HomeMy WebLinkAboutAgreement A-15-254 with CA. Dept. of Health Care Services.pdfState of California -Health and Human Services Agency
PATH ALLOCATION WORKSHEET
STATE FISCAL YEAR: 2015-2016
COUNTY: FRESNO
Agreement No. 15-254
FEDERAL CATALOG NO. 93.150
REVISION NO:
Department of Health Care Services
Enclosure 1
The State Department of Health Care Services (DHCS) provides the Federal Projects
For Assistan~e in Transition From Homelessness (PATH) Formula Grant funds to
counties for State Fiscal Year (SFY) 2015-2016. Your Allocation is identified below.
PATH Funding Base:
Total PATH Expenditure:
PURPOSE: PLANNING ESTIMATE
$312,774
$312,774
June 16, 2014
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, policies
regulations, and guidelines. The CAP, as approved by DHCS, will be followed in expending
these funds.
Deborah A. Poochigian, Chairman, Board
Printed Name
AlTEST:
BERNICE E. SEIDEL, Clerk
Board of Supervisors
By ~~-s...LYN ~Sh~
Deputy
DHCS 1772 P (4/13)
Enclosure 2
PHS-5161-1 (7/00)Page 17
OMB Approval No. 0920-0428
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 45 CFR
Part 76, and its principals:
(a) are not presently debarred,suspended,proposed
for debarment,declared ineligible,or voluntarily
excluded from covered transactions by any
Federal Department or agency;
(b) have not within a 3-year period preceding this
proposal been convicted of or had a civil
judgment rendered against them for commission
of fraud or a criminal offense in connection with
obtaining, attempting to obtain, or performing a
public (Federal, State, or local) transaction or
contract under a public transaction; violation of
Federal or State antitrust statutes or commission
of embezzlement,theft, forgery,bribery,
falsification or destruction of records,making
false statements,or receiving stolen property;
(c) are not presently indicted or otherwise
criminally or civilly charged by a governmental
entity (Federal, State, or local) with com
mission of any of the offenses enumerated in
paragraph (b) ofthis certification;and
(d) have not within a 3-year period preceding this
application/proposal had one or more public
transactions (Federal, State, or local) terminated
for cause or default.
Should the applicant not be able to provide this
certification,an explanation as to why should be
placed after the assurances page in the application
package.
The applicant agrees by submitting this proposal that
it will include, without modification,the clause titled
"Certification Regarding Debarment, Suspension, In
eligibility,and Voluntary Exclusion-Lower Tier
Covered Transactions"in all lower tier covered
transactions (i.e., transactions with sub- grantees
and/or contractors) and in all solicitations for lower
tier covered transactions in accordance with 45 CFR
Part 76.
PATH 2015-16 Request for Application
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 45 CFR Part 76 by:
(a)Publishing a statement notifying employees that
the unlawful manufacture,distribution,dis
pensing,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 drag-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, rehabil
itation,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 re
quired 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 employeeor otherwise
receiving actual notice of such conviction.
Employersof convicted employees must provide
notice, including position title, to every grant
officer or other designee on whose grantactivity
the convicted employee was working, unless
the Federal agency has designated a central
Page 1 of 3
Page 18
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
purposesby 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 imple
mentation of paragraphs (a), (b), (c),(d),(e),
and(f).
For purposes of paragraph (e) regarding agency
notificationof criminal drug convictions, the DHHS has
designated the following central point for receipt of
such notices:
Office of Grants and Acquisition Management
Office of Grants Management
Office of the Assistant Secretary for Management and
Budget
Department of HealthandHumanServices
200 Independence Avenue,S.W.,Room 517-D
Washington, D.C. 20201
3.CERTIFICATION REGARDING LOBBYING
Title 31,United States Code,Section 1352,entitled
"Limitation on use of appropriated funds to in
fluence 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 totalcosts(45 CFRPart93).
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 under
PATH 2015-16 Request for Application
Enclosure 2
PHS-5161-1 (7/00)
signed, 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
cooperative agreement, and the extension,
continuation,renewal,amendment,or modification
of any Federal contract, grant, loan, or cooperative
agreement.
(2)If any funds other than Federally appropriated funds
have been paid or will be paid 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 this
Federal contract, grant, loan, or cooperative
agreement, the undersigned shall complete and
submit Standard Form-LLL,"Disclosure of
Lobbying Activities," in accordance with its
instructions.(If needed,Standard Form-LLL,
"Disclosure of Lobbying Activities," its
instructions,and continuation sheet are included at
the end of this application form.)
(3) The undersigned shall require that the language of
this certification be included in the award doc
uments for all subawards at all tiers (including
subcontracts, subgrants, and contracts under grants,
loans and cooperative agreements)and that all
subrecipients shall certify and disclose accordingly.
This certification is a material representation of fact
upon which reliance was placed when this transaction
was made or entered into.Submission of this
certification isa 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 subject to a civil penalty of not less than
$10,000 and not more than $100,000 for each such
failure.
4.CERTIFICATION REGARDING PROGRAM
FRAUD CIVIL REMEDIES ACT (PFCRA)
The undersigned (authorized official signing forthe
applicant organization)certifies that the statements
herein are true,complete,and accurate tothebestof
his or her knowledge, and that he or she is aware
thatany false,fictitious,or fraudulent statements or
claims may subject himorher to criminal,civil,or
administrative penalties.The undersigned agrees
thatthe applicant organization will comply with the
Public Health Service terms and conditions of
award if a grant is awarded as a result of this
application.
Page 2 of 3
PHS-5161-1 (7/00)
5 .. CERTIFICATION REGARDING
E~ONMENTALTOBACCOSMOKE
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 or contracted for by an entity and used
routinely or regularly for the provision ofhealth, day
care, early childhood development services,
education or library services to children under the
age of 18, ·if the seivices are funded by Federal
programs either directly or through State or local
governments, by Federal grant, contract, loan, or loan
guarantee. The law ·also applies to children's
services that are provided in indoor facilities that are
constructed, operated, or maintained with such
Federal funds.· The law does not apply to children's
services provided in private 'residence, portions of
facilities used for jnpatient drug or alcohol treatment,
service providers whose sole source of applicable
Federal funds is Medicare. or Medicaid, or facilities
where WIC coupons are redeemed ..
G OFFIQIJ\L TITLE
ATIEST:
Enclosure 2
Page 19
-· · -' .. ':.S:.k?;~:~o:~:·
Failure to comply with the provisions of· the law ··
may result iri the ·imposition of a civil monetary
penalty of up to $1,000 for each violation and/or the
imposition of an administrative compliance 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 any portion of any indoor.·.facility
used ·for the provision of services for children as
defined by the Act.
The applicant organization, agrees that it will require
that the language of this certification be included in
any suba'Yards which contain provisions for
children's !;ervices and that all subrecipients shall
certify accordingly.
The Public. Health Services strongly encourages all
grant recipients to provide a smoke-free workplace
and promote the non-use of tobacco products. This
is consistent with the PHS mission to protect and
advance the physical an mental . health of the
American people.
Chairman, Board of Supervisors
DATE SUBMITTED
June 16, 2015
BERNICE E. SEIDEL, Clerk
Board of Supervisors
By ~Sf~ &'>bft)P
Deput
PATH 2015-16 Request for Application Page 3 of3
Enclosure 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 inapplyingfor
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 Actonlyto entities that have the capacity to provide, directlyor
througharrangements, the specifiedservice(s)including coordinating the
provision ofservice(s) inorder to meet the needs of eligible homeless
individuals who are both mentally ill and suffering from substance abuse.
PATH 2015-16 Request for Application Page 1 of 3
Enclosure 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 11,2015,the amount is $183,300.
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 inan
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 $104,258.
K.The description of intended use will be revised throughout the year to
reflect substantial changes inthe programs and activitiesfunded through
the PATH grant.Changes in services will not be provided until the
appropriate approval has been received.
L.The county agrees to provideall reports required bythe 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
ServiceAct(42 USC 290k,et seq., and 42 USC 300x-65et seq.) and their
governing regulations at 42 C.F.R.part 54 and 54a respectively.
PATH 2015-16 Request for Application Page 2 of3
Enclosure 3
N. The county has budgeted SFY 2015-2016 non-PATH funds for services to
individuals who are homeless and mentally disabled as follows:
$ Federal (non-PATH)
$ $104,258 Other
Mmtwa.
Board of Supervisors
Deborah A. Poochigian. Chairman
Print Name
ATIEST:
BERNICE E. SEIDEL, Clerk
Board of Supervisors
By Su slLv---~ sh~
Dep
PATH 2015-16 Request for Application
June 16 2015
Date
Page 3 of 3
ASSURANCES -NON-CONSTRUCTION PROGRAMS
Note:Certain of these assurances may not be applicable to your project or program.Ifyou
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. Willgive 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 withthe Intergovernmental Personnel Act of 1970 (42 U.S.C.§§4728-4763)
relating to prescribed standards for merit systems for programs funded under one ofthe
nineteen statutes or regulations specified inAppendix A of OPM's Standard for a Merit
System of Personnel Administration (5 C.F.R.900,Subpart F).
6.Will complywithall Federal statutes relating to nondiscrimination.These include but are not
limited to: (a)Title VI ofthe Civil RightsActof 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 onthe basis ofsex; (c)Section504ofthe Rehabilitation Act of
1973,as amended (29 U.S.C.§§794), which prohibits discrimination on the basis of
handicaps;(d)the Age Discrimination Actof1975,as amended (42 U.S.C.§§6101-6107),
which prohibits discrimination on the basis ofage; (e)the Drug Abuse Office and Treatment
Actof 1972 (P.L.92-255),as amended, relatingto nondiscrimination on the basis ofdrug
abuse;(f)the Comprehensive Alcohol Abuseand Alcoholism Prevention,Treatmentand
Rehabilitation Actof 1970 (P.L.91-616),as amended, relatingto nondiscrimination on the
basis ofalcohol abuse or alcoholism;(g)§§523 and 527 ofthe PublicHealthService Actof
1912 (42 U.S.C.§§290 dd-3and 290 ee-3), as amended,relating to confidentiality of
alcoholand drug abuse patient records; (h)Title VIII ofthe Civil RightsActof 1968 (42
U.S.C.§§3601 et seq.), as amended,relating to non-discrimination in the sale,rental or
financing of housing;(i)anyother nondiscrimination provisions in the specific statute(s)
underwhichapplicationforFederal assistance is being made; and (j)the requirements
ofany other nondiscrimination statute(s)which mayapplytothe application.
7.Will comply,orhas already complied,with the requirements of Title II and III ofthe Uniform
Relocation Assistance and Real Property Acquisition Policies Actof 1970 (P.L.91-646)
which provide for fair and equitable treatmentofpersons displaced orwhose property is
acquired as a result of Federal or federally assisted programs.These requirements apply to
Enclosure 4
PATH 2015-16 Request for Application 1 of 2
Enclosure 4
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 subagreements.
10. Will comply, if applicable, with flood insurance purchase requirements of Section 1 02(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 Costal 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.
18. Will comply with all app ·
r ulations and policie
ble requirements of all other Federal laws, executive orders,
verning this .program.
Signature of Certifying
County of Fresno
Applicant Organizatir~
PATH 2015-16 Request for Application
ATTEST:
BERNICE E. SEIDEL, Clerk
Board of Supervisors
By &J~J &'s.bw
Depu
Chairman, Board of Supervisors
Title
June 16, 2015
Date
2 of2
State of California - Health and Human Services Agency Department of Health Care Services
Enclosure 5
PATH FY 2014-15
COUNTY INTENDED USE PLAN
County:Fresno
Address:3133 N.Millbrook Ave City,Zip Code:Fresno,93703
County Program Contact:Earliana Vang
Telephone:(559)600-6835
Fax:(559)600-7674
Email:evang@co.fresno.ca.us
County Fiscal Contact:Laurentius Harlan Theng
Telephone:(559)600-4619
Fax:(559)600-4642
Email:lharlantheng@co.fresno.ca.us
Indicate which of the following essential services will be provided by this provider with PATH funding:
•Outreach
•Case Management
•Community Mental Health Services
•Habitation &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 inApplyingfor Housing Services
•improving the Coordination of Housing Services
£<]Security Deposits
•Cost Associated with Matching Eligible Homeless Individuals with Appropriate HousingSituations
•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 tothe
counties from the California State Department of Health Care Services. Each county has a Mental Health
Program that provides services tothe public in California;the PATH funds are distributed atthe county level to
either county or contracted providers.
PATH County Intended Use Plan -SFY 2014-15 Page 1of5
DHCS 1755 (4/13)
State of California - Health and Human Services Agency Department of Health Care Services
Enclosure 5
PATH FY 2014-15
COUNTY INTENDED USE PLAN
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:$312,774
2. Total Match Dollars in Budget:$104,258
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 2014-15 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
$306,519 Kings View Corporation
$6,255 County of Fresno (2%Administration Overhead)
$312,774 Total
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 2014-15.
a.The projected number of adult clients to be contacted county-wide using PATH 500
funds.
b.The projected number of adult clients to be enrolled county-wide using PATH 400
funds.
c. The projected percentage of adult clients county-wide served with PATHfunds to 90%
be "literally"homeless (i.e., living outdoors or in an emergency shelter rather than
at imminent risk of homelessness.)
PATH County Intended Use Plan •
DHCS 1755 (4/13)
SFY 2014-15 Page 2 of 5
State of California - Health and Human Services Agency Department of Health Care Services
Enclosure 5
PATH FY 2014-15
COUNTY INTENDED USE PLAN
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, has
contracted with Kings View Corporation for PATH funded services. The Kings View PATH
program provides outreach,engagement and linkage services in addition to case management, mental
health and co-occuring substance abuse disorder treatment and supportive housing services.Specific
services include onsite contact,peer support,ongoing services for individual and group therapy,
medication monitoring,assessments,and client referrals and linkage to community based
organizations. Case management services include access to supportive and stable housing, food,
clothes,transportation and linkage to Fresno County Human Services Departments and psychiatric
support.
e. Identify strategies the county has planned to ensure PATH dollars are funding programs who provide
the minimum services of street outreach and case management as priority services.
Kings View PATH will focus on client outreach and case management services. Through outreach
efforts in the streets,shelters and in other non-traditional settings as well as referrals from the
County's Adult System of Care, Kings View PATH will provide services to 500 clients during FY
2015-16 (July 1,2015 through June 30, 2016).Of the 500 clients contacted, 400 will be enrolled and
assessed for ongoing mental health, substance abuse and housing services. Clients served through
outreach efforts are projected to be "literally" homeless. More than 70%of the program staff time
will be out in the field reaching out to the adult mentally ill.
Case management services will be provided to all enrolled clients through an assigned Personal
Service Coordinator within 24 hours of enrollment in the program. Case management will consist of
referral and linkage to County programs and other community organizations for additional services
and willassist clients in applying for GeneralRelief,SSI/SSD benefits,transportationand ensurethe
client obtains the basic neccessities of daily life.
f.Please summarize a list of the evidenced-based practices currently used in the county for the target
population.
Fresno Countypromotes evidence basedpracticesand encourages contracted providers to utilize
evidence based models.KingsView'sPATHprogramis designed todeliver comprehensive services
to individuals with serious mental illness (SMI) or co-occuring SMI and substance abuse disorder
whoseneedshave not been met throughtraditional servicedelivery. KingsView PATHutilizesthe
WellnessRecoveryAction Plan(WRAP)and CognitiveBehavioraland Motivational Enhancement
Therapy evidence based practices.The program model is designed to empower clients,improve
quality of life,andallowstafftoassistclientsin attaining their personal goals.Team members
collaborateon assessments,treatmentplans, and day to day interventions.DBHis also developing
work plans to include the Recovery 360 model to build and measure wellness,recovery,and
resiliency supports withina team approach.DBH encourages Kings View PATH team members to
participate and receive training onan ongoing basis ensuring clients receive services that support the
wellness and recovery model. Fundingfortrainingis financed throughboth PATH Grantand
County funds.
7.Describe your organization's participation in the HUD Continuum ofCare program and any other local
planning,coordinating or assessment activities.
a. The Fresno/Madera Continuum of Care (FMCoC)model is encouraged by the U.S.Department
of Housing andUrban Development to develop local strategies to build housing and service
capacity toend homelessness.DBH isan active participant ofthe FMCoC which is comprised
of volunteers fromover 21 government agencies,non-profits,and individuals dedicated to
PATH County Intended UsePlan-SFY 2014-15 Page 3 of5
DHCS 1755 (4/13)
State of California - Health and Human Services Agency Department of Health Care Services
Enclosure 5
PATH FY 2014-15
COUNTY INTENDED USE PLAN
service homeless youth, adults, and families in Fresno and Madera County. DBH will continue
to participateand contributeto communityplanningadvocatingfor the homelessmentallyill and
encourage all appropriate County contracted providers serving the homeless population to
participate. DBH is part of the leadership team along with the FMCoC in the national 25 Cities
Initiativeto end veteran and chronichomelessnessfor the Fresnocommunityby identifying,
assessing,and matching housing for homeless veterans.Kings View PATH will assist in
outreach efforts.
b. DBH is also an active partnerof the Multi-Agency Access Program (MAP) created to establish
and formalize a mental health collaborative intake process across all service providers for
individuals facing homelessness, mental illness, and/or substance use disorder. Kings View
PATH staff may co-locate at a MAP point and provide navigation after screening and assessment
with the Vulnerability Index Service Prioritization Decision Assistance Tool (VI-SPDAT)to
customize service eligibility and access.
8.The purpose of this section is to provide a description of your county plan to ensure providers are able
to fully implement HMIS in the next 1-2 years.This section should be written from the county
perspective.
a.Describe your county's status on HMIS migration and a plan, with accompanying timeline, to
migrate data in the next 1-2 years.If your county is fully utilizing HMIS for PATH services,please
describe plans for continued training and how you will support new staff.
The County acknowledges and understands the importance of data collection in the Homeless
Management Information System (HMIS)which is designed to capture client information over time,
characteristics and service needs of persons experiencing homelessness and the vital importance in
sharing this information with other community organizations within Fresno and Madera Counties.
In FY 2012-13,DBH began working with the FMCoC and the Fresno Housing Authority (HMIS
lead agency)to incorporate and include the contracted PATH provider as a participating agency
qualified to enter data,support and train staff. In FY 2013-14,DBH anticipated the implementation of
HMIS for the PATH program.The contracted PATH provider attended initial HMIS training in both the
last quarter of FY 2013-14 and the second quarter of FY 2014-15 only to be informed by the Fresno
Housing Authority that HUD had held off the implementation of PATH data fields into HMIS. HMIS
training could not be completed.
However,with new information from the Housing Authority that PATH would be programmed in
HMIS following examples set by other communities,DBH anticipates implementing HMIS for the
PATH program in FY 2015-16 during the second quarter of the grant period.Funding to support
ancillary cost associated with operating and maintaining HMIS such as technical support and
appropriate staff training will be financed through both PATH Grant and County funds.
b. Identify any known technical assistance needs that have been identified to complete the HMIS
migration.
The technical assistance required for both the County and the contracted PATH provider has been
the process and cost associated with implementing HMIS, training & support, and maintenance to
operate the HMIS appropriately. In addition, the programming of PATH data fields into HMIS has
proved a technical difficulty for the Housing Authority. DBH continues to work with the contracted
provider and Housing Authority to develop and implement a plan for the inclusion of HMISand
PATH into HMIS.
c.Describe the connection with the Continuum of Care to facilitate data migration.
PATH County Intended Use Plan - SFY2014-15 Page 4 of 5
DHCS 1755 (4/13)
State of California -Health and Human Services Agency Department of Health CareServices
.Enclosure 5
PATH FY 2014-15
COUNTY INTENDED USE PLAN
Through the FMCoC and Housing Authority (HMIS lead agency),DBH will assist Kings View
PATH with technical assistance in accessing the HMIS data and share the collected data with the
other participating agencies associated with FMCoC.The Department is an activememberand
encourages contracted providers to participate in the FMCoC.
d. Describe yourcounty's plan to work with local HMIS administrators to incorporate PATH data fields
into HMIS.
DBH is working closely with the local HMIS Administrator (Fresno Housing Authority)to monitor
the progress on incorporating PATH data fields into HMIS. DBH will work in collaboration with
the Housing Authority to ensure thatalldata fields reflect PATH program data requirements.
Provide a detailed budget narrative that provides specifics and calculations used for PATH
Administration funds.The narrative should describe the attached DHCS1779P -Federal Grant Detailed
Program Budget.
Enclosure 8A- County Budget and8B - ProviderBudgetprovidesdetail funding streams.PATH
Allocation ($312,774)and County Match ($104,258)in the amount of $417,032 will be used to fund
contracted servicesand administrative costprovidedbythe Countyand KingsView Corporation to
provide for outreach,case management,andmentalhealthtreatment services.Funding in the amount of
$243,310 willbe utilizedto fund4.55 FTEcomprisedof 0.05 Program Director,0.64 Clinical
Supervisor(LMFT),1.45 Case Managers,1.40 FTE OutreachEngagementLinkageCoordinators
(Personal Service Coordinators and Peer Support Staff),0.21 Family Nurse Practitioner, and 0.08
Administrative Specialist,inclusive of taxes and benefits.Consultant costs of $5,837 for network and
data managementinformationservices.Equipmentcosts of $7,313 will includethe lease of a copierand
the fees for HMIS implementation and maintenance.$22,530will fund Supplies foroffice operations in
thecourseof providing servicesto clients,forprogramsuppliesto be usedin outreachand therapeutic
activities, and for medication supplies. Funding will also provide for Travel cost associated with client
services in the amount of $15,880.Other expenses related to the provision of services to clients include
program building utilities of $7,200, program building rent and maintenance of $22,000, client support
expenses of $14,500 for clothing, food, hygiene, transportation, education, and employment, and client
housing support of $41,077 (less than 20%of PATH funding) to assist clients in accessing housing,
utilities, deposits and one-time payments to prevent eviction. In addition, funding will provide for
Administrative cost for the County (2%) and contracted provider (8%) in the amount of $31,277 (no
greater than 10%).
PATH County Intended Use Plan - SFY 2014-15 Page 5 of 5
DHCS 1755 (4/13)
State of California -Health and Human Services Agency Department of Health Care Services
____Enclosure6
PATH FY 2015-16
PROVIDER INTENDED USE PLAN
County:Fresno
Legal Name of Business:Kings View Corporation
Program Name:PATH Program
Address:1206 G Street,Suite 102
City,Zip Code:Fresno,CA 93706
Service Area (City and Zip Codes):
Fresno County -Metropolitan and Rural Areas
Provider Contact:Brenda Kent,LMFT
Telephone:(559)459-0334
Fax:(559)459-0339
Email:bkent@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
•Habitation &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 inApplyingfor 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
PATH Provider Intended Use Plan - SFY 2015-16 Page 1 of 7
DHCS 1756 (4/13)
State of California- Health and Human Services Agency Department of Health Care Services
Enclosure6
PATH FY 2015-16
PROVIDER INTENDED USE PLAN
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):Kings View Corporation
2. Total Federal PATH Dollars Allocated from Counties:$312,774
3.Total Match Dollars in Budget:$104,258
4. Who Provides the Match?Fresno County
5.What funding source is used for Match?Mental Health Services Act (MHSA)
6.Please provide a brief overview of your organization's history,current existing programs,and
services provided.
Kings View Corporation has been providing mental health services in central and northern
California for more than 60 years. Kings View started with the opening of a mental health
hospital in Reedley and then expanded its provision of mental health services in the community
through telepsychiatry to rural areas as well as services for underserved and unserved
populations.KingsViewhas been responsive to mentalhealth community serviceneedsby
serving homeless severely mentally illclientsin 14localand regional Californian counties.In
Fresno County, Kings View operates several Mental Health Services Act (MHSA) programs;
one of which is the existingPATH programwhich provides for an array of servicesto the
homelessmentallyill. KingsView also operatesthe Blue Sky Wellnessand Peer Support
Centerfor mentally ill clientsandtheir families.In addition,KingsViewoperatesYouth
Empowerment Centers throughout the rural areas ofthe County.InFY 2014-15,Kings View
contractedwith FresnoCountyDepartment of BehavioralHealth (DBH)to providecultural
servicesfocusingon the homelessand faith based community.
7. The purpose ofthissection isto provide a description ofyour organization's planto provide
coordinated and comprehensive services to eligible PATH Clients.Please providethe following
information as it relates to activities for FY 2015-2016.
a. The projected number of adult clients to be contacted using PATH funds.500
b. The projected number of adult clients to be enrolled using PATH funds.400
c. The projected percentage ofadult clients served with PATH funds to be "literally"90%
homeless (i.e.,living outdoors or in an emergency shelter rather than at imminent
risk of homelessness.)
d.Identify activities that your organization will perform to maximize the use of PATH fundsto
serve adults who are literally homeless as a priority population.
Specific services include outreach,case management,mental health and supportive
housing services.Additional services include:on-site contact;individual/group therapy;
PATH Provider Intended Use Plan - SFY 2015-16 Page 2 of 7
DHCS 1756 (4/13)
State of California -Health and HumanServices Agency Departmentof Health Care Services
Enclosure 6
PATH FY 2015-16
PROVIDER INTENDED USE PLAN
medication monitoring;assessments andclientreferralsto community based
organizations.Case management servicesincludeaccessto supportive and stable
housing,food,clothes,transportation and linkageto Fresno CountyHuman Services
Departments for additional services as needed.
e.Identify your organizations'strategies in utilizing PATH funds to target street outreach and case
management as priority services.
KingsView'sPATHprogramservicesfocuson clientoutreachand case management
services.Throughtheoutreacheffortsandreferralsfromthe County's Adult System of
Care,KingsViewwillprovideservicesto 500 consumers duringFY 2015-16,engaging
the target population appropriately.Of the 500 consumers contacted, 400 will be
enrolledand assessedfor ongoing mentalhealth, substanceabuseand supportive
housingservices. Clients (90%) served throughoutreachefforts are projectedto be
"literally"homeless.
Case management services will be provided to all enrolled consumers and will be
assigneda Personal ServiceCoordinator,within 24 hours of enrollmentto the program.
Case management will consist of referral and linkage to County and other community
organizationsfor additionalservicesand will assist consumersin applying for General
Relief,SSI/SSD benefits,transportation and ensure the client obtains the basic
necessities of daily life.
f. Identify how your organization will provide,pay for, or support evidenced-based practices and
other training for local PATH-funded staff.
The PATH program is designed to deliver comprehensive services to individuals with
serious mental illness whose needs have not been met through traditional service
delivery.Program team members receive training ensuring that clients receive services
that support the wellness and recovery model.The Kings View Regional Mental Health
Director whom also serves as the clinical lead at PATH is one of few clinicians in the
Central Valley trained in co-occuring treatment with expertise in developing co-occuring
treatment programming nad staff training.Funding for Evidence Based Practices (EBP)
and training services will be financed through PATH and County MHSA funds.
g. List the evidenced-based practices currently used.
In outreach efforts, the Kings View PATH team utilizes the L.E.A.P.method (Listen,
Empathize, Accept, and Partner) and is trained and aware of trauma informed and
gender specific needs of clients. Kings View PATH program utilizes the Wellness
Recovery Action Plan (WRAP) model along with the Cognitive Behavioral and
Motivational Enhancement Therapy models designed to deliver comprehensive services
to individuals with serious mental health challenges whose needs have not been met
through the traditional service delivery model. The EBP curriculum for treatment and
support groups includes Hazelden's Co-occuring Disorder Program (CDP),Texas
University Mapping Enchanced Counseling for Adaptive Treatment (TCU Mapping),
and Seeking Safety: A Treatment Manual for PTSD and Substance Abuse. The program
model of treatment empowers the client to improve his/her quality of life and participate
in selecting which goals to set and achieve. Team members collaborate on assessments,
treatment plans, and day to day interventions. Kings View PATH will also be utilizing
Prochaska and DiClemente's Stages of Change Model in the treatment program in order
to better monitor and assist clients to a self-sustained recovery and wellness.
PATH Provider Intended Use Plan -SFY 2015-16 Page 3 of 7
DHCS 1756 (4/13)
State of California - Health and Human Services Agency Department of Health Care Services
Enclosure 6
PATH FY 2015-16
PROVIDER INTENDED USE PLAN
h.Describe your organization's status on HMIS migration and a plan, with accompanying timeline,
to migrate data by the end of federal fiscal year 2016.Ifyour organization is fully utilizing HMIS
for PATH services,please describe plans for continued training and how you will support new
staff.
Kings View acknowledges the importance of the Homeless Management Information
System (HMIS) which is designed to capture client information over time,
characteristics and service needs of persons experiencing homelessness and the vital
importance of sharing data with other community based organizations.Kings View is
working collaboratively with the County to incorporate HMIS into the PATH program.
Kings View anticipates implementing HMIS in early FY 2015-16 as soon as Housing
Authority has incorporated PATH data fields into HMIS.During this process,Kings
View will continue to capture mandated data as required. Kings View will be taking the
proper steps to implement HMIS and ensure staff are properly trained and receive
ongoing training and support as required. With expanded funding in the PATH fund and
from the County, Kings View has included costs associated with HMIS into the budget.
i.Describe how your organization will provide, pay for, or otherwise support HMIStraining and
activities to migrate PATH data into HMIS.
Kings View will utilize expanded funding streams and resources through PATH and
County funds to support costs associated with the development, implementation and
maintenance of HMIS. Kings View will work closely with the County and Housing
Authority to continue training current and new staff and support HMIS data collection
and entry.
j.Identify community organizations that provide key services (e.g., primary health, mental health,
substance abuse,housing,employment)to PATHeligible clients withinyour service area and
describe coordination activities and policies with those organizations.
Ongoing mental healthandother services funded bythe PATH grantare integral to
serving homeless adults whoare mentally ill,oftenwith co-occurring substance abuse
disorders. Initial contact and stabilization of PATH grant eligible clients will be done
through KingsView's PATH program,inpartsupportedby FY 2015-16 PATHgrant
funds.Homeless mentally ill clientswitha substance abusedisorderwho receive case
management services and require additional support willbe referred to the Department
of BehavioralHealthand othercontractedproviders specializingin such servicesof
treatment for co-occurring disorders.For primary healthcare,linkage willbe made to
Federally Qualified Health Care clinics andother health care facilities.In addition,the
PATH program will encourage clients to register through the Affordable Health Care
Act programs within California.Kings View will provide housing vouchers to prevent
eviction and provide for security deposit and collaborate with Fresno County MHSA
Housing programs andthe local Housing Authority for supportive housing,
k.Please explain the gaps in currentservice systems that pertain to your PATH client population.
There are two significant gaps,the first isthe lack of adequate transition services for
Transition Age Youth exiting the foster care and youth service system into adult service
programs.A significant number of these clients,18 to 25 years of age,are at risk of
homelessness. The second gap is the lack of dual diagnosisresidentialtreatment
facilities inthe County duetoa general decline in available funding.Kings View
anticipates closing this gap through the PATH program and MHSA programs designed
to target the transitioned aged youth.
PATH Provider Intended Use Plan - SFY 2015-16 Page 4 of 7
DHCS 1756 (4/13)
State of California - Health and Human Services Agency Department of Health Care Services
Enclosure6
PATH FY 2015-16
PROVIDER INTENDED USE PLAN
I.Please explain services you provide for clients who have both a serious mental illness and
substance use disorder in your PATH client population.
In addition to its ongoing case management and treatment services, Kings View PATH
program will link clients with co-occurring disorders to the Department of Behavioral
Health for treatment and clinical needs and/or other mental health providers as needed.
Contracted substance abuse treatment providers will also be called upon as appropriate
and as such circumstances warrant.
m.Describe your plan to train PATH staff on SSI/SSDI Outreach,Access,and Recovery (SOAR).
Indicate the number of PATH staff trained in SOAR last fiscal year (2014-15)and the number
of PATH funded consumers assisted through SOAR.
The County encourages all contracted providers to utilize resources to assist clients in
achieving their respective goals. Case managers will assist clients in obtaining any and all
benefits and applying for Social Security Income/Social Security Disability Income
(SSI/SSDI)and the Affordable Health Care Act (ACA). PATH program staff have been
trained through the County by certified trainers at no cost to the provider.SOAR training is
available upon request by the providers.New staff hires within the PATH program will be
provided SOAR training and will be made available for existing staff requiring a refresher
course.
n.What are your organization's strategies for making suitable housing available to PATH clients
(e.g.,indicate the type of housing usually provided and the name of the agency that provides
such housing)in your client population.
Kings View continuously supports the development of Housing Works with community
organizations such as the Housing Authorities and the County.Fresno County continues
to develop and provide housing opportunities through the MHSA Housing program and
Housing Authorities. The County currently provides for supported independent living
through Trinity Housing project (20 Single Room Occupancy-SRO units), funded by the
County, Park Grove (five 1-3bedroom units),Alta Monte Housing project consisting of
29 SRO's available to homeless mentally ill adults,and the Santa Clara project which
consist of 69 units (25 of which are dedicated to the mentally ill and homeless). All of
these projects contain a Memorandum of Understanding between the County and
Housing Authorities.In additionto thevarious placement facilities available withinthe
County,KingsView's PATH programwill provideongoing supportedhousingto assist
clients to attain and maintain housing. The PATH program will utilize less than 20%of
the availablePATHProgramfundingto supportassisted housing,securitydeposits,and
one-time payments to prevent eviction.
8. Describe your organization's participation inthe 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)model is encouraged by the U.S.Department
of Housing andUrban Development to develop local strategies to build housing and service
capacity toend homelessness.Kings View's PATH program will bean associate participant of
the FMCoC duringFY 2015-16.Although nota voting member,KingsViewwill participate in
activities to better serve the homeless youth, adults, and families in Fresno and Madera County.
In FY 2014-15,KingsView participated in the Pointin Time(PIT)homelesscountinthe
Fresno metropolitan areaas wellas outreacheffortsinthe 25 Cities Initiative.
PATH Provider Intended Use Plan -SFY 2015-16 Page 5 of 7
DHCS 1756 (4/13)
Stateof California -Health and Human Services Agency Department of Health Care Services
Enclosure 6
PATH FY 2015-16
PROVIDER INTENDED USE PLAN
9. Please describe the following information for your specific client population:(a)the demographics
ofthe client population;(b)the demographics ofthe staff serving the clients;(c)how staff providing
services to the target population will be sensitive to age;gender and racial/ethnic differences of
clients;and (d)the extent to which staff receive periodic training in cultural competence. (See
Enclosure 10: "Guidelines for Accessing Cultural Competence".)
Based ontheFY 2013-14 data,Kings View anticipates clients served will be comprised of 57%
malesand43%females overthe age of 18,witha majorityenrolledbetweentheagesof 35-49
and 50-64 years of age.The majority of consumers were Caucasian (55%)and Hispanic (21%),
followed by African American (11%)andother ethnic or unknown groups (13%).The program
willserveall cultural andethnic groups withstaff reflective ofthetarget population.The
PATH program has hired previous homeless and and mentally ill staff who can relate and
engageclientson various levels. Serviceswill be culturallysensitiveto client needsbasedon
age,gender,and ethnicity.The County encourages and mandates all contractors to provide
services ina culturallysensitive manner.KingsViewstaffwill participate annually in Cultural
Competency training provided by the County at no cost to the provider.
10.Describe how persons who are homeless and have serious mental illnesses and any family
members will be involved at the organizational level in the planning,implementation,and
evaluation of PATH-funded services.For example,indicate whether persons who are PATH-
eligibleare employed as staff or as volunteers or serve on governing or formal advisory boards.
(See Enclosure 11:"Guideline for Consumer and Family Participation".)
Client and family members are encouraged to participate at the organizational level in the
planning,implementation,and evaluation of PATH fundedservicesthroughthe FresnoCounty
advisoryMental HealthBoard,now calledthe BehavioralHealth Board. Althoughmental
healthclients participateas members of the BehavioralHealth Board,none of the PATHgrant
clients have chosen to participate.As previously identified,Kings View PATH program has
hired homeless mentally ill clients at various levels of the organization and encourages clients to
attend Behavioral Health Board Executive meetings to provide input and feedback
11.Describe Veteran specific services your organization will provide.
Kings View PATH program has been proactive in encouraging Veterans to seek services.
Clients who self identify as a Veteran are eligible to all program services in regards to mental
health,substance abuse and housing.In FY 2013-14 data reported,veterans comprised 6% ot
the total enrolled into the PATH program.In addition to PATH program services,Veterans are
referred to Veteran programs available through the Veterans Administration (VA).Veterans
who have been discharged and those that do not qualify for VA services are referred back to the
PATH program and/or the County for additional services.
12.Identify community organizations that provide key Veteran services (e.g.,primary health,mental
health,substance abuse,housing,employment)to PATH eligible veteran clients within your
service area and describe coordination activities and policies with those organizations.
For clients who self identify as a Veteran,the Kings View PATH program offers an array of
services.Veterans qualified for the program who seek or require additional services are referred
and linked to the County and Veterans Administration -County Veterans Service Officer for
services such as mental health,substance abuse medical care,employment and housing.In
addition,the County maintains a network of care website specified to Veterans at no charge to the
client -www.fresno.networkofcare.org.The website is an active "one stop shop" for services.
13.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.
PATH Provider Intended Use Plan -SFY 2015-16 Page 6 of 7
DHCS 1756 (4/13)
State of California -Health and HumanServices Agency DepartmentofHealthCare Services
_____^Enclosure 6
PATH FY 2015-16
PROVIDER INTENDED USE PLAN
Enclosure 8A- CountyBudgetand 8B- ProviderBudgetprovidesdetail funding streams.
PATHAllocation ($312,774)and CountyMatch($104,258) in the amount of $417,032will be
used to fund contracted services and administrative cost provided bythe County and Kings
View Corporation to provide for outreach, case management, and mental health treatment
services.Funding intheamountof $243,310 will be utilizedto fund4.55FTE comprised of
0.05 ProgramDirector,0.64 Clinical Supervisor(LMFT), 1.45Case Managers, 1.40FTE
Outreach Engagement Linkage Coordinators (Personal Service Coordinators andPeer Support
Staff),0.21 Family Nurse Practitioner, and 0.08 Administrative Specialist, inclusive of taxes
and benefits. Consultant costs of $5,837 for network and data management information
services. Equipment costs of $7,313 will include the lease of a copier and the fees for HMIS
implementationand maintenance.$22,530will fund Suppliesfor officeoperations in the course
of providing servicesto clients,forprogramsuppliesto be usedinoutreachand therapeutic
activities, and for medication supplies. Funding will also provide for Travel cost associated
with client servicesin the amount of $15,880. Other expensesrelatedto the provisionof
servicesto clients includeprogrambuilding utilities of $7,200,programbuildingrentand
maintenance of $22,000,client supportexpenses of $14,500 for clothing, food, hygiene,
transportation, education, and employment,and client housing support of $41,077 (less than
20%of PATH funding) to assist clients in accessing housing, utilities, deposits and one-time
payments to prevent eviction.In addition,funding will provide for Administrative cost for the
County (2%) and contracted provider (8%) in the amount of $31,277 (no greater than 10%).
PATH Provider Intended Use Plan -SFY 2015-16 Page 7 of 7
DHCS 1756 (4/13)
State of California -Health and Human Services Agency
FEDERAL BUDGET SUMMARY
TYPE OF GRANT:PATH STATE FISCAL YEAR:2015-16
COUNTY:
FISCAL CONTACT:
E-MAIL ADDRESS:
FRESNO
Laurentius Harlan Theng TELEPHONE NUMBER:(559)600-4619
lharlantheng@co.fresno.ca.us
Department of Health Care Services
Enclosure 7
|BUDGET CATEGORIES
Object Class Categories
GRANT PROGRAM,FUNCTION OR ACTIVITY
(1)Federal (2)Non-Federal
a.Personnel $243,310 $
b.Fringe Benefits $$
c.Travel $$15,880
d.Equipment $3,100 $4,213
e.Supplies $14,387 $8,143
f.Contractual $$
g.Construction $$
h.Other $20,700 $76,022
i.Total Direct Charges (sum of a -h)
$281,497 $104,258
j.Indirect Charges $31,277 $
k.TOTALS (sum ofi andj)$312,774 $104,258
PATH 2015-16 Request for Application
DHCS 1757(4/13)
DHCS APPROVAL BY:
TELEPHONE:
DATE:
State ofCalifornia- Health and Human Services Agency
FEDERAL GRANT DETAILED PROGRAM BUDGET
TYPE OF GRANT:PATH
COUNTY:Fresno
FISCALCONTACT:Laurentius Harlan Theng
TELEPHONE NUMBER:(559)600^619
EMAIL ADDRESS:lharlantheng@co.fresno.ca.us
PROGRAM NAME:PATH Program
STATE FISCAL YEAR 2015-16
Department of Health Care Services
Enclosure 8A
SUBMISSION DATE: May 15,2015
PROGRAM CONTACT:Earliana Vang
TELEPHONE NUMBER:(559)600-6835
E-MAIL ADDRESS:evang@co.fresno.ca.us
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
STAFFING 1 2 | 3
TITLE OF POSITION
ANNUAL
SALARY
GRANT
FTE
FEDERAL PATH
AMOUNT
NONFEDERAL MATCH
AMOUNT TOTAL
$
$
$
$
$
$
$
$
$
$
$
TOTAL STAFF EXPENSES (sum linos 1 thru 11 $0.00 $$$
Consultant Costs (Itemize):$
$
$
$
Equipment (Where feasible lease or rent)(Itemize):$
$
$
$
$
Supplies (Itemize):$
$
$
$
$
$
Travel -Per diem,Mileage,&Vehicle Rental/Lease
$
Other Expenses (Itemize):$
$
$
$
$
$
$
COUNTY ADMINISTRATIVE COSTS (2%PATH)$6,255 $6,255
NET PROGRAM EXPENSES (sum lines 12 thru 37)$6,255 $$6,255
OTHER FUNDING SOURCES:Federal Funds
Non-Federal Funds
TOTAL OTHER FUNDING SOURCES (sum lines 39 &40)$$$
GROSS COST OF PROGRAM (sum lines 38 and 41)$6,255 $$6,255
DHCS 1779 P (4/13)
DHCS APPROVAL BY:
TELEPHONE:
DATE:
State of California - Healthand HumanServices Agency
FEDERAL GRANT DETAILED PROGRAM BUDGET
TYPE OF GRANT:PATH
COUNTY:Fresno
FISCAL CONTACT:Laurentius Harlan Theng
TELEPHONE NUMBER: (559)600-4619
EMAIL ADDRESS:lharlantheng@co.fresno.ca.us
STATE FISCAL YEAR 2015-16
Department of Health Care Services
Enclosure 8B
SUBMISSION DATE:June 16,2015
PROGRAM CONTACT:Earliana Vang
TELEPHONE NUMBER: (559)600-6835
E-MAIL ADDRESS:evang@co.fresno.ca.us
PROGRAM NAME:PATH Program
STAFFING 1 2 I
3
TITLE OF POSITION
ANNUAL
SALARY
GRANT
FTE
FEDERAL PATH
AMOUNT
NONFEDERAL MATCH
AMOUNT TOTAL
1 Program Director $85,420 0.05 $4,271 $4,271.00
2 Clinical Supervisor $68,250 0.64 $43,680 $43,680.00
3 Case Managers $42,165 1.45 $61,139 $61,139.00
4 Outreach Engagement Linkage Coordinators $26,148 1.4 $36,607 $36,607.00
5 Family Nurse Practitioner $128,762 0.21 $27,040 $27,040.00
6 Administrative Specialist $37,815 0.8 $30,252 $30,252.00
7 Benefits &Taxes $40,321 $40,321.00
8 $-
9 $-
10 $-
11 $-
12 TOTAL STAFF EXPENSES (sum lines 1 thru 11 $388,560 4.55 $243,310 $-$243,310
13 Consultant Costs (Itemize):$-
14 Consultant (Network &data management)$5,837 $5,837
15 $-
16 $-
17 Equipment (Where feasible lease or rent)(Itemize):$-
18 Equipment Rent/Lease $3,100 $3,100
19 Computers &Software $4,213 $4,213
20 $-
21 $-
22 Supplies (Itemize):$-
23 Office Supplies &Equipment &Postage $6,484 $120 $6,604
24 Telephone $3,903 $4,023 $7,926
25 Program Supplies (Therapeutic)$800 $800
26 Program Supplies (Outreach)$3,200 $3,200
27 Medication -Clients $4,000 $4,000
28
29
Travel -Per diem,Mileage,&Vehicle Rental/Lease
$15,880 $15,880
30 Other Expenses (Itemize):$-
31 Utilities $7,200 $7,200
32 Client Housing Support &One Time Emergency Housing $10,000 $31,077 $41,077
33 Client Clothing,Food &Hygiene $2,500 $2,500
34 Client Transportation,Education,&Employment $1,000 $11,000 $12,000
35 Building Rent/Lease &Maintenance $22,000 j $22,000
36 Professional Liability Insurance/Staff Background Checks $6,108 $6,108
37 $25,022 $25,022
38 NET PROGRAM EXPENSES (sum lines 12 thru 37)$306,519 $104,258 $410,777
39 OTHER FUNDING SOURCES:Federal Funds
40 Non-Federal Funds
41 TOTAL OTHER FUNDING SOURCES (sum lines 39 &40)$-$-$-
42 GROSS COST OF PROGRAM (sum lines 38 and 41)$306,519 $104,258 $410,777
DHCS 1779 P (4/13)
DHCS APPROVAL BY:
TELEPHONE:
DATE:
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
PROJECTS FOR ASSISTANCE IN TRANSITION FROM HOMELESSNESS (PATH)
GRANT APPLICATION FY 2015-16
ATTEST:
COUNTY OF FRESNO
By~~~~~~~~~~~~~
Chairman, Board of Supervisor
BERNICE E. SEIDEL, Clerk
Board of Supervisors
PLEASE SEE ADDITIONAL
SIGNATURE PAGE ATTACHED
- 1 -COUNTY OF FRESNO
Fresno, CA
APPROVED AS TO LEGAL FORM:
DANIEL C.CEDERBORG,COUNTY COUNSEL
By CA TV Date:*15 if
APPROVED AS TO ACCOUNTING FORM:
VICKI CROW,C.P.A.,AUDITOR-CONTROLLER/
TREASURER-TAX COLLECTOR
By "j <*£(-'L-ti7i"~Date:£)/^:;//C
REVIEWED AND RECOMMENDED FOR
APPROVAL:
By j^MM^tm,Jij.{V Date:57 I%/1 ±>j vx^-Tv\a
Dawan Utecjt
Director,Department of Behavioral Health
Fund/Subclass:0001/10000
Organization: 56302493 ($417,032)
Account/Program:4375/0
- 2 -COUNTY OF FRESNO
Fresno,CA