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Agreement No . 15-257-2
AMENDMENT II TO AGREEMENT
THIS AMENDMENT , hereinafter referred to as "Amendment II ", is made and entered into this
..22nd day of October , 2019 , 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
Californ ia 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 "Agreemen t", whereby CONTRACTOR
agreed to operate a Projects for Assistance in Transition from Homelessness (PATH) program to
del iver 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 rece ipt 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 th is reference .
2 . That in the existing COUNTY Agreemen t No . 15-257 , all text in reference to "Exhibit B"
shall be replaced w ith the text "Rev ised Exhib it B". Rev ised Exh ibit 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 ) beg inn ing with the word "The " and
end ing on Page Four (4), Li ne Two (2) with the word "re f erence ." be deleted and the following
inserted in its place :
"The maximum amount of compensation paid to CONTRACTOR by COUNTY shall not
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exceed Five Hundred Thirty Thousand and No/100 Dollars ($530,000.00) 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 ($590,182.00) 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. The
maximum amount of compensation paid to CONTRACTOR by COUNTY shall not exceed One Million
Three Hundred Nineteen Thousand One Hundred Eighty-Two and No/100 Dollars ($1,319,182.00)
during the twelve (12) month period of July 1 2019 through June 30, 2020 with the understanding that
the additional Seven Hundred Twenty-Nine Thousand and No/100 Dollars ($729,000.00) will be used
for the acquisition of commercial vehicles to be used for rural outreach. In no event shall total
maximum compensation for this Agreement paid to CONTRACTOR by COUNTY exceed Three
Million Six Hundred Nineteen Thousand Seven Hundred Twenty-Eight and No/100 Dollars
($3,619,728.00).
It is understood by the CONTRACTOR and COUNTY that during the twelve month
period of July 1, 2019 through June 30, 2020, CONTRACTOR estimates to generate Eighty-Five
Thousand Seven Hundred Twenty-Seven and No/100 Dollars ($85,727.00) in Medi-Cal Federal
Financial Participation (FFP) and Twelve Thousand and No/100 Dollars ($12,000.00) 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, 2019
through June 30, 2020 CONTRACTOR estimates to generate One Hundred Thousand, Six Hundred
Forty-Nine and No/100 Dollars ($100,649.00) in Medi-Cal FFP and Nine Thousand and No/100
Dollars ($9,000.00) in client rent and transportation reimbursements to offset CONTRACTOR’s
program costs as set forth in the Revised Exhibit B.”
4.That the following be inserted on Page Six (6), Line Three (3) to the Agreement No. 15-
257:
“COMPENSATION”:
“H. Payment for three (3) vehicles, including equipped vans that shall be used for
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rural outreach services described in this Agreement. The vehicles shall be purchased prior to the
commencement of services. CONTRACTOR shall be the registered owners of the vehicles with
COUNTY as first lienholder. In the event of termination of this Agreement, COUNTY will immediately
invoke the right to repossession of the vehicles, which were purchased through this Agreement and
CONTRACTOR shall cooperate with COUNTY, including but not limited to making vehicles available
at 4551 E. Hamilton, Fresno, CA 93702 and immediately transferring title in the vehicles to COUNTY.
COUNTY shall pay for the vehicles, upon receipt and verification of a valid
purchase order from CONTRACTOR. If purchase is not made prior to end of term, County has the
right to demand reimbursement of the lump sum payment. In no event shall the total compensation
for the first year, including the cost of the vehicles, exceed the maximum compensation for the period
beginning January 1, 2020 through June 30, 2020. COUNTY shall have the right to approve of the
make, model, and total cost of the vehicle before the purchase is made. CONTRACTOR shall provide
fuel for the vehicles so that they are roadworthy, fit for their intended purpose, in good condition and
repair and in good, operable and efficient working order, except for reasonable wear and tear.
CONTRACTOR shall maintain insurance on the vehicles as specified in section Ten (10) of this
agreement. The following vehicles shall be purchased in order to provide services under this
agreement.
1.3 vans.
5.That the following be inserted on Page Two (2), Line Eighteen (18) to the existing
COUNTY Agreement No. 15-257:
“COMPENSATION”:
“F. CONTRACTOR shall make full access to four (4) of COUNTY’s equipped vans
(hereinafter collectively referred to as “vehicles”) for a period not to exceed Eight (8) months from the
date of this Agreement. During that time, COUNTY shall retain ownership of the above vehicles and
will be responsible for routine maintenance of said vehicles, COUNTY will provide fuel to
CONTRACTOR and CONTRACTOR will compensate COUNTY at the current Internal Revenue
Service mileage reimbursement rate. CONTRACTOR shall make a payment to COUNTY for mileage
for the use of the vehicles on the fifteenth (15th) of each month for the prior month.
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CONTRACTOR ensures that it will maintain automobile insurance as required
by section ten (10). CONTRACTOR staff assigned to drive vehicles, and all staff that may drive
vehicles, shall complete driver training though a method approved by COUNTY and shall be placed in
the DMV pull program. Vehicles shall only be used for the services stated in this Agreement. Any
unauthorized use of the vehicles shall immediately be reported to COUNTY.
6.That the following be inserted on Page Twelve (12), Line Fourteen (14) to the existing
COUNTY Agreement No. 15-257
“INSURANCE”:
“F. Commercial Automobile Liability
Insurance which shall be at least as broad as the most current version of
Insurance Service Office (ISO) Business Auto Coverage Form CA 00 01, and include coverage for all
owned, hired, and non-owned automobiles, COUNTY owned or other licensed vehicles (Code 1 –
Any Auto) used in connection with this Agreement with limits of liability of not less than $2,000,000
per accident for bodily injury and property damage.”
7.That the following be inserted on Page Sixteen (16), Line Twenty-Seven (27) to the
existing COUNTY Agreement No. 15-257:
“REPORTS”:
“F. HMIOT Report – COUNTY is responsible for providing report to the State which
will describe and evaluate the HMIOT program for essential planning purposes, maintaining program
accountability and program monitoring. CONTRACTOR shall submit to COUNTY’s DBH service
outcome reports as reasonably requested by COUNTY’s DBH. Outcome reports and outcome
requirements are subject to change at COUNTY’s DBH discretion.”
8.COUNTY and CONTRACTOR agree that this Amendment II is sufficient to amend the
Agreement; and that upon execution of this Amendment II, the Agreement, Amendment I and
Amendment II together shall be considered the Agreement.
The Agreement, as hereby amended, is ratified and continued. All provisions, terms,
covenants, conditions and promises contained in the Agreement, and not amended herein, shall
remain in full force and effect. This Amendment II shall become effective upon execution by all
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parties.
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4 IN WITNESS WHEREOF, the parties hereto have executed this Amendment II as of the day and year
5 first hereinabove written .
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Title (Chairman of Board, or President,
or CEO)
<~l~t~:s C:S
~7m~Ral'3 w..
Title (Secretary of Corporation, or Chief
Financial Officer/Treasurer, or any
Assistant Secretary or Treasurer
Mailing Address:
P .O. Box 28923
Fresno, CA 93729
Phone No .: (559) 256-0100
Contact: Leon Hoover, CEO
For Accounting Use Only:
Fund/Subclass : 0001/10000
Organization: 56302184
Account/Program: 7295/0
ATTEST:
Bernice E. Seidel
Clerk to the Board of Supervisors
County of Fresno, State of California
By: ~$Ad\ ~sho:f)
Deputy
-6 -COUNTY OF FRESNO
Fresno, CA
Revised Exhibit A
Page 1 of 8
PROJECTS FOR ASSISTANCE IN TRANSITION FROM HOMELESSNESS
(PATH) PROGRAM
Scope of Work
ORGANIZATION: Kings View Corporation
ADDRESS: PO Box 28923, Fresno, CA 93729
SITE ADDRESS: 1206 G Street, Suite 102, Fresno, CA 93706
SERVICES: Mental Health, Outreach, Case Management and Supportive Housing Services
HOURS OF OPERATION: 8am to 5pm, Monday through Friday
REGIONAL DIRECTOR: Virginia Sparks, LMFT
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
$729,000 October 31, 2019 – June 30, 2020
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 clients
who are suffering from severe mental illness and substance abuse (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. With the Homeless Mentally Ill
Outreach and Treatment (HMIOT) funding opportunity available as a result of SB 840 (chapter 29, Statutes of
2018), a one-time grant, the program can commit to combatting homelessness and improving outreach and
treatment for those with severe mental illness in Fresno County’s communities. The PATH program is comprised
of three components: 1) PATH – Outreach, Engagement, and Linkage Services (OEL); 2) PATH – Specialty
Mental Health Treatment Services (MH); and 3) PATH - Homeless Mentally Ill Outreach Treatment Program
(HMIOT). Kings View’s role is to provide outreach, engagement, and linkage services to 500 clients per year, of
which 400 will be enrolled in the PATH-OEL where they will receive case management, linkage, consultation,
peer support services, supportive interim or bridge housing services. For clients enrolled in ongoing mental
health treatment (30 clients at any given time) in PATH-MH, client will receive intensive mental health treatment,
case management, linkage, consultation, peer support services, and supportive housing services (housing to a
maximum of 10). In PATH – HMIOT, mobile outreach tactics will be utilized in the county to reach individuals in
need of mental health services and linkages to other programs. Service goals are to help stabilize and transition
clients into other County or community mental health programs.
Revised Exhibit A
Page 2 of 8
The PATH program is a vital resource to the community as it seeks to reduce and end chronic homelessness.
The PATH program will 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.
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 will collaborate with other
agencies for provision of non-direct mental health services (Federal Qualified Health Clinics (FQHC), Public
Guardian, Fresno County etc.). Services will 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, supportive
housing services, and mobile outreach services. COUNTY’S administrative staff shall monitor and oversee
program outcomes, coordinate reporting requirements, and execute contract.
King View ’s RESPONSIBILITY:
1 Shall provide three program components; one component will 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 (up to 10 clients). The third component is a mobile outreach effort to reach the
rural and unincorporated parts of the county to identify clients in need of linkage and mental health services.
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 will 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 will 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 will be provided medication via
Kings View’s PATH program selected vendor and/or other resources such as samples, coupons and
cost will 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;
Revised Exhibit A
Page 3 of 8
• Educate the client and family members on the purpose of medication and any side effects; and
• Monitor, treat and document any medication side effects.
C. The PATH - MH program’s client to staff ratio will be no more than 15 clients to each staff. A ratio of 1:15: or
one staff serves no more than fifteen clients.
D. The PATH – HMIOT program will employ multiple mobile outreach teams (with the option of some employees
being subcontracted through partner agencies) with assessment and linkage capabilities. These teams will
provide outreach to individuals with serious mental illness who are also experiencing homelessness and have
not engaged in services. The teams will provide outreach, build rapport, develop trust, and engage
individuals in services.
E. Evaluate the staff’s competency for performance purposes and establish medication policies and procedures
which identify processes to administer medications to clients and train other staff and family members
regarding medication education, medication delivery, medication side effects, observation of self
administration of medication and medication monitoring.
F. Assess and document the client’s mental illness symptoms and behavior in response to medication and
monitor for medication side-effects during the provision of observed self-administration and during ongoing
face-to-face contacts.
G. Staff shall employ harm reduction and motivational interviewing techniques and principles.
H. Kings View program staff shall reflect the target population culturally (cultural, linguistic, ethnic, age, gender,
sexual orientation) and other social characteristics of the community which 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 500 homeless
mentally ill adults, of which, 400 will be enrolled for outreach services.
F. Kings View Program Administrative staff will participate in the Fresno/Madera Continuum of Care (FMCoC)
as a member, COUNTY staff will provide technical assistance if needed.
G. The Program will participate and utilize the Homeless Management Information System (HMIS) to enter client
data. Through the FMCoC, the program will participate in accessing the HMIS to enroll all clients onto the
HMIS which 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.
Revised Exhibit A
Page 4 of 8
I. Utilize various engagement tools in the HMIOT rural outreach program such as clothing, food, shoes,
blankets, bus passes, hygiene kits etc. and address barriers to engagement such as transportation, pet care,
property storage, etc.
J. The HMIOT program will collect data from each consumer contacted that will inform future program focus to
reflect the needs of the individuals being served.
III. The PATH program shall provide the follow ing specific services as it relates to mental health
treatment services:
A. Program will 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 will enroll at minimum 400 clients within a twelve month period.
B. Program will provide a mental health treatment component, in which referrals will be approved by the
Department of Behavioral Health. The mental health treatment component will service up to 30 adult 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. Rural outreach will provide engagement with individuals in unincorporated parts of the county who have not
received services. Services will include but are not limited to: assessment, case management, crisis
intervention, housing, medication support, referrals and linkages.
D. 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.
E. Implement mental health service strategies to reduce the number of days a client experiences
hospitalization, incarceration and homelessness.
F. 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.
G. Staff will 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.
H. 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;
Revised Exhibit A
Page 5 of 8
• 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.
I. 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.
J. 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.
K. 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.
L. 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.
M. 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.
N. 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.
O. Provide alcohol, tobacco and drug abuse services as needed, this will 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 at all possible.
P. 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.
Revised Exhibit A
Page 6 of 8
Information shall also include eating disorders, gambling, overspending, sexual and other addictions, as
appropriate.
Q. 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.
R. 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.
S. 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.
T. 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.
U. Initiate voluntary commitment, should there be a need; program staff shall work with County staff within the
Adult Services Division. County staff will sign the involuntary commitment papers.
V. 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.
W. 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.
X. 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 will be made available by the vendor
to encourage and empower client to utilize public transportation to their scheduled appointments.
Y. 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 will 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, will receive supported independent housing
opportunities and support services (minimum of 10) who accept housing. The program will 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 will be responsible to negotiate and establish
Revised Exhibit A
Page 7 of 8
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.
E. A completed client rental agreement shall document the amount of rent and the minimum utility expense that
a client is required to pay. Program staff shall also provide a monthly receipt to client of the payment
received and collected.
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 will meet with the Department liaison on a monthly basis to discuss
program client issues, concerns, measurable outcomes and reports, and any other items.
2. Assist the CONTRACTOR in making linkages with the total mental health system. This will 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 will be available to the contractor for ongoing consultation.
4. Receive and analyze statistical data outcome information throughout the term of contract. DBH will notify
the program when additional participation is required. The performance outcome measurement process will
not be limited to survey instruments but will 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 will 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.
Revised Exhibit A
Page 8 of 8
B. Mandatory cultural competency training including sexual orientation and sensitivity training for program
personnel, at minimum once per year. County will provide mandatory training regarding the special
needs of this diverse population and will 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 will be the responsibility of the vendor.
Revised Exhibit B
Page 1 of 8
OEL FTE
%
SMHS
FTE %
HMIOT
FTE %
OEL
Admin OEL
SMHS
Admin SMHS
HMIOT
Admin HMIOT Total
PERSONNEL SALARIES:
0001 Program Direction 0.01 0.01 953 953 $1,906
0002 Clinical Supervisor 0.64 0.16 46,654 11,664 $58,318
0003 Case Managers 1.45 0.35 65,106 16,227 $81,333
0004 Outreach Engagement Linkage (OEL)1.40 39,042 $39,042
0005 Psychiatric Services 0.21 27,040 $27,040
0006 Administrative Specialist 0.80 0.20 6,485 25,937 1,621 6,485 $40,528
0007 Program Manager HMIOT (8) Mths 0.15 $11,675 $11,675
0008 Outreach Workers HMIOT (8) Mths 1.50 $65,564 $65,564
SALARY TOTAL 4.51 0.72 1.65 $325,406
PAYROLL TAXES:
0031 FICA/MEDICARE 496 15,662 124 2,703 847 4,754 $24,586
0032 SUI 91 3,010 24 546 88 492 $4,251
0033 Workers Compensation 121 4,014 32 728 348 1,955 $7,198
PAYROLL TAX TOTAL $36,035
EMPLOYEE BENEFITS:
0041 Retirement 62 2,441 15 610 216 $3,344
0042 Health Insurance (medical, vision, life, dental)145 15,414 36 3,853 1,563 $21,011
EMPLOYEE BENEFITS TOTAL $24,355
SALARY & BENEFITS GRAND TOTAL $385,796
FACILITIES/EQUIPMENT EXPENSES:
1010 Rent/Lease Building 19,200 4,800 7,920 $31,920
1011 Rent/Lease Equipment 2,640 660 1,100 $4,400
1012 Utilities 7,200 1,800 2,520 $11,520
1013 Building Maintenance 2,640 660 3,360 $6,660
1015 Rent/Lease Vehicles 11,880 2,970 $14,850
1016 Equipment Repairs & Maintenance 300 $300
1017 Purchase 3 Vans and 1 Vehicle 182,001 $182,001
FACILITY/EQUIPMENT TOTAL $43,560 $10,890 $197,201 $251,651
OPERATING EXPENSES:
1060 Telephone 7,605 1,902 4,780 $14,287
1062 Postage 120 30 $150
1063 Printing/Reproduction 750 $750
1066 Office Supplies & Equipment 6,371 1,593 2,000 $9,964
1069 Program Supplies - Therapeutic 800 200 5,500 $6,500
1072 Staff Mileage/vehicle maintenance 4,000 1,000 10,832 $15,832
1076 Other - Program Supplies - Outreach 3,000 1,000 17,000 $21,000
1077 Other - Staff Recruitment/Background Checks 800 200 3,000 $4,000
1079 Communications (software)1,000 $1,000
OPERATING EXPENSES TOTAL $22,696 $5,925 $44,862 $73,483
FINANCIAL SERVICES EXPENSES:
1082 Liability Insurance 2,595 753 8,800 $12,148
1083 Administrative Overhead 25,022 23,160 69,493 $117,675
1085 Professional Liability Insurance 2,884 721 3,000 $6,605
FINANCIAL SERVICES TOTAL $30,501 $24,634 $81,293 $136,428
SPECIAL EXPENSES (Consultant/Etc.):
1090 Consultant (network & data management)5,400 10,600 19,209 $35,209
1092 Medication Supports 4,000 $4,000
1093 Other - One Time Emergency Housing 10,000 $10,000
1094 Other - Outside Services Staffing 245,293 $245,293
SPECIAL EXPENSES TOTAL $19,400 $10,600 $264,502 $294,502
FIXED ASSETS:
1190 Computers & Software 800 200 3,600 $4,600
1190 Furnishings 3,500 $3,500
1190 Other Minor Equipment 5,540 $5,540
FIXED ASSETS TOTAL $800 $200 $12,640 $13,640
NON MEDI-CAL CLIENT SUPPORT EXPENSES:
2000 Client Housing Support Expenditures (SFC 70)26,647 21,353 36,000 $84,000
2001 Client Housing Operating Expenditures (SFC 71)$0
2002.1 Clothing, Food & Hygiene Mobile Showers (SFC 72)2,500 3,000 $5,500
2002.2 Client Transportation & Support (SFC 72)11,000 2,000 $13,000
2002.3 Education Support (SFC 72)500 $500
2002.4 Employment Support (SFC 72)500 $500
2002.7 Utility Vouchers (SFC 72)$0
2002.8 Child Care (SFC 72)$0
OEL SMHS HMIOT Total
$18,062 $4,514 $1,779
$252,673 $45,621 $87,502
$211,217 $36,950 $77,239
$23,394 $4,157 $8,484
Line Item Description (Must be itemized)
Projects for Assistance Transitions from Homelessness(PATH)
Kings View Corporation
FISCAL YEAR 2019 - 2020
Budget Categories - Total Proposed Budget
Revised Exhibit B
Page 2 of 8
NON MEDI-CAL CLIENT SUPPORT TOTAL $41,147 $21,353 $41,000 $103,500
TOTAL PROGRAM EXPENSES $410,777 $119,223 $729,000 $1,259,000
32.63%9.47%57.90%
Revised Exhibit B
Page 3 of 8
Projects for Assistance Transition from Homelessness (PATH)
Kings View Corporation
Fiscal Year 2019 – 2020
PROGRAM EXPENSES
PERSONNEL SALARIES Annual Amount
Line 0001 Program Direction $1,906
0.02 FTE Provides program and clinical direction, maintains
collaborative relationships with other entities and agencies.
Line 0002 Clinical Supervisor: $58,318
0.80 FTE provides supervision of all staff including interns.
Line 0003 Case managers $81,333
1.75 FTE Provides case management services
Line 0004 Outreach Engagement Linkage: $39,042
1.40 FTE Provides Outreach and engagement services, provides
linkage to needed services
Line 0005 Psychiatric Services $27,040
0.21 FTE Provides Medication services for consumers
Line 0006 Administrative Specialist $40,528
1.0 FTE provides reception, medical records and other
needed support tasks for the program and consumers
Line 0007 Program Manager (HMIOT) $11,675
0.15 FTE Provides program and clinical direction, maintains
collaborative relationships with other entities and agencies.
Line 0008 Outreach Workers (HMIOT) $65,564
1.5 FTE equivalent, three part-time outreach workers, provide
Outreach and engagement services, provide linkage to needed
Services.
SALARY TOTAL $325,406
PAYROLL TAXES :
Line 0031 FICA/MEDICARE - Employer share $18,985
Line 0031 FICA/MEDICARE – Employer Share (HMIOT) $5,601
Line 0032 SUI $3,671
Line 0032 SUI (HMIOT) $580
Line 0033 Workers Compensation $4,895
Line 0033 Workers Compensation (HMIOT) $2,303
PAYROLL TAX TOTAL $36,035
EMPLOYEE BENEFITS
Line 0041 Retirement - Employer share of 401(K) $3,128
Line 0041 Retirement – Employer share of 401(K) (HMIOT) $216
Line 0042 Medical, Dental, Vision, Life - Employer share $19,448
Line 0042 Medical, Dental, Vision, Life – Employer share (HMIOT) $1,563
Revised Exhibit B
Page 4 of 8
Calculated on actual plans chosen by current employees
assumes continued employment of existing staff
Employee Benefits equal 9.3% of Salary Total (Lines 0001 through 0006)
EMPLOYEE BENEFITS TOTAL: $24,355
SALARY & BENEFITS GRAND TOTAL $385,796
FACILITIES/EQUIPMENT EXPENSES
Line 1010 Rent/Lease Building $24,000
This amount is calculated at 2,500 square feet at 0.80 per
Sq. foot. The current location of the PATH program will
be demolished for the High Speed Rail. We are currently
working with realtors to find a new location.
Line 1010 Rent/Lease Building $7,920
This amount is calculated at 1,000 square feet at 0.99 per
Sq. foot. For 8 months (HMIOT)
Line 1011 Rent/Lease Equipment $3,300
The annual cost to lease a copier.
Line 1011 Rent/Lease Equipment $1,100
Estimated cost for Hub printer/Copier. (HMIOT)
Line 1012 Equipment Repairs & Maintenance $300
The annual cost of Equipment and repairs
Line 1013 Utilities $9,000
The annual cost of gas and electric
Line 1013 Utilities $2,520
The annual cost of gas and electric (HMIOT)
Line 1014 Building Maintenance $3,300
The annual cost of janitorial services and minor building
repairs.
Line 1014 Building Maintenance $3,360
The annual cost of janitorial services and minor building
repairs. (HMIOT)
Line 1015 Rent/Lease Vehicles $14,850
The annual cost to lease 2 cars and one van, this line
includes license and registration fees.
Line 1015 Purchase Vehicles $182,001
The purchase of 3 vans, vans estimated at $60,667
Each (HMIOT)
FACILITIES/EQUIPMENT TOTAL $251,651
Revised Exhibit B
Page 5 of 8
OPERATING EXPENSES
Line 1060 Telephone $9,507
The annual cost of telephone services, land lines, long
distance, cell phones and data connectivity
Line 1060 Telephone $4,780
The annual cost of telephone services, land lines, long
distance, cell phones and data connectivity (HMIOT)
Line 1062 Postage $150
Line 1063 Printing/Reproduction (HMIOT) $750
Line 1066 Office Supplies & Equipment $7,964
This includes all supplies used by staff in the course of
providing service to consumers
Line 1066 Office Supplies & Equipment $2,000
This includes all supplies used by staff in the course of
providing service to consumers (HMIOT)
Line 1069 Program Supplies – Therapeutic $1,000
Supplies used consumers such as workbooks, journals and
art supplies
Line 1069 Program Supplies $5,500
Supplies used for the program (HMIOT)
Line 1072 Staff Mileage/vehicle maintenance $5,000
This includes vehicle maintenance costs, fuel costs and
Staff reimbursement for using a personal vehicle paid at
The IRS rate of 0.575 per mile.
Line 1072 Staff Mileage/vehicle maintenance $10,832
This includes vehicle maintenance costs, fuel costs and
Staff reimbursement for using a personal vehicle paid at
The IRS rate of 0.575 per mile. (HMIOT)
Line 1076 Other – Program Supplies – Outreach $4,000
Supplies provided to homeless consumers by the Outreach
Engagement Linkage Team
Line 1076 Other – Program Supplies – Outreach $17,000
Supplies provided to homeless consumers by the Outreach
Engagement Linkage Team
Line 1077 Other – Staff Recruitment/Intern Background Checks $1,000
Thorough background checks are required, this amount
will fund 20-25 checks
Line 1077 Other – Staff Recruitment/Intern Background Checks $3,000
Thorough background checks are required, (HMIOT)
Line 1079 Communications (software/license) $1,000
Duo factor licensing, and software licensing (HMIOT)
OPERATING EXPENSES TOTAL $73,483
Revised Exhibit B
Page 6 of 8
FINANCIAL SERVICES
Line 1082 Liability Insurance $3,348
Includes general liability and auto insurance
Line 1082 Liability Insurance $8,800
Includes general liability and auto insurance (HMIOT)
Line 1083 Administrative Overhead (Corporate Indirect) $48,182
10% on all other expenses, provides HR, Payroll, Fiscal
Management, Accounts Payable and other administrative
functions.
Line 1083 Administrative Overhead (Corporate Indirect) $69,493
10.5% on all other expenses, provides HR, Payroll, Fiscal
Management, Accounts Payable and other administrative
functions. (HMIOT)
Line 1085 Professional Liability $3,605
Includes the annual cost of Professional liability insurance
Line 1085 Professional Liability $3,000
Includes the annual cost of Professional liability insurance
(HMIOT)
FINANCIAL SERVICES TOTAL $136,428
SPECIAL EXPENSES
Line 1090 Network & Data Management $16,000
Line 1090 Network & Data Management (HMIOT) $19,209
Information Services provides the following:
Managed Internet Service Provider
SPAM, virus, content filtering of e-mail & web services.
HIPAA compliant configuration of firewall & intrusion
detection systems. Quality of service controls.
Network & Desktop Management
Installation, maintenance & administration of servers, routers,
switches, wiring/cables & other related equipment. Installation,
maintenance & repair of desktop PCs, laptops, printers & other
related equipment. Online, onsite, phone-based & emergency
support-24/7 support
Project Management
For both application & technology; management of the planning,
design, development, implementation, maintenance & support
phases of a project. Post implementation quality assurance
Technology Procurement
Purchase equipment, software & other services from approved
& authorized vendors
Telecommunications Management
Installation/maintenance/management of international, national,
state, metro, campus & local area networks. High definition
Revised Exhibit B
Page 7 of 8
video systems for both IP, Traditional & ISDN networks
Strategic Technology Planning
Budget projections, technology assessment & risk management
System Documentation
Network diagrams, policies, procedures, floor plans, manuals &
desktop configurations
Application/Data Hosting
Access to applications such as Office Professional, Adobe Reader,
WinZip. Data files and documents stored in secured data center,
daily/weekly backups. Encryption (256 bit) of email for sensitive
information. Access to data/documents 24/7.
Line 1092 Medication Supports $4,000
This includes the purchase of medications for consumers with
no other ability to pay. Consumers are enrolled in Patient
Assistance Program until they obtain Medi-Cal
Line 1093 Other – One time Emergency Housing $10,000
Line 1094 Other – Outside Services Staffing, subcontracted (HMIOT) $245,293
This will cover (2) clinicians at around $70 per hour and (2)
outreach workers sub-contracted thru Poverello House
8 month period. (HMIOT)
SPECIAL EXPENSES TOTAL $294,502
FIXED ASSETS
Line 1190 Computers & Software – the costs for HMIS enrollment $1,000
And user licenses are included
Line 1190 Furnishings (HMIOT) $3,500
Line 1190 Other Minor Equipment (HMIOT) $5,540
Line 1190 Computers & Software – (HMIOT) $3,600
and user licenses are included
FIXED ASSETS TOTAL $13,640
NON MEDI-CAL CLIENT SUPPORT EXPENSES
Line 2000 Client Housing Support Expenditures $48,000
Cost of non-emergency housing for consumers
Line 2000 Client Housing Support Expenditures $36,000
Cost of non-emergency housing for consumers (HMIOT)
Line 2002.1 Clothing, Food & Hygiene $2,500
Purchase of food, clothing and hygiene items for consumers
Line 2002.1 Clothing, Food & Hygiene $3,000
Purchase of food, clothing and hygiene items for consumers
(HMIOT)
Line 2002.2 Client Transportation & Support $11,000
Revised Exhibit B
Page 8 of 8
Monthly bus passes and tokens for consumers
Line 2002.2 Client Transportation & Support $2,000
Monthly bus passes and tokens for consumers (HMIOT)
Line 2002.3 Education Support $500
Assist with education expenses such as books and
registration
Line 2002.4 Employment Support $500
Cost of employment assistance such as DMV records, ID
Cards or birth certificates
NON MEDI-CAL CLIENT SUPPORT EXPENSES TOTAL $103,500
TOTAL PROGRAM EXPENSES $1,259,000
PROGRAM REVENUE
Line 3000-3700 Medi-Cal Revenue Total $85,727
Based on a report of the last 5 years of actual services provided and adjusted
for changes in staff, clinical supervision and program goals. 30 expected clients.
Line 4000 Other – PATH $306,519
Based on last year’s allocation
Line 4000 Other – PATH (HMIOT) $729,000
Based on last year’s allocation
Line 4100 Other – Client Rent & Transportation Reimbursements $12,000
Based on current program collection practices
Line 5000 MHSA CSS Funds $125,756
TOTAL PROGRAM REVENUE $1,259,000