HomeMy WebLinkAboutAgreement A-19-588 with DHCS.pdfState of Ca li forn ia -Heal th and Hu ma n Serv ices Ag ency
PATH ALLOCATION WORKSHEET
STATE FISCAL YEAR: 2019-2020
COUNTY: FRESNO
FEDERAL CATALOG NO. 93 .150
REVISION NO :
Agreement No . 19-588
Depa rtm ent of Hea lth Ca re Serv ices
Enclos ure 1
The State Department of Health Care Services (DHCS) prov ides the Federal Projects
For Assistance in Transition From Homelessness (PATH) Formula Grant funds to
counties for State Fiscal Year (SFY) 2019-2020 . Your Allocation is identified below .
PATH Funding Base :
Total PATH Expenditure :
PURPOSE : PLANNING ESTIMATE
$316 ,356
$316 ,356
June 19 , 2019
I, the undersigned Director, have accepted the Federal PATH funds for the county under the
specific conditions included in the assurances as part of the County Application Package (CAP)
as well as those conditions established by other governing federal and state laws , pol icies
regulations , and guidelines . The CAP , as approved by DHCS , will be followed in expending
these funds . -
Chairman of the Board of Supervisors of the County of Fresno Date
Nathan Magsig, Chai rman of the Board of Supervisors of the County of Fresno
Printed Name
ATTEST:
BERNICE E . SEIDEL
C lerk of the Board of Supervisors
County of Fresno , State of California
By ~ 1,$4/V' ~~
Deputy
DHCS 1772 P (4/13)
19-Nov-19
Page 1 of 2
Enclosure 2
Certifications
1.Certification Regarding Debarment and Suspension
The undersigned (authorized official signing for the applicant organization) certifies to the best of his or her knowledge and belief, that the applicant, defined as
the primary participant in accordance with 2 CFR part 180, and its principals:
a.Agrees to comply with 2 CFR Part 180, Subpart C by administering each lower tier subaward or contract that exceeds $25,000 as a "covered transaction"
and verify each lower tier participant of a "covered transaction" under the award is not presently debarred or otherwise disqualified from participation
in this federally assisted project by:
a.Checking the Exclusion Extract located on the System for Award Management (SAM) at http://sam.gov
b.Collecting a certification statement similar to paragraph (a)
c.Inserting a clause or condition in the covered transaction with the lower tier contract
2.Certification Regarding Drug-Free Workplace Requirements
The undersigned (authorized official signing for the applicant organization) certifies that the applicant will, or will continue to, provide a drug-free work- place in
accordance with 2 CFR Part 182by:
a.Publishing a statement notifying employees that the unlawful manufacture, distribution, dispensing, possession or use of a controlled substance is
prohibited in the grantee's work-place and specifying the actions that will be taken against employees for violation of such prohibition;
b.Establishing an ongoing drug-free awareness program to inform employees about--
1.The dangers of drug abuse in the workplace;
2.The grantee's policy of maintaining a drug-free workplace;
3.Any available drug counseling, rehabilitation, and employee assistance programs; and
4.The penalties that may be imposed upon employees for drug abuse violations occurring in the workplace;
c.Making it a requirement that each employee to be engaged in the performance of the grant be given a copy of the statement required by
paragraph (a) above;
d.Notifying the employee in the statement required by paragraph (a), above, that, as a condition of employment under the grant, the employee will-
-
1.Abide by the terms of the statement; and
2.Notify the employer in writing of his or her conviction for a violation of a criminal drug statute occurring in the workplace no later than five
calendar days after such conviction;
e.Notifying the agency in writing within ten calendar days after receiving notice under paragraph (d)(2) from an employee or otherwise receiving actual
notice of such conviction. Employers of convicted employees must provide notice, including position title, to every grant officer or other designee on
whose grant activity the convicted employee was working, unless the Federal agency has designated a central point for the receipt of such notices.
Notice shall include the identification number(s) of each affected grant;
f.Taking one of the following actions, within 30 calendar days of receiving notice under paragraph (d) (2), with respect to any employee who is so
convicted?
1.Taking appropriate personnel action against such an employee, up to and including termination, consistent with the requirements of the
Rehabilitation Act of 1973, as amended; or
2.Requiring such employee to participate satisfactorily in a drug abuse assistance or rehabilitation program approved for such purposes by a
Federal, State, or local health, law enforcement, or other appropriate agency;
g.Making a good faith effort to continue to maintain a drug-free workplace through implementation of paragraphs (a), (b), (c), (d), (e), and (f).
3.Certifications Regarding Lobbying
Per 45 CFR ?75.215, Recipients are subject to the restrictions on lobbying as set forth in 45 CFR part 93. Title 31, United States Code, Section 1352, entitled
"Limitation on use of appropriated funds to influence certain Federal contracting and financial transactions," generally prohibits recipients of Federal grants
and cooperative agreements from using Federal (appropriated) funds for lobbying the Executive or Legislative Branches of the Federal Government in
connection with a SPECIFIC grant or cooperative agreement. Section 1352 also requires that each person who requests or receives a Federal grant or cooperative
agreement must disclose lobbying undertaken with non-Federal (non- appropriated) funds. These requirements apply to grants and cooperative agreements
EXCEEDING $100,000 in total costs. The undersigned (authorized official signing for the applicant organization) certifies, to the best of his or her knowledge
and belief, that
1.No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned to any person for influencing or attempting to
influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress
in connection with the awarding of any Federal contract, the making of any Federal grant, the making of any Federal loan, the entering
into of any coop erat ive ag ree me nt , an d the ex t ens ion , continua t ion, renewal, amendment, or modification of any Federa l contract, grant, loan , or
cooperative agreement.
2. If any funds ot her than Federal ly appropriat ed funds have been paid or will be paid to any person for influenc i ng o r attempting t o influence an
officer or em p loyee of any agency, a Member of Congress, an officer o r emp loyee of Congress , or an employee of a Member of Congress in connection
w ith this Federa l co ntract, g rant , loan , o r cooperative agreement, the unde rsigned shall comp lete and submit Standard Fo r m-LLL , "Disclosure of
Lobbying Activities," in acco rdance with its inst ructions. (If needed , Stan d ard Fo rm-LLL, "Disclosu re of Lobbyi ng Act ivities," its ins truct ions, and
continuation sheet are included at the end of t his application fo rm .)
3. The undersigned shall requi re that the language of this ce rtification be included in the award documents for all subawards at all tiers (including
subcontracts , subgrants, and contracts un d er g rants, loans and cooperative agreements) and that all subrecipients shall certify an d disclose
accordingly.
This certification is a material representa t ion of fact upon which reliance was placed when this t ransaction was made or entered into. Submission of t his
certification is a prerequisite for making or entering into this transaction imposed by Section 1352 , U.S. Code . Any person who fails to file the required certification
shall be subjec t t o a civil penal ty of not less t han $10 ,000 and not more than $100 ,000 for each such failure.
4. Cert ification Regard ing Program Fraud Civil Remedies Act (PFCRA) (31 U.S .C? 3801-3812)
The undersigned (authorized official signing for the applicant organization ) certifies that the statements herein are true, complete, and accurate to the best
of his or her knowledge , and that he or she is aware that any false, fictitious , or fraudulent statements or claims may subject him or her to criminal, civi l, o r
administrative penalties. The undersigned agrees that the app l icant organization will comply with the Public Health Service terms and conditions of award if
a grant is awarded as a resu lt o f th is applica t ion .
5. Certification Regarding Env ironmental Tobacco Smoke
Public Law 103 -227 , also known as the Pro-Children Act of 1994 (Act), requires that smoking not be permitted in any portion of any indoor facility owned
or leased o r contracted for by an entity and used routinely or regularly for the provision of health , daycare, early chi ldhood development services,
education or library services to children under the age of 18, if the serv ices are funded by Fed eral programs eithe r directly or through State or local
governments , by Federal grant, contract, loan , or loan gua rantee . The law also applies to children 's services that are provided in indoor facilities that are
con structed, operated, or maintained with such Federal funds . The law does not apply to chi ldren's services provided in private resi d ence , portions of
fa cilities used for inpatient drug or alcohol treatment, service providers whose sole source of applicable Federal funds is Medicare or Medicaid, or
facilities where WIC coupons are redeemed.
Failure to comp ly with the provisions of the law may result in the imposit ion of a civil monetary penalty of up to $1,000 for each violation and /or the
imposition of an administrative comp liance order on the responsible entity.
By signing the certification, the undersigned certifies that the applicant organization will comply with the requirements of the Act and will not allow smoking
within an y portion of any indoor faci lity used for the provision of services for chi ldren as defined by the Act.
The applicant organization agrees that it will require that the language of this certification be included in any subawards which contain provisions for children's
services and that all subrecipients shall certify accordingly.
The Public Health Services strongly encourages all grant recipients to provi de a smoke-free workplace and promote the non-use of tobacco products . This is
consistent with the PHS mission to protect and advance the ph ys ica l and menta l hea lth of the American people.
Name
Nathan M agsig
Title
Chairman of the Board of Supervisors of the County of Fresno
Organ ization
County of Fresno
Signature:
Footnotes:
ATTEST :
BERNICE E . SEIDEL
Cle rk of the Board of Superv isors
County of Fresno , State of California
By ~1&Al!'hs.b0-f)
Dep uty
Date :
Page 2 of 2
Enclosure 3
PATH 2019-20 Request for Application Page 1 of 3
COMPLIANCE ASSURANCES
The county, as recipient of grant funds, acknowledges and agrees that the
county and its subcontractors shall provide services in accordance with all
applicable federal and State statutes and regulations.
I hereby certify that the County of Fresno agrees to the following:
A.Amounts received under the PATH Formula Grant will be used solely to
provide services to persons who have a serious mental illness, or have a
co-occurring serious mental illness and substance abuse disorder, and
who are homeless or at imminent risk of becoming homeless.
B.PATH funds must be used to supplement, not supplant, existing services
to individuals who have severe mental illness, or who have co-occurring
severe mental illness and substance abuse disorders, and who are
homeless or at imminent risk of becoming homeless.
C.At a minimum, providers must provide both Outreach and Case
Management. Additional grant funds shall be expended only for the
following services:
1.Screening and diagnostic treatment services;
2.Habilitation and rehabilitation services (relating to training and
education to improve the individual’s functioning in the community);
3.Community mental health services;
4.Alcohol and/or drug treatment services;
5.Staff training (for individuals who work in shelters, mental health
clinics, substance abuse programs, and other sites where individuals
require homeless services);
6.Supportive and supervisory services in residential settings;
7.Referrals for primary health services, job training, educational
services, and relevant housing services; and
8.Housing services including minor renovation, expansion, and repair
of housing; planning of housing, technical assistance in applying for
housing; improving the coordination of housing services; security
deposits; the costs associated with matching eligible homeless
individuals with appropriate housing situations; and one-time rental
payment to prevent eviction.
D.Grants will be made pursuant to Section 522(a) of the Public Health
Service Act only to entities that have the capacity to provide, directly or
through arrangements, the specified service(s) including coordinating the
provision of service(s) in order to meet the needs of eligible homeless
individuals who are both mentally ill and suffering from substance abuse.
Enclosure 3
PATH 2019-20 Request for Application Page 2 of 3
E.Special consideration will be given to funding entities with a demonstrated
effectiveness in serving veterans who are homeless.
F.Grant funds will not be given to any entity that has a policy of excluding
individuals from mental health services due to the existence or suspicion
of substance abuse or which excludes individuals from substance abuse
services due to the existence or suspicion of mental illness.
G.No more than ten percent of Federal PATH funds received shall be
expended for administrative expenses. The ten percent administrative
expense cap includes both the county’s and the subcontractor’s
administrative costs in aggregate.
H.None of the funds in this grant shall be used to pay the salary of an
individual through a grant or other extramural mechanism at a rate in
excess of Executive Level II of the Federal Executive Pay Scale. Effective
January 6, 2019, the amount is $192,300.
I.Not more than 20 percent of the payments will be expended for allowable
housing services. The payments will not be expended to support
emergency shelters or construction of housing facilities for inpatient
psychiatric or inpatient substance abuse treatment costs or to make cash
payments to intended recipients of mental health or substance abuse
services.
J.The county will make available, directly or through donations from public
or private entities, non-federal contributions toward such costs in an
amount that is not less than one dollar ($1) for each three dollars ($3) of
federal funds provided in such payments. The amount of the county
match is $105,452.
K.The description of intended use will be revised throughout the year to
reflect substantial changes in the programs and activities funded through
the PATH grant. Changes in services will not be provided until the
appropriate approval has been received.
L.The county agrees to provide all reports required by the State Department
of Health Care Services (DHCS).
M.The county will comply, as applicable, with the Substance Abuse and
Mental Health Services Administration’s (SAMHSA) Charitable Choice
statutes codified at sections 581-584 and 1955 of the Public Health
Service Act (42 USC 290k, et seq., and 42 USC 300x-65 et seq.) and their
governing regulations at 42 C.F.R. part 54 and 54a respectively.
Enclosure 3
N. The county has budgeted SFY 2019-2020 non-PATH funds for services to
individuals who are homeless and mentally disabled as follows :
$
$
__ Federal (non -PATH)
$105,452 Other
11/19/19
Chairman of the Board of Supervisors of the County of Fresno Date
Nathan Magsig , Chairman of the Board of Supervisors of the County of Fresno
Print Name
ATTEST:
BERNICE E . SEIDEL
Clerk of the Boa rd of Supervisors
County of Fresno , State of Ca lifornia
By s JUco, -:&ibo:-,:>
Deputy
PATH 2019-20 Request for Application Page 3 of 3
Assurances - Non-Construction Programs
Note: Certain assurances may not be applicable to your project or program. If you have questions, please contact the awarding agency. Further, certain Federal
awarding agencies may require applicants to certify to additional assurances. If such is the case, you will be notified.
As the duly authorized representative of the applicant I certify that the applicant:
1.Has the legal authority to apply for Federal assistance, and the institutional, managerial and financial capability (including funds sufficient to pay the
non-Federal share of project costs) to ensure proper planning, management and completion of the project described in this application.
2.Will give the awarding agency, the Comptroller General of the United States, and if appropriate, the State, through any authorized
representative, access to and the right to examine all records, books, papers, or documents related to the award; and will establish a proper
accounting system in accordance with generally accepted accounting standard or agency directives.
3.Will establish safeguards to prohibit employees from using their positions for a purpose that constitutes or presents the appearance of personal or
organizational conflict of interest, or personal gain.
4.Will initiate and complete the work within the applicable time frame after receipt of approval of the awarding agency.
5.Will comply with the Intergovernmental Personnel Act of 1970 (42 U.S.C. §§4728-4763) relating to prescribed standards for merit systems for
programs funded under one of the nineteen statutes or regulations specified in Appendix A of OPM's Standard for a Merit System of Personnel
Administration (5 C.F.R. 900, Subpart F).
6.Will comply with all Federal statutes relating to nondiscrimination. These include but are not limited to: (a) Title VI of the Civil Rights Act of 1964 (P.L.
88-352) which prohibits discrimination on the basis of race, color or national origin; (b) Title IX of the Education Amendments of 1972, as amended (20
U.S.C. §§1681-1683, and 1685-1686), which prohibits discrimination on the basis of sex; (c) Section 504 of the Rehabilitation Act of 1973, as amended
(29 U.S.C. §§794), which prohibits discrimination on the basis of handicaps; (d) the Age Discrimination Act of 1975, as amended (42 U.S.C. §§6101-
6107), which prohibits discrimination on the basis of age; (e) the Drug Abuse Office and Treatment Act of 1972 (P.L. 92-255), as amended, relating to
nondiscrimination on the basis of drug abuse; (f) the Comprehensive Alcohol Abuse and Alcoholism Prevention, Treatment and Rehabilitation Act of
1970 (P.L. 91-616), as amended, relating to nondiscrimination on the basis of alcohol abuse or alcoholism; (g) §§523 and 527 of the Public Health
Service Act of 1912 (42 U.S.C. §§290 dd-3 and 290 ee-3), as amended, relating to confidentiality of alcohol and drug abuse patient records; (h) Title VIII of
the Civil Rights Act of 1968 (42 U.S.C. §§3601 et seq.), as amended, relating to non-discrimination in the sale, rental or financing of housing; (i) any
other nondiscrimination provisions in the specific statute(s) under which application for Federal assistance is being made; and (j) the requirements
of any other nondiscrimination statute(s) which may apply to the application.
7.Will comply, or has already complied, with the requirements of Title II and III of the Uniform Relocation Assistance and Real Property Acquisition Policies
Act of 1970 (P.L. 91-646) which provide for fair and equitable treatment of persons displaced or whose property is acquired as a result of Federal or
federally assisted programs. These requirements apply to all interests in real property acquired for project purposes regardless of Federal participation
in purchases.
8.Will comply with the provisions of the Hatch Act (5 U.S.C. §§1501-1508 and 7324-7328) which limit the political activities of employees whose
principal employment activities are funded in whole or in part with Federal funds.
9.Will comply, as applicable, with the provisions of the Davis-Bacon Act (40 U.S.C. §§276a to 276a-7), the Copeland Act (40 U.S.C. §276c and 18 U.S.C.
§874), and the Contract Work Hours and Safety Standards Act (40 U.S.C. §§327-333), regarding labor standards for federally assisted construction sub-
agreements.
10.Will comply, if applicable, with flood insurance purchase requirements of Section 102(a) of the Flood Disaster Protection Act of 1973 (P.L. 93-234) which
requires recipients in a special flood hazard area to participate in the program and to purchase flood insurance if the total cost of insurable
construction and acquisition is $10,000 or more.
11.Will comply with environmental standards which may be prescribed pursuant to the following: (a) institution of environmental quality control measures
under the National Environmental Policy Act of 1969 (P.L. 91-190) and Executive Order (EO) 11514; (b) notification of violating facilities pursuant to EO
11738; (c) protection of wetland pursuant to EO 11990; (d) evaluation of flood hazards in floodplains in accordance with EO 11988; (e) assurance of
project consistency with the approved State management program developed under the Coastal Zone Management Act of 1972 (16 U.S.C. §§1451 et
seq.); (f) conformity of Federal actions to State (Clear Air) Implementation Plans under Section 176(c) of the Clear Air Act of 1955, as amended (42 U.S.C.
§§7401 et seq.); (g) protection of underground sources of drinking water under the Safe Drinking Water Act of 1974, as amended, (P.L. 93-523); and
(h)protection of endangered species under the Endangered Species Act of 1973, as amended, (P.L. 93-205).
12.Will comply with the Wild and Scenic Rivers Act of 1968 (16 U.S.C. §§1271 et seq.) related to protecting components or potential components of the
national wild and scenic rivers system.
13.Will assist the awarding agency in assuring compliance with Section 106 of the National Historic Preservation Act of 1966, as amended (16 U.S.C.
§470), EO 11593 (identification and protection of historic properties), and the Archaeological and Historic Preservation Act of 1974 (16 U.S.C.
§§469a-1 et seq.).
14.Will comply with P.L. 93-348 regarding the protection of human subjects involved in research, development, and related activities supported by this
award of assistance.
15.Will comply with the Laboratory Animal Welfare Act of 1966 (P.L. 89-544, as amended, 7 U.S.C. §§2131 et seq.) pertaining to the care, handling, and
treatment of warm blooded animals held for research, teaching, or other activities supported by this award of assistance.
16.Will comply with the Lead-Based Paint Poisoning Prevention Act (42 U.S.C. §§4801 et seq.) which prohibits the use of lead based paint in
construction or rehabilitation of residence structures.
17.Will cause to be performed the required financial and compliance audits in accordance with the Single Audit Act of 1984.
Page 1 of 2
Enclosure 4
18. Will comply with all applicable requi remen t s of all other Federal laws , executive orders, regulations and policies governing this program.
19. Will comply with the requirement s of Section 106(g) of the Trafficking Victims Protection Act (TVPA) of 2000, as amended (22 U.S.C. 7104) which prohibits
grant award recipients or a sub-recipien t from (1) Engaging in severe forms of trafficking in persons during the period of time that the award is in
effect (2) Procuring a commercia l sex act during the period of time that the award is in effect or (3) Using forced labor in the perfo rm ance of the award
or subawards under the award .
HHS Assurances of Compliance (HHS 690)
ASSURANCE OF COMPLIANCE WITH TITLE VI OF THE CIVIL RIGHTS ACT OF 1964, SECTION 504 OF THE REHABILITATION ACT OF 1973, TITLE IX OF THE
EDUCATION AMENDMENTS OF 1972, THE AGE DISCRIMINATION ACT OF 1975 , AND SECTION 1557 OF THE AFFORDABLE CARE ACT
The Applicant provides this assurance in consideratio n of and for the purpose of o bta ining Federal grants , loans , cont racts, property, disco unts or other Federal
financial assistance from the U.S. Department of Hea lth and Human Services.
THE APPLICANT HEREBY AGREES THAT IT WILL COMPLY WITH :
1. Title VI of the Civil Rights Act of 1964 (Pub. L. 88 -352), as amended , and all requirements imposed by or pursuant to the Regulation of the Department
of Health and Human Services (45 C.F.R. Part 80), to the end that, in accordance with Title VI of that Act and the Regulation , no person in the United
States shall , on the ground of race , color, or national o rigin, be excluded from participation in , be denied the benefits of, or be otherwise subjected
to dis cri mination u nder any p rog ram or activity for which the Applicant receives Federal financia l assistance from the Department.
2. Section 504 of the Rehabilitation Act of 1973 (Pu b. L. 93 -112), as amended , and all requirements imposed by or pursuant to the Regulation of the
Department of Health and Human Services (45 C.F.R. Part 84), to the end that, in accordance with Section 504 of that Act and the Regulat ion , no
otherwise qualified individual with a di sabi li ty in the United States shall , so le ly by reason of her or his disability, be excluded fro m pa rt icipat io n in ,
be denied the benefits of, or be subjected to discrimination under any program or activity for which the Applicant receives Federal financial assistance
from the Department.
3. Title IX of the Education Amendments of 1972 (Pub. L. 92-318), as amended , and all requirements imposed by o r pursuant to the Regulation of the
Department of Health and Human Services (45 C.F.R. Part 86), to the end that, in accord ance with Titl e IX and the Regulation , no person in the United
States shall, on the basis of sex , be excluded from participation in, be denied the benefits of, or be otherwise subjected to discrimination under any
education program or activity for which the Applicant receives Federal financial assistance from the Department.
4. The Age Discrimination Act of 1975 (Pub . L. 94 -13S), as amended, and all requirements imposed by or pursuant to the Regula t ion of the Department
of Health and Human Services (45 C.F.R. Pa rt 9 1), to the end that, in accordance with the Act and the Regulation , no pe rson in the United States sha l l,
on the basis of age, be denied the benefi t s of, be excluded from participation in , or be subjected to discrimination under any prog ram or activity for
which the Applicant receives Federal financial assistance from the Department.
5. Section 1557 of the Affordable Care Act (Pub. L. 111 -148), as amended , and all requirements imposed by or pursuant to t he Regulation of the Department
of Health and Human Services (45 CFR Part 92), to the end that, in accordance with Section 1557 and the Regulation , no person in the United States shall ,
on the ground of race , color, national origin, sex , age , or disability be excluded from participation in , be denied the benefits of, or be subjected to
discrimination under any health program or activity for which the Applicant receives Federal financial assistance from the Department.
The Applicant agrees that compliance wi th this assurance constitutes a condition of continued receipt of Federal financial assistance , and that it is binding
upon the Applicant, its successors , transferees and assignees for the period during which such assistance is provided . If any real property or structure
thereon is provided or improved with the aid of Federal financial assistance extended to the Applicant by the Department, this assurance sha ll obligate the
App li can t , or in the case of any transfer of such property, any transferee, for the period during which the real property or structure is used for a purpose for
which the Federal financial assistance is extended or for another purpose involving the provis ion of similar services or benefits. If any personal property is
so provided, this assurance shall obligate the Applicant for the period during which it retains ownership or possession of the property. The Applicant
further recognizes and agrees that the United State s sha l l have the righ t to seek jud icia l enforcement of this assurance .
The grantee, as the awardee organization, is legall y and financially responsible for all aspects of this award inc luding funds provided to sub-rec ipients in
accordance with 45 CFR Part 75.351-75.352, Subrecipient monitoring and management.
Name
Nathan Magsig
Title
Chairman of the Board of Supervisors of the County of Fresno
Organization
County of Fresno
Footnotes:
Date: November 19, 2019
ATTEST:
BERNICE E . SEIDEL
Clerk of the Board of Supervisors
County of Fresno , State of Ca liforn ia
By ..S.19'.kt\~
De uty
Page 2 of 2
State of California – Health and Human Services Agency Department of Health Care Services
Enclosure 5
PATH FY 2019-20
COUNTY INTENDED USE PLAN
PATH County Intended Use Plan – SFY 2019-20 Page 1 of 5
DHCS 1755 (5/19)
County: Fresno
Address: 3133 N. Millbrook Avenue City, Zip Code: 93703
County Program Contact: Marissa Curtis, Staff Analyst
Telephone: (559) 600-9988
Fax: (559) 600-7674
Email: mcurtis@fresnocountyca.gov
County Fiscal Contact: Kirk Hill
Telephone: (559) 600-4655
Fax:
Email: khill@fresnocountyca.gov
Indicate which of the following essential services will be provided by this provider with PATH funding:
Outreach
Case Management
Community Mental Health Services
Habilitation & Rehabilitation Services (relating to training and education to improve the individual’s
functioning in the community)
Staff Training
Screening and Diagnostic Services
Alcohol or Drug Treatment
Supportive and Supervisory Services in Residential Settings
Referrals for Primary Health Services, Job Training, Education Services and Relevant
Housing Services:
Minor Renovation, Expansion, and Repair of Housing
Planning of Housing
Technical Assistance in Applying for Housing Services
Improving the Coordination of Housing Services
Security Deposits
Cost Associated with Matching Eligible Homeless Individuals with Appropriate Housing Situations
One-Time Rental Payments to Prevent Eviction
Indicate which budget categories are funded with PATH funds: Click on Check Box:
Personnel Equipment Travel
Consultants Supplies Other
Description of the flow of federal PATH funds in California: PATH funding in California is allocated to the
counties from the California State Department of Health Care Services. Each county has a Mental Health
Program that provides services to the public in California; the PATH funds are distributed at the county level to
either county or contracted providers.
State of California – Health and Human Services Agency Department of Health Care Services
Enclosure 5
PATH FY 2019-20
COUNTY INTENDED USE PLAN
PATH County Intended Use Plan – SFY 2019-20 Page 2 of 5
DHCS 1755 (5/19)
Directions – County Intended Use Plan –
The County Intended Used Plan should provide a summary of information from providers, as well as County
specific information, and should be answered at the county level.
1.Total Federal PATH Dollars Allocated from County:$316,356
2.Total Match Dollars in Budget:$105,452
3.Who Provides the Match?Fresno County
4.What funding source is used for Match?Mental Health Services Act (MHSA)
5. Please provide the names of each organization you will contract with in FY 2019-20 to provide PATH
eligible services in your county, and the amount of Federal PATH funds they will receive. Please also
include the county administration costs as a provider.
Expected
Contract
Amount
Providers Name as Listed on the Provider Intended Use Plan
$305,325 Kings View Corporation
$11,031 County Administration
Total
6.The purpose of this section is to provide a description of your county plan to provide coordinated and
comprehensive services to eligible PATH Clients. Please provide the following information as it relates
to activities for FY 2019-20.
a.The projected number of adult clients to be contacted county-wide using PATH
funds.350
b.The projected number of adult clients to be enrolled county-wide using PATH
funds.200
c.The projected percentage of adult clients county-wide served with PATH funds to
be “literally” homeless (i.e., living outdoors or in an emergency shelter rather than
at imminent risk of homelessness).
75%
State of California – Health and Human Services Agency Department of Health Care Services
Enclosure 5
PATH FY 2019-20
COUNTY INTENDED USE PLAN
PATH County Intended Use Plan – SFY 2019-20 Page 3 of 5
DHCS 1755 (5/19)
d.Identify activities that will occur in the county to maximize the use of PATH funds to serve adults
who are literally homeless as a priority population.
Fresno County Department of Behavioral Health (DBH), which oversees the PATH funding, contracts,
currently with Kings View Corporation (Request for Proposals to be realized for FY 20-21 at a later date) to
provide services addressing the needs of adults who are homeless or at risk of becoming homeless, and have
serious mental illness (SMI) and/or co-occurring disorders. As a vital resource to the community in seeking to
reduce and end chronic homelessness, the PATH program will serve as a front door for clients into the
continuum of care services and mainstream mental health, primary health care and the substance use disorder
services system. The Kings View PATH program provides a partnership in which they commit to "meet the
client where they are" in order to assist clients to achieve their personal recovery and wellness goals.
Services include outreach, engagement and linkage in addition to case management, mental health treatment,
co-occurring disorder counseling and supportive housing services. Collaboration with other agencies such as
Federally Qualified Health Centers (FQHC) and the Public Guardian will ensure provision of non-direct mental
health services that are needed to reach homeless adults with co-occurring chronic or medical conditions.
Service goals are to help stabilize and transition clients into other County or community mental health
programs.
e. Identify strategies the county has planned to ensure PATH dollars are f unding programs who provide
the minimum services of street outreach and case management as priority services.
The PATH program has two components: Outreach, Engagement and Linkage (OEL) and Specialty Mental
Health Services (SMHS). The PATH-funded OEL component will focus on client outreach and case
management services. Through outreach efforts in the streets, shelters and other non-traditional settings as well
as referrals from the County's Adult System of Care, PATH is expected to provide outreach services to a
minimum of 350 clients during FY 2019-20 (July 1, 2019 through June 30, 2020), with a minimum of 200
engaged/enrolled in services, referrals and linkages. Those engaged/enrolled will receive services including, but
not limited to: assessments; case management; mental health and/or co-occuring services; linkage to County
programs and other community service providers; ongoing consultation; peer support services; assistance in
applying for General Relief and SSI/SSD benefits; transportation; provision of basic necessities of daily life;
and supportive interim or bridge housing services. More than 70% of the OEL staff time will be in the field
reaching out to homeless SMI adults. Case management services will be provided to all clients through an
assigned personal service coordinator within 24 hours of enrollment in the program along with the development
a client-centered Plan of Care to meet the client's needs. Program staff have the flexibility to increase service
intensity to a client in response to the client's presented needs.
Additionally, staff have the capacity to provide frequent contacts with clients where they live or are most
comfortable, in order to assist them in accessing behavioral and physical health care, financial, educational,
vocational, rehabilitative, or other needed community services, especially as these services relate to meeting the
client's mental health and housing needs.
f.Please summarize a list of the evidenced-based practices currently used in the county for the target
population.
DBH promotes evidence-based practices (EBP) and encourages contracted providers to utilize EBP
models in their service delivery. The PATH program is designed to deliver comprehensive services
to homeless adults with SMI and/or co-occurring disorders whose needs have not been met through
traditional service delivery. Kings View PATH utilizes the Wellness Recovery Action Plan (WRAP)
and Cognitive Behavioral and Motivational Enhancement Therapy evidence-based practices. The
program model is designed to empower clients, improve quality of life, and allow staff to assist
clients in attaining their personal goals. Team members collaborate on assessments, treatment plans,
State of California – Health and Human Services Agency Department of Health Care Services
Enclosure 5
PATH FY 2019-20
COUNTY INTENDED USE PLAN
PATH County Intended Use Plan – SFY 2019-20 Page 4 of 5
DHCS 1755 (5/19)
and day-to-day interventions. DBH has also moved forward with incorporating the Recovery 360
model into all County mental health program services, in order to build and measure wellness,
recovery, and resiliency supports within a team approach. DBH encourages Kings View PATH team
members to participate and receive training on an ongoing basis to ensure clients receive services
that support this wellness and recovery model.
7.Describe your organization’s participation in the HUD Continuum of Care (CoC) program and any other
local planning, coordinating or assessment activities. If you are not currently working with the CoC,
briefly explain the approaches to be taken by your agency to collaborate with the local CoC.
The Fresno/Madera Continuum of Care (FMCoC) develops local strategies to build housing and service
capacity to end homelessness. DBH and the Fresno County Department of Social Services (DSS) are active
participants and voting members of the FMCoC, which is comprised of volunteers from over 21 government
agencies, non-profits and individuals dedicated to serve homeless youth, adults, and families in Fresno and
Madera Counties. DBH contributes to the community planning by advocating for the homeless mentally ill and
encourages all appropriate County contracted providers serving the homeless and at risk of homelessness
population who have SMI and/or a co-occurring disorder to also participate and provide feedback.
DBH is part of the leadership team along with the FMCoC in the national 25 Cities Initiative to end veteran and
chronic homelessness for the Fresno community by identifying, assessing and matching housing for the
veterans and the chronically homeless. A weekly meeting is held to clarify key processes and services,
determine existing housing capacities, and follow-up with specific and high priority cases if needed. Kings
View PATH assists in outreach efforts, service provision and data collection. In addition, DBH actively
participates in the CoCs annual Point-In-Time (PIT) Count of homeless in Fresno County.
DBH also provides mental health clinicians and community mental health specialists at the Multi- Agency
Access Program Point at Poverello House (MAP Point at Pov). MAP is the coordinated service entry effort
created by the FMCoC and the Hospital Council's Community Conversations in Mental Health to establish and
formalize a collaborative intake process across all service providers for individuals facing
housing/homelessness, mental illness, substance use disorder, physical health, social service and/or vocational
needs. The intake process consists of a standardized screening for life-domain needs and assessment with the
Vulnerability Index Service Prioritization Decision Assistance Tool (VI-SPDAT) to customize service
eligibility and access to housing matches. As part of the DBH's work plan for Integrated Behavioral Health
Access, operation of additional MAP Points were contracted out in January 2017 to target strategic, geographic
locations with underserved and unserved populations. Kings View PATH staff may participate in MAP Point
activities to assist in intake and serve as a service provider for the homeless with SMI and/or co-occurring
disorder.
8.Describe the county’s participating in the Homeless Management Information System (HMIS) and
describe plans for continued training and how the county will support new staff. For any county not fully
participating in HMIS, describe plans to complete HMIS implementation.
DBH is fully participating in HMIS to ensure accurate data collection, analysis and reporting, and will
continue to actively participate as necessary to improve data collection and use. New staff shall be
trained in HMIS, as well as refresher training as available/needed for existing staff.
9.Provide a detailed budget narrative that provides specifics and calculations used for PATH
Administration funds. The narrative should describe the attached DHCS 1779P – Federal Grant
Detailed Program Budget.
Enclosure 8A DHCS 1779P - County Budget and Enclosure 8B DHCS 1779P - Provider Budget
provides the breakdown of PATH program costs. PATH Allocation ($316,356) and County Match
($105,452) in the amount of $421,808 will be used to fund contracted services and administrative cost
for the County and contracted service provider, while providing outreach, case management, housing,
State of California – Health and Human Services Agency Department of Health Care Services
Enclosure 5
PATH FY 2019-20
COUNTY INTENDED USE PLAN
PATH County Intended Use Plan – SFY 2019-20 Page 5 of 5
DHCS 1755 (5/19)
mental health and/or co-occurring services and linkage to homeless adults with SMI and/or co-occurring
disorder. Staffing costs of $263,487 will fund 4.46 FTE positions comprised of 0.026 FTE Program
Direction, 0.04 Regional Mental Health Director, 0.5 FTE Program Manager, 2.27 FTE Case Managers,
1.3 FTE OEL Coordinators (also may meet classifications as personal service coordinators/peer support
specialists), 0.06 FTE Financial Analyst and 0.26 FTE Administrative Support, inclusive of personnel
taxes and benefits. Consultant costs include $14,620 for network and data management information
services and the fees for HMIS implementation (training, system licenses and data maintenance).
Equipment costs of $3,906 will provide for the lease of a copier and computer and software expenses.
$16,602 will fund supplies for office operations in the course of providing services to clients and
program supplies to be used in outreach and therapeutic activities. Funding will also provide for travel
cost associated with client services in the amount of $14,490. Other expenses related to the provision of
services to clients include program building utilities of $3,280, program building rent and maintenance
of $26,270, and professional liability insurance and background checks for staff of $7,484. Direct client
support expenses will include $13,500 for basic life necessities (clothing, food and hygiene supplies) as
well as assistance in transportation and education and employment activities. Client housing support is
expected to be $10,000 and will assist clients in accessing housing, utilities, deposits and one-time
payments to prevent eviction. In addition, funding will provide for administrative costs for the County
and Kings View as the contracted provider in the amount of $37,138 (no greater than 10% of PATH
funding).
State of California – Health and Human Services Agency Department of Health Care Services
Enclosure 6
PATH FY 2019-20
PROVIDER INTENDED USE PLAN
PATH Provider Intended Use Plan – SFY 2019-20 Page 1 of 8
DHCS 1756 (5/19)
County: Fresno
Legal Name of Business: Kings View Corporation
Program Name: PATH Program
Address: 4910 E. Ashlan Ave. Ste 118
City, Zip Code: Fresno, 93726
Service Area (City and Zip Codes):
Fresno County Metropolitan and Rural
Provider Contact: Jennifer Bolen
Telephone: (559) 256-4474 ext.4021
Fax: (559) 348-9345
Email: jbolen@kingsview.org
Indicate which of the following essential services will be provided by this provider with PATH
funding:
Outreach
Case Management
Community Mental Health Services
Habilitation & Rehabilitation Services (relating to training and education to improve the individual’s
functioning in the community)
Staff Training
Screening and Diagnostic Services
Alcohol or Drug Treatment
Supportive and Supervisory Services in Residential Settings
Referrals for Primary Health Services, Job Training, Education Services and Relevant
Housing Services:
Minor Renovation, Expansion, and Repair of Housing
Planning of Housing
Technical Assistance in Applying for Housing Services
Improving the Coordination of Housing Services
Security Deposits
Cost Associated with Matching Eligible Homeless Individuals with Appropriate Housing
Situations
One-Time Rental Payments to Prevent Eviction
Indicate which budget categories are funded with PATH funds: Click on Check Box:
Personnel Equipment Travel
Consultants Supplies Other
State of California – Health and Human Services Agency Department of Health Care Services
Enclosure 6
PATH FY 2019-20
PROVIDER INTENDED USE PLAN
PATH Provider Intended Use Plan – SFY 2019-20 Page 2 of 8
DHCS 1756 (5/19)
Description of the flow of federal PATH funds in California: PATH funding in California is allocated
to the counties from the California State Department of Health Care Services. Each county has a
Mental Health Program that provides services to the public in California; the PATH funds are
distributed at the county level to either county or contracted providers.
Directions – Provider Intended Use Plan –
The Provider Intended Use Plan will provide specific information on each organization and
program funded with PATH Federal and Match funds, and should be answered at the provider’s
level.
1.Provider Name (if different from the Legal Name):
2.Total Federal PATH Dollars Allocated from Counties:$305,325
3.Total Match Dollars in Budget:$105,452
4.Who Provides the Match?Fresno County
5.What funding source is used for Match?Mental Health Services Act
6.Please provide a brief overview of your organization’s history, current existing programs, region
served, and services provided.
Kings View Corporation, also known as Kings View Behavioral Health Systems, has been
providing mental health services in the central and northern California for 68 years. Kings View
started with the opening of a mental health hospital in Reedley and then expanded its scope of
services for underserved and unserved populations through community programs providing
drug and alcohol treatment and telepsychiatry to rural areas. Kings View has been responsive to
mental health community service needs by serving the mentally ill homeless population in 14
local and regional California counties.
In Fresno County, Kings View is contracted to operate several MHSA programs; one of which
is the existing PATH program, providing an array of outreach, case management and treatment
services to the homeless with serious mental illness (SMI). Kings View also operates the Blue
Sky Wellness Center for mentally ill clients and their families along with Youth Empowerment
Centers throughout the rural areas of the County. Kings View operates the Rural Mental Health
Triage Program and the Metro Crisis Intervention Team (CIT) Program to provide mental
health services by co-locating and co-responding with law enforcement and emergency services
personnel (first responders). Kings View also operates the Central Valley Suicide Prevention
Hotline which is a 24/7, 365 days per year service for children and adults through the main
number of the National Suicide Prevention Hotline. Kings View has a collaborative partnership
with two other community agencies to provide nine Multi-Agency Access Program (MAP)
Points, where Navigators provide an integrated screening process to link individuals and
families facing behavioral, social, housing, employment, health and other related challenges to
supportive services.
7.The purpose of this section is to provide a description of your organization’s plan to provide
coordinated and comprehensive services to eligible PATH Clients. Please provide the following
information as it relates to activities for FY 2019-2020.
a.The projected number of adult clients to be contacted using PATH funds.350
b.The projected number of adult clients to be enrolled using PATH funds.200
State of California – Health and Human Services Agency Department of Health Care Services
Enclosure 6
PATH FY 2019-20
PROVIDER INTENDED USE PLAN
PATH Provider Intended Use Plan – SFY 2019-20 Page 3 of 8
DHCS 1756 (5/19)
c.The projected percentage of adult clients contacted using PATH funds to be
“literally” homeless (i.e., living outdoors or in an emergency shelter rather than at
imminent risk of homelessness.)
75%
d.Describe how the services to be provided using PATH funds will align with PATH goals to
target street outreach and case management as priority services, and maximize serving the
most vulnerable adults who are literally and chronically homeless.
Kings View's PATH-funded program will prioritize serving adults who are literally
homeless or at risk of immediate homelessness by focusing outreach efforts in places not
meant for human habitation. Seventy-five percent of clients served are projected to be
literally homeless. By having evidence based practice (EBP) trained and recovery
experienced staff, clients are more likely to be engaged and reveal PATH eligibility in
order to start program services. Services include assistance to accessing housing
services, food, clothes, transportation and linkage to other County mental health and
social services programs and community-based organizations as needed. Additional
services include on-site safety planning, assessments, case management, individual and
group support groups, mental health rehabilitation, Telepsychiatry, medication
monitoring and supportive and stable housing services.
e.List the evidenced-based practices currently used.
In outreach and engagement efforts, the Kings View PATH team utilizes the L.E.A.P.
method (Listen, Empathize, Accept, and Partner) Outreach staff and Case Managers are
trained and aware of trauma informed and gender specific care, and cultural needs of
clients. Kings View PATH program utilizes the Wellness Recovery Action Plan
(WRAP) model along with Cognitive Behavioral (CBT) and Motivational Interviewing
(MI)models designed to engage individuals with serious mental health challenges,
whose needs have not been met through the traditional service delivery model. Team
members collaborate on assessments, plan of care and day to day interventions in order
to better monitor and assist clients to self-sustained recovery.
f.Provide a brief description of partnerships and activities with local community organizations
that provide key services (e.g. outreach teams, primary health, mental health, substance use
disorder, housing, employment) to PATH-eligible clients, and describe the coordination of
activities and policies with those organizations. Provide specific information about how
coordination with other outreach teams will be achieved.
Kings View PATH collaborates with various community organizations to provide key
services to homeless adults who are mentally ill. Initial contact and stabilization of
PATH grant eligible clients will be done through clinical assessment by a licensed
therapist at the PATH program. Homeless mentally ill clients with a substance abuse
disorder who receive case management services and require additional support will be
referred to the Fresno County Department of Behavioral Health and its other contracted
providers specializing in treatment services for co-occurring disorders such as the
Comprehensive Addiction Program. For primary health care, linkage will be made to
Federally Qualified Health Care clinics, other health care facilities such as the Fresno
Community Hospitals, Clinica Sierra Vista and local private doctors. PATH encourages
and assists clients to register through the Affordable Health Care Act Programs within
California. Social services and employment service linkages will be made to the Fresno
County Department of Social Services, Social Securtiy Administration, California
DMV, and West Fresno Family Resource Center. Additional organizations that may
provide services or resources include Fresno County Superior Court, Centro La Familia,
State of California – Health and Human Services Agency Department of Health Care Services
Enclosure 6
PATH FY 2019-20
PROVIDER INTENDED USE PLAN
PATH Provider Intended Use Plan – SFY 2019-20 Page 4 of 8
DHCS 1756 (5/19)
Marjaree Mason Center, Veteran's Administration, Kings View Behavioral Health
Services, MAP, West Care, SOS, NAMI, Fresno County Housing Authority, and many
faith based organizations.
g.Explain the gaps in current service systems that pertain to your PATH client population.
Permanent housing is still scarce for the homeless population in Fresno County.
Pernanent supportive housing is even more limited and has strict guidelines which
homeless individuals with mental illness and or co-occurring disorder do not meet.
Kings View PATH works with a large population of client with substance use disorders
and the lack of available residential treatment facilities such as room and boards and
transition housing. There is a high volume of homeless that live in the rural areas who
lack the ability to access basic services for housing and mental health due to
transportation barriers.
h.Provide a description of the current services available to clients who have both a serious
mental illness and substance use disorder.
Kings View PATH program provides co-occurring rehabilitation and support services
embedded in a variety of behavioral health services including assistance into permanent
housing, targeted case management, psychiatric services, referrals into other program
services and providing transportation. Groups with rehablitation interventions are
provided to support decompensation/relapse, stabilization and maintenance. Co-
occurring clients also receive substance use disorder education and counseling.
Appropriate referrals are made to substance use disorder treatment providers when a
higher level of care is needed and the clients sees a need to get more support.
i.Indicate the strategies that will be used for making suitable housing available for PATH clients
(e.g. indicate the type of housing provided and the name of the agency).
Kings View continuously supports the development of housing works with community
organizations such as the Housing Authority and the County by participating in weekly
outreach committees. Fresno County provides housing opportunities through the MHSA
Housing programs and Housing Authorities. The County currently provides for
supported independent living through Trinity Housing project (20 single room
occupancy-SRO units), Alta Monte Housing Project consisting of (29 SRO units) and
the Santa Clara Project which consists of 69 units (25 units are dedicated to the mentally
ill and homeless). These project exist through the Memorandum of Understanding
between the County and Housing Authorities. In addition to the various placement
facilities available within the County, Kings View PATH program will provide ongoing
supported housing services to assist clients to attain and maintain housing. The PATH
program will utilize less than 20% of the available PATH program funding to support
assisted housing, security deposits, and one-time payments to prevent eviction. PATH
staff also work with different room and board providers (Clovis Christian Sober Living,
Quality Homes Inc., Circle of Friends, BK House of Hope and Jeremiah's Home) in
order to assist clients in getting off the streets as soon as possible while still waiting for
permanent housing. PATH provides technical assistance to individuals navigating and
advocating for them with program like Shelter Plus Care, STASIS, Fresno County DBH
Permanent Supportive Housing, Fresno Housing Authority, low income housing
apartments through the county.
State of California – Health and Human Services Agency Department of Health Care Services
Enclosure 6
PATH FY 2019-20
PROVIDER INTENDED USE PLAN
PATH Provider Intended Use Plan – SFY 2019-20 Page 5 of 8
DHCS 1756 (5/19)
Additionally, staff are committed to assist and support clients in staying connected to
their local natural supports who may also be able to provide them with housing (e.g.
family members, friends, church members, churches and other organizations).
j.Describe how PATH eligibility is determined, when enrollment occurs, and how eligibility is
documented for PATH-enrolled clients.
Kings View's PATH-funded program will prioritize serving adults who are literally
homeless and chronically mentally ill by focusing outreach efforts in places not meant
for human habitation. Seventy-five percent of clients served are projected to be literally
homeless. By having evidence-based practice (EBP) trained and recovery experienced
staff, clients are more likely to be engaged and reveal PATH-eligiblity in order to start
program services. Eligiblity is determined by a standard clinical assessment and meeting
minimum HUD homelessness criteria. Enrollment on the same day occurs by entering
the client in AVATAR and HMIS. Documentation of same occurs by use of the
standarized forms approved previously by the County.
8.Describe your organization’s participation with local HUD Continuum of Care (CoC) recipient(s)
and other local planning activities and program coordination initiatives, such as coordinated entry
activities. If the organization is not currently working with the Continuum(s) of Care, briefly explain
the approaches to be taken by the organization to collaborate with the CoC(s) in the areas where
PATH operates.
Kings View PATH is an associate member of the FMCoC. The PATH program does not receive
any HUD funds and so FMCoC full membership is not required. The County is a voting member.
Although not a voting member, Kings View participates in activities to better serve the homeless youth,
adults and families in the Fresno area including the Point in Time (PIT) homeless count and outreach
efforts in the 25 Cities Initiative. Kings View also attends Coordinated Entry System (CES) Meetings
and planning sessions.
9.Describe your Coordinated Entry/Assessment program and roles of key partners.
The FMCoc has a Coordinated Entry System, which Kings View PATH has been participating
in since the planning stage. The system includes the use of an entry survey and shared database,
weekly shifts at MAP, outreach referrals taken regularly for new coordinated entry clients and
navigation through housing referral process. Close collaboration is necessary with the MAP
Community Coordinator, Clinica Sierra Vista, San Joaquin Veterans, WINGS Advocacy Fresno,
Poverello House, DHB, Laura's House and the Department of Social Services, who all participate in
the FMCoC and may provide the needed services or resources identified in the entry survey.
10.Describe the organization’s participation in the Homeless Management Information System (HMIS)
and describe plans for continued training and how providers will support new staff. For any
providers not fully participating in HMIS, please describe plans to complete HMIS implementation.
Since FY 2016-2017, Kings View PATH has HMIS fully implemented for PATH services. All
program staff (Outreach Workers, Case Managers and Program Manager) have been trained in
HMIS data collection and entry. Staff currently input and maintain clients' PATH data elements in
HMIS. Kings View has established a relationship with the Fresno Housing Authority, designated by
the FMCoC as the HMIS Lead Administrator to resolve data collection and entry issues,
specifically the setup of appropriate PATH data element fields and to ensure data quality through
the creation of specialized monthly and annual reports. The PATH project set up in HMIS will
continue to be an evolving proces to meet PATH Annual Reported guidelines. The methodology for
State of California – Health and Human Services Agency Department of Health Care Services
Enclosure 6
PATH FY 2019-20
PROVIDER INTENDED USE PLAN
PATH Provider Intended Use Plan – SFY 2019-20 Page 6 of 8
DHCS 1756 (5/19)
reporting services and referrals in HMIS that only counts one instance for each category does not
reflect the true quantity of services and referrals provided.
HMIS training and data systems maintenance will be financed through PATH and County
MHSA funds. It is currently cost-prohibitive to support HMIS training and system use licenses for
staff not directly involved in outreach and case management services.
11.Describe the organization’s plan to ensure that PATH staff have completed the SOAR Online
Course and which staff plan to assist consumers with SSI/SSDI applications using the SOAR
model and tracking the outcomes of those application in the SOAR Online Application Tracking
(OAT) system.
If the organization does not use SOAR, describe the system used to improve the accurate and
timely completion of mainstream benefit applications (e.g. SSI/SSDI). Describe the efforts used to
train staff on this alternative system and what technical assistance or support they receive to
ensure quality applications if they do not use the SAMHSA SOAR TA Center.
Kings View PATH will assist clients in obtaining any and all benefits by applying for Social
Security Income/Social Security Disability Income (SSI/SSDI) and Affordable Health Care Act (ACA).
Two new OEL Coordinators and two new Case Managers will complete the online SOAR training
before the end of FY 19-20. The new staff hires within the PATH program are expected to complete the
SOAR training and existing staff will participate in any refresher course. PATH staff have assisted
clients to obtain proper documentation and support to follow up with their attorney's recommendations
on the application process and to ensure their client's make it to their attorney appointments and
hearings. Currently, we have 8 clients that have SSI and 7 are in the process.
12.Describe how staff providing services to the PATH population will be sensitive to age, gender,
disability, LGBT, and racial/ethnic differences of clients. Describe the extent to which staff will
receive periodic training in cultural competence and health disparities.
Currently, the PATH program have staff with ages range from 25-40 years old, bi-lingual
English/Spanish speaking and idenfity as homosexual and heterosexual. Diverse backgrounds and
exposures allow staff to identify, understand and respect the variety of cultural, social and religious
values of the client population. Services are culturally sensitive to client needs based on age,
gender, sexual orientation and ethnicity. The County encourages and mandates all contractors to
provide services in a culturally sensitive and competent manner. Kings View staff are able to
annually participate in Cultural Competency trainings and workshops provided by the County.
13.Describe the demographics of the client population.
72 % White or Caucasian
18 % African American
5% American Indian
3% Asian
2% Native Hawaiian or Other
Age Group Breakdown:
18-30: 17%
31-50: 47%
51-61: 30%
62 and older: 6%
State of California – Health and Human Services Agency Department of Health Care Services
Enclosure 6
PATH FY 2019-20
PROVIDER INTENDED USE PLAN
PATH Provider Intended Use Plan – SFY 2019-20 Page 7 of 8
DHCS 1756 (5/19)
Gender:
52% Males
46% Females
2% Transgender
Veteran Status:
30% Veteran
70% Non-Veteran
Staff Composition
25% White or Caucasian
75% Hispanic
0% Male
100% Female
14.Describe how individuals who experience homelessness and have serious mental illness, and their
family members, will be meaningfully involved at the organization level in the planning,
implementation, and evaluation of PATH-funded services. For example, indicate whether
individuals who are PATH-eligible are employed as staff or volunteers or serve on governing or
formal advisory boards (see Enclosure 11 – Guidelines for Consumer and Family Participation).
Clients and their families are encouraged to participate at the organizational level in the
planning, implementation, and evaluation of PATH-funded services through the Fresno County
Behavioral Health Board (BHB). The BHB is a public advisory board on adult, children, and
justice system mental health and substance use disorder issues. Although at least 50% of the
members of the Behavioral Health Board are mental health clients and or family members, none
of the PATH-eligible clients have chosen to participate. Additionally, Fresno County DBH
conducts a Community Planning Process to collect stakeholder input for the County's MHSA
Three-Year Plan and Annual Updates, which report on the status of current and future planned
MHSA-funded programs. Kings View PATH encourages clients to attend Behavioral Health
Board and Community Planning Process meetings to provide input and feedback. In the past,
Kings View has hired homelss, mentally ill clients at various levels of the organization.
15.Describe veteran-specific services your organization will provide. Identify community organizations
that provide veteran-specific services with which the PATH program collaborates.
Kings View PATH is proactive in encouraging veterans to seek services. Clients who self-
identify as a veteran are eligible to all PATH program services in regards to mental health,
substance use and housing services. In addition, veterans are referred to program available
through the Veterans Administration (VA). Veterans who have been Other than Honorable
(OTH) discharged or do not qualify for VA services are linked to other County Programs or
community agencies. Kings View has partnered with different agencies to identify and navigate
veterans to appropriate services. Specific services also include transportation to veteran's
services. The ability to work closely with agencies that work with veterans, i.e contact
information of individuals we can call at any time who are willing to assist in the moment, plays
a key role in successful referral and linkage.
State of California – Health and Human Services Agency Department of Health Care Services
Enclosure 6
PATH FY 2019-20
PROVIDER INTENDED USE PLAN
PATH Provider Intended Use Plan – SFY 2019-20 Page 8 of 8
DHCS 1756 (5/19)
FMCoC and all agencies participating in the Coordinated Entry System have dedicated to end
chronic homelessness for Fresno veterans. West Care, Turning Point Services of the Central
Valley, Mental Health Systems, Poverello House, Fresno Rescue Mission and others have been
identified as FMCoC participants providing primary health, mental health, substance use,
housing and or employment services. In addition, the County maintains a network of care
website specific to veterans at no charge to the client or provider
(www.fresno.networkofcare.org). The website is an active "one stop shop" for services.
16.Provide a detailed budget narrative that provides specifics and calculations used for PATH funds.
The narrative should describe the attached DHCS 1779P – Federal Grant Detailed Program
Budget.
Enclosure 8A DHCS 1779P- County Budget and Enclosure 8B DHCS 1779P-Provider Budget
provides the breakdown of PATH Program Costs. PATH Allocation ($305,325) and County
Match ($105,452) in the amount of $410,777 will be used to fund contracted services and
administrative cost for the County and Kings View Corporation, while providing outreach, case
management, housing, mental health and or co-occurring services and linkage to homeless
adults with SMI and or co-occurring disorder. Staffing costs of $263,487 will fund 4.46 FTE
positions comprised of 0.026 FTE Program Direction, 0.04 Regional Mental Health Director,
0.5 FTE Program Manager, 2.27 FTE Case Managers, 1.3 FTE OEL Coordinators (also may
meet classifications as personal service coordinators/peer support specialists), 0.06 FTE
Financial Analyst and 0.26 FTE Administrative Support, inclusive of personnel taxes and
benefits. Consultant costs include $14,620 for network and data management information
services and the fees for HMIS implementation (training, system licenses and data
maintenance). Equipment costs of $3,906 will provide for the lease of a copier and computer
and software expenses. $16,602 will fund supplies for office operations in the course of
providing services to clients and program supplies to be used in outreach and therapeutic
activities. Funding will also provide for travel cost associated with client services in the amount
of $14,490. Other expenses related to the provision of services to clients include program
building utilities of $3,280, program building rent and maintenance of $26,270, and professional
liability insurance and background checks for staff of $7,484. Direct client support expenses
will include $13,500 for basic life necessities (clothing, food and hygiene supplies) as well as
assistance in transportation and education and employment activities. Client housing support is
expected to be $10,000 and will assist clients in accessing housing, utilities, deposits and one-
time payments to prevent eviction. In addition, funding will provide for administrative costs for
the County and Kings View as the contracted provider in the amount of $37,138 (no greater
than 10% of PATH funding).
State of California - Health and Human Services Agency Department of Health Care Services
Enclosure 7
FEDERAL BUDGET SUMMARY
TYPE OF GRANT: PATH STATE FISCAL YEAR 2019-20
COUNTY: _Fresno______________
FISCAL CONTACT: _Kirk Hill_TELEPHONE NUMBER: _(559) 600-4655
E-MAIL ADDRESS: _khill@fresnocountyca.gov__
a. Personnel
b. Fringe Benefits
c. Travel
d. Equipment
e. Supplies
f. Contractual
g. Construction
h. Other
i. Total Direct Charges (sum of a -h)
j. Indirect Charges
k. TOTALS (sum of i and j)
DHCS APPROVAL BY: Justin Whitcomb
TELEPHONE: 9167138751
DATE: 8/1/2019
$ 95,309
$
$
$ 14,490
$ 3,906
$ 16,602
$ 13,120
$ 10,143
$ 105,452
$ 1,500
$
$ 13,418
$ 278,405
$ 37,951
$ 316,356
$
$ 47,191
BUDGET CATEGORIES
$ 205,978
$ 57,509
$
$
$
Object Class Categories
GRANT PROGRAM, FUNCTION OR ACTIVITY
(1) Federal (2) Non-Federal
PATH 2019-20 Request for Application
DHCS 1757 (4/13)
State of California - Health and Human Services Agency
Enclosure 8A
FEDERAL GRANT DETAILED PROGRAM BUDGET
STATE FISCAL YEAR: 2019-20
TYPE OF GRANT: PATH
COUNTY: _________Fresno__________ SUBMISSION DATE: 6/24/2019
FISCAL CONTACT: _Kirk Hill____ PROGRAM CONTACT: Marissa Curtis
TELEPHONE NUMBER: ___(559) 600- 4655________ TELEPHONE NUMBER (559) 600-9988
EMAIL ADDRESS: _khill@fresnocountyca.gov_ E-MAIL ADDRESS: mcurtis@fresnocountyca.gov
PROGRAM NAME: __PATH Program________
STAFFING 1 2 3
ANNUAL GRANT FEDERAL PATH NONFEDERAL MATCH
TITLE OF POSITION SALARY FTE AMOUNT AMOUNT TOTAL
1 Staff Analyst 51,758 0.13 6,527$ 6,527.00$
2 -$
3 -$
4 -$
5 -$
6 -$
7 -$
8 -$
9 -$
10 -$
11 -$
12 TOTAL STAFF EXPENSES (sum lines 1 thru 11)51,758$ 0.13 6,527$ -$ 6,527$
13 Consultant Costs (Itemize):-$
14 -$
15 -$
16 -$
17 Equipment (Where feasible lease or rent) (Itemize):-$
18 -$
19 -$
20 -$
21 -$
22 Supplies (Itemize):-$
23 -$
24 -$
25 -$
26 -$
27 -$
28 Travel -Per diem, Mileage, & Vehicle Rental/Lease
29 -$
30 Other Expenses (Itemize):-$
31 -$
32 -$
33 -$
34 -$
35 -$
36 -$
37 COUNTY ADMINISTRATIVE COSTS (10% PATH)1,829$ 2,675$ 4,504$
38 NET PROGRAM EXPENSES (sum lines 12 thru 37)8,356$ 2,675$ 11,031$
39 OTHER FUNDING SOURCES: Federal Funds
40 Non-Federal Funds
41 TOTAL OTHER FUNDING SOURCES (sum lines 39 & 40)-$ -$ -$
42 GROSS COST OF PROGRAM (sum lines 38 and 41)8,356$ 2,675$ 11,031$
DHCS APPROVAL BY: Justin Whitcomb
TELEPHONE: 9167138751
DHCS 1779 P (4/13)DATE: 8/1/2019
Department of Health Care Services
State of California - Health and Human Services Agency
Enclosure 8B
FEDERAL GRANT DETAILED PROGRAM BUDGET
STATE FISCAL YEAR 2019-20
TYPE OF GRANT: PATH
COUNTY: __________Fresno______ SUBMISSION DATE: 6/24/2019
FISCAL CONTACT: _Kirk Hill__ PROGRAM CONTACT Marissa Curtis
TELEPHONE NUMBER: ____(559) 600-4655______ TELEPHONE NUMBE (559) 600-9988
EMAIL ADDRESS: _khill@fresnocountyca.gov_ E-MAIL ADDRESS: mcurtis@fresnocountyca.gov
PROGRAM NAME: ___PATH Program________
STAFFING 1 2 3
ANNUAL GRANT FEDERAL PATH NONFEDERAL MATCH
TITLE OF POSITION SALARY FTE AMOUNT AMOUNT TOTAL
1 Program Direction $147,492.80 0.026 3,822$ 3,822.00$
2 Regional Mental Health Director $122,241.60 0.04 4,890$ 4,890.00$
3 Program Manager $92,976.00 0.5 46,488$ 46,488.00$
4 Case Managers $41,458.84 2.27 94,112$ 94,112.00$
5 Outreach Engagement Linkage $32,760.00 1.3 41,933$ 41,933.00$
6 Financial Analyst $48,836.72 0.06 2,930$ 2,930.00$
7 Administrative Support $45,780.80 0.26 11,903$ 11,903.00$
8 Benefits & Taxes 57,409$ 57,409.00$
9 -$
10 -$
11 -$
12 TOTAL STAFF EXPENSES (sum lines 1 thru 11)531,547$ 4.46 263,487$ -$ 263,487$
13 Consultant Costs (Itemize):-$
14 Consultant Network & Data management 13,120$ 13,120$
15 Consultant (HMIS training, user licenses & Maint)1,500$ 1,500$
16 -$
17 Equipment (Where feasible lease or rent) (Itemize):-$
18 Equipment Rent/Lease 2,706$ 2,706$
19 Computers & Software 1,200$ 1,200$
20 -$
21 -$
22 Supplies (Itemize):-$
23 office Supplies & Equipment & Postage 6,422$ 6,422$
24 Telephone 5,280$ 5,280$
25 Program Supplies - Outreach 4,900$ 4,900$
26 -$
27 -$
28 Travel -Per diem, Mileage, & Vehicle Rental/Lease 14,490$
29 -$
30 Other Expenses (Itemize):-$
31 Utilities 3,280$ 3,280$
32 Client Housing - One Time Emergency Housing 10,000$ 10,000$
33 Client Clothing, Food & Hygiene 2,500$ 2,500$
34 Client Transportation, Education & Employment 843$ 10,157$ 11,000$
35 Building Rent/Lease & maintenance 26,270$ 26,270$
36 Liability/Professional Liability Insurances & Staff Background Checks 7,484$ 7,484$
37 COUNTY ADMINISTRATIVE COSTS (10% PATH)29,670$ 7,468$ 37,138$
38 NET PROGRAM EXPENSES (sum lines 12 thru 37)308,000$ 102,777$ 396,287$
39 OTHER FUNDING SOURCES: Federal Funds
40 Non-Federal Funds
41 TOTAL OTHER FUNDING SOURCES (sum lines 39 & 40)-$ -$ -$
42 GROSS COST OF PROGRAM (sum lines 38 and 41)308,000$ 102,777$ 410,777$
DHCS APPROVAL BY: Justin Whitcomb
TELEPHONE: 9167138751
DHCS 1779 P (4/13)DATE: 8/1/2019
Department of Health Care Services