HomeMy WebLinkAboutAgreement A-16-362 with DHCS.pdfAgreement No . 16-362
State of Ca liforn ia -Health and Human Services Agency Department of Health Care Services
Enclosure 1
PATH ALLOCATION WORKSHEET
STATE FISCAL YEAR: 2016-2017 FEDERAL CATALOG NO. 93 .150
COUNTY: FRESNO REVISION NO:
The State Department of Health Care Services (DHCS) provides the Federal Projects
For Assistance in Transition From Homelessness (PATH) Formula Grant funds to
counties for State Fiscal Year (SFY) 2016-2017 . Your Allocation is identified below.
PATH Funding Base : $310 ,122
Total PATH Expend iture : $310 ,122
PURPOSE : PLANNING ESTIMATE June 21 , 2016
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
regulat ions, and guidelines. The CAP , as approved by DHCS , will be followed in expending
these funds .
Ernest Buddy Mendes , Cha irman , Board of Supervisors
Printed Name
ATTEST:
BERNICE E . SEIDEL, Clerk
Board of Supervisors
By ~-U SOJvv ~Ash cnp
Deputy
DHCS 1772 P (4/13 )
Date
PATH 2016-17 Request for Application Page 1 of 3
PATH 2016-17 Request for Application Page 2 of 3
PHS-5161 -1 (7 /00)
5. CERTIFICATION REGARDING
ENVIRONMENTAL 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 or contracted for by an entity and used
routinely or regularly for the provision of health, day
care , early childhood development services ,
education or library services to children under the
age of 18, if the services 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 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 .
SIGNATURE OF AUTHORIZED CERTIFYING OFFICIAL TITLE
~IJ L y~
APPLICANT ORGANIZATION "
County of Fresno
ATTEST:
Enclosure 2
Page 19
Failure to comply with the provisions of the law
may result in 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 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 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 21 , 2016
BERNICE E . SEIDEL , Clerk
Board of Supervisors Page 3 of 3
By S-u.~ ~~0{1
Deputy
PATH 2016-17 Request for Application
I
Enclosure 3
PATH 2016-17 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 2016-17 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 10, 2016, the amount is $185,100.
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 $103,374.
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 2016-2017 non-PATH funds for services to
individuals who are homeless and mentally disabled as follows :
$ Federal (non-PATH)
$ 103 ,37 4 Other
June 21, 2016
Chairman , County of Fresno , Board of Supervisors Date
Ernest Buddy Mendes . Chairman . Board of Supervisors
Print Name
ATTEST:
BERNICE E . SEIDEL , Clerk
Board of Supervisors
By ~ ~sh e{>
Deputy
PATH 2016-17 Request for Applicat ion Page 3 of 3
ASSURANCES - NON-CONSTRUCTION PROGRAMS
Note: Certain of these 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
Enclosure 4
PATH 2016-17 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 ass isted 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 part icipate 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 A ir) 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 197 4 , 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 Archaeolog ical 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 activit ies 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 financ ial and compliance audits in accordance with
the Single Audit Act of 1984 .
18. Will comply with all applicable requirements of all other Federal laws , executive orders ,
regulations and policies governing this program .
[... ~~~
Signature of Certify ing Off ici al
County of Fresno
Applicant Organization
PAT H 2016-17 Request for Application
ATTEST:
BERNICE E . SEIDEL, Clerk
Board of Supervisors
Chairman , Board of Supervisors
Title
June 21, 2016
nr~te
By ~sAtf\.. ~sb<>-0
Deputy
2 of 2
State of California – Health and Human Services Agency Department of Health Care Services
Enclosure 5
PATH FY 2016-17
COUNTY INTENDED USE PLAN
PATH County Intended Use Plan – SFY 2016-17 Page 1 of 6
DHCS 1755 (4/13)
County: Fresno
Address: 3133 N. Millbrook Ave City, Zip Code: Fresno, 93703
County Program Contact: Earliana Vang, Staff Analyst
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
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 2016-17
COUNTY INTENDED USE PLAN
PATH County Intended Use Plan – SFY 2016-17 Page 2 of 6
DHCS 1755 (4/13)
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: $310,122
2. Total Match Dollars in Budget: $103,374
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 2016-17 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
$307,403 Kings View Corporation
$2,719 County Administration
$310,122 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 2016-17.
a. The projected number of adult clients to be contacted county-wide using PATH
funds.
500
b. The projected number of adult clients to be enrolled county-wide using PATH
funds.
400
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).
d. The projected number of adult clients served with PATH funds that have a criminal
90%
State of California – Health and Human Services Agency Department of Health Care Services
Enclosure 5
PATH FY 2016-17
COUNTY INTENDED USE PLAN
PATH County Intended Use Plan – SFY 2016-17 Page 3 of 6
DHCS 1755 (4/13)
history. 75
e. 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 to provide services addressing the needs of adults who
are 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 the 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 which 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.
f. 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 Treatment 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, Kings View PATH is expected to provide services to 500 clients during FY 2016-17 (July
1, 2016 through June 30, 2016). More than 70% of the OEL staff time will be out in the field
reaching out to the homeless SMI adults. Enrollment in the PATH-OEL component is expected
for 400 clients, who will receive the services including, but not limited to, assessments, case
management, mental health and/or co-occurring 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. 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 should have the flexibility to increase service intensity to a client in
response to the client's presented needs. Additionally, staff should 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.
g. 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
State of California – Health and Human Services Agency Department of Health Care Services
Enclosure 5
PATH FY 2016-17
COUNTY INTENDED USE PLAN
PATH County Intended Use Plan – SFY 2016-17 Page 4 of 6
DHCS 1755 (4/13)
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, and day to day interventions. DBH has 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.
DBH also provides mental health clincians 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 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
screening and assessment with the Vulnerability Index Service Prioritization Decision Assistance Tool
(VI-SPDAT) to customize service eligibility and access to housing matches. Kings View PATH staff
may participate in MAP Point at Pov activities to assist in intake and serve as a service provider for the
homeless with SMI and/or co-occurring disorder. As part of the DBH's work plan for Integrated
Behavioral Health Access, the County has also released a Request for Proposal for additional MAP
Points that will target strategic, geographic locations with underserved and underserved populations.
8. The purpose of this section is to provide a description of your county plan to ensure providers are able
to fully implement HMIS by the beginning of state fiscal year 2016-17. 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. 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
State of California – Health and Human Services Agency Department of Health Care Services
Enclosure 5
PATH FY 2016-17
COUNTY INTENDED USE PLAN
PATH County Intended Use Plan – SFY 2016-17 Page 5 of 6
DHCS 1755 (4/13)
importance in sharing this information with other community organizations within Fresno and
Madera Counties. DBH worked with Kings View to incorporate ancillary cost associated with
operating and maintaining HMIS (technical support, user licenses, and staff training) into the FY
2015-16 program budget through PATH and County MHSA funds. Once advised by the
FMCoC and Housing Authority of Fresno County and City (HMIS lead agency) that PATH data
fields had been incorporated into HMIS, Kings View PATH completed training and began
entering data in the second quarter of FY 2015-16. All PATH-funded services are expected to be
entered fully by the end of the fiscal year.
b. Identify any known technical assistance needs that have been identified to complete the HMIS
migration.
DBH and Kings View PATH completed the PATH Provider HMIS Self-Assessment to identify
existing technical assistance needs, which included primary challenges of PATH project set up in
HMIS and collecting data during outreach. The Housing Authority was advised of the
challenges and was able to provide additional training as well as appropriate modifications to
PATH project set up and data fields. DBH and Kings View PATH also participated in the
weekly California PATH HMIS Technical Assistance webinar sessions in April 2016.
c. Describe the connection with the Continuum of Care to facilitate data migration.
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. DBH is an active member and encourages
contracted providers to participate in the FMCoC.
d. Describe your county’s plan to work with local HMIS administrators to incorporate PATH data fields
into HMIS.
DBH is working closely with the local HMIS Administrator (Housing Authority) to monitor the
progress on incorporating PATH data fields into HMIS, based on feedback from Kings View
PATH. The HMIS Administrator works with its HMIS vendor to resolve any additional
technical issues or limitations presented by the vendor's specific HMIS system. DBH will
collaborate with the Housing Authority to ensure that all data fields continue to reflect the
evolving PATH program data requirements.
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 - County Budget and Enclosure 8B - Provider Budget provides the breakdown of PATH
program costs. PATH Allocation ($310,122) and County Match ($103,374) in the amount of
$413,496 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 to homeless adults with SMI and/or co-occurring disorder. Staffing costs of
$236,453 will fund 4.40 FTE positions comprised of 0.05 FTE Program Director, 0.64 FTE Clinical
Supervisor, 1.45 FTE Case Managers, 2 FTE OEL Coordinators (also meeting classifications as
Personal Service Coordinators/Peer Support Specialists) and 0.26 FTE Administrative Specialist,
inclusive of personnel taxes and benefits. Consultant costs include $14,530 for network and data
management information services and the fees for HMIS implementation (training, system licenses
and data maintenance). Equipment costs of $5,600 will provide for the lease of a copier and computer
and software expenses. $18,252 will fund supplies for office operations in the course of providing
services to clients, program supplies to be used in outreach and therapeutic activities, and medication
supplies. Funding will also provide for travel cost associated with client services in the amount of
State of California – Health and Human Services Agency Department of Health Care Services
Enclosure 5
PATH FY 2016-17
COUNTY INTENDED USE PLAN
PATH County Intended Use Plan – SFY 2016-17 Page 6 of 6
DHCS 1755 (4/13)
$15,580. Other expenses related to the provision of services to clients include program building
utilities of $5,800, program building rent and maintenance of $25,300, and professional liability
insurance and background checks for staff of $8,390. 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
$39,350 (less than 20% of PATH funding) 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 (0.8%) and Kings View as the contracted provider (9.2%) in the
amount of $30,741 (no greater than 10%).
State of California – Health and Human Services Agency Department of Health Care Services
Enclosure 6
PATH FY 2016-17
PROVIDER INTENDED USE PLAN
PATH Provider Intended Use Plan – SFY 2016-17 Page 1 of 8
DHCS 1756 (4/13)
County: Fresno
Legal Name of Business: Kings View Corporation
Program Name: PATH Program
Address: 4910 E Ashlan Ave. Suite 118
City, Zip Code: Fresno, 93726
Service Area (City and Zip Codes):
Fresno County - Metropolitan and Rural Areas
Provider Contact: Jorge Romero, LMFT, Clinical Manager
Telephone: (559) 256-4474
Fax: (559) 348-9345
Email: jromero@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 2016-17
PROVIDER INTENDED USE PLAN
PATH Provider Intended Use Plan – SFY 2016-17 Page 2 of 8
DHCS 1756 (4/13)
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: $310,122
3. Total Match Dollars in Budget: $103,374
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, also known Kings View Behavioral Health Systems, 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 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 and Peer Support Center for mentally ill clients and their families as well as
Youth Empowerment Centers throughout the rural areas of the County. Starting in FY 2014-15,
Kings View provided prevention and early intervention mental health services through a
Cultural Based Access Navigation System (CBANS) program focusing on the homeless and
faith-based communities.
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 2016-2017.
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 of adult clients served with PATH funds to be “literally”
homeless (i.e., living outdoors or in an emergency shelter rather than at imminent
risk of homelessness.)
d. The projected number of adult clients served with PATH funds that have a criminal
history.
90%
75
State of California – Health and Human Services Agency Department of Health Care Services
Enclosure 6
PATH FY 2016-17
PROVIDER INTENDED USE PLAN
PATH Provider Intended Use Plan – SFY 2016-17 Page 3 of 8
DHCS 1756 (4/13)
e. Identify activities that your organization will perform to maximize the use of PATH funds to
serve adults who are literally homeless as a priority population.
Kings View's PATH-funded program will prioritize serving adults who are literally
homeless by focusing outreach efforts in places not meant for habitation. Ninety 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 programs and community-based organizations as needed.
Additional services include: on-site contact; assessments; case management;
individual/group therapy and rehabilitation; psychiatric services and medication
monitoring; and supportive and stable housing services.
f. Identify your organizations’ strategies in utilizing PATH funds to target street outreach and case
management as priority services.
PATH program services focus on client outreach and case management through
Outreach Linkage and Engagement (OEL) Coordinators and Case Manager staff
positions. Through the outreach efforts in the community and referrals from the
County's Adult System of Care, Kings View will provide services to 500 clients during
FY 2016-17, engaging the target population appropriately. Of the 500 clients contacted,
400 will be enrolled and assessed for ongoing mental health, substance use and
supportive housing services. Case management services will be provided to all enrolled
clients through the OEL Coordinators, also acting as Personal Service Coordinators/Peer
Support Specialists, and Case Managers who will develop client centered Plan of Care to
meet the client's needs. Case management will consist of referral and linkage to County
programs and other community organizations, assistance in applying for General Relief,
SSI/SSD benefits, and ensuring the client obtains the basic necessities of daily life.
Additional services include contact on-site and as many times as needed,
individual/group therapy and rehabilitation, psychiatric services and transportation to
other appropriate services as needed.
Kings View collaborates with local emergency shelters (Poverello House, Rescue
Mission and others) and participates in the Fresno Madera Continuum of Care (FMCoC)
Coordinated Entry System which deals with a large amount of homeless individuals
throughout Fresno County.
g. Identify how your organization will provide, pay for, or support evidenced-based practices and
other training for local PATH-funded staff.
Kings View provides ongoing online training to all PATH-funded staff including
administrative, outreach and case management staff as well as clinical supervision to
mental health interns and trainees. Kings View Corporation also has slots in Relias
Training online, which provides constant EBP workshops. Program staff will also
continue to participate in training workshops offered by County, community programs
and private training opportunities. Funding for EBP and other training opportunities
will be financed through PATH and County MHSA funds.
h. 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) and is trained and aware of trauma
informed and gender specific needs of clients. Kings View PATH program utilizes the
State of California – Health and Human Services Agency Department of Health Care Services
Enclosure 6
PATH FY 2016-17
PROVIDER INTENDED USE PLAN
PATH Provider Intended Use Plan – SFY 2016-17 Page 4 of 8
DHCS 1756 (4/13)
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. Team members collaborate on
assessments, treatment plans and day to day interventions. Kings View PATH also uses
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.
i. 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. If your organization is fully utilizing HMIS
for PATH services, please describe plans for continued training and how you will support new
staff.
As of now, Kings View PATH is about 65% achievement of its goal to have HMIS fully
implemented. OEL Coordinators and the Clinical Supervisor have been trained in
HMIS data collection and entry. Staff is currently working on completing the migration
of client data into HMIS by the end of this fiscal year. Staff established a relationship
with Fresno Housing Authority, designated by the FMCoC as the HMIS Lead
Administrator, to resolve data entry issues, specifically the setup of appropriate PATH
data element fields and to ensure data quality through the creation of specialized reports.
The PATH project set up in HMIS will continue to be an evolving process.
j. Describe how your organization will provide, pay for, or otherwise support HMIS training and
activities to migrate PATH data into HMIS.
HMIS training and data system maintenance will be financed through PATH and County
MHSA funds. It is currently cost-prohibitive to support HMIS training and system user
licenses for staff not directly involved in outreach and case management services.
k. Identify community organizations that provide key services (e.g., primary health, mental health,
substance abuse, housing, employment) to PATH eligible clients within your service area and
describe coordination activities and policies with those organizations.
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 the PATH program. Homeless
mentally ill clients with a substance use 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 Comprehensive Addiction Program. For primary
health care, linkage will be made to Federally Qualified Health Care clinics, other health
care facilities such as Fresno Community Hospitals, Clinica Sierra Vista, and local
private doctors. PATH will encourage 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 Security
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, Marjaree Mason Center, Veterans Administration, Kings
View Behavioral Health Services, West Care SOS, NAMI, Fresno County Housing
Authority and many faith based organizations such as Miracles In Community Action
Services among others.
l. Please explain the gaps in current service systems that pertain to your PATH client population.
State of California – Health and Human Services Agency Department of Health Care Services
Enclosure 6
PATH FY 2016-17
PROVIDER INTENDED USE PLAN
PATH Provider Intended Use Plan – SFY 2016-17 Page 5 of 8
DHCS 1756 (4/13)
Permanent housing is still scarce for the homeless population in Fresno County.
Permanent supportive housing is even more limited and has strict guidelines which
homeless individuals with mental illness and/or co-occurring disorders do not meet.
Kings View PATH is struggling with an increasing substance use disorder problem in
this population and the lack of available residential treatment facilities for such high
demand. There is also a large number of homeless in the rural areas who lack the ability
to access basic services in the areas where they live.
m. Please explain services you provide for clients who have both a serious mental illness and
substance use disorder in your PATH client population.
Kings View PATH program provides a variety of mental health services including
assistance into permanent housing, targeted case management, psychiatric services,
referrals into other program services and the support that may be needed to which may
mean providing transportation. Groups with rehabilitation interventions are provided to
support relapse prevention and maintenance. Co-occurring clients will also receive
substance use disorder education and counseling. Appropriate referrals will be made to
substance use disorder treatment providers if a higher level of care is needed.
n. 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 (2015-16) and the number
of PATH funded consumers assisted through SOAR.
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 PATH Case Managers received SOAR training in FY
2014-15. The two OEL Coordinators will also complete the online SOAR training
before the end of FY 2015-16. Nine clients were assisted with SSI/SSDI applications
through the SOAR in FY 2015-16 to date: 1 successfully obtained SSI; 1 was denied;
and 7 claims are still pending. New staff hires within the PATH program are expected
to complete SOAR training and existing staff will participate in any refresher course.
o. 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 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), Park Grove (five 1-3 bedroom units), Alta Monte Housing
project consisting of 29 SRO units 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 exist through a 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.
8. 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
State of California – Health and Human Services Agency Department of Health Care Services
Enclosure 6
PATH FY 2016-17
PROVIDER INTENDED USE PLAN
PATH Provider Intended Use Plan – SFY 2016-17 Page 6 of 8
DHCS 1756 (4/13)
the CoC, briefly explain the approaches to be taken by your agency to collaborate with the local
CoC.
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 at
coordinated entry 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 Valley Veterans, WINGS Advocacy
Fresno, Poverello House, DBH 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 your efforts to minimize the challenges and foster support for PATH clients with a
criminal history, such as jail diversion and other programs, policies and laws.
Kings View supports clients and links them to find advocacy services when facing issues with
the criminal justice system. The PATH program assists clients with criminal history to find
housing services and meet probation or other court requirements. To minimize client
involvement with the criminal justice system, services include but are not limited to: helping the
client identify precipitants to the client's criminal involvement; providing necessary treatment,
support and education to eliminate any unlawful activities or criminal involvement that may be
a consequence of the client's mental illness; and collaborating with police, court personnel and
jail/prison officials and psychiatric staff to ensure appropriate use of legal and mental health
services.
11. Please describe the following information for your specific client population: (a) the demographics
of the client population; (b) the demographics of the 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 on data from FY 2015-16 to date, the client population was 56% White or Caucasian,
23% Hispanic or Latino, 17.8% African American, 1.7% American Indian and 1.2% Asian.
Age group breakdowns include: 47% in the 31-50 years of age range; 25% in 51-61; 14% in 18-
30; 5% in 62 and older; and 9% in other ages. Males accounted for 54% of the client population
and less than 2% self-reported as Veterans. The PATH program staff composition reflects the
client population by identifying as 50% White or Caucasian, 40% Hispanic, and 10% Asian.
Staff ages range from 33 to 61 years old. Some staff providers are bilingual in Spanish.
Diverse backgrounds and exposures allow staff to identify, understand and respect the variety of
cultural and even religious values of the client population. The PATH program has also hired
previous homeless and mentally ill staff that can relate and engage clients on various levels.
Services are culturally sensitive to client needs based on age, gender, and ethnicity. The County
encourages and mandates all contractors to provide services in a culturally sensitive and
competent manner. Kings View staff is able to participate annually in Cultural Competency
trainings and workshops provided by the County at no cost.
State of California – Health and Human Services Agency Department of Health Care Services
Enclosure 6
PATH FY 2016-17
PROVIDER INTENDED USE PLAN
PATH Provider Intended Use Plan – SFY 2016-17 Page 7 of 8
DHCS 1756 (4/13)
12. 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-
eligible are employed as staff or as volunteers or serve on governing or formal advisory boards.
(See Enclosure 11: “Guideline for Consumer and Family Participation”.)
Clients and their family members 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. As
previously identified, Kings View PATH program has hired homeless, mentally ill clients at
various levels of the organization.
13. Describe Veteran specific services your organization will provide.
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 to PATH services, Veterans are referred to
programs available through the Veterans Administration (VA). Veterans who have been Other
than Honorably (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.
14. 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.
FMCoC and all the agencies participating in the Coordinated Entry System have dedicated to
end chronic homelessness for Fresno Veterans by the end of 2016. West Care, Turning Point
Services of the Central Valley, Mental Health Systems, Poverello House, Fresno Rescue
Mission and others have all 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.
15. 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 - County Budget and Enclosure 8B - Provider Budget provides the breakdown of
PATH program costs. PATH Allocation ($310,122) and County Match ($103,374) in the
amount of $413,496 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 to homeless adults with SMI and/or co-occurring
disorder. Staffing costs of $236,453 will fund 4.40 FTE positions comprised of 0.05 FTE
State of California – Health and Human Services Agency Department of Health Care Services
Enclosure 6
PATH FY 2016-17
PROVIDER INTENDED USE PLAN
PATH Provider Intended Use Plan – SFY 2016-17 Page 8 of 8
DHCS 1756 (4/13)
Program Director, 0.64 FTE Clinical Supervisor, 1.45 FTE Case Managers, 2 FTE OEL
Coordinators (also meeting classifications as Personal Service Coordinators/Peer Support
Specialists) and 0.26 FTE Administrative Specialist, inclusive of personnel taxes and benefits.
Consultant costs include $14,530 for network and data management information services and
the fees for HMIS implementation (training, system licenses and data maintenance). Equipment
costs of $5,600 will provide for the lease of a copier and computer and software expenses.
$18,252 will fund supplies for office operations in the course of providing services to clients,
program supplies to be used in outreach and therapeutic activities, and medication supplies.
Funding will also provide for travel cost associated with client services in the amount of
$15,580. Other expenses related to the provision of services to clients include program building
utilities of $5,800, program building rent and maintenance of $25,300, and professional liability
insurance and background checks for staff of $8,390. 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 $39,350 (less than 20% of PATH funding) 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 (0.8%) and Kings View as the contracted
provider (9.2%) in the amount of $30,741 (no greater than 10%).
State of California - Health and Human Services Agency Department of Health Care Services
Enclosure 7
PATH 2016-17 Request for Application
DHCS 1757 (4/13)
FEDERAL BUDGET SUMMARY
TYPE OF GRANT: PATH STATE FISCAL YEAR: ____2016-17______
COUNTY: Fresno
FISCAL CONTACT: Harlan Laurentius Theng TELEPHONE NUMBER: (559) 600-4619
E-MAIL ADDRESS: lharlantheng@co.fresno.ca.us
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:
TELEPHONE:
DATE:
$ 103,374
$
$
$
$ 5,600
$ 10,952
$ 13,030
$
$ 103,374
$ 1,500
$
$ 18,548
$ 279,381
$ 30,741
$ 310,122
$
$ 73,792
BUDGET CATEGORIES
$ 199,708
$ 36,745
$ 15,580
$
$ 7,300
Object Class Categories
GRANT PROGRAM, FUNCTION OR ACTIVITY
(1) Federal (2) Non-Federal
State of California - Health and Human Services Agency
Enclosure 8A
FEDERAL GRANT DETAILED PROGRAM BUDGET
STATE FISCAL YEAR 2016-17
TYPE OF GRANT: PATH
COUNTY: Fresno SUBMISSION DATE: May 13, 2016
FISCAL CONTACT: Laurentius Harlan Theng PROGRAM CONTACT: Earliana Vang
TELEPHONE NUMBER: (559) 600-4619 TELEPHONE NUMBER: (559) 600-6835
EMAIL ADDRESS: lharlantheng@co.fresno.ca.us E-MAIL ADDRESS: evang@co.fresno.ca.us
PROGRAM NAME: PATH Program
STAFFING 1 2 3
ANNUAL GRANT FEDERAL PATH NONFEDERAL MATCH
TITLE OF POSITION SALARY FTE AMOUNT AMOUNT TOTAL
1 -$
2 -$
3 -$
4 -$
5 -$
6 -$
7 -$
8 -$
9 -$
10 -$
11 -$
12 TOTAL STAFF EXPENSES (sum lines 1 thru 11)-$ 0.00 -$ -$ -$
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 (0.8% PATH)2,719$ 2,719$
38 NET PROGRAM EXPENSES (sum lines 12 thru 37)2,719$ -$ 2,719$
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)2,719$ -$ 2,719$
DHCS APPROVAL BY:
TELEPHONE:
DHCS 1779 P (4/13)DATE:
Department of Health Care Services
State of California - Health and Human Services Agency
Enclosure 8A
FEDERAL GRANT DETAILED PROGRAM BUDGET
STATE FISCAL YEAR 2016-17
TYPE OF GRANT: PATH
COUNTY: Fresno SUBMISSION DATE: May 13, 2016
FISCAL CONTACT: Laurentius Harlan Theng PROGRAM CONTACT: Earliana Vang
TELEPHONE NUMBER: (559) 600-4619 TELEPHONE NUMBER: (559) 600-6835
EMAIL ADDRESS: lharlantheng@co.fresno.ca.us E-MAIL ADDRESS: evang@co.fresno.ca.us
PROGRAM NAME: PATH Program
STAFFING 1 2 3
ANNUAL GRANT FEDERAL PATH NONFEDERAL MATCH
TITLE OF POSITION SALARY FTE AMOUNT AMOUNT TOTAL
1 Program Director 96,300.00$ 0.05 4,815$ 4,815.00$
2 Clinical Supervisor 90,525.00$ 0.64 57,936$ 57,936.00$
3 Case Managers 43,218.00$ 1.45 62,667$ 62,667.00$
4 OEL Coordinators 32,240.00$ 2 64,480$ 64,480.00$
5 Administrative Specialist 37,730.00$ 0.26 9,810$ 9,810.00$
6 Benefits & Taxes 36,745$ 36,745.00$
7 -$
8 -$
9 -$
10 -$
11 -$
12 TOTAL STAFF EXPENSES (sum lines 1 thru 11)300,013$ 4.40 236,453$ -$ 236,453$
13 Consultant Costs (Itemize):-$
14 Consultant Costs (network & data management)13,030$ 13,030$
15 Consultant Costs (HMIS training, user licenses, & maintenance)1,500$ 1,500$
16 -$
17 Equipment (Where feasible lease or rent) (Itemize):-$
18 Equipment Rent/Lease 3,100$ 3,100$
19 Computers & Software 2,500$ 2,500$
20 -$
21 -$
22 Supplies (Itemize):-$
23 Office Supplies & Equipment & Postage 5,852$ 5,852$
24 Telephone 5,100$ 5,100$
25 Program Supplies (Therapeutic)1,300$ 1,300$
26 Program Supplies (Outreach)5,500$ 5,500$
27 Medication - Clients 500$ 500$
28 Travel -Per diem, Mileage, & Vehicle Rental/Lease
29 15,580$ 15,580$
30 Other Expenses (Itemize):-$
31 Utlities 5,800$ 5,800$
32 Client Housing Support & One Time Emergency Housing 39,350$ 39,350$
33 Client Clothing, Food & Hygiene 2,500$ 2,500$
34 Client Transportation, Education & Employment 11,000$ 11,000$
35 Building Rent/Lease & Maintenance 25,300$ 25,300$
36 Professional Liability Insurance/Staff Background Checks 7,548$ 842$ 8,390$
37 PROVIDER ADMINISTRATIVE COSTS (9.2% PATH)28,022$ 28,022$
38 NET PROGRAM EXPENSES (sum lines 12 thru 37)307,403$ 103,374$ 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)307,403$ 103,374$ 410,777$
DHCS APPROVAL BY:
TELEPHONE:
DHCS 1779 P (4/13)DATE:
Department of Health Care Services
1
2
3
4
5
6
7
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PROJECTS FOR ASSISTANCE IN TRANSITION FROM HOMELESSNESS (PATH)
GRANT APPLICATIO FY 2016-17
ATTEST:
COUNTY OF FRESNO
By £-~~~
Chairman , Board of Sup v1sors
BERNICE E . SEIDEL, Clerk
Board of Supervisors
PLEASE SEE ADDITIONAL
SIGNATURE PAGE ATTACHED
-1 -COUNTY OF FRESNO
Fresno , CA