HomeMy WebLinkAboutAgreement A-17-378 with DHCS.pdfSta te of California -Health and Human Services Agency
PATH ALLOCATION WORKSHEET
Agreement No. 17-378
Department of Health Care Services
Enclosure 1
STATE FISCAL YEAR: 2017-2018 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) 2017-2018 . Your Allocation is identified below .
PATH Funding Base : $315 ,179
Total PATH Expenditure : $315 ,179
PURPOSE : PLANNING ESTIMATE July 11 ,2017
I, the undersigned Director , have accepted the Federal PATH funds for the county under the
specific condit ions included in the assurances as part of the County Application Package (CAP)
as well as those conditions established by other governing federal and state laws , policies
regulations , and guidelines . The CAP , as approved by DHCS , will be followed in expending
these funds .
Chairman , County of Fresno , Board of Supervisors
Brian Pacheco , Chairman , Board of Supervisors
Printed Name
ATTEST:
BERNICE E. SEIDEL , Clerk
Board of Supervisors
By ~Sfun ~sb C>f
De put
DHCS 1772 P (4 /13)
7/11/2 01 7
Date
PATH 2017-18 Request for Application Page 1 of 3
PATH 2017-18 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.
TITLE
Enclosure 2
Page 19
Failure to comply with the provtstons of the law
may result in the imposition of a civi l monetary
penalty of up to $1,000 for each vio lation 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 th e PHS mission to protect and
advance the physical an mental health of the
American people.
SIGNAT[ ~r.:.HORIZED CERTIFYING OFFICIAL
Chairman , Board of Supervisors
APPLICANT ORGANIZATION
County of Fresno
PATH 2017-18 Request for Application
ATTEST:
BERNICE E. SEIDEL, Clerk
Board of Supervisors
By Su AS£Lo, ~~OlD
Depu ty
DATE SUBMITTED
July11 ,2017
Page 3 of 3
Enclosure 3
PATH 2017-18 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 2017-18 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 18, 2017, the amount is $187,000.
I. Not more than 20 percent of the payments will be expended for allowable
housing services. The payments will not be expended to support
emergency shelters or construction of housing facilities for inpatient
psychiatric or inpatient substance abuse treatment costs or to make cash
payments to intended recipients of mental health or substance abuse
services.
J. The county will make available, directly or through donations from public
or private entities, non-federal contributions toward such costs in an
amount that is not less than one dollar ($1) for each three dollars ($3) of
federal funds provided in such payments. The amount of the county
match is $105,060.
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 2017-2018 non-PATH funds for services to
individuals who are homeless and mentally disabled as follows :
$ Federal (non-PATH)
$ 105 ,060 Other
Chairman , County of Fresno , Board of Supervisors
Brian Pacheco. Chairman , Board of Supervisors
Print Name
ATTEST:
BERNICE E. SEIDEL , Clerk
Board of Supervisors
By ~&~
PATH 2017-18 Request for Appl ication
July 11. 2017
Date
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 2017-18 Request for Application 1 of 2
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 p rovisions of the Davis-Bacon Act (40 U .S .C . §§276a to
276a-7), the Copeland Act (40 U .S .C . §276c and 18 U .S .C . §874), and the Contract Work
Hours and Safety Standards Act (40 U .S .C . §§327-333), regarding labor standards for
federally assisted construction subagreements .
10 . Will comply , if applicable , with flood insurance purchase requirements of Section 1 02(a) of
the Flood Disaster Protection Act of 1973 (P .L. 93-234) which requires recipients in a
special flood hazard area to participate in the program and to purchase f lood 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 pu rsuant to EO 11 7 38 ; (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)
conform ity of Federal actions to State (Clear Air) Implementation Plans under Section
176(c) of the Clear Air Act of 1955, as amended (42 U .S .C . §§7401 et seq .); (g) protection
of underground sources of drinking water under the Safe Drinking Water Act of 197 4 , as
amended , (P .L. 93-52 3 ); 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 R ivers 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 c ompliance with Section 106 of the National
Historic Preservation Act of 1966, as amended (16 U .S .C . §470), EO 11593 (identification
and protection of historic properties ), and the Archaeological and Historic Preservation Act of
1974 (16 U .S .C . §§ 469a-1 et seq .).
14 . Will comply with P .L. 93-348 regarding the protection of human subjects involved in research ,
development, and related activities supported by this award of assistance .
15. Will comply with the Labo ratory An imal Welfare Act of 1966 (P .L. 89-544 , as amended , 7
U .S .C . §§2131 et seq .) pertaining to the care , handling , and treatment of warm blooded
animals held for research , teaching , or other activities supported by this award of
assistance . 16 . Will comply with the Lead-Based Paint Poisoning Prevention Act (42
U.S .C . §§4801 et seq .) which prohibits the use of lead based paint in construction or
rehabilitation of residence structures .
17 . Will cause to be performed the required financial and compliance audits in accordance with
the Single Audit Act of 1984 .
18. Will comply with all applicable requirements of all other Federal laws , executive orders ,
regulations and policies governing this program .
Enclosure 4
Jl~j_ Chairman , Board of Supervisors
Signature of Certifying Off ic ial
County of Fresno
Applicant Organization
PATH 2017-18 Request for Application
ATTEST:
BERNICE E. SEIDEL , Clerk
Board of Supervisors
By Sus~ &sb gf
De put
Title
July11 ,2017
Date
2 of 2
State of California – Health and Human Services Agency Department of Health Care Services
Enclosure 5
PATH FY 2017-18
COUNTY INTENDED USE PLAN
PATH County Intended Use Plan – SFY 2017-18 Page 1 of 6
DHCS 1755 (4/13)
County: Fresno
Address: 3133 N. Millbrook Ave City, Zip Code: Fresno, 93703
County Program Contact: Janell Sidney Brown, Senior Staff Analyst
Telephone: (559) 600-6831
Fax: (559) 600-7674
Email: jsidney@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 2017-18
COUNTY INTENDED USE PLAN
PATH County Intended Use Plan – SFY 2017-18 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: $315,179
2. Total Match Dollars in Budget: $105,060
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 2017-18 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
$308,000 Kings View Corporation
$7,179 County Administration
$315,179 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 2017-18.
a. The projected number of adult clients to be contacted county-wide using PATH
funds.
350
b. The projected number of adult clients to be enrolled county-wide using PATH
funds.
200
c. The projected percentage of adult clients county-wide served with PATH funds to
be “literally” homeless (i.e., living outdoors or in an emergency shelter rather than
at imminent risk of homelessness).
d. The projected number of adult clients served with PATH funds that have a criminal
80%
State of California – Health and Human Services Agency Department of Health Care Services
Enclosure 5
PATH FY 2017-18
COUNTY INTENDED USE PLAN
PATH County Intended Use Plan – SFY 2017-18 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 clients to achieve their personal recovery and wellness goals. Services include
outreach, engagement and linkage in addition to case management, mental health treatment, co-
occurring disorder counseling and supportive housing services. Collaboration with other agencies
such as Federally Qualified Health Centers (FQHC) and the Public Guardian will ensure provision
of non-direct mental health services that are needed to reach homeless adults with co-occurring
chronic or medical conditions. Service goals are to help stabilize and transition clients into other
County or community mental health programs.
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 350 clients during FY 2017-18 (July 1,
2017 through June 30, 2018). More than 70% of the OEL staff time will be in the field reaching
out to homeless SMI adults. Enrollment in the PATH-OEL component is expected for 200 clients,
who will receive 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. The reduction in projected client numbers from FY 2016-17
(500 outreached and 400 engaged) is responsive to program experience, reflects realistic numbers
and provides more in depth and substantial services to clients engaged. 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
State of California – Health and Human Services Agency Department of Health Care Services
Enclosure 5
PATH FY 2017-18
COUNTY INTENDED USE PLAN
PATH County Intended Use Plan – SFY 2017-18 Page 4 of 6
DHCS 1755 (4/13)
met through traditional service delivery. Kings View PATH utilizes the Wellness Recovery
Action Plan (WRAP) and Cognitive Behavioral and Motivational Enhancement Therapy evidence-
based practices. The program model is designed to empower clients, improve quality of life, and
allow staff to assist clients in attaining their personal goals. Team members collaborate on
assessments, treatment plans, and day-to-day interventions. DBH has also moved forward with
incorporating the Recovery 360 model into all County mental health program services, in order to
build and measure wellness, recovery, and resiliency supports within a team approach. DBH
encourages Kings View PATH team members to participate and receive training on an ongoing
basis to ensure clients receive services that support this wellness and recovery model.
7. Describe your organization’s participation in the HUD Continuum of Care (CoC) program and any other
local planning, coordinating or assessment activities. If you are not currently working with the CoC,
briefly explain the approaches to be taken by your agency to collaborate with the local CoC.
The Fresno/Madera Continuum of Care (FMCoC) develops local strategies to build housing and
service capacity to end homelessness. DBH and the Fresno County Department of Social Services
(DSS) are active participants and voting members of the FMCoC, which is comprised of volunteers
from over 21 government agencies, non-profits and individuals dedicated to serve homeless youth,
adults, and families in Fresno and Madera Counties. DBH contributes to the community planning by
advocating for the homeless mentally ill and encourages all appropriate County contracted providers
serving the homeless and at risk of homelessness population who have SMI and/or a co-occurring
disorder to also participate and provide feedback.
DBH is part of the leadership team along with the FMCoC in the national 25 Cities Initiative to end
veteran and chronic homelessness for the Fresno community by identifying, assessing and matching
housing for the veterans and the chronically homeless. A weekly meeting is held to clarify key
processes and services, determine existing housing capacities, and follow-up with specific and high
priority cases if needed. Kings View PATH assists in outreach efforts, service provision and data
collection.
DBH also provides mental health clinicians and community mental health specialists at the Multi-
Agency Access Program Point at Poverello House (MAP Point at Pov). MAP is the coordinated
service entry effort created by the FMCoC and the Hospital Council's Community Conversations in
Mental Health to establish and formalize a collaborative intake process across all service providers for
individuals facing housing/homelessness, mental illness, substance use disorder, physical health, social
service and/or vocational needs. The intake process consists of a standardized screening for life-
domain needs and assessment with the Vulnerability Index Service Prioritization Decision Assistance
Tool (VI-SPDAT) to customize service eligibility and access to housing matches. As part of the
DBH's work plan for Integrated Behavioral Health Access, operation of additional MAP Points were
contracted out in January 2017 to target strategic, geographic locations with underserved and unserved
populations. Kings View PATH staff may participate in MAP Point activities to assist in intake and
serve as a service provider for the homeless with SMI and/or co-occurring disorder.
8. The purpose of this section is to provide a description of your required Homeless Management
Information System (HMIS) implementation. 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 2017-18
COUNTY INTENDED USE PLAN
PATH County Intended Use Plan – SFY 2017-18 Page 5 of 6
DHCS 1755 (4/13)
importance in sharing this information with other community organizations serving the homeless
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 program budget beginning FY 2015-16 through PATH and County MHSA funds.
When possible, PATH staff will have individual HMIS user licenses and receive training in HMIS
data collection and data entry for more effective client care coordination. 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, the PATH staff were asked to complete training and
began migrating data from PATH Program logs in the second quarter of FY 2015-16. Although all
PATH-funded services were expected to be entered fully by the end of FY 2015-16, limitations in
the HMIS software as adopted by the FMCoC and the release of the new PATH Annual Report
guidelines have required additional on-going review and training for both the local HMIS
Administrator at Housing Authority and PATH staff in FY 2016-17.
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 in FY 2015-
16 to identify existing technical assistance needs, which included primary challenges of PATH
project set up in HMIS and collecting data during outreach. Housing Authority was advised of the
challenges and provided 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 FY 2015-16 and continue to participate in
PATH HMIS Learning Community webinars provided by SAMHSA in FY 2016-17, in order to
receive up to date guidance, best practices and peer-to-peer learning opportunities. DBH and
Kings View PATH coordinate with Housing Authority to refine procedures for entering PATH
client data in HMIS and understanding definitions of PATH data elements.
c. Describe the connection with the Continuum of Care to facilitate data migration.
FMCoC and its designated HMIS lead agency, Housing Authority, set the local HMIS data
standards and policies. Training is available for data collection and data entry. Additional one-on-
one training and consultation is also provided to PATH staff with the purpose of understanding
how information collected during the PATH outreach, engagement and linkage process convert to
PATH data elements that generate the PATH Annual Report. Record-building protocols also
include the new methodology for reporting services and referrals in HMIS. Housing Authority
offers additional technical assistance in accessing the HMIS data and sharing the collected data
with the other participating agencies associated with FMCoC to monitor and make program
improvements.
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 to generate the PATH Annual Report,
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 collaborates with the Housing Authority to ensure that all data fields continue
to reflect the new PATH Annual Report data requirements. DBH has also encouraged the HMIS
Administrator to participate in the SAMHSA Technical Assistance webinars.
State of California – Health and Human Services Agency Department of Health Care Services
Enclosure 5
PATH FY 2017-18
COUNTY INTENDED USE PLAN
PATH County Intended Use Plan – SFY 2017-18 Page 6 of 6
DHCS 1755 (4/13)
9. Provide a detailed budget narrative that provides specifics and calculations used for PATH
Administration funds. The narrative should describe the attached DHCS 1779P – Federal Grant
Detailed Program Budget.
Enclosure 8A DHCS 1779P - County Budget and Enclosure 8B DHCS 1779P - Provider Budget
provides the breakdown of PATH program costs. PATH Allocation ($315,179) and County Match
($105,060) in the amount of $420,239 will be used to fund contracted services and administrative cost
for the County and Kings View Corporation, while providing outreach, case management, housing,
mental health and/or co-occurring services and linkage to homeless adults with SMI and/or co-
occurring disorder. Staffing costs of $263,788 will fund 4.18 FTE positions comprised of 0.043 FTE
Program Director, 0.04 Operations Manager, 0.57 FTE Program Manager, 1.2 FTE Case Managers, 2
FTE OEL Coordinators (also may meet classifications as personal service coordinators/peer support
specialists), 0.07 FTE Financial Analyst and 0.26 FTE Administrative Support, inclusive of personnel
taxes and benefits. Consultant costs include $14,620 for network and data management information
services and the fees for HMIS implementation (training, system licenses and data maintenance).
Equipment costs of $3,906 will provide for the lease of a copier and computer and software expenses.
$17,805 will fund supplies for office operations in the course of providing services to clients and
program supplies to be used in outreach and therapeutic activities. Funding will also provide for travel
cost associated with client services in the amount of $15,290. Other expenses related to the provision
of services to clients include program building utilities of $3,280, program building rent and
maintenance of $25,562, and professional liability insurance and background checks for staff of
$7,484. Direct client support expenses will include $14,500 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 $12,000 (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 (2%) and Kings View as the contracted
provider (8%) in the amount of $42,004 (no greater than 10% of PATH funding).
State of California – Health and Human Services Agency Department of Health Care Services
Enclosure 6
PATH FY 2017-18
PROVIDER INTENDED USE PLAN
PATH Provider Intended Use Plan – SFY 2017-18 Page 1 of 9
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 2017-18
PROVIDER INTENDED USE PLAN
PATH Provider Intended Use Plan – SFY 2017-18 Page 2 of 9
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: $315,179
3. Total Match Dollars in Budget: $105,060
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 along withYouth
Empowerment Centers throughout the rural areas of the County. In FY 2015-16, Kings View
began operation of the Rural Mental Health Triage Program to provide mental health services in
working partnership with rural law enforcement and emergency services personnel (first
responders). Starting in January 2017, Kings View participated in collaboration with two other
community agencies go implement additional Multi-Agency Access Program (MAP) Points,
where navigators provide an integrated screening process to link individuals and families facing
behavioral, social, health and other related challenges to supportive services.
7. The purpose of this section is to provide a description of your organization’s plan to provide
coordinated and comprehensive services to eligible PATH Clients. Please provide the following
information as it relates to activities for FY 2017-2018.
a. The projected number of adult clients to be contacted using PATH funds. 350
b. The projected number of adult clients to be enrolled using PATH funds. 200
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 80%
State of California – Health and Human Services Agency Department of Health Care Services
Enclosure 6
PATH FY 2017-18
PROVIDER INTENDED USE PLAN
PATH Provider Intended Use Plan – SFY 2017-18 Page 3 of 9
DHCS 1756 (4/13)
risk of homelessness.)
d. The projected number of adult clients served with PATH funds that have a criminal
history.
75
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. Eighty 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 350 clients during FY 2017-18, engaging the target
population appropriately. Of the 350 clients contacted, 200 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. Provide specific examples of how the organization maximizes use of PATH funds by leveraging
use of other available funds for PATH client services.
The PATH Program is composed of two components, PATH-funded OEL and Specialty
Mental Health Services (SMHS). PATH funds are used for outreach, engagement and
linkage services to elgibile PATH clients. The SMHS component provides an enhanced
treatment program to a smaller group of PATH clients who would benefit from direct
specialty mental health services that are reimbursable by Medi-Cal and long-term supportive
housing services funded by MHSA.
h. 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
State of California – Health and Human Services Agency Department of Health Care Services
Enclosure 6
PATH FY 2017-18
PROVIDER INTENDED USE PLAN
PATH Provider Intended Use Plan – SFY 2017-18 Page 4 of 9
DHCS 1756 (4/13)
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.
i. 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
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.
j. Describe your organization’s status on HMIS migration, noting that HMIS implementation is
required for organizations receiving PATH funding. 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 for PATH services. OEL staff and the Program Manager have been trained in
HMIS data collection and entry. Staff currently input and maintain clients' PATH data
elements in HMIS. Kings View has established a relationship with Fresno Housing
Authority, designated by the FMCoC as the HMIS Lead Administrator, to resolve data
collection and entry issues, specifically the setup of appropriate PATH data element fields
and to ensure data quality through the creation of specialized reports. The PATH project set
up in HMIS will continue to be an evolving process to meet PATH Annual Report
guidelines. However, the new methodology for reporting services and referrals in HMIS that
only counts one instance for each category does not reflect the true quantity of services and
referrals provided.
k. 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.
l. 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
State of California – Health and Human Services Agency Department of Health Care Services
Enclosure 6
PATH FY 2017-18
PROVIDER INTENDED USE PLAN
PATH Provider Intended Use Plan – SFY 2017-18 Page 5 of 9
DHCS 1756 (4/13)
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 encourages and
assists clients to register through the Affordable Health Care Act Programs within California.
Social services and employment service linkages will be made to the Fresno County
Department of Social Services, Social 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, MAP, West Care SOS,
NAMI, Fresno County Housing Authority and many faith based organizations such as
Miracles In Community Action Services among others.
m. Please explain the gaps in current service systems that pertain to your PATH client population.
Permanent housing is still scarce for the homeless population in Fresno County. 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.
n. 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 are made to substance use disorder
treatment providers when a higher level of care is needed.
o. Describe your plan to train PATH staff on SSI/SSDI Outreach, Access, and Recovery (SOAR).
Provide a) the number of PATH staff trained in SOAR last fiscal year (2016-17); b) the number
of staff who provided assistance with SSI/SSDI applications using the SOAR model; c) the
number of consumers assisted through SOAR; d) application eligibility results (i.e. approval
rate on initial application and average time to approve the application); and e) the number of
staff dedicated to SOAR, both part- and full-time.
If the provider does not use SOAR, describe the system used to improve accurate and timely
completion of mainstream benefit applications, timely determination of eligibility, and the
outcomes of those applications. Describe efforts used to train staff on the alternative system
and what technical assistance or support the provider receives to ensure quality applications.
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 had received SOAR training in FY 2014-15, but left
in early FY 2016-17. Two OEL Coordinators and one new Case Manager will complete the
State of California – Health and Human Services Agency Department of Health Care Services
Enclosure 6
PATH FY 2017-18
PROVIDER INTENDED USE PLAN
PATH Provider Intended Use Plan – SFY 2017-18 Page 6 of 9
DHCS 1756 (4/13)
online SOAR training before the end of FY 2016-17. Four clients were assisted with
SSI/SSDI applications through the SOAR model in FY 2016-17 to date; all 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.
This year, there were 18 clients that PATH assisted who were already working with attorneys
or paralegals on their appeals and reapplication processes. PATH assisted those individuals
to obtain proper documentation and support to follow up with their attorney's
recommendations as well as make it to their appointments or hearings.
p. 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.
PATH staff also work with different room and board providers in order to assist people
getting off the streets as soon as possible while still waiting for other permanent housing
solutions (Olive Heights R&B, Quality Homes Inc, Cedar Heights, David Rosales Home,
among others). PATH provides technical assistance to individuals on navigating and
advocating for them with programs like Shelter Plus Care, STASIS, Fresno County DBH
Permanent Supportive Housing, Fresno Housing Authority, low income housing apartments
throughout the county.
Additionally, staff is committed to assist and support people in staying connected to their
local natural supports who may also be able to provide them housing (e.g. family members,
friends, church members, churches or other organizations.
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
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.
State of California – Health and Human Services Agency Department of Health Care Services
Enclosure 6
PATH FY 2017-18
PROVIDER INTENDED USE PLAN
PATH Provider Intended Use Plan – SFY 2017-18 Page 7 of 9
DHCS 1756 (4/13)
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, including specific examples, 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 2016-17 to date, our client population is:
41% White or Caucasian; 33% Hispanic or Latino;
23% African American; 0.8% American Indian;
0.8% Asian.
Age group breakdowns:
18-30: 21%; 31-50 years: 48%;
51-61: 24%; 62 and older: 7%.
Males accounted for 45.5% and females 54.5%.
9% 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
29 to 61 years old. Some staff providers speak 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 previously homeless and staff struggling
with mental illness. Staff are able to 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 are able to participate annually in Cultural Competency trainings and workshops
provided by the County at no cost.
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”.)
State of California – Health and Human Services Agency Department of Health Care Services
Enclosure 6
PATH FY 2017-18
PROVIDER INTENDED USE PLAN
PATH Provider Intended Use Plan – SFY 2017-18 Page 8 of 9
DHCS 1756 (4/13)
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. 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 DHCS 1779P - County Budget and Enclosure 8B DHCS 1779P - Provider Budget
provides the breakdown of PATH program costs. PATH Allocation ($315,179) and County
Match ($105,060) in the amount of $420,239 will be used to fund contracted services and
administrative cost for the County and Kings View Corporation, while providing outreach, case
management, housing, mental health and/or co-occurring services and linkage to homeless adults
with SMI and/or co-occurring disorder. Staffing costs of $263,788 will fund 4.18 FTE positions
comprised of 0.043 FTE Program Director, 0.04 Operations Manager, 0.57 FTE Program
Manager, 1.2 FTE Case Managers, 2 FTE OEL Coordinators (also may meet classifications as
personal service coordinators/peer support specialists), 0.07 FTE Financial Analyst and 0.26 FTE
Administrative Support, inclusive of personnel taxes and benefits. Consultant costs include
$14,620 for network and data management information services and the fees for HMIS
State of California – Health and Human Services Agency Department of Health Care Services
Enclosure 6
PATH FY 2017-18
PROVIDER INTENDED USE PLAN
PATH Provider Intended Use Plan – SFY 2017-18 Page 9 of 9
DHCS 1756 (4/13)
implementation (training, system licenses and data maintenance). Equipment costs of $3,906 will
provide for the lease of a copier and computer and software expenses. $17,805 will fund supplies
for office operations in the course of providing services to clients and program supplies to be used
in outreach and therapeutic activities. Funding will also provide for travel cost associated with
client services in the amount of $15,290. Other expenses related to the provision of services to
clients include program building utilities of $3,280, program building rent and maintenance of
$25,562, and professional liability insurance and background checks for staff of $7,484. Direct
client support expenses will include $14,500 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 $12,000 (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 (2%) and Kings View as the
contracted provider (8%) in the amount of $42,004 (no greater than 10% of PATH funding).
State of California - Health and Human Services Agency Department of Health Care Services
Enclosure 7
PATH 2017-18 Request for Application
DHCS 1757 (4/13)
FEDERAL BUDGET SUMMARY
TYPE OF GRANT: PATH STATE FISCAL YEAR 2017-18
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:
$ 94,235
$
$
$ 1,578
$ 3,906
$ 16,805
$ 13,120
$ 10,825
$ 105,060
$ 1,500
$
$ 4,000
$ 284,000
$ 31,179
$ 315,179
$
$ 58,826
BUDGET CATEGORIES
$ 205,410
$ 58,378
$ 13,712
$
$ 1,000
Object Class Categories
GRANT PROGRAM, FUNCTION OR ACTIVITY
(1) Federal (2) Non-Federal
State of California - Health and Human Services Agency
Enclosure 8
FEDERAL GRANT DETAILED PROGRAM BUDGET
STATE FISCAL YEAR 2017-18
TYPE OF GRANT: PATH
COUNTY: Fresno SUBMISSION DATE: July 11, 2017
FISCAL CONTACT: Laurentius Harlan Theng PROGRAM CONTACT: Janell Sidney Brown
TELEPHONE NUMBER: (559) 600-4619 TELEPHONE NUMBER: (559) 600-6831
EMAIL ADDRESS: lharlantheng@co.fresno.ca.us E-MAIL ADDRESS: jsidney@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 (2% PATH)7,179$ 2,283$ 9,462$
38 NET PROGRAM EXPENSES (sum lines 12 thru 37)7,179$ 2,283$ 9,462$
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)7,179$ 2,283$ 9,462$
DHCS APPROVAL BY:
TELEPHONE:
DHCS 1779 P (4/13)DATE:
Department of Health Care Services
State of California - Health and Human Services Agency
Enclosure 8
FEDERAL GRANT DETAILED PROGRAM BUDGET
STATE FISCAL YEAR 2017-18
TYPE OF GRANT: PATH
COUNTY: Fresno SUBMISSION DATE: July 11, 2017
FISCAL CONTACT: Laurentius Harlan Theng PROGRAM CONTACT: Janell Sidney Brown
TELEPHONE NUMBER: (559) 600-4619 TELEPHONE NUMBER: (559) 600-6831
EMAIL ADDRESS: lharlantheng@co.fresno.ca.us E-MAIL ADDRESS: jsidney@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 180,860.47$ 0.043 7,777$ 7,777.00$
2 Program Manager 108,421.05$ 0.57 61,800$ 61,800.00$
3 Case Manager 43,651.67$ 1.2 52,382$ 52,382.00$
4 OEL Coordinator 33,582.00$ 2 67,164$ 67,164.00$
5 Financial Analyst 46,028.57$ 0.07 3,222$ 3,222.00$
6 Administrative Support 40,703.85$ 0.26 10,583$ 10,583.00$
7 Operations Manager 62,050.00$ 0.04 2,482$ 2,482.00$
8 Benefits & Taxes 58,378$ 58,378.00$
9 -$
10 -$
11 -$
12 TOTAL STAFF EXPENSES (sum lines 1 thru 11)515,298$ 4.18 263,788$ -$ 263,788$
13 Consultant Costs (Itemize):
14 Consultant - Network & Data Management 13,120$ 13,120$
15 Consultant - (HMIS training, user licenses & maintenance)1,500$ 1,500$
16 -$
17 Equipment (Where feasible lease or rent) (Itemize):
18 Equipment Rent/Lease 2,706$ 2,706$
19 Computers & Software 1,200$ 1,200$
20 -$
21 -$
22 Supplies (Itemize):
23 Office Supplies & Equipment & Postage 6,116$ 6,116$
24 Telephone 5,280$ 5,280$
25 Program Supplies (Outreach)1,000$ 5,409$ 6,409$
26 -$
27 -$
28 Travel -Per diem, Mileage, & Vehicle Rental/Lease
29 13,712$ 1,578$ 15,290$
30 Other Expenses (Itemize):
31 Utilities 3,280$ 3,280$
32 Client Housing - One Time Emergency Housing 4,000$ 8,000$ 12,000$
33 Client Clothing, Food & Hygiene 2,500$ 2,500$
34 Client Transportation, Education & Employment 12,000$ 12,000$
35 Building Rent/Lease & Maintenance 25,562$ 25,562$
36 Liability/Professional Liability Insurances & Staff Background Checks 7,484$ 7,484$
37 PROVIDER ADMINISTRATIVE COSTS (8% PATH)24,000$ 8,542$ 32,542$
38 NET PROGRAM EXPENSES (sum lines 12 thru 37)308,000$ 102,777$ 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)308,000$ 102,777$ 410,777$
DHCS APPROVAL BY:
TELEPHONE:
DHCS 1779 P (4/13)DATE:
Department of Health Care Services
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2 0
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PROJECTS FOR ASSIST A CE IN TRANSITION FROM HOMELESSNESS (PATH)
GRANT APPLICA TrON FY 2017-18
ATTEST:
COUNTY OF FRESNO
l~j__ By ______________________ __
Chairman , Board ofSupervisors
Date: I""J -\ \ -\1
BERNICE E. SEIDEL, Clerk
Board of Supervisors
Date: l -\ \ -\ J
PLEASE SEE ADDITIONAL
SIGNATURE PAGE ATTACHED
- 1 -COUNTY OF FRESNO
Fresno , CA