HomeMy WebLinkAboutAgreement A-15-257-1 with Kings View Corporation.pdf1
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AMENDMENT I TO AGREEMENT
THIS AMENDMENT,hereinafter referred to as “Amendment I”,is made and entered into this
day of .,2017,by and between the COUNTY OF FRESNO,a Political Subdivision
of the State of California,hereinafter referred to as “COUNTY”,and KINGS VIEW
CORPORATION ,a California Non-profit,501 (c)(3)Corporation,whose address is 7170 N.
Financial Drive,Suite 1100,Fresno,CA 93720,hereinafter referred to as “CONTRACTOR”.
WHEREAS,the parties entered into that certain Agreement,identified as COUNTY Agreement
No.15-257,effective July 1 ,2015,hereinafter referred to as “Agreement”,whereby CONTRACTOR
agreed to operate a Projects for Assistance in Transition from Homelessness (PATH)program to
deliver integrated mental health and supportive housing services to adults who are homeless,or who
are at imminent risk of becoming homeless,and have a severe mental illness and /or co-occurring
disorder,in an effort to enable this client population to live in the community and to avoid
homelessness,hospitalization and/or jail detention;and
WHEREAS,the parties now desire to amend the Agreement regarding changes as stated below
and restate the Agreement in its entirety.
NOW,THEREFORE,for good and valuable consideration,the receipt and adequacy of which
is hereby acknowledged,the parties agree as follows:
1.That in the existing COUNTY Agreement No.15-257,all text in reference to
“Exhibit A”shall be replaced with the text “Revised Exhibit A”.Revised Exhibit A is attached hereto
and incorporated herein by this reference.
2.That in the existing COUNTY Agreement No.15-257,all text in reference to
“Exhibit B”shall be replaced with the text “Revised Exhibit B”.Revised Exhibit B is attached hereto
and incorporated herein by this reference.;
3.That the existing COUNTY Agreement No.15-257,Section Four (4)
“COMPENSATION ”.Page Three (3),Line Twenty-One (21)beginning with the word “The”and
ending on Page Four (4),Line Two (2)with the word “reference.”be deleted and the following
inserted in its place:
“The maximum amount of compensation paid to CONTRACTOR by COUNTY
COUNTY OF FRESNO
Fresno,CA
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shall not exceed Five Hundred Thirty Thousand and No/100 Dollars ($530,000)during the twelve (12)
month period of July 1,2015 through June 30,2016.The maximum amount of compensation paid to
CONTRACTOR by COUNTY shall not exceed Five Hundred Ninety Thousand One Hundred Eighty-
Two and No/100 Dollars ($590,182)during the twelve (12)month periods of July 1,2016 through
June 30,2017,July 1,2017 through June 30,2018,July 1,2018 through June 30,2019,and July 1,
2019 through June 30,2020.In no event shall total maximum compensation for this Agreement paid
to CONTRACTOR by COUNTY exceed Two Million Eight Hundred Ninety Thousand Seven
Hundred Twenty-Eight and No/100 Dollars ($2,890,728).
It is understood by the CONTRACTOR and COUNTY that during the twelve month
period of July 1,2015 through June 30,2016,CONTRACTOR estimates to generate Eighty-Five
Thousand Seven Hundred Twenty-Seven and No/100 Dollars ($85,727)in Medi-Cal Federal Financial
Participation (FFP)and Twelve Thousand and No/100 Dollars ($12,000)in client rent and
transportation reimbursements to offset CONTRACTOR’S program costs as set forth in the budget,
attached hereto as Revised Exhibit B and incorporated herein by reference.It is further understood by
the CONTRACTOR and COUNTY that during the twelve month periods of July 1,2016 through June
30,2017,July 1 ,2017 through June 30,2018,July 1 ,2018 through June 30,2019,and July 1,2019
through June 30,2020,CONTRACTOR estimates to generate One Hundred Thousand,Six Hundred
Forty-Nine and No/100 Dollars ($100,649)in Medi-Cal FFP and Nine Thousand and No/100 Dollars
($9,000)in client rent and transportation reimbursements to offset CONTRACTOR’S program costs as
set forth in the Revised Exhibit B.”
4.That the existing COUNTY Agreement No.15-257,Section Four (4)
“COMPENSATION ”,Sub-section “G”,beginning on Page Five (5),Line Twenty-Five (25)with the
word “The”and ending on Page Six (6),Line Two (2)with the word “designee.”be deleted in its
entirety.
5.That the existing COUNTY Agreement No.15-257,Section Ten (10 )“INSURANCE”,
Sub-section B.“Automobile Insurance”,Page Eleven (11),Line Twenty-One (21),the words “One
Million Dollars ($1 ,000,000).”be deleted and the following inserted in its place:
“Five Hundred Thousand Dollars ($500,000).”
COUNTY OF FRESNO
Fresno,Ch
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6.That the existing COUNTY Agreement No.15-257,Section Ten (10)
“INSURANCE”.Page Twelve (12),Line Twenty-Six (26),the words “Contracts Division”be deleted
and the following inserted in its place:
“Mental Health Contracted Services”
COUNTY and CONTRACTOR agree that this Amendment I is sufficient to amend the
Agreement;and that upon execution of this Amendment I,the Agreement and Amendment I together
shall be considered the Agreement.
The Agreement,as hereby amended,is ratified and continued.All provisions,terms,
covenants,conditions and promises contained in the Agreement and not amended herein shall remain
in full force and effect.This Amendment 1 shall become effective upon execution.
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COUNTY OF FRESNO
Fresno,CA
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IN WITNESS WHEREOF, the parties hereto have executed this Amendment I as of the day and year
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first hereinabove written.
ATTEST:
KINGS VIEW CORPORATION
By~~ c
Print Name: !eor.~ ~1../-r-t
Title: G£C)
By
Chairman of the Board, or
President or any Vice President
2 0 Print Name: :ft""' 5' f2oo/lt6u~ ?-
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22 Title: __ C~f'c_u _____ _
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Executive Director
Mailing Address:
P.O. Box 28923
Fresno, CA 93729
Phone No.: (559) 256-0100
Contact: Leon Hoover, CEO
COUNTY OF FRESNO
By vL ~cL
Chairman, Board of Supervisors
Date:
BERNICE E. SEIDEL, Clerk
Board of Supervisors
By ~
Date: l o -Lo ~ \ J
PLEASE SEE ADDITIONAL
SIGNATURE PAGES ATTACHED
-4 -COUNTY OF FRESNO
Ft"esno, CA
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APPROVED AS TO LEGAL FORM:
DANIEL C.CEDERBORG
\N
APPROVED AS TO ACCOUNTING FORM:
OSCAR J .GARCIA,C.P.A.,AUDITOR-CONTROLLER/
TREASURER-TAX COLLECTOR
By ^^
REVIEWED AND RECOMMENDED
FOR APPROVAL:
Dawan Utecht,Director
Department of Behavioral Health
Fund/Subclass:0001 /10000
Organization:56302184
Account/Program:7294/0
Fiscal Year (FY )Program Cost M/CFFP Client Reimbursement
FY 2015-16:$530,000 $85,727 $12,000
FY 2016-17:$590,182 $100,649 $9,000
FY 2017-18:$590,182 $100,649 $9,000
FY 2018-19:$590,182 $100,649 $9,000
FY 2019-20:$590,182 $100,649 $9,000
5 COUNTY OF FRESNO
Fresno ,CA
Revised Exhibit A
Page 1 of 7
PROJECTS FOR ASSISTANCE IN TRANSITION FROM HOMELESSNESS
(PATH )PROGRAM
Scope of Work
ORGANIZATION:Kings View Corporation
ADDRESS:PO Box 28923,Fresno,CA 93729;
7170 N.Financial Drive,Suite 110,Fresno CA 93720
SITE ADDRESS:4910 E.Ashlan Avenue,Suite 118,Fresno,CA 93726
SERVICES:Mental Health,Outreach,Case Management and Supportive Housing Services
HOURS OF OPERATION:8am to 5pm,Monday through Friday
PROJECT DIRECTOR:Brenda Kent,LMFTPhoneNumber:(559)459-0334
CONTRACT PERIOD:July 1,2015 -June 30,2020
CONTRACT AMOUNT :$530,000 FY 2015-16
$590,182 FY 2016-17
$590,182 FY 2017-18
$590,182 FY 2018-19
$590,182 FY 2019-20
TARGET POPULATION:
Participation in the PATH Program is on a client voluntary basis.The target population to be served under this
Agreement are adult clients (18 year and older)who are suffering from severe mental illness and substance abuse
(co-occurring disorders),and are homeless or at imminent risk of becoming homeless.
PROJECT DESCRIPTION:
With funding through the Stewart B.McKinney Homeless Assistance Amendments Act of 1990,which authorizes
a Federal grant program (Projects for Assistance in Transition from Homelessness (PATH))to address the needs
of people who are homeless and have severe mental illnesses and/or co-occurring disorders,Kings View is able
to provide a PATH program for said target population.Kings View PATH program delivers services to clientswhoaresufferingfromseverementalillnessandsubstanceabuse(co-occurring disorders),and are homeless or
at imminent risk of becoming homeless.The goal of the PATH program is to enable clients to live in the
community and to avoid homelessness,hospitalization and/or jail detention.The PATH program is comprised of
two components:1)PATH -Outreach,Engagement,and Linkage Services (OEL);and 2)PATH -Specialty
Mental Health Treatment Services (MH).Kings View's role is to provide outreach,engagement,and linkage
services to 350 clients per year,of which 200 shall be enrolled in the PATH-OEL where they shall receive case
management,linkage,consultation,peer support services,and supportive interim or bridge housing services.
For clients enrolled in ongoing mental health treatment (30 clients at any given time)in PATH-MH,client shall
receive intensive mental health treatment,case management,linkage,consultation,peer support services,and
supportive housing services (housing to a maximum of 10 at any given time).Service goals are to help stabilizeandtransitionclientsintootherCountyorcommunitymentalhealthprograms.
The PATH program is a vital resource to the community as it seeks to reduce and end chronic homelessness.
The PATH program shall serve as a front door for clients into continuum of care services and mainstream mental
health,primary health care and the substance abuse services system.
Revised Exhibit A
Page 2 of 7
Kings View shall provide:a partnership in which they commit to "meet the client where they are'in order to assist
the enrolled clients achieve their personal recovery and wellness goals.Program shall collaborate with other
agencies for provision of non-direct mental health services (Federal Qualified Health Clinics (FQHC),Public
Guardian,Fresno County etc.).Services shall incorporate safety,emergency and crisis procedures in the field
and in the organization's offices,personal services coordination,psychiatric services in the areas of medication,
prescription,administration,monitoring and documentation,mental health services,linkage services,and
supportive housing services.COUNTY’S administrative staff shall monitor and oversee program outcomes,
coordinate reporting requirements,and execute contract.
King View’s RESPONSIBILITY:
1 Shall provide two program components;one component shall consist of an outreach/linkage program,where
clients are enrolled and linked to other services based on the needs of the client.The second component is
mental health treatment services on an ongoing basis (up to 30 clients at any given time)inclusive of
supportive housing services (maximum of 10 clients at any given time).
2 Provide a partnership in which the service provider commits to "meet the client where they are"in order to
assist the enrolled clients achieve their personal recovery and wellness goals.
3 Collaborate with other agencies for provision of non-direct mental health services (FQHC,Public Guardian,
etc.).These services are particularly needed to reach people with co-occurring chronic or medical
conditions.Linkage must be provided for clients to the full range of services.
4 For clients enrolled in the mental health treatment component of the homeless program ;client Plan of Care
must include and identify at least,client current symptoms,treatment goals,and interventions.
5 Provide appropriate and as requested upon measurable outcomes,State Quarterly Performance Reports,
and PATH annual report.
I.Kings View PATH program shall provide the following staffing components:
A.PATH outreach coordinator staff shall be available to provide crisis assessment and intervention,including
telephone and face-to-face contact during working hours.Response to crisis shall be rapid and flexible.
Coordinators shall collaborate with facilities and designated staff to provide emergency placement should
crisis housing,short-term care and inpatient treatment (voluntary or involuntary)be needed.The vendor’s
staff shall provide support to the maximum extent possible,including accompanying the client to the County's
Urgent Wellness Center and remain with the client during the assessment.
B.The PATH -MH program shall provide services for up to 30 clients in an ongoing basis.Services include;
mental health individual/group therapy,case management linkage,referrals,education in the areas of
medication prescription,administration,monitoring and documentation.In addition,program shall:
•Assess each client’s mental illness symptoms and behavior and prescribe appropriate medication as
necessary.Medication for clients who do not have a third party payor shall be provided medication
via Kings View 's PATH program selected vendor and/or other resources such as samples,coupons
and cost shall be the responsibility of Kings View.
•Regularly review and document the client's mental illness symptoms as well as his/her response to
the prescribed medications;
•Educate the client and family members on the purpose of medication and any side effects;and
•Monitor,treat and document any medication side effects.
Revised Exhibit A
Page 3 of 7
C.The PATH -MH program's client to staff ratio shall be no more than 15 clients to each staff .A ratio of 1:15:or one staff serves no more than fifteen clients.
D.Evaluate the staffs competency for performance purposes and establish medication policies and proceduresthatidentifyprocessestoadministermedicationstoclientsandtrainotherstaffandfamilymembers
regarding medication education,medication delivery,medication side effects,observation of self¬
administration of medication and medication monitoring.
E.Assess and document the client's mental illness symptoms and behavior in response to medication andmonitorformedicationsideeffectsduringtheprovisionofobservedself-administration and during ongoingface-to-face contacts.
F.Staff shall employ harm reduction and motivational interviewing techniques and principles.
G.Kings View program staff shall reflect the target population culturally (cultural,linguistic,ethnic,age,gender,
sexual orientation)and other social characteristics of the community that the program serves.
II.PATH program shall employ the following strategies:
A.Integrate physical and mental health services in collaboration with primary care physicians.
B.Collaborate with community law enforcement,probation and courts.
C.Provide education for clients and family and/or to other caregivers as appropriate to maximize individual
choice about the nature of medications,the expected benefits and the potential side effects as well as
alternatives to medications.
D.Provide culturally competent evidence-based or promising clinical services that are integrated with overall
service planning ,supportive housing,and employment support,and/or education goals.
E.Provide outreach to clients in both the metropolitan and rural areas to reach out to at minimum 350 homeless
mentally ill adults,of which,200 shall be enrolled for outreach services.
F .Kings View Program Administrative staff shall participate in the Fresno/Madera Continuum of Care (FMCoC)
as a member ,COUNTY staff shall provide technical assistance if needed.
G.The Program shall participate and utilize the Homeless Management Information System (HMIS)to enter
client data .Through the FMCoC,the program shall participate in accessing the HMIS to enroll all clients
onto the HMIS that is currently overseen by the Housing Authorities of the City and County of Fresno.
H.Incorporate the Supplemental Security Income/Social Security Disability Income (SSI/SSDI),SSI/SSDI
Outreach,Access and Recovery (SOAR)as part of the case management services.SOAR provides the
program the tools to expedite access to Social Security disability benefits that result in improved housing and
treatment outcomes.
III.The PATH program shall provide the following specific services as it relates to mental health
treatment services:
A.Program shall provide an outreach component,engaging homeless mentally ill and/or those at risk of
homelessness and provide appropriate linkage /referral as needed.Within the Outreach component,the
program shall enroll at minimum 200 clients within a twelve-month period.
B.Program shall provide a mental health treatment component,in which referrals shall be approved by the
Department of Behavioral Health.The mental health treatment component shall service up to 30 adult
Revised Exhibit A
Page 4 of 7
clients at any given time,on an ongoing basis throughout the contract term who are seriously mentally ill and
who are homeless,or at risk of being homeless and/or have a co-occurring disorder.
C.CONTRACTOR shall have the flexibility to increase service intensity to a client in response to a client's
needs.Staff shall have the capacity to provide as many contacts as needed to clients experiencing
significant problems in daily living.
D.Implement mental health service strategies to reduce the number of days a client experiences
hospitalization,incarceration and homelessness.
E.Provider shall operate a multidisciplinary treatment team including licensed/unlicensed mental health
professionals,case managers.Peer support specialist and other specialist to support client needs in
reaching his/her goals.
F.Staff shall be available to provide symptom assessment,personal service coordination and supportive
counseling to assist clients to cope with and gain mastery of symptoms and disabilities due to mental illness
and/or substance abuse.These services shall include,but not be limited to ,the following:
•Ongoing assessment of the client's mental illness symptoms and response to treatment;•Education of the client regarding his/her mental illness and the effects (including side effects)of
prescribed medications;•Symptom management efforts directed to help the client identify the symptoms and their
occurrence patterns and development of methods (internal,behavioral,adaptive)to lessen their
effects;and•Provision,both on a planned and on an “as needed"basis,of such psychological support as is
necessary to help clients accomplish their personal goals and to cope with the stresses of day-to-
day living.
G.Provide training and instruction,including individual support,problem solving,skill development,modeling
and supervision,in home and community settings,to teach the client to:
•Carry out personal hygiene tasks;•Perform household chores,including housekeeping,cooking,laundry and shopping;
•Develop or improve money management skills;•Use community transportation;•Providing training and assistance to clients in locating,securing,maintaining and financing safe,
clean and affordable housing which is appropriate to their levels of functioning;and•Providing training and instruction,including individual support,problem solving,skill development,
modeling and supervision,in home and community settings.
H.Provide treatment services that is appropriate as it relates to age,culture,gender and language services
and when possible accommodations for physical disability(ies)to clients.
I.Assign a case manager (Personal Services Coordinator)within 24 hours of accepting the case and the
development of a tentative client centered Plan of Care to meet the client's needs.
J.Ensure that the team members are able to have on hand,in their possession,during regular working hours
(and when appropriate)an adequate amount of petty cash with which to make emergency purchases of
food,shelter,clothing,prescriptions ,transportation,or other items and services as needed for clients.This
may include security deposits,rent subsidy,and other items needed by clients.Kings View shall provide
policies and procedures as to the handling of petty cash.
K.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,education,vocational,rehabilitative,or other
needed community services,especially as these services relate to meeting the client’s mental health and
housing needs.
Revised Exhibit A
Page 5 of 7
L.Link clients to appropriate social services,legal advocacy and other representation,provide transportation
as necessary and serve as a “representative payee"or refer client to other payee services for client’s
SSI/SSD benefits.
M.Develop and support the client's participation in recreational and social activities and positive social
relationships and activities in a community setting.Staff shall provide support and help individual clients to
establish positive social relationships and activities in community settings.Such services shall include,but
not to be limited to ,assisting clients in:
•Developing social skills and,where needed,the skills to develop meaningful personal
relationships;•Planning appropriate and productive use of leisure time including familiarizing clients with
available social and recreational opportunities and increasing their use of these activities;•Interacting with landlords,neighbors and others effectively and appropriately;•Developing assertiveness and self-esteem;and•Using existing self-help centers,self-help groups and other social,church and recreational groups
to combat isolation and withdrawal experienced by many persons coping with severe and
persistent mental illness.
N.Provide alcohol,tobacco and drug abuse services as needed,this shall include,but is not limited to,
individual and group interventions to assist clients in:
•Identifying alcohol,tobacco and drug abuse effects and patterns;•Recognizing the interactive effects of alcohol,tobacco and drug use,psychiatric symptoms,and
psychotropic medications;•Developing motivation for decreasing alcohol,tobacco and drug use;
•Developing coping skills and alternatives to minimize alcohol,tobacco and drug use;
•Achieving periods of abstinence and stability;•Attending appropriate recovery or self-help meetings;and•Achieving an alcohol and drug free lifestyle,if possible.
O.Provide information,in an educational format,on the use of alcohol,tobacco,prescribed medications,and
other drugs of abuse and the impact that chemicals have on the ability to function in major life areas.
Information shall also include eating disorders,gambling,overspending,and sexual and other addictions,as
appropriate.
P.Make appropriate referrals and linkages to addiction services that are beyond that of the Homeless program
to individuals with coexisting alcohol,tobacco and drug abuse and other addictive symptoms.
Q.Minimize client involvement with the criminal justice system ,with services to include,but not be limited to:
•Helping the client identify precipitants to the client's criminal involvement;
•Providing necessary treatment,support and education to help 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.
R.Assist client,family and other members of the client's social network to relate in a positive and supportive
manner through such means as:
•Education about the client’s illness and their role in the therapeutic process;•Supportive counseling;•Intervention to resolve conflict;•Referral,as appropriate,of the family to therapy ,self-help and other family support services;and
•Provision to the client's other support systems with education and information about serious
mental illnesses and treatment services and supports.
Revised Exhibit A
Page 6 of 7
S.Coordinate services with other community mental health and non-mental health providers,as well as other
medical professionals.Methods for service coordination and communication between program and other
service providers serving the same clients shall be developed and implemented consistent with Fresno
County confidentiality rules.
T.Initiate voluntary commitment,should there be a need;program staff shall work with County staff within the
Adult Services Division.County staff shall sign the involuntary commitment papers.
U.Provide appropriate client data,as required and requested by PATH grant,State,and County,such data
reports include quarterly performance reports,Behavioral Health Board annual update report and quarterly
reports,inclusive of demographics,caseload,and measureable outcomes.
V.Provide assistance and advocacy in obtaining available public assistance benefits,general relief,SSI/SSDI
and accessing needed behavioral health and physical health care for clients.
W .Provide whatever direct assistance is reasonable and necessary to ensure that the client obtains the basic
necessities of daily life,including transportation.Program shall have vehicles available to staff to transport
clients to appointments and social group activities.Bus token/passes shall be made available by the vendor
to encourage and empower client to utilize public transportation to their scheduled appointments.
X.Ensure billable Mental Health Specialty Services meet any/all County,State,Federal regulations including
any utilization review and quality assurance standards.
IV.The PATH program shall provide specific services as it relates to housing:
Success in the community is critically enhanced by obtaining and retaining housing.For clients enrolled into
the PATH program,for ongoing treatment services,shall receive supported independent housing
opportunities and support services (maximum of 10)who accept housing.The program shall empower
clients to take an active role in the recovery process and provide housing options and maintain clients in
independent living by providing needed services,accessing resources and encouraging clients to be
independent,productive and responsible.The program shall be responsible to negotiate and establish
relationships with apartment owners/landlords and/or utilize alternative housing resources such as MHSA
Housing Program residential facilities,Housing Authority programs such as the Shelter Plus Care vouchers,
and other available housing programs within the community.
A.The vendor shall provide whatever direct assistance is reasonable and necessary to ensure that the client
obtains the basic necessities of daily life,including but not limited to:
•Safe,clean,affordable housing;•Food and clothing;•Appropriate financial support,which may include housing deposits,Supplemental Security
Income,Social Security Disability Insurance,General Relief,and money management services.
B.Program shall have rapid access to client assistance funds for purchase of furniture,and other items needed
by clients.
C.Ensure clients maintain their respective housing and utilize supportive housing resources by providing
supportive and independent housing,as appropriate.
D.Assist clients in coordinating rents,leases,general relief and work with housing owners /landlords.Program
staff shall send written notice to owners/landlords of housing facilities that explains the financial responsibility
program and the client (tenant)for payment of rent and utilities within 24 hours or the following business day.
Revised Exhibit A
Page 7 of 7
E.A completed client rental agreement shall document the amount of rent and the minimum utility expense thataclientisrequiredtopay.Program staff shall also provide a monthly receipt to client of the paymentreceivedandcollected.
COUNTY RESPONSIBILITIES:
1.Provide oversight of the PATH program.In addition to contract monitoring of program,oversight includes,
but not limited to,coordination with the State Department of Health Care Services,Projects for Assistance in
Transition from Homelessness (PATH)program in regard to program administration and outcomes.The
PATH program administrative staff shall meet with the Department liaison on a monthly basis to discuss
program client issues,concerns,measureable outcomes and reports,and any other items.
2.Assist the CONTRACTOR in making linkages with the total mental health system.This shall be
accomplished through regularly scheduled meetings as well as formal and informal consultation
3.Participate in evaluating the progress of the overall program and the efficiency of collaboration with the
program administrative staff and shall be available to the contractor for ongoing consultation.
4.Receive and analyze statistical data outcome information throughout the term of contract.DBH shall notify
the program when additional participation is required.The performance outcome measurement process
shall not be limited to survey instruments but shall also include,as appropriate,client and staff interviews,
chart reviews,and other methods of obtaining required information.
5.Recognize that cultural competence is a goal toward which professionals,agencies,and systems should
strive.Becoming culturally competent is a developmental process and incorporates at all levels the
importance of culture,the assessment of cross-cultural relations,vigilance towards the dynamics that result
from cultural differences,the expansion of cultural knowledge,and the adaptation of services to meet
culturally-unique needs.Offering those services in a manner that fails to achieve its intended result due to
cultural and linguistic barriers is not cost effective.County shall assist program towards cultural and
linguistic competency,DBH shall provide the following at no cost to vendor(s):
A.Technical assistance regarding cultural competency requirements and sexual orientation training.
B .Mandatory cultural competency training including sexual orientation and sensitivity training for program
personnel,at minimum once per year.County shall provide mandatory training regarding the special
needs of this diverse population and shall be included in the cultural competence training(s).Sexual
orientation and sensitivity to gender differences is a basic cultural competence principle and shall be
included in the cultural competency training.Literature suggests that the mental health needs of
lesbian,gay,bisexual,transgender (LGBT)individuals may be at increased risk for mental disorders
and mental health problems due to exposure to societal stressors such as stigmatization,prejudice and
anti-gay violence.Social support may be critical for this population.
C.Technical assistance for CONTRACTOR in translating behavioral health and substance abuse services
information into DBH's threshold languages (Spanish,Laotian,Cambodian and Hmong).Translation
services and costs associated shall be the responsibility of the vendor.
Revised Exhibit B
Projects for Assistance Transitions from Homelessness(PATH)
Kings View Corporation
FISCAL YEAR 2016 -2017
Budget Categories -Total Proposed Budget
OEL SMHS OEL
Line Item Description (Must be itemized)FTE %FTE %Admin OEL SMHS Admin SMHS Total
PERSONNEL SALARIES
0001 Program Direction 0.045 0.005 7,550 1,250 $8,800
0002 Program Manager 0.60 0.06 63,000 6,300 $69,300
0003 Case Managers 1.20 0.80 50,856 33,904 $84,760
0004 Outreach Engagement Linkage (OEL)2.00 65,208 $65,208
0005 Financial Analyst 0.07 0.0010 3,128 49 $3,177
0006 Administrative Support 0.26 0.08 10,275 3,162 $13,437
0007 Operations Manager 0.04 0.00 2,410 62 $2,472
$0
SALARY TOTAL 4.21 0.95 $202,427 $44,727 $247,154
PAYROLL TAXES:
0031 FICA/MEDICARE 1,210 14,276 250 3,172 $18,908
0032 SUI 158 1,866 33 414 $2,471
0033 Workers Compensation 395 4,666 82 1,036 $6,179
PAYROLL TAX TOTAL $22,571 $4,987 $27,558
EMPLOYEE BENEFITS:
0041 Retirement 201 2,370 42 526 $3,139
0042 Health Insurance (medical,vision,life,dental)2,578 30,418 534 6,757 $40,287
EMPLOYEE BENEFITS TOTAL $35,567 $7,859 $43,426
SALARY &BENEFITS GRAND TOTAL $260,565 $57,573 $318,138
FACILITIES/EQUIPMENT EXPENSES:OEL SMHS Total
1010 Rent/Lease Building 20,290 4,454 $24,744
1011 Rent/Lease Equipment 1,920 1,280 $3,200
1012 Utilities 2,952 648 $3,600
1013 Building Maintenance 4,264 936 $5,200
1015 Rent/Lease Vehicles 9,490 3,510 $13,000
FACILITY/EQUIPMENT TOTAL $38,916 $10,828 $49,744
OPERATING EXPENSES:
1060 Telephone 5,340 3,560 $8,900
1062 Postage 120 30 $150
1066 Office Supplies &Equipment 5,940 1,593 $7 ,533
1069 Program Supplies -Therapeutic 1,000 $1,000
1072 Staff Mileage/vehicle maintenance 3,650 1,350 $5,000
1076 Other -Program Supplies -Outreach 4,000 $4,000
1077 Other -Staff Recruitment/Background Checks 800 200 $1,000
OPERATING EXPENSES TOTAL $19,850 $7,733 $27,583
Page 1 of 8
Revised Exhibit B
FINANCIAL SERVICES EXPENSES:
1082 Liability Insurance 2,880 2,020 $4,900
1083 Administrative Overhead 37,342 16,310 $53,652
1085 Professional Liability Insurance 2,884 721 $3,605
FINANCIAL SERVICES TOTAL $43,106 $19,051 $62,157
SPECIAL EXPENSES (Consultant/Etc.):
1090 Consultant (network &data management)12,680 2,880 $15,560
1091 HMIS 1,500 $1,500
0005 Psychiatric Services 30,000 $30,000
1092 Medication Supports 250 $250
1093 Other -One Time Emergency Housing 10,000 $10,000
SPECIAL EXPENSES TOTAL $24,180 $33,130 $57,310
FIXED ASSETS:
1190 Computers &Software 9,660 2,090 $11,750
FIXED ASSETS TOTAL $9,660 $2,090 $11,750
NON MEDI-CAL CLIENT SUPPORT EXPENSES:
2000 Client Housing Support Expenditures (SFC 70)
2002.1 Clothing,Food &Hygiene (SFC 72)
2002.2 Client Transportation &Support (SFC 72)
2002.3 Education Support (SFC 72)
2002.4 Employment Support (SFC 72)
2,500
11,000
500
500
49,000 $49,000
$2,500
$11,000
$500
$500
NON MEDI-CAL CLIENT SUPPORT TOTAL $14,500 $49,000 $63,500
TOTAL PROGRAM EXPENSES $410,777 $179,405 $590 ,182
69.60%30.40%
OEL SMHS Total
Units of
MEDI-CAL REVENUE:Service Rate $Amount $Amount Total
3000 Mental Health Services 2101 4.50 9,455 $9,455
3100 Case Management 8,651 $3.75 32,441 $32,441
3200 Crisis Services 200 $6.75 1,350 $1,350
3300 Medication Support 3,100 $8.00 24,800 $24,800
3400 Collateral 2,100 $4.50 9,450 $9,450
3500 Plan Development 4,201 $4.50 18,905 $18,905
3600 Assessment 4,200 $4.50 18,900 $18,900
3700 Rehabilitation 4,200 $4.50 18,900 $18,900
Estimated Medi-Cal Billing Totals 26,652 $0 $134,200 $134,200
Estimated %of Federal Financial Participation Reimbursement 75.00%$100,649 $100,649
Estimated %of Clients Served that will be Medi-Cal Eligible 100.00%
MEDI-CAL REVENUE TOTAL $0 $100,649 $100,649
OTHER REVENUE:
4000 Other -PATH
4100 Other -Client Reimbursements
307 ,403
9,000
$307,403
$9,000
OTHER REVENUE TOTAL $307,403 $9,000 $316,403
MHSA FUNDS:
5100 Community Services &Supports Funds 103,374 69,756 $173,130
MHSA FUNDS TOTAL $103,374 $69,756 $173,130
TOTAL PROGRAM REVENUE 410,777 179,405 $590,182
Page 2 of 8
Revised Exhibit B
Projects for Assistance Transitions from Homelessness(PATH)
Kings View Corporation
FISCAL YEAR 2017 -2018
Budget Categories -Total Proposed Budget
Line Item Description (Must be itemized)
OEL
FTE %
SMHS
FTE %
OEL
Admin OEL SMHS Admin SMHS Total
PERSONNEL SALARIES:
0001 Program Direction 0.043 0.007 7,777 1,288 $9,065
0002 Program Manager 0.57 0.057 61,800 6,180 $67,980
0003 Case Managers 1.20 0.80 52,382 34,921 $87,303
0004 Outreach Engagement Linkage (OEL)2.00 67,164 $67,164
0005 Financial Analyst 0.07 0.0010 3,222 50 $3,272
Administrative Support 0.26 0.08 10,583 3,257 $13,840
Operations Manager 0.04 0.00 2,482 64 $2,546
0006 Administrative Support $0
0007 Title $0
SALARY TOTAL 4.18 0.95 $205,410 $45,760 $251,170
PAYROLL TAXES:
0031 FICA/MEDICARE 1,246 14,468 239 3,262 $19,215
0032 SUI 163 1,891 31 427 $2,512
0033 Workers Compensation 407 4,728 84 1,060 $6,279
PAYROLL TAX TOTAL $22,903 $5,103 $28,006
EMPLOYEE BENEFITS:
0041 Retirement 207 2,402 43 538 $3,190
0042 Health Insurance (medical,vision,life ,dental)2,606 30,260 539 6,783 $40,188
EMPLOYEE BENEFITS TOTAL $35,475 $7,903 $43,378
SALARY &BENEFITS GRAND TOTAL $263,788 $58,766 $322,554
FACILITIES /EQUIPMENT EXPENSES:OEL SMHS Total
1010 Rent/Lease Building 21,052 4,148 $25,200
1011 Rent/Lease Equipment 2,706 594 $3,300
1012 Utilities 3,280 820 $4,100
1013 Building Maintenance 4,510 1,034 $5,544
1015 Rent/Lease Vehicles 10,840 4,010 $14,850
FACILITY/EQUIPMENT TOTAL $42,388 $10,606 $52,994
OPERATING EXPENSES:
1060 Telephone 5,280 3,660 $8,940
1062 Postage 100 30 $130
1066 Office Supplies &Equipment 6,016 1,737 $7,753
1069 Program Supplies -Therapeutic 1,200 $1,200
1072 Staff Mileage/vehicle maintenance 3,650 1,250 $4,900
1076 Other -Program Supplies -Outreach 4,409 $4,409
1077 Other -Staff Recruitment/Background Checks 800 200 $1,000
OPERATING EXPENSES TOTAL $20,255 $8,077 $28,332
Page 3 of 8
Revised Exhibit B
FINANCIAL SERVICES EXPENSES:
1082 Liability Insurance 3,650 1,350 $5,000
1083 Administrative Overhead 37,342 16,310 $53,652
1085 Professional Liability Insurance 3,034 666 $3,700
FINANCIAL SERVICES TOTAL $44,026 $18,326 $62,352
SPECIAL EXPENSES (Consultant/Etc .):
1090 Consultant (network &data management)13,120 2,880 $16,000
1091 HMIS 1,500 $1,500
1091 Psychiatric Services 30,000 $30,000
1092 Medication Supports 250 $250
1093 Other -One Time Emergency Housing 10,000 $10,000
SPECIAL EXPENSES TOTAL $24,620 $33,130 $57,750
FIXED ASSETS:
1190 Computers &Software 1,200 500 $1,700
FIXED ASSETS TOTAL $1,200 $500 $1,700
NON MEDI-CAL CLIENT SUPPORT EXPENSES:
2000 Client Housing Support Expenditures (SFC 70)
2002.1 Clothing,Food &Hygiene (SFC 72)
2002.2 Client Transportation &Support (SFC 72)
2002.3 Education Support (SFC 72)
2002.4 Employment Support (SFC 72)
2,500
11,000
500
500
50,000 $50,000
$2,500
$11,000
$500
$500
NON MEDI-CAL CLIENT SUPPORT TOTAL $14,500 $50,000 $64,500
TOTAL PROGRAM EXPENSES $410,777 $179 ,405 $590 ,182
69.60%30.40%
OEL SMHS Total
Units of
MEDI-CAL REVENUE:Service Rate $Amount $Amount Total
3000 Mental Health Services 2101 4.50 9,455 $9,455
3100 Case Management 8,651 $3.75 32,441 $32,441
3200 Crisis Services 200 $6.75 1,350 $1,350
3300 Medication Support 3,100 $8.00 24,800 $24,800
3400 Collateral 2,100 $4.50 9,450 $9,450
3500 Plan Development 4,201 $4.50 18,905 $18,905
3600 Assessment 4,200 $4.50 18,900 $18,900
3700 Rehabilitation 4,200 $4.50 18,900 $18,900
Estimated Medi-Cal Billing Totals 26,652 $0 $134 ,200 $134,200
Estimated %of Federal Financial Participation Reimbursement 75.00%$100,649 $100,649
Estimated %of Clients Served that will be Medi-Cal Eligible 100.00%
MEDI-CAL REVENUE TOTAL $0 $100 ,649 $100,649
OTHER REVENUE:
4000 Other -PATH
4100 Other -Client Reimbursements
307,403
9,000
$307,403
$9,000
OTHER REVENUE TOTAL $307,403 $9,000 $316,403
MHSA FUNDS:
5100 Community Services &Supports Funds 103,374 69,756 $173,130
MHSA FUNDS TOTAL $103,374 $69,756 $173,130
TOTAL PROGRAM REVENUE 410 ,777 179,405 $590,182
Page 4 of 8
Revised Exhibit B
Projects for Assistance Transitions from Homelessness(PATH)
Kings View Corporation
FISCAL YEAR 2018 -2019
Budget Categories -Total Proposed Budget
Line Item Description (Must be itemized)
OEL
FTE %
SMHS
FTE %
OEL
Admin OEL SMHS Admin SMHS Total
PERSONNEL SALARIES:
0001 Program Direction 0.030 0.005 5,510 927 $6,437
0002 Program Manager 0.54 0.053 59,600 5,875 $65,475
0003 Case Managers 1.20 0.80 53,953 35,969 $89,922
0004 Outreach Engagement Linkage (OEL)2.00 69,179 $69,179
Financial Analyst 0.07 0.0010 3,319 52 $3,371
Administrative Support 0.26 0.08 10,900 3,355 $14,255
0005 Operations Manager 0.04 0.00 2,556 66 $2,622
0006 $0
0007 Title $0
SALARY TOTAL 4.14 0.94 $205,017 $46,244 $251,261
PAYROLL TAXES:
0031 FICA/MEDICARE 1,283 14,401 246 3,292 $19,222
0032 SUI 168 1,882 32 430 $2,512
0033 Workers Compensation 419 4,706 80 1,076 $6,281
PAYROLL TAX TOTAL $22,859 $5,156 $28,015
EMPLOYEE BENEFITS:
0041 Retirement 213 2,391 44 543 $3,191
0042 Health Insurance (medical,vision,life,dental)2,684 30,119 556 6,843 $40,202
EMPLOYEE BENEFITS TOTAL $35,407 $7 ,986 $43,393
SALARY &BENEFITS GRAND TOTAL $263,283 $59,386 $322,669
FACILITIES/EQUIPMENT EXPENSES :OEL SMHS Total
1010 Rent/Lease Building 21,760 3,840 $25,600
1011 Rent/Lease Equipment 2,706 594 $3,300
1012 Utilities 3,280 820 $4,100
1013 Building Maintenance 4,510 1,034 $5,544
1015 Rent/Lease Vehicles 10,840 4,010 $14,850
FACILITY/EQUIPMENT TOTAL $43,096 $10,298 $53,394
OPERATING EXPENSES :
1060 Telephone 5,280 3,660 $8,940
1062 Postage 100 30 $130
1066 Office Supplies &Equipment 6,322 1,525 $7,847
1069 Program Supplies -Therapeutic 1,200 $1,200
1072 Staff Mileage/vehicle maintenance 3,650 1,250 $4,900
1076 Other -Program Supplies -Outreach 4,900 $4,900
1077 Other -Staff Recruitment/Background Checks 800 200 $1,000
OPERATING EXPENSES TOTAL $21,052 $7,865 $28,917
Page 5 of 8
Revised Exhibit B
FINANCIAL SERVICES EXPENSES:
1082 Liability Insurance 3,650 1,350 $5,000
1083 Administrative Overhead
1085 Professional Liability Insurance 37,342
3,034
16,310
666
$53,652
$3,700FINANCIALSERVICESTOTAL$44,026 $18,326 $62,352SPECIALEXPENSES(Consultant/Etc.):
1090 Consultant (network &data management)13,120 2,880 $16,0001091HMIS1,500 $1,5001091PsychiatricServices30,000 $30,0001092MedicationSupports250$2501093Other-One Time Emergency Housing 10,000 $10,000
SPECIAL EXPENSES TOTAL $24,620 $33,130 $57,750
FIXED ASSETS:
1190 Computers &Software 1,200 400 $1,600
FIXED ASSETS TOTAL $1,200 $400 $1,600
NON MEDI-CAL CLIENT SUPPORT EXPENSES:
2000 Client Housing Support Expenditures (SFC 70)
2002.1 Clothing,Food &Hygiene (SFC 72)
2002.2 Client Transportation &Support (SFC 72)
2002.3 Education Support (SFC 72)
2002.4 Employment Support (SFC 72)
2,500
10,000
500
500
50,000 $50,000
$2,500
$10,000
$500
$500
NON MEDI-CAL CLIENT SUPPORT TOTAL $13,500 $50,000 $63,500
TOTAL PROGRAM EXPENSES $410 ,777 $179 ,405 $590,182
69.60%30.40%
OEL SMHS Total
MEDI-CAL REVENUE:
Units of
Service Rate $Amount $Amount Total
3000 Mental Health Services
3100 Case Management
3200 Crisis Services
3300 Medication Support
3400 Collateral
3500 Plan Development
3600 Assessment
3700 Rehabilitation
2101
8,651
200
3.1002.100
4,201
4,200
4,200
4.50
$3.75
$6.75
$8.00
$4.50
$4.50
$4.50
$4.50
9,455
32,441
1,350
24,800
9,450
18,905
18,900
18,900
$9,455
$32,441
$1,350
$24,800
$9,450
$18,905
$18,900
$18,900
Estimated Medi-Cal Billing Totals 26,652 $0 $134,200 $134,200
Estimated %of Federal Financial Participation Reimbursement 75.00%$100,649 $100,649
Estimated %of Clients Served that will be Medi-Cal Eligible 100.00%
MEDI-CAL REVENUE TOTAL $0 $100,649 $100,649
OTHER REVENUE:
4000 Other -PATH
4100 Other -Client Reimbursements
307,403
9,000
$307,403
$9,000
OTHER REVENUE TOTAL $307,403 $9,000 $316,403
MHSA FUNDS :
5100 Community Services &Supports Funds 103,374 69,756 $173,130
MHSA FUNDS TOTAL $103,374 $69,756 $173,130
TOTAL PROGRAM REVENUE 410,777 179 ,405 $590 ,182
Page 6 of 8
Revised Exhibit B
Projects for Assistance Transitions from Homelessness(PATH)
Kings View Corporation
FISCAL YEAR 2019 -2020
Budget Categories -Total Proposed Budget
Line Item Description (Must be itemized)
OEL
FTE %
SMHS
FTE %
OEL
Admin OEL SMHS Admin SMHS Total
PERSONNEL SALARIES:
0001 Program Direction 0.028 0.003 5,410 627 $6,037
0002 Program Manager 0.50 0.047 57,500 5,400 $62,900
0003 Case Managers 1.20 0.80 55,572 37,047 $92,619
0004 Outreach Engagement Linkage (OEL)2.00 70,217 $70,217
0005 Financial Analyst 0.07 0.0010 3,419 54 $3,473
Administrative Support 0.26 0.08 11,227 3,456 $14,683
0006 Operations Manager 0.04 0.00 2,633 68 $2,701
0007 Title $0
SALARY TOTAL 4.09 0.93 $205,978 $46,652 $252,630
PAYROLL TAXES:
0031 FICA/MEDICARE 1,322 14,435 254 3,315 $19,326
0032 SUI 173 1,887 33 434 $2,527
0033 Workers Compensation 432 4,717 83 1,083 $6,315
PAYROLL TAX TOTAL $22,966 $5,202 $28,168
EMPLOYEE BENEFITS:
0041 Retirement 219 2,397 45 547 $3,208
0042 Health Insurance (medical,vision,life,dental)2,678 29,249 555 6,676 $39,158
EMPLOYEE BENEFITS TOTAL $34,543 $7,823 $42,366
SALARY &BENEFITS GRAND TOTAL $263,487 $59,677 $323,164
FACILITIES/EQUIPMENT EXPENSES :OEL SMHS Total
1010 Rent/Lease Building 21,990 3,810 $25,800
1011 Rent/Lease Equipment 2,706 594 $3,300
1012 Utilities 3,280 820 $4,100
1013 Building Maintenance 4,510 1,034 $5,544
1015 Rent/Lease Vehicles 10,840 4,010 $14,850
FACILITY/EQUIPMENT TOTAL $43,326 $10,268 $53,594
OPERATING EXPENSES:
1060 Telephone 5,280 3,660 $8,940
1062 Postage 100 30 $130
1066 Office Supplies &Equipment 5,788 1,464 $7,252
1069 Program Supplies -Therapeutic 1,200 $1,200
1072 Staff Mileage/vehicle maintenance 3,650 1,250 $4,900
1076 Other -Program Supplies -Outreach 4,400 $4,400
1077 Other -Staff Recruitment/Background Checks 800 200 $1,000
OPERATING EXPENSES TOTAL $20,018 $7,804 $27,822
Page 7 of 8
Revised Exhibit B
FINANCIAL SERVICES EXPENSES:
1082 Liability Insurance 3,650 1,350 $5,000
1083 Administrative Overhead 37,342 16,310 $53,652
1085 Professional Liability Insurance 3,034 666 $3,700
FINANCIAL SERVICES TOTAL $44,026 $18,326 $62,352
SPECIAL EXPENSES (Consultant/Etc .):
1090 Consultant (network &data management)13,120 2,880 $16,000
1091 HMIS 1,500 $1,500
1091 Psychiatrist 30,000 $30,000
1092 Medication Supports 250 $250
1093 Other -One Time Emergency Housing 10,000 $10,000
SPECIAL EXPENSES TOTAL $24,620 $33,130 $57,750
FIXED ASSETS:
1190 Computers &Software 1,400 200 $1,600
FIXED ASSETS TOTAL $1,400 $200 $1,600
NON MEDI-CAL CLIENT SUPPORT EXPENSES:
2000 Client Housing Support Expenditures (SFC 70)
2002.1 Clothing,Food &Hygiene (SFC 72)
2002.2 Client Transportation &Support (SFC 72)
2002.3 Education Support (SFC 72)
2002.4 Employment Support (SFC 72)
2 ,500
10,400
500
500
50,000 $50,000
$2,500
$10,400
$500
$500
NON MEDI-CAL CLIENT SUPPORT TOTAL $13,900 $50,000 $63,900
TOTAL PROGRAM EXPENSES $410,777 $179,405 $590 ,182
69.60%30.40%
OEL SMHS Total
Units of
MEDI-CAL REVENUE:Service Rate $Amount $Amount Total
3000 Mental Health Services 2101 4.50 9,455 $9,455
3100 Case Management 8,651 $3.75 32,441 $32,441
3200 Crisis Services 200 $6.75 1,350 $1,350
3300 Medication Support 3,100 $8.00 24,800 $24,800
3400 Collateral 2,100 $4.50 9,450 $9,450
3500 Plan Development 4,201 $4.50 18,905 $18,905
3600 Assessment 4,200 $4.50 18,900 $18,900
3700 Rehabilitation 4,200 $4.50 18,900 $18,900
Estimated Medi-Cal Billing Totals 26,652 $0 $134,200 $134,200
Estimated %of Federal Financial Participation Reimbursement 75.00%$100,649 $100,649
Estimated %of Clients Served that will be Medi-Cal Eligible 100.00%
MEDI-CAL REVENUE TOTAL $0 $100,649 $100,649
OTHER REVENUE:
4000 Other -PATH
4100 Other -Client Reimbursements
307,403
9,000
$307,403
$9,000
OTHER REVENUE TOTAL $307,403 $9,000 $316,403
MHSA FUNDS:[5100 Community Services &Supports Funds |103,374 |69,756 |$173,130]
Page 8 of 8