of Intent to Award
Page 2
San Francsico $420,761.00
San Mateo County $280,084.00
Shasta County $202,642.00
Solano County $223,435.00
Sonoma County $92,286.00
Stanislaus County $168,379.00
Tehama County $89,883.00
Yolo County $112,826.00
Please contact your CHVP Contract Manager within seven business days to accept or
decline the funds. Please contact your assigned Program Consultant with questions or
concerns.
Sincerely,
�r
Angelica Jimenez-Bean, Acting Assistant Division Chief
Maternal, Child and Adolescent Health Division
California Department of Public Health
State of California—Health and Human Services Agency
California Department of Public Health
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TOMAS J.ARAG6N,M.D.,DrRH GAVIN NEWSOM
Director and State Public Health Officer Governor
February 16, 2023
TO: MATERNAL, CHILD AND ADOLESCENT HEALTH (MCAH)
DIRECTORS/ CALIFORNIA HOME VISITING PROJECT (CHVP)
COORDINATORS, OR DESIGNEE
SUBJECT: FISCAL YEARS 2022-2024: ROUND 2 CHVP AMERICAN RESCUE
PLAN (ARP) AGREEMENT FUNDING APPLICATION (AFA)
ANNOUNCEMENT
This letter announces the FY 2022-2024 AFA Process that provides allocation and
contract funding updates for Round 2 of the California Home Visiting Program American
Rescue Plan (CHVP ARP).
AFA Timeline/ Important Dates: _
Thursday, February 16, 2023 Release of CHVP ARP ROUND 2 FY 22-24 AFA Notification
AFA forms will be sent via email attachment.
Thursday, March 2, 2023 AFA Packages and Updated Forms Due back to MCAH.
If needed, please contact your Contract Manager for any
_ extensions. _
Friday, March 31, 2023 MCAH CM/ PC AFA Package Review and Approval.
Your Contract Manager will alert you if revisions are needed
before approval. j
AFA Submission:
Packages are due via email to MCAHFINACT(cDcdph.ca.gov by March 2,
2023. If you have any questions about the AFA process or require an extension
due to the extenuating circumstances of COVID-19, please contact your Contract
Manager 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 22-24 AFAs.
CDPH Maternal,Child and Adolescent Health Division/Center for Family Health t
MS 8305, P.O. Box 997420,Sacramento,CA 95899-7420 ( Ga! I
(916) 650-0300 • (916)650-0305 FAX r'3
Internet Address:www.cdph.ca.gov
MCAH Directors, CHVP Project Coordinators, or Designee
Agencies will be notified via email when their AFA package is approved and they
are permitted to invoice for services.
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(d)cdph.ca.gov. To ensure appropriate
processing, please use the following invoice naming convention for the signed
invoice cover letter PDF and/or Excel files as well as the subject line of the email:
Agreement Number (space) Agency Name (space) Fiscal Year (space) Invoice
One Time Payment
Example: CHVP ARP 22-XX Alameda FY22-23 One Time Payment
Invoice submission must include:
• Signed cover letter/ invoice instructions on agency letterhead
Thank you for your assistance and timely submission of your AFA package. If you have
any questions or concerns, please contact your Contract Manager.
Sincerely,
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 2022-24
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.
IDENTIFICATIONAGENCY • - •
Any program related information being sent from the CDPH MCAH Division will be directed to all
Program Directors.
programJW Please enter the agreement or contract number for each applicable
CHVP ARP 22-10
Update Effective Date: (only required when submitting updates)
Federal Employer ID#:-
FISCAL 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
AGREEMENT FUNDING •
POLICY • CERTIFICATION
Please enter the agreement or contract number for each of the applicable programs
CHVP ARP 22-10
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 certify that
the MCAH related programs will comply with all federal laws and regulations governing and regulating
recipients of funds granted to states for the California Home Visiting Program (CHVP) pursuant to the
Social Security Act, Title V, Section 511(c) (42 U.S.C. §711(c))(Title V, § 511A(c) of the Social Security
Act, as added by § 9101 of the American Rescue Plan Act of 2021 (P.L. 117-2)). Program CFDA#
93.870. 1 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
Signature line:
Name (Print) Sal Quintero
Title Chairman of the Board of Supervisors of the County of Fresno Date
Original Signature of MCAH Director
Signature line:
Name (Print) Ge Vue
Title MCAH Director Date
ATTEST:
BERNICE E.SEIDEL
Clerk of the Board of Supervisors
Co un y of Fresno,State of California
By �,(,^ Deputy
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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 ARP 22-10
Compliance Attestation for Fiscal Year: FY 22-24
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 ARP 22-10
Agency Name Agreement/Grant Number
IL �/ 23
Signature of MCAH Director Date
Signature of AFLP Director(CBOs only)
Ge Vue
Printed Name of MCAH Director
Printed Name of AFLP Director(CBOs
only)
Revised 1/11121 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
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:
4/12/2023
Agency Name:
County of Fresno
Contract/Agreement Number:
CHVP ARP 22-10
Contract Term/Allocation Fiscal Year: FY 22-24
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.
18.31,% 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.
County of Fresno, Department of Public Health's Indirect Cost Rate (ICR) of 18.314% was
calculated by dividing the Total Allowable Indirect Costs by the Total Allowable Direct Costs
for Salaries. The ICR was prepared and calculated using the 2020-21 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, 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.
Revised:12/18/20 Page 2 of 3
CERTIFICATION OF INDIRECT COST RATE METHODOLOGY
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: M CA H Director
Signature: /-�— Date: 4/12/2023
Revised: 12/18/20 Page 3 of 3
Contract/LIA Name Scope of Work
California Home Visiting Program—MIECHV ARP
Award# CHVP ARP 22-10
California Home Visiting Program (CHVP)
Maternal, Infant, and Early Childhood Home Visiting (MIECHV)
American Recovery Plan (ARP) Act Funding for Home Visiting (Round 2)
Scope of Work (SOW)
This one-time funding is being made available under section 9101 of the American Rescue Plan (ARP)Act, P.L. 117-2, to entities that currently receive Maternal,
Infant, and Early Childhood Home Visiting (MIECHV) Program funding to address the needs of expectant parents and families with young children during the
COVID-19 public health emergency, through September 30, 2024.
Under Goal 1, please select the categories your Local Implementing Agency will be implementing. You must select at least one category. If a category is
selected, LIA must perform all activities and submit all deliverables to CHVP.*
_Goal 1: Under ARP section 9101, LIAs may use the funding for any of the following purposes: ✓
1. Hazard pay or other staff costs For hazard pay or other additional MIECHV staff costs associated with providing home visits or administration for
programs
2. Home visitor training To develop, conduct, and assess training of MIECHV home visitors who are employed by the recipient or
subrecipient X
3. Technology To acquire the necessary technological means, for MIECHV enrolled families,to support virtual home visiting
address digital access and equity concerns
4. Emergency supplies To provide emergency supplies to MIECHV enrolled families. If you choose to budget funds for family emergency
supplies,you are required to coordinate with local diaper banks to the extent possible. X
S. Diaper bank coordination To provide MIECHV enrolled families with emergency supplies from diaper banks,through reimbursement to, or
purchase from,diaper banks when feasible
6. Prepaid grocery cards To provide prepaid grocery cards to a MIECHV enrolled family for the purpose of meeting the emergency needs
of the family X
1
January 1, 2023
Contract/LIA Name Scope of Work
California Home Visiting Program—MIECHV ARP
Award# CHVP ARP 22-10
California Home Visiting Program (CHVP)
Maternal, Infant, and Early Childhood Home Visiting (MIECHV)
American Recovery Plan (ARP) Act Funding for Home Visiting (Round 2)
Scope of Work (SOW)
Activities Responsible Parties Deliverables*
Hazard pay or other staff costs. LIA MCAH/CHVP Director Using CHVP-provided template,
a. Fund hazard pay or other additional staff costs associated with providing home or designee report quarterly on:
visits or administration for programs, including the following staff: - Number of people receiving
• MIECHV-funded LIA staff conducting home visiting(e.g., MIECHV home hazard pay/other staff costs
visitors, MIECHV home visiting supervisors who carry home visiting - Description of activities
1.
caseloads) being performed for hazard
• Other MIECHV-funded LIA staff(staff not directly responsible for service pay/other staff costs
delivery) - All other activities related to
*Includes, but is not limited to, costs such as hazard pay, incentive bonuses, overtime hazard or other staff costs
pay, and technology for MIECHV staff performing grant duties in support of service - Number of home visitors
delivery while teleworking. receiving technology
Home visitor training. LIA MCAH/CHVP Director Using CHVP-provided template,
a. Develop a process for identifying and prioritizing target audiences,training or designee report quarterly on:
needs, relevant topics for training of home visiting staff and/or CHVP MIECHV- - Name of training
funded/enrolled families. - Purpose/description of
b. Develop, conduct, and assess training of home visitors that are employed by the training
Z' recipient in: conducting a virtual home visit; emergency preparedness and - Date of training
response planning for families; safely conducting intimate partner violence - Number of home visitors
screenings; or safety and planning for families served to improve family participating in training
outcomes in the MIECHV benchmark areas. - All other activities related to
home visitor training
2
January 1, 2023
Contract/LIA Name Scope of Work
California Home Visiting Program—MIECHV ARP
Award # CHVP ARP 22-10
California Home Visiting Program (CHVP)
Maternal, Infant, and Early Childhood Home Visiting (MIECHV)
American Recovery Plan (ARP) Act Funding for Home Visiting (Round Z)
Scope of Work (SOW)
Technology. LIA MCAH/CHVP Director Using CHVP-provided template,
a. Develop and implement a process to assess how technology needs are identified, or designee report quarterly on:
prioritized, and addressed for CHVP MIECHV-funded/enrolled families. - Hardware or software
b. Acquire the necessary technological means, for CHVP MIECHV-funded home acquired
3' visitingenrolled families to support g.pport virtual home visiting. Process utilized to identify
and prioritize families
- Number of families
receiving technology
Emergency supplies. LIA MCAH/CHVP Director Using CHVP-provided template,
a. Develop and implement a process for identifying need for supplies and or designee report quarterly on:
distributing emergency supplies to CHVP MIECHV-funded/enrolled families. - Total number of emergency
b. Provide emergency supplies (such as diapers and diapering supplies including supply items purchased
4.
diaper wipes and diaper cream, necessary to ensure that a child using a diaper is - Type and number of
properly cleaned and protected from diaper rash,formula,food, water, hand emergency supply items
soap and hand sanitizer)to CHVP MIECHV-funded/enrolled families. If you purchased and distributed
choose to budget funds for emergency supplies,you are required to coordinate - Number of families
with local diaper banks to the extent practicable. receiving emergency
supplies
Diaper bank coordination. LIA MCAH/CHVP Director Using CHVP-provided template,
a. Identify diaper bank partners. or designee report quarterly on:
b. Develop/identify a process for supply referrals and distribution to CHVP MIECHV- - Diaper Bank Agreements
5. funded/enrolled families. - Number of families served
c. Provide CHVP MIECHV-funded/enrolled families with emergency supplies from through agreement
diaper banks, through reimbursement to, or purchase from, diaper banks.
3
January 1, 2023
Contract/LIA Name Scope of Work
California Home Visiting Program—MIECHV ARP
Award # CHVP ARP 22-10
California Home Visiting Program (CHVP)
Maternal, Infant, and Early Childhood Home Visiting (MIECHV)
American Recovery Plan (ARP) Act Funding for Home Visiting (Round 2)
Scope of Work (SOW)
Prepaid grocery cards. LIA MCAH/CHVP Director Using CHVP-provided template,
a. Develop and implement a process to assess how grocery card needs are or designee report quarterly on:
identified, prioritized, and addressed for CHVP MIECHV-funded/enrolled - Number of prepaid grocery
families. cards purchased
b. Provide prepaid grocery cards to an eligible family participating in the MIECHV - Frequency of distribution of
8.
program for the purpose of meeting the emergency needs of the family. grocery cards to families
- Process utilized to identify
and prioritize families
- Number of families
receiving prepaid grocery
cards
4
January 1, 2023
Contract/LIA Name Scope of Work
California Home Visiting Program—MIECHV ARP
Award # CHVP ARP 22-10
California Home Visiting Program (CHVP)
Maternal, Infant, and Early Childhood Home Visiting (MIECHV)
American Recovery Plan (ARP) Act Funding for Home Visiting (Round 2)
Scope of Work (SOW)
Goal 2: LIAs must ensure appropriate,allowable,and allocable use of ARP funds:
Activities Responsible Parties Deliverables*
LIAs must complete the attached CHVP ARP Category Budget Breakdown Template and LIA MCAH/ CHVP Director Submission of CHVP ARP
submit it,via e-mail,to CA-MCAH-HomeVisiting@cdph.ca.gov within 10 days of or designee Category Budget Breakdown
1. agreement execution within 10 days of agreement
execution.
Ensure that ARP funds are only used to support CHVP MIECHV-funded staff and CHVP LIA MCAH/ CHVP Director Quarterly submission of process 1
MIECHV-funded/enrolled families/participants. or designee used to ensure funds are used
only on CHVP MIECHV-funded
2• staff and home visiting
participants using CHVP-provide
templates and guidance.
Collect pertinent data and information regarding use of ARP funds using CHVP-approved LIA MCAH/CHVP Director Quarterly submission of data in
forms, guidance and mechanisms and report to CHVP regularly and upon request. or designee Share Point and upon request
3. using CHVP-provided templates
and guidance.
Maintain appropriate records and documentation to support the charges against the LIA MCAH/CHVP Director Quarterly submission of records
Federal awards. or designee and documentation to support
4.
the charges upon request using
CHVP-provided templates and
guidance.
5
January 1, 2023
Contract/LIA Name Scope of Work
California Home Visiting Program—MIECHV ARP
Award # CHVP ARP 22-10
California Home Visiting Program (CHVP)
Maternal, Infant, and Early Childhood Home Visiting (MIECHV)
American Recovery Plan (ARP) Act Funding for Home Visiting (Round 2)
Scope of Work (SOW)
Continue to give priority in providing services to Priority Populations impacted by COVID- LIA MCAH/CHVP Director Quarterly submission of process
19. or designee developed to ensure funds are
used on priority populations
5• impacted by COVID-19 using
CHVP-provided templates and
guidance
NOTE: If compliance standards are not met in a timely manner, CHVP may place an LIA on an Extra Support Plan (ESP). In addition, CHVP may temporarily
withhold cash payment pending correction of the deficiency; disallow all or part of the cost of the activity or action out of compliance; wholly or partly suspend
or terminate the award; or withhold further awards.
6
January 1, 2023
Contract/LIA Name Scope of Work
California Home Visiting Program—MIECHV ARP
Award#t CHVP ARP 22-10
California Home Visiting Program (CHVP)
Maternal, Infant, and Early Childhood Home Visiting (MIECHV)
American Recovery Plan (ARP) Act Funding for Home Visiting (Round 2)
Scope of Work (SOW)
*All MIECHV ARP data must be reported in SharePoint as required using CHVP templates and guidance. LIAs must submit based on the reporting timeline below.
Fiscal Year Reporting Quarter Data Collection Period Report Submission Period
2023 Q2 January 1-March 31, 2023 April 10, 2023
2023 Q3 April 1-June 30, 2023 July 10, 2023
2023 Q4 July 1—September 30, 2023 October 10, 2023
2023 Q1 October 1-December 31, 2023 January 10, 2024
2024 Q2 January 1-March 31, 2024 April 10, 2024
2024 Q3 April 1-June 30, 2024 July 10, 2024
2024 Q4 July 1-September 30, 2024 October 10, 2024
7
January 1, 2023
CDPH Agreement Funding Application (Annual AFA Package) Between the
County of Fresno and the California Department of Public Health
Agreement Funding Application Name: CDPH California Home Visiting Program
related to the COVID-19 Public Health Emergency "CHVP MIECHVP ARP" Round 2
American Rescue Plan Act (ARP) Funding.
Fund/Subclass: 0001/10000
Organization #: 56201718
Revenue Account #: 4380